Friday, March 28, 2008
OK, this is it, we're in the last days. I am set to check in to the hospital on Monday night. I'm supposed to call L&D at 5pm, and they'll tell me when to come in. I'm classified as an "A induction", so I'm first in line. There are also "B" and "C" inductions, and those are for things like large babies, past due, convenience inductions, etc. Finally, all of my problems come with a perk..."A" inductions are viewed as medical emergencies, so they pretty much never tell you to wait another day, but they may say come in at 7pm or 8pm or something. I think I'd rather come in at 7pm because I don't want to deal with the nursing shift change, but we'll see. I can have a light lunch at 11am on Monday, then after that just clear liquids. I'm going to be freaking starving!
Anyway, so Monday night, they'll do the cervical ripening, meaning they'll place Cervadil and see if it gets my cervix going overnight. Tuesday morning, they'll start the pitocin and away we go! If for some reason the pitocin doesn't work on Tuesday, then they'll consider stopping the induction, giving me some heparin (I take my last dose Monday morning), letting me eat, and then trying again Wednesday. We should have a baby by Wednesday at the latest though....can you believe it?
My appt with Dr. Swaim went great yesterday. This little one is still head down like a good girl! My cervix is soft now, but not open at all (which is why we're doing the ripening). Dr. Swaim's practice shares call across like 7-8 doctors so you never know who you'll get for a delivery. But she said she really didn't want to miss this one so while we've scheduled the induction next week with the greatest likelihood that she'll be there, she also said to have the dr. on call page her if I go into labor on my own this weekend : ) We were all so giddy yesterday, it was just hilarious.
When the nurses were calling in my induction to the hospital, I had a moment that I think I'll always remember. She was giving them all my info, and I heard the particular statistic that I've heard so much (and that I've heard change over the years)...."She's a gravida 5, para 0"....that means, she's been pregnant 5 times (the twins count as one pregnancy) but has no living children. People look at you differently when they see/hear that stat...even nurses who have probably seen it all. The nurse on the other end of the line must have said something about it because my nurse said "Oh I know, we're all very excited." After next week, that statistic will change forever. All of the pain associated with those few words will all of a sudden have been worth it.
Patrick continues to be completely ready and totally in control. I, on the other hand, am starting to freak out. I was freaking out as soon as we set the date in the office. I just cannot believe that it's here. THREE days and we'll start this process. Mind you, I have all the normal fears: not knowing what to expect, will she be okay, will I be okay, etc. But mostly, I'm just overwhelmed with emotion that we made it. All of us made it...and we're so ready to start our new life as a family.
I don't think I'll get a chance to update again until she's here...three days until we head to the hospital...~ 80 hours...not that I'm counting.
Thursday, March 27, 2008
So here are way more pictures than you're interested in seeing ; ) Dr. appt this afternoon, so I'll update with the final countdown tomorrow! Oh, and I'm full term now ; ) Who ever thought we'd be saying that!
Quick look in the room
Changing table, can you believe the diaper bag is actually packed? ; )
The top light in the room(from Ikea, boy Patrick had hell installing that thing, love you honey!) One wall
The window (sun was coming through so it was hard to get a good pic)
Mobile over the changing table
Hanging flowers in the corner over the glider
Crib and toy basket
Glider, Boppy pillow is ready to go!!
Dragonflies hanging over the crib
Hanging dragonflies, pic taken sitting in glider
Close-up of what the dragonflies look like. Their bodies are actually beaded and their wings have glitter : )
Tuesday, March 25, 2008
So details...first, it was really odd because I woke up to pee more than usual Sunday night and just felt a lot of pressure. I'm thinking she turned sometime during the night. Then while I was sitting in the waiting room, she was all over the place, people across the room could see her moving...something had definitely changed because you could see EVERY move she made on the outside. First thing Dr. Kirshon checked was her position, and she was definitely head down! While she's doing great, things are definitely starting to happen (things we expected) and Dr. Kirson said it's time to have a baby! She's weighing in right at 6 lbs right now, but her movement is terrific obviously. Cord flow and placental flow looks great, too. Her amniotic fluid level is dropping though, it's down to 9.5. All signs that she's ready to come out, so Dr. Kirshon recommended she be delivered in the next 7-10 days...which is right on track with when we were hoping to induce.
I had to call Dr. Swaim's office since we had planned on the version, and I didn't even have an appt scheduled for the week. Dr. Swaim was way excited that she turned, her and Dr. Kirshon talked, and Dr. Swaim called me back herself. I'll see her on Thursday, and we will officially set an induction date for next week. She wants to give my cervix as much time as possible to ripen. Oh, and last week my cervix was 3.8cm the day before she removed the cerclage. Yesteday, it was 1.9cm!!! So at least it's going the right direction!
I'm just supposed to sit tight, monitor movement (again, someone across the room from me could monitor movement...she hasn't stopped moving since yesterday morning!), see her on Thursday, and be ready for next week!
Oh, and so there was a little privilege that came with the removal of the cerclage. ; ) I call it "crossing the snoogle"...you know that large pillow that separates you from your husband while you're pregnant...it may not be graceful, there may be a lot more laughing that usual, but hey, it had been since July, so I don't think anyone is complaining. ; ) Plus, now we're in the "we're doing it to help the cervix" mode, so we feel like we have a purpose. Funnily enough, everyone kept commenting on what a great mood Patrick was in on Sunday. : )
Ok, so one last belly picture update. Here are the newest pics followed by the complete progression. The only picture left to add to this bunch are the pics from induction day!!!!
Hopefully, I'll get motivated and take some updated nursery pics tomorrow. Mom still has my hamper and trash can, so they won't be the final pics, but close enough. ; )
Tuesday, March 18, 2008
Anyway, turns out we were there early, so Patrick went up to Dr. Mac's office while I was in the bathroom. Terri apparently got a little worried when she saw him, but they were excited to know I was around. I just wanted him to make sure there weren't tons of patients in the waiting room, and they said nope, just one in with Dr. Mac and everyone was in today. So Patrick came and got me one floor down and I went to visit for a little while. Everyone was really excited to see us, told me how good I looked pregnant, Patrick made his usual fat jokes. It was really cool to see everyone. Dr. Mac was just so excited, and he asked us if we really thought it would ever happen. Patrick told him how he constantly thinks about what if we'd given up. Dr. Mac knew how down we were many times, but he was so complimentary of us for persevering. Of course, they all start talking about the cerclage removal, and everyone says it hurts. Terri reminded them all of how tough I am though : ) Anyway, it was great to see them, and we promised to come back by with the baby once she's here.
Then on to Dr. Swaim's. The cerclage removal really wasn't all that bad. Dr. Swaim of course asked Patrick if he wanted to see...nothing like your husband staring down your vagina while you're trying not to panic about the impending pain. The speculum was actually the most uncomfortable part because I guess she had to use a longer one than normal, and well...that whole general area has been "out of order" for many months now. She had to get in far enough and wide enough to see the stitch...and then of course, it took a bit to get a hold of the knot on the stitch. Patrick actually had to hold the light for her so she could see...it was hilarious. Anyway, it finally came out, and it really wasn't that pad. It felt a little awkward and weird, but not a lot of pain. Apparently there was a nice amount of blood though and Patrick seemed concerned by this...he's so cute about those things. Anyway, it's out! I've been having a couple of little cramps/contractions since, but nothing major.
So the plan now (if nothing happens sooner...the nurses were joking about me having the baby tonight!) is to see De. Kirshon on Monday for another ultrasound. If she's still breech (Dr. Swaim said she's more transverse which will make turning her easier), then we'll be doing the version a week from today...lots going on!!!
So we'll see. We're definitely in the final countdown here, and I'm increasingly nervous. This is really happening...I swear I haven't accepted that fact yet..and I might not until they actually hand her to me. Patrick of course is completely ready, and he said he thinks one of the reasons is that he's always worried about her. He worries about every ultrasound, every test. We joked that we'd feel much better when we could just look at her and say "You ok?" I think we're just ready for the end of this journey...and the start of a new one.
Monday, March 17, 2008
Oh, and she's still breech, kind of. They said she's actually between breech and transverse...so maybe she's thinking about turning? We'll see.
Here are the pictures from 32 weeks and 34 weeks. We're already due for the last belly shot before delivery day this week believe it or not!!! Almost there!!
Thursday, March 13, 2008
Anyway, I went to see Dr. Kirshon again earlier this week. She apparently hit a little growth spurt and is now measuring 5lbs 8oz. Her fluid levels are also great at about 17mL. He said she has plenty of fluid to turn if she'd like to...that's right, she's STILL breech!
Anyway, we're just in a holding pattern now. I'm scheduled for another ultrasound/biophysical profile for Monday at the hospital because Dr. Kirshon is out of town. Then we'll see Dr. Swaim on Tuesday to remove the cerclage and talk about options if she's still breech. I'm becoming more comfortable with the idea of trying the version, but I don't think Patrick's had time to do his research yet, so hopefully he'll look into it this weekend.
That's it from here. Thankfully we are just 5 days away from the end of the high school soccer season, so I'll get my husband back just in time to calm me down for the last 2 weeks of this pregnancy! She'll be here in less than 20 days....holy crap...when am I supposed to hit that point where I actually comprehend the fact that I'm bringing home someone to wear all of these cute clothes I've been washing? Because I've truly yet to grasp that concept...I think I'm still expecting to wake up...
Friday, March 07, 2008
Everything is still going great. I'm pretty sure we've decided on a name (or at least Patrick is sure), but nope, not telling ; ) We saw Dr. Kirshon (our high risk ob) this week, and he was still pleased with all of the progress. She was weighing in at 4lbs 10oz, so she looks to be on target to be an average baby (for 2 weeks early). We'll be seeing him weekly now. I also saw Dr. Swaim yesterday, and she did my Group B Strep test and said that my cervix still looked great, too.
The biggest issue...this stubborn child is STILL BREECH! Obviously, we'll be keeping an eye on her to see if she turns (and I've started propping my hips up on pillows nightly to encourage her to turn...nada so far), but if not, we've got a decision to make. Here's our timeline for the coming weeks.
* Week 34 (this week)- well I just told you what we did this week : )
* Week 35 (next week)- we see Dr. Kirshon for another u/s to check her growth and see if she flipped.
* Week 36- I see Dr. Kirshon and Dr. Swaim. Dr. Swaim will cut my cerclage, I switch to twice daily heparin (a 12 hr dosage instead of my 24 hr Lovenox), and we'll decide about trying to turn her if she's still breech.
* Week 37- If she's still breech, we have enough fluid, and she's growing well, then we'll try to turn her using external cephalic version...yes, the name (and description from Dr. Swaim) scared me, too. I'm all for trying it, but Patrick has some serious reservations, so we'll definitely have to discuss it soon.
* Week 38- Induction or C-section! Probably on April 1st or 2nd if all goes well.
If at any time her growth slows too much or my fluid level drops, then they will induce/operate immediately. Also, if I go into labor on my own (which could happen once they remove the stitch or when they try to turn her), then they will help me out with pitocin or perform a C-section if she's still breech.
We're really in the countdown now! I can't believe it...she's really coming!!