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I went to the hospital today for our weekly monitoring, and to see the OB afterwards, and there have been some developments.  Nothing to worry about, so everyone stop hyperventilating!!

Our little guy is still doing great – he’s moving around and doing his breathing exercises, and we keep getting the feedback after the fetal monitoring that he could be in a textbook.  All of that is still good.  However, my amniotic fluid is low (we are below the 10th percentile of the amniotic fluid curve – who even knew there was one of those out there?).  Our nurse told us that if something is happening with the baby, the first sign to show up is usually a decrease in the amount of fluid.  It does not seem as if I am leaking fluid (apparently there’s a test for that, too!) and it could be nothing more than he was blocking a good pocket of fluid from being seen in the ultrasound.  To make sure, we are scheduled for another ultrasound/BPP on Saturday to see how the fluid is doing then.  If we are still low, I’ll be induced on Saturday.  If the fluid is back up to where it’s supposed to be, then we’ll just keep going as we have been, and we’ll set the regularly-scheduled induction at our appointment next Thursday for the next week.

The other thing that’s been weird is my blood sugar – it’s been all over the place for about a week.  Times when I think that I’ve eaten something that should send it through the roof has lowered it, and vice versa.  My OB thinks that’s probably my body getting tired of being pregnant (not just my  body, doc!) and she’s keeping a careful eye on that.

Right now her best guess is that I will pass the fluid test on Saturday and that we’ll go ahead as planned.  I somehow have a feeling that’s not what’s gonna happen, but I’ve been wrong before.  Plenty.  She wants to get us as far along as possible before we start having problems with the placenta due to The Beetus, to give his lungs all the time they need to develop.  But she did mention that our “homework” for tonight was to pack for the hosptial, and not to work on the bedskirt as I had planned.  🙂

So, there’s the update.  Nothing alamaring according to the doc, but I’m a little worried, and, of course, not at all ready for this to be approaching so soon.  Although, is there ANY new mom that feels ready?

The end is nigh (!!) and I have got some work to do.

In the last couple of weeks, the doc-go-round has slowed down a bit, which is wonderful.  We have two more specialist visits – one with the endocrinologist (The Beetus Doc) and one with the perinatal doc to have our final (!) growth ultrasound and have a look-see at the fluid in the little one’s bowel.  Right now, we are going to our BPP every week, and then to see the OB after.  Here is the video of the BPP that Jeff took on his birthday (June 4, 2009):

June was a busy month.  I got to feed a giraffe!

058062It was Jeff’s birthday (which we spent at our BPP, doc, and baby class)!

Aunt Alison and Uncle Mike got married!!!

003 If you want to see more pictures, they are here on my Flickr stream…

We also got our roof replaced, our back deck re-built, and the baby’s room is on the way to getting done.  And did I mention the two fabulous showers?  The Kofoed Aunties threw one the weekend of Alison’s wedding.  I LOVE getting together with Jeff’s family, and the fact that all the out of town folks were there made it even more special.  And then Sarah threw the Classy Broads shower, which was just as Classy as you’d imagine, and even more fun!

But there is ever so much more to get done!

  • Finish the baby’s room.  This not only includes finishing the painting, which has taken forever, but also moving all the stuff in, repainting one of the cabinets that is to go in there, doing a BIG cleaning of that room, and washing all the clothes and stuff that needs to be washed.  Also, making curtains, crib skirt, chair cover, dresser protector, bulletin board….
  • Kick the yard back into shape.  The garden needs weeding and mulching, and we haven’t mowed in about a month….some of my flowers died, so I replaced those, but there is still a ton of work to do out there.
  • Stain the new deck.
  • Do a big cleaning of the house.  I didn’t do much of a spring cleaning, and I’m probably not doing much of a fall one, so I want to do one, huge, thorough cleaning so we can just “maintain” through the next few months.
  • Prepare freezer meals so we don’t have to do much cooking in the first few weeks after the baby is home.
  • Figure out what we still need for the little one.  Thanks for the generosity of our family and friends, it’s not a whole lot… 🙂

And, I’m sure, much much more!

Or, How I Will Spend the Rest of My Pregnancy at the Doctor’s Office.

Sorry for the big break in blogging, but there have been some time-consuming developments in Little Sawatdee Land.  Read on…

RosieTwo weeks ago, at Week 28, we went in to see the perinatal doc and then on to our regular OB appointment.  At the perinatal doc, we had another ultrasound.  I haven’t scanned the pics yet, and my not, as most of them are of his face and hard to see if you didn’t have the tech there to point out what we were seeing.  But there is one that I need to get online for you – it’s a picture of his arm, exactly mimicking the Rosie The Riveter stance..all you can see is his flexed little arm.  It’s adorable!!

Everything looked pretty good on the ultrasound – he is not only sending Mama a prenatal message (We Can Do It!), but he is measuring within two days of his due date.  There is some extra fluid in his bowel that the doc can’t explain, but doesn’t seem to be much of an issue.  She can see the fluid, but there is no distension or blockage that she can see, so we’ll have another look-see ultrasound at 36 weeks, and just make sure that he poos after he’s born.  She thinks that he’s just drinking more amniotic fluid than usual.  I figure that, as Irish as he’ll be, he’s just taking advantage of any drink he can get.

At the regular OB, I had my first gestational diabetes test, the one hour test.  I failed it spectacularly.  I was not surprised.  After all, I am high risk for the GD, being fat, old, and having insulin problems before I got pregnant (I was finally diagnosed with metabolic syndrome last April).  Also, my eating habits once I had to quit my metabolic meds at 12 weeks have been appalling – my body has been craving sugar, and there have been about half a dozen foods that I can eat with any regularity.  They are all high-carb, high-sugar, and things I would generally not touch when I’m on the medication.

BeetusWe scheduled my three hour glucose test for that Friday.  My fasting glucose should have been under 80 – it was 124.  After drinking the hideous fruit punch sugar drink and waiting an hour, my glucose should have been under 180 – it was 221.  I didn’t even  have to wait for the next two blood draws – they sent me home and told me to wait for the call from the diabetes clinic.

Before I even heard from the clinic, my regular OB nurse called me and told me that my doc, the fabulous Dr. McK, wanted me to up my visits to her to once a week, and that I was to report to the Maternal Assessment Center (MAC) at the hospital once a week for bio-physical monitoring.  I’ll be doing that every Thursday until Little Sawatdee decides to grace us with his presence.

I finally got a hold of someone at the Beetus clinic Monday afternoon, and got an appointment the next day.  We had a bit of a struggle over the phone on that – my OB had indicated that I was to get on insulin right away, and the Beetus RN wanted me to do diet modification for a few weeks first.  I finally had to get tough and tell her:  Look, I’m only going to have this for 10 more weeks.  There are half a dozen things I can eat right now.  If you get my insulin working again, we can talk diet modifications when I can eat like a normal human being again. I wasd trying really, really hard not to be a pain in the ass, but we’re not talking about a wait and see approach with this in my mind – I have 10 weeks to make sure this kid is healthy, and I want it done NOW.

She finally came around.

I did meet with a dietitian who outlined the maximum amount of carbs that I should have and at what time – it’s a whole lot less than I’d been eating, what with my new two cakes a day habit.  We then met with the nurse, who showed me how to monitor my blood sugar and give myself the insulin shots.

For right now, I am limited to:

  • Less than 30 carbs for breakfast
  • 30-45 carbs for lunch
  • 30-60 carbs for dinner
  • Up to 45 for a bedtime snack

Basically, I’m on Atkins, but with a few more carbs.  I’m now testing my blood sugar four times a day (before breakfast, one hour after each meal) and having to measure my level of ketones in the morning.  It’s been interesting trying to eat three meals a day, and having to plan those meals – since I stopped working full time, I’ve kind of been eating what I want, when I want, and this has been quite a chance.  However, I am less grossed out by food in general, and have been able to eat more variety than I have in months.  That’s worth the price of admission right there.

BPPOn Thursday, we had our first Bio-Physical Profile (BPP) at the Maternal Assessment Center (MAC) at Abbott, where we will be delivering (I still haven’t been able to convince Jeff that Cabbie should be delivering me in the back of a cab).  Basically, I get hooked up to a heart monitor and another monitor that measures the baby’s activity and movements.  The nurse was looking for movements (check) and increased heartbeat with  movements (check).  As with pants, LS didn’t like having the pressure on him/me, and kicked right on the monitor belt.

Then we had an ultrasound.  It’s lower quality than the one we’ve gotten used to, but the nurse was measuring adequate amniotic fluid (check), breathing exercises (check), gross movement (check) and fine movement (check).  He had half an hour to preform all of those things, and did them within a few minutes.  He passed his first test with 10/10.

After the BPP, we went over to see Dr. McK and do our weekly check in.  Nothing much to report there, but we set up a schedule of things for the next few weeks.  She was also momentarily worried that my belly was measuring three weeks more than my pregnancy (I was 29 weeks, my belly was measuring 32).  She was reassured when she saw his measurements from the ultrasounds (he’s at 51%), and I reminded her that I have NO TORSO.  Where else am I supposed to grow?

So, it’s been a busy couple of weeks.  I’m getting into the swing of eating normally and regularly.   I had to get a new purse calendar, as my old one was too small to keep track of all my appointments in.  It has a photo sleeve cover, so I’ve made a copy of the We Can Do It! ultrasound to remind me that Little Sawatdee and I are in this together, and that we can do what it takes to keep both of us healthy and have him come out healthy and happy.

Coming Up:

  • Every week:  BPP, OB visit, check in via phone with diabetes clinic
  • 32 weeks:  growth ultrasound at regular OB
  • 36 weeks:  ultrasound to check on growth and bowel at perinatal clinic

Only 10 weeks (hopefully!!) to go!!