Wednesday, November 14, 2012

Ender's All Over the Place, and So Are We

I had two appointments this week. One was my regular OB appointment, the other was an extra ultrasound I decided to get for free from Argosy University to see if the placenta has moved at all.

Tuesday was my OB appointment. Adam stayed home with a napping Nora and got ready for one of his interviews, so it was just me. I met the new RN, Justine Politz. I really liked her. I guess she works at Woodwinds also, and used to work at Abbott, but said that the "abnormal was becoming normal," and she didn't like that. It's kind of funny, because even though this is "normal baby #2" for me, the normal routine of appointments still seems somewhat strange to me, as the abnormal with Danni was my normal. (Maybe that's another reason I wanted another ultrasound... that's my "normal.") She measured my tummy, and felt my tummy to find that the baby was in a transverse position (laying across my tummy instead of in a head-down position). She said that was actually good, since I have placenta previa. Then he's not putting as much pressure on the placenta and my cervix. Then she pulled out the doppler, and found is heart rate to be in the 140's again. She mentioned that at my next appointment they would do the Group B Strep culture, but I asked if that was necessary if I am having a scheduled c-section, and I never had one done with Danielle. She said that since she's new there, she would ask Dr. Mahan. So as she walked me out, we stopped and asked. Dr. Mahan said they still do it, just in case my water breaks or something.

Then, on Thursday, we had our free ultrasound at Argosy University. When you sign up for one you have to have already had your 20-week anatomy scan, and you have to bring proof (a picture from it works fine). So we grabbed our ultrasound pictures and off we went! One of the students (whose name was also Sarah) came down to get us, just like if you were going into a clinic. (At the end, we were asked to fill out a survey about how professional they were, and she did great!) When we got up there, I laid down on their table, and she asked if we knew what we were having. We told them we were having a boy, but wanted to know if my placenta had moved at all. She looked right away, and said it was still covering my cervix. I asked her if she could measure to see how far it would have to move yet, but she said her professor, Heidi, would have to do that at the end. Sarah had about 15 minutes to take some anatomy pictures that she needed off her list. She found that he was breech that day... moving all of the place, I guess! She did ended up getting a really great picture of his little boy parts! Since Krista couldn't get him to sit still long enough to get a good picture, I was kind of excited to see that he is indeed a boy! Then two other students had their turn to scan and take pictures off of their lists as well. They gave us a CD with all of the pictures, but they are mostly boring pictures of arm or leg bones, the spine, or a couple of the heart (alright, so I think the heart ones are still pretty neat, with all 4 little chambers!). After each student had their turn, Heidi, the professor had her turn to take some fun pictures. She took some profile pictures and checked how far the placenta would have to move. She said about 3 cm. :( That means in ten weeks, it has moved about 1 cm, and now has another 10 weeks to move 3cm... I don't think that's going to happen anymore, so it looks like I'll be sliced and diced again.

Ender's profile
Looking right at us
He's gonna be chubby! :)
Must be flexible!
He's got hair, just like his sisters did!


How far along?: 31 weeks 2 days
Total weight gain/loss: About 19 pounds... 1 1/2 pounds of which are just in the last day... I think I might need to check my scale again.
The Bump: Well, there's definitely no denying that I'm pregnant... It's funny that it changes shape from day to day (or sometimes hour to hour), because he still isn't sure if he's more comfortable transverse, breech, or head down.
What I’m excited about/looking forward to: I think at this point, just getting to see Nora meet him and interact with the "bebe." She's kind of jealous when Adam or I hold another baby, but if someone else is, or if the baby is laying on the floor, she very fascinated by them.
Maternity Clothes: Yep. I'm so glad I've had 2 wonderful people lend me some of their maternity clothes. I feel way more fashionable this time around than with either of the girls! (Thanks, Jacque & Theresa!)
Symptoms: Not sleeping through the night, and sciatic nerve pain... that's about it, I guess.
Belly Button in or out?: Out. With both girls I remember people telling me how back in the day when they were pregnant women would put band-aides over their belly buttons so people wouldn't see them sticking out. No one has said that this time around.
Food Cravings/Aversions: Milk. Hot chocolate sometimes, but the past few days if my tummy's not happy, I drink some warm milk with vanilla & nutmeg (like my mom would make us when we were kids), and my tummy is happy again.
What I miss: The hope of having another VBAC.
Milestones: He's about 11.4 inches long and weights about 4 pounds at this point, and gaining weight more rapidly... maybe that's why I gain 1 1/2 pounds in a day!

Saturday, November 3, 2012

Getting Closer...

I had another appointment almost a week and a half ago (Oct. 23rd), and am now starting appointments every other week. (That means we're getting closer! :) ) Since it was my 28-week visit, I got to drink the lovely orange-flavored Glucola before going in. I had eaten lunch right before and had an apple (higher in sugar than the rest of my meal), and after I drank the stuff I started feeling slightly dizzy/ light headed, so I was kind of worried that I wouldn't pass the glucose test. But, at the same time I was fine with the first two, so I wasn't super concerned.

We waited in the waiting room for a little bit, and then were called back to the lab. I couldn't remember if it was a blood draw or a finger prick, so I asked the nurse (in case it was a blood draw, I needed to lay down). She said she already checked my chart, and that I'm Rh+, so it was just a prick. I asked why Rh- people had to have a blood draw instead, and another nurse in the lab told me that since they have to check for antigens (or maybe antibodies... I'm not even sure what the difference is), they just do it all at once, so that you can get the RhoGAM shot. While she nurse was getting ready to prick my finger, Adam & Nora stood in the doorway, watching and waiting for me. Nora must have remembered a similar setting from her one-year check-up, because any time Adam got close to the doorway, she started fussing. So they ended up walking up and down the hallway, with Nora peering in to check on Momma. I kept smiling at her, hoping that it was reassuring her that everything was okay, and leaving a better impression on her. Then maybe next time she goes in it won't be as scary for her. I waited for my results, and they came back fine (well below the allowed amount), and I guess my hemoglobin was also fine.

On the way back to our room, she asked if I wanted a flu shot while I was there, so she came back with that as well. Nora, again was a little leery when she saw what was coming at Momma, but didn't fuss this time, just clung to Daddy. Then we waited for Dr. Tumaneng.

We had a long list of questions for her, many concerning some preterm labor signs I have been having, and what bed rest should all entail for me. It seemed more like pelvic rest, with taking it easy (especially when I'm starting to feel more contractions or back pain), but she said I could still walk around the mall for an hour or two, as long as I wasn't there the whole day. With preterm labor/ deliver on our mind, we also wanted to know where we would end up going at this point, since we knew Woodwinds can't handle all premies. I was hoping St. John's, as that would probably be my second choice, and it was. Woodwinds can handle 34 weeks gestation and beyond, so once we hit December we'll be able to go there no matter what.

Since our experience with a c-section at Abbot left much to be desired, I wanted to know what to expect at Woodwinds for a c-section, so I had her kind of walk me through it. It turns out usually (unless the rooms are all full) you're only in two rooms: your room, and the OR. They do all the surgery prep in the same room that you will be recovering in, and staying in until you leave. We liked the sound of that, since at Abbott we were in 4 different rooms (plus Danni's room, of course, but that was kind of a special circumstance).

Once we got through all our questions, Dr. Tumaneng pulled out the doppler. I will miss how great she is with kids at appointments when she leaves. When she was using the doppler, she held it out for Nora to see and touch while she used the wand to find her little brother's heartbeat (it was about 148 bpm). Nora was thought this new "toy" was pretty interesting, and touched it and listened.

This was my last appointment with Dr. Tumaneng, and on the way out I scheduled my next couple appointments with the other providers. I'm trying to meet with each one again (and meet the new one, Justine) before we schedule the c-section.


How far along?: 29 weeks 6 days
Total weight gain/loss: About 17 pounds.
The Bump: I'm starting to feel big, especially since I'm doing the pregnant waddle more often now.
27 weeks 1 day
What I’m excited about/looking forward to: I scheduled an ultrasound for this coming Thursday at Argosy University to hopefully see if the placenta has moved. I'm not sure if they'll look or tell me, since it's considered a "fun" ultrasound, but I'm hoping they will. (And I'm hoping it has moved!)
Maternity Clothes: Oh yeah! Pants all the time, shirts most of the time. I can still wear a few of my non-maternity clothes, but it's getting to be fewer and fewer. (The day before Danni was born, I was wearing a non-maternity tank, so I'm sure this answer will be pretty much the same from here on out.)
Symptoms: Well, the whole time I've been complaining about back pain, and it seems to be less -or, dare I say, gone. I know lower back pain often accompanies placenta previa, so I'm hoping this is a sign that its gone! I still have worse sciatic nerve pain than I did with either of the girls (with them it actually got better!).
Belly Button in or out?: Totally out. There's no going back!
Food Cravings/Aversions: I was on Pinterest and found a yummy looking pumpkin bread with a cream cheese filling that I was craving. I found a similar pumpkin bar recipe that I had the ingredients for and made it, but then found I really wasn't craving it all that much. (They're still really good though!)
What I miss: Sleep. I wake up most nights and can't fall back asleep. Though it's helped now that I have Adam getting up with Nora if she wakes up in the middle of the night.
Milestones: At this point he has rhythmic breathing (but his lungs aren't fully developed), his bones are fully developed, and his eyes respond to light. He's getting ready to come out and meet the world! :)

Tuesday, October 9, 2012

Bed Rest? What's that?

When I was pregnant with Danielle, I never went to an appointment alone. With Eleanor, I went to one appointment alone (right after Adam's mom died, and they were planning the funeral). Two weeks ago, I went to my first appointment with Ender alone. It was with Aimee, the nurse practitioner, and all went well. She measured me for the first time (right on track), and checked his heart rate (150-155 bpm). I didn't really have any questions for her, but she reminded me that at my last appointment Dr. Tumaneng put me on modified bed rest since I have placenta previa. I asked her what that all entailed, since I had forgotten I was on it, and since I really didn't have a good explanation of what I could and could not do. She said she wasn't the best person to ask, so I ended up Googling it when I got home. Pretty much everything I had been doing, I shouldn't have been doing. I started a new job, and you're not supposed to be working, let alone driving. While I've still been driving and working (where I think I actually get to sit more than I do at home!), I've tried to lay off the housework a bit. It's tough though, because I like a clean house, I like checking things off my to-do list, I like making dinner for my family... However, it's starting to get a lot tougher to do many of these things. While its tough to do when you're pregnant often anyways, I'm finding that if I do my "normal" stuff, I get super sore, and have more contractions. If I take it easy and don't do much, I have maybe one or two, and sometimes none at all. I know it's probably best for the baby at this point, but I think if I get put on strict bed rest, I will go mad! I can't sit still that long!


How far along?: 26 weeks 2 days
Total weight gain/loss: About 12 pounds.
The Bump: I still don't feel super big, and I was telling Adam that the other day. I was telling him that I wonder if it's because out of the 3 1/2 years we've been married, I've been pregnant for almost 2 of those years.
What I’m excited about/looking forward to: Oh golly, I don't know... maybe seeing Nora interact with her little brother when he arrives.
Maternity Clothes: Pants, yes. Tops, mostly (my tummy is starting to show out the bottom of most of the ones that aren't).
Symptoms: Back pain, back pain, back pain... oh, and did I mention, back pain.
Belly Button in or out?: The other day I was laying on my back and it went in a little, but it's still totally out.
Food Cravings/Aversions: With Danni, I'd say it was apples. With Nora, I don't think I really had one. With this one, I'm thinking it's chocolate & sweets, but mostly chocolate.
What I miss: Since I'm supposed to be on modified bed rest, I miss being able to do my normal things. I don't like that making dinner is sometimes such a chore and effort. It drives me nuts that I have stuff I want to get done, but I'm afraid of what I'll feel like afterwards (see "Symptoms" above).
Milestones: Well, his eyes open and he can cry this week. And I didn't realize it until I looked at chart, but Sunday ends the second trimester! This pregnancy seems to be going a lot faster than the girls' did...

ICAN Meeting

Even before we scheduled our c-section with Danielle, I had gone to the ICAN (International Cesarean Awareness Network) website. I wanted to be informed about how I could have a c-section and make my chances of having a VBAC (vaginal birth after cesarean) the best they could be. I used information found at their website and other places I researched to write a birth plan and talk to my doctors. I knew they had meetings, but never even thought about going to one, until yesterday.

My doula that I had with Nora, Ashley, had posted on Facebook to see if anyone wanted to go to next month's meeting. It turned out to fall on Adam's birthday, so another friend of mine (who has also had a c-section and VBAC, and is expecting again in December, similar to us) and I decided to go to this month's meeting last night. While I fully support the efforts of ICAN in making mothers more aware of their choices in birth, and letting them know that a VBAC is, in most cases, an option, I, myself, will not be going to another meeting. I want you to know while reading this that I understand that going though a c-section can be a traumatic event, and some women do suffer from postpartum depression (and some, who go through traumatic births, apparently suffer from post-traumatic stress disorder). These are often chemical imbalances in your body, and you aren't really able to control them.

At the beginning of the meeting we went around and did brief introductions (Hi, I'm Sarah. My first was a c-section, my second was a VBAC, and I'm pregnant with number three, who will likely be another c-section.) Most of the women said something such as, "mine was your typical reasons for a c-section... not progressing in labor properly." I didn't even mention that mine was scheduled, mine was because my daughter had a severe heart defect, mine was much different from all of your stories.

While, everyone (sans me) was sharing different parts of their birth, their feelings during and after their c-section, what they wished the medical staff would have done, and such, I stayed quite. I don't usually mind talking about Danielle and her story, but I didn't feel comfortable doing it here. Just about every woman in the room said that the worst thing people had said to them in reaction to their traumatic birth was, "at least you and the baby are healthy," and every woman said how much she hated it when people said that, and how much it hurt them in different ways. The first time one of them said it I thought about chiming in, but soon they were all saying it or agreeing with the statement. That is the point at which I shut myself off at the meeting. I couldn't handle not saying, "Well, yeah, they're right." There were a few points where I felt as though I needed to get up and walk out (not leave, because I still needed to give my friend a ride home!), but I stayed, and in hopes of getting something out of the meeting.

After that, I listened to them share how they had problems bonding with their baby for months and months, breastfeeding issues (or successes and how it was healing), and other things. One women shared how she had preeclampsia and her baby was in the NICU. She said that she didn't get to hold her baby until hours later when they wheeled her recovery bed over to see her baby. I was at least able to tell her that she's lucky she got to hold her baby the day he/she was born, as they wouldn't let me hold my daughter while I was still on the bed, and I wasn't really able to get up until the next day. What I didn't say is how in the few hours that I held her or was with her, I didn't get much of a chance to bond with her. I knew the moment I laid eyes on her that I loved her so much my own heart could burst. But I never got to build that nursing relationship, since I only nursed her once for a few moments (even though the doctors didn't want me to, the nurse let me).

I really didn't get anything out of the meeting, and I would never go back, but it was a funny coincidence that three and a half years after our wedding, I ran into our wedding photographer, Danica, (who was there, I'm assuming to drum up business, as she doesn't have any children), at this meeting. Worth it? Maybe, maybe not. But making it through the meeting was an experience, and one I will choose to not have again.

Thursday, September 27, 2012

Look What Nora Can Do!


I kind of wanted to make a list of things that Nora has learned how to do so that when she's older and has kids of her own she can see how much trouble sweet she was. I wanted to do it at a year, but never got around to it... So at 13 1/2 months, Nora can...

- point at a puppy/ dog and say "PU-pe"
- say "be-be" when she sees a baby (she has been very gentle and nice to babies thus far, and I'm hoping it continues when her little brother arrives)
- say "mama," "dada," "gmpa," "abby" (or "addy," we're not really sure which) and babble ALOT
- makes a new noise that I can't even replicate (no idea where or how she came up with it, but she really thinks its fun to make!)
- walk
- climb upstairs and she's starting to walk downstairs (like an adult!) when she's holding onto something or someone
- climb from the kneeler in church onto the pew
- bring you the stuffed Tigger grandma bought her, when you ask "Where's Tigger?"
- "bounce" by bending her knees when asked "What does Tigger do?" or "Can you bounce?"
- dance by stomping her feet to any one of her toys that makes music
- give dolly or Momma (or anyone/ thing) a hug or kiss when asked (and sometime when not asked) :)
- point to her nose when asked "Where's Nora's nose?"
- point to someone else's nose when asked
- point to your eyes and say "hi-e"
- point to her eyes when asked
- show the sign for eat when asked if she wants to eat
- go to her highchair when asked "Where do we go to eat?"
- go to the gate going upstairs for bedtime or naps, diaper changes, or just when told "Let's go upstairs"
- go to the gate going to the main floor when told "We're going downstairs"
- say "hi" and wave
- wave bye-bye
- wave bye-bye to Daddy when we I tell her we are leaving (making sure he sees her and waves back), then goes to the gate to go to the basement
- point to things she wants when asked, "What do you want?" (mostly food, but sometimes other things)
- try to put lids on containers (never the right ones though!)
- run to the garage door from the car, walk over the door threshold (with a hand from Momma), and run over to the stairs to climb up before I can even put down the diaper bag
- walk backwards until she feels a "chair" (like grandma's front step) and sits down
- shut drawers or cabinets when told to "shut" (then claps because she did a good job)
- put things "in" or "on" other things when asked to (drawers, shelves, etc.)
- pulls things our then *sometimes* puts them away again
- use a spoon to put things in her mouth (but someone has to put something on the spoon for her)

Saturday, September 15, 2012

Lots to Cover!


So it's been quite a while since I've written a post about this pregnancy with Ender, so I'll try to keep it short, but I'll try to remember everything.

We had an ultrasound on August 22, and were able to find out the gender (right before the City Wide Garage Sale! I'll talk about clothes in another post). We had Krista (our ultrasound tech) put it in an envelope, and I gave it to my friend, Amanda, who blew up either pink or blue balloons for us, and put them in a cute box that she decorated.

Then we were able to open the box up and see the BLUE balloons fly to heaven for Danielle to see. Here's another sneak-peek of our baby boy from the ultrasound!

BEAUTIFUL! :) Love seeing this!





The note from Krista with the proof!
You have read a couple times in the "What I'm excited about/looking forward to" part that I wanted to know if I still had placenta previa. Well, we found out the answer to that at the ultrasound as well. The placenta is still covering my cervix by 4.21 cm. Krista seemed doubtful that it would move enough to avoid a c-section by the time I deliver, so the thought of it doing it again haunted me for several days. I posted in a mom's group on Facebook that I needed prayers for peace of mind, and hopefully that the placenta moved. My mind was eased a little from their prayers and supportive comments. But, I think after our appointment with Dr. Tumaneng last Tuesday, I felt better about it, and started to accept it as the likely outcome. I asked her quite a few questions... She thought there was still a chance for it to move, but I also wanted to prepare myself for another c-section, so I told her that I wanted Adam to be in the room with me when they did the spinal. She said that most anesthesiologists at Woodwinds don't mind, but if or when the time comes to schedule the c-section, that they would make sure to put a note on my chart about it. There's still a couple other things I want out of a c-section birth with this baby (especially since he is healthy and all), and some that the doula I had with Nora, Ashley of Gaia Birth, brought up as well, such as being able to hold him and breast feed him while they stitch me up. With Danielle, I was okay with not being able to do that, since I knew, for her, it would be best to get her hooked up to her new lifelines.

I've been going back and forth on whether or not we want to use Ashley, or really a doula at all, this time. I am 100% happy that we had her for Nora. I felt that having that extra support made my VBAC successful. This time, if I VBAC, I think I want to just have Adam there. He was wonderful support, and I think Ashley helped guide him a lot of the times, but I think he learned a lot and can probably do it on his own. If I have a c-section, then I guess we've "been there, done that" too. Of course, this time there's quite a few things I want to do differently, but I feel like, after having Danni, and feeling like I didn't have a voice with some things, and finding that with Nora, I was in control, that this time, I would be able to make it the best c-section that I can have (even if it's not my ideal birth situation).

How far along?: 22 weeks 4 days
Total weight gain/loss: Well, after our Duluth vacation, the State Fair, and the cabin on Labor Day, I was up about 12 pounds, but now that I'm back to eating normally, it's right around 11 pounds.
The Bump: While I don't feel super big, when I look at my belly pictures, I see that I actually am!
22 weeks 2 days
What I’m excited about/looking forward to: The consignment sale at the State Fair grounds! I'm excited to find lots of cute boys' clothes (and maybe a few things for Nora too)!
Maternity Clothes: While I had to wear my maternity shorts, because my regular ones weren't fitting, now that it's getting cooler, I have few pairs of regular capris that I can still wear (though some are elastic waist-ed... maybe that's cheating in this category! lol) Maternity tops I haven't even touched yet, but I'm getting low on tops that are long enough to cover my belly!
Symptoms: Keeping my tummy happy is always a "symptom" and, I know I've posted about it before, but with this one I seem to have a lot more lower back pain. Maybe it's from holding Nora, or maybe it's where the placenta is with the previa... either way, back rubs are good!
Belly Button in or out?: Yep, all the way out! At least this one didn't actually kick it out!
Food Cravings/Aversions: We were talking about split pea and ham soup the other day (mom's homemade stuff!), and it sounds pretty good to me! (Could be the fall weather too though!)
What I miss: Not having my belly get in the way maybe? It's difficult to bathe Nora, and doing the dishes is starting to get tough.
Milestones: I guess he's on a somewhat regular schedule for sleeping, and being awake. That sounds about right with the movements I'm feeling All. The. Time. :)

Sunday, September 9, 2012

Nora's Thank You Notes

Almost a month after her party, I finally made Nora's thank you notes and had my little one-year-old sit down and write them. ;) I couldn't decide how I liked them best, so I made a couple variations. Since the gifts were for Nora (not me), I wrote them as if she were writing them. I thought it might be fun for her family to see what she thought of the toys and money that she got. I think next year I will try to have her write an "N" or her name, depending on what she can do at the time. But at this point, if she's holding a crayon, she thinks it looks tasty, and it ends up in her mouth. :-/