Oh my goodness, so much time has passed. I'm still here Still alive, still blogging. I've just been busy, between work and baby and life and vacations. Quick update.

--Things with Mike have been better. I'm trying to focus more on the good things and less on the bad ones, and see if I can recapture the love I had. We had sex yesterday for the first time in probably 6 weeks. Eek. But it was nice, and he was happy.

--I had my 6-month post-partum checkup with the OB and talked to her about the physical pain I was having during sex. She did an exam and clued right in on where the pain was. My skin did something weird when growing back from the stitching, so she gave me a steroid cream to use. It gave me some other discomfort, so I didn't use it the full time I was supposed to. I probably should, though, because it still hurt (though not as much) when Mike and I had sex yesterday.

--Michaela is doing GREAT! She's enormous-- tall and heavy. She is eating solid foods now. She's has avocado, banana, green beans, butternut squash, carrots, and, as of today, cottage cheese. Banana is her favorite; green beans are her least favorite. She has two teeth now that have broken the gums. She's sitting up very well, and is so curious about the world around her.

--With her new solid food consumption, Michaela isn't drinking as much breast milk, so I don't have to pump as often. I am now not getting up in the middle of the night to pump, which is fabulous. She sleeps through the night and now I can, too!

--Work is going great. I was working really, really long days on a project for weeks, a month or two ago, but now it's calmed down and I'm back to my normal schedule.

--We went on vacation to visit Mike's family and had a blast. It was one of the best vacations I've eve had, hands down. The grandparents and uncles and aunt were excited to see Michaela, and we had a really nice week relaxing and spending time together. It's going to become an annual tradition, and I have to say, I can't wait!

--I'm looking at hiring someone to take care of the baby one day a week. My mom is going to take her on Thursdays for the next 11 weeks while Mike teaches a morning class, but I still feel like it would be good to have help another day a week so he can concentrate on his business. I need to do some research to see what questions one should ask a potential baby sitter/nanny.

--Mike's mom and stepdad are coming to visit in two weeks. His mom just retired, so she's going to stay for about 10 days. Then her hubby will come and they'll watch Michaela while Mike and I head to Northern California for a friend's wedding. Should be a nice getaway.

--My best friend lives in Chicago and had twins about 2.5 months ago. I'm going to go visit her sometime in the next couple of months. It'll just be me and Michaela, but it should be a blast. Another friend just moved there, too, so I'll also get to see her while we're out. Just need to find a date and book my tix!

--We're talking about doing a cruise in October with Mike's mom and stepdad or mom and grandma (his grandpa died a few months ago). It would be a cruise we've done before, but still, a fun trip. This year has involved a lot of travel!

--I continue to suffer form itching when I get too hot. apparently that's here to stay. When I exercise or when it's warm out, or if I stay in the hot shower too long... BAM! Itchy rash. Ugh!

--My birthday is in about two months. I've gotta decide what to do. My treat to myself may be my trip to Chicago. And that's okay. Michaela's 1st birthday is 5 months from today (I know! How is it possible my baby is 7 months old?!?) and I'm trying to decide what we should do to celebrate it. Since Mike's family is split (mom and stepdad, dad and stepmom), it's a little more awkward, and since it's so close to Christmas, there are other considerations. I'm thinking we may just do something small-- like we'll do a cake for Michaela and invite my parents and invite all of Mike's parents-- and tell any family members who live somewhere else they're welcome to join us for Christmas if they want. I don't think anyone will-- Mike's mom and stepdad will have just been out in October, and with Mike's grandpa having passed away, they won't leave his grandma; and Mike's dad and stepmom have talked about coming in February or March, so they probably wouldn't come twice in such a short period of time-- but it's nice to offer and to get it on the calendar.

That's all for now. I will try to return to my days of being good about posting. I know someday, I'll look back at this and be really happy I documented my thoughts and the things that were happening in our lives. So I just need to make the time for it!

Two months already

It's scary how much has happened in the weeks since I last wrote. There have been a ton of things that I've said to myself, "gotta remember to blog about that," but then I don't have time or don't make it a priority. Too bad, because I know someday I'll look back on these posts and appreciate having captured my thoughts.

Briefly, here are some more.

--Went to Michaela's two-month peds appointment yesterday and the doctor said she has a heart murmur. Not what any mom wants to hear. She said it sounds innocent and it should be fine, but she referred us to the pediatric cardiologist anyway to have an echo cardiogram.

--Michaela got her first shots. I was upset, as was she, but she did great. I feel lucky she doesn't cry much. We really have a good baby.

--She's huge! The pediatrician said she never would have known Michaela was born a month early. She's in the 97% percentile on weight, 90% percentile on length, and 75% in head size, but the doctor stressed that it's all proportionate.

--Mike and I had sex last night for the first time since the baby was born. I felt like I was being ripped apart, in spite of the fact that my OB said I am all healed up. I guess it goes without saying that the sex wasn't that great for me.

--Mike and I had been fighting for weeks on end, but we seem to be in a better place now. In the thick of it, I was thinking obsessively about divorce, which friends told me would happen. But that didn't make it better.

--Work is good. I've resigned myself to having to work, so I figure I might as well make the best of it. I really like my boss and that helps, and it's nice to be at home. Actually, here's how I put it in an email a couple of weeks ago to a friend:
Being back at work sucks. Well, no, that's not fair. It's complicated. I'm trying to remind myself that this arrangement is MUCH better than my previous one in terms of what it means for my family. And that's absolutely true. This morning, I got up at 8:30, turned on my computer, and was at work. On my lunch break, I helped Mike give Michaela a bath. I'm doing laundry as I type this. All of those things are great.

On the other hand, I'm totally jealous of Mike, who will start taking Michaela to baby sign language and outdoor education classes for 0-12-month-olds next week. I'll be at my desk, working. That's really hard.

Work-wise, it's okay. I didn't ever really get my bearings before, so it's sort of like starting a new job all over again. I miss being in charge of a team (and I had a great team). This job is much more technician, in spite of my director title. But that's probably for the best, since I do want to be able to spend time with the baby without being stressed out about work.

--The baby classes are great. I have made time in my schedule to be able to go to at least one of the classes each week, and that helps me feel less jealous and less disconnected. Gotta love having a flexible schedule!

--My weight loss has plateaued. I was hoping to drop more weight, but I think I'm going to have to exercise to make that happen. Ha ha.

--I have to go to a conference in Sacramento in early March for four days. Mike and I fought about it quite a bit, because I wanted him and the baby to go along and he didn't want to, but we've decided he's not going to go. I'm actually looking forward to going and being able to sleep (even though I have to get up to pump, I won't have to do any feedings or diaper changes in the middle of the night, and I can go to bed early, I hope).

--I'll have the baby all to myself in April for a weekend. That should be interesting. And we're going to Denver to visit Mike's parents and grandparents (his grandpa was just diagnosed with cancer) later that month.

--Everything is going well. I'm really enjoying being a mom. And I love Michaela like nobody's business.

--Parents are hilarious. My mom is totally against breastfeeding. She's convinced formula is better. My favorite quote on the subject: "I know you read on the internet that breastfeeding is best, but..." As if I read it on a website that also claims Elvis is alive and living in Boca! She's also not keen on cloth diapers. But she's watched Michaela twice now and did a great job (which I never doubted), and I'm appreciative that she's willing to do it.

--Neither of my parents have been over to see the baby. If we stop by, they're happy to see her. And they always ask about her. But they haven't come over. It's really weird, even for them.

I'll end here so I can get back to work, but hope to return to a regular posting schedule soon!

In the hospital

Following up on my post about induction, here's what happened to us after Michaela was born.

We spent several hours in our Labor & Delivery room, then were transported to a recovery room. Fortunately, we ended up with a room to ourselves. That had been one of my biggest worries about the process; I didn't want to have to share a tiny (tiny!) room with Mike, Michaela, another woman, her baby, and her partner. I can't imagine what it would be like to have to share, considering the constant flow of people in and out of our room. Nurses checking my vitals and my blood pressure (since I was on some heavy duty drugs), nurses checking the baby. Doctors checking me, doctors checking the baby. People to collect linens, people to drop off and pick up food trays. Multiply all of that by two and I would have died.

Anyway, so we were in the room, recovering. They'd run some tests on Michaela and eventually it came out that she was jaundiced, which is too high a level of a substance called bilirubin. Jaundice is common in kids, especially preemies, whose livers haven't developed sufficiently by the time they come out. After one night in our room with us, Michaela had to go to the nursery to be under "bili lights," which are lights that break down the bilirubin. The most important thing, the doctors and nurses said, is for the baby to be under the lights and to eat as much as possible, because the bilirubin binds to the protein and is passed in feces. Unfortunately, Michaela and I were having (and continue to have) trouble with breastfeeding. I was so upset and so stressed out, between those two things. I cried and cried and cried.

In the scheme of things, being jaundiced isn't a big deal. And considering all the problems preemies can have, it's really wonderful that was all she was dealing with. Further, we were in a hospital, surrounded by wonderful, caring nurses who really went out of their way to be good to me and to Michaela. Better that than to be at home and have something go wrote, or to have an uncaring staff.

The doctors were ready to release me after a couple of days, but Michaela needed to be under the lights for at least 24, more like 30 hours. Sunday night at about 11 p.m. she went under the bili lights (I think; it's all a blur). Monday night at 11 p.m. was 24 hours, but they left her under until about 6 a.m. on Tuesday. They took her blood every six hours to run tests; that was really hard to watch because she screamed when they pricked her and squeezed her little foot to get the blood out.

My doctors kept me admitted so I could tend to Michaela and every two-to-three hours, Mike and/or I would go down to the nursery to feed her, or bring her to the room to feed her. We'd gotten to a point where I was so stressed about he difficulty feeding that I decided to give her formula from a bottle in addition to breastfeeding, and that was a huge load off.

Tuesday morning, Michaela's bilirubin level was down enough that we could take her off the bili lights, with the knowledge that we'd have to go back to the doctor in a day and a half to have her tested again. We got to spend some time with her on Tuesday, which was the nicest thing in the world after her being so far away from us for so long. Mike went home and cleaned up a bit, brought me a change of clothes. Michaela and I took a nap together and hung out. The lactation consultant came by again and offered some more tips. It was a good day. That night, at about 9 p.m., we were released and got to bring our baby home. FINALLY!

Induction

I've already written about going to labor & Delivery Triage on the night of Tuesday, Dec. 8. The next day, Wednesday, Dec. 9, I spent the day at home working and then drove up to Orange County for my old job's Christmas party. I got home from that at about 10 p.m. and crashed. Apparently, Mike and I were both so tired that we slept through the alarm that was supposed to wake us in time for my 10 a.m. OB appointment, because we woke at 9:50 instead! Rushing, knowing we HAD to make the appointment because of my L&D Triage experience a couple of nights before, each of us threw on the clothes we wore the day before and hauled ass to the OB's office. No breakfast, no teeth brushing, no nothing. We also had an NST immediately after the appointment, so we knew we needed to hurry to make that on time, too.

Got to the doctor's office, checked in, were seen. My OB asked us what had been going on and I told her about the Triage visit. She looked at the info in my files, did an internal exam (pronouncing me slightly dilated and effaced), looked at the swelling in my feet (which was pretty heavy, if you ask me), and, oddly enough, checked my reflexes. She tapped my knees and my legs sprang out. I asked if that was good and she said no. Then she said she wanted to run some tests on me and to go to the lab after the appointment to have some blood drawn and to give a urine sample. She said not to leave the NST until she'd seen the test results.

We got to the hospital, which is where the NSTs are done, and did the test. Our nurse had the doctor on call in the NST lab look at the results of the blood and urine work and he said we were fine and could leave-- this time. Mike and I walked out of the office talking about how crazy it is to think about one day coming to the hospital and being told, "sorry, we're going to keep you here." We'd just gotten to the elevators when the NST nurse came running after us, calling my name and saying my OB had called just after we left and that the results weren't good and that she was going to induce.

Yup, that's right. Induce. Right then, right there. No leaving the hospital, no going home. Do not pass go, do not collect $200. Just go to the L&D ward and have a baby.

I was 35 weeks and 5 days along.

I was in shock. Total shock. I got scared and teary. We went to the check-in area and signed some papers and were able to convince a very nice admitting staffer to let us go get some lunch, given we hadn't had breakfast and didn't know how long anything would take. Mike wanted to go out somewhere but I said we should just go to the cafeteria and eat there, so that's what we did. While there, we made some phone calls. I called the dog sitter, who fortunately was able to come and get the dog and watch him, and Mike let his family know. I sent a text message to a few friends, but held off on telling my family because it would have been extra stress I didn't need or want.

Once lunch was done, we went back upstairs to L&D and were settled in "High Risk 1." I stripped down and they put an IV in me to run pitocin and miso-something or other to bring on labor, and magnesium sulfate, which was to ward off seizures. My OB came and explained that some of the levels associated with my liver were off, that my blood pressure was up, and that the edema in my feet and jerky reflexes were signs that I was pre-eclamptic. The mag sulfate was to warn off seizures, which is what happens when you become eclamptic.

I sent Mike home to get some stuff, giving him a list I'd made out at lunch of things I wanted/needed. Camera. Socks. "What to Expect When You're Expecting." Random stuff. It was very strange because we had no idea how long we'd be there, and I hadn't paid much attention to the "what to pack" info in any of my books because we still had a while. (Ironically, one of the things I'd planned to do during the weekend was to pack my bag.)

Thursday went by pretty slowly. At 4 p.m., I was 1 cm dilated andd 50 % effaced. I tried to sleep when I could because I knew I'd need the energy for labor. People kept coming in to take my blood pressure and vitals. At 9 p.m., I was still only 1 cm dilated and 50% effaced.

Later, like 1 a.m. (I think) Friday morning, we were moved to "L&D 10," a labor and delivery room that would be our home for the birthing process. Mike was with me and slept in a chair that sort of reclined into a bed. I was dilating and effacing very slowly. At 8 a.m. on Friday, they broke my water. I was concerned because of the velamentous cord insertion issue, but it was fine and there were no problems. The water breaking should result in stronger contractions, they said. That happened, but they still weren't very strong and I was still not moving along well.

At 6 p.m. on Friday, we were at a decision point. Should we keep going with the pitocin or do a c-section? By that point, I was on internal monitors to monitor the baby's heart rate and the strength of my contractions. The pitocin was being given at "10," the highest level they usually use, and it clearly wasn't doing much. My contractions were regular, but they weren't strong enough to be considered "active." At the same time, because of the baby's size, the OB was seeing some swelling of her head, which is sometimes a sign that the baby is too big to be pushed out vaginally. So that was another thing in favor of doing a c-section. I wanted to try to do it vaginally, but didn't want to have it get to a stress point where they'd need to do an emergency c-section. The doctor who was with us (not my OB) was amazing and really wonderful. She presented us with our options, which included upping the pitocin up to "30" if the baby would tolerate it. Mike and I decided that's what we would do, and we agreed with the doctor that we'd give it another 2-4 hours to see if that would work. Every 1/2 hour, they would bump up the amount of pitocin. Eventually, I got up to 4 cm dilated and we called in the nurse anesthetist to give me an epidural

The epidural was a godsend. It made everything so much easier (though Mike's use of the breathing technique we learned in childbirth class was nice, it wasn't as nice as the epidural!). The drugs had worked and I was definitely in active labor and was feeling the contractions, which were pretty intense. It was a relief to feel numb except for some pressure, and to be able to push a button for additional pain blocking power every 10 minutes as needed.

(Side note: scariest experience during labor came just before the epidural was done. The baby's heartbeat dived and everyone sprang into action. I've never seen people move so fast. They demanded I roll over onto my side and started doing something or other. In a weird twist, I was so out of it because of the mag sulfate-- which induces stupor in most people-- that I wasn't even fully aware of what was happening and couldn't understand why all of a sudden everyone was yelling at me to get on my side. As it turns out, they weren't sure if the baby's heartbeat really did take a dive or if it was a monitor issue or what. But it was pretty freaky.)

Finally they did another check and I was 8 cm dilated, 100% effaced. It felt like a huge victory. That was sometime Friday night. Then, later, I felt the urge t push and told my nurse. She told me to hold off on pushing and started to get a bunch of things ready and to call the doctor and to do all these things. It felt like she was taking FOREVER. All I wanted to do was bear down. When I finally was allowed to start pushing, the nurse took one of my legs and Mike took the other. Mike did the count (1-10, signifying how long to push) and each contraction, I'd do three pushes. The first one was relatively easy and I always started off strong. The next two were progressively harder to exhale for 10 seconds apiece and to push for 10 seconds apiece. The contractions were about every three minutes, and I pushed for about 1 hr, 45 minutes.

During the pushing, they would tell me, "oh, we can see the head!" or "she has lots of hair!" and things like that. They asked if I wanted to see the head and I said no, and they asked if I wanted to watch the baby crown and I said no. I pushed and pushed and pushed. When her head came out, I could definitely feel A LOT of pressure and knew it was coming out. The OB was there then (the 4th of our nearly two-day labor experience) and he had his hands inside of me as well. Thank God for the epidural. Once the head was out, then came the rest of the body, and at 12:17 a.m. on Dec. 12, 2009, Michaela was born.

(Because she was born on Saturday morning, she made it to 36 weeks. Still 1-4 weeks from "full term," though.)

I couldn't see it, but Mike said it was amazing to watch. I found it really fascinating and cool that my body just knew what to do.

The nurse took the baby to a different part of the room to administer the APGAR test and all of that and Mike stayed with me for a minute before going to be with the baby. In the meantime, the placenta didn't come out in one piece, so the doctor had to manually sweep my uterus to get it all out. It's really important that the entire placenta be delivered (or removed) because it signals your body that the baby has come and leads to all sorts of metabolic and hormonal processes for mom and baby. The OB also stitched me up because I tore as the baby was coming out. That was NOT pleasant and I hit the extra pain medicine button multiple times during each of those procedures.

Once the baby was done being checked out-- and I have no idea how long that took-- they brought her over to me and I got to hold her on my chest. She was so amazing. Not small at all, in spite of being premature. She weighed 7 pounds, 8.3 ounces (which makes me wonder how big she would have been if she'd stayed in another month) and was 20 inches long. She has a head of dark, soft, beautiful hair and sort of slate-blue eyes. Her feet and toes are long, and her hands are tiny.

People cleared out and then it was just us and the nurse. I can't remember where the baby was after that. Things were such a blur. We were in the room for a few hours before being moved to a room in "Four North," the high-risk L&D recovery unit. Fortunately, we had our own room. This was huge because one of the things I was dreading about Kaiser was having to share a room with another woman and her partner and their baby plus Mike and my baby. It became even more important later, because we ended up having to stay in the hospital a long time. (More on that in another post.)

I'm sure there's more, but this is all I can remember right now. Funny how a doctor's appointment turned into having our little one.

Labor and Delivery Triage

So tonight Mike and I got to visit Labor and Delivery Triage. I hadn't felt well all day, was just a little off. I went to bed with socks on last night and when I woke up this morning, my left leg had swollen so much that the sock constricted my circulation and left a deep line. My feet look like hooves. My hands are porky. I had a slight headache (like a sinus headache), though that went away, and it was really uncomfortable to sit down all day due to pain in my left side. Later in the day, my lower back started to hurt and I started to feel a good amount of balling up in my stomach.

We went to our childbirth class tonight and I had to get up in the middle of it to go to the bathroom. All of a sudden, my stomach started hurting and I knew I had to poo. I ended up being in the bathroom so long Mike actually got up and came into the ladides' room to make sure I was okay. I was, but that sealed it for me-- time to go to L&D Triage.

Registering once we got there was easy, though we had to wait a little bit before I actually got any attention. I was taken to an exam room, put on a fetal heart rate monitor and blood pressure cuff. Took off my pants so they could do an internal exam to check my cervix. Drank some water so they could do a urine test to look at protein and sugar in my pee, plus check for a urinary tract infection.

It turns out I was having contractions about every 10 minutes. My blood pressure looked pretty good-- higher than during the NSTs, but low for me-- and the baby's heart was doing fine. My cervix is soft, the doctor said, but still high; she also said I will probably deliver early, though she wouldn't commit to how early. She said to think of what I was feeling today as my baseline; anything more than this means I'm getting closer to popping.

It was good practice to go tonight and to get to know what to expect. Mike was fabulous, as expected. He's going to be a great dad. So now we just wait and see when Poppy wants to make her appearance in the world.

New things to worry about

So I went in for my 1st non-stress test (NST) the other day. I actually found the test very relaxing. I laid there, they had monitors on the baby's heart and on my blood pressure, and they fed me ice chips to get the baby to move around. Mike went with me, which was nice, and they did another (though low-tech) ultrasound to check the fluid around the baby.

The nurse had a little card with my info on it, including the reason for my being there. As far as I knew going in, I am having 2 NSTs/week because of my high blood pressure. Imagine my surprise, then, to see "velamentous insertion" written on the card next to hypertension. I remembered one of the ultrasound techs saying something about the cord being attached on the side, but the tech didn't make a big deal out of it and my OB didn't make a big deal out of it, so it didn't really occur to me to be worried about it. That is, not until I got home and googled the condition.

Here's what I found: In velamentous insertion, the cord is not connected to the placental plate, and its vessels travel between the membranes before attaching eccentrically to the placenta. It happens in 1.1% in singleton pregnancies and 8.7% of twins.
Associated anomalies are found in 5.9-8.5% of cases. These include:

* Esophageal atresia.
* Obstructive uropathies.
* Congenital hip dislocation.
* Asymmetrical head shape.
* Spina bifida.
* Ventricular septal defects.
* Single umbilical artery.
* Bilobate placenta.
* Trisomy 21.

Yes, lots of good things. I immediately freaked out and sent a note to my doctor. I acknowledged in the note that I would image the genetic screening I went through would have identified some of those issues (like the trisomy 21) and that the monitoring with ultrasounds would have identified others (like asymmetrical head shape), but that I was concerned nonetheless and did I need to be? She wrote back that it's actually a common problem that doesn't generally cause issues and that the previous testing would have caught things. She said that the biggest issue with the condition is the baby not growing well, which obviously isn't a problem with my ginmormous Poppy. Her closing line? "Try not to worry."

Ah, yes. Try not to worry. Easier said than done.

I will say, though, that it's too late to do anything (as in terminate the pregnancy) if the baby did have some sort of problem and all I can do at this point is move forward. She has a strong heartbeat, has been kicking like crazy, looks fine (but big) on the ultrasounds. I have to hope things are fine. And soon enough, I'll find out for sure.

The other interesting thing that came out of my NST is that apparently I'm having a lot of contractions. The nurse said my uterus is "very active" and when another, different nurse saw the results of my monitoring, she commented on the contractions, too. They said if I feel 4+ contractions in an hour or the baby balling up or anything, that I need to go to Labor and Delivery triage immediately. That, of course, brought me right back to my concern about not knowing what exactly a contraction feels like. I've been thinking I'm having Braxton Hicks (and maybe this proves that I am?), but I'm not quite sure. So when I go in tomorrow, I am going to try to ask some more specific questions about what I should be feeling for. My plan up until this point has been unless something hurts or is incredibly, super uncomfortable, to assume I'm fine and not worry about it. Seems like that worked for most of human history, so it must be okay now, too, right?

Pooped

Lately, I've been feeling really fatigued again. I go to bed but have a hard time sleeping, then finally fall asleep (getting up a few times each night to pee). When it's time to wake up in the morning, I feel pooped, and by the end of the day, all I want to do is lay in bed. Walking around or doing any sort of activity-- sometimes even just standing for a few minutes-- tires me out to no end. I don't like it. I've been taking my prenatal vitamins, so I'm not sure what it might be. Have a doctor's appointment on Friday, so I'll ask my OB then.

One thing I've definitely decided is that if I had this to do again, I would start exercising at the beginning of pregnancy. I think building up my stamina and developing my lung capacity and muscles would be really helpful in carrying a child. I guess that's a lesson for next time (if there is a next time, that is).

I want my baby back, baby back, baby back....

No, not really. I just want MY ribs to feel better! They still hurt, especially my right side. The pain was excruciating this Sunday. I woke up and felt okay, but think I hopped out of bed too quickly and tweaked something, because for the rest of the day, I was in agony. I noticed today they're feeling a lot better than they were, though there are still some twinges of pain.

When I was at the OB this morning, I asked about the pain and she said (as I thought), it was just residual muscle strain from when I had the flu. She said the things we'd normally do to make it better-- Advil, Motrin, etc.-- are off limits because of the pregnancy, and basically, I need to grin and bear it. Which I have been doing as best I can.

In other news, my fundus is measuring 31-32 weeks, so she's sticking with her "the baby is big, we're not changing your EDD" policy. Also, I got my H1N1 vaccine today. Anything to keep from getting another round of the flu! (And never mind how much worse it would be if I picked up swine flu somewhere!). The baby is not, as I feared, transverse; she's head down. Thank goodness for that.

The big mass I've been feeling on the right side, under my (painful) ribs is the baby's rump. Good to know.

I am at a point now where I need to go in for appointments every 2 weeks, and, on top of that, I will start going in for non-stress tests twice a week at 34 weeks. I'm so thankful I'll be working in the same city as my doctor. I don't know what I would have done if I'd needed to do that while working 100 miles away.

Hard to believe we're getting so close! We still have so much to do...

"No worries"

So the ultrasound. Apparently I didn't drink the water early enough so they had a hard time looking at my cervix and had to use the dildo cam. The baby looks good-- had her hands in front of her face, boxer style. Put 'em up! But she's big. Or I'm further along by 3-4 weeks than they thought based on my 8 week ultrasound.

I emailed my doctor to ask what she thought. Her reply was actually really nice. (I always am self conscious about bothering her, which I know is stupid, but still.) It began with "no worries." She went on to say the baby is just big, that the 8 week ultrasound is waaaay more accurate than this and that they're not going to move my due date and that I don't need to be freaked out about possibly delivering about a month earlier than we'd planned. She also said that my high blood pressure could have made the baby smaller, but that it's not the case and I should be happy about that. And I don't have gestational diabetes, so the baby isn't big because of that. So I'm going to stick with her advice and focus on "no worries."

Buh-bye commute

I officially accepted the offer I got and gave notice at my job. I feel like a tremendous weight has been lifted off my shoulders. No more long commute! I counted, and with today's drive being done, I only have to make the drive 8 more times. My boss, and everyone at work, took it really well. They all basically say they will miss me, that I am a great employee/boss/colleague, and that they understand that this is the best decision for my family-- which it is.

Last night, we went to our first childbirth education class (more on that later), and as we learned about the signs of labor to watch for and what to pay attention to, I felt like I had an epiphany. "Oh my god," I thought. "I've been stupidly brave about all this!" What if something happened while I was in the middle of my drive? What if something happened while I was stuck in a traffic jam? What if I was far away (up to 90 miles) from my hospital and my husband? Of course I'd call 911 and would figure something out, and I realize labor can be a process that takes a long time, but this way I'm not tempting fate. Not to mention once the baby is born-- this way I won't have to be so far away from her if something happens. I was doing what I needed to do to keep my job and to do a good job, but as Poppy's birth gets closer and closer, it's time to stop taking chances of this type. So I'm feeling good about my decision, even as I have some apprehension about my new job and the exclusive-work-at-home arrangement that comes with it.

Things are going well

I went to the doctor this morning for a routine appointment and am happy to report that everything is on track. My blood pressure was 122/77-- which is amazing for me!-- and the baby's heartbeat was strong and healthy. I'm not having any weird symptoms except two different types on itching. One is a rash that seems to happen when I get too hot or sweaty. It's gross and uncomfortable, but the doctor said that may just be how I react to being pregnant and that I should 1) try some spray on antiperspirant where I tend to get the rash and 2) be happy it's starting to cool down. The other rash is a little more serious, potentially. The palms of my hands and soles of my feet get red, swollen, and itchy. It may be a sign of problems with my liver or gallbladder, so I am going to have some blood work done in two weeks when I go for my glucose test and rhogam shot. My mom has hepatitis, and the itchy palms and soles is one of her symptoms. I have empathy now, because it's miserable!

All that being said, I'm really pleased with how everything is going. Sure, I complain about the day-to-day frustrations and annoyances, but all in all, it's been an easy pregnancy. I haven't had to worry about "is my baby okay?" "Is my baby going to make it?" or anything else. No cramping, no bleeding, no contractions, no nothing. Smooth sailing. For that, I am very thankful. I honestly didn't think it'd be that way.

My next appointment is towards the end of October, then one in the middle of November. Then I start going more frequently, unless my blood pressure starts acting up, in which case I'll go probably once a week. I'm in the home stretch!

Halfway there!

I had another doctor's appointment on Thursday and while the doctor hadn't looked at the images from the ultrasound in great detail, she said if something had been obviously wrong, the tech would have called in a radiologist and they would have called her. So it's sort of a "no news is good news" situation. Same with the genetic testing.

Somehow the doctor and her office forgot to tell me I needed 2nd trimester blood work done for the genetic screening. I was surprised to get a letter when I got home at 7 p.m. on the 18th saying I needed to have the blood work done on/by the 20th or else they couldn't do any screening. I was NOT happy. It worked out fine and I was able to have it done on the 20th, after my prenatal appointment.

While I was there, the doctor also ordered some general blood and urine screening because I explained I've been a little tired, a little swollen, and sensitive to sugar. My results came back later that day and they all look sort of funky to me. My red blood count from the CBC was really low. That probably explains why I'm so exhausted all the time. I need to follow up with the doctor to see if I should be taking supplements or something.

In a concession to my health, and thinking of Poppy's, I went back to taking prenatal vitamins last night. The ones I was taking before made me really sick, so I switched to regular adult gummie vitamins. But the prenatal ones have more good stuff that I obviously need, so that's that.

I'm happy that everything is going well and amazed at how quickly the days have passed. I'm 20 weeks along today-- halfway there!

Principle of the Matter

My midwife at Kaiser has referred me to an OB because my blood pressure is high. It's a precaution, and it may only be occasional (I may still have some appointments with the midwife), but I'm happy that I'll actually be seeing a doctor. She asked if I had a regular gynecologist, which was hilarious, because, hello! I am a Kaiser patient, of course I don't! They try to keep patients away from (expensive) doctors! So she said she'd assign me to an OB and asked if I had a gender preference.

From what I've read and heard, there is a real shortage of males OBGYNs. Lots of women prefer to see women OBGYNs and men have sort of been pushed out of the specialty. That bothers me, because it smacks of gender discrimination. I can understand it-- wanting someone with smaller hands, which tends to make people think women, or feeling more comfortable with having someone of your same gender-- but I still don't like it. So when she asked, I wanted to say "I want a man!" Then I started thinking, though, "isn't it gender discrimination to pick a man BECAUSE he's a man?" Ha.

So in the end, I said I didn't care. I ended up with a woman OB, who I will see for the first time on July 6.