Friday, April 15, 2011
I've been experiencing a lot of hip pain in the last week. Apparently this is normal and is caused by a hormone that causes the ligaments to relax and the hips to widen in preparation for birth. Like I need any wider hips! I've also been having sciatica during the night which is not fun at all. Hint hint, need pregnancy pillow! :) My belly has really popped, and I'm feeling strong kicks and thuds now. I swear this kid is so active. The other night I was feeling thumps up high and down low only seconds apart so either he flipped, or was kicking and punching. I can't wait for Matt and the kids to be able to feel them. This usually happens around 22 weeks for me.
I've been doing extensive research into VBAC's and have found a lot of good info. Out of the majority of studies I read (including one with 17,000 trials of labor) the risks of rupture for a vbac after 2 cesareans is around .9. I also found a study showing that if double layer sutures were used instead of single layer, the risk is around .45. I looked at my operative report, they did double layer and it appears after that they added a third layer, so I should be good there. According to one site, I am more likely to die in a car accident or be murdered than to have a uterine rupture. Some other things I had not considered before; with a third cesarean, my risk of hysterectomy is around 10-15%, risk of hemorrhage is in the 20% range, a 10-12% chance that I will need a blood transfusion, and there is also a 20-30% chance that the baby will have respiratory distress, because he hasn't gone through the labor and delivery process that squeezes fluids out of his lungs. With the right provider I have a 75% chance of successful vaginal delivery whereas a first time mom only has a 60-65% chance in the first place! I am learning a lot.
I had my endo appointment on Wed, and it went fine. I'm pretty much doing everything on my own and he just writes down what changes I have made lol. My a1c is down to 5.4. Getting closer to my goal of sub 5! My blood sugars have been slightly erratic. Good most of the time, but have been running high after dinner so I lowered my carb ratio again. It's a constant challenge, but I'm staying on top of things so far.