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Saturday, July 23, 2011

34 weeks

     In the home stretch!  Baby is close to 18 in this week and the average baby is close to 5lb.  This one is probably a little over 6lb at this point.  His immune system is taking over (rather than just relying on mommy's), his central nervous system is maturing and his lungs continue to mature.  Babies born at this point generally do fine.  They may have a short stay in the NICU, but generally don't have any problems.

     We had a good appointment yesterday.  The biophysical profile was a breeze.  Adrian immediately moved and took practice breaths.  His fluid level was great.  I have been pushing fluids since his fluid level seemed to be declining but it's back up!  I discussed birth options with the midwife.  I told her I would really like baby out by Sep 1 because of school deadlines.  She said my only option induction wise would be a Foley Bulb induction, where they insert a Foley Catheter bulb into the cervix and inflate it.  When the cervix dilates to around 4cm the bulb falls out and they break your water after that.  Other induction methods such as Cervidil or Cytotec are totally off the table because of the risk of uterine rupture.  She doesn't like the idea of any interventions at all.  She says they are a slippery slope that will lead to another c-section but it will be up to the dr if he wants to do it or not.  That brings up the other issue.  My dr will not be on call the week before my due date, (the OFFICIAL Sep 3 due date) another doctor that I haven't met will be.  She has no idea how he feels about vbac or inducing and has set up an appointment with him for my next office visit.  I don't like the idea of not having my dr but unless things are scheduled, it's up to chance whether he will be on call or not. She said my best odds are to come in in active labor around 5cm and to labor at home as long as possible.  She says supplements like the Evening Primrose Oil (which I just started taking) and 5w (an herbal supplement that readies the body for labor) are fine but not to use anything stronger like Blue or Black Cohosh tinctures and to definitely not use Castor Oil.  She said Castor Oil will cause intense back to back contractions that will show on the monitor like my placenta is abrupting and they would rush me to c-section so we don't want that.  Walking and other "natural" methods are my best bet.

     After a couple weeks of pretty blood sugars, my fasting numbers started to rise into the low 100's so I increased my morning basals, then a couple days ago I started having more daytime lows.  This reinforces my belief that I'm actually 35 weeks as the lows started at 35 weeks with Diana and Aidan.  They were not concerned about it, and said I am on top of things and they are confident in my ability to manage my blood sugars (still not changing my due date though).

Saturday, July 16, 2011

33 weeks

     At 33 weeks Adrian's lungs are continuing to develop.  His pupils can adjust to bright or dim light, and he is gaining around a half a pound a week now.  At this point,  the average baby weighs around 4 1/2 lb.  At our appointment yesterday, the estimated weight was 5lb 13 oz, which puts him again in the 97th percentile and 3 weeks ahead.  So going by my counts he's 2 weeks ahead and if he gains half a lb a week he'll be around 9lb if I go to 40 weeks which means he'd be around 8lb at 38 weeks just like Aidan was (I don't know why I let them get me so worked up!).  When the lady was doing my scan she does the belly first and says "oh yes chubby tummy, have your blood sugars been bad?" Made me so mad.  I told her, "no they've been great!"  She looks like she doesn't believe me.  Then after she does all the measurements, she says, "oh well in diabetics we usually see just large bellies but he's big everywhere!"  I'm like duh, he's just a big baby, he does have a 7 ft tall uncle!  I'm just hoping this kid comes on the early side.  He did fine on his NST's and Biophysical Profiles this week.  I'm still having abdominal/back pain, but thank goodness, Matt has been here a lot to help out.  It hurts less when baby is low so I wish he'd just go ahead and engage, though I know it's unlikely.

     I'm getting close to having everything I need for the baby.  I found a swing on Craigslist for $14 that is $75 on Amazon, and found the Breastflow bottles I want to use on Ebay for $10.  I'm pretty much down to the little things.  I still need things like a Bumbo seat, high chair, exersaucer, and baby monitor, but they can wait a while. Of course I need more diapers!  I found a good deal on Amazon mom which has them for 30% off if I sign up for a subscription (which I can cancel at anytime).  Getting excited!  He could be here in 3 weeks or 7  weeks.  I'm really hoping he gets here before Sep 1 though because of all the trouble we had with Diana and school deadlines.

     I've had another week of good blood sugars.  No problems there.  I have been less keen on the meat and eggs etc, not sure if it's the heat or the pregnancy, but all I want to eat is raw fruit and raw vegetables.  Peaches and tomatoes mainly (thanks Mom), but they haven't affected my blood sugars (according to my pump I've been eating between 20-75g of carbs a day).  I haven't gained any weight for the last couple weeks so hoping to keep the weight gain to a minimum.  Pretty good week!

Saturday, July 9, 2011

32 weeks

     8 weeks (hopefully less) to go!  It's been a rough week.  For a couple months I've been having upper right back pain.  Well for the past week it's been constant, along with upper right abdominal pain.  I got checked out in L&D and my blood work came back normal-no pancreatitis or liver damage, yay.  I went for an ultrasound the next day to check for gallstones and they didn't find any.  They did reconfirm what I was told 10 years ago, that my gall bladder isn't emptying correctly, but that is probably due to the diabetes.  My kidneys were also swollen, but that can be attributed to pregnancy.  So basically they don't know what is wrong, I'm just supposed to take it easy and dose with Tylenol 3 when it gets bad.  Sitting makes it much worse so I'm trying to lie down more.  My mom took the kids this week so that was a relief.  Matt and I got to spend some time together kid free and I got to relax.

     The weekly monitoring went well.  Daddy got to come along this time and see the ultrasound.  Adrian is still head down and passed his NST and BPP.  They did have to buzz him to get him moving but otherwise good.  We got some cute ultrasound pics of his face.  I was hoping for 3d, but the machine they were using didn't have it.   I start twice a week monitoring this week and will have my growth ultrasound on the 15th.

     My blood sugars have stayed good this week.  I'm hoping I don't have to increase anymore before my insulin needs start dropping.

Saturday, July 2, 2011

31 weeks

     We are at 31 weeks.  Nine to go (or less)!  Adrian is gaining 1/2 lb a week, he can process information from all 5 senses, and his lungs are the only system not fully mature!  He is over 16 inches long and I think it's safe to say over 4 lb.  Up to this week I had been really concerned about him being breech and on Wednesday he finally turned vertex!  I was so excited.  Well since then he has turned from vertex, to transverse to breech 3 times at least and won't stay still.  I just pray he will go head down and stay there soon!

     My appointment went well.  BP was 105/60, urine was clear and was up 1/2 a lb.  He passed the NST easily in 20 min and passed the BPP with flying colors.  I had my office visit with the midwife and she said everything looks good and that hopefully he'll start making his way out around 38 weeks.  Sigh.  I asked about keeping my pump and cgm when I have the baby and she said that should be no problem, that they acknowledge I know more about the pump and my diabetes than they do.  She also said it shouldn't be a problem to order me a normal diet (the "diabetic" diet is too high carb ironically).

  It's been a great week diabetes wise.  My blood sugars have been very stable and I've stayed in the 20-50g range for carbs with no issues.  I think it's perfectly safe to say that this little man is growing just fine without a ton of carbs!

     I finally found a bassinet!  I had been looking for weeks and couldn't find any that weren't $100 or really shabby looking if not that much.  Found a really pretty one that looks brand new at a local consignment shop for $35. I also found a Pack N Play IDENTICAL to the one I bought at Babies R Us at a thrift store so I took back the other one.  They only gave me store credit, but with that I was able to get a bouncy seat, some burp cloths, receiving blankets and some other things I've been needing to buy.  I think we're pretty well set.  I just need to get bottles, (I want to get the Breastflow bottles that go along with my breast pump.  They are supposed to be closer to natural and let babies switch back and forth from breast to bottle.)  more burp cloths, a swing,  and a few other things.

     My parents are on their way to take the kids for the week.  Hopefully, Matt and I will get to spend some quality (kid-free!) time together.  I'm trying to drag him to Savannah as I've never done the tourist thing as long as we've lived here.  There will also be 4th of July stuff on post that look like fun.