My cousin Jennifer texted me today to ask how my appointment went. “Any progress?”
“Negligible,” I told her.

Since last week’s checkup, I’ve been having cramps and back pain and sensations that the doctor AND experienced friends have told me are mild contractions, so I was hoping I’d be much farther along now. Turned out, I’m now 90% effaced (I thought I was almost completely effaced last time, so after a week I’m only at 90%?), and my dilation has gone from 1cm last week to…*drumroll*…1.5 cm. AUGH! All those cramps for HALF a centimeter? That means I’m STILL too small for him to sweep the membranes. Also, the baby’s head lowered MAYBE half a station, from 0 to “between 0 and +1.” ALLIE! You little procrastinator! This is a day PAST your due date!

The OB did say, tho, that once I’m fully effaced, the dilation will happen more quickly. “You’re really paper-thin right now already,” he said. “And didn’t you have a LEEP?” I sure did. “You might have a little bit of scar tissue from the LEEP that keeps you from dilating quickly right now, but that’s not going to stop labor. Once it gets going that scar tissue isn’t going to be a factor.” Interesting. “You’re definitely in the count-down now,” he said, trying to be reassuring. “I still think you’re going to be in labor sometime this week, but just in case, I’ve reserved a spot for you for induction next week at the hospital.” So the plan is, I go in to get looked at one last time next Monday if I haven’t given birth, cuz that would be my 41st week of pregnancy. If I’ve progressed enough for Pitocin to be effective (3 cm or so), then I go to the doctor’s appointment at the main hospital that I’d be birthing at for the induction. I asked about possibly waiting till Monday’s appointment to decide whether to do an induction, cuz I don’t want to spend my ENTIRE labor strapped to a bed in the hospital. I’d still like to be as natural as possible. He said the issue is that if he didn’t reserve me a spot already, it may be hard to get a spot in time, and by “in time,” he’s talking about within the 42nd week of labor because the placenta starts becoming less able to do its job to provide enough oxygen and nutrients to a baby that needs more. By that time it becomes a “balancing game” between timing an induction and letting it go naturally if possible.

Something else progressed VERY slowly, too, but this one I’m happy about. I was afraid she’d put on a pound a week at this point (from stuff I’d read) and that I’d have to birth a 12-pounder or something. But between the last appointment and this one, I’d only put on 0.2 lbs. “You’re doing really good on that,” my OB praised. (What a change from 2nd trimester!) He still thinks her weight will be fine (in the 7s) and said that I don’t have a small pelvis so there shouldn’t be a problem getting her out naturally. People with flatter pelvic openings and heart-shaped pelvic cavities have a harder time. I asked how I could tell what my pelvis is like, and he said he could feel it when he checked my cervix, and I have an oval/round pelvic opening and will be fine. Whew.