Sat 19 Nov 2011
The 39-Week Checkup
Posted by cindy under Fertility , Health & Body , Recreation at 9:44 am[2] Comments
I never thought I’d be one of those women who would be delivering AFTER her baby’s due date, altho statistically, it’s not surprising. It might be surprising how surprised I am.
The OB did one of those uncomfortable/painful cervical checks again, and said there’s definitely progress. Allie’s head is straight on against my bladder, and engaged at 0 station. I’m dilated to 1 cm. Effacement is almost complete. (I think the LEEP helped.) He updated her expected arrival date from “due date” to “the week after her due date,” which is what gave me the clue that I didn’t progress as far as he’d expected me to by now. He later confirmed that (without knowing) by telling me he can’t do a membrane sweep this week because 1cm is too small for him to fit his finger in, but that by my appointment next week (the day AFTER my due date, wah!), he could do it if I want. He said there’s no reason to induce at this point, Allie’s measuring a perfectly normal size and doing well, but if she doesn’t come at 41 weeks, then we can schedule something. He noted that recently, he’d scheduled 4 patients for induction after they passed 41 weeks, and by the 42nd week, 3 of them naturally went into labor before the scheduled induction date. I guess the threats helped the kids decide to come on their own. =P
I explained that my concern would be that I wanted to deliver a smaller baby to avoid complications, and I’m afraid that the longer I wait, the more there is a chance that Allie pops out a 8.5 lb baby. He was very unconcerned about that. “Her size is already pre-determined. Remember how in the 2nd trimester, we had talked a lot about your weight gain and nutrition?” OH yeah. “That’s to prevent the baby from being oversized. Women who birth a very large baby were already making their babies large early on. There’s nothing you can do at this point that would suddenly make your baby gain 3 pounds before you deliver, while it’s true that babies do gain weight toward the end.” I felt just a teeny bit better about the odds and ends of Halloween candy I’d had a couple of weeks ago. Darned lazy neighborhood kids didn’t feel like ringing our bell much this year. “Do you have any other questions or concerns?”
We certainly did. Mr. W brought out his FMLA forms for the second time to this doctor, and explained all the stress this was causing us and showed him the rejection letter from the Kaiser Disability Department. The OB already had his pen out before Mr. W even finished talking. We explained that all Mr. W’s work needed was a signature from my doctor certifying that yes, I really am pregnant. My OB had originally thought we needed to start the FMLA process with him, which meant that he had to do write-ups and diagnoses which he didn’t have time to do, but when he realized it was only a signature on Mr. W’s work form (which Mr. W had already filled out except for the physician signature section) and he didn’t have to do a separate FMLA packet, he readily wrote “wife is pregnant, EDC 11/21/11” and signed off on it. And then he apologized for all the stress we’d been undergoing while we were running in circles and hitting walls on this requirement in order for Mr. W to get FMLA. On the way to the appointment, I was visualizing the OB taking the paperwork and signing it, no conflict, and he did. 🙂 One huge hurdle…uh…hurdled. Good thing, too, cuz when Mr. W emailed his superior the rejection letter from Disability, the response he got back was to the effect of “Yeah, that sucks, but we still need our form signed to give you FMLA; what you’d turned in before from her doctor still isn’t good enough.”
I had lower abdominal cramps on and off all day and night after my appointment. The doctor had asked me about symptoms, and I told him periodic cramps that felt like menstrual cramps, with lower back soreness. He thought those may have been mild contractions. So hopefully, I’ll have gradual, relatively painless contractions until I hit the transition part of labor, and then I’ll deliver.
I’ve had pretty heavy munchies for the past few weeks. I’ve been trying to get myself to reach for healthier alternatives to chocolate, cookies, etc., so when I stood in front of the open refrigerator, I’d reach for an apple daily. Mr. W has been buying Fujis and recently, a new crop called “Honeycrisps” from Costco, so I’ve been eating those. It wasn’t until the other day when I was crunching into one and looked down to see the mostly-green skin that I had a small start. At a private reading at least 6 months ago, Rebecca had asked me if I liked “green apples.” I think Granny Smith apples when I think “green apples,” so I said no. She said she could see me eating green apples late in my pregnancy. I thought that was unlikely. I don’t like sour stuff or hard chewy stuff and Granny Smiths were both. But these Fujis and Honeycrisps are 2/3 to 3/4 green-colored, and depending how I’m holding them, they look as she described: green apples. Mr. W noted how she’d been wrong about every delivery date she’d foreseen for Allie. I said that the doctor said over and over again that we now know the baby decides when it’s going to come out by releasing labor hormones when its ready, and that Rebecca can’t see clearly things that haven’t been decided yet. It’s possible that her “as early as the 7th to as late as the 23rd” is the range of days that Allie would be fine coming out, but Allie had decided she wasn’t quite ready, yet, when those dates came and went. Nevertheless, Rebecca saw this as my delivery scenario:
Rebecca: Cindy, I think Allie will make you think nothing is happening. Then, bingo, everything will be hard and fast and it will be over before you know it.
Me: uh-oh…that sounds like Pitocin usage. =/
Rebecca: Nope, I don’t think so. I think you may be one of those lucky women whose contractions aren’t that painful until you are in transition. And transition goes pretty quickly.
Me: I would be SO grateful if that happened! Louise has been sending early prayers and putting me in bubbles of pain-free light.
Rebecca: And Louise does good work with those bubbles 🙂
Louise: Sweet prayers to you with all the warmth and comfort the Universe has to offer. You’re so strong. Just breathe and focus. 🙂
So I was SO comfortable…that yesterday, Mr. W and I went to see the newest release of the Twilight Series, “Breaking Dawn, Part I.” It was the most well-done of all the Twilight movies so far, and very well adapted from the book, but I still wish that Kristen Stewart had the acting capacity to truly capture Bella’s character. Bella has a very cute, quirky and funny side, and Stewart plays her one-dimensionally. All angst, kinda annoying. As usual, Taylor Lautner did awesomely. He was just like the character of Jacob at this point in the books, and created the same feelings of irritation (for his constant running-off tantrums) and grudging compassion (cuz I’ve been thru that unrequited love frustration) from me that I had for Jacob in reading the book. And after the movie, I was tricked/dragged to going for a walk and early dinner at Dana Point harbor. Hubby is so restless.