38w5d - Closer and closer

Sorry for being out of touch! The last few weeks at work were insane. Seriously, insane. It's all good stuff, but it meant that I was working non-stop training my maternity replacement, and trying to do as much as possible for the new program that we are acquiring before I left (that I will be running when I get back).

So time passed, and now I'm in the final countdown. A few different things have happened which are probably worth recording here. From arguing with my mother, to everything I'm doing to try to get baby to come on her own before the induction. Then there's getting the house ready and all the 'nesting'. By the way, I despise the word nesting. I don't think being prepared is anything special or significant. Bringing a new baby into your home requires various degrees of preparation which may mean new furniture and finding places for things and moving things around. It isn't 'nesting', it's just being fucking practical. I have heard of women who start to go insane cleaning, although again, you think about this new responsibility and the lack of a good immune system and I think yes, it's better to clean some stuff then be irresponsible. But I honestly don't think it's 'special', I think it's smart!

So I've been preparing for baby girl by getting the nursery ready, washing a ton of clothes and blankets and muslins and anything else she might use. I've tried to clear up the clutter and sort through things that I've had sitting around for some time. I mean, it was easy to have those things sitting around, but with all the new things coming into my house, I had less space, and it forced me to look at some of these piles of things.

But basically I think I'm ready. I've ordered everything that I thought was 'essential' for me. The only thing I haven't set up is the 'Next 2 me' cot because it's going to be a big obstacle in my room which is fine when baby is here, but I don't think I need to live with empty for a week more or so. But the sheets and everything that goes into it are ready, so hopefully setting it up won't take much time at all.

I've packed two of the three bags I'm taking to the hospital. Baby's bag was the first to be packed and has everything I'll need for her in hospital and to come home. In my NCT class, they suggested packing up the nappy/diaper bag as baby's bag to start to get used to it which I thought was sensible, so that's exactly what I've done. I've also packed my 'going home' bag which includes two pairs of comfortable pajamas, two outfits, a bunch of oversized cotton underwear, an entire pack of maternity pads, some disposable underwear, breast pads, nipple cream, toiletries, etc. The only bag I need to still put together is the 'labouring' bag which includes two robes (one very lightweight as a cover, and one thicker/towel weight robe), slippers, portable speaker, essential oil, magic wand (maybe), TENS unit, food & drink, etc. Basically, everything I might want while I labor. Some of it is sitting in a pile, so it's not that it would be so difficult to shove it all in a bag if it was an emergency, but I'm pretty sure I have time.

Since going on leave, I've started to be more conscientious about the things you can do to promote labor. I've been to acupuncture twice and am scheduled to go again Wednesday and Friday this week. I started with some nipple stimulation using my breast pump which I think did make me more crampy (and I managed to express some colostrum) but when I stopped it all stopped. I'll come back to it, but I wanted a break and felt it was perhaps early. I'm trying to walk although baby is definitely engaged and walking can put incredible pressure on my bladder. Today I basically walked while lifting my bump slightly just to get her off it! I've been eating 6 dates a day for weeks now, and that continues. What else? Bouncing on a ball. I'm really not convinced there is loads you can do to bring about labor. I'm scheduled for a membrane sweep next Monday and the following Wednesday as a last resort. Because I'm also scheduled for an induction on the 17th. After all I've gone through to push off the induction and have good support from the hospital staff, I'm now pretty much determined to go through with it for the sole reason that it will be much much better for my mental health if the baby arrives before my mother does on the 22nd. This is, by the way, a terrible reason to push forward with an induction, but I'm trying to balance mental health and physical health and right now mental health is winning. This is why I'm committed to pretty much doing everything possible to hope that labor starts on its own before then.

But I think my next post will be about my struggles with my mother right now. This post is already long.

Oh yeah, in other news, I've been using the elastolabo and Epi-No nightly and it's given me some confidence about the birthing process. When I started with the Epi-No, it was around 7cm. It's now up to 9.5 and while it makes me feel 'full' and isn't necessarily comfortable, it helps me to know that I've pushed something out of my vagina with that diameter. I've looked up that an average baby head is about 11cm, so that's 1.5cm away. At least it makes me feel less frightened of tearing, and has helped me to understand how having something that large lodged in your privates is likely to feel (i.e., how you feel it more in your bottom). So I'm pleased with that investment. Just hoping I actually get the chance to give birth vaginally!

Midwife appointment tomorrow. Not expecting anything unusual.

It's very strange to be off work. Right now it just feels like some sort of long weekend. It's hard to remember that life is going on without me and people are going to work and getting on with things while I putter around. On the one hand it's good because they really do leave you alone once you're on leave. On the other hand, it's just really odd to suddenly just be on the outside!

Okay, enough for now, more soon.

34w2d - Obstetrician meeting

I am pleased to report that my meeting with the consultant obstetrician yesterday went very well. Unlike the first one I saw, this one was very relaxed about my birth. She checked that I knew I was there to discuss induction. I did, and said that I was inclined to not have one at 39w but would be open to one at 40w as long as I had a check first to see if anything was happening on its own. She then suggested that was fine, and that I actually wait a couple more days, especially if I had a 'stretch and sweep'. So an induction has been tentatively scheduled for February 17th. But, she also said that if I don't want one then, I don't have to have one and can just be monitored. So basically, she offered the expectant monitoring without my having to ask for it. It was all a very reasonable and unexciting conversation, so that was great.

I had my last hypnobirthing class last night which was more about after birth and once baby arrives. Which had a lot to do with breast feeding. I am intending to breast feed, so I wasn't in need of any convincing. I did say though, that for some people it just doesn't work, no matter how well intentioned, and that similar to c-sections or other things related to birth, we need to stop demonizing other choices people make. I don't have any reason at this point to think I won't be able to breast feed, and I will try everything possible to get it going. But if something is wrong and I ultimately need to switch to formula? Then that's fine too.

On Monday I have my last hospital appointment for a while, this time with one of the head midwives at the birth center. My last hoop to jump through is to get permission to be allowed into the birth center if labor starts naturally. They are not inclined to allow this initially due to my age (of course) because they want continuous monitoring which can only be done on the ward. Except there doesn't seem to be any benefit to continuous monitoring, and anyway, the birth center is one floor down from the ward, so if needed, I can be moved. Anyway, I'm hoping that the meeting goes smoothly like yesterday's did and then everything is settled.

In the meanwhile I've been working on my birth plan. I'm torn between some of the visual/picture ones I've seen and just writing one out with bullet points. At the moment I'm going bullet points because I don't have the software on my computer here to do the visual one. I'll send a draft copy to my doulas to get their input and point out anything I may have missed.

The first week of January has really flown by. Granted it was a 4-day week. Still, baby girl is going to be here before I know it. I can't believe it.

34w - Scan

Had a scan this morning due to my advanced maternal age. Apparently they offer it at 34 weeks if it's your first baby and you are and old mama.  It was exciting to see baby girl although she definitely does not fit on the screen anymore. She was presenting 'cephalic' which means 'head down'; so, basically in the right position which is good. We could only see bits and pieces of her. All the measurements were on target and baby girl is measuring above average at about the 80th percentile. Her estimated weight was 5.9lbs (2.689kg), so a healthy sized baby right now! I got to see her heart beating, and a good look at her thigh bone. We also listened to the blood pumping through the umbilical cord. We couldn't get a good look at the face as her hands were in the way, although we got to see an eye poking out. Overall it was a fairly efficient appointment and all was as it should be, so that was good.

Tomorrow I have an appointment with the consultant obstetrician again. I imagine this is where they are going to pressure me to schedule an induction for 39 weeks. I am going to decline the 39w induction but tentatively agree to a 40w induction. I've looked at the research and I'm not convinced that the 39w induction is necessary or helpful. I will try to give my body as much time to go into labor as possible before resorting to an induction. This also means that at 40w, I want to be checked to see if labor is starting on its own in which case I will again reject the induction and give it a couple of days. Should be a (not so) fun talk with the doctor tomorrow. Anyway, we'll see and I'll try to report back. At least one of my doulas is coming with me which will be helpful I think.

Went to NCT prenatal (antenatal) class last night which was good. Boyfriend came with me and managed it well, and I felt positively about the experience in general. There were 7 other couples there- all traditional (man/woman, married). I think what I'm learning is that I'm more curious than other people, or that I shouldn't be so surprised that people don't do as much reading or research as I do.

Last month at work now which is all a bit mental. It seems as if there is so much to do!! And I still don't believe at all that baby can possibly come early although one of my colleagues voiced concern about that. I think after all this waiting and being pregnant for so long, this month is going to fly by!

33w2d - Less comfortable

I mean, it was bound to happen. But for sure the belly is getting bigger and the bladder pressure is getting stronger. Positively, I don't have to get up in the night to pee, but during the day I sort of feel like I need to pee all the time just because of the pressure on the bladder.

My hypnobirthing class is almost finished, and my NCT class is about to begin. The boyfriend has decided that he would like to be there for the birth so I said that he had to come to NCT class with me. I hope that goes well. He also needs to meet my doulas, and that's also in progress.

I need to chase up the solicitors here to get my will set up this month. I got in touch with them last month and asked them to email me. They called, and I repeated that I wanted them to email me, and then I got nothing through. This is not necessarily a great sign for these solicitors, but I just need a will drawn up and sorted before the birth.

I've started building the nursery furniture as I'm off work this week between Christmas and New Year. It's all gone slower than I hoped, although I think I've built the most tricky piece. I built the wardrobe and the storage unit. I still have to build the crib and the changing table. However, I can't build those until I move the sofa-bed downstairs, or rather, get someone else to move the sofa-bed downstairs. The storage units look great though, and they do hold a lot. So that's fab. Once everything is built, then the washing and sorting can begin!

Birth seems like such a foreign concept. It's amazing to me how unaware we are in modern society of the various mechanics of birth. They hypnobirthing class has been really good- and I'm looking forward to the NCT class as well. Although I'm intrigued, I'm not exactly looking forward to the birth. I can't imagine how it will be, so I try not to imagine how it will be. I'd like to have a good birth, to be one with my body, to sink into myself and emerge with a baby. But who knows. I have a bunch of appointments coming up this week and next. First is my 34 week scan on Tuesday. Wednesday I have an appointment with the consultant to discuss (and possibly schedule) induction. Did I say this already? I'm going to decline the early induction but I think I'll agree to induction at 40w in the hopes that I go into labor before then. Then the following week I have an appointment with one of the head midwives at the hospital to get permission if I do go into labor naturally that I can go into the birth center as opposed to straight to the delivery ward. I didn't really anticipate all this... hassle about giving birth.

In other news I've started perinial massage with ElastoLabo in the hopes of reducing any tearing during birth. This is probably one of my bigger concerns- I mean everything else heals but tears here can screw you up for life. The massage is not particularly comfortable and not the easiest to manage position-wise. But I'll stick with it because it really can't hurt and it seems like a good idea. At week 36 I can add the Epi-No to my routine. Watch, with my luck I'll be doing all this and then end up with a Cesarean! But anyway, as I say, it can't hurt and lets me feel like I'm doing something proactively to address my concerns.

I've had a mild cold all week which hasn't helped with anything. It's not a very bad cold, but enough to make me feel slightly under the weather. Hopefully I can get rid of it fully soon.

31w2d - Hypnobirthing class and things

Pregnancy progressing- bump getting bigger.  I still feel pretty good in general.  Maybe I am starting to need to pee a bit more often but not to the point where it's unreasonable, and I don't get up at night needing to pee, so that's good. 

I have one more week of work before the holiday break.  I'm definitely looking forward to some 'nesting' time at home. My IKEA deliver is coming a week from today so most of the break will be spent setting up the nursery. I can finally start washing and sorting all the bags of hand-me-downs which would be fun and exciting. I also have some new things to wash and get ready like muslins, wipes, and cloth outer nappies. I'm just looking forward to starting to prepare.

The other day baby girl was in a position where I didn't feel her very strongly. My midwife definitely got me a bit anxious about 'not feeling her kick' which I don't think was helpful. With the anterior placenta, I think sometimes she's just muffled and I don't notice her moving for a while. With what the midwife said, this of course makes me start to worry that something is wrong. Then the next day, I feel her moving fine. I understand being aware of risks, but I don't think this is something I need to be so anxious about so I'm trying to manage it.

Went to my second hypnobirthing class last night. I've added a link to the right-hand side bar if any one is interested in finding classes in the UK or for more information. I am interested in the theories behind hypnobirthing, even if I find self-hypnosis challenging. I'm not sure that part matters so much, more the understanding of the state you are trying to achieve. I won't know until the moment obviously but if I hold on to the ideas of the course, I may be able to find that mental state in my own way at the time. In the meantime, I'm enjoying the visualization and positive thinking that goes with it.

The big thing on the pregnancy agenda right now is the process of birth. Induction or no induction? And where can I give birth? I am off work from the first of February. My plan is to do every old wives tale in the book daily to try to jump start labor. This includes nipple stimulation, orgasms, eating spicy food, raspberry leaf tea, acupuncture, reflexology, etc. Anything and everything, I'm pretty much up for it so that I can, if possible, avoid an induction. If I get to my due date at 40w, I may decide to go ahead with the induction. So we'll see. The thing is, right now they are telling me I can't go to the birthing center because I'm over 40. Apparently if I go into labor, I will need 'continuous monitoring' which they only do on the delivery unit. But that's ridiculous if there are no other risk factors and anyway they do intermittent monitoring (every 15 minutes) in the birth center, so what the fuck? I may need to go have a meeting with the head of the center to get permission to go to the birth center. I find this all frustrating. And then I hear in class, that although you may not be allowed in the birth center, you are allowed, or rather, they can't stop you from having a home birth. Now, I in no way whatsoever want a home birth. But if threatening them with me deciding to have a home birth is what makes them relent and allow me into the birth center if I happen go to into labor, then we'll see. It's really all a bit ridiculous and annoying. Which is not how you want to be feeling about giving birth. I have a meeting on Sunday with my doulas to discuss options and strategies. Fucking hell.

30w - 75% cooked

Well that's just crazy, isn't it? On the one hand, it seems very far along the journey, on the other hand there's still 10 weeks to go. Still, at this point, baby girl is pretty much well cooked and would have a 95% survival chance if she were to come early. It's a bit funny because I never think about an early labor. It's one of the things that I don't worry about or think about at all, other than this early induction issue. Perhaps because the pregnancy has been so 'standard' and I don't have an obvious risk factors, it just doesn't cross my mind that the baby could come early. Of course she could- I know some people who just had their baby very premature (she's fine). All I can think is that if that were to happen I'm completely not ready! I haven't actually set anything up, I don't have a hospital bag packed, I haven't washed any of the clothes. It would be a mess! Of course I would just deal with it, but still, very not prepared.

I've just gotten in touch with a solicitor to start the process of getting a will set up. I've never had one before as I never particularly felt I needed one. With baby girl on the way and slightly complex family dynamics, I think it's important to do so. As my Dad so lovingly pointed out to me, I could die in childbirth, so really, I should get it all in writing before then (thanks, Dad). But there is some truth to this. I would want guardianship of baby girl to go to one of my friends, not one of my parents. This has caused some issues with my mother who balked when I told her, but it's just sensible. Not to mention the fact that she and my father don't get along at all, so not only would she make no effort to ensure baby girl had a relationship with that side of my family, my Dad would retaliate by not helping to support baby girl whereas if it goes to a friend he would set up an annual trust payment to help with maintenance, etc. Plus my parents are old and not particularly capable of running around after a small child. So friends it is.

Baby girl is clearly getting bigger and space is getting tighter because I feel her more strongly at times. She has yet to punch or kick me in a sensitive area, although I do think she was using my bladder as a pillow at one point. I'm so far lucky that my need to pee still hasn't gone up all that much and I don't need to get up at night to pee, yet. Again, I think these things are coming, especially in the last month, as I know you need to get uncomfortable enough to desire labor. At least, that seems to be the way with every other pregnant person I know.

I wish I had more pictures of my pregnancy. I have a few. It's hard to take them of myself however. I'll need to carefully collect the ones I have as it's a scant record of what is most likely my only pregnancy. I know that I am intrigued by the one or two pictures I have of my mother pregnant and I'd like to be able to share that with daughter in the future. For sure one picture I must get at some point is me on the bike, pregnant. I'm still cycling to work, which is fine. Of course it's winter so I just might look all bundled up instead of pregnant, but if I can get someone to take the picture, I could unzip the bulky jacket for a bit in the spirit of documentation.

28w3d - Doula meeting and Nursery planning

I had my first official meeting with my two Doulas. It was really great. I was surprised that it ended up being a 3 hour meeting. I guess I didn't know what to expect. I'm sure we could have just kept chatting but it was after work, late, and I'd started yawning. We talked about birth choices, my preferences, life post birth, the type of support I think I might need, and the type of support they could offer now including information on things like pre-birth yoga exercises, hypnobirthing, baby care, etc. I didn't expect less, but it was a very positive meeting and made me feel good about all things birth and baby. Currently very much in favor of the Doula experience, and feel that is likely to continue.

As I think I said in the last post, I've been toying with nursery furniture layouts. I was happy to see that someone has made all of the IKEA Stuva pieces I'm considering in sketchup which makes my life much easier when doing layouts (previously I made my own blocks but just found these and was very happy). I mean, if I can't use my skills as an architect sometimes, what's the point?! On the positive side, the new layouts suggest that I think I can fit in a little bit of extra storage. The question is, which way?

Option 1 includes a larger unit- two drawers and three shelves (if you use the top of the unit as a shelf as well which I would). The downside is this means there will be a partially blocked area of the crib which will be about 1'7" square. This option looks like this (although on the unit next to the wardrobe it won't be doors on the top but 2 open shelves):

Option 2 uses a smaller unit instead of the taller unit. The benefits being that the blockage to the crib will be less, but I'll lose 2 shelves (I can still use the top of the unit as a shelf area). Option 2 therefore, looks like this:

I really want some sort of shelf area so I can put a nightlight, the baby monitor, etc. Otherwise, there isn't anyplace I can easily put these things. I also think some extra storage is going to be needed/useful. With either of these options, in the future, the changing table becomes a child's desk and can move along the wall with the storage units and the bed can move to along the wall under the window where the changer is now. The reason I don't want the crib over there now is that it's against the radiator which I'm trying to leave open to function better. Also, it gets hot! When she's older, I'll be more comfortable putting the crib/child bed against it.

You can see that there's sort of floor area where I was really hoping to put some sort of rocking chair but the space is actually incredibly tight with the door openings and access to the changing table. I've tried some chair components and they just don't fit well. I think I'll need to get the furniture in and then see what space is really there (and test some of the chairs in the house I have already before buying a rocker).

Any thoughts from the peanut gallery? I'm hoping to purchase furniture in the next month and get it set up over the holiday break. I don't find either solution completely satisfying, and I'm still mourning the loss of a possible chair. But time is ticking and I need to make some decisions!

22w1d - Advanced maternal age

On Tuesday I had a meeting with the obstetrician at the hospital. This was scheduled because I am borderline for pregnancy risk factors- my age, my weight, and my history of ovarian cyst and abdominal surgery. The meeting, which was very short, was relatively uneventful. However, the registrar said that due to my age, they recommend I have an induction at 39 weeks.  Apparently, once you are 40, your risk of stillbirth doubles from week 39 compared to a younger women. This sounds awful, but what it really means is your risk goes from 1:2000 to 1:1000 which still means you have a .01% risk of stillbirth. Still, this was not news I was expecting or prepared for. It sent me to looking through the internet and forums to confirm this information which does seem legitimate. However, it sort of sucks. Follow up reading suggests that induction does not increase the chance of a cesarean section, although I think this is widely held belief. I guess in part the reality is that older mothers in general have a higher rate of cesareans.

This will be something I need to continue to discuss with my midwife and doulas. I really wasn't planning to have the baby early, and I wasn't even thinking about induction at this stage. I guess I need to, and I need to start thinking about when to do it. It seems unclear if the testing shows a difference between 39w and 39w6d so I could get very close to my due date, or I could just decide to go a week early. Although this would only mean I took a week off of work. Decisions to make. But at least I have time to see how the pregnancy continues to progress and talk to my support team.

In other news, I'm off to the States tomorrow for a couple of weeks which should be good. Going to see family and friends which I'm looking forward to. Although I never look forward to the long flight. Hopefully all will be well. I got compression socks to wear so I can be a good pregnant woman.