Saturday, February 28, 2009

37 Week 6 Day Appointment.

We saw our MW again this morning for my almost 38-week appointment. All the regular stuff is going well (HB in 140s, measuring a week ahead again, baby lower than last week, no swelling to speak of, weight gain ok) and I'm finally at the point where my MW says things like, "We'll need to see you in a week, of baby doesn't come sooner." EEEEEeeeeeeeeeeek!

We talked about quite a few interesting things today. I asked her about my indigestion issues, which have been getting worse over the past month or so. She wanted to know if it was tied to eating spicy foods, and I explained it's tried to eating ANYTHING and EVERYTHING, including plain bagels and baby carrots. She advised me to stop eating 2 hours before bed, avoid spicy foods, and try papaya enzyme instead of Zantac (Zantac works fine, but I'd prefer something more natural). She also assured me that indigestion is actually a GOOD sign, since it means that my smoooth muscle tracts are softening, which we WANT to happen before I go into labor.

I also mentioned that I had purchased some Evening Primrose Oil, but I wanted to check with her before I started to use it since I didn't want to use it too early. Evening Primrose Oil (EPO) is a gelcap you can take orally 2-3 times per day, and at the end of pregnancy you can also...ahem...insert it to soften the cervix. I'll start taking it (orally, thanks for asking) this week. She assured me it's not going to throw me into labor before I am ready, but that it will help prepare my cervix for an easier time dilating.

We talked a bit about a birth plan, and whether we had any special requests or labor or delivery. Standard HBs usually include delayed cord clamping, as few interventions as possible, and a hands-off approach by the MW and her apprentice. She asked if I plan to catch my own baby, have Darrick do it, or have her do it, and I asked if we could play it by ear. I'm not sure once I'm in labor how I will feel about it. Darrick is open to the possibility of catching the baby, but we're not going to lock ourselves into one thing or another until the moment comes. We talked about who will announce baby's sex, and we're still undecided about whether it will be Darrick or me, or whether we want the MW to announce it so we find out at the same time. Darrick and I will decide that sometime before baby gets here. In my head, I always imagined him announcing it, but we'll see. We talked about a back-up plan if we need to transfer. We'll go to the hospital I had Luca at (it's less than a mile away) and use whoever is on call. I had always assumed that I would only transfer if there was an emergency and it would end in a c-section, but she said most of her transfers are first time moms who cannot handle the pain or get exhausted. I don't plan on transferring for those's hoping I am right!

Last, we talked about whether to do the eye ointment and Vitamin K injections at birth. Both are done standard in hospital births, though you can decline them. The ointment is an antibiotic intended to prevent mom from passing infections to baby as he/she is born. Since the infections it protects against (gonorrhea and chlamydia) are things I don't have, we are declining the ointment. Vitamin K is given to protect baby from birth-related traumas and some disorders that are not always known at birth but could be life-threatening. VitK helps with blood coagulation, bone metabolism, and vascular biology, and most babies will be fine without the injection but there is no way to predict whether or not a baby will have problems without the injection. We're playing it safe and getting the injection, since there's no way to predict for certain if baby will have a deficiency, and the outcomes if he/she does and we decline it at birth could be very bad.

My next appointment is this coming Friday, assuming I make it that far. :)


Crystal said...

Hey Kate, congrats on not having gonorrhea and chlamydia!

Muffin Cake said...

Really, Crystal, I expected more from you. A congrats card....maybe a cake? ;)


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