Monday, December 13, 2010

Stump Trouble

Infant's umbilical cord stumps are the grossest things in the world.

Max's started oozing and getting gooey three days ago. As if a crusty brown raisin-y thingie that's going to FALL OFF isn't bad enough, now it has to OOZE and stain all his adorable onesies??!! Also it smells like pierced ear holes (you know the smell I'm talking about). I want to vomit/faint every time I see it.

Then today it decided to just hang there. By a thread. Of SKIN.

I stared at it for his entire afternoon feeding today, willing it to fall off by the force of my gaze. Stumpwatch 2010.

I'll take rectal temperatures any day over this.

Ch-ch-ch-ch-changes Part I: No, We Didn't Do It For Insurance Reasons




Whew. The last few weeks were easily the most intense days of my life so far. So eventful that I'm going to need to blog about them in installments. It'll be fun! I'll even put in cliffhangers to make you come back for more.

We left the island the day before Thanksgiving to go to my weekly midwife appointment, spend the holiday with Dave's brother and family, and then settle into our temporary baby-awaiting camp in Sturgeon Bay. At what was anticipated to be a normal, "everything's good to go", lets talk about what labor feels like for the millionth time weekly baby check we heard these plan-altering words from Marijke, "I hate to say it, but I think this is a head". While feeling the TOP of my belly. Breech again. Or still. Regardless, we were four days out from my due date. Not a promising amount of time to turn the kid. We went for an ultrasound the same day to confirm the position. Breech indeed. Folded right in half with his feet by his head...frank breech to get technical.

Suddenly we are facing a hospital birth with an OB. Luckily the referring OB for the birth center is easily the most wonderful woman in the world. She'd performed our 20 week ultrasound and we'd loved her then. After confirming the breech, Doc informed us of our options: try an external version to turn him and if that didn't work, schedule a C-section or attempt a vaginal delivery. Doc is a maternal fetal medicine specialist and has performed many breech deliveries successfully. She said the kid and I were good candidates based on his presentation, head proportion, my health etc. We decided to try the version (the next day-Thanksgiving!!-per Doc's wishes. What OB have you ever heard of coming in on a holiday for an elective procedure? The most wonderful one in the world, that's who.)

Let me tell you something...an external cephalic version (ECV for you medical acronym fans) isn't that fun. I'd rather have been eating stuffing thank you. You go to Labor and Delivery (L&D...there's another one for you) in the hospital, they hook you up to a couple monitors (one for you, one for baby) and then Doc cranks on the outside of your stomach trying to manually push the kid into a forward roll. I'm not gonna lie-it hurts. You spend nine months trying to protect your belly and then suddenly someone's fingers are three inches deep, manhandling the womb. Ouch. And unfortunately, it was unsuccessful. She didn't try for very long as it has the potential of being distressing for the kid.

We left disappointed, freaked out and with a very big decision weighing heavily on our shoulders. Also hungry. Where do you go at 7'o'clock on Thanksgiving in Green Bay? The Golden Basket! A family diner with a $7.99 Thanksgiving dinner special. Dubious neon yellow gravy smothering the whole plate aside, it was a welcome feast at that point. It was across that cheap Formica tabletop that Dave popped the question. Or popped the statement as it were: "We should get married tomorrow." I didn't think he was serious until I saw his face. I'll leave the sappiness out, but I will say it was genuine and unexpected romance and I will remember how it felt forever (okay, a little sappiness). I wouldn't have wanted to be proposed to any other way. It was perfect.

Suddenly faced with a high-risk birth and a difficult decision to make, the scariness looming could easily have pitched us into negativity and tremendous fear. I was already skidding down that slope. Dave felt the positive energy of that commitment between us would really help get us through our first big hurdle of parenthood. He was absolutely right, and I've never been so sure about anything.

Unfortunately government offices didn't cooperate with our "lets get married tomorrow" plans, as being the day after Thanksgiving they were all closed. An agonizing, but exciting, weekend followed. We orchestrated an elaborate plan to get our birth certificates from the island (aided and abetted by some sworn-to-secrecy friends), all the while researching breech deliveries, C-sections and tightly crossing fingers and toes that baby wouldn't come on my due date (probably the only pregnant woman in history who hoped for that) so we could make it official first.

Monday morning dawned. No baby yet. We had decided not to schedule a C-section but let the little guy come on his own schedule and go into labor naturally. We would get to the hospital and take it from there. Both of us leaned heavily toward a trial by labor as long as things remained favorable and Doc was on call when it all happened. One phone call to the Clerk of Courts later and we had an appointment with a judge at 4:15. Just enough time to get our marriage license ($25 bucks extra for same day expedition), get my hair blown out, buy a new pair of shoes (I might get married in jeans but I was NOT getting married in UGGS), pick out wedding bands, and get our witnesses called in. Everything just fell into place. It was so Celestine Prophecy it almost made me want to reread the book (almost).

The ceremony was perfect. The judge read a beautiful statement and vows...I thought it'd be all "wham bam by the power vested in me", but if I could've picked out a wedding script, I couldn't have done better than this.
A sampling:
"The intimacy of love is one of life's greatest joys, and when this is combined with real friendship, both are infinitely enhanced...Marriage symbolizes the intimate sharing of two lives, yet this sharing must not diminish, but rather enhance, the individuality of each partner...We must give ourselves in love, but we must not give ourselves away. A good and balanced relationship is one in which neither person is overpowered or absorbed by the other."

Really? How great is that?

We had a delicious Italian dinner afterward with our good friends and witnesses and I went to sleep that night feeling the most secure and peaceful I'd felt in a long time.

Then I woke up at 6'o'clock to my water breaking.

Wednesday, November 17, 2010

"Have you had that kid yet?"

Nothing like being too big to get out of the car to make a pregnant girl feel pretty. Here's the tale:

Dave's mom, Gloria, and I were returning from my weekly midwife appointment and her Suburban was parked on the ferry. I had to pee, per usual, and attempted to exit the vehicle. Unfortunately, the space between the car door and the center wall of the boat was a good 12 inches shy of belly clearance. This led to several minutes of Gloria, along with 2 ferry employees, maneuvering the giant SUV into a position where the whale in the passenger seat could get out to empty her ever-demanding bladder. I saw car doors opening and heads peering out of windows all over the boat to see what all the commotion was about. Based on a previous experience (I stumbled walking off the boat a couple months ago. Went down on one knee. Not a big deal. Upon meeting a woman for the first time on the Island recently, she said, "Oh, I heard about your fall on the boat. Everyone was really worried." My FALL?? Its not like I tumbled down a flight of stairs and had to be triaged. I stumbled. STUMBLED.), I'm pretty sure this incident will be on the front page of the Washington Island Observer. Sigh.

A mere 1 1/2 weeks til D-Day. I can't say I'm super anxious/excited/worried etc. Not that I'm not looking forward to the inside kid being an outside kid, but the strange calm that descended earlier on in this pregnancy has fallen again. Which is a vast improvement to my standard high-anxiety state over the most mundane of life changes. And I have to say, I'm no longer feeling the "get this kid out of me" urgency I was a few short weeks ago. Make no mistake, I'm ready. I'm just letting everyone else get all excited and worked up for me...we're averaging at least 2 "check-ins" per day ie: "Are you in labor?" "Any signs?" "How are you feeling?", and my favorite, from the always succint Ms. Olive, "Lost your mucus plug yet?" (Answer: no.)

In case I don't have a chance to post another blog pre-delivery, I'm going to take this opportunity to bookend my gestation with another list of some unanticipated pros of pregnancy:

-The joy of having a sweet tooth. Never before have I understood how profoundly gratifying it is to give into the siren song of a glazed donut.
-An expanded awareness of the variety of bodily fluids in existence: meconium, lochia, colostrum...who knew?
-Built-in (literally) entertainment everyday watching my stomach move. Fascinating.
-I've discovered how much I like to swim. Thanks to breech boy I started swimming to turn him and haven't stopped.
-Almost 10 months hangover-free.
-My family relationships have become much closer.


And finally, a brief Hynobirthing update, since we finished the 5 week class: my opinion hasn't really changed from the first class. I love the support of natural birth, the approach to viewing the whole thing as what it is, a normal function that women's bodies are capable of, focusing on the positive, using breathing and meditation to quell fear and as a result, pain etc. However, 5 classes was a bit much. I got all that from one class and reading the books. Maybe because our frame of reference included a 6 hour round trip journey and an overnight stay to get to the class, we didn't find it as worthwhile as the couple who just drove across town. I'd recommend it to anyone as a tool, but maybe just buy the book and do a one-day class or workshop. Also, thanks to my firmly entrenched procrastination habits, I haven't exactly been practicing the techniques everyday like I'm supposed to. Overall effectiveness in labor as a result?
To be determined.

Much like a lot of things in the next few weeks.

Friday, October 15, 2010

Bottoms Up!


We got excellent news on Monday; the kid, who has been breech for a stubborn couple of months, turned things around. Was it the cold packs on the top part of my belly (ie: in utero torture)? Spending 10 minutes 3 times a day in a very attractive position called the "Polar Bear"? Handstands and somersaults in the pool? Flashlight and Dave's voice aimed at my pubic bone? Me relentlessly poking and prodding his head? Prayer? Positive visualization? The one trip to a chiropractor certified in the Webster technique for turning babies? Hours spent on google?

We may never know.

Thursday, October 7, 2010

Ugh

I know I should lend no credibility to these things but I've never been able to pass up a quiz in a magazine in my life.

From http://www.justmommies.com/quizzes/labor_prediction_quiz.php:
Get your bags packed early just in case you need them. Make sure your partner has a phone available when he's away because this baby just might come early. We predict your baby will come 2-3 weeks early. Your baby will most likely be born in the morning. Justmommies predicts that your baby will weigh approximately 9.8 pounds and that your labor will be about 11 hours long.

Wednesday, October 6, 2010

Pelvic Rest Is Not My Cup Of Tea*

Thanks to a few alarming incidents of painful, menstrual-like cramps (always in the wee hours wherein a discussion such as the following ensues: Me: "Honey I'm cramping. What should we do?" Dave (rubbing my back): "Call the midwives." Me: "Should we call the ferry line?" Dave: "Call the midwives." Me: "Should we wait and see if they get worse?" Dave: "Call the midwives." Me: "I don't know what to do.") and one midnight trip to the ER at 26 weeks, the midwives have recommended I be put on "pelvic rest" until I'm full-term (37 weeks). The ER visit is a blog unto itself...let's just say my anxiety surrounding hospitals was not assuaged and I'm pretty sure the guy in the room next to me was in the first stages of zombie flu.

A fetal fibronectin test (swab requiring an non-lubed metal speculum...midwife hugged me afterward) reassured us that I wouldn't be going into labor in the next two weeks (fetal fibronectin is a chemical your body starts secreting before labor. If its present, look out below; if not, you can pretty much rest assured a preemie is out of the question for the next few weeks). However, to err on the side of caution, because painful Braxton-Hicks contractions are rare in first-time pregnancies (look at all my facts!), its pelvic rest for me.

And what exactly is pelvic rest? Is it as fun as its distant and more widely-known cousin, bed rest? Pelvic rest means I should be taking it easy, not riding bikes, and not ah-hem, doing what got me in this condition in the first place. With one added specific stipulation: no orgasms. Who gets medically advised against orgasms?? This girl.

Also anything I'm doing, if my uterus starts tightening, pain or no, I'm supposed to stop, drink water and lay down. Well my uterus has been tightening regularly for a couple of months now. Braxton-Hicks contractions are the common term, and have been described as "practice" contractions for the big event. (If that's the case, my body has passed the dress rehearsal stage and my labor and delivery is going to be like a tired old Broadway show in its millionth season. The cast will just be going through the motions, singing the songs, bored but effortless. I'll have the Cats of birth experiences.)

All this pelvic resting has left me feeling mainly bored. I have just enough leeway to start doing something (painting baby furniture, taking a walk, doing laundry, hanging pictures etc) and have to stop. Or, as I'm more apt to, finish what I'm doing and be increasingly uncomfortable. I dislike being unable to do things. "Taking it easy" is not fun when its enforced. It leads to things like sobbing for a 3-hour Animal Cops- Phoenix marathon, procrastinating writing this very blog, feeling guilty for not practicing my Hypnobirthing exercises, and analyzing with growing horror the steady influx of cellulite and flab on my ass (all things I've accomplished today).

Meanwhile, the kid continues to kick me in his spazzy little way (powpowpow, rest, powpowpow, reeeeeeessssssst, POWPOWPAPAPAPOW!!!, rest, repeat) and get hiccups at least 3 times a day. Clearly his life is sailing right along, totally unaffected by my grievances.

Which I guess, after all, is the point.



*title credit to Kelly Wright-Pedersen of Kelly's Video Blog fame

Monday, September 20, 2010

You Are Getting Veeeerrrry Sleeeeeeppppyyyyy....

As many people close to me have already observed, I've turned into a bit of a hippie since getting pregnant. Or at least I've been accused of it. If plans for cloth diapering, homemade baby food and natural childbirth a hippie make, so be it. (Oh and I'm tie-dying onesies next week. Haha.) However, my inclination toward mockery of anything I consider touchy-feely, New Agey prevails. Thus Dave and I were skeptical before our first Hypnobirthing class last week. It was suggested by a friend, I did some further reading, and our birth center offered it so we figured we'd give it a whirl. I wanted to take a birthing class of some kind. I've been doing a truckload of reading but Dave wanted something more hands-on. We fully anticipated chanting and crystals and a bunch of people we couldn't stand (think Maggie Gyllenhall in "Away We Go").

Not so! We both really liked the class and I'm looking forward to the next 4 weeks. And get this-I'm actually excited about the birth itself. I didn't harbor a lot of fear about labor and birth as it was, my mindset has firmly been "my body is built for this, I'm low-risk and healthy, I can do it naturally and normally without intervention". However there's always some anxiety and what-ifs and I can't say I've felt "excitement" about my actual birth experience til now.

I plan on sharing a little about what Hypnobirthing is and our experience with it. Sort of be the guinea pig for anyone who's interested.

Basically Hypnobirthing says women's bodies are completely capable of birthing their babies without help, birth is a natural process and not a medical event. The pain associated with birth is a culturally-based, fear-induced pain that is not necessary (they do not dismiss childbirth pain as unreal, rather as something that doesn't need to be experienced) and women can train their minds and bodies to birth comfortably and gently through self-hypnosis (essentially guided relaxation and deep breathing). The anecdotal and scientific evidence surrounding Hypnobirthing's success rate is staggering. I encourage anyone to research it.

That's an extremely basic description of the philosophy. With the class comes a book, CDs and other materials, and the method requires practice and commitment at home. It does not guarantee a painless, "perfect" birth without intervention. Everyone's birth experience and body is different, and sometimes there are complications and genuine medical emergencies that arise. However, another part of Hypnobirthing I love is the complete absence of focus on any negative. There is no class or chapter on complications or risks of childbirth. No what-ifs are presented. The philosophy does not encourage denial of these realities, rather that for one's mind to be in the right place, it must be totally focused on the positive. I figure the preponderance of negative birth images and people's propensity to share "horror stories" of birth (what IS that about?) with pregnant women already far outweighs the positive birth information in our society. Why add to it in a class that is striving for mind over fear?

I'm explaining this because it has motivated me to make a decision-I will no longer listen to or accept negative information about birth. No more horror stories, no more "but you have to hear this", no more "NICU" or "A Baby Story", no more women screaming on their backs. I'm fully aware of the importance for all women to share their birth experiences, negative or positive, and I'll be happy to hear your positive encouraging story, but please wait until after I've brought the kid into the world to regale me with tales of blood, sweat and tears. Dave and I spent a lot of time and effort to find the caring, competent midwives we have and I completely trust them to know what to do in the event of a complication or true medical emergency. That's why they went to school and dedicated their careers to birthing babies. They have attended over 700 births between them...I have attended 0. They are the professionals. It is their responsibility to know what to do in the very small chance there is a problem. My responsibility is to trust Dave, my body and my baby to have a calm, gentle and natural birth.

I feel the need to declare this for a couple reasons: A. my first baby shower is less than a week away and I've been to a few that have descended into horror storytelling, with everyone contributing a "well my friend's sister-in-law's neighbor needed 27 stitches" tale to top the previous one. I love the idea of a group of people who care about the parents-to-be getting together to express their support and share the couple's joy. (And if there's a Bloody Mary bar for the non-preggos, all the better). I just think negativity has no place in this celebration. B. I'm getting kind of sick of the eye rolling, derisive snorting and incredulous or snide commenting ("you don't have a DOCTOR??!!" and "just wait, you'll be screaming for drugs") I get the majority of the time in response to my desire for an intervention-free, midwife-attended childbirth outside a hospital. Especially because I cannot conceive of reacting in a similar fashion to someone else's planned C-section or desire for an epidural. Its wonderful that women have choices in childbirth. I'm not trying to be a hero or a martyr, just making the choice that works best for me and my family.