Baby Check-Up

I want to first say thank you to everyone that has been reading my blog, and posting supportive messages on my Facebook page as well.  Thank you also to my new readers that have sent me a message or left me a comment introducing themselves, and sharing words of encouragement.  I really appreciate it, and I’m glad to have virtually met you. ♥

I rescheduled my baby check-up today for a different time.  The previous day I was monitoring my blood pressure at home, and I noticed that it was at its lowest right around noon time (it was at its highest in the early morning, and evening.)  I was fortunate to be able to reschedule for 1:30 today instead of 8 am this morning.  This proved to be a good decision.

I did get a lower blood pressure reading at the doctor’s office. It was 138/74.  It was under that dangerous number of 140/90, so I felt better.  My urine test came back fine.  My non-stress test came back fine.  Nothing out of the normal.  Baby’s heartbeat was strong, and her movements were good.  My Braxton Hicks contractions were pretty random this time.  There was nothing that showed distress with the baby or with myself.  Oh, and I lost 5 pounds.  I weighed 166 at my last check-up 2 days ago, and now I weigh 161.  I think the weight loss is caused by a mixture of stress (when I’m stressed I have no appetite) and I also cut out all sodium.  No frozen dinners, no canned vegetables, no meat, and no coffee.  Just fresh fruit and veggies, rice, and lots of water.  I am trying very hard to keep my blood pressure down, and in the process I lost 5 pounds of water weight by cutting out so much sodium in my diet.

I met with a different OB doctor today.  I’ve seen her only once before earlier in my pregnancy.   She really eased my nerves, and thoroughly talked with me in a much more personal and attentive way than the other doctors that I usually see.  One of the first things she said was, “I always prefer a natural start to labor…”   She immediately put me at ease.  She’s such a cute little doctor lol,  in her 40’s or early 50’s, really short with dark longish hair, dark glasses and a happy smile.  She explained to me why she thinks the other doctors have been pushing for induction.  She said that since my blood pressure is near the edge of concern (140/90) I could be at risk for placental abruption.  High blood pressure could cause the placenta to detach from the uterus wall causing hemorrhaging, and depriving the baby of oxygen and nutrients.   It can be a dangerous complication, and can happen suddenly.  She said that my blood pressure should normally be 120/80 or lower.  If it was around that number, induction would not be an issue at all.  She also said that since I don’t smoke, and have not had chronic hypertension in the past, she is not too worried yet, although she is concerned.

She then went ahead and did a cervical exam on me.  I am now 2 centimeters dilated, 70 to 80% effaced, and baby’s head is engaged at a -2 station.  A slight improvement!  Yay!  I then asked her if she could sweep my membranes, and she did.  This can help start labor.  I was expecting it to hurt, but I didn’t feel any pain.  And now, I am feeling crampy :)   I do believe I am having mild contractions.  I just hope and pray they continue at a steady pace!   Sweeping the membranes may or may not start labor, but at least it’s something that is done naturally which will allow my body to respond in its own way.

I asked her more questions about Cervidil and Pitocin.  She said that since I am already slightly dilated, and mostly effaced,  I am a good candidate for going into labor just with the Cervidil alone.  Cervidil is mainly used to ripen and dilate my cervix in order to prepare it for contractions once Pitocin is administered,  but sometimes the dilation and effacement caused by Cervidil will get labor started all on its own, so I may not even need Pitocin.  This is a great relief to me because Cervidil (from what I’ve read) initially starts with milder gradual contractions (if it causes contractions at all.)  I think I will be less nervous about being induced with Cervidil than with Pitocin.  However, she said, “Contrary to popular belief, Pitocin does gradually cause contractions.”  She made it sound like if I needed Pitocin, I will have a window of time to prepare myself for the stronger contractions that Pitocin will cause.  Of course, I’m still nervous about being induced, and I still want to avoid it completely … but she did ease my nerves just a little bit more.  She also said that in her experience she has seen raspberry leaf tea help start contractions.  So I’m sitting here drinking some right now.

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Since the placenta is working perfect, baby is not in distress, I’m not in distress, and she knows that I’m really wanting to avoid induction … she said I can wait a little longer :)   I have to do another 24-hour urine test to make sure no protein is in my urine, and there’s no sign of preeclampsia.   If I don’t go into labor before Friday,  I will meet with one of the male doctors I see regularly.  We expect to be pressured by the doctor to have an induction, but I will ask him if he can sweep my membranes again, and see if he will allow the induction to be scheduled for Monday if another membrane sweep doesn’t work before then.  Why Monday?  Because the lovely doctor we just met with today is on call Monday and Tuesday :)  The reason I like her so much is because she didn’t make us feel we had no control over these decisions.  She didn’t pressure induction.  She only suggested it.  I can tell she really wants to honor my wishes if at all possible.  Of course, if I see her on Monday at the hospital, that means I’m there for an induction, and I will begin with Cervidil, and hope that labor will start with that alone.  I am hoping and praying my labor can continue on its own after Cervidil is placed in my cervix.  Praying for no Pitocin, epidural, or c-section.It just so happens that Monday is our first year anniversary ♥   Not the best way to celebrate; in a hospital … but we will be together, and if labor progresses fast … then Faith may arrive that very day (if she doesn’t decide to make her appearance before then.)  As always, it’s in God’s hands, and according to His plan.

Tomorrow I will be posting my 41 weeks baby update!  Unless she comes tonight.  I am already working hard on that :)

[youtube=http://www.youtube.com/watch?v=AtrG3nrird4&w=400&h=330]
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Baby Check-up

Well, I no longer feel in control.  I don’t know what to do.  Feeling hopeless, and very frustrated due to my lack of knowledge concerning all of the pregnancy complications that could very well happen to me now.

The doctor wants me to go to the hospital tonight.  I said no, and I scheduled another baby check-up two days from now, but I am wondering if I made the right decision.  I went in for another routine urine sample, blood pressure check, weight check, cervical exam, non-stress test, and ultrasound on baby Faith.  Everything looks great except that my blood pressure was 140/83.

My BP is going back up a bit, but everything else was fine.  I weigh 166.  Urine sample came back fine.  Ultrasound was great.  I got a cute little picture of Faith’s ear (which, by the way, looks just like Aaron’s ear.)  I have attached earlobes, and Aaron has detached earlobes.  Faith has Daddy’s earlobes.  Big surprise.  She is Daddy’s little girl, like I’ve always said :)

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The non-stress test was great; baby’s heartbeat is strong, and her movements were frequent.  However, I’m having no contractions.   The doctor said I am 1 1/2 centimeters dilated, and 70% effaced.  No big change for weeks now, and since my BP is climbing up again… he wants to induce.He said he would like me to go to the hospital tonight and have a medication called Cervidil applied to my cervix to help me dilate and efface more.  I would stay overnight and be monitored.  The next morning they would start Pitocin, and I may deliver in the afternoon sometime.  He then told me that I would be at a higher risk for a c-section; around 30% compared to 10 to 15% if I were to just go into labor on my own.  What if my cervix is still not ready for birth after the Cervidil is applied?  Sometimes Cervidil doesn’t work.  And what will happen when the Pitocin triggers strong contractions, but my cervix may not be ready for birth yet?  I would be in for a long hard forced-labor, which in turn would pose the inevitable possibility of an epidural and c-section.

Although the baby is not in distress, the placenta is still working perfect, and my tests are all ok … I’m being told that my blood pressure is still a concern, and that as more time passes it can just get worse.   It sounds like my inducement is for preventative reasons, instead of a medical emergency.  I’m indecisive on what to do, and I’m extremely upset about this.  I’m feeling defeated already, and labor hasn’t even begun.

Part of me thinks I should just go to the hospital tonight because if I wait 2 more days for the next baby check-up only to find out that I’m still not progressing, then I’ve wasted 2 days stressing over this and most likely having my blood pressure rise even more due to anxiety.

I’m just sitting here.  Please help me pray for answers.

Today’s Baby Check-Up

Well, it’s a gloomy, rainy morning, and I just got back from my follow-up appointment to re-check my blood pressure.  I thought I would only be there briefly, but no;  I was there for almost 2 hours.  I really wish Aaron was with me today.  I didn’t think he needed to be there, but it turns out I really wanted him with me.  I don’t know why, but the closer I am to my due date, the more clingy I am towards him.  I don’t like when he’s far away at work :(

So, I get to the doctor’s office, and give a urine sample.  They checked my weight; 163 lbs. and then my blood pressure; 153/90.  My BP was even higher than last time.  At this point, I am getting very nervous.  Is this a symptom of preeclampsia?  Will my BP go down?  Will they want to induce me?

While waiting for the doctor, I saw the calendar on the wall.  For the month of June, it had strawberries on it :)

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I took this as a good sign :)  It reminded me of when I just bought my fixer-upper home, and while I was removing my old kitchen cabinets (and having a really bad day that day) I found a picture with strawberries on it, and a Bible verse that gave me reassurance…

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That picture is hanging up in my kitchen now :)  It’s true … If you seek Him, you will find Him – Matthew 7:7.   You just have to keep your eyes open, and you will see Him ALL of the time… right when you need Him.

The doctor finally came in, and did another cervical exam.  I am 1 centimeter dilated, and 75% effaced.  Once again, I am bleeding after the exam, and feeling a little crampy, but not bad.  After the exam, she said, “Your urine sample came back normal.  No protein in the urine, but I’m concerned about your blood pressure.  So I want a Fetal Non-Stress Test (NST), a 24-hour urine test, and a blood test done.”

I was moved to another room where there was a couch to lie on, and a fetal monitor next to it.  They placed two straps around my belly.  One for the baby’s heartbeat, and one to measure my contractions.  The nurse said, “The baby’s heartbeat should be around 140 to 160 beats per minute, and the contractions can range from 0 to 100.”  I told the nurse, “I’m not having any contractions yet.”  I guess it’s just procedure to monitor everything.  They told me that the test would last about 15 minutes.  It turned out I was lying there for about an hour.

At first Faith wasn’t moving at all.  I knew she was sleeping.  Her heart rate was fine, but the line that was recording her movement showed no activity; no spikes or dips on the paper that was coming out of the fetal monitor.  What was interesting was that the line that monitors my contractions were spiking to a little over 50.  I had no idea I have been having contractions.   No pain; no pressure.

After about a half hour, they brought me some cold apple juice.  That woke up Faith.  She started wiggling around; happy to get some sugar! :)  I was starting to get cold.  The AC and the cold juice was making me shiver.  It was hard to drink the juice while lying down.  I was getting uncomfortable on that couch, but I just continued to listen to Faith’s heartbeat, and watched the paper feed.  I really wanted my hubby with me.

A couple nurses came in intermittently to tear off the paper feed and give it to the doctor.  They didn’t explain the test results to me, yet, but Faith’s heart beat, movement, and my contractions seems normal to me.  I wasn’t in pain or stress, and Faith didn’t seem to be either.

After about an hour hooked up to the monitor, another nurse came in to re-check my blood pressure.  It was 116/60!  She said, “It’s real good.”  Yay!   Shortly after that,  the doctor said I was free to go home.  I asked about the non-stress test; hoping to get a little more information about the contractions I am having, and if Faith’s movements are frequent enough, but all the nurse said to me was, “The doctor said everything looks fine!”

They gave me a bag that contains what I need for the 24 hour urine test, and then scheduled me for another appointment in two days; Wednesday at 8:30 am.  At my next appointment I will give them the urine, and they will give me a blood test.  I hate needles, but I need to toughen up!   I won’t make Aaron stay home from work to go with me,  but I won’t complain if he does :)

Those belts strapped to me left indentations.  Goodness I’m so puffy and swollen.

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I’m glad to be home now.  I just want to relax, and wait for Aaron to come home.   Please pray that both urine, and blood tests come back normal!   Faith is tough!  Just a few more weeks to go! :)