Sunday, January 27, 2008

Me and my carbs

This week, after my bi-weekly glucose test (standard at the practice I go to), I was informed that my sugar-in-pee readings have officially entered the "huh... weird" level. This means that while I am almost certainly not developing gestational diabetes, I am also not processing my sugars quite normally. The way it was explained to me it sounds mostly like I'm becoming hypoglycemic.

This all started with my glucose test. It was normal, but on the high end of normal. So then they said, oh- we'll make a note of that. Then at my next appointment I had sugar in the pee. But I self-admittedly had eaten a couple of Xmas cookies about 30 minutes before my appointment. So that easily could have thrown off the test, they said. Don't sweat it, but quit eating cookies for breakfast (for the record, the cookies were WITH breakfast, not FOR). Next appointment- no sugar. Score! This last appointment- sugar in the pee again. Sigh... that was my third strike.

Now I've been advised to lay off anything that will raise my blood sugar quickly. Culprits include white bread, cheap types of whole wheat bread, potatoes, fruit juices, and anything obviously sugary and unnatural. No processed breakfast cereals, not even whole grain ones, because breakfast is the toughest meal for your body to regulate. Because I get strong, horrible headaches from all the false sugars (nutrasweet is like a brain poison for me) I'm allowed little bits of pure sugars- like a dash of honey in my tea, or a little bit of maple syrup to sweeten my steel-cut-oat squish. But I was told to really keep it to a bare minimum.

The good thing is that this really isn't that restrictive- it is just a tad tricky. Lunch can be a sandwich if it is a really high quality full grain bread. Breakfast can be tasty oatmeal with berries if it is the nice steel-cut kind of oatmeal. I can still have my delicious homemade sorbet for dessert if it is made mostly with fresh bananas. Up to two tablespoons of ultradark chocolate chips for an afternoon pick-me-up (yum!). But of course now that I can't have it, I WANT MAC AND CHEESE.

So what is the benefit of my new low-carb low-sugar diet? According to the OB and nurses that told me this is a good idea, the biggest benefit to me is that I should feel more energetic (cool!), and the baby might be slightly smaller (i.e. easier to vaginally deliver, potentially). Those sound good. The biggest direct benefit to the baby is that it is likely to have an easier first few days of adjusting to being born- babies that are used to having very level blood sugars tend to do a touch better (stuff like jaundice, etc). The nurses were pretty direct, "You don't have to do this. But it will help, and it really isn't that hard."

Want to know the funniest part? Then the nurse said, "I hope you like eggs! Because that is an ideal food for you." Matt and I laughed and told them about the girls.

Now our OB and nurse want us to bring THEM some eggs. Everyone loves a pet chicken.

Saturday, January 26, 2008

What a difference

This past week at our appointment one of our midwives commented, "You are probably measuring really big right now because the baby is breech. They don't fit quite right in there like that."

I didn't really think much of it. I've measured big for months now, so how could the position of the baby's head make that big of a difference? Well, I shouldn't have poo-pooed her, because the belly has been shrinking for two days now. Noticeably. What this means, I've come to realize via web searches and thinking about it, is that baby's head is getting sunk snug into the sort of lower-uterus-socket where it belongs. The rest of the baby is now lower, and much more compact.

I look less pregnant, I feel less bulky and uncomfortable, I sleep better, I eat better, and thus... I feel better. I have nothing but pity for people with babies that stay breech to term- and I really hope that our little friend is truly crammed into the right spot right now. If it flips again I'll be disappointed.

Lest you be concerned about the baby seemingly getting smaller- it is making up for this change by getting more and more active. Whoever said 28 weeks was the peak of fetal movement obviously did not have a baby like ours! At 34 weeks I have a mover, shaker, hiccuper, kicker, squirmer, and general entertainment center. I can actually see the outlines of legs, knees, and even clearly of a foot sometimes, pressed hard against my skin. Matt has taken to staring at my belly like a TV screen- complete with his mouth open and eyes bugging out. It is totally wild to watch.

My mom asked me once if I thought this famous picture (see below) was faked. I wasn't sure. Now, I admit the toes detail is pretty wild, but after watching what our little buddy can do, I'm willing to believe it.

Friday, January 25, 2008

Misery doesn't want company

Finally, something useful comes out of my two-time butt misery.

I won't go into details because I don't have permission to tell, but someone else I know actually came down with an abscessed anal gland. I was able to provide timely advice, reassurance, and they were able to get help with the problem in a quick and effective way- they are already on the mend and feeling much better.

That makes me feel like some of my suffering was not for nothing. I am useful!

Thursday, January 24, 2008

Butt!

Oh glorious day!

At 5am this morning I awoke to a vicious tumult in the uterus. I had a few painless funky contractions (this is totally normal, I've talked to the doctor about it, and honestly it is pretty cool to watch) and generally laid there thinking, "what in god's name are you doing down there?" My belly gave the impression of some sort of internal greco-roman wrestling match.

A few minutes later it became abundantly clear. I now have aggressive little feet jamming themselves into my ribs, lungs, and stomach. Hiccups are now centered somewhere around the "business end" of my reproductive tract, as Matt likes to phrase it. And best of all, where the bobble-headed-grapefruit used to be is now a lumpy little butt. Sometimes knees too.

Ahhhh.... so much better.

Matt was impressed this morning. "Geez its getting strong!" Yeah, try having THAT pounding your walnut-sized bladder for two weeks. Kicking your ribs is so, so, so much nicer. I really hope this is the last flip our little friend wants to execute.

Sunday, January 20, 2008

Hiccups

The baby gets the hiccups at least 4 to 5 times a day, and occasionally I wake up in the middle of the night to pee and can feel it hiccuping in there. It lasts anywhere from 5 to 20 minutes, on my estimation. The sensation is distracting yet cute, and I know it is supposed to signal good breathing preparation. But seriously- the literature all says, "it doesn't bother the baby" - but how could it not? Its whole body jumps, it often kicks and squirms during the hiccuping episode, and well, I sure don't like hiccuping. You can see its head jerk each time through my belly skin pretty darn clearly- it is not a weak movement at all.

Poor little thing. Can you imagine getting the hiccups over five times a day, for months on end? I don't think that sounds nice.

Saturday, January 19, 2008

Celebrity head

The baby's head is becoming quite popular. Given that you can quite clearly see it bulging up under my skin, and that it does cute stuff like hiccup all the time, lots of people are now touching the head. Not strangers, mind you. They just touch me anywhere and don't care what I think.

Case in point- I'm at water aerobics, dangling my ankles in the hot tub after a good class. One of the new students was saying how she wanted to see one of the "really pregnant" bellies moving (that would be me and my friend Melissa) and I said that usually the baby falls asleep after water aerobics. Melissa agreed. But then I mistakenly said she could feel the baby's head if she wanted- and soon, pandemonium broke out. Everyone wanted to pet the baby head. From the right angle you could definitely see it, and it is unmistakably firm, round, and head-feeling if you gently rub over it. I had about 10 pregnant women on me in a second, ooohing and ahhing over the baby's head. It was very funny. Only a couple of women in the class are pregnant enough to i.d. body parts, and none of the other ones have a baby in a breech position.

Then last night, I had a friend over for dinner. I got very distracted at one point when the baby got the hiccups- sometimes it is a really, really strong feeling that makes it hard to think. Other times it is more subtle. Anyway, I told my friend she could feel it hiccup if she wanted and her eyes got all big. Sure enough, the baby obediently hiccuped into her palm as it rested on my belly. The jolt of its little skull is pretty distinct. The baby may not like being head down right now, but it is getting to be quite the show(wo)man... showbaby.

I'd give it all up for the baby to be feet up, head down. No amount of cute head petting is worth the discomfort and inconveniences of a head up baby. But I have little to no choice right now, so, oh well!

Wednesday, January 16, 2008

Tiny fists of fury

In the last two days, the baby has learned how to pack a serious punch. I swear this is a brand-new skill. Today it practiced this several times in a row until I finally got up, jiggled myself around, and generally threw the baby off balance to prevent further assaults. Oooo it is not comfy to be poked in the right under-ribs by tiny sharp fists. Maybe it is elbows, I guess, but either way, ooof.

Tuesday, January 15, 2008

It is called an unstable lie

An "unstable lie" is not like an inconvenient truth. It is what baby Radwood does- i.e. a baby that refuses to pick a position and stick with it. Since 25 weeks, baby has spent time in vertex (head firmly tucked down), frank breech (pike-position with head up, butt down, feet near chest), footling breech (feet smooshed waaaay down with head up) and transverse (horizontal, lying on its back or face). It is uncomfortable process for the baby to switch from some positions to other positions- vertex to breech, for instance, is sucky. Footling breech to transverse feels funny but actually is not uncomfortable, just odd.

So how do I know the baby is doing this? Matt and I are getting quite professional at baby-part identification. We've got head, back, butt and feet totally figured out. Arms are tricky because they are weaker and smaller, but of course the arms are not necessary if you already have one or more of the other parts determined. And arms can be figured out later in the process once the weaker punching is differentiated from the stronger, firmer kicking.

I'd rank footling breech as the least comfortable by a large margin. The baby is capable of putting very strong point pressure on my cervix and bladder, and sometimes pokes so hard I actually yelp and double over with surprise. I'm fairly sure that it is inevitable that the baby will eventually make me wet myself if it keeps this up. Additionally, when the baby is in this position, it can "stand" up in the uterus and THAT is ridiculously uncomfortable. Depending on how it is sitting when it does this, baby either;

a) wedges its grapefruit sized head up and under my ribs (ouch, achy)
b) stretches the skin of my mid-belly up and out in a very uncomfortable and freaky looking manner (bigger ouch, and creepy)

I'm very much hoping and looking forward to a return to vertex. I'm trying to stay optimistic on this- it has done it several times, it can do it again. If not, there are ways of firmly massaging it into place once it is big enough to ensure it won't spin around again. This is no fun, I've read and heard, but really I think it sounds like a good idea to me!

Saturday, January 12, 2008

Stretching!

The stretch marks started a long time ago- I don't recall exactly, but I've had wagon-wheel spokes of purple on my chest for at least two months, I think. I guess it was about time- I've never had marks there before.

Roughly one month ago my belly-button bruising zone started getting a stretch mark that looks like a crazed scribble directly above my "button" itself. That has held steady since then, except for when I (painfully) accidentally whacked my belly on the kitchen table and the stretch mark itself bloomed up in a bright red set of minute bloody speckles for a week or so. Those went away as I suspected they would, and needless to say I am now more cautious with my personal space.

Most recently, a small scar from a mole removal on my left belly-side suddenly developed a stretch mark perpendicular to the scar itself, so now I have an "X marks the spot" style marking. I had a very funny disagreement with Matt about which was the stretch mark, and which was the scar, and considering I can hardly see that part of my body right now I almost let him convince me of the opposite orientation to reality. However, in the bright light of day and when I'm all relaxed, you can see that the incision scar and tiny stitching scars sit lengthwise, and the stretch mark is vertical.

So there we go. They are here, and they are bound to multiply. I'm not surprised; I've seen it as totally inevitable considering that I've had pale white stretching marks on my butt and knees ever since high school.

One funny thing is that no matter how many times I gently tell people that stretch marks are genetic and related to your skin proteins, almost everyone who seems my belly-button scribble mark insists on telling me about some cream that will prevent more. This is simply not true. Creams can make them less itchy, but nothing will prevent them except good genetic luck.

Friday, January 11, 2008

Bobble-head strikes again

Two weeks ago the ultrasound technician said, and I think this is a pretty direct quote, "Baby looks pretty tightly packed in there. Shouldn't be able to move much anymore!" Head was down. Baby looked pretty darn snug.

Right.

A few nights ago I had one of these highly miserable evenings of nauseous torture that I rarely experience. This has happened to me a couple of times, although this was by far the worst yet. I was coughing, crying, and just about retching into our trash can by the bed. The only thing I didn't do is actually puke. And I didn't put it together that the baby was squirming insanely the whole time- I thought maybe it was my anxiety. Noooo... that is the tail wagging the dog in this case.

When we went to the OB's today I asked, because I was slightly suspicious, if baby was currently head up or butt up. She gently patted the baby's cute little bobble-head under my skin and confirmed my suspicion once more- the baby has squirmed its way upright, again. I have a grapefruit sized baby head under my left ribs and while it is kinda cute to feel it in there... well... no one (but the baby, who is surely pleased with its accomplishment) is too happy with this. Soon the baby will really grow too big, and it will get VERY firmly stuck (instead of just kinda stuck) and I truly hope that the baby is head-down at that time.

In the meantime, I have been instructed to do more back flexes and (as Matt and I call them) butt-wiggling exercises. These are in the hopes that baby will get jostled out of position during my contortions and decide to go head-down again.

Saturday, January 5, 2008

Gettin' big

I ran into a friend today at the grocery store that I have not seen in at least a month, maybe 6 weeks. She looked a bit surprised at how big I've gotten. And as we chatted, I got to thinking- I am big! The baby, and my uterus (fundal height, for those of you that want to know), both measure 3 weeks bigger than average. This means that while I'm in my 31st week, I look and feel about 34 weeks pregnant. Do the math- that takes me to 8 1/2 calendar months! Babies take 9 full calendar months (10 lunar months, which I know is confusing but think of all the months that take over 28 days to complete and you'll get it).

No wonder I've lost the ability to quickly or comfortably put my socks on. No wonder people get a funny look on their faces when I tell them I'm due in mid-March. And then I sometimes I get, "Oh wow. I wish I had looked like that at 31 weeks. I was as big as a HOUSE." Uh, thanks!

Keep in mind that Matt and his siblings were all born about 3 weeks early and quite big, so that suggests that perhaps this baby is just being a good Rad-baby and developing right on schedule. Baby is half from that gene pool, so I can easily see how that might be the case.

Then again, maybe the baby will want to cook until the last "full term" second- that would be, technically speaking, 42 weeks from June 5th- which is March 25th. That assumes that the baby doesn't stress or otherwise show signs of being unhappy, but I'm trying hard to think about it like this- anytime between February 20th and March 25th is fine. Before that = less fine. After that = induction (yuck).

Interestingly, I have several friends that were themselves born very post-term. We are talking 44 weeks, about 11 lbs. So this happens, and while it is sometimes very bad for the baby, it also is sometimes no problem at all. I think that is pretty amazing (and the poor moms!). These days no doctor will let a pregnant woman carry that long, but it is interesting to hear about.

Wednesday, January 2, 2008

What a pain in the #$%

A few readers of this blog will know that two years ago I had to have minor surgery on my butt. It hurt a lot and was, shall we say, demoralizing yet hilarious. Rest assured that you do not want this to happen to you (which is pretty much the case for all surgeries, I would think).

Well, it happened to me again. And you know what? It sucked, again. However, I feel good because I can list some positive things. and I will.

Positive changes since last time this happened-

1) At no time were my butt cheeks taped together with 2" wide medical tape (removal = yeeeeeouch!)
2) My surgeon was nice
3) I was not misdiagnosed at first
4) I knew what to expect from the procedure (i.e. very painful, but quick)
5) I knew that taking a painkiller an hour before the procedure was an extremely good idea and followed through with that concept

and

6) I used my new breathing techniques! Yeah!

That is right! The very nice nurse and I practiced some of the labor breathing techniques that I've learned while the surgeon ripped me a new %$#hole. Sorry, I couldn't resist the joke on that one. And you know what? I think it helped. Well, that and the fact that the surgeon was really, really understanding and tried very hard to be less sadistic than the one from two years ago.

So now, I am in recovery mode. Such a relief!

The poor baby had to bathe in all my nervous energy all morning and had a pretty significant freakout (kicking, squirming) after the surgery was over. I understand. It didn't know what was going on, all it knew was that it was swimming in a pool of adrenaline-laced fluid. But now baby is back to its usual antics, so I know that it has recovered.