Thursday, July 9, 2009

35 Weeks!


This is the last week of my 8th month. Wow! Tomorrow I officially start my 9th month. I can honestly say that being here, 8/9 months pregnant, is really a trip! Pregnancy was always something I dreamed about happening to us one day and now we're living it and it's fun, hard, exhausting, exciting all at once! One minute I can't believe I have to wait another 5 weeks (or more) for baby to come and the next minute I'm scared because there's only 5 more weeks for baby to come. It's an interesting roller coaster to say the least!!

How your baby's growing:

Your baby doesn't have much room to maneuver now that he's over 18 inches long and tips the scales at 5 1/4 pounds (pick up a honeydew melon). Because it's so snug in your womb, he isn't likely to be doing somersaults anymore I really feels like he/she is doing somersaults in there --which makes me wonder -- is this a small baby? It better not be! , but the number of times he kicks should remain about the same. His kidneys are fully developed now, and his liver can process some waste products. Most of his basic physical development is now complete — he'll spend the next few weeks putting on weight Chunk up baby!.

How your life's changing:

Your uterus Oh, you mean that big engorged organ that is protruding out from under all my shirts? — which was entirely tucked away inside your pelvis when you conceived — now reaches up under your rib cage. Ya don't say...If you could peek inside your womb, you'd see that there's more baby than amniotic fluid in there now. I really hope so. I truly do want a nice sized baby. Somewhere between 7-8.5 lbs. I get worried that this is mostly amniotic fluid sometimes. Especially since there is still so much movement! Your ballooning uterus is crowding your other internal organs, too, which is why you probably have to urinate more often YES! I keep feeling like I might have a UTI and then I realize it's just the baby playing trampoline on my bladder and may be dealing with heartburn and other gastrointestinal distress mild, but yes. I'm not sleeping sitting up or anything from heartburn. If you're not grappling with these annoyances, you're one of the lucky few.


From here on out, you'll start seeing your practitioner every week. Next Wednesday is my 36 week appointment where they will start my internal exams. Sometime between now and 37 weeks, she'll do a vaginal and rectal culture rectal? Is it too late to back out of this pregnancy? to check for bacteria called Group B streptococci (GBS). (Don't worry — the swab is the size of a regular cotton swab, and it won't hurt at all. Sorry, I have a problem with things going in my rear end, regardless of the size!) GBS is usually harmless in adults, but if you have it and pass it on to your baby during birth, it can cause serious complications, such as pneumonia, meningitis, or a blood infection. Because 10 to 30 percent of pregnant women have the bacteria and don't know it, it's vital to be screened. (The bacteria come and go on their own — that's why you weren't screened earlier in pregnancy.) If you're a GBS carrier, you'll get IV antibiotics during labor, which will greatly reduce your baby's risk of infection.

This is also a good time to create a birth plan. I've decided not to do this on this pregnancy. My birth plan is pretty simple and I think everyone in the room will understand it when I tell it to them. The title is, "Get The Baby Out" Using our form will help you focus on specifics — like who'll be present Eric, what pain management techniques you want to try Epidural, and where you want your baby to stay after you deliver with me. It will give you a starting point to discuss your preferences with your medical team. All my wants/needs are very standard. I'm not requesting a natural child birth or anything outside of what is very day to day. I just want them to do what is needed to get the baby out safely and then give directly to me. How hard is that? Childbirth is unpredictable, and chances are you won't follow your plan to the letter, but thinking about your choices ahead of time — and sharing your preferences with your caregiver — should take some of the anxiety out of the process.


Prep early for those first weeks
"To streamline a chore like filling out birth announcements, address and stamp your envelopes now while you're still in control of your time." — Laura I'm not even allowing myself to think about this.


3 Questions About...Arriving at the hospital
All of these questions were answered at our Labor and Delivery Prep Class so we're prepared!


Q1.
How can I prepare for my arrival at the hospital?


Long before you go into labor, you and your partner should map out the most direct route to the hospital or birth center It's 3 miles away, we're fine. Find out where to park, keeping in mind that you'll be leaving your car for at least 24 hours. Ask the hospital staff where you should enter if you arrive after-hours. Most hospitals offer tours of the obstetrical floor at designated times. Taking advantage of these tours will give you a chance to do a dry run before the big day.

Q2.
What should I do when I get to the hospital?

If you've preregistered I did!, you should follow the instructions you've been given, which probably include breezing right by the front desk and going directly to the maternity ward. If you haven't preregistered, you can probably still head directly to the maternity ward. There's usually a check-in desk once you get there. The staff there will help you deal with any necessary paperwork.

A nurse may lead you directly to a birthing room and pair you with a labor and delivery nurse. If it's not clear that you're in active labor or need to be admitted for other reasons, she'll most likely bring you to an exam room first. Your caregiver will evaluate you there to see if you're ready to be admitted.

The nurse will ask you for a urine sample and have you change your clothes. Then she'll check your vital signs and ask when your contractions started and how far apart they are, whether your water's broken, and whether you've had any vaginal bleeding. She'll also want to know if your baby's been moving, if you've recently had anything to eat or drink, and how you're coping with the pain.

Your caregiver will check the frequency and duration of your contractions as well as your baby's heart rate. Then she'll perform an abdominal and vaginal exam. If it looks like you're not in labor or are still in early labor— and everything is okay with you and your baby — you'll probably be sent home until your labor is further along. Otherwise, you'll be admitted.


Q3.
What will happen once I'm admitted?

The nurse or your caregiver may ask if you have a birth plan. Even if you don't have a written plan, share your needs and preferences with the staff, including your feelings about using pain medication during labor.

Then you'll have blood drawn (to find out your blood type among other things) and an IV may be started. You'll definitely need an IV to get antibiotics if you test positive for Group B strep, for hydration if you can't keep fluids down, if you want a spinal or an epidural, if you need oxytocin (Pitocin), or if you have any health problems or pregnancy complications.

Your nurse or caregiver should also orient you, showing you where everything is in your room and where your partner can get ice for you. Don't be shy about requesting things you might need, like a rocking chair, a cool washcloth, or another blanket, or asking any lingering questions you might have. And if you're going to have continuous electronic fetal monitoring and are interested in how it works, ask her to explain which lines on the strip show your contractions and which show the heartbeat, and let her know if you'd prefer the volume on the machine to be turned up or down.


Talk to your caregiver about preregistering at the hospital. If you prepare the paperwork now, you won't have to worry about it on the big day.
•Did you let nature take its course or did you try to plan your baby's birth for a particular day, month, or season?


This Week's Activity:

Prepare food to eat after your baby's born. OR have your Mom come and stay with you for the week after the baby is born so she can cook for you. =) If you cook, start doubling recipes and freezing half. You and your partner will be too exhausted to cook in the first weeks after you bring your baby home and you'll be thrilled to have healthy meals you can heat up fast. If you don't cook, go around your neighborhood and pick up all the takeout and delivery menus you can find. You'll be grateful for all the options at your fingertips.

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