baby development

Thursday, November 30, 2006

Tired

Still nothing...just some cramps here and there and I feel really sick. Didn't sleep too much last night, so I am sure I will be napping a bit today while Jakob is in school.

Todd ran local yesterday (like today) and was done with work early. He picked Jake up from school and they headed to TJ Maxx and Stop and Shop for some groceries.

Tuesday, November 28, 2006

NST # 11

Nurse Monique checked my blood pressure when I arrived due to Dr. 's request and it was fine. Was on the monitor for over an hour- I know there was a shift changes, but I think they forgot about me. Read a bit and relaxed. Baby checked out ok and my blood pressure was ok the second time around. Had a few small contractions.

Now, time to worry about this "Preeclampsia" thing and bed rest.

Have rested a few hours tonight. Still spotting due to the "Stripping of the membranes". Feel kind of ok for now.

Makes me feel good that Todd is running local tomorrow.

Baby Update # 3 {November}

Went into the appt. hoping I was around 3 CM, but was still 1 CM dilated. Dr. C "stripped my membranes" today...painful, but not too bad.

"Stripping the membranes is where a health care provider will separate your bag of water from the cervix, it is not intended to break your water, however, it may. It may also cause infection, and may be painful for some.

The reason that we tell people that we are stripping their membranes is to "get things going" in regards to labor. This little technique is usually done during a vaginal exam at the end of pregnancy, with or without the knowledge or consent of the woman.

Stripping the membranes, we are told, is supposed to stimulate production of prostiglandins in the cervix and bring on contractions. I have heard doctors tell my clients after stripping their membranes they will have the baby in two days. While this may appear to work for some, at term it's all a guessing game. There is no scientific work to date that can back up the routine procedure of stripping membranes. "
~www.childbirth.org

My blood pressure was on the high side, to the point where the Dr. was alarmed and asked that I be monitored closely at my NST that followed my appt. with him. And, my 3 lb. weight gain also threw up some red flags. He checked my legs and they were swollen..so I am retaining fluid. Combined I am being monitored for "Preeclampsia" and today was actually my last day of work as I am ordered on bed rest (or couch...laying on my left side) and have to also watch my salt in take. (My urine checked out ok, with no protein).

I am to go back into the office on Friday before my NST. Depending on how things go, I may be induced on Friday.

What Is Preeclampsia?
Also referred to as toxemia, preeclampsia is a condition that pregnant women can get. It is marked by high blood pressure accompanied with a high level of protein in the urine. Women with preeclampsia will often also have swelling in the feet, legs and hands.
Preeclampsia, when present, usually appears during the second half of pregnancy, generally in the latter part of the second or in the third trimesters, although it can occur earlier.


What Is Eclampsia?
Eclampsia is the final and most severe phase of preeclampsia and occurs when preeclampsia is left untreated. In addition to the previously mentioned symptoms, women with eclampsia often have seizures. Eclampsia can cause coma and even death of the mother and baby and can occur before, during or after childbirth.

What Causes Preeclampsia and Eclampsia?
The exact causes of preeclampsia and eclampsia are not known, although some researchers suspect poor nutrition, high body fat or insufficient blood flow to the uterus as possible causes.

Who Is at Risk for Preeclampsia?
Preeclampsia is most often seen in first-time pregnancies and in pregnant teens and women over 40. Other risk factors include:
A history of high blood pressure prior to pregnancy.
Previous history of preeclampsia.
A history of preeclampsia in mother or sisters.
Obesity prior to pregnancy.
Carrying more than one baby.
History of diabetes, kidney disease, lupus or rheumatoid arthritis.


How Can I Tell if I Have Preeclampsia?
In addition to swelling, protein in the urine, and high blood pressure, symptoms of preeclampsia can include:
Rapid weight gain caused by a significant increase in bodily fluid
3 lbs in one week
Abdominal pain yes
Severe headaches
A change in reflexes
Reduced output of urine or no urine
some what
Dizziness
Excessive vomiting and nausea
nausea

Does Swelling During Pregnancy Mean I Have Preeclampsia?
Some swelling is normal during pregnancy. However, if the swelling doesn't go away with rest and is accompanied by some of the above symptoms, be sure to see your doctor right away.


How Can Preeclampsia Affect My Baby?
Preeclampsia can prevent the placenta from receiving enough blood, which can cause your baby to be born very small. It is also one of the leading causes of
premature births and the difficulties that can accompany them, including learning disabilities, epilepsy, cerebral palsy, and hearing and vision problems.

How Is Preeclampsia and Eclampsia Treated?
The only real cure for preeclampsia and eclampsia is the birth of the baby.
Mild preeclampsia (blood pressure greater than 140/90 that occurs after 20 weeks of gestation in a woman who did not have hypertension before; and/or having a small amount of protein in the urine can be managed with careful hospital or in-home observation along with activity restriction.
If the baby is pre-term, the condition can be managed until your baby can be safely delivered. Your health care provider may prescribe bed rest, hospitalization or medication to prolong the pregnancy and increase your unborn baby's chances of survival. If your baby is close to term, labor may be induced.
The treatment for more severe preeclampsia (having vision problems, lung problems, abdominal pain, fetal distress, or other signs and symptoms) may require more emergent treatment - delivery of the baby - irrespective of the baby's age.

Other treatments:
Magnesium can be injected into the veins to prevent eclampsia-related seizures.
Hydralazine or another antihypertensive drug to manage severe elevations of blood pressure.
Monitoring fluid intake.




Monday, November 27, 2006

NST # 10

Knew what time I had to leave the house to make it to DKH on time Saturday and totally messed it up in my head, so needless to say I was 15 minutes early- good thing..little belly ache requiring pit stop (actually have had them all weekend!). Nurse Linda (never had this one) had my belts out and a cup of ice cold water waiting for me! Kaleb's heart beat was a little fast, so they decided to keep me on the monitor a little longer, which was fine- I got to relax and read a magazine. Linda # 2 popped in and asked my how my holiday was (they are really a great group of nurses; she actually took care of Jakob right after he was born). Scheduled my next/last 2 appt.s for Tuesday (following Dr. appt.) and Friday.

This weekend was spent with a mix of relaxing (Friday, most of Saturday) and constant moving (Thursday/Sunday). I was able to sneak in one nap the 4 days I had off from work. Sunday was spent going through Jakob's room and doing some more organizing as well as unpacking/going through 6 totes of clothes (and also getting clothes ready to give away to the needy) to find the 0-3 months to be washed and to "know" where the 3-6 months were. Jake popped his head in a few times to check on me and told me to "call him when I have a plan together and he will come up!" (what a hoot!). Also put away approx 6 loads of wash and have my maternity clothes set aside that I am not wearing to get ready to pack (yes pack...JUST in case, but don't expect anything in the next 4-5 years!). So...I didn't stop for a rest until like 5 pm (included dishes, fetching coffee and paper too!); buy the time I did my back was killing me.
Now, there is one spot in the upstairs hallway, one spot in the kitchen, and the need to find a "home" for the boys books. Mom is taking care of cleaning the bassinet, so that will need to find its way here. Phew. You would have thought I slept pretty good last night, huh? Eh, no! Got like 3 hours of sleep- mostly in the morning close to when I had to wake up. I was actually pretty "comfortable" on one side or the other, just "uncomfortable when I had to "rotate" and I also just kept waking up.

Felt nauseas some of the weekend and today; issues with "belly aches" if you know what I mean (we will just say that my body seems to want to "flush" itself out. Have had little cramps here and there, mostly uncomfortable and feel like my water can break. Also feels like Kaleb is going to "claw" his way out...that is why I would prefer to lay down- don't feel it as much.

Tomorrow afternoon is my appt. with the doctor- maybe he will say "YOU ARE 6 CM...go to the birthing center!". We will see!

Wednesday, November 22, 2006

NST # 9

Woke up EARLY this morning with really bad heart burn and feeling sick to my stomach (that feeling lasted most of the day and still feel that way now). Poked along at work today...feel pretty good sitting and then like poo when I get up.

NST was ok today. Drank my juice and chomped on ice chips...Kaleb was moving, but he wasn't quite meeting the criteria we need to be "in and out". Nurse was watching me from the station (she had 2 labor patients) and decided to bring me another apple juice to get him going. Had a contraction that I could feel, but nothing major. Was very relaxed and could have easily fallen asleep (was hooked up for 90 minutes).

Next NST scheduled for Saturday.

Tuesday, November 21, 2006

Baby Update #2 {November}

Appt. went very well today. Mt BP was good; even lost 5 lbs.- how I have no idea! Followed up with Dr. on Kaleb's kidneys and they are clear (phew!). Blood test results came back on my second A1C and Dr. said that my average for the last month was better than most normal people who do not have a sugar problem (he basically came out and said that yes, we know that you really don't have a problem and commended me for sticking with the diet...something about I should be a poster child for people with gestational diabetes that sticks with the diet). Dr. checked heart beat, which was good; baby's head is way down.

And yes....WE ARE DILATED!!! About 1 CM, 50% effaced, -3 gestation. Before he checked me, he said that if I wasn't showing any signs of dilation/uterus thinning out, he would probably not induce me and have the chance of being in labor for a day or 2 or 3 and then wind up with a C-section. If I haven't had regular contractions by the time I am induced, he feels that once the regular contraction pattern begins, it won't be long before we have a baby. Can't wait!

Next appt. is Tuesday afternoon.

Feeling eh as far as things feeling like they are going to come out of places I don't want them to until I am in the hospital. Had a few contraction like pains after grocery shopping tonight.

4 More working days after tomorrow!

Monday, November 20, 2006

NST # 8

Feeling more tired these past few days, but still keeping active by cleaning/shopping rather than sitting/sleeping. Developed *cough* a Hem...can't even write about it...just out of no where- never had them before...don't want again! Very uncomfortable.

Went to test today and was able to pass within the hour. My BP/temp was good. Kaleb's heart beat was averaging different through the test (up around 140/150's closer to the beginning and then 120/130's closer to the end). Not only could you hear the heart beat, but he also had the hiccups too! Had a few little contractions that I could not feel, and two bigger ones that showed up as waves on the monitor- I felt the second one, but was nothing like the Braxton Hicks I had a few weeks ago.

Next appt. Wednesday....

Friday, November 17, 2006

Looking Down

And here's Kaleb.....

Special Day

Today my co-workers and some of my good friends helped celebrate the upcoming arrival of Kaleb by treating me to a chinese buffet for lunch. The hour away from work was relaxing, the food was good, and so was the company (Jaime, Michele, Brian, Jennifer F., Jennifer W., John S., Lisa, and Sue). A lot of people from work went in and got a gift card and an outfit for the baby.

This weekend we went out to get the car seat that I had to have and a lounge seat:


Thursday, November 16, 2006

NST # 7

Well, baby was a little quiet for this test today...drank apple juice, water, and chomped on ice chips to get him going. He would move, but his heart rate didn't "jump" the way it needs to on the monitor (actually saw it dip down twice under 100- his heart rate seems to be 125- 140). Rubbed my belly some and FINALLY...I was able to leave after 1 hr. 45 min. I like going right after lunch, because I am usually out of their within the hour. Had a young Chinese couple in there..she had the mini TV so loud...just wanted silence! Deb was my nurse tonight- haven't seen her since she helped deliver Jake. Good thing we went over my appt.s for next week- I only had Tuesday down, when I am actually scheduled to go Monday, Wednesday, and Saturday.

Feeling eh. Slept through the night thelast 2 nights though. Have been training this week at work which has thrown my eating and testing off balance a bit. Kind of get tired and irritable around 7ish. Just want QUIET..but not really getting it. Have an "itchy" patch of skin on the inside of each thigh- HATE IT!

8 DAYS OF WORK LEFT

Monday, November 13, 2006

NST #6

Passed my test within the first half hour. Linda, my nurse looked a little familiar- I checked Jakob's baby book and she was actually the nurse that cared for him right after he was born.
There was another couple in there while I was and all they did was yip-yap...I really enjoy when I get to relax in peace and quiet. Had the nurse check the book and I am scheduled for the induction on 12/4 at 7:30 a.m.!!!!

Thursday, November 09, 2006

NST #5

Passed within the first 20 minutes- it goes so much better when I have the test right after lunch or I request apple juice (especially if I have a later appt.). By the time I was finished, it was about an hour after I got there, which is fine- got a chance to wind down from work and to read a bit. Scheduled my appt.s out through 11/25. The head nurse had come in to look at the scheduling book- good thing I mentioned the date I am supposed to be induced (it wasn't in the book!)- she was going to call my doc about another patient and mention it to him...

Will be back on Monday...

Tuesday, November 07, 2006

Baby Update {November}

Could not wait for my appt. today. As you can tell from the baby ticker, I am approx 35 weeks and 5 days. Dr. decided to keep the 12/15 due date (the tech had 3 different assumptions on how far along I was from the US last week..so he sent it back to the dept. head and told him to get with the tech and figure out which one it was). So, still looks like we are being induced on 12/4 unless Kaleb wants to come sooner. As of last week, he weighs approx. 6.2 lbs. I gained 1.5 lbs. in the last 2 weeks (I have had Chinese 2 x's in the last 2 weeks within moderation and my sugar level was ok); did splurge a few times on some goodies (no further comment...but small amounts of course) . I did explain the crampy feeling and he decided to check me...not dilated (was bummed)- all of the soreness, cramps is from the baby moving further down into position. So, overall, it was a good appt., just not what I thought I was going to hear. Head back 11/21 for my next appt. Oh, 15 MORE DAYS OF WORK.

That horrible pain in my left upper leg is back...I feel like a cripple when I walk. Atleast I enjoyed 2 full nights of sleep- back to approx 4 hours Sunday night- we will see what tonight brings. Have also woken up sick to my stomach since last week...I am oh so motivated to get ready for work when I feel like this.

I estimate the baby will weigh approx 8.7 lbs.

Monday, November 06, 2006

Weekend & NST #4

Most of our weekend was spent cleaning out Jake's room to make space for Kaleb's dresser and crib. Todd was a good sport about getting up early Saturday morning and cleaning out most of the room (I did help before I had to take off to get my hair cut!). After attending Shawn's birthday party, Mom watched Jake and we went to Target (bought new bedding...below) and looked at car seats- we will get each child a new seat; then to Babies R Us to get the crib/dresser and all of the little things we needed (of course Todd found a new stroller/infant seat-below). Sunday was spent getting the furniture together and the room pretty much the way it needs to be (would still like a smaller book case). All of the bedding and baby clothes have been washed and put away- need to pull out the totes for the 0-3 month clothes (of course, it is buried at the bottom of Jake's closet that is only used for storage). Kaleb's bag is packed and mine is 75% done. I AM READY!


Had crampy/contractions on and off Saturday and Sunday, but not as bad as Friday. Actually slept through the night Friday and Saturday, not waking once to go to the bathroom or just wake up.

NST was rescheduled from Wednesday to Monday as I learned that I cannot go more than 3 days without having a test. Headed over there after work. Passed within the half hour (I am requesting apple juice right off the bat for the later tests so I am not there too long). Shared triage with a "girl" scheduled for a c-section soon after I got there; wasn't pleased with the nurse that checked me in today. Had to wait around until approx 5:30- Dr. Cooper was assisting in the c-section and Nurse Dawn wanted to give him the report. He came in to see me and asked how I was feeling- told him about the cramps (I see him tomorrow). Next appt. scheduled for Thursday afternoon.

Friday, November 03, 2006

NST #3

Went in for my third test of the week. I really like the nurses I have seen so far. Got a chance to see the twins born on Wednesday- they were so cute, sharing the same bassinet; a baby girl had just been born 5 minutes before I got there, so I got to hear her crying for the first time...got me all teary eyed!!

Test went well...had just eaten a good lunch, so Kaleb was moving all around. Passed within 15 minutes, but have to stay "attached" to the monitor for a min of 30 minutes. After the nurse spoke with my doc, she told me that per his instructions I am to go twice a week until I deliver.
Made my appt. for Wed/Fri (reg doc appt. on Tues).

Started having cramping/braxton hick-like contractions tonight before we headed to Aileen's party. VERY uncomfortable! Had one every 2-3 minutes for about 15 minutes and they went away for the most part...had a couple at the party. Just didn't feel "wonderful" tonight.

Wednesday, November 01, 2006

NST #2 & Ultrasound

Was a little apprehensive about todays appt. at first. This time was just under an hour and I barely passed. Nurse Gina was really nice. I opted for the APPLE JUICE to "kick start" things today. She poke with my dr and let him know how the reading was (the nurses call the doctor to advise if the patient passes or fails- if they fail, the doctor can order and immediate ultrasound to make sure the baby is ok)...because I barely passed, he wants me to go back Friday. Scheduled next appt. for late afternoon.

Walked down to my ultrasound appt. The tech was the one I first had in July (much better bedside manner this time around- apparently a few doctors commented to the dept. head on how "not so friendly" the staff was). She measured Kalebs head first and was a little baffled...she wanted to know how far along I was....and then needed to go review my records because something wasn't adding up (hmmm....). After going over the history of the pregnancy, she confirmed that I am farther along than I am (yeah, um..I know when I got pregnant!) and that she feels we should be going by my original due date of 11/15 rather than the second one (she gave!) of 12/15...HELLO!!!! That would explain A LOT (why I am big, the way I feel, etc.). So, that kind of throws out the date I am supposed to be induced (12/4..which is 38 wks.)- because, if we go with the 11/15 date, I am 38 weeks today. Yeah, getting a little panicky here- nothing is ready (we atleast bought the crib/dresser on Sunday, which we need to pick up this weekend)- furniture, room, nothing! We did buy diapers, some new clothes, and of course a new diaper bag. **BIG SIGH** I didn't get a picture of him this time around, but I was able to watch him practice his breathing- it was neat.

Ended up rescheduling Fridays NST to the early afternoon to get it over witha s we have plans at night. The nurse asked how I made out and did comment on how much bigger I looked for 34 weeks and that it looked like I was carrying kind of low.

I did call my nurse tonight just to give her a heads up- she had already gotten the US results and handed them of to my doc; he is supposed to call me tonight (I want to know what the plan is...don't want to wait until my appt. Tuesday and then have him say "We need to induce you tomorrow").