26 April, 2020

OB Appointment 39 Weeks, 2 Days (And Reaching 40 Weeks)

My OB appointment at 39 weeks was uneventful. I sat in my hot car for 5-10 minutes prior to entering the office. Because of that, my temperature was up by a couple of degrees. I was told I barely made the cutoff. Joking with a friend later, she suggested they do drive thru OB appointments. You drive up, lean your seat back, and the doctor can quickly come by to do measurements and check for the heartbeat.
Today I was told that I would have a cervix check. It was not something I was interested in (because honestly, a cervix check means nothing), but I got ready for that. Baby's heartbeat sounded great and my cervix is apparently nice and soft right now. In my midwife's words, "I don't think you will make it to your next appointment."

And yet, here I am. It is my due date today and my next appointment is in two days. I never made it to my due date with my daughter. She was born two days early. One of my darling aunts arrived at our house this past Wednesday to help out when the baby comes. I knew, after inviting her in January, that there would be a chance that the baby would come early or late and my aunt would not be here. I feel slightly anxious to get the show on the road because I would love to take full advantage of having her here. My older daughter is adjusting to having her here (even though she still hisses like a snake at my aunt).
The baby still squirms like crazy every day. I honestly feel great. I need to visit the bathroom more frequently like all pregnant women. My only painful side effect is that my fingers are so bloated that the joints pop every time I bend my fingers-especially on the left side. As long as Baby is healthy and I am healthy, I have no qualms about being pregnant for as long as the baby needs. I do not plan on setting an induction date. If we reach 42 weeks, I will have a discussion with my midwife, but I do not know what will come of that conversation. That is not to say that I do not want to meet this little girl and cuddle with her and hibernate in bed for a week or two until we find some semblance of a routine.
So far I have had very few pre-labor signs. I have had very few real contractions, but have had Braxton Hicks since around week 10. My husband and I joke about making grand plans so that the baby can come and ruin them. The only problem is that with COVID going around, we cannot make any plans except what we plan on cooking. But I do not mind that we have been planning very delicious meals. Will I get to enjoy the delicious Thai curry with strawberry lassies and flourless chocolate cake with hazelnut ice cream for dessert? Probably. But if I end up in the hospital, that would be good too.

I would just ask someone to save me a slice of that cake.

16 April, 2020

OB Appointment 38 Weeks, 2 Days

As I planned on this appointment, my husband and I discussed the idea of having the whole family drive up together because he had a pharmacy pickup at Costco. (The nearest Costco to our home is just over an hour away. It is a mere two minutes from my doctor's office. He is more than a little fed up with CVS right now and determined that the savings for the Costco pharmacy would pay off the Costco membership every year.) We thought that they would hang out in the car while I was at the appointment and then my daughter and I would stay in the car while he visited Costco. We would then enjoy a picnic lunch at a nearby park before heading home. We were excited about this idea and I was looking forward to spending the drive with my little family. We ultimately decided against it so that my husband could grab a few more groceries from Costco without worrying about the timing with a three-year-old in the car.
I made the drive up North by myself and donned the beautiful homemade mask a dear friend had made for me. I was once again ushered back within moments of opening the side door of the OB office. The staff is incredible with dealing with all the changes. They know all the usual patients and simply asked for my birthday instead of name, phone, address.
As I chatted with the nurse before my midwife came in, I learned that she works in Labor and Delivery every other week at the hospital. I really like this nurse so it made me hope that my labor aligns with one of her shifts.
She informed me that when I get to the hospital, I will most likely have to check in at the ER to be tested before going to labor and delivery. In my non medical mind, this makes no sense. I made a mental note to have my husband call the hospital as we are on our way up so that we can learn what the regulations are for that specific day. She also was lucky enough to relay to me the information that I get to labor in a medical mask. "Bring the mask that you are wearing and we will make sure your husband wears one." I was told that I only had to wear it when there was a doctor or nurse in the room with us. She mentioned that none of the women had been bothered by it yet. I remembered how hot and uncomfortable I was as I labored with my daughter. This is something I am not looking forward to.
I am starting to feel so frustrated with being pregnant during this pandemic that I wondered (silently) in a very sarcastic tone if the baby would have to have a mask fastened to her face as soon as she emerged.
My midwife emerged and did her quick measurements of the heartbeat and fundal height. She mentioned something that took me aback and made me wonder if she wasn't actually going to be the one to deliver the baby. I was a little shocked so I did not think to ask questions.
I left the building feeling slightly frustrated at the new information I had gathered.

Since that appointment, I have started to notice a few signs of pre-labor including much more noticeable contractions, but I still do not expect her to make her appearance for at least a week. We cannot wait for this baby to make her appearance and then get out of the hospital as quickly as possible.

07 April, 2020

OB Appointment 37 Weeks, 2 Days

Today was my 37 week appointment! I cannot believe how close the delivery potentially is. My husband and I had a conversation tonight about projects we still want to accomplish and order of importance. In my mind, I am delivering within a week of my due date on either side, but as many nurses pointed out today, it would not be a surprise for it to happen any day.
On my drive up to the office, I stopped by a dear friend's home. She had made a fabric mask for myself and my husband. I was really touched that she had done that and it meant that I did not have to hold medical paper over my face for the entire time I was at the midwife's office. I followed her text instructions and grabbed the masks then rang her bell as I left. She popped out of her house for a couple of minutes so we could chat, 30 feet apart from each other. It was so good to see her! I miss seeing friends right now.
I made it to the office with a few minutes to spare. Like last week, I was greeted at the door and whisked back to be weighed in less than a minute. Because I had an ultrasound first, I was seated in an empty examination room for a few minutes while the ultrasound tech prepared for me. It was obviously not an OB room, but more of a GYN room. There were lots of posters about STDs, a container of condoms with instructions on how to use a condom, and information about what to do when you want to get pregnant.
The tech grabbed me and I excitedly went to her room. I will miss her examination table. For some strange reason, whenever she raises or lowers the exam table, it makes a noise like an air raid siren. As we got started on the ultrasound, I because so excited to have this baby! She is big and fully developed. Her head is 9.5 cm. I am okay with it not getting bigger. All her other measurements are also perfect. She was practicing breathing and her heart looked perfect. She is head down and managed to have a foot up to her mouth. I received three adorable pictures of my miracle baby. The coolest part of all is that I could see her hair! Not ever having an ultrasound this late, I did not even think about the possibility of seeing hair.
My 20 minutes of bliss ended and I was taken into a regular exam room. I was surprised when my midwife was a little late coming in. She has never been in the room more than a few minutes after I was brought back.
The exam was very fast. She measured me, listened to the heartbeat, and then asked about the ultrasound. When I told her that the current estimated weight was 7 lbs 5 oz, she laughed. "I thought your baby was tiny! That's why I had the ultrasound ordered. You are carrying this baby extremely well. It sounds like she is doing wonderfully." With an encouragement to go straight to the hospital if my water broke or I had regular contractions, the appointment ended.
As I checked out with the receptionist, she was the third person in the office to remind me that I could deliver any day now. "If I don't see you again, good luck! You will be great." It changed my mindset from still being laid back about the due date to realizing I should probably prepare a little faster.

06 April, 2020

OB Appointment 36 Weeks, 2 Days

Between my 35 week and 36 week appointments, I received yet another phone call with announcements. As they began to tell me what the changes were, I could not imagine what else they would be able to alter. Would I have to change into a sterile gown before entering the office? Would I need to wear a gas mask?
Thankfully, the only change was that the office was moving back to their former building. (I still have no idea why.) I was told I would enter in a side door and was not to go in the main entrance.
I pulled up on March 31 just before 1:15 to a sparsely populated parking lot. The side entrance was thankfully clearly marked. I opened the door to a small room with one patient who was in the process of being called back, a folding table with the receptionist and her computer, and a nurse ready to grab me. I was immediately asked for my name and date of birth before the door closed behind me. As I told the receptionist my information, the nurse grabbed my chart and guided me to a scale in the hallway. After my weight was noted, I was handed disposable medical paper (the kind a dentist uses for your bib during a dental exam) and asked to keep my nose and mouth covered the entire time I was in the building.
Once I got back to the examination room, everything else felt normal except for the fact that everyone was wearing masks and seemed slightly hurried. They were a finely tuned clock and I was out in ten minutes! The midwife said everything still looks and sounds great, but she ordered an ultrasound for next week. When I was reading my chart after the appointment, I noticed that under the associated diagnosis for the ultrasound order was listed, "small for dates infant." I have gone back and forth on what I feel about that. The midwife said everything seemed fine and I trust her. My husband reminded me not to borrow trouble. Maybe we just have a petite baby on our hands, but with the height genes she is receiving from my husband and myself, she probably will not be a short woman.
The other news is that my strep B test came back negative. I had completely forgotten about the test with all the craziness happening in the medical world right now, but I was very thankful to hear that I am negative.