That's MRS. Elliottpreciouspants to you!!

I just got married, and I talk about it. A lot. I also have pet bunnies, which I talk about, sort of a lot, too.

Monday, June 26, 2006

Total Meltdown--EPP style

Went to the midwife's office for a check up Thursday. I was pretty excited about it, because since I've been feeling the baby move, I have made it the entire month between visits without being insane, so I'm thinking I'm doing pretty f-ing good.

On Thursday, I was 26 weeks and 2 days. They bring out this tape measure thing, and measure my gut. Then she tells me that she's measuring me at 32.5 weeks, which is way too large for how far along I am.

I am like oh. No big deal--in case you haven't noticed, I'm pretty fat. You could have laid me on this table before I ever got knocked up, measured my gut with a tape measure, and you would have had me at 10 weeks or so. That doesn't seem a real accurate way to measure me, since I am overweight, and carry the bulk of that extra weight in my abdomen. Chances are, you are measuring adipose.

She says well, maybe, she guesses, but, she's going to send me for some tests, like an early gestational diabetes test, and an ultra sound, just to check.

I was like well ok, but I am quite sure of my due date, but of course, watching the baby squirm around a while longer in an u/s is going to be fun.

She said well, that way we can see if you have too much amniotic fluid, or if there is some kind of abnormality.

Hmm. OK.

Then she said, as a matter of fact, why don't we do these tests tomorrow? Can you do them tomorrow? If there is a problem like too much amniotic fluid or an abnormality, we would have to transfer your care to a specialist.

Yeah, ok, I can do them tomorrow. Geez. Seems to me like she's overreacting a bit to a little extra flab, but, well, she said the word abnormality, and I wonder what that can mean, you know?

But, my total weight gain is 7 pounds, which is great, and my blood pressure is 116/70, which is also great, and the baby's heartbeat was 144, which also sounds great.

But dude, she said abnormality. And she wants me to have the tests tomorrow, not sometime in the next week or so--tomorrow. She probably wouldn't be concerned if she didn't think there was something wrong, right? And if everything was probably OK, she wouldn't be concerned about be having the tests tomorrow. And specialist? that sounds like something's wrong....

Thus, the meltdown begins.

I call my mom, nonchalantly, and she says well, everyone in our family has big babies, you're probably just going to have a big baby. Plus, we're big people--you can't expect to have average fundal height measurements, can you?

Actually mom, I totally expect to have normal everything. But I can accept a big baby--after all, big babies are cute.

But things are still not OK in my brain.

I remain calm through dinner, and go to class. On my way to class, I call Melissa, and leave her a message, asking what the heck is going on, tell her what the midwife says, and ask her to tell me it's all good.

I get a break during class, and google things like excessive amniotic fluid. I get articles about babies born without jaws and can't swallow, or babies born without kidneys, and can't process the amniotic fluid, so it builds up, no stomachs, no bladders, horrible deformities....

So I call Melissa on another break, because now I'm freaking out. She's not available, but she texted me back saying she's in a meeting, but not to worry, it's all good.

Thanks Melissa, it's awesome knowing someone who works in this field.

I go home, call Kevin on my way to burst into tears and cry about what I looked up on the internet.

Then, I lay awake all night thinking that this is it, the baby doesn't have kidneys or something, because I ate subway and exposed myself to listeria bacteria or something. Or maybe it was that beer I drank at the very beginning of my pregnancy, before I knew I was pregnant. Either way, I obviously f-ed up my perfect little baby.

The meltdown continued the next morning, when I went to the lab for a glucose tolerance test instead of to work. Then I went to work, shipped a few samples to customers, and cried about how I thought my baby would probably not live.

I went to the ultra sound, and things looked up. A lot. The tech was extremely nice, even nicer than the last one, and had been doing u/s on pregnant ladies for about 15 years. Sweet, someone with a lot of experience. She told me that I am carrying a healthy 28 week old male fetus.

I pointed out that I was 26 weeks, not 28.

She pointed out that according to the measurements of the baby, he was 28. She said he could be a 26 week one, but if he was, he was on the extremely high side of normal size. Very big.

But perfect! No problems! Amniotic fluid was perfect, bladder, kidneys, stomach--all perfect. We got a really nice shot of his junk, and he's definitely a BOY. Very cooperative this time. Ha! It was so funny. She said that he weighed 2 pounds and 9 ounces.

!!!

That's a big boy! Especially since I have about 13 weeks to go....he's just going to get bigger!

My relief is intense. I don't know the results of the GTT yet, but, if it's bad, at least it's something wrong with me, not with him. He's perfect!

Oh! And he has gigantic feet. The tech took a picture of his foot, because it was so big, and so perfect. He takes after his mom:)

Now, since I started this post yesterday, there has been updates--I heard from the midwife, and everything is fine!!!

Woohoo!

I just measure big. No big deal.

1. The u/s showed that he's perfect, and they are not changing my due date, because due dates calculated from dates of last menstrual period are more accurate than due dates from u/s.

2. He's probably going to be between 8 and 9 pounds. He's in the 75th percentile for his size at his age.

3. *drumroll please* I DO NOT have gestational diabetes! Woohoo!! My blood sugar was 116, and anything under 140 is considered great. Thank goodness!

for my pal, chunky monkey--I feel the need to tell you, that I feel a little guilty that I don't have it, and you do. Because there is no reason that I should not have it while you do, you eat well, you exercise, you do all the right things--and genetically, with a type 1 brother, and my dad being a type 2, I don't know how I dodged that bullet. Seems weird. But part of me feels sorry that we don't have it together. Of course, another part of me is damn thankful that I don't have it. Somehow, I dodged the bullet. I'm overweight, and have always been, I have polycystic ovarian syndrome, and a family history--but I'm in the clear. Wow. I'm stunned. I asked her if she was sure, and offered to repeat the test, and she told me I was crazy and I was fine and do not have to repeat the test.

4. My hematocrit is 12 (needs to be over 10), and my iron is 35 (needs to be over 30). Sweet.

No problems! Thank God.

Meltdown NOT averted, but, it's over now. Whew!

Three big sighs of relief (me, Kevin, and Mr. Pants, who is finding out that the saying "Momma ain't happy, ain't NOBODY happy", is just a tad bit too true.)

8 Comments:

At June 27, 2006 12:41 PM, Blogger * said...

Hey, I am SO glad you don't have it! There are POTENTIAL risks to the baby with having GD so that's certainly something I wouldn't wish on anyone. (And the diet isn't that fun for mom, either.)

I'm glad to hear that things are good. I am surprised that the midwife made such a deal about the fundal height. On one hand, I am glad that she was so proactive. As long as the tests aren't unnecessarily invasive, there is NO reason not to take certain precautions. I just wish she hadn't stressed you out about it.

I agree with you about the fundal height thing. If a person is on the larger side to begin with, why wouldn't their fundal height be a little on the outside of normal? There are articles around that talk about that stuff.

And as far as dating with an ultrasound. It may show that your baby is larger than average, but as long as you're fairly sure of the conception date, ultrasounds are considered more inaccurate as far as DATING pregnancy, the further along you go. And they can be off as much 2 lbs and +/- 1 to 2 weeks on the date. During my 18/19 week ultrasound, the OB said that it showed I was about a week ahead, which even with my GD diagnosis, she said was well within normal range considering its accuracy and I'm totally sure of the conception dates.

Even when the OB originally (at the first visit) said we were wrong (our EDD estimate was 1 or 2 days off from theirs, which is a matter of formula basically).

Things sound like they are going well with the bambino :). Eat a turtle brownie or something for me :).

(PS You're 3rd trimester now!)

 
At June 27, 2006 1:26 PM, Blogger ElliottPreciousPants said...

Woohoo! Third trimester!

I appreciate your information, and I appreciate that you agree with my assessment of the fundal height deal. Weird.

I ate a fudgesicle today. We have some here at work, and at about 11 am, I ate one, and it was delicious. I considered it my "I don't have GD" celebration. And then the baby kicked me a few times, to be like "Thank God, quit being a spaz, please"

How funny:)

I am really relieved though. Thursday night/Friday before the ultra sound were some pretty unpleasant hours.

And tonight, we have our last hypnobirthing class. And Friday, we leave for Michigan for vacation and baby shower!

Woohoo!

I only have a third of the way to go, and then I get to hold the baby. And we get to have a slumber party every single night, while we stay awake and rock, and he drinks breastmilk and I drink....I don't know, water I guess? I'll still be breastfeeding, so I won't want to reintroduce diet coke yet.....

Diet coke, how I miss you my friend from long ago!

 
At June 28, 2006 8:20 AM, Anonymous Anonymous said...

glad we could put out the worry. it's tough to talk to people about pregnancies when you see something unusual- it's usually nothing, but if there's something wrong, we can sometimes actually fix it. that's probably why she had you go tomorrow instead of next week. If you actually had a fluid problem, you're right- there are kidney issues, facial issues, urinary tract issues... luckily, a lot of those are things that can be ok if we know about them soon enough. we're following a kid now for a condition called posterior urethral valves, where the urine/amniotic fluid is blocked from getting out of the bladder. the result is actually low fluid and a giant fetal bladder. if we don't find it, or if nothing is done about it, the fetal kidneys get ruined. if we know, we can drain the bladder, or put a tube in that drains the bladder to the amniotic sac, so there's fluid there. just an example of how tomorrow can be useful but not scary. remember, millions of women have gone before you- billions. your body can take care of you and Mr. Pants, and you will do fine.

Congrats on being so healthy!

 
At June 28, 2006 11:41 AM, Blogger * said...

(If you don't mind the cross-post...)
Melissa, what's your background/profession?

EPP: Must be nice having a friend with knowledge in the arena :).

Yeah, I appreciate any tests that will help them actually help the baby and/or mom. I just hate when they do all that stuff only to find out results that you have to sit with, but can't really do anything about.

 
At June 28, 2006 12:00 PM, Blogger ElliottPreciousPants said...

Chunky monkey--

I absolutely do not mind the cross-post. Melissa rocks, but I will let her give you the details of her background and profession:). She can do better than I can:). I really appreciate that she knows so much (I wish it would help me not be so nuts, although maybe it is helping me be not so nuts, and without her I would be much worse--who knows. I hope not though)

Melissa--I know where you are coming from, the whole find out so we can fix it thing. I know. Rational me says of course, that's wonderful and makes perfect sense. Crazy me says listen, rational or not, I just don't want to have anthing go wrong, even not serious fixable things. My not rational self says, fixable things can still be screwed up.

For example, I'm having a little anxiety over the circumcision. I've read a lot that says it's not neccessary, and that if botched up, terrible things can happen to little baby's penis. I even saw a show on TLC where a boy had his penis accidentally removed during a botched circumcision, so the parents just decided to have some plastic surgery done, and raise him as a girl. This was their doctor's suggestion. Oh that sounds horrifying!

Kevin wants him circumcised though. I guess it's a man thing, I don't know. Plus, the circumcision sounds painful. But lots of other people say it's better for cleanliness and reducing infection and the like.

Don't know. What to do. Only minimally worried on this one though.

 
At June 28, 2006 8:17 PM, Anonymous Anonymous said...

first, elliott, have you ever seen one that doesn't get the axe? ew! Most people have their sons circumsized if the dad is, and don't if he's not. there's a small risk of problems with it, like any procedure, but good docs with lots of experience have VERY few problems with it. if you don't know a doc or someone you trust in OB or peds nursery that will do it, and you want it, get a pediatric urologist (totally unnecessary in most cases- they do revisions of cases where there are either problems with the procedure, or where anomalies make circumcision unadvisable in the neonatal period). ultimately, up to you and kevin both, but you can tell i'm biased.

chunky- totally reasonable question! i have a really odd job, and weird career background. I worked in clinical trials at harvard med when i got out of college with elliot and all the girls, and wound up working in genetics and teratology (study of stuff that causes birth defects). i got tired of it, and worked on an ambulance for a bit, and then moved to nyc when my bf got hired on the fire dept here. the ems system is a lot different here, and i came across a job that was a great fit- i coordinate medical and social care for women who are diagnosed with fetal anomalies during their pregnancies. it's really not cocktail party talk, and always a little awkward when someone randomly asks what i do, but it's a really wonderful thing to be able to help out, even a little, in some really crummy situations.

to keep blabbing, you're totally right about the "yeah, we see something but there's nothing we can do about it." that's the great majority of the diagnoses we see now. one of the silliest ones we get is achondroplasia, which is just dwarfism. crummy if your kid has it, but completely compatible with a long, healthy, pretty normal life. we sometimes discover it prenatally, and we have to tell the parents, but there's nothing to be done, even when the kid is born, until the kid gets a little older. it really makes moms sad, gives them nightmares about having alien babies. we have a pretty good support network now of moms who have been through that, so they can talk to each other, and tell the pregnant ladies that things are alright, they can still have a baby shower, etc. i suppose it's one of those things that we have to live with when technology is developing. There are some centers that do fetal therapy (we do some), but a lot of it doesn't work, and is really risky to mom. it's the really glam stuff you see photos of though, and the kind of thing people have done when they feel really desperate to do absolutely everything they can.
http://www.mc.vanderbilt.edu/reporter/?ID=2631
that's the photo that people associate with fetal surgery- sort of a fluke pic, but weird, all the same.

 
At June 29, 2006 1:38 PM, Blogger * said...

Well, at my appointment yesterday, OB said I was measuring a little ahead at 31 weeks (I was ~28 wks 2 days yesterday) and she said +/- 3 weeks is normal. I was thinking I heard +/- 2, but I guess everyone hears different things. She didn't suggest anything except to get an ultrasound in the next 3 weeks (and that one was planned as a followup to my 19-week one awhile back).

 
At June 29, 2006 3:14 PM, Blogger ElliottPreciousPants said...

Yeah, I guess 6 and a half weeks ahead is pretty crazy....that's what I was.

They didn't suggest I have an ultra sound to follow up my other ultra sound, but now they are saying I might need another one just to make sure everything is still good, if I continue to measure big.

 

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