Well I just woke up from a nap and am cranky as hell, but I’ll try to write this all down before I fall back asleep. (Reason I took a nap was because I was sitting here and just basically crashed… couldn’t function at all.)
Today was my first appointment with my midwife. For which of course I forgot my list of questions. I think I need to print them out and put them in my purse a month ahead of time. Idiot. I did ask about my Celexa, and she said she’s not certain and she’ll have to do some research on that one… there may be reason to switch me to a different SSRI. So that’s fine. Oh, and they can certainly write my prescriptions there at the OB’s office, so I’m all set.
Anyways, the appointment was just taking my weight and blood pressure, taking a urine sample (YAY for letting a pregnant woman pee. I’ve never been so glad to be asked to give a sample. You mean I get to use the bathroom? YES PLEASE!) then asking me lots of questions. Why do they always ask for LMP even though they have the EDD from IVF? What the hell does my LMP have to do with anything? But, they have to have it for their records. I did explain to the Midwife about the leap year thing, but she said within a day or two doesn’t matter so she’s going with what the RE gave them. So my “official” EDD is still April 6. I’m still going by April 5. I am stubborn. (Oh well.)
Gosh, I’m crashing again already. Better keep writing or I’m gonna lose it. Yup, I’m totally spacing out.
Like I said, I forgot my list of questions, and I turn into a total idiot without something written down. I asked about my celexa, but that was it. However, she did mention something that made me quite concerned after the fact. The practice consists of two OBs and her, the RNM. Now I’ve met one of the OBs before, when I switched to this practice – he was the one who had the detailed chat on me about Celexa and pregnancy. I really liked him. Well I found out that he’s not delivering babies at all. She, the Midwife, does some deliveries. The other OB, who I have not yet met but am trusting I’ll like just as much as the other two in the practice, does most of the deliveries. But then she said that he also rotates with some of the OBs from the practice at the hospital. Now it’s a practice I was considering joining, and I’m sure they’re very good doctors, but it REALLY concerns me that I may have someone from some other practice, who I don’t even KNOW, deliver my baby. I am perfectly fine with a practice rotating on-call OBs/RNMs, but I was under the impression that in any practice you get to meet everyone before you deliver so that you’re comfortable with them. So this kind of threw me and didn’t really sink in until after I’d left.
So what the hell do I do now? Well, I have another appointment with the Midwife in two weeks, and I will ask questions then. If in fact I don’t get to know/meet the OBs who “may” be on call when I go into labor, I have a serious issue on my hands. That makes me very nervous, and I do not want to be nervous about labor!
As I see it I’ll have two options.
Option one is staying with this practice, because I honestly truly do love the Midwife and I trust her and I would LOVE for her to take care of me throughout my pregnancy. I like the practice, both the OB I met and the RNM have opinions on things that closely mirror my own… they seem to be very easy-going about things, very understanding. They’re knowledgeable and like to research things like my meds and never give me the brush-off. I mean, today when I walked in the Midwife was walking by and she saw me (I haven’t seen her since May, mind you, and the last time I’d seen her before that was May 2006), and she lit up and said, “Oh congratulations! I’m just so happy for you! So IVF did it for you?? Did they treat you well?” I mean, seriously. She’s awesome. She knows charting, she knows Fertility Friend, and I just immediately liked her from the start.
But if the labor part is going to be an issue, if I DO stay with this practice and take my chances, then I pretty much will want a Doula there with me. If I don’t know who will deliver me, I want to know SOMEONE who will be there, trust them, and know that they will watch over me and the doctors and nurses and make sure my wishes are known and understood. It’s as simple as that. I fully intend to have Denis at my side at all times, helping me through contractions, keeping me focused and keeping me relaxed. I will need him with me the entire time. I will be in no shape to argue with doctors and make sure they know my birth plan – and I doubt he will be either. So the Doula could really do that for me. Having her there would really reassure me… as long as I find one I really like and trust, of course, goes without saying. I just remember Kel’s labor with Eric, and how she had a strange doctor she’d never met before come in and give her an episiotomy without even saying a word to her. I do NOT want that to happen. I do not want to have to worry about these things while I’m in labor – I want to be worrying about getting the baby out. So I think having a Doula there to take on that responsibility will be a wonderful thing for me.
No, it’s not ideal. But neither is option b…
Which is, to switch to the group of all-Midwives that practice out of the hospital. This gives me a major benefit: I would be guaranteed having a Midwife-attended birth. The downside is that I would lose my current Midwife, who I love so much, and I’d have to go through not just the hassle of switching practices, but it’s an “unknown” right now. It’s possible I switch and don’t even like anyone there. I guess I could have an interview there first? So I’ll have to think about that.
It’s going to be a really tough decision. I’ll just wait 2 weeks to get some questions answered and go from there.
So let’s see what else.
Oh yes, my weight came in at a little over 141, so the nurse said she’s going to estimate my pregnancy “starting weight” as 140. 140!! Holy moly! I haven’t been 140 since before I started IVF! I find it highly amusing that my first trimester has been spent LOSING weight… losing all the weight I put on during IVF. (Only 4lbs, but still.) When I put on that weight and got pregnant… I really thought I was just doomed for this pregnancy and beyond. They say the higher you are when you get pregnant, the harder it is to take off afterwards. :( SOMEDAY I would like to get back down to 130. Obviously not now, and not anytime soon, but say a year after the baby’s born… I’d love to see that number again.
My blood pressure was 110/67. Holy moly! That’s so low! And I was at work all day too! She said it was “excellent.”
The Midwife also asked me about different screening options. She said we have the option of doing an ultrasound between 10 and 13 weeks or doing one after 14 weeks, to screen for Down’s, Trisomy 18, and Trisomy 13. Since I’m 10 weeks now I kind of felt like I needed to give an answer. Problem is, I really have not developed much of an opinon about NT screening. I really dislike that it has the possibility of false negatives, and doesn’t give a definitive answer. But of course I’m sitting there thinking… screening = ultrasound I wouldn’t otherwise have. And that, my friends, is a good thing for us neurotic preggo infertiles. So I decided to go ahead and schedule it. Later when I talked to Den I found out he’s very much in favor of screening, either way, so he’s very happy I scheduled it. The scan is on Sept 26, first thing in the morning.
Also scheduled my next appointment, which will be in two weeks on Sept 21 with the Midwife. Next time it’ll be a full exam for me, and she said we’ll try to hear the heart tones! :D
At the appointment they also gave me a bag of “goodies”… mostly magazines and stuff. Three of the things in there are worthy of note:
First thing that fell out was a sample pack of Expecta (DHA suppliment). One of the items on my list of questions was if I could/should take Expecta, since I’ve been taking it since I got pregnant. Guess that was answered! Will keep taking it. :)
Second thing is a pretty thick little booklet about pregnancy and hospital services, from the hospital that I’ll be delivering at. It’s very comprehensive, has phone numbers for every division you might need to contact, a list of when to call the doctor or go to the ER, and all sorts of pregnancy information – body changes, symptoms, nutrition, labor, etc.
What really caught my eye is how comprehensive it is. It mentions several different types of relaxation/pain management techniques. There is a page called Medication under the Labor section, and it starts out like this: “The decision to use medication is one that only you can make once you are in labor. Many woman can and do deliver their baby without medication, but others need the tool of medication. It is important that you feel comfortable with your decision, which should be what is best for you. A successful childbirth is one that you feel good about.” Interesting, right? So then they list the different types of medication used and the pros and cons of each. They do the same for “Medical Management of Labor and Birth” – which lists different medical proceedures doctors use during labor, such as episiotomy, fetal heart monitoring, and induction. Again, pros and cons of each are listed. Earlier in the Labor section there is “Comfort Measures For Labor.” First item listed is Hydrotherapy, where it states, “You can either use the shower or get into our hydrotherapy tub, which is available on a first come basis.” Seriously, a hydrotherapy tub???? OMG! They also mention Doulas in a positive light, and use of a Birth Ball, which they provide in every room. They even have a section in here on birth positions, listing a whole bunch of them.
I am VERY VERY impressed. This is a hospital – a very big, major hospital in the area – but I am super impressed with their women’s center. They obviously have a full surgical OR for c-sections and every kind of medication handy and a hospital full of doctors. But the fact that they have tubs and showers in (I think) all the rooms, provide birth balls, and give info on alternate birthing positions… gives me such a very good feeling. It sounds like it’s just right for me.
The third thing that I have to mention is more of a giggle-factor than anything.
To back-track a little… on my birthday there were all my MILs there. (I technically have two MILs, but my SIL’s mother was there too, heh.) They got talking about birth, and they kind of… well, they went off and running talking about “girls nowadays” and our reading and birth plans and how I shouldn’t do ANY of that. (Apparently, being medicated, alone, flat on your back and terrifed is a MUCH better method of childbirth. Whatever.) I was specifically told “not to read too much” and they ranted for a while about “birth plans” and how girls “find them in books” and how it guarantees you a c-section because obviously you’re too uptight to relax and have a baby “normally”. The attitude stunk and I got pretty upset and left. I don’t think they noticed. The three of them were still all going on about it for a while afterwards. Ugh.
So what do you think was in my little bag of goodies? Why, it’s a cute little pregnancy calendar/info guide. And what is in it? Why, isn’t that a BIRTH PLAN??? Yes it is! A sample little birth plan. Given to me by the doctor’s office.
Oh the next time I get together with the MILs and they mention anything, I am NOT going to keep quiet. Oh no sirree bob. Cause now I have written proof right here that today’s hospitals recognize the benefit of “alternative pain management”… they recognize that not every woman wants the same kind of birth… AND that birth plans are NOT taboo, but simply a means of communication with all the staff you may run into, and may very well be encouraged by OBs.
So yep, that is my report for the day.
Oh, oh, I forgot, one last thing: my car loan was approved, we’ll be signing paperwork on monday and going to get MY NEW CAR!!!