Thursday, August 25, 2011

Dear Baby,

You are 17 weeks old today in my belly. You're Daddy and I love you very much. We know you will give us all the love in your heart too when you are born, but right now I wanted to thank you for the things you have given me already:
  • Thank you for the little tickles inside my belly and the few kicks I have already felt that kinda feel like a nerve twitch (you know? Like the ones you get under your eyes).
  • Thank you for the round ligament pain I feel whenever I blow my nose and cough. I have now found that I like to have one knee up to my chest whenever I have to do those things.
  • Thank you for letting me get more sleep on the couch than in bed. I'm sure your Daddy thanks you too when he tries to sleep on the ottoman over the weekends just to spend the night with me.
  • Thank you for giving me cleavage! And bouncy boobs. I have never been so pleasantly surprised when looking down at my chest. Your Daddy definitely thanks you too!
  • Thank you for the back pain when I try to wash the dishes so that I cannot finish them.
  • Thank you for the waddle when I walk. I'm sure it will get more noticeable when you get bigger inside of me.
  • Thank you for the weight gain and tiny stretch marks. I now get to buy something called Tummy Honey!
  • Thank you for the headaches I get at night. Your Daddy appreciates it too because he gets to rub my feet when I get them, which helps a lot!
  • Thank you for the poor vision. I now where my glasses most of the time.
  • Thank you for giving me gas. I can now burp like an old man after meals.
  • Thank you for the hot flashes. I can now leave the apartment without wearing all those layers of clothes that your Daddy hated because I was always chilly.
  • Thank you for giving me the strength I need to stand up for what's best for both of us.
  • Thank you for making me think like a mommy.
  • Thank you for my better eating habits. Love those veggies!
  • Thank you for allowing me to drink a lot of water when I hardly ever drank anything at all.
  • Thank you for my middle-of-the-night feedings so I'm prepared when you arrive and need them too.
  • Thank you for posing so well for all of your ultrasounds. Especially the 3D one at 8 weeks 5 days.
  • Thank you for waiving at me and your Daddy at the 12 week ultrasound.
  • Thank you for all the cute giraffe stuff I get to buy you, even if you end up not liking giraffes.
  • Thank you for the ability to use all the baby product knowledge I learned when working at Buy Buy Baby to assure that I will get you the safest and best stuff out there.
  • Thank you for that strong heartbeat we heard on Tuesday. You sounded amazing!
  • Thank you for allowing me to find a semi-comfortable position to cut my toe nails yesterday. 
  • Thank you for allowing me to keep my sense of humor so far throughout this pregnancy. 
I'm sure there is more, but you have also given me Pregnancy Brain. Your Daddy says I have a hard enough time remembering things and now, with Pregnancy Brain, it's a lot worse. That's OK though, I come from a long line of people who suffer from CRAFT so I'm used to it!

Your Daddy and I cannot wait to see you again. We will be able to do that on September 13th when we find out if you are a boy or a girl. Once we find out, we will be able to call you by your name, which is very exciting! Hope you waive to us again. In the meantime, I will still have those tiny conversations with you throughout the day so you know that I am thinking about you.

I love you with all my heart and soul,
Mommy

Thursday, August 18, 2011

Four Months - 16 Weeks

At 16 weeks our baby is the size of an avocado

Now that I'm in my second trimester at 16 weeks along, I am feeling a lot better. I don't feel sick 24 hours a day anymore and only on a rare occasion now will I throw up. I have a lot more energy and feel up to doing more activities. The only thing I have a problem with is standing for too long. It kills my back. I feel it the most when I'm doing the dishes and cooking so I have to take a lot of breaks. My belly is some-what big, I mean, I look pregnant, and it makes me wonder if I weren't pregnant, but put on some extra weight, would I still have back pain? Do big bellied people suffer from the same pain pregnant women do? Maybe I'll take a survey…or not.


I weigh the most I have ever weighed, in my life! Every time I step on the scale it amazes me. And week by week I see a pound more. I know that I need to gain weight for my baby. I was eating more in the first trimester, but that has gone back to normal now that I'm feeling better. Also, I'm not sure how much of the weight is from pregnancy and how much is from lymphedema. I have been really bad about wearing my compression garments because I was feeling so sick. Because of that my legs have gotten more swollen than usual. I'll start wearing my garments on a regular basis now that I'm feeling better so I'll be keeping an eye on my weight to see if that goes down any once the swelling goes down in my legs. 

A weird side effect of my belly growing is the change in my belly button. I guess you could say that I have an innie, although my belly button was so tightly tied when I was a baby, I really only had a slit. It looked as though someone drew a J on my stomach and called it my belly button. Now that my belly is bigger, my belly button has opened up. It's weird to look at. I can actually see in it, like an innie is supposed to be. I wonder if my belly button will pop out? While pregnant with her 5th child (I think, she had 8 all together), my Mommom's (grandma) belly button disappeared and never returned. She would tell us she was from Mars because she had no belly button. Strange enough, any kid would've believed her with her lack of a belly button and being able to take out her entire row of teeth! Not to mention that at 4 feet 11 inches, she gave birth to 8 children - none of which are shorter than 5 foot 4, and raised them on her own. She definitely was a super-human alien from Mars!


So I need to start exercising, not only for my health, but the health of our baby. I don't like to exercise, not even a little. I did yoga in the past and never thought of it as exercise so I tried to find a prenatal yoga routine that I would enjoy doing. Instead of paying hundreds of dollars a month going to a class, I decided to look up some videos on You Tube. I found a couple of prenatal yoga clips but none that would really work for me. Having lymphedema in both legs doesn't make it easy for me to squat or lunge so I needed to find something that would assist me. After a semi-long search, not only did I find a prenatal yoga video, I found one that is a full class and works with an assist from a chair. Score!!





Wednesday, August 10, 2011

Clarification As To Why I'm Using A Midwife

Now that people know Dan and I have a midwife to get me through my pregnancy and labor, it has come to my attention that many people have a lot of misconceptions about what a midwife is. So many people have said:
  • "Be careful." 
  • "Make sure you also have an obstetrician because a lot of things can go wrong with a midwife." 
  • "You should ask for references." 
  • "You're doing a home-birth?"
  • "You should have an OB because you're high risk due to your history."
  • "It's dangerous to have a midwife."
I've realized that many people are misinformed about what a midwife does compared to an obstetrician. I want to shed some light on those differences. First, though, let me answer the questions from above.
  • I am being careful. I've done a lot of research in the area of what is best for me and my baby. A midwife can perform all gynecological and obstetrical needs as an OB/GYN. The only thing they cannot do is perform a cesarean section.
  • Our midwife, as all midwives, work with obstetricians in the event that intervention is needed. 
  • I'm not going to ask for references and am sure I would not get any as patient/Dr. privacy would not allow. You would not ask your regular obstetrician or any Dr. for that matter for references. I met with the midwife, I liked what she had to offer, and I will be using her. A friend of ours has also known women who have used her in the past and are using her now as their midwife, so word of mouth is considered here. Our midwife has done over 750+ births so experience is not an issue.
  • We are not having a home-birth. Our midwife will do both home-births and hospital births. We are opting for a hospital birth with the midwife and are going to a hospital that supports the midwifery model of care. 
  • I want to clarify that even though I have had two miscarriages, I am not high risk with this pregnancy. The problems that I faced which caused my miscarriages have been taken care of with medication and surgery.
  • It is more dangerous to have an obstetrician help deliver your baby because they are surgeons. Obstetricians are not trained to do normal births. Normal, meaning natural, little to no intervention. Unless you are a high risk pregnancy, a midwife is better and safer.

Now let's take a look at the Midwifery Model of Care:
Midwifery Model of Care by Judy Edmunds, Certified Professional Midwife
         OBSTETRICAL                                             MIDWIFERY
Focus on pathology, illness -------------------- Normal, developmental, social
Elevates "authorities" as experts ------------- Women's knowledge is valued
Woman is low in hierarchy --------------------  Egalitarian, peer relationship
Must enter doctor's territory ------------------- Midwife is a guest in her home (if home-birth)
Lack of familiar surroundings ----------------  Remains in familiar environment (if home-birth)
Strangers perform procedures ---------------- Midwife has become her friend
Women's positions restricted ----------------- Freedom to move as desired
Brisk, depersonalized schedule -------------- Ample time for relaxed visits
Awkward, brief communication -------------  Open, intimate two-way sharing
Unfamiliar language used often -------------- Simple, common vocabulary
Punitive, scolding, threatening ---------------- Empathy, support, encouraging
Professional distance maintained ------------ Close relationship is forged
Spiritual, emotional neutrality ----------------- Honors her personal feelings
Training emphasis: intervention -------------- Trained to preserve normality
Drugs offered for pain relief ------------------- Pain accepted, comfort offered

Some facts every soon-to-be parent should know:
  • The United States has the second worst newborn death rate in the developed world
  • Midwives attend over 70% of all births in Europe and Japan 
  • Midwives attend less than 8% of all births in the United States
  • The United States has one of the highest maternal mortality rates among all industrialized countries
  • In the early 1900's in the U.S. inexperienced obstetricians began doing smear campaigns against midwives
  • In 1900, 95% of births in the United States took place at home
  • In 1938, half of all births in the U.S took place at home
  • By 1955, less than 1% of births took place at home and remains that number today
  • Induction in labor (pitocin and other drugs) increases the rate of cesarean section births
  • Lying on your back to give birth makes it harder for the mother to use her stomach muscles to push which will increase the chances of an episiotomy, forceps, or vacuum to get the baby out
  • Obstetricians are not trained in normal childbirth, they are trained as surgeons
  • New York hospitals have some of the highest cesarean section rates in the country
  • The cesarean section rate in the U.S. went from 4% to 23% in the 1970's
  • Since 1996 the cesarean section rate in the U.S. has risen 46%
  • In 2005 the cesarean section rate was one out of every three births

Ok, so here's an interesting clip from The Business of Being Born:

Why are doctors giving Pitocin to speed up the delivery when it clearly states on the warning label not to do so unless there is a medical necessity?
The warning on the Pitocin bag states:  WARNING: This medication is recommended to be used only in pregnancies that have a medical reason for inducing labor (e.g., eclampsia). It is not recommended for elective (voluntary) procedures or to make the birthing process more convenient. For additional information, consult your doctor.

I'm going on a rant here so I do apologize in advance. After so much research on this matter I have very strong feelings about the whole birthing process in the U.S. and I need to share my thoughts, especially when a lot of people have been making me feel like I'm doing something wrong for having a midwife instead of an obstetrician. Thank you to all of you who have not judged me and my decision, but have been supportive and want to learn about the differences. I appreciate it. 

It's a very stressful place for women to be in, because we are taught to trust doctors. How many times do we ever get that second opinion? When it comes to childbirth, women are meant to feel almost helpless. Like we need the interventions of the obstetricians to have a healthy birth. But the fact is, women have been giving birth long before there were obstetricians. So what's changed? Women's bodies are still the same, so why have I heard of doctors saying things like the baby's head is too big to have a vaginal birth? That makes absolutely no sense. These doctors are saying things like this to scare us. To make us get these cesarean sections to save time and speed up the delivery. I watch these baby shows, such as A Birth Story and Bringing Home Baby, and I want to cry. Birthing is portrayed as something scary. Something that we need drugs to get us through. It disgusts me. I get so upset, especially when I see healthy moms-to-be scheduling their cesarean sections for no good health reason. A cesarean section is major surgery and these women are opting for it because their doctors won't let them get past their due date. Or they are having cesarean sections because their doctor is scaring them into thinking that a 12 hour labor is harmful to the baby, when in fact, they just don't want to be there for another 12 hours until you deliver vaginally. The baby will come on it's own. You don't need to schedule it unless there is a medical necessity to do so.

Which brings me to my point, people are just not informed of these facts and what a normal birth is. We are brought up to believe that when you have a baby, you go to an obstetrician and give birth in a hospital on a bed. All the while hooked up to all sorts of machines with an IV in your arm so the doctors can inject you with drugs. Let me say that again: DRUGS!!! Drugs that we do not need and drugs that we may not know the effects of to our unborn babies until it's too late. We are told time and time again, "Do not take any medication while pregnant because it may harm your baby. If you need pain medicine, take nothing stronger than Regular Strength Tylenol." So why is it OK to take a much stronger medication during labor? There is not enough research for me to say, "Yes, give me all the drugs you have for labor because I know for a fact that it will not harm me or my baby." Fact is, if there's the slightest chance of harm, I will not do it. I don't even take headache medicine because I just don't like to take any kind of drug, pregnant or not. I'm not against pain medicine if it is something you absolutely need, especially in labor. But I do want women to know that opting for it right away because of fear that has been drilled into us almost immediately, is wrong. We are told over and over again that labor is the most painful experience we will ever have. I believe that women are going into labor expecting this and not wanting to deal with it so they ask for the epidural as soon as they get to the hospital. They don't wait to experience anything. Once you get that epidural, you will get any drug the doctor tells you that you "need." Why not? If it will make the labor quicker, you should do it, right? Why not wait it out and let your baby be born naturally, on his or her own time line instead of the doctor's? It's something that I will never understand because unless there is a medical need for you to labor quicker (baby in distress, mother in distress) then there is no need to speed it up.
So obstetricians are all about the interventions. Ask any woman who has given birth and I will guarantee that almost all of them, will say that they have had drugs during pregnancy. Then, out of those women, how many have had a cesarean section? The number may astound you. It's getting ridiculous and the only saving grace is having a midwife. For a low risk pregnancy, a midwife will be there to support the mother and get her through the most empowering day of her life: giving birth to her baby. This is not a feminist thing, like many will say. This is a woman's rite of passage, if you want to label it. Birth is an experience that I want to remember, something that I want to feel. I don't want to be dazed from drugs, I want to be aware of my body and what is going on. Most people will call that feminist or call a woman a hippy or out of her mind for wanting to feel the pain. Truth is, life is painful. There is no way around that. But if I can survive this pain and in the end have a beautiful, healthy baby to hold in my arms, the pain of that experience is welcomed and in the end I will be rewarded with a wave of natural oxytocin that will put me in bliss. Unfortunately, many woman don't feel that because of the drugs. The baby feels that bliss as well, but if the baby can't be near the mother's breast right after birth, that experience is lost. Obstetricians will have your baby taken from you almost instantly to be cleaned up and weighed. Midwives will encourage you to hold your baby for a while so you can bond instantly. Why is there a rush to clean and weigh? Oh, that's right, so the room you're in can be cleared faster for that next laboring mother.

Friday, August 5, 2011

A Meet and Greet With Our Midwife

Dan and I met with our Nurse-midwife, Dale, yesterday and we were very pleased. When we got to the office we were the only ones in the waiting area. Dale was in a room with another patient so we waited about 15 minutes before we were called in. While in the waiting area, we were greeted with relaxing music and a choice of herbal teas and mineral water. Once called in, Dale was extremely nice and stated that she would answer all of our questions but may be called away due to one of her patients who was in the beginning stages of labor. Even though she was busy, she didn't make us feel rushed. She answered all of our questions thoroughly and seemed really in tune to what we wanted out of our birth experience. Unlike my obstetrician, Dale thought it was a great idea to have a water birth due to my lymphedema. Dan and I were hooked. She's the one!

Dale gave us some reading material and some free samples of baby stuff (like Johnson's baby lotion). She advised us that during our appointments, we would have a full half hour with her to be examined and ask any questions. I love that…a full half hour! Wow, you would never get that with an obstetrician. You would be lucky to get 10 minutes after waiting in the waiting room for an hour! We made an appointment for my 16 week checkup and she gave us a form to send to the obstetrician so they can release my medical records for this pregnancy.  I'll also be touring the hospital with her at some point in the near future. She said the hospital was making a birthing center for her midwifery group so they can have their own private wing in the hospital. Although this most likely will not be ready by the time our baby comes in February. That's OK though, at least the hospital will still have that water birth room for us!

So that's it. Now we can move forward and concentrate on the pregnancy without having the stress of not getting the experience we desire. I know that while in labor, things can go differently than planned, but at least I have the initial plan that I hoped for and if things do change, I know it's because it HAD to, not because the obstetrician wanted it to.

What is a Nurse-Midwife:
(taken from Healthcommunities.com)

Nurse-midwives are registered nurses who have completed accredited midwifery programs. Once certified, they are certified nurse-midwives (CNMs). Nurse-midwives can write prescriptions and provide a variety of care, including:

  • Care after birth
  • Disease prevention
  • Family planning assistance
  • Gynecological exams
  • Health maintenance counseling

  • Labor and delivery care
  • Menopausal management/li>
  • Newborn care
  • Preconception care
  • Prenatal care
Nurse-midwives collaborate with physicians, especially in problem pregnancies. In general health care, nurse-midwives work with other medical professionals to provide comprehensive health care resources. When additional medical advice or surgical care is needed, they refer women to the appropriate physician.
The philosophy of nurse-midwifery is based on providing health care to women, while acknowledging and respecting their needs. They encourage patient education, active participation, clear communication between the provider and the woman, and an individualized health care experience.
Perhaps the best-known facet of nurse-midwifery is the commitment to facilitating uncomplicated pregnancy. Nurse-midwives provide information about different types of care available and encourage women to enhance their pregnancy by being involved. Nurse-midwives advocate birth education, natural childbirth, and the participation of the entire family. They rely on technology only when it is medically necessary. Thus, cesarean sections and episiotomies are less common when care is provided by a CNM.

Requirements for Certified Nurse-Midwives

The tradition of nurse-midwives has existed since the 1920s and the American College Nurse-Midwives (ACNM) formed in 1955 to oversee the development of the field. The ACNM has defined the criteria for nurse-midwifery. Nurse-midwives receive education and training in nursing and midwifery and must be licensed. The requirements for certification are similar to those for certified midwives.
To become a Certified Nurse-Midwife (CNM), candidates must successfully complete these requirements:
  • Completion of an accredited nursing program
  • Licensure as a Registered nurse
  • Satisfactory completion of a program in nurse-midwifery from an accredited institute
Once a candidate meets these requirements, he or she can take the national certification examination administered by the ACNM Certification Council (ACC). After passing the exam, the candidate receives nurse-midwife certification. Because state licensing laws vary, there may be additional requirements.
The National Center for Health Statistics reports that in 1998, 277,811 births were CNM-attended in the United States. CNMs usually work in private physician practices, hospitals, clinics, free-standing birth centers, and health departments. They may have their own private practices and occasionally attend home births. All states mandate Medicaid reimbursement and most require private insurance reimbursement for nurse-midwifery services.

Wednesday, July 27, 2011

Why I'm Firing My Obstetrician

Before I got pregnant for the first time back in November of 2009, I didn't think much about a birth plan. To be honest, with that pregnancy, because I really only had a week to take in that I was pregnant before I miscarried, I didn't think much about it at all. The second time I got pregnant back in May of 2010, I had more time before learning of my miscarriage and it gave me time to think about some options. I never knew there was any other option than going into the hospital and birthing my baby on a hospital bed. That's the way my mother did it, that's the way all of my aunts did it, and that's the way I ever really saw it being done on television and in the movies. If I did see anything different on television or movies, like a water birth, they made it out to be something that only hippies or weird women did. It was a joke.

Listening to all obstetricians talk about the birthing process is like listening to a bunch of people that take all the credit for something they were only a part of. Obstetricians have said to me, "I have delivered this many babies." But isn't it a fact that the women who are pregnant deliver the babies and the obstetricians are there to help and assist in the delivery? It frustrated me and I decided to do some research on some other options for my birthing experience. These were the things that I really wanted to learn more about:

  1. Natural childbirth
  2. Rate of caesarian births
  3. Other ways besides a bed to give birth
  4. Obstetricians, Midwives, Doulas - What roles do they have and how supportive are they in the choices women have for their birth experience

Dan and I have Netflix so I decided to look up any type of pregnancy documentary they had. I found a couple and started watching. The one I found most informative was done by Ricky Lake. The documentary called The Business of Being Born gave light to all of my questions. It was very informative and well played out. Dan even liked it. It definitely gave us, but ultimately me, a lot to think about.
If you are or know somebody who's pregnant I highly recommend this documentary. It was an eye opener for me and Dan.

So now after learning some things about natural childbirth, I really started to seriously like the idea of a water birth. I think that because of my lymphedema in both legs, a water birth might be the best option to relieve some of the tension that may be put on my legs. Especially if I don't want to give birth lying in a bed. My mother thinks it's gross. Every time I mention it she says, "yuck." I think she's just imagining all of the blood and mucus and after birth floating in the water with me. But who cares what's floating around you when you have a newborn in your arms that has just come from your body? I won't care.
So this brings me to this pregnancy. I am currently in the beginning of my second trimester (13 weeks tomorrow). At my obstetrician appointment at 12 weeks, I decided to ask my OB about when I should discuss with him my birth plan. He started waving his hands as if to say, "much later in your pregnancy." Then he said to give him a brief overview of what I was thinking about. I proceeded to tell him my thoughts. I will give you my questions and his answers to the best of my memory:

Me: "I want to go as natural as I can. I really don't want any pain medication."
OB: Smiles and says, "Well, that's fine. If you want to be in pain, that's your choice."


Me: "Because of my lymphedema, I am really thinking about doing a water birth."
OB: His facial expression changed and in an abrupt voice said, "Well I don't do water births and neither does the hospital or any other hospital in the area. If you want to do a water birth you have to do it at home and I won't do it.
Me: "Well I definitely don't want a home birth. I do want to be in a hospital."
OB: "Then you can't have a water birth."


Me: "Even if I can't have a water birth, I want the option to move around. I don't want to be stuck in the hospital bed or give birth on the bed."
OB: "You will not be aloud to walk around. You will be in the bed from the time you get to the hospital. You will be hooked up to an IV right away. If you want to move around, you can change positions in the bed."


My Mother: "Her husband wants to be able to catch the baby." Dan thinks it would be best if the first people to actually touch and hold our baby is us. I like that idea.
OB: "Absolutely not. What if he drops the baby? What if he passes out? No. I will be the one to deliver the baby."


Me: "I'm thinking about having a doula since I want to go natural and may need some help getting through the pain."
OB: With a very abrupt tone, "I refuse to work with doulas and I will not be the Dr. who will deliver the baby if you have one."


OB: Now sounding like he doesn't want to be bothered by me anymore, says while walking towards the door, "You have to decide quickly what you want to do because I don't want to invest anymore of my time with you if you are going to want something different."
Then he walked out of the room. I wasn't done talking to him and he just left the room. What an a-hole, seriously. My mother was with me and she found him to be abrupt also, so I wasn't imagining things. After he left the room I asked my mom if that was it, are we finished? I didn't know because he didn't say anything else. When we went up to the front desk the woman behind the counter was like, "did the Dr. tell you when you needed to come back?" I told her he just walked out of the room and didn't tell me anything. So I made an appointment for my 16 week checkup and at first she said it would be with the Dr. who made the mistake with my last pregnancy by telling me everything looked great, even though I miscarried. I told the woman I do not want to see her, any other Dr. but her. She gave me another appointment but said that if no one else is available at the time I give birth, that Dr. could be the one to deliver.

OK, so now I had a decision to make. I definitely do not want that incompetent Dr. delivering my baby. I also want to be able to have choices when it comes to my birthing experience. It seemed to me that the only way I will get what I want is by firing my obstetrician and finding someone else who can respect my decisions. This OB denied everything. It was a strange realization that everything that the documentary The Business of Being Born gave light to in the way of obstetricians, came true for me. When I watched the documentary I didn't put too much thought into what my Dr. would do or how he would react to my birth plan. It definitely makes me question the medical field in obstetrics.

I went home and did some research on the computer. I also asked one of Dan's friend's, who is into a lot of natural things when it comes to her own child if she knew anything that would help me with the birth plan I wanted. She had suggested looking up Nassau University Medical Center (NUMC) in East Meadow, NY. She said that they do water births. I was thrilled and pissed off at the same time once I went to the hospital's website. Thrilled that, yes, in fact they do water births, and pissed off that my OB blatantly gave out wrong information for what purpose? To try and scare me off in wanting a water birth? He said, "No hospitals in the area do water births and you'll have to do it at home." Obviously not true! I feel sorry for the women out there who take their Dr.'s word and go against what they want out of their birth experience. It saddens me and makes me want to shout out, DO YOUR RESEARCH!! IF YOUR DR. TELLS YOU "NO, YOU CAN'T" AND THERE'S NO MEDICAL REASON WHY YOU CAN'T, THEN FIGHT BACK AND SAY "YES I CAN!"

Things I found out about NUMC that I love:
  1. They have the lowest caesarian rate on Long Island
  2. The highest vaginal birth after caesarian rate (VBAC) on Long Island
  3. The lowest pre-term birth rate
  4. The lowest episiotomy and laceration rate
  5. Private room where partners can stay overnight with mom
  6. Rooming in where baby can stay with you most of the time instead of the nursery 
  7. Their obstetric department supports the midwifery model of care
  8. Midwifery patients can eat, drink, walk about, and be intermittently monitored 
  9. They have a state of the art underwater birthing room
  10. They have a Level III Neonatal Intensive Care Unit (NICU) if there's any complications
There it is. I found my hospital. Now I have to find a new obstetrician. But do I really want an OB? Won't they be in a similar mind-frame as the OB I'm firing? I decided to look up nurse-midwives. I found a midwife practice, Gaia Midwifery, that does a lot of water birth deliveries at NUMC. I liked their website and decided to make an appointment. So now I'm waiting for my appointment next week. I have lots of question for them and can't wait to discuss all that they can offer.

First impression of Gaia Midwifery:
When I got the call back to set up a meet and greet with the midwife, I spoke with one of the doulas there. I told her that I was firing my OB and she asked why. I told her I had lots of issues with them and my OB didn't want to be a part of anything that I was thinking about for my birth plan. She asked what Dr. and what hospital he works out of. I told her, not having any qualms about giving up his name, and she asked, "Does he work in that practice with that other Dr. whose name starts with an O?" Right away I knew she was talking about that incompetent Dr. who gave me and Dan misinformation about our second pregnancy. I laughed and told her the story. Then she told me her experiences at that same hospital with the same Dr.'s and it just proved my point even more: Midwives are better than obstetricians when it comes to the caring and support of women in labour. 

Friday, July 22, 2011

Our First Trimester

We have made it! Our first trimester (the 1st 12 weeks) is over and the baby is doing great!
I guess we are lucky in the fact that we got to see our baby grow week by week starting at 5 weeks 4 days. There aren't too many women out there that have that experience. It's amazing how fast a baby grows.

Here are the first trimester ultrasounds:

5 weeks 4 days


6 weeks 4 days - 1st time we heard the baby's heartbeat! 



7 weeks 5 days


8 weeks 5 days - 3D ultrasound - I LOVE this one!


9 weeks 1 day


12 weeks 0 days
It's a wonderful feeling when you see your baby move for the first time. We're in love already!



And here are my first trimester belly pics:
More bloating than baby

More bloating - no I'm not having twins!

I had vertigo here…it was horrible, but I put on a smile. Bloating went down a bit. Belly getting hard.

Feeling good. No more vertigo.

Sunday, July 17, 2011

The Long Journey

Hi everyone. I am writing this blog to keep family and friends up to date with our pregnancy and for anyone that might be interested. The information in this first blog is very personal and only a handful of people are aware of what Dan and I have gone through. This first blog is to help family and friends understand our journey and how hard it has been.

Dan and I were married on September 26, 2009, as most of you know. We couldn't wait to get married and start a family. Two months later, on November 26th (Thanksgiving) we found out we were pregnant. Dan and I were so excited and we told both of our parents the same way - by putting a baby sock in a card for Thanksgiving. Little did we know that our happiness would turn into heartache. On December 1, 2009, I had a miscarriage. We were understandably upset but we started trying to conceive again.

Our Angel Baby #2
On May 26, 2010, we found out we were pregnant again. It was a great moment but I was so scared of losing the baby. We made our first appointment with the obstetrician for June 17th which was almost at our 9 week mark. The doctor did an ultrasound and said everything looked great. She said it was too early to see a heartbeat since she measured the baby at 6 weeks. Dan and I knew that we were farther along because we calculated the days I was ovulating and only tried on those days. We knew we were about 9 weeks and tried to explain that to the doctor but she kept saying that we were only 6 weeks along and we must have calculated wrong. She continued to say everything looks great for 6 weeks of pregnancy and gave us the ultrasound picture. We went home very confused and tried to rationalize her discrepancy by saying there must have been something wrong with the ultrasound machine or she may have put the wrong size when she measured. Deep down I was fearing the worst.

One week later, the morning of June 25th, I started to bleed, just a little. I made an appointment right away for that afternoon and because we were just told the prior week that everything was good, I tried not to let myself get worked up. I went to work that morning, told my supervisor that I had to leave at 12pm but that I would be back within an hour or two. When I got to the doctor's office, I saw a different doctor than the week before and he gave me the most horrible news: our baby stopped growing at 6 weeks and I was having a missed miscarriage. I couldn't talk, all I could do was cry, and I was alone. The doctor was very nice, but I don't really remember too much about the rest of that appointment. I went to my car and I called my supervisor to tell her I wouldn't be back. I could barely get the words out. She knew I had a miscarriage before so she knew what was going on and I didn't really need to say much. Then I had to call Dan and tell him what happened and that he needed to come home. I think I called my mom, but I don't remember too much about the rest of that day. I don't remember the drive home. I didn't pass the baby until July 1st, at 10 weeks 6 days.

Dan and I were happy with the 2nd doctor I saw. He seemed to really listen to our concerns and he recommended that we see a fertility doctor. He said, "Why wait till you have a third miscarriage to go to a fertility doctor, like most doctors would recommend?" Good point. So we had our 1st fertility appointment on August 3, 2010. Lots of blood work, lots of testing. I had an HSG (Hysterosalpingogram) and an SHG (Sonohysterogram) done to look for abnormalities and/or blockages in my uterus and fallopian tubes. They tested Dan's blood and semen to make sure he was OK.

Here were the findings:
  • Dan checked out OK - no problems on his end
  • They found that I have PCOS (polycystic ovary syndrome) and put me on a medication called Metformin. Read about the condition here: PCOS
  • The HSG came back normal while the SHG showed 2 large polyps on the wall of my uterus. Read about these tests here: HSG and SHG

So now we had some answers. The doctor wasn't 100% sure if these issues were the actual causes of my miscarriages, but he said that they probably were. He was very surprised that I got pregnant at all because of the PCOS since I don't ovulate normally. So now we had to take care of a few things before we could start trying for another baby.

I started taking Metformin right away. My dosage was supposed to be two 750mg a day. I was getting so sick with just one pill that they tried me on three 500mg a day. After the second 500mg pill I was getting really sick. So finally I've been taking one 500mg a day. On September 22, 2010, I went to the hospital to have surgery. They needed to remove the two polyps from my uterus and inserted a balloon to hold my uterus open until I healed. That was uncomfortable to say the least. On October 7th, I got the balloon taken out. On November 15th, I had another SHG done to make sure everything was clear. We were ready to start for a baby now.

Since infertility is not covered by Dan's insurance, we decided to wait till January to start trying to conceive with the help of the fertility doctor. Dan has a Payflex account that he can put money into to use for medical purposes and it's taken out of his paycheck before taxes. Each monthly cycle that we would need to do before we get pregnant cost us about $3000. That price includes all of the blood work, ultrasounds, office visits, inseminations, and medication. We did four cycles before we got pregnant. Lots of money, but worth every cent. I won't go into the details of the inseminations unless someone is really curious, then maybe I'll blog about it.

The week before our last insemination, the little blue bird of happiness dropped a gift on Dan's shoulder. For those Maier folk out there, I think Mommom was sending us luck! Another lucky thing about our timing on this one was our last insemination was on Friday the 13th. We also had to have the insemination done by the alternate Dr because my Dr was unavailable on the days my insemination fell on. I also have been out of work on short term disability since 2 weeks before this last insemination. I was having terrible leg pain, headaches, and insomnia - later to be diagnosed with fibromyalgia. Because of this, I did not have (and still don't have) the added stress of work to deal with (which I think helped).

So last year - May 26, 2010 we got a positive on the home pregnancy test. This year on May 27, 2011, almost exactly a year to the day, we got a positive with a blood test. Our estimated due date is February 3, 2012! Up to the 11 week mark, July 15th, I needed to take Endometrin (progesterone) 3x's a day to help my uterine lining receive and nourish a fertilized egg. I will take the Metformin until the end of the first trimester, July 21st.


I will forever remember my angel babies. Being pregnant now does not negate the fact that I was pregnant before. It does not make me forget all the pain I felt or the look on my husband's face of worry, concern, and heartache. An angel baby will always be remembered as an angel looking down on us from above, keeping us safe and helping us through the hard times.

I hope this first blog clarifies a few things about what we have endured to get to where we are today. We never thought it would be this difficult to have a baby. We will never take this pregnancy or our baby for granted. I may have discomforts with this pregnancy but I will never complain. I will never get upset because my pregnant belly is keeping me from doing something as trivial as shaving my legs, wearing certain clothes, or sleeping on my stomach. I will be grateful for my pregnant belly and all of the morning sickness, back pain, and stretch marks I may get. Everything is a welcomed reminder that I am still pregnant and my baby is healthy.

Thanks for reading! Comment if you'd like. And… Please follow our blog for more updates and sonogram pics.