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OB Appt & Moving!

October 31, 2008 by Jessica

On Wednesday, Elliot and I met with one of the OBs connected to the midwifery practice we are using. I have been quite upset about this whole c-section possibility, so I thought going to meet with the OB would somehow put me at ease. I think it was a great decision! The OB we met with was so nice, and relatively young (late 30s/early 40s). He came into the room with a laptop, so Elliot liked him immediately. We explained our situation, and he reviewed my test results. He agreed that all the medicines we have been using are exactly right, and he talked about my options. Immediately, he seemed to agree that he thought I could (and should) continue to 36 weeks. He said that unless the baby was in actual danger, he would not encourage doing a c-section at 34 weeks. That was a HUGE relief to me. We also talked about the different pain medications, and he said that there has been no proven harm to babies if you limit the heavier pain meds to either no more than 1 week of continued use, or you can do 2-3 weeks of occasional/sporadic use. So, if the pain worsens after 33/34 weeks, there are several pain management options I can use.

He is fairly certain that when I stop the Terbutaline at 36 weeks, the contractions will come back. At a minimum, Terbutaline can cause a “rebound” effect with the contractions after keeping them suppressed for so long. He felt that if the contractions continued more than 2-3 days without me progressing into full labor (or if they became quite painful), he would not let me continue on that way any longer. They would start bringing me in regularly once the contractions begin to monitor me – check the fetal stress levels, see if the contractions are productive, etc. If after 2-3 days the contractions do not turn into full labor or do not subside and disappear, he would hope to induce at that point (assuming that my cervix appears to be “receptive” to induction). There are several different ways they could induce, and they will not make that decision until after they see what my body is doing. If they cannot induce labor and the contractions continue, a c-section would be necessary. We talked about anesthesia options, and he agreed that he could work with the anesthesiologist to identify a short-acting inhaled anesthesia that would knock me out sufficiently to get the spinal/epidural in, and then allow me to be lucid for the birth of the baby. That was a huge relief to me! So, hopefully a c-section will be unnecessary, but I feel better knowing that 1) I will not have to walk around contracting and in pain for weeks and 2) If I have to have a c-section, we can find a way to do it so I can see the birth of my son!

I have actually been feeling really good most of this week. I’ve been vigilant about taking my medicines on time and not letting it stretch beyond 6 hours. Unfortunately, right after I commented about what a great week I was having and started to hope that Frank was shrinking or disappearing, or that I could hold him at bay with just a bit of Tylenol, today I am definitely starting to hurt more (although I am able to do another course of Indocin any time I want). We have another midwife appointment next week, and another ultrasound, and we will see where we go from there! Four more weeks left until we stop the medications.

In other news, we attended our first hypnobirthing class last night! I really hope this helps me, and I am excited to explore ways to relax and try to embrace this whole process in a confident and stress-free manner. We are in the class with our friends Ken and Erica, so it should be a wonderful experience. We were taught 2 breathing techniques, and we have to listen to this deep relaxation CD everyday to practice the self-relaxation techniques. Now, if I could just keep Elliot from snoring loudly during the relaxation exercises . . . .

And best of all . . . it looks like we are finally moving! We started packing up the house, and we are going to start making our first runs with boxes this weekend. I think I will probably schedule the “big” move either next weekend or that following week. The carpet was installed last night, and the floors are being finalized today along with the touch-up painting. They still have to replace the one kitchen cabinet (it should be in Monday) and fix up the tile backsplash, install a light and accessories in the powder room, install the baby’s vanity (which should be in today) and install the shower panel (which should be in Tuesday) and finish tiling the master bathroom by the shower panel. That means by this weekend all the big stuff will be finished, and by Wednesday of next week, all the “little things” should be done. Also, our living room couch arrived, so that is being delivered on November 11! It is finally coming together. I am supposed to have a friend from out of town coming to stay with us the weekend of November 14, so it looks like we will be sleeping at the house by then!

Filed Under: c-section, contractions, fibroid, indocin, terbutaline

Another Ultrasound

October 23, 2008 by Jessica

Today was our appointment with the Maternal Fetal Medicine specialist and another ultrasound. The good news is, my cervix is holding steady, and Frank is not growing in size . . . yet. The bad news is, Frank isn’t shrinking (and is highly unlikely to shrink at this point). We did not get such good pictures of the baby. Today he is head down, facing upwards, with his feet up by my ribs and his hands on either side of my pelvis. Every time she tried to snap a photo of him, he arched his back and looked kind of like an alien. I may try to scan and post the picture later.

I am supposed to do a few more courses of the Indocin over the next 1-2 weeks, and then I have to stop taking that. According to this doctor, his goal is to get me to 34 weeks, and he is not convinced I’m going to make it to 36 weeks. He seems to think a scheduled c-section shortly after 34 weeks is in my future, but for right now, I have different plans. I’m going to do whatever it takes to get to 36 weeks, and then hope when we stop the meds I can go into labor on my own. I’m not sure what I’ll do if I stop the meds at 36 weeks and I am contracting but not getting anywhere, so I am trying not to think about that. The bottom line is I might not be able to have that nice natural birth with a midwife I had planned.

I should have known this wasn’t going to be easy for me . . . I think the “other shoe” I’ve been waiting for has finally dropped.

In other news, we went out with my parents to celebrate Elliot’s birthday last night. The restaurant was wonderful – good atmosphere and the food was excellent! We stopped by the house on our way home to check on the renovations, and I’m thrilled to say we have real progress! Two of the four bathroom sinks are installed (with faucets and everything), the lighting looks like it has been completed, the floors were refinished, and some of the hardware for the showers was in place. There was 1 broken light fixture and the toilet in the master bathroom is cracked, but I’m starting to believe there is an end in sight!

Filed Under: contractions, fibroid, indocin, terbutaline, ultrasound

Time to celebrate!

October 20, 2008 by Jessica

So today was Elliot’s birthday! I took it easy most of the day . . . Frank has been a bit temperamental since we stopped the Indocin, and I have a feeling he may have a girlfriend Fiona lurking in there, too. I suspect they are fighting today, so I’ve been trying to give them some quiet time to work out their issues.

I’ve been having difficulty finding the “right” gift for Elliot this year. He has been wanting this USB external, self-charging hard drive to backup his computer, and I found a good deal on one on Amazon, so I’ve been thinking of ordering that. I decided to ask him to make sure it was the right thing – I hate ordering things to find out I didn’t get it quite right. So, when we sat down together, I told him what I wanted to get him and asked him if I had the right thing with the right specifications. He is currently on the fence with that gift – I was going to order him a 320 GB drive, and he kind of wants the 500 GB drive, but that is a bit more money than I wanted to spend right now (since my “real” present is the other gift I’m about to discuss). I’m still waiting for a decision from him on the backup drive. Perhaps I’ll save that and buy it for him for another holiday . . . . maybe Chanukah!

The 2nd present is a joint gift from my parents as well. Elliot desperately needs a new grill. He doesn’t actually realize it, but his old grill died. The grates have rotted through, there are layers of scum (and now cigarette butts from the contractors) and just flat out poisonous decay, and I firmly believe it is too dangerous to ever fire that grill up again. The problem is, he truly loves his grill, and like everything else in his world, he hates parting with anything. Part of him sincerely believes that he will be using that grill again. I’m sorry to say, he isn’t going to win this battle. So, I did some investigating, and I identified what I think is the “perfect” grill for Elliot. But, again, I know how much his grill means to him, so I decided to let him select his next grill instead of dictating which one I thought was best for him. It turns out, he really liked the one I picked out and showed him online! There is one other one I saw, and he is trying to decide between the two. He asked me for a few days so he could go see them in person and decide which one he likes best, and if he finds something else he likes even better, then I will get that for him. There is one we saw that is really cool, but super-expensive. It looks kind of like a built-in grill – it comes complete with a stone facade workspace! I’m willing to spend the money, but Elliot won’t let me . . . he thinks it is cool, but not worth the money. We’ll see . . . perhaps I’ll buy that one anyway.

So, we’ve been trying to figure out how to celebrate Elliot’s birthday for weeks now. We had hoped to be all moved into the house and invite a bunch of people over for a bbq dinner in our Sukkah. Needless to say . . . we haven’t moved, we have no Sukkah this year . . . and so we didn’t have a party. Elliot was extremely disappointed – he just loves to have everyone over for his birthday dinner in the Sukkah. Once we realized the Sukkah party was out, we discussed other options. We talked about going out for a nice dinner somewhere, but Elliot has been crazy busy with work and running around, and hasn’t really been in the mood to go out for dinner at night, and Frank has been making my life difficult, so I get nervous planning anything specific since I never know how I will feel from one minute to the next.

After much discussion, we decided that I would make Elliot a nice dinner at home. We didn’t get the place cleaned up enough to set the broken dining room table for a romantic dinner by candlelight, but I was doing well enough to cook for him, and we sat together on the couch and ate dinner. I decided to make Chicken Marsala (well, a vegetarian version of Chicken Marsala with veggie Chicken), rice pilaf, and broccoli. For dessert, we had chocolate lava cakes and a side of ice cream. I didn’t have the energy to cook up a full cake yet (I’ve been fighting a cold all day, probably thanks to our friend Greg who was sick at the Sukkah party last night). I’m hoping to bake a cake for him for Wednesday night when we go out to dinner with my parents to celebrate his birthday.

Unfortunately, just as Elliot got home and we were preparing to have his birthday dinner, our contractor, Keith, called. He was extremely pissed off, and we ended up fighting with him on the phone for 45 minutes. Long story short, he works with my cousin, and I finally contacted my cousin about all the problems we’ve been having. He must have ripped our Keith a new one, because he was PISSED. He tried to tell us that all of the problems with the house were our fault, not his (because clearly, we are responsible for mis-measuring and mis-ordering). It was a HORRIBLE conversation . . . and I certainly did not need to get that worked up or upset. Frank was quite unhappy for the rest of the evening, but at least Elliot & I got to have a nice dinner together. Too bad Keith ruined Elliot’s birthday :(.

Filed Under: Elliot's birthday, fibroid, indocin, terbutaline

Feeling Wonderful

October 19, 2008 by Jessica

I have to say, I love taking Indocin . . . it just puts Cranky Frank right to sleep. I started feeling great on Friday, and then Saturday I was able to run to the jewelry show with my mom and go check out the progress (or lack thereof) on our house renovations. I was feeling so well that I actually forgot to take my last dose of the medicine on Saturday! I even managed to reduce my anti-contraction medication (Terbutaline) to half the dosage and space it out longer than 4 hours! It was so nice to feel human again.

I have a big day planned for Sunday (I’m volunteering at an event all day, and then I’m off to a dinner at a friend’s house).

Filed Under: contractions, fibroid, indocin, terbutaline

Relief in sight

October 16, 2008 by Jessica

I spoke to the maternal fetal medicine doctors today, and I get to do another 48 hrs on the 2nd medicine (Indomethacin). So, for the next 48 hrs, I should be feeling pretty good! I can’t believe how close we are getting to meeting this little guy!

Filed Under: contractions, fibroid, indocin

Cranky Frank Strikes Again!

October 15, 2008 by Jessica

It is official . . . we decided to name the fibroid Frank . . . or Cranky Frank, or Frank the Crank. Funny how easy it is for us to name things other than our son! Well, Frank has been quite crotchety the past 2 days. It all started late last night . . . I fell asleep on the couch and was 2 hours late taking my tylenol. Frank was definitely unhappy about that, and decided to punish me with stabbing pains and contractions from 4:00 am until about 8:30 this morning. I finally managed to subdue him with meds, but he let me know he was pretty displeased on and off all day.

Tonight, we went out to celebrate my mom’s birthday! Just a quick little dinner. Apparently, Frank did not want to go out to dinner, so back to cranking he went. I was pretty miserable by the end of the meal. We did stop off at a new gelatto place, but even that didn’t satisfy Frank. We came home, and Frank is feeling a little better (thanks to some tylenol and some anti-contraction medication). I hope he decides to let me sleep tonight.

I’ve been having a fair amount of contractions tonight – I think they have mostly been small, but still . . . I’d prefer it if they went away. I’m counting down the days until our appointment next week – I just really wish we could cut the little bugger out!

Filed Under: contractions, fibroid, indocin, terbutaline

Another Appt

October 14, 2008 by Jessica

Today was another follow-up appointment to monitor my contractions. Last night was a rough night – I was in a lot of pain and I had contractions pretty steadily throughout the night. Yesterday I tried to reduce the anti-contraction medicine, so today we are going to return to taking the maximum dose at scheduled times (every 4-6 hrs) to see if that helps. I am also staying on the tylenol every 6 hours. I’m still measuring right on target, but I seem to have lost another pound this week. They also sent out another urine culture to see how my UTI is doing. I have to call the maternal fetal medicine place and ask when I can do another course of the 2nd medicine. Other than that, I seem to be doing okay. They don’t really know if the contractions/discomfort will continue throughout this pregnancy or if they will magically disappear, so I’m supposed to focus on each episode at a time and not try to project for the rest of the pregnancy.

Filed Under: contractions, fibroid, indocin, UTI, weight gain

Hanging in

October 13, 2008 by Jessica

I stopped my medication for the fibroid yesterday afternoon, and so far, so good – no hospital visits yet! I am definitely uncomfortable, and the contractions have increased, but I am not in excruciating pain, and the contractions are not regular. Let’s hope this continues along like this – I could manage the rest of the pregnancy like this.

Next step . . . let’s make it to my appointment tomorrow morning without any more trips to the hospital!

Filed Under: contractions, indocin

Wish me luck!

October 12, 2008 by Jessica

I’m a bit nervous. . . . since I started taking this 2nd medicine on Thursday afternoon, well, I’ve felt pretty good. I hardly have any pain/discomfort connected to my fibroid right now, I’m tolerating the side effects of the medication well, and the contractions are few and far between. I was able to resume “normal” activities today . . . I babysat my nieces (okay, I made Elliot do all the work, chasing and lifting) but we went to play at Niki and Eric’s house, and we ate dinner, and then we put them to bed. After we finished babysitting, we stopped off at Ken and Erica’s housewarming party, and finally got home. I’m tired, but feeling great. Tomorrow, my mom and I are going to run to a jewelry show we’ve been wanting to attend, and I’m hoping I feel well enough for that.

I will be taking my last dose of this wonderful medication at 11:00 am tomorrow, and the medicine is due to wear off around 5:00 pm. I’m just worried that the pain and contractions will return, and that we’ll end up back in the hospital. Let’s hope the medicine did more than mask the problem and actually did some healing the past few days. We are supposed to attend Bill’s birthday party tomorrow night – I hope we make it!

Filed Under: fibroid, indocin, Paige, Peyton

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Eat-Sleep-Love | Maryland DC & Virginia Sleep Coach, Baby Planner, Maternity & Child Consultant

"I was exhausted and out of ideas when I consulted with Jessica.  She gave me all the tools I needed to help my children sleep better. Thank you, Jessica, for making our home a happier one!"

-Kari

Mom to 2 year old quadruplets
Eat-Sleep-Love | Maryland DC & Virginia Sleep Coach, Baby Planner, Maternity & Child Consultant

"I was exhausted and out of ideas when I consulted with Jessica.  She gave me all the tools I needed to help my children sleep better. Thank you, Jessica, for making our home a happier one!"

-Kari

Mom to 2 year old quadruplets
Eat-Sleep-Love | Maryland DC & Virginia Sleep Coach, Baby Planner, Maternity & Child Consultant
"Our son did not know how to fall asleep on his own, sleep through the night or stay in bed past 5:00am. Jessica was there every step of the way, offering advice, suggestions and support. Her step by step plan made for easy transitions and successful milestones. We cannot thank her enough for all her work and support!"
T. and S.

Parents to 2.5 year old boy

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