Saturday, July 30, 2011
Oh and...
The doctor told me at my appointment this past Thursday that I'm now 1.5 cm dilated, 50% effaced, and my cervix has moved more anterior. My next appointment is in a couple of days (Monday, August 1st).
So close but not close enough...
I went walking yesterday around the neighborhood for about 45 minutes and started having a lot of pressure, cramping, and lower back pain. I feel like I would have gone into labor if I had kept walking. I took a long nap after and woke up feeling normal again.
We went to Bele Chere today (our local street festival) and I'm pretty sure I lost my mucous plug. I know that's gross as hell but it's all part of this crazy mess called pregnancy. I feel like something has to happen soon but who knows. Come on Zoey!!
We went to Bele Chere today (our local street festival) and I'm pretty sure I lost my mucous plug. I know that's gross as hell but it's all part of this crazy mess called pregnancy. I feel like something has to happen soon but who knows. Come on Zoey!!
Monday, July 25, 2011
37 Week Baby Mountain
I went to the doctor last Tuesday and she said I'm dilated 1cm, starting to thin, and the Zoey's head is right there. None of this really means anything because I can be dilated for weeks before anything happens but at least we're getting somewhere. I also have been having some mild cramping down there since my appointment. I'm guessing they're just part of the braxton-hicks contractions. I have another doctor appointment this Thursday and she will be checking me again to see where we are at.
This bump is now officially a mountain. I swear it's growing larger every day......
P.S. I made the famous "labor inducing" Alla Scalini's Eggplant Parmigiana this past weekend and no dice. Zoey will come when she's good and ready I suppose. It was worth a shot.
This bump is now officially a mountain. I swear it's growing larger every day......
Thursday, July 21, 2011
Tuesday, July 19, 2011
This NPR article helps me to be a LITTLE bit more patient......
Doctors To Pregnant Women: Wait At Least 39 Weeks
In her living room, Caroline Nagy introduces the newest member of her family — the 6-week-old infant in a striped onesie cradled in her arms. "This is Alex Joseph. He was born May 24th — my birthday," she says.
Their shared birthday wasn't entirely a coincidence. Two weeks before her due date, Nagy was swollen, and uncomfortable. So she asked her doctor for relief.
"I was just miserable. It was like uncomfortable to walk; I couldn't sit on the floor and play; I felt like I was neglecting my first kid because I just couldn't move and I couldn't do anything," says Nagy. "So I asked, 'Is there any way I can speed this up and have a baby earlier?' "
For Jackie McGinty, it wasn't discomfort but timing that caused her to schedule her daughter's birth by C-section eight years ago. McGinty's first child was delivered by C-section for medical reasons, and although this time around she had hoped to deliver naturally, she had just moved out of state and wanted her family nearby to help with the baby.
"My mom was coming out and she was only going to come out for a few weeks. I needed her to be there after the birth. ... So having the option to schedule it was good for us," says McGinty.
Harm In Planning Too Far Ahead?
Stories like these are common. Statistics show that from 1990 to 2006 the percentage of women who induced labor more than doubled, and nearly a third of women were having cesareans.
The increase wasn't because of emergencies, says Jay Iams, a specialist in maternal fetal medicine at Ohio State University, but rather because women and doctors began scheduling deliveries for convenience — "convenience for the mother, for the family, for the physician," says Iams. Sometimes, Iams says, it's because patients say to themselves, " 'I want only my doctor to be there. I don't want the person who's on call.' "
Having a baby naturally requires lots of planning. But when it comes to the arrival date of your bundle of joy, experts now say that planning too far ahead can do more harm than good.
A full-term pregnancy lasts 40 weeks, but elective deliveries are often planned for two or three weeks earlier. And even though 37 weeks is also still considered full term, studies show that babies born even a few weeks too early are at greater risk for health problems than those who are born later. That has some doctors campaigning to curb the trend of scheduled labor and delivery.
Pediatrician Ed Donovan of Cincinnati Children's Hospital says data collected over the past several decades show those babies have an increased risk of complications compared with waiting until the mother goes into labor spontaneously.
"It's now really well-documented in national studies that the risk of the baby having to require intensive care in a neonatal intensive care unit — even the risk of infant death — is increased when the baby is born as little as two weeks before the due date," says Donovan.
Organ Systems Maturing At Different Rates
The reasons for this are two-fold. First, without an ultrasound measurement in the first trimester, a woman's due date could be as much as two weeks off, making the fetus 35 weeks instead of 37. And second, Donovan says the brain, heart, lungs, and immune system all mature at different rates — and some may need a little more time than others.
"Just because the lungs are mature doesn't mean that the other organ systems are mature," says Donovan. "A baby born three weeks early with mature lungs may not be ready to eat because the brain's not fully developed."
According to Donovan, doctors realized they simply weren't very good at determining which babies were ready and which weren't. And Iams says the large numbers of sick babies made many doctors begin to think differently about early deliveries.
"Thirty-seven weeks is term, but they became the most common occupants of neonatal intensive care nurseries," says Iams. "And the pediatricians naturally said, 'They could have waited.' "
Still, many women and even many obstetricians remained unaware of the risks because it didn't fit with their experience.
"People see their friends having babies early, and sometimes women go into labor on their own at 37, 38 weeks — and that's not unusual and those babies are fine," says Jennifer Bailit, an obstetrician at Metro Health Medical Center in Cleveland. "But those are babies that have told us that they're coming and that they're ready."
Convincing Mothers It's Worth The Wait
Bailit is part of an effort led by Iams and Donovan to reduce the number of scheduled deliveries before 39 weeks across the state of Ohio. Bailit says that she often has to explain to women the importance of those last few weeks — and that the discomfort is normal but something that needs to be endured for the sake of the baby.
"It's tough to be pregnant, and sometimes when you're in the moment it's hard to keep the big picture in mind," Bailit says. "When we guide people toward that kind of thinking it really helps them say, 'I'm doing this for my baby; it's worth it.' "
In addition to helping doctors like Bailit educate pregnant women, Iams and Donavan asked doctors at the 20 largest hospitals in the state to document a medical reason every time a woman was scheduled to deliver before 39 weeks. And much to their surprise, Iams says in under 15 months the rates of those deliveries dropped from 15 percent to under 5 percent. And more important, the number of babies admitted to neonatal intensive care also decreased.
And the idea is catching on across the country. The March of Dimes has taken what began in Ohio and a few other select states and extended it nationwide in a campaign it's calling "Healthy Babies are Worth the Wait." Alan Fleischman of the March of Dimes says the rate of elective births in the hospitals the organization has surveyed is about 30 percent.
"Most hospital leaders don't believe they have this problem until they actually measure it," says Fleischman. "And when they do, they're surprised."
As in Ohio, their preliminary data show that in only a short period of time, even hospitals with very high rates of scheduled deliveries are able to reduce them to about 5 percent or less by making a few simple changes — and in turn, increase the likelihood of a healthy baby.
Although inductions at 39 weeks and beyond are considered safe, some doctors feel that unless there is a medical reason to deliver early, the best labor plan for women is an old-fashioned one: Hang in there and wait until labor starts on its own. [Copyright 2011 National Public Radio]
http://m.npr.org/news/front/138473097?singlePage=true
Photo Researchers
A rendering of a 36-week fetus in the womb.
Published: July 18, 2011
In her living room, Caroline Nagy introduces the newest member of her family — the 6-week-old infant in a striped onesie cradled in her arms. "This is Alex Joseph. He was born May 24th — my birthday," she says.
Their shared birthday wasn't entirely a coincidence. Two weeks before her due date, Nagy was swollen, and uncomfortable. So she asked her doctor for relief.
"I was just miserable. It was like uncomfortable to walk; I couldn't sit on the floor and play; I felt like I was neglecting my first kid because I just couldn't move and I couldn't do anything," says Nagy. "So I asked, 'Is there any way I can speed this up and have a baby earlier?' "
For Jackie McGinty, it wasn't discomfort but timing that caused her to schedule her daughter's birth by C-section eight years ago. McGinty's first child was delivered by C-section for medical reasons, and although this time around she had hoped to deliver naturally, she had just moved out of state and wanted her family nearby to help with the baby.
"My mom was coming out and she was only going to come out for a few weeks. I needed her to be there after the birth. ... So having the option to schedule it was good for us," says McGinty.
Harm In Planning Too Far Ahead?
Stories like these are common. Statistics show that from 1990 to 2006 the percentage of women who induced labor more than doubled, and nearly a third of women were having cesareans.
The increase wasn't because of emergencies, says Jay Iams, a specialist in maternal fetal medicine at Ohio State University, but rather because women and doctors began scheduling deliveries for convenience — "convenience for the mother, for the family, for the physician," says Iams. Sometimes, Iams says, it's because patients say to themselves, " 'I want only my doctor to be there. I don't want the person who's on call.' "
Having a baby naturally requires lots of planning. But when it comes to the arrival date of your bundle of joy, experts now say that planning too far ahead can do more harm than good.
A full-term pregnancy lasts 40 weeks, but elective deliveries are often planned for two or three weeks earlier. And even though 37 weeks is also still considered full term, studies show that babies born even a few weeks too early are at greater risk for health problems than those who are born later. That has some doctors campaigning to curb the trend of scheduled labor and delivery.
Pediatrician Ed Donovan of Cincinnati Children's Hospital says data collected over the past several decades show those babies have an increased risk of complications compared with waiting until the mother goes into labor spontaneously.
"It's now really well-documented in national studies that the risk of the baby having to require intensive care in a neonatal intensive care unit — even the risk of infant death — is increased when the baby is born as little as two weeks before the due date," says Donovan.
Organ Systems Maturing At Different Rates
The reasons for this are two-fold. First, without an ultrasound measurement in the first trimester, a woman's due date could be as much as two weeks off, making the fetus 35 weeks instead of 37. And second, Donovan says the brain, heart, lungs, and immune system all mature at different rates — and some may need a little more time than others.
"Just because the lungs are mature doesn't mean that the other organ systems are mature," says Donovan. "A baby born three weeks early with mature lungs may not be ready to eat because the brain's not fully developed."
According to Donovan, doctors realized they simply weren't very good at determining which babies were ready and which weren't. And Iams says the large numbers of sick babies made many doctors begin to think differently about early deliveries.
"Thirty-seven weeks is term, but they became the most common occupants of neonatal intensive care nurseries," says Iams. "And the pediatricians naturally said, 'They could have waited.' "
Still, many women and even many obstetricians remained unaware of the risks because it didn't fit with their experience.
"People see their friends having babies early, and sometimes women go into labor on their own at 37, 38 weeks — and that's not unusual and those babies are fine," says Jennifer Bailit, an obstetrician at Metro Health Medical Center in Cleveland. "But those are babies that have told us that they're coming and that they're ready."
Convincing Mothers It's Worth The Wait
Bailit is part of an effort led by Iams and Donovan to reduce the number of scheduled deliveries before 39 weeks across the state of Ohio. Bailit says that she often has to explain to women the importance of those last few weeks — and that the discomfort is normal but something that needs to be endured for the sake of the baby.
"It's tough to be pregnant, and sometimes when you're in the moment it's hard to keep the big picture in mind," Bailit says. "When we guide people toward that kind of thinking it really helps them say, 'I'm doing this for my baby; it's worth it.' "
In addition to helping doctors like Bailit educate pregnant women, Iams and Donavan asked doctors at the 20 largest hospitals in the state to document a medical reason every time a woman was scheduled to deliver before 39 weeks. And much to their surprise, Iams says in under 15 months the rates of those deliveries dropped from 15 percent to under 5 percent. And more important, the number of babies admitted to neonatal intensive care also decreased.
And the idea is catching on across the country. The March of Dimes has taken what began in Ohio and a few other select states and extended it nationwide in a campaign it's calling "Healthy Babies are Worth the Wait." Alan Fleischman of the March of Dimes says the rate of elective births in the hospitals the organization has surveyed is about 30 percent.
"Most hospital leaders don't believe they have this problem until they actually measure it," says Fleischman. "And when they do, they're surprised."
As in Ohio, their preliminary data show that in only a short period of time, even hospitals with very high rates of scheduled deliveries are able to reduce them to about 5 percent or less by making a few simple changes — and in turn, increase the likelihood of a healthy baby.
Although inductions at 39 weeks and beyond are considered safe, some doctors feel that unless there is a medical reason to deliver early, the best labor plan for women is an old-fashioned one: Hang in there and wait until labor starts on its own. [Copyright 2011 National Public Radio]
http://m.npr.org/news/front/138473097?singlePage=true
Tuesday, July 5, 2011
34 Weeks (8-1/2 months!!!)
I went to the doctor today and everything is still in good shape. Her heartbeat is perfect and I'm measuring at exactly 34cm, where I should be. We only have about 40 days until my due date so I start getting cervical exams each week (starting on the 19th) to determine positioning, if there's any dilation (yikes), etc,
Kisses from Dad.......
Kisses from Dad.......
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