Wednesday, December 28, 2011
Wordless Wednesday: The 259th Day
Yesterday morning, as I rolled out of bed, I was positive that this was the day. I don't think you really want to know precisely why I was so positive (let's just say that it had to do with gross body substances) & that, combined with rocking cramps, had me convinced that this, was it.
Well, it didn't quite work out that way. Husband took me to the OB-GYN (a normal appointment, all ready scheduled) and I'm not in labor...not yet. I am 2 cm dilated (seems to be progressing at the rate of 1 cm/week) but unless 6 cups of amniotic fluid exit the building, I'm not really "in labor". I am also GBS (group B streptococcal?) positive, so labor will involve antibiotics in my IV. And also, the hospital doesn't allow you to wear your own insulin pump, something that doesn't make me too happy because I've been planning on this for months (barring any emergencies). OB-GYN assured me that they have a team of internal medicine guys to "get my diabetes back on track with pump adjustments" after delivery. (yeah, right. NO offense, but my diabetes is never "on track") And then...the issue about blood sugars during actual delivery. He said they like to run them on the high side. (and by that, I'm guessing 100-120,which is kind of laughable to think about those numbers being on the high side! And that's perfectly alright, if that works out to be the case but I'm envisioning having to get ALOT of IV dextrose if they're the ones who actually run the D-show) My Endo doesn't have privileges there, so she doesn't have any say in the matter. I'm not sure that I can refuse to go off my pump (and not be admitted there), I've never been refused the use of my pump for an extended period of time.
And then, it was off to the NST/biophysical profile which went pretty routinely. I never pass the NST, but the biophysical profile always comes out ok. (8/10 is normal) Perinatologist doctor wanted to know what OB/GYN doctor had planned (in terms of delivery)...its kind of like the two offices never communicate. (the answer is:vaginal delivery, unless it hasn't happened by the 39th week, and then they will schedule an induction) I have to get a magnesium infusion (via IV) this week, to prepare for delivery & in the hospital, they'll be checking my electrolytes daily (and the babies electrolytes at birth, to screen for any problems). He also updated all the names/numbers of my Endo,the OBGYN group, the pediatrician that we chose, and my Nephrologist into the hospital computer system in preparation for that day.(suite at the hospital=booked,patient with zillion medical issues coming through)
The antibiotics will fortunately be penicillin (I'm allergic to doxycycline). I don't really know I'm really going to know if I'm in labor if the amniotic sac doesn't burst, because I have contractions (both painful, and not) already,but I'm guessing that if dilation continues at this rate at some point it will switch from "latent"(0-3 cm) to "active"(4+ cm)and things will steamroll from there. I've survived Christmas, so now I'm hoping I have a New Year's baby (you get a ton of free stuff if you've the first baby on Jan.1) & the baby is mature enough, so if he wishes to make his appearance on that date, I'm more then agreeable to that.