11.27.2007

34w 0d - "Pason" This Week

  • Your baby now measures about 20.25 inches (45cm) in total length and weighs around 5.5 lbs (2550g). Crown to rump measurement is about 13.2 inches (33cm).
  • He continues to grow and fatten up, especially in the shoulder area, and kicks regularly.
  • The fine lanugo hair that covered your baby is shedding, though some may still be present when your baby is born.
  • Your baby's eyes are blue, though this may change soon after birth or much later after birth.
  • Your baby's fingernails are growing. They already reach the tips of his fingers and they may even look quite long and pointy by the time he is born. Your baby may even have some scratch marks from scratching his face with his fingernails.
  • Your baby is probably feeling quite cramped right now and his movements are restricted by his growing size.

11.23.2007

The Business of Being Born

Are you in my area? Even if not... a documentary produced by Ricki Lake titled The Business of Being Born is showing via pre-screenings around the country. See a trailer and more about the film here. You'll also find a link there to the screening schedule.

If you are in my area come to Lexington next week! FREE!

11/29/07 6:00 pm Washington & Lee University, Leyburn Library, Northern Auditorium,
204 West Wasghington St, Lexington, VA

Call Cassandra Perez 540.462.7958 for info.

11.20.2007

33w 0d - "Pason" This Week

  • Your baby weighs almost 5 lbs (2250 g) and is 12.8 inches (32cm) from crown to rump and about 19.8 inches (44cm) long.
  • If your baby were born now, she would be considered "pre-term" rather than premature. This distinction is based on fetal maturity, particularly the maturity of the fetal lungs. A pre-term baby, unlike a premature baby, is likely to have well-developed lungs and is less likely to need intensive care.
  • Your baby is surrounded by a red glow when sunlight shines on your belly and may be aware of this as she is able to differentiate between light and dark.
  • Your baby's hair is getting thicker, though it may be a different color when she is older.
  • She is currently shedding her lanugo, the fine downy hair that previously covered her body.
  • More vernix, the waxy coating that protects your baby's skin while submerged in amniotic fluid, is building up.
  • Your baby's adrenal glands are producing more steroid hormone, the androgen-like hormone that indirectly aids your milk production. Your baby is currently producing ten times more of this hormone than a normal adult and the adrenal glands are currently the same size as those of an adolescent. They will shrink after birth.
  • Your baby is laying down bone. To do this, she will draw calcium from you.
  • Your baby has taste buds and it has been suggested that she can taste and develop tastes for flavors found in the amniotic fluid, particularly flavors that you eat on a regular basis.

11.17.2007

32w - The Pregnancy Etiquette Guide

I found this too entertaining and helpful not to share!


Read along as Minsun, a 29-year-old screenwriter and freelance writer living in Los Angeles, chronicles her first pregnancy.


The Pregnancy Etiquette Guide
by Minsun Park

Emily Post and Judith Martin, a.k.a. Miss Manners, those grand dames of etiquette and civility, are fighting a losing battle against the serious decline of manners in western civilization. Now I'm not talking about the horrors of using the wrong fork at dinner, but rather of an appalling lack of common sense and seeming indifference to other people's feelings -- pregnant people in particular. Surprisingly, there is no definitive etiquette guidebook on how to behave towards pregnant women. Although there are a baffling array of etiquette books for funerals, weddings, baby showers, dinner parties, wedding showers and every other conceivable major life event, not to mention how-to books on every obscure subject imaginable.

Go to your local bookstore and you'll find "The Complete Idiot's Guides" on every topic from Scrapbooking to Speaking Yiddish and Saltwater Aquariums. Yet there's no "Complete Cretin's Guide On How Not To Make a Total Ass Out of Yourself Around Pregnant People." Recognizing this information void, I've decided to take it upon myself to compile a short, informal list of pregnancy do's and don'ts for the complete cretin in your life. Feel free to print this out or use as a template for your own personal etiquette guide and distribute to loved ones and not-so-loved ones.

Resist the urge to be a color commentator
As difficult as this may be to grasp, we pregnant women will be able to sleep soundly at night not knowing how gargantuan or how tiny you think we are. If it is considered rude to make a personal remark on someone's size in normal situations, why is it suddenly acceptable when it's applied to pregnant women? How would you like it if I turned around and started commenting on your lard-ass? In my case, strangers and acquaintances alike are constantly telling me how "small I am for a pregnant woman." They are shocked and even concerned when they learn I am eight months pregnant.

It's kind of a backhanded compliment because the remark only serves to provoke anxiety that maybe the baby is freakishly small despite gaining a healthy 26 pounds. Conversely, I've also had people react with horror that the baby is going to be freakishly big because I've gained such a good amount of weight and since I'm carrying small, it must be "all baby." Either way, once the size observation is made, these same people love to hold me hostage with tales of that gargantuan pregnant lady they saw at the supermarket, museum or whatever. They talk about these sightings with the same awe and relish reserved for a Bigfoot encounter or a tall fishing tale of the big one that got away. Gee thanks. Am I supposed to be flattered by this comparison? That's like me coming up to a total stranger and saying, "Wow, you're pretty fat but not as fat as this obese woman I saw in aisle five at the supermarket the other day. Yeah, she was even fatter than you." Think about it.

Keep your hands to yourself
I don't give a flying fig if you think it's good luck to rub a pregnant belly, keep those grubby paws to yourself. And if you absolutely can't resist, for goodness sake, have the courtesy to ask permission before groping. Of course this rule doesn't apply if you're related to me, a close friend, or someone I know in the biblical sense -- and you know who you are. All others must risk being touched back and you'd be surprised at how much you will dislike it. Recently, a guy in my karate class I don't really like grabbed my burgeoning tummy and said smirkingly, "uh oh!" So I calmly grabbed his beer gut and gave his fat an extra squeeze and said, "uh oh!" right back. He flushed and quickly snatched his hand away and slunk off. He got off easy, because if a total stranger touches my belly, things will get coyote ugly pretty quickly and he or she will have to chew his own hand off in order to get away from me.

Don't join the staring squad
I know, I know, I'm pregnant. Get over it. I don't know what the big deal is but I can see you gawking at me. If you have to stare, at least try to be discreet about it and that means no pointing or worse yet, no nudging your friends and having them join the staring squad. I tested for my brown belt in tae kwon do last week and as I walked past a group of seated spectators -- mostly moms watching their children test, I felt every eye burning holes into me. Some were scandalized while others were curious, but all of them just stared at me relentlessly. Most of these spectators didn't stay for the adult test, but the few that remained continued to whisper and nudge and point in my direction. I'm just a pregnant woman, not a carnival sideshow.

Don't offer unsolicited advice
If I want your advice or opinion, I'll ask for it. Otherwise, back off. Resist the urge to play pregnancy police and get it through your head that my pregnancy is a private, not public event. I know a woman who is annoyingly obsessed with my salt intake. She's constantly warning me about the evils of salt, especially in the third trimester. What these evils are isn't clear since even my own doctor has no idea what she's talking about. She even corners my husband and grills him about how much salt I'm eating. I suspect she imagines that pregnant women are like slugs that will bubble up and melt away if you sprinkle salt on them.

Don't over-share
As strange as this may seem, hearing your harrowing horror stories of fetal distress, perineal tears, or delivering your baby in your driveway because you couldn't make it to the hospital in time, does nothing to relieve my anxiety over my own impending labor. Call me crazy, but your near-brushes with disaster just aren't reassuring. Even if you wrap up your story with the usual "but in the end it was all worth it and besides, you forget all about it later." I don't doubt that it was worth it, and if you really do forget, how do you always manage to remember to tell me?

Don't ask me how I'm feeling
Gone are the days when people used to ask the perfunctory, "How are you?" without really caring what the answer was. It's an unspoken agreement that the only answer anybody wants to hear is "fine" even if you are not fine. But now that I'm an incubator, the new greeting is "How are you feeling?" And for some strange reason, "fine" just doesn't cut it anymore. When I try to get away with "fine" people just seem sort of disappointed as if they expected more detail. Apparently "fine" is boring and unacceptable. Everyone seems so expectant that I often feel compelled to follow up with, "well, my back hurts sometimes" or "I'm a little tired sometimes." Maybe you're genuinely concerned or interested in me all of a sudden and if that's the case then I'm truly touched. But despite the fact that I'm now pregnant, I'm still me and I'm still capable of talking about other topics like current events or anything else besides my condition.

Look me in the eyes, not in the belly
This also belongs in the category of wanting to be treated as an individual not merely an incubator. Unlike my well-endowed girlfriends, I've never had the experience of having eyes riveted to my chest while being complimented on my lovely eyes, so I was unprepared for all this interest in a protruding body part. But it's truly disconcerting to hold a conversation with someone who is talking to my belly instead of to me. So hey, yoo-hoo, I'm up here!

Don't ask me if the baby is here yet
Does it look like the baby is here yet? I'm obviously still pregnant so your question is completely asinine. Try to hone your powers of observation.

And here are some pregnancy do's that are actually helpful:

Do offer me a chair
It's amazing how the same members of the staring squad become mysteriously oblivious to your presence in a crowded bar, bus, train or waiting room. Be a decent citizen and offer up the chair.

Do let me go to the front of that restroom line
Ladies or gents, if this applies, have some mercy on a poor, pummeled bladder and give a gal a break. If you're concerned enough to glare at me in the Starbuck's line, then please be concerned enough to let me go ahead of you in the bathroom.

Do offer to carry that heavy parcel
It's hard enough to lug my extra girth around, let alone the groceries so any help will be gratefully accepted.

A back rub or foot rub is always appreciated
If you want to score points with that pregnant person in your life, then offer a massage. Chances are, there is some body part that aches and we can't get enough comfort measures.

So that's my short and not-so-sweet pregnancy etiquette guide. It's still a work in progress, but hopefully this will be a somewhat informative public service announcement, even in its crude state. Please let me know if I've overlooked anything, and I'll be happy to add to or amend this work in progress.

11.16.2007

"Razor" b. 4/18/06 d. 11/10/07

Razor lost his battle last Saturday to bone cancer. It had spread to his lungs fairly quickly. We don't know a lot of details, as we decided not to put him through any further testing, x-rays, or otherwise unnecessary treatment since bone cancer is such a death sentence anyway. We kept his pain level tolerable as best as possible...

Maybe 3 weeks ago, he started an occasional cough. It became more frequent very gradually, but overall he seemed happy and still wagged his tail and loved being with us (typical Lab). That was all that mattered. We continued to work on his pain level, though, as the tumor in his hip had swollen to an obviously uncomfortable size. We kept him on Prednisone throughout, and just in his last week had started him on a pain killer, Tramadol.

On Thursday the 8th, I noticed his breathing becoming more difficult, and I called Dr. Bowman Friday to see if we could do anything to help him be more comfortable. He suggested a fluid pill but couldn't give any promises that it could work, with a maximum prognosis of 2 more weeks to live. I decided the drug wasn't worth the effort. I was upset but started to process this thought Friday afternoon. I got home first, and Jason was late for running errands. Around 5 p.m., Razor started a coughing fit and coughed up a lot of blood with some sort of tissue. I remained calm but realized his end was very near. After he got home, Jason and I started discussing plans for euthanasia the following day, Saturday. We loved on Razor all night and gave him what would be his last rawhide bone. He so enjoyed it!

Razor had a great night. He woke us up just before 7 a.m. coughing and hardly ever stopped. He continued coughing up some more blood. I called the vet clinic to make sure they could accommodate us, and we waited on Jason's parents to come pay their respects (they had done some dog sitting for us). His breathing became very difficult and it was very painful to watch. I felt guilty that he had gotten to that point of suffering, but I was grateful for the timing that it was Saturday, not a Sunday when the regular clinic is closed, or overnight, or while we were at work. So, his suffering was relatively short. Razor went to Doggie Heaven just after 10 a.m. The vet (not his regular vet who did his surgery) and the tech we saw were very kind and acknowledged we should not have waited a minute longer to bring him. It is truly a gift we can give our pets--to humanely end their suffering. The tech (who helped with his luxating patella surgery) expressed that he was 1 of her favorite dogs to work on, and that now he has 4 perfect legs and is chasing balls! I told her that yes, he might be, but is definitely chewing on sticks too--1 of his favorite outdoor activities. :)

We buried him beside Phoebe, who we lost a couple of years ago to a truck on US Hwy 340. I sure miss them both. Phoebe's death was very sudden at her young age of 2. That was a very difficult loss for us. We feel particularly cheated, as well, with Razor's illness that he succumbed to at just under 19 months old. He was so kindhearted without a mean streak in his poor sick body at all. I ask, don't the mean animals seem to live forever?

While we are angry at God for cutting our time with Razor so short, I remain thankful that he could be with us while he could and that we could love him and care for him the best we knew how. I also trust God's timing. Our little one is expected within a couple of months. I pray and trust that this was God's way of taking 1 more worry or burden from our plates in time for the biggest life change and commitment--welcoming a child into our home.

Indy, our Border Collie X, is doing well. He is getting extra attention from us now of course. For several days he acted different. That was difficult to see. The primary behavior was that he still looked for Razor in his crate where his crate was set up in the foyer. So far he is doing fine, though. We told him that he is an "only child" for just several more week now! It seems very quiet in the house now without Razor, but I know that is all about to change very soon!

We sure miss you, buddy! We will see you again... 1 day...

Stay tuned for more pictures of him I hope to post.

11.13.2007

32w 0d - "Pason" This Week

  • Your baby now weighs about 4.4 lbs (2000g) and measures about 12 inches (30cm) from crown to rump and about 19.4 inches (43cm) in total.
  • Now that your baby is running out of room in your womb, you can probably see your belly moving as your baby kicks.
  • Your baby may dream as he sleeps and when awake he may be alert, listening, feeling and even seeing dim shapes.
  • Though your baby is still inside the womb, he is learning all the time as billions of neurons are making connections.
  • Your baby is probably in his birth position by now.
  • Your baby's lungs may be sufficiently developed by now, though if he were born now, he would probably still need an incubator to stay warm.

11.08.2007

Website of Interest - Fetal Positioning

I forgot to mention a website of interest I heard about the other evening. Spinning Babies provides techniques and philosophies that work for some (but not all) women, in getting your baby into the ideal position for birthing. I figure it is definitely worth noting "just in case!"

11.07.2007

31w 1d - Midwife Appointment & Massage

I finally met the fourth midwife today, Ann. I loved her! My BP was good (forgot the measurement), weight gain good, around 21 lb so far. I think Pason's head is down to the left, and feet up and to the right, but Ann couldn't find the head. No biggie, still plenty of time. Heartbeat was around 139 bpm--stayin' strong!

I asked her about the "physician preference" of the newborn exam being done in the nursery, and who should we request if we absolutely don't want this? She gave me a recommendation of one of the practices who does rounds at the hospital that, as far as she knows, always does the exams in the room! yay! This is a relief. She said they tend to be a little more laid back and personable. I hope she's right.

This evening I had a maternity back massage for 30 minutes due to an awful pain I got in my upper back not long ago from using the mouse and typing. I feel sooooo much better! It was totally worth it, and I'm "cheap!" :-)

11.06.2007

ICAN Information Meeting & A Doula

Tonight I attended a Birth Matters Virginia meeting. The presenter was the founder of the SW VA chapter of ICAN, the International Cesarean Awareness Network. I learned a great deal about what the docs don't want us to know!

I learned a little under each of the following topics regarding c-sections:
  • statistics (almost 1 in 3 births in the U.S.)
  • why they are performed
  • how they are performed
  • benefits
  • risks
  • how to prevent "the first cut" (c-section in a first birth) and subsequent c-sections
  • hospitals that "ban" VBACs
    • Under this heading... The hospital where I am delivering is one of them! I had no idea and was appalled. However, a few ladies in the meeting noted that if the mother is outspoken enough, the care giver has happily complied and allowed the VBAC "procedure." (Though there is no "procedure" about it--it's a natural part of life and a mother's choice to deliver at a hospital.)
Also at the meeting I met a couple of doulas who lead the Birth Matters group. I have thought more extensively about using a paid doula instead of the volunteer doula program through the hospital. From what I hear it will be completely worth our money to hire one. I think I'll be looking up a few to interview.

31w 0d - Ups & Downs

Downs
  • Fatigue
  • Diastasis Recti (see previous post (10/26/07), ow!
  • Only 6 weeks until "full term," yikes!
Ups
  • Baby hiccups. Began feeling them on Sunday!
  • 2 months left (hopefully)!
  • Our Arm's Reach co-sleeper arrived yesterday (thanks "Grandma!")
  • Nursery almost complete (cosmetically at least)
  • My supportive hubby

31w 0d - "Pason" This Week

  • Your baby's total length is 18.9 inches (42cm) and she is perfectly formed! She measures about 11.6 inches (29cm) from crown to rump. All she has to do is fill out more. Your baby weighs almost 4 pounds (1800g). If she were to be born now, she would still need to be incubated as she has insufficient fat stores to keep her warm.
  • Your baby can distinguish between light and dark.
  • Your baby can hear the outside world quite well now, and can also hear the sounds of your heartbeat, your digestion and the blood rushing in the umbilical cord. The pitch of women's voices are in the range babies are most able to hear over all the internal background noise. Your baby is already familiar with your voice and will be able to recognize it after birth.

11.04.2007

30w 5d – Hospital BirthPlace Tour

We got the tour over with and I practiced some of my relaxation breathing in the waiting room. I’ve heard many women say that all the relaxation breathing in the world couldn’t help them through the pains of labor. I’m really hoping HypnoBirthing techniques come through for me! I trust that it definitely has the potential to, and that I am capable of experiencing a gentle, natural birth. Whew, I guess I needed to get out some of those affirmations!

Back to the tour. We saw the regular and special care nurseries, as well as an L&D room and a postpartum room. Oh, and the nurse leading the tour showed us *those doors* we would go through should we encounter the need for a cesarean section. Jason asked if he could go back, and the nurse explained that yes, under most circumstances, unless it is a quick emergency.

The L&D room stunk like feces! It was horrible. Luckily all the rooms weren’t like that. Maybe it hadn’t been fully cleaned yet. There had just been several discharges. Anyway we saw the Jacuzzi-tub, bench the birth companion (Jason) would be able sleep on, and different cribs the babies would sleep in. I asked also to see a birth ball and birthing stool. I gave the stool a try and it was quite comfortable. I’ll be able to imagine myself using it in my birthing imagery.

At the end we saw a newborn through the nursery glass getting his first bath. It seemed a little sad that the proud papa was outside the glass with us, just watching. Nobody else was in the nursery so I suppose he could have asked to be there. Maybe he didn’t think to ask. The nurse sure seemed awfully rough with his bath! He was all red from crying so hard aww.