I told no one. Jeff couldn’t help himself and told a few people right away. Somehow our parents did not find out, so I went to the store on Christmas Eve and bought two sets of outlet covers, ear plugs and pacifiers. We made two bags – one for his parents and one for mine – and included them with the rest of the gifts. After the parents knew, the plan of not telling a lot of people until the end of the first trimester was out the window. Now I am glad that it worked out that way.
Aside from the horrid mood swings, the first trimester was pretty uneventful. I waited and waited, but the morning sickness never happened! We had an extra ultrasound as part of the first trimester screen. The results of the screen created a bit of ruckus, as it indicated that my chances of having a child with Down Syndrome were 1:47. One of the
All continued to go well during the second trimester. The mood swings leveled out and I developed a raging appetite. I cooked more during the second trimester than I did during the preceding year! :-) We really wanted a natural, unmedicated birthing process, so decided to attend birthing classes that fully supported this and helped to prepare us for this. Of course, nothing of the sort was available in Williamsport or Lewisburg, so we drove 90 minutes each way to attend class in State College. We had our 20-week ultrasound on April 7th, and found out that we would be having a Gracie and that all looked well. She kept her hands in front of her face for the duration of the ultrasound, so we had no idea what she looked like. At the beginning of the 22nd week I finally began to feel her moving around. Things looked good during my
THE LATER MONTHS
The beginning of the third trimester was as uneventful as the first two, but once July hit, there seemed to always be something creeping up.
July 2nd – 32 weeks. During a regular check-up my blood pressure was a bit elevated (but not critically high). Because this is always a concern, and can lead to bigger things, the mid-wife sent me over to L&D for a few hours of monitoring and an ultrasound. Apparently all I needed was a time-out, because my pressure came back down to normal within 20 minutes. Everything looked good with the ultrasound – Gracie was measuring in the 30th percentile for her gestational age. I left with instructions to increase my BP medication to twice daily and follow-up with one of the docs first thing on the morning of July 6th. Coincidentally, I also began to develop an issue with fluid buildup in my right ear on July 2nd. The follow-up on the 6th was uneventful – continue at the same med dosage and start weekly non-stress-testing and ultrasounds the following week. I had gained 23 pounds at this point.
July 7th – 32.5 weeks. I was seen in my primary care office (but not by my doctor) for the ear thing. The fluid was persistent and I wanted to make sure that it wasn’t an infection. I left that appointment with a prescription for Amoxil and a good chuckle (the doctor needed me to tell him that I was pregnant – I guess it wasn’t obvious enough). Two days later I started with a GI bug and had an on/off fever and pretty bad diarrhea for 3 days.
July 11th – 33 weeks. At the behest of my PCP, I went to the ER to get some IV fluids (to combat the diarrhea) and also get my ear re-checked, since my hearing was severely impaired and the pressure/pain was getting worse since starting the antibiotics. It was one of the most interesting trips that I have ever had to the ER. I was advised at triage that my PCP had called to tell them why I was coming in, and the head nurse (a very odd, puff-chested little man) had decided, based on my PCP’s report, that I would be going directly to L&D because I must be pre-eclamptic. I politely told the girl at triage that I was not pre-eclamptic and was not there for a maternity issue, but instead to get my ear looked at and get a little fluid to prevent me from dehydrating and developing said maternity ‘issues.’ She told me that her instructions were to take me directly upstairs. I told her again – not so politely – that I was not there for maternity care, but I would be happy to go up to L&D and talk to whomever was on call for the weekend AFTER someone looked at my ear. Shortly thereafter, the puff-chested nurse came out to get me from the waiting area and said “I understand that you’ve decided that you don’t need to be seen in labor and delivery and that we won’t be sending you there?” Score: Susan-1, puff-chested little man-0. :-)
I did get my fluid and was able to have an intelligent conversation with the doctor about the events of the preceding 10 days. AND….he looked at my ear. Turns out that I did not have an infection and did not need the Amoxil. Amoxil stopped immediately. Good news -- the ear deal was all fluid. Bad news -- it could take up to 3 months for whatever was blocking the Eustachian tube to work its way out and allow the fluid to drain. So….up to 3 more months of deafness on the right side. I thanked the doc for dealing with my ear there instead of sending me to have the OB folks do it, and he told me that they have a policy in the ER that dictates pregnant women go to L&D automatically if they are beyond a certain point of gestation (I believe it was 32 weeks – I was 34), and that is why the nurse was trying to send me upstairs. So I asked him if I would have been redirected to L&D if I had come in with an open tib/fib fracture, and he gave me the ‘no, that would be a different story’ song and dance. I argued that my ear was no different than an open tib/fib fracture and he laughed at me. After all of this, I was able to go home without making a stop in L&D. Score: Susan-2, puff-chested little man-0. :-)
July 12th/13th – 33.5 weeks. After the GI bug passed and the Amoxil was D/C, I had a good Sunday and Monday. Monday night, I woke up around 0100 with terrible belly and back pain. It didn’t feel like Gracie pain – it felt like gas. I felt so bloated. It was some of the worst pain I had ever experienced. I tried all kinds of things to quell this pain – lying back down, a shower, laying in the tub, sitting on the toilet, massage – nothing worked. Once the clock struck 0500 I figured that I needed some sleep and I broke down and took a Lortab, which had been previously approved for sparing use in the event of a monster migraine. I finally got to sleep and when I woke up a few hours later, the pain was gone. The rest of Tuesday was uneventful. Tuesday night around 9pm the pain came back with a vengeance and hung around all night. Neither of us got much sleep. Still quite uncomfortable, I went to work Wednesday morning (July 15th) – luckily I had scheduled myself for an administrative day and wasn’t seeing any patients. The pain got worse and worse over the course of the day, and I started to worry a little. Because of my pre-existing blood pressure issue, everyone in the medical community wanted to make every little ailment pre-eclamspia. This time, I was the one making me pre-eclamptic and I was worried that this might be liver-related pain. I finally decided around 4:00 that I needed to get it checked out. The doc took one look at me and said ‘Honey, you have a hot gall bladder.’ How dumb did I feel??? So, we headed off, once again, to L&D. Spent a few hours there, discussed things with the midwife and opted for an IM injection of Morphine so I could go home. Felt FABULOUS over the next two days – better than I had felt in a few weeks.
July 17th – 34 weeks. We had our first NST and Biophysical profile ultrasound. The NST turned out to be a rather drawn-out adventure. Miss Gracie turned out to be a sound daytime sleeper and didn’t do much moving during the NST, and as a result, she did not demonstrate the elevations in heart rate that the NST looks for. Everything looked GREAT in the ultrasound – scoring an 8/8 for that part of the BPP. I noticed when they weighed me at the beginning of the appointment that I had lost a few pounds since the 2nd.
July 21st – Another NST. It took Gracie about 90 minutes to decide to cooperated and move around enough show the desired heart rate elevations. Aside from her stubbornness, all was well.
July 24th – 35 weeks. Another NST. Same results as usual with the NST, so the midwife really wanted another ultrasound. All looked well with the ultrasound – scored 8/8 again on the ultrasound portion of the BPP. Talked to the midwife about continued weight loss – had lost 7 pounds since the 2nd. The baby had also gone from the 30th percentile in size to the 19th percentile. The midwife said that some of the weight loss could be a result of getting rid of some of the excess fluid that I had been carrying in my arms and legs for a few weeks. She went over my fundal height measurements, which were all right on, and reminded us that some people grow 6 pound babies and some grow 10 pound babies. She said we would see how things measured up in the ultrasound scheduled for 7/31, but there was no concern about growth restriction until we got near the 10th percentile.
July 28th – 35.5 weeks. Another NST. Same results as all the others. Saw yet another doc that day (that we had not met previously), who said that although the NST itself wasn’t concerning, it was considered to be non-reactive and it was desirable to follow-up with an ultrasound. Jeff and I both had time constraints that afternoon because of work, and neither of us felt that doing an ultrasound was necessary since we had just had one on the 24th and we were scheduled for another on the 31st – and the data collected in each ultrasound is considered to be valid and reliable for 7 days. We declined the ultrasound and headed back to work.
July 30th – 36 weeks. Normal day. Gracie very active while I read in bed from 10:00-11:30 p.m.