Tag Archives: OBGYN

Appointments and Other News

The early part of this week has been chock full of appointments for C and me.  C had his 15-month checkup, and is doing great.  I absolutely love his new doctor.  She’s extremely nice and very thorough.  C is now 19 pounds (6th percentile) and 31.5 inches tall (60-something percentile).  He had two immunizations and cried briefly – until I gave him goldfish crackers to snack on, of course. ;)

I got contact lenses for the first time!  They feel very weird, but I’m hoping I’ll adjust quickly.

I also went to my new OBGYN practice for a physical, and to get some questions answered about trying to conceive.  One of my biggest concerns was that, like my previous experience, I wouldn’t be able to get a prenatal appointment until 8-12 weeks along and I’d have to battle hyperemesis again through that time.  The nurse practitioner’s response, “Oh my goodness!  No!  We would never, ever make you wait that long.  We’d get you in here as soon as possible.  No, we never make people wait when they’re having problems with pregnancy – or any problems, for that matter!”

And there you have it – another of my fears, relieved. :)

Building My Team of Doctors

So, if you haven’t heard…Hubster and I are starting to think about trying for Baby Deuce.  Since I’ll be at high risk for experiencing another postpartum mood disorder, I want to be as prepared as possible before becoming pregnant.  I’ve been working on building my “team.”

On Wednesday, I met with a therapist who has quite a bit of experience working with PPD.  She was wonderful, and I was completely comfortable with her.  I’m so happy to have found another therapist that I like.  I have a hard time opening up, so I was nervous about finding someone.

On Thursday, I had an appointment with a psychiatrist that my therapist recommended.  I can’t even begin to tell you how excited I am to have him on my team.  The man is brilliant; you can just tell.  When I explained how I’d been told to withdraw from Effexor, he raised his eyebrow and said, “She told you what?”  He told me that Effexor, while a very effective drug, is one of the absolute worst drugs to miss a dose of and to withdraw from.  We agreed on a very slow schedule of tapering off of the medication.  It should take me about two months to come completely off, and then we’ll need to wait two weeks to see if I am okay without any medication.

He also chatted with me about SSRIs that have been proven to be safer during pregnancy, in the event that I would need to continue with medication.  The man really knows his stuff, and I feel so blessed to be able to meet with him.  I feel very confident that he’ll be able to help me through whatever mental health challenges, if any, are ahead of me.

The last member of my “team” will be an OBGYN.  I need to know that if I experience hyperemesis again, that I’ll be able to get an appointment earlier than the standard 8-12 weeks gestation.  I need to know that my OBGYN is a competent surgeon, since I will need a scheduled c-section.  I need to know that my OBGYN recognizes that I’m at high-risk for depression during pregnancy and postpartum.  I will have this appointment in late July.

I’m so excited about my team!  I’m thrilled that Hubster and I are in a larger city now, with a greater pool of medical professionals available.  I’m happy that we’re going into this prepared for all possibilities.  I’m excited for our family to grow. :)

Good As New!

WOOHOO!!!  My 6-week checkup is over and now I can return to life-as-usual.  Exercising, being able to lift C in his carseat…doing whatever I want!  I am *SO* excited to start working out again.  Now, to work back into a cardio routine…

What exercise routine did you start with after a c-section?  (or a vaginal delivery)

Birth Plans

All of the pregnancy books tell you to come up with a birth plan so that you know exactly what you want to do when the time comes.

I’ll admit, the thought of a birth plan was a little daunting to me.  This was my first pregnancy and I had no idea what to expect from a labor and delivery experience.  I was afraid to plan it all out because that meant I had to really think about it ahead of time.  My doctor asked me about it during one of my late third trimester appointments.  When I said I didn’t really have one, but I knew I wanted an epidural, she just chuckled and said it was probably a good thing.  The people who come in with a three-page birth plan, for example, are often disappointed because things never seem to go exactly as planned.

I went in knowing that I wanted an epidural and a vaginal delivery.  That was the extent of my birth plan, and I thought of it as very relaxed and “go-with-the-flow.”  Hubster can attest to my laid-back approach – I even allowed him to watch the NFL draft on ESPN while I was in labor! ;)

As it turns out, I was not quite as “go-with-the-flow” about everything as I thought.

After 16 hours of laboring in the hospital (preceded by 3 days of early labor at home) and 1.5 hours of pushing, the on-call OBGYN broke the news that I would require a cesarean delivery.  I immediately burst into tears.  I had only wanted two things out of my birth experience, and a c-section was NOT one of them.  I thought about the surgery, the longer recovery time, the fact that I would need c-sections with any future deliveries.  I felt like I had failed by not being able to deliver my son vaginally.  I had pushed for 1.5 hours, to no avail.  Why couldn’t I do it?  It was devastating.

Nearly three weeks later, I have the gift of hindsight.  In retrospect, my c-section was not a terrible thing.  Our little C is here, and he is perfect.  My incision is healing very well.  Even though I went through surgery, I have TONS more energy than I had at the end of my pregnancy.  I was worried about losing weight because I would be less active, but I’ve lost all but 6 pounds of my baby weight already.  Yes, I have a long way to go before my incision and abdominal muscles totally heal.  Yes, I will need to have a cesarean with my future kids; but on the bright side, I will never need to experience a painful labor again.

While I have been reflecting on this topic myself, I also feel there are additional reasons to blog about it.  I have a few friends and family members who are expecting and will be thinking about their birth plans soon.  I’ve also seen birth plans mentioned by several people I follow on Twitter.  Even though I was pretty laid back about my birth plan, I still was devastated when things didn’t go as I had hoped.  I really want to encourage women to go in with a plan of what they would prefer to happen, but to also be open to the very realistic possibility that events could happen that will change that plan.  I don’t want anyone to feel like they have failed their baby or themselves because things didn’t go as planned.

If you don’t want drugs, but find you need them – you are NOT a failure.  Labor and delivery HURTS.  It’s okay to need medication to be more comfortable.

If you need pitocin to move things along – you are NOT a failure.

If your doctor needs to use forceps or a vacuum to assist in your delivery – you are NOT a failure.  Your doctor does this all the time and feels that it’s best for your baby to get out faster with assistance.

If you need to have a cesarean – you are NOT a failure.

Events occur during pregnancy, labor and delivery that you may or may not anticipate, but that’s okay.  You are giving LIFE, and that is an amazing thing.  How your baby arrives here does not matter a day, a week, or a year later.  You’ve carried, nourished and given life to a little person.  That’s all that is important in the end. ;)

Waiting for Labor is a Crash-Course in Patience

I’ve never been a patient person.  Waiting for labor is driving me completely insane.  I am now convinced (illogically, I admit) that Baby C is NEVER. COMING. OUT.  Good thing I didn’t get my hopes up yesterday when they told me I was probably dilating and labor would come soon…I had my appointment today and there was absolutely no change.  I’m still at 2.5cm.  His head is as low as it can get, so it’s no surprise that I feel like I’m holding a bowling ball in between my legs.

I’m frustrated that my due date has always been incorrect.  Had it been correct, I would already be at 40 weeks and we could talk about an induction next week.  Instead, I’ll technically be 42 weeks before they’ll entertain the idea of an induction.  Stupid PCOS and irregular periods.

I’m frustrated that all my cramping and contractions are getting me nowhere.

I’m frustrated that my doctor told me 4 weeks ago that I would be early.

I’m frustrated that I’m too exhausted and in pain to want to do anything to make the time pass more quickly.

I’m frustrated that I see people with due dates AFTER mine having their babies before me.

I’m frustrated at the following question: “No baby yet?”  REALLY?!

So Hubster and I are going to go for a long walk and hopefully get some kind of contractions started.  But those contractions will probably end up stopping, just like they have every other time this month.

I’m not patient.  Hard as I try, I never will be.  Baby C, spare me the insanity and please come out to meet us!

Nightmares and OBs

Going back to body image, this is what I have nightmares about before my appointments with my OBGYN: “Little Mama Jama, you gained 10 pounds since your last appointment.  That was only four weeks ago.  You need to seriously slow it down before you blow up like a big fat balloon!”

And why do I always feel the need to floss right before my gyno appointment?!  They sure as heck aren’t looking at my teeth!