38w4d and OB Appointment

Hello all! Well, we are definitely in the home stretch. It's been an eventful week thus far, let me tell you about it. Last week, I had to scheduled my appointment with a growth scan for this week. I originally scheduled it for 10:15am, however, once I told one of my friends/coworkers that was when my appointment was, I found out that 11am was the scheduled time for a shower being thrown for me and Charlie. She said they knew I'd screw it up either with an appointment or having the baby early. Hahaha, it might sound mean that she said that, but seriously, I have a black cloud, and it translates between work and my personal life-it's just how my luck is. So I called the next morning begging for another appointment as this was the only time the majority of the people I work with could make it. The only day the ultrasound tech was going to be in was Thursday, but they could fit me in at 8:30am for the growth scan and then I'd see my doc afterwards. I took that appointment.

I woke up early Saturday morning (3am) and felt something that felt like a squirt (gross I know, but that is what it felt like), but it didn't feel like I had peed myself. It was clear fluid. I thought I might be leaking amniotic fluid. Archie was at work and would be home around 6am. I decided to wait since I wasn't having any contractions, and to be honest, it seemed like a repeat of what happened the morning I went into labor with Jack. I figured if I gave it some time maybe contractions would start up. So about 8am I called the on call doc. Of course, I was told to go in and be checked. I went in and while I wasn't any further dilated, the nurse practitioner thought I was about 70% effaced and still 2 cm. They checked what I had, and didn't think it was amniotic fluid, but said that it could be that the most significant amount was at 3am, and unless I had more it wasn't going to show up positive for amniotic fluid. My blood pressure when I went in was 157/101. I told them I'd been high in the office for my OB appointments lately, but it was usually mid-high 80's for the diastolic, not over 100 for sure. I told them that what my OB does is have me lay down on my side for 5 minutes and then they recheck it and usually it's gone back down. Sure enough this was the case that morning as well, but because I'd had that one really high BP, they wanted to run labs to make sure I was pre-eclamptic. So I sat around and waited for the labs to come back and was monitored during that time. Charlie's heartrate looked great on the strip, and we caught one contraction but that was it. I was sent home and told to keep an eye on the fluid.

I worked Monday night and Tuesday night. I came home yesterday morning and did what I always need to do the second I walk through the door-ran to the bathroom to tinkle. I sat down and my nose was running so I blew it while I was still on the toilet since that seems to be a problem lately (I can't sneeze, blow my nose or cough without dribbles-darn stress incontinence!). Well, after I blew my nose I saw a black thing which I thought was a spider on the wall in front of me, until I realized that then I saw about 20 of them swirling around and it wasn't a spider-it was black spots. Great. I'd been dizzy most of the night, and would sit down to take care of my patients when I started feeling like that (we take care of babies, not adults, so I knew my coworkers wouldn't appreciate it if I passed out on them!), but I can't lay down at work, so that was the best I could do. I knew the spots I was seeing was probably because of my blood pressure. I didn't call the doc then, but told myself if after I laid down for a bit this happened again, I'd have to. I wasn't having any other symptoms like a headache, so I figured this was probably ok.

My OB appointment was this morning. I was scheduled for a growth scan beforehand. The ultrasound tech started asking me questions like, "Has anyone told you before that he might be big?" "Do you have gestational diabetes or regular diabetes?" "What was he measuring at your last ultrasound?" I told her yes, they said at his 34 week scan that he was already about 5 pounds 11 ounces, so we know he's on the bigger side. Nope, no diabetes of any kind. It's never a good thing when you see that his femur alone is measuring 41w1d and you're only 38w4d. Long baby. Then she's telling you and pointing out all of his fat rolls. She's telling you that he has no room in there, and his head is all the way down so she can't tell you if he has hair because she can't the probe in there to check since there isn't any amniotic fluid around the top of his head. Lovely. He's huge. Then she looks at you with a cringe type look on her face and says, "I don't want to tell you how big he is measuring." Ha, well you don't have a choice and I don't have a choice either, so just tell me. Yup, Charlie is a big boy at 8 pounds 9 ounces. Big boy wasn't the word I used to describe him after that, I think what came out of my mouth was, "He's a beast!" And let's be honest, he is.

I gained 1 pound in the last week, for a total weight gain of 8 pounds. My initial blood pressure this morning was 142/92. My doc doesn't like the diastolic number above 90 or even getting close. So my nurse made me lay on my left side and then wanted me to sit up to recheck it. It was 134/90. I told her that L&D just has me stay laying down when they recheck it and it's always back to normal-high 70's low 80's. She said Dr. A likes the patients sitting up since it's more reflective of what you're like at home since you most likely aren't just laying around all the time. Ok. Lay down and recheck again in 5 minutes. Sit up, recheck 132/90. Can you see where this is going? Next thing I know, my OB is asking me when I work again. I told her tomorrow night. She said well, I might be done then because she is sending me to L&D for pre-eclampsia labs and if they come back off, I'll be induced today. That sounded great, except that my shower was being held 45 minutes away in about an hour's time. It would take at least an hour for my labs to come back once I got over to L&D. Which meant no Cheesecake Factory (yum yum) for me, and it also meant no celebration! I had to go to L&D, I couldn't just say, "Um, yeah, so could I come back for that in a couple of hours after I've had a great meal and good fun?" Ugh. I called my girlfriend and told her I wouldn't be able to make it. And I thought to myself, as much as I hope I'm not pre-eclamptic, I'd better have slightly off labs and be having this baby today darn it! Finally at 12:15pm I was getting antsy. My labs should have been back, I had to pee (but couldn't get up as I had the BP cuff on and was hooked up to the fetal monitor), and I was starving and all I could think about was what I could have been eating but wasn't! Archie couldn't come into the triage room with me because we had Jack and only one person is allowed in the triage room with you, and so poor Jack had been sitting around waiting since essentially 8:30am! To say I was getting irritable would be putting it lightly.

I heard someone say in the hall that the labs were ok, they were just waiting for Dr. A to come talk to me. I waited another 20 minutes and then was done. I hit the call light to ask to go to the bathroom which then at least got me disconnected from everything and I thought would maybe speed up the process. It didn't speed anything up. Finally the nurse practitioner came in and told me that my doctor had come over for a delivery, they'd hoped she'd be able to stop in and see me before I left and discuss a plan, but now she was dealing with an emergency, so they were going to let me go and just have me call the office when I got home. FINE! We went to Cheesecake Factory because if I was missing my shower, and I was not going to have a baby today, I needed something to put a smile on my face. I called and left a message that I needed to talk to Dr. A. She called me back at about 4:30 today, and she is on call next Thursday and I am scheduled for my induction at 6:30am that day. I'm not real happy that it couldn't be done earlier in the week, but I am happy that we have a plan.

And now that we have a plan, I'd be willing to bet that I go into labor on my own Wednesday night, LOL.