What to muse about today?

March 21, 2011

on March 21, 2011

So, today’s news wasn’t good.  The placenta hasn’t moved, and probably won’t.  It’s still marginal.  Even if it moves a lot, there’s still the issue of all the blood vessels that are there, and cross the opening of the cervix.  No escaping it, I will be having a c-section.

Visit to the High-Risk people was a bit odd today.  They did everything backwards.  I met with the doctor first, when I usually see them after the ultrasound, so there’s something more to discuss.  The doctor was nice enough.  Asked how I was doing, checked swelling, recommended unisom for my sleeping trouble – but nothing for the pain.  It’s the pain that’s keeping me up, not just a simple insomnia.  Then, the conversation sort of floundered – He didn’t check the baby’s position, we couldn’t discuss birthing options, as we didn’t know where the placenta was.  I, of course, had questions after the ultrasound, but didn’t have a doctor then to talk to.

Then I got to sit with the nurse to have heparin training.  I’m being switched to heparin from Lovenox.  The heparin is two shots a day, and you need to fill the syringes, they don’t come pre-filled like the Lovenox do.  I hate doing the shots, but if I have a choice, Lovenox is the preferred shot.  Rum or lemon drops would be better, but that’s a different story.

The heparin training went well.  I remembered most of it from last time.  I joked that she prescribed me 100 needles and 60 doses/vials.  Better safe than sorry.  I’m sure they’ll put me back on Lovenox after delivery anyway.  This time around, they can actually take the extra doses of heparin and Lovenox, and get them to people who need them but can’t afford their medication.  There wasn’t something like that last time.  That makes me feel good…  Sort of recycling for drugs.  LOL.

Finally, the ultrasound tech is ready for me.  Back we go.  I get situated on the table and she lubes up my belly.  Scanner on!  She confirms that the baby is indeed head down, and her feet and hands are off to my right – around 3:00.  The little one is still a bit oblique, but yay!  Head down!  Next, off in search of the placenta, which is still covering the cervix.  Wonderful. 

By this time my back is beginning to scream.  The tech notices I’m very uncomfortable.  I ask if I can sit up for a minute and she said it was fine.  We chat about babies, and sizes and things.  I tell her about how I can’t sleep on my left or even reclined thanks to my stupid hip.  That I get to go to the chiro after we’re done there.  We start off again, as she said she could get most of the measurements while I lay on my right side.  Oh, the relief!

An ear with hair

An ear with hair

Watching the measurements on the screen was a bit freaky.  They were all 2-3 weeks ahead.  This baby has become freakishly large again.  A watermelon.  LOL.  She’s back up in the low 90th percentile.  As the tech gets a head measurement, she comments that the baby has a lot of hair.  LOL.  That explains the almost non-stop heartburn.  Though Teagan had a bit of hair, and I had horrible heartburn with her too.

We then take a break, and swap to the wand to get a good view of the placenta previa.  Fun.  LOVE that wand.  A resident comes in to evaluate the situation.  Marginal.  Still.  Great.  The resident then calls a doctor in to confirm.  The two of them discuss, remeasure, discuss.  All the while my back is killing me.  After about 20 minutes, they have enough shots of my cervix and the placenta.  His recommendation is to do a c-section, scheduled at 37.5 weeks.  Amnio before hand to check out lung development. 

Crap!  That’s next week!

Measurements for this not-so-little one put her at 7.5 lbs at 36 weeks.  In four weeks she’ll be quite large.  Mid 11 pounds.  I may be happy for a c-section in the long run.  LOL!

Truth be told, I’m a little freaked out.  I called my OB to set up an appointment tomorrow to discuss things with an OB, they’ll be the ones that actually do the section, not the people I saw today.  I’ll be able to ask all sorts of questions, and maybe I’ll come out of the appointment with an actual date.

Is it the birth I want?  No.  But circumstances are what they are.  It’s not because of anything I did, or didn’t do.

14 responses to “March 21, 2011

  1. Tom Poalinelli says:


  2. lisasff says:

    Colleen commented on your post.

    Colleen wrote: “You are doing great.. weird that your appointment was backwards.. soon it will all be behind you and you will have the baby in your arms.. All worth it.. all the best..”


    Thanks Colleen! It was weird that the appointment was backwards. I was able to get to my OB to get one this afternoon, so I’ll write up my questions and bring them in with me. I know the ends will justify the process, but I worry that I’ll always have a little corner that wishes it was different. But I do know that I did all that I could to ensure the best possible outcome. The thing that decided it was something I couldn’t control or change.

  3. lisasff says:

    Becky commented on your post.

    Becky wrote: “Gah, I’m sorry hon. Thankfully they have the means to determine these things beforehand, eh? Hopefully all will go well and before you know it all of this will be forgotten and you’ll be holding that baby in your arms. I’m going to have to look into that program for the extra Lovenox shots. I thought there might be something like that, but my GP didn’t know of any. I have some unused syringes that aren’t expired from 6 months ago when I had a blood clot sitting in the back of my fridge just waiting to expire. I’ll be thinking of you! ”

    Becky, thanks! I know that eventually it won’t be as much of a “shock and disappointment.” Holding this little girl will make the world of difference.

    I’ll be sure to ask about the program, and get you some info. I remember that two years ago, they didn’t have anything around at all. It’s so nice to know that this time, they do. I’ll end up with a LOT of left over heparin, so, it’ll be nice to put it to good use. Not that I’m not good use. LOL.

  4. lisasff says:

    Nina commented on your post.

    Nina wrote: “*bossy nina here* Best outcome is healthy mom and baby. The rest,no matter how much we want it and hope for that ideal experience, is optional.WhatEVER gets the baby here and healthy and keeps mom here and healthy IS the best outcome.My last one was breech, didn’t know I was going to have a csection until I was already in labor.But you know, THANK GOODNESS, we have the ability to detect these sorts of things in advance and adapt and come up with a Plan B and C and so on and issues that once could have been disastrous we can now work around.”
    Nina: I don’t think I knew that, but back then, I probably wouldn’t have realized any of the implications. I don’t think bookhaunts shared that much information. LOL.

    At least I did get this one to turn, I’ve been trying to keep her to a good size, but the placenta is really what’s driving this. The doc yesterday said that they really didn’t think my laboring at all would be a good idea. So, if that’s what the MFM – High Risk and specialist OB’s are saying, that’s what needs to be done. I’m better about it today than yesterday… It’s just taking a bit, I really thought the placenta would resolve. Oh, well. There’ll be a little one to snuggle, and then ground, soon!

    • lisasff says:

      Nina commented on your post.

      Nina wrote: “Its miraculous!”


      LOL, Nina. I guess any birth is miraculous :)

      • lisasff says:

        Nina commented on your post.

        Nina wrote: “If it makes u feel better,other than the tiny section i accidentally reopened,i have no scar at all!!And the tiny bit I do have is not noticeable.”

        Nina: That’s one thing I’m worried about, you hear all sorts of horror stories about the incision not healing, the scar puckering, staying numb, pulling from underneath. I think I’m going to get one of those belts that helps keep it flat and protected…

      • lisasff says:

        Nina commented on your post.

        Nina wrote: “Not that u care about my scar,lol! I mean,at least u can imagine being all scar free and pretty again. Mine was breech and I felt her turn,but she turned again right before birth. I had,though no one told me to,prepared myself mentally for the possibility of a csection.And sure enough,water breaks and I go to the hospital.They do pelvic exam and the doctor is like “whats that”,do ultrasound and we have us a full footling breech.Lil monster was standing on my cervix.”

        LOL, Nina!! And of course I care. This one was footling breech at first too… The u/s tech though I was crazy asking for a picture of her standing on my cervix. I have proof! LOL! At least once she turned, then turned again she was frank breech, which is possible to deliver vaginally. I do feel good that I got her to turn again, so she is head down. I have done everything possible to avoid a section. This is medically required now. And since we have to do it, it’ll be done sooner, so I’ll get a bit of relief from my back.

        • lisasff says:

          Nina commented on your post.

          Nina wrote: “I sort of did an itty bitty rip to my incision and it got a bit red and icky. But even THAT one little piece is barely noticeable now.”

          Nina wrote: “CRAP I hate that enter doesnt do a carriage return. Anyway. I didnt have an epidural or anything other than a little IV sedation with my 2nd,and she was 8lbs 15 oz. AND I had induced labor.Grueling but I didnt want an epidural. Then I go from that to a C-Section the next time. It absolutely wasn’t what I wanted or according to my granola minimal intervention philosophy.But surprisingly,after the baby was born I never thought about it again.I was ok with it,my only concern was the baby and how she got here completely fell from my mind.I astounded myself with my ability to adapt and not grumble,cuz I like to grumble :) Once u get that little one in your hands,its gonna all be ok and you will completely forget this little blip.”
          Nina: Incision complications freak the crap out of me. I’m so sure that I’ll end up ripping something or having something go horribly wrong with the incision.

          I do know that eventually, I’ll not remember. And if I actually think about it, I’ll have a “full” experience – both a vaginal and a section. I can compare both. LOL. And I’m getting better about it, I am. I still think I’d be better with a choice, but I don’t get one this time. I do know it will all fade away once I get out of recovery and get to hold this new little one. And then ground her for 5 years for all the shit she’s pulled already. LOL!

    • lisasff says:

      Lori commented on your post.

      Lori wrote: “I agree with Enne”WhatEVER gets the baby here and healthy and keeps mom here and healthy IS the best outcome.” Plus look at it this way…you’ll have a longer maternity leave with a cesarean.”

      Lori, yup. And that’s what we’re going. The best thing for me and for the baby, even if I’m not 100% happy about it. And yeah, LOL, I’ll be paid for two additional weeks with a c-section. I guess that’s a good thing hiding in here :)

  5. lisasff says:

    Kat commented on your post.

    Kat wrote: “{{{{{lisa & baby}}}}}}”
    Kat: Thanks! We’ll end up just fine, I know it! Again, this one is grounded for all the trouble she’s putting us through!

  6. lisasff says:

    Christina commented on your post.

    Christina wrote:
    “I’m a bit lost, is it placenta previa? does this mean a planned cesarean?”

    Christina, yes, it’s a placenta previa. For months we/I thought it would resolve. The doctors said it would resolve. It hasn’t, not enough anyway. Officially, it’s a marginal previa, but all the blood vessels are still covering the cervix. LOL. I said cervix. And since I’m on blood thinners, they don’t want me to labor at all. So, yes, a planned section, or elective, even though I don’t have a choice, medically this is the only way I’ll be able to deliver.

  7. lisasff says:

    Lori commented on your post.

    Lori wrote: “Praying for you Lisababe. Everything is in G-d’s hands now. Big hugs… : )”


    Thanks Lori. Can he make the staples miraculously dissapear? LOL!

  8. […] March 21, 2011 (lisasff.wordpress.com) […]

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