Saturday, 9 August 2008

The Best Laid Plans

Since the start of my pregnancy, I've been hoping and planning for a low-intervention birth - preferably using a birthing pool, in the midwife-led area of our local hospital. I'd possibly have gone for a home birth if not for the fact that we can't fit a pool into our already-overstuffed flat!

Apart from relatively small hiccups such as SPD (painful but not actually dangerous), a second-trimester water infection and so on, I've had a very healthy, 'textbook' pregnancy and have been under the supervision of the Community Midwifery Team here in Edinburgh. I've been classed as a low-risk pregnancy, so everything seemed on-target for my planned setting.

Today we spent a number of hours at the hospital, having a rerun of all the tests and monitoring I went through on Thursday. My blood pressure isn't a major concern and the proteinuria seems to have reduced a little - however, the results of some bloody tests are apparently a tad worrying, as they seem to indicate that parts of my system (e.g. my kidneys) are under pressure. Because of this, I have to go back on Monday morning for yet more tests and a membrane sweep, as The Powers That Be(tm) now wish to speed things along a little.

Additionally I'm now classed as an 'intermediate-risk' pregnancy, which may mean a change in my plans for a low-intervention, natural birth. Thankfully the baby's absolutely fine - a big, strong-hearted, healthy sweetheart - so they're not worried about him. The concern at this point seems to be about the pregnancy's effects on my health, and obviously if that goes downhill then it can potentially impact on the little one. The idea of anything unpleasant happening to my little wriggler scares me far more than being personally ill.

I'm feeling pretty frustrated right now. To get to this point in my pregnancy, having had such a wonderfully healthy and positive experience, only to have this spanner thrown in the works at the last moment...well, I'm irked to say the least. I know that nobody knows how a birth will go until it's actually happening - birth plans aren't written in stone! - but I'm still a little annoyed with my body for threatening to complicate things at the last minute. The last thing I want is an over-medicalised, over-monitored birth where I can't move around and follow my own instincts - not least because that's more likely to cause my pain responses to go doolally!

At this point, I'm just going to have to take things as they come, I think. Though I have certain ideas on how I'd ideally like to birth my son, the end goal is to have both of us happy and healthy at the end of it. When it comes down to it, if certain things are needed to ensure that outcome then I'll deal with them at the time.

Thursday, 7 August 2008

Slight Hiccup...

My midwife was a little concerned at my antenatal check-up today, as I had proteinuria and high blood pressure - both classical indicators for pre-eclampsia. She sent me up to the hospital, where I spent a good few hours having just about every monitoring test under the sun.

I've been sent home again, but the doctors there think I might be developing pre-eclampsia. Nothing definite yet, but there are slightly elevated markers in my blood and elsewhere that suggest it may be a problem. As a result, I have to return to the Day Assessment Unit on Saturday afternoon for further tests, and if the problem's worsened I've been warned they may need to consider induction. I'm keen to avoid medical induction as I'm aware it can lead to a cascade of intervention, but if it's a choice between that or endangering the health of the baby (and myself!), then I'll go along with whatever they recommend.

On the bright side...the little laddie's happy in there, positioned perfectly, engaging well and has a lovely strong heartbeat. Now if only he'd stop sticking his little feet up under my ribs and mooning his daddy...

Tuesday, 5 August 2008

Sing It, Frankie!

I'm a regular poster to two mum-friendly forums - a discussion group on Facebook and one on Babycentre, both of which have been an incredible source of support and encouragement for me during my pregnancy. Understandably, all the women in my August 08 birth group on BC are feeling a little exhausted and eager to give birth now, and we'd been having a discussion on the more undignified aspects of expectant motherhood - some of them have had a pretty bad time with gripes and symptoms. So...I wrote a little ditty to the tune of "My Way" to cheer them up, and it seemed to do the trick to a large extent. I'm posting it here for posterity, and in the hopes of cheering up any other expectant mums who feel like their pregnancy is going to go on FOREVER.

My Way - The August 2008 Birth Remix

And now, the end is near
And so I face, my coming due date
My friend, I'll say it clear
There have been bits, to love and to hate

My tum and bum got big
So much, they'd take up half the highway
But me....expectant mum...
I did it my way

Symptoms, I've had a few
And some are way too rude to mention
There were the burps, and then the piles
Thank god for NHS exemption

I felt each little kick
Along my intestinal byway
And me...expectant mum
I did it my way

And now, close to the end
I want to meet my little fighter
I need my newborn snugs
With my aspiring ankle biter

Who knows what labour brings?
No point in acting in a shy way...
But more, I know one thing
I'll do it myyyyyyy wayyyyyyy.....

(With huge, ashamed apologies to Frank Sinatra, who's probably rolling in his grave...)

Welcome to the blog...

Well here goes, I guess. In more ways than one!

I'm hoping to use this blog as a place to write about my experiences as a newbie and developing mum. I'm currently expecting my first child - a little boy - any day, and I wanted a place I could come to when I wanted to wax lyrical, hysterical or just plain whimsical about the whole thing. I have a (mostly friends-only) LiveJournal account, and though I've mentioned much about my pregnancy on there I don't wish to bore everyone senseless with stories of what the baby's up to! This blog, therefore, is where I plan to direct people who want to know more about this particular and huge aspect of my life from now on.

If you're wondering about the title...

In pagan terms, the moon has often been viewed as a symbol of sacred feminity and its three phases (waxing, full and waning) as corresponding to three archetypal phases of womanhood - maiden, mother and crone. So I could be considered to be entering the full moon phase in a fairly physiological way right now, and thought it made a fitting title when I couldn't think of anything else!

At the moment I'm thinking back over much of my pregnancy, which has been a strange rollercoaster of emotions and one of the more...well, frankly bizarre experiences I've ever been through.

I became pregnant unexpectedly and it was somewhat of a shock at first, but we settled into the idea very quickly and are now very much looking forward to meeting the baby. One of my main concerns at first was that I was on strong drugs (pain relief and muscle relaxants) for a severe form of Fibromyalgia Syndrome and central sensitisation, and was obviously worried about the effect this could have on the developing foetus. However, my medical team was incredibly supportive about getting all the relevant information from the drug specialists, and additionally the muscle relaxant qualities of pregnancy hormones have led to such a pronounced reduction in pain that I've been able to come off all but the most innocuous painkillers, albeit (almost certainly) temporarily. All scans have indicated that the baby's perfectly healthy and growing well.

The flip side of the 'natural muscle relaxants' coin is that I've developed SPD - symphysis pubis dysfunction, a hormonal condition of pregnancy that causes the SP joint (at the front of the pelvis) and others around it to loosen too much and destabilise. It hurts, and makes the most disturbing crunching noises when I'm trying to sleep - usually, I might add, trying in VAIN to sleep. However, this almost always corrects itself after birth, so that's another good reason to look forward to meeting the little one.

Apart from these elements, and a spotting scare at 25 weeks (it's all fine, turned out to be nothing to do with the pregnancy!), I've really enjoyed the experience of being an expectant mother. Much as in the rest of life, we always seem to be waiting for the Next Big Milestone - be it the 12-week scan, finding out the sex of the baby (for those of us who do), the start of the next trimester, reaching 'full-term' status at 37 weeks, and finally the actual birth. However, I've really enjoyed the actual process, even watching my body change and grow which is something that worried me given a 12-year eating disorder in the past. Feeling the stirrings of life within me, and becoming ever more aware of a developing personality in there, has been a profound experience. I'm still amazed by how utterly protective I feel of my coming son, and I turn into a lioness if I feel anything's threatening his welfare - such as the throng of sharp elbows and shoulders that seems to accompany the influx of tourists here in Edinburgh every Festival season! I've found myself walking with one arm placed shelteringly in front of my abdomen, and haven't noticed until someone's bounced off it... If I feel like this now, how much more powerful must the actual experience of motherhood be, when my baby's no longer within the (relatively) safe confines of my body ?

I have a strange mixture of excitement and anxiety about my approaching motherhood, something I'm told is pretty universal among first-time expectant mums. While I already feel close to and protective of my little bundle, at the same time I have worries about how I'll cope, whether I'll be a good mum, whether I'll bond with him straight away - all the usual things, but no less troubling for the fact that they're common. Everyone (except perhaps one person who has admitted she has her own 'issues') has reassured me that they feel I'll be fantastic, which is lovely to hear but doesn't really stop my own internal churning! ;-)

I guess I'll do what mothers have been doing since time immemorial. Falling through the days, managing hour-by-hour if needs be, and just waiting out the madness until things settle a little more. I know that with the chronic pain condition and so on I might have a difficult life at times, but my priority is making sure my baby son is well cared for, and if that means that sometimes I have to back off from other engagements and interests, then that's what I'll do.

When it comes down to it...I'm a stubborn old redhead.

Strangely (or so it seems in today's borderline tokophobic Western society) I'm looking forward to the birth. I've been told I may have more problems with labour pain than the average woman due to the central sensitisation, which causes my pain (and sometimes random other) signals to be 'amplified' on their way up to my brain. However, if this doesn't happen, I may find that being used to daily pain stands me in good stead for some of the experience. Doctors say it could go either way, and nobody really knows until labour starts and progresses - isn't that the same as every woman? I'm curious to see how I'll cope. My ideal is to use TENS, gas and air and a birthing pool, but I'm keeping an open mind. The only thing I really don't want is systemic opioids, as I want to breastfeed the baby and would regret him being born too sleepy to do so, or (even worse) with respiratory distress. I also spent much of my pregnancy coming off prescription opioid pain relief, so the last thing I want is to be plugged full of them again - apart from which, the anaesthetist recognises that it'd take an awful lot of it to have a decent analgesic effect on me!

Only thing that scares me about labour, apart from anything being wrong with the baby? Caesarean section. The idea of having major abdominal surgery to birth my baby makes me shudder!

I'm sure I'll have plenty of stories after the fact, and probably several elements will have NOTHING to do with how I 'planned' it. ;-)

See you on the other side, as it were!