Filed Under (Pregnancy) by Kel on 12-09-2011

Finally having hit the 12 week mark in this pregnancy, I was able to have an appointment with my actual doctor to discuss all the ins and outs ahead of us. Before then, appointments are mostly to get things done: blood work, dating ultrasounds, that sort of thing, all handled by the nurses.

My doctor, whom I absolutely love, walked in with a little gleeful “Oh my gosh, Kelly, I was so excited to see your name on my list last night!” We have bonded, she and I, largely because we just get each other. We see a lot of things in the same light, we handle things much the same way, and we just generally speak the same language. Because we get each other, she doesn’t talk down to me or over me like some doctors do, and my appointments are mostly us chatting and covering things on a very equal level. She ended the appointment by giving me a hug and saying she thinks we’re going to have a lot of fun with this pregnancy… Can’t beat that!

There was, of course, a laundry list of things on both of our minds that we needed to take care of along with the usual checking of weight, blood pressure, and baby’s heartbeat. Incidentally, I ended up getting another ultrasound; when she went to check the heartbeat, she warned me that – for whatever reason – she has a hard time finding heartbeats at 12, 16, and 30 weeks. Of course, she couldn’t find mine, so after less than a minute of trying she just chuckled. “That’s enough, I’m ADD. I’m not concerned, but I’m not letting you go home yet either – let’s just pop over for a quick scan.” Sure enough, baby was just demanding a photo shoot, floating upside-down (making it hard to find the heartbeat with a doppler) behind an anterior placenta (meaning it’s on the front of my stomach, between the baby and anyone trying to check on it). Eric was the same way, so that works for me.

Because my dating ultrasound measured 5 days off my due date, it was left to the doctor to decide what to do about it. She decided to leave it alone, so I’m officially due March 12, no backsies.

We discussed delivery options for this baby, and we agreed to do a VBAC (vaginal birth after cesarean). She said I’m a great candidate for it, and there’s no reason I’d need a second c-section (unless something pops up later in pregnancy, of course). I’ve already delivered a baby “normally,” my c-section was due to Danny being breech, I don’t have a history of having trouble in labor… There’s no reason not to, really. Some people cite some increased risks with VBAC, but in her words, “the chances of that happening are 1 in a thousand. The chances of one of us dying of a heart attack by age 60 are 1 in 2. Really, you have more chance of getting hit by a car on the way home than of having complications with your labor, especially since you’ve [delivered vaginally] before.” I’d done my own research weeks ago, and it was great to have her on the same page. (See? We just click!) She did say that she doesn’t induce VBAC patients, but followed it up with the fact that very few people want to be induced anyway. It’s certainly not high on my list of things to do. If I go too far overdue, she said she would try natural methods to get labor started for me.

After tackling that, we moved on to the fact that things went crazy with Danny’s pregnancy. She offered me a referral to MFM (maternal fetal medicine – the high risk pregnancy folks), but said it was up to me and where my comfort level was. To her, the last time around was one of those crazy flukes; I’m not in any high risk categories, I don’t have any genetic or other reoccurring reasons to be concerned about my pregnancy, I just got sick at the wrong time with the wrong virus. She has no worries or concerns that something will happen this time, told me to take normal health precautions (wash hands, avoiding sharing food, blah blah, all the stuff I’ve been doing), and that sort of thing. I declined the referral to MFM; I don’t feel there’s any benefit to be gained there, and she agreed but said that at any point if I (or she) does want me to be followed more closely, the option’s on the table. She does want to do growth ultrasounds at 28, 32, and 36 weeks “just to make us feel better,” since the only reason we even knew something was up with Danny before he was born was because we did an ultrasound around 32 weeks. That’ll keep us from worrying, guessing, and wondering.

That was pretty much that! We talked about Danny a bit, how he’s doing and where he’s at, and we were done. I go back at the end of September for a regular appointment, and then October 25 is the “big” ultrasound – making sure all the fingers and toes and heart valves and brain lobes are in place, and seeing whether we’re going for three in a row with a boy or changing things up with a girl. That seems a long way away, and yet…not that far at all!


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