Monday, 1 February 2010

antenatal course #2 and midwife appt

Sorry blogging has been a little more quiet lately. Wish I could say the new house was taking up all our time, but I don't feel like we've gotten much done here either. Busy with who knows what, but we haven't been in our house long enough to get anything substantial done. The end of February is looking less busy (so far...) so hopefully we'll make some progress then.

One thing that has taken up our time is another antenatal class which was all day Saturday. Another very helpful session. We talked mainly about the birth and some postnatal care. We covered things pain relief options (which will be necessary), ceseareans (which hopefully won't be), and birthing positions (I'll spare the details). In terms of pain relief, we covered four main options:
1.TENS (transcutaneous electrical nerve stimulation) machines-specifically for childbirth, which you can buy or rent. The send electric pulses which can block pain gateways to the brain and also help to release endophins. They are drug free of course and have no side effects for baby.
2. Drug similar to demoral-which is IV based drug, effecting whole body rather than a localized numbness and can sometimes slow labor. It can also cause nausea and sleepiness. I probably won't elect to use this drug.
3. Gas and Air-which is a mixture of nitrous oxide (laughing gas) and oxygen. I don't think they use this in the US, but it's commonly used in the UK. Good thing about it is that it only takes 20sec to kick in and 20 sec to leave system, so if I don't like it, I don't have to use it.
4. Epideral-low or high dose. Directly into spine which numbs lower part of your body. There are lots of potiential side effects, plus you have to be tied to monitors constantly, which limits mobility. But you feel a lot less pain.

I want to keep an open approach to the birth. I don't want to go in with a set idea of I definitely want or don't want certain things.  Paul and I are going to write up a 'birth wish list' at some point this month which will outline how we want to approach the birth. 

This morning I also had another midwife appointment.  Everything seems to be in order. My blood tests from last month were back and all was good. My iron levels were high which is good. Blood pressure (118/64) was normal and so was urine test. We heard Baby W's heart beat which was strong. His position is head down, which is perfect and let's hope he stays that way for the last 6 weeks. My bump measured 34 cm which is perfectly average for being 34 weeks. Our next appointments are on Feb 15th and include my final ultrasound, a follow up appt with consultant for the fibroid and another midwife appt which is where we're meant to write up our birth plan with her. I say 'meant to' because I'm in the process of most likely changing to a local midwife so I can go to a local hospital rather than have to drive an hour+ to the hospital closest to our old flat. I've got an appt at my GP on Thursday who will refer me to the local midwife services and then we'll see how the first appt with her goes before I make a final decision.

We finally bought our nursery furniture today and just making final decisions on bedding. I won't reveal anything though until it's all put together. Maybe you can bribe my mom to give you hints as she's helping plan everything and we'll do together when she comes over early next month.  Can't wait!!

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