[Contents: medical, tmi, needles, pain]
OH BUT DO YOU HAVE A BIRTH PLAN
yes i have a birth plan okay
Birth plans come off to me as this odd mix of super-trendy "empowering" crap, and a good exercise for thinking through and stating your care preferences. My care provider's office and hospital use them, and have a form (although it's a terrible form and I hate it... which has been such a theme for every piece of paperwork I've gotten from them), which I have duly filled out and have in my purse so that it is handy for when I go to the hospital and am actually in labor.
The thing about birth plans is, you can state your preferences all you fucking want, and then they are going to run smack in to what ACTUALLY happens while you're giving birth, which may not even remotely resemble what you were hoping for, and in fact has decent odds of giving you a situation you did not even consider.
When I filled mine out... mmm, probably about six to eight weeks ago, one of the things on there was "if baby and I are fine, I want to let the pregnancy go to 42 weeks before being induced", which, now that I'm past 40 weeks and kind of thought it would never be relevant, I am a little boggling at my dipshit self. It's not that I disagree with it - I tend to be of the "don't fucking intervene unnecessarily" camp, just that wow, this is not a thing I was told I even had to worry about.
Probably the biggest thing on my birth plan that People Have Opinions About is about pain management. Yes, People Have Opinions about lots of stuff during pregnancy, birth, and child rearing (and boy, do they loooooove to share them unsolicited, holy shit), but oh my fucking god, do People Have Opinions about epidurals.
There is the camp that believes epidurals are the universe's gift to pregnant-person kind, and who remembers or will gladly tell you about what a fight it was to get any sort of pain relief offered regularly to people in labor. And, there is a point - there was a lot of rank misogyny and sexism to overcome on the part of getting a population mostly of women effective, safe pain relief during something that a great number of people think SHOULD goddamn hurt.
Then there's the camp that promotes "natural" birth, and "natural" pain relief methods, who write things like "90% of US babies are born with drugs in their system" completely uncritically (I saw this on an article on Pinterest, and I should have repinned it, because JESUS GOD), who will tell you all about how "your body knows what it is doing" and "it's empowering" and etc. and so on. Which, I'm not knocking (much) of that either (I'm definitely knocking the bullshit OMG DRUGS shit), because yeah I do think birth is something that generally, yeah, bodies are at least kind of made to do that shit.
What I do hate is the implicit or explicit "virtue" that gets ascribed to having a "natural" birth, like you're somehow a better person if you don't use painkillers. That is some shaming bullshit, and it needs to stop.
Personally, I don't want an epidural. Not because I think I'll be a better person, not because I think I'll be more empowered or whatever, but because I have had needles in my spine and I don't really fucking like them, so if I can opt out, I will.
Seriously.
I am fully aware of how effective drugs are, especially when injected in to or near your spine - I had a spinal with my cerclage in December, and prior to that, I've had cortisone injections in my spine because of my disc problems. Shit works! I will be the FIRST to tell you. I really just fucking hate needles in my fucking spine.
That, and honestly, I'm not really concerned about pain levels during labor.
This has been kind of a struggle during any sort of care I get, because my personal pain scale is not the same as everyone else's. Okay, let's be real - no one has EXACTLY the same pain scale as anyone else. But mine is... particularly skewed, it seems. I come to this conclusion after years of dealing with pain and describing it, and having many if not most people be like "and that's only a WHAT for you?"
Like with the cerclage removal. If you read stories about it, most people are like "yeah that was super fucking painful I wish I could have had drugs". Mine went on for over half an hour, it was complicated, we're lucky it could be done in the doctor's office, and I described it afterwards as "unpleasant". Like, if we use that ubiquitous 1-10 pain scale with the stupid faces on it, the removal hit maybe a 1 for me. In other words, I noticed it, but it didn't get anything out of me besides a brief wince. When I told this to the nurse, her jaw dropped.
Likewise, I have a history of herniated disks in my lower back. This can cause excruciating pain, including sciatica, muscle pain, and joint pain. A symphony of pain, if you will. The first time it happened to me, basically all I could do was lie on the floor, crying and occasionally screaming, praying for death. I fucked up my disks again the last semester of graduate school. I couldn't sit or stand up straight, I was in pain for a good six months. It sucked and I hated it, and I still went to class and wrote papers and did dishes and basically was extremely angry but got on with my life. It's exhausting, but I had trouble getting a diagnosis and referral for physical therapy this last round, because the doctor I saw didn't believe I was in that much pain or in that bad of shape, because I walked in to their office under my own power and was able to calmly hold a fucking conversation.
So labor pain? Doesn't fucking scare me. I have lived through way fucking worse, that has lasted way fucking longer.
This is also why all of the advice in childbirth classes for how to tell you're in labor, like "oh, yes, it'll be really painful, you won't mistake it", I am somewhat skeptical about. I've already had a few contractions that sure, have made me go "fuck, ow".... and I've talked to my mother, who seems to have a similar pain scale to mine, and from her experience, active labor and pushing and all that isn't much worse. Like, it's painful, and it sucks... but it's not OMFG THE WORST PAIN EVER GOING TO DIE. Also, it only lasts a few hours, which, in comparison to literally months, hahahah yeah fuck it that ain't shit.
I am not opposed to painkillers, and (at least partly to reassure The Man, who does not like seeing me in pain) I am open to having a dose of some IV narcotics if things get horrible. And obviously if I wind up with a c-section, yes please, anesthesia all the fucking way. But... yeah, nope, no epidural please, and thanks.
Other than that, my birth plan is basically summed up as "OMFG LEAVE ME THE FUCK ALONE". Don't give me eight thousand vaginal exams, don't touch me unless I ask you to, don't do shit to me without my express consent and without explaining it, don't induce me, don't let students peer up my vag, let me move around during labor, don't force me to lay on my back, leave me alone. I will let you know if I need anything, I promise, I've gotten REAL good at communicating my needs.
Do I know how things are going to go? No. Sure, I can make some guesses, but they really are guesses, even if they are based on my mom's experiences. She and I are a lot alike - including down to hey, prodromal labor, FUN TIMES - but that's no guarantee either. So we'll see what happens. That shit may all very well get thrown out the fucking window (except the no needles in my fucking spine part, seriously, I hate needles in my spine), but so long as The Kid and I come out the other side okay, sounds good.
Saturday, April 26, 2014
Friday, April 25, 2014
Shit Happening To My Pregnant Ass: Week 40
[Contents: medical, tmi, weight, mention of previous miscarriage]
WHY AM I STILL PREGNANT
Okay before I go any further, let me make a few things clear: one, I am so not looking for advice, so please miss me with that. Two, I really, really do not want anyone saying to me "oh but first babies are almost always late", "most pregnancies go past their due date", "only x% of babies arrive on their due date", or any variation thereof.
Partly because I know all of the statistics already, thanks, and partly because THIS WAS IN NO WAY WHAT I WAS LED TO BELIEVE WHAT WOULD HAPPEN.
"Oh well ha ha no one can predi-" SHUT. THE. ENTIRE. FUCK. UP.
If you've been reading for a while, you know that I have (had? maybe at this point "had" is more appropriate) a number of risk factors for pre-term birth, including thyroid disease, a history of spontaneous miscarriage, vaginal bleeding during pregnancy, a short cervix (including having an emergency cerclage put in), low pregnancy weight gain, and anti-thyroid antibodies. Basically, every single care provider I have seen at this point is extremely shocked that I made it to 38 weeks, NEVER EVEN MIND THAT I AM PAST 40 WEEKS NOW.
For anyone who would like to spout some "oh but your dates are probably off tee hee" shit, no, they're not. I know the exact date I fucking ovulated, which was confirmed by a very early ultrasound, so fuck off. While I do think that the method most often used to date a pregnancy, Naegele's Rule, does play a role in the fact that more pregnancies go past 40 weeks than not, that was not the method used to date my pregnancy.
Even more fun: for pregnant folks with ultrasound-indicated cerclages (LIKE MINE), on average they deliver about 2 weeks after cerclage removal. (This is a PDF of one of the studies looking at this sort of thing. I have not been able to find a non-PDF source yet, but if I do, I'll add it.) So mean delivery time is just under 14 days after cerclage removal, plus or minus 10 days. Tomorrow will be that "plus 10 days" point for me. I had my cerclage out over three weeks ago.
There is still no sign that I will be delivering this kid any time soon. Oh sure, I've been having contractions off and on since two days after the cerclage removal. Bloody show? Check; that was three weeks ago too. On multiple occasions, I have had contractions 10 minutes apart for an hour, even 5 minutes apart for an hour. I've had contractions that have made me stop what I was doing, or made me lean against the wall, take deep breaths, actually say "fuck, ow". Before anyone tries to lecture me "Oh well Braxton-Hicks can be painful", if they were Braxton-Hicks, I'd kind of expect them to stop when I laid down and drank a couple glasses of water, which is NOT WHAT HAPPENS, so you can also shut the entire fuck up. I was 2 cm dilated THREE POINT FIVE WEEKS AGO, and 50% effaced. The Kid was at -2 engagement (translation: head dropped in to my pelvis, but not quite all the way.) As of Wednesday, THAT HAS NOT CHANGED.
Sunday, we thought maybe something was happening. From Sunday in to Monday, I had contractions about half an hour apart for OVER 24 HOURS. Monday afternoon, they stopped for a bit, then came back 10 minutes apart. We thought for sure that would be it, especially since we live in Boston, Monday was the Boston Marathon, and getting anywhere on Marathon Monday is THE biggest pain in the ass. Then the contractions stopped.
Tuesday I didn't have much, except that all of a sudden, huh, wow, some sort of watery vaginal discharge where there wasn't before! Could this be amniotic fluid? MAYBE. So I watch and wait and yeah, five hours later, still slowly leaking a bit, so I call my doctor's office. I wouldn't have cared, except that I am Group B Strep positive, which, long story short, means if my water breaks, I need to proceed directly to the hospital to get IV antibiotics, do not pass Go, do not collect $200. (Regardless of when my water breaks - which, it's more likely to break in active labor than beforehand, but wev - I need to receive antibiotics every four hours during active labor, and ideally I'd have at least 2 doses before The Kid arrives.) So I call. And I'm like, I'm not sure, but it's enough of a change and I know that if it is amniotic fluid, we need to take steps, and the OB on call agreed, so about 11:45 Tuesday night we headed to the hospital.
No, I did not post anything on Twitter about it, no we did not call our parents, because fuck if I'm getting everyone excited for something just as likely to be a false alarm.
Which it was.
We get to the hospital, they hook me up to the monitors, The Kid kicks the monitors, they test to see if it's amniotic fluid, it's not, thankfully neither the nurse nor the midwife gave me much of that condescending "oh it's your first pregnancy you clearly don't know what's going on" shit or else someone would have died, we got sent home.
Yesterday, I'm in the shower, and holy shit, here I am leaning against the wall because OW. Every seven minutes, OW. I start thinking about calling The Man and saying hey, maybe you should think about leaving work. I ponder this for about ten minutes, during which point the contractions stop. I get up, walk around, fold some laundry, eat some beans and rice, hahahahah NOPE we're done for the day.
I consider shanking some motherfuckers. Which, honestly, my interests right now are first and foremost, HAVING A DAMN KID ALREADY JEEBUS, sleeping, eating (mostly beans and rice, because oh my fucking god beans and rice is so delicious), and SHANKING MOTHERFUCKERS.
Meanwhile my pelvis is still a floppy, relaxin-fucked mess, I have weird stretch marks all over my belly, my belly dropped OH RIGHT LIKE THREE WEEKS AGO ALREADY, I have not been able to find new bras (which I made the mistake of tweeting about... I'm totally shocked the random person on Twitter who insisted no no, they totally make stretchy multiple-cup sized bras in your size hasn't gotten back to me yet... BECAUSE NO ONE MAKES THOSE IN MY SIZE IT'S LIKE I KNOW WHAT I'M TALKING ABOUT OR SOMETHING), thank fuck I still have pants and shirts that fit, I'm getting sick of packing my meds and glasses and chargers and shit every time I leave the house, and if one more person asks me "still pregnant?" or any variation thereof, I will be announcing The Kid's arrival AT LEAST A MONTH AFTERWARDS YOU CAN ALL JUST GO SCREW.
WHY AM I STILL PREGNANT
Okay before I go any further, let me make a few things clear: one, I am so not looking for advice, so please miss me with that. Two, I really, really do not want anyone saying to me "oh but first babies are almost always late", "most pregnancies go past their due date", "only x% of babies arrive on their due date", or any variation thereof.
Partly because I know all of the statistics already, thanks, and partly because THIS WAS IN NO WAY WHAT I WAS LED TO BELIEVE WHAT WOULD HAPPEN.
"Oh well ha ha no one can predi-" SHUT. THE. ENTIRE. FUCK. UP.
If you've been reading for a while, you know that I have (had? maybe at this point "had" is more appropriate) a number of risk factors for pre-term birth, including thyroid disease, a history of spontaneous miscarriage, vaginal bleeding during pregnancy, a short cervix (including having an emergency cerclage put in), low pregnancy weight gain, and anti-thyroid antibodies. Basically, every single care provider I have seen at this point is extremely shocked that I made it to 38 weeks, NEVER EVEN MIND THAT I AM PAST 40 WEEKS NOW.
For anyone who would like to spout some "oh but your dates are probably off tee hee" shit, no, they're not. I know the exact date I fucking ovulated, which was confirmed by a very early ultrasound, so fuck off. While I do think that the method most often used to date a pregnancy, Naegele's Rule, does play a role in the fact that more pregnancies go past 40 weeks than not, that was not the method used to date my pregnancy.
Even more fun: for pregnant folks with ultrasound-indicated cerclages (LIKE MINE), on average they deliver about 2 weeks after cerclage removal. (This is a PDF of one of the studies looking at this sort of thing. I have not been able to find a non-PDF source yet, but if I do, I'll add it.) So mean delivery time is just under 14 days after cerclage removal, plus or minus 10 days. Tomorrow will be that "plus 10 days" point for me. I had my cerclage out over three weeks ago.
There is still no sign that I will be delivering this kid any time soon. Oh sure, I've been having contractions off and on since two days after the cerclage removal. Bloody show? Check; that was three weeks ago too. On multiple occasions, I have had contractions 10 minutes apart for an hour, even 5 minutes apart for an hour. I've had contractions that have made me stop what I was doing, or made me lean against the wall, take deep breaths, actually say "fuck, ow". Before anyone tries to lecture me "Oh well Braxton-Hicks can be painful", if they were Braxton-Hicks, I'd kind of expect them to stop when I laid down and drank a couple glasses of water, which is NOT WHAT HAPPENS, so you can also shut the entire fuck up. I was 2 cm dilated THREE POINT FIVE WEEKS AGO, and 50% effaced. The Kid was at -2 engagement (translation: head dropped in to my pelvis, but not quite all the way.) As of Wednesday, THAT HAS NOT CHANGED.
Sunday, we thought maybe something was happening. From Sunday in to Monday, I had contractions about half an hour apart for OVER 24 HOURS. Monday afternoon, they stopped for a bit, then came back 10 minutes apart. We thought for sure that would be it, especially since we live in Boston, Monday was the Boston Marathon, and getting anywhere on Marathon Monday is THE biggest pain in the ass. Then the contractions stopped.
Tuesday I didn't have much, except that all of a sudden, huh, wow, some sort of watery vaginal discharge where there wasn't before! Could this be amniotic fluid? MAYBE. So I watch and wait and yeah, five hours later, still slowly leaking a bit, so I call my doctor's office. I wouldn't have cared, except that I am Group B Strep positive, which, long story short, means if my water breaks, I need to proceed directly to the hospital to get IV antibiotics, do not pass Go, do not collect $200. (Regardless of when my water breaks - which, it's more likely to break in active labor than beforehand, but wev - I need to receive antibiotics every four hours during active labor, and ideally I'd have at least 2 doses before The Kid arrives.) So I call. And I'm like, I'm not sure, but it's enough of a change and I know that if it is amniotic fluid, we need to take steps, and the OB on call agreed, so about 11:45 Tuesday night we headed to the hospital.
No, I did not post anything on Twitter about it, no we did not call our parents, because fuck if I'm getting everyone excited for something just as likely to be a false alarm.
Which it was.
We get to the hospital, they hook me up to the monitors, The Kid kicks the monitors, they test to see if it's amniotic fluid, it's not, thankfully neither the nurse nor the midwife gave me much of that condescending "oh it's your first pregnancy you clearly don't know what's going on" shit or else someone would have died, we got sent home.
Yesterday, I'm in the shower, and holy shit, here I am leaning against the wall because OW. Every seven minutes, OW. I start thinking about calling The Man and saying hey, maybe you should think about leaving work. I ponder this for about ten minutes, during which point the contractions stop. I get up, walk around, fold some laundry, eat some beans and rice, hahahahah NOPE we're done for the day.
I consider shanking some motherfuckers. Which, honestly, my interests right now are first and foremost, HAVING A DAMN KID ALREADY JEEBUS, sleeping, eating (mostly beans and rice, because oh my fucking god beans and rice is so delicious), and SHANKING MOTHERFUCKERS.
Meanwhile my pelvis is still a floppy, relaxin-fucked mess, I have weird stretch marks all over my belly, my belly dropped OH RIGHT LIKE THREE WEEKS AGO ALREADY, I have not been able to find new bras (which I made the mistake of tweeting about... I'm totally shocked the random person on Twitter who insisted no no, they totally make stretchy multiple-cup sized bras in your size hasn't gotten back to me yet... BECAUSE NO ONE MAKES THOSE IN MY SIZE IT'S LIKE I KNOW WHAT I'M TALKING ABOUT OR SOMETHING), thank fuck I still have pants and shirts that fit, I'm getting sick of packing my meds and glasses and chargers and shit every time I leave the house, and if one more person asks me "still pregnant?" or any variation thereof, I will be announcing The Kid's arrival AT LEAST A MONTH AFTERWARDS YOU CAN ALL JUST GO SCREW.
Saturday, April 5, 2014
Shit Happening To My Pregnant Ass: Week 37
[Contents: medical, definitely TMI]
AHHHHHHHHHHHH
If you follow me on the Twittermachine, you probably know why I'm yelling, but I'm going to back this up and start at the beginning.
So 37 weeks is one of the weeks that was definitely highly marked on my calendar, because at 37 weeks, the cerclage comes out. So leading up to Wednesday, I definitely had, some nerves and trepidation.
We also had our last childbirth class this past Sunday, which went well. In the car on the way over I remember thinking "hm, my back hurts, but this is not my usual 'whoops fucked up my lower back again' back hurt, this is different, let's file this shit away". Which is what I did.
The last childbirth class main event is the hospital tour, which was great, except for the part with all of the walking and standing around. I mean, I get why we were standing around - there's no way to predict which rooms are open for viewing, what's going on, etc., so for each part of the ward (ante-natal monitoring, labor and delivery, post-partum), our instructor had to leave us in the hallway and go talk to the floor nurses to see what was up and where we could go. It's just that walking is tough on my third-trimester hips, and standing ain't much better. Plus there were, you know, like 20 of us crammed in to one room at a time, and that got HOT, which made me and a few of the other pregnant folks almost pass out. So that was not fun.
Good things are one, we like the hospital, it seems nice, two, I got to ask the nurses about hospital gowns and those mesh panties like every pregnancy-related blog in the history of ever talks about and whether they had them in my size. Which, they were very nice about being asked. They did try to reassure me about the knickers "oh they're stretchy" but when I explained that yes I knew that, and had had a cerclage at <well-known area hospital> in December and they still did not fit me, they were like "Oh, no problem, then, we can order them, and if we don't have them on the floor when you're here, we can have another floor send some down, no big deal." So that was reassuring.
Then we get to Wednesday, when I am 37 weeks exactly and I have the appointment to take the cerclage out. I'll probably do an entry about that process in detail, but suffice it to say that while it was unpleasant, I didn't find it particularly painful (there are some horror stories you can find on the internet about it, which OBVIOUSLY I read). After it was out they threw me on the monitor for a while to see how The Kid was doing and if I was having any contractions from having my cervix highly messed with. Apparently right after the thing came out I was about 2 cm dilated and 50% effaced, which sounds impressive until you realize that there are pregnant folks who walk around in that state for LITERALLY WEEKS before delivering. Kid was fine, and I wasn't having any contractions to speak of, so I got sent home.
Thursday I'm spotting some - expected after cerclage removale - and having some irregular contractions, but nothing big. Mostly all day I was antsy and cranky, and none of my usual tricks to alleviate those states worked. Usually cranky is "need more foods", and I kept eating foods, but was still cranky. Antsy usually is nesting, so I went and did some more baby laundry and put away baby clothes and it DIDN'T HELP either, so I was antsy and cranky.
Then we get to Friday. Thursday night I was dreaming about being in labor, and woke up a couple of times with contractions, but nothing regular and nothing serious enough I couldn't just roll over and go back to sleep. Friday morning, I get up, pee, and oh, wow, yeah that is definitely a pretty decent sized chunk of gelatinous crap streaked with blood. Bloody show, real thing in the world folks. (Yes, you can google pictures of it if you want to.) And then some bright red spotting, which was unusual and a little like, uh, whoa. So I call the midwives and tell them what's happening - bloody show, bright red spotting, irregular contractions the past few days, cranky, antsy, etc. - and they're like "well you aren't in active labor yet, but given your history you'll probably go sooner rather than later." Okay, cool, at least I have nothing to worry about.
Then I call my mom, because my instincts are telling me "nope, stay home", and I have an appointment later that day (not doctor/midwife). And I tell her what's happening and y'all, my mom is so unbelievably excited and it's like LOOK CALM DOWN MOM. She remains convinced I will go in to active labor today, ps. We'll see about that. But she concurs staying home is probably a better idea, so I stay home.
And then I get an hour of contractions about oh, twelve minutes apart. Then they stop for half an hour.
Then another hour, about ten minutes apart. Then they stop for half an hour.
And again.
Then an hour later I have contractions five minutes apart, for an hour. And I was pretty sure yes, these are contractions, because I'd catch myself taking deep breaths, or rolling my hips, and be like oh, well. And note the time and about how long it lasted, and what it felt like.
They all feel a little different. Sometimes it's like someone is squeezing my abdomen in from both sides. Sometimes they're like period cramps, really low down, right above my pubic bone. Sometimes I could feel my uterus tighten up from top to bottom. Sometimes my back would hurt and it would wrap around to the front. Sometimes it was a low, tight pulling. Which, the internet tells me are all accurate descriptions of contractions. HELPFUL.
WOULD BE MORE HELPFUL IF THEY WOULDN'T STOP.
I literally had contractions, regular contractions, five minutes apart, lasting a minute each, for an hour, AND THEN THEY STOPPED.
STOPPED.
MOTHERFUCKERRRRRRR.
After that, I had some more contractions, including some more about 7 minutes apart for half an hour. Then I called my mother to whine, because this is some bullshit, and she laughs and says that all of her pregnancies ended like that, and what happened with her is that after a day and a half of this bullshit, since she was already past 41 weeks, she was told to come in, and with her first two, they artificially broke her water, and with her third, they gave her pitocin, but good news was nothing was ever horrifically painful and once active labor DID get going, it was quick - maybe a few hours.
*sigh*
This matches my research - there's a term for this start-stop business, it's "prodromal labor". There's a bunch of theories about why some people get it and some don't; the predominant theory is that it's helping position the fetus in the best position for the birth canal. Problem is, no one can say how long it will last. Some people report they had it for a day, some report literally three weeks.
Y'all if this last three weeks... look I can't even.
There's also no telling when it will flip over to active labor. There are some exercises and positions recommended to help if it's a positioning problem, so yeah I'm trying those, but there's no guarantee it'll flip the switch, so to speak. And again, once the switch is flipped, active labor tends to be short.
And I still just want to stay home and snuggly and not leave. Like, the nesting feeling is GONE. I'm still cranky, but nope, staying home, need to stay home, wrap me in some blankets and rub my back and feed me popsicles.
I can't tell if my instinct saying "yeah, baby SOON" is actual instinct or just a strong desire for this BULLSHIT MAKE UP YOUR MIND SHIT to end soon. Sigh.
So that's where we're at. Today I have had some irregular contractions and some brief periods of more regular shit. I'm trying to ignore it as best I can. My water hasn't broken, and nothing has been horribly painful (although knowing what I know about my pain tolerance, and the fact that yeah I've lived through six months at a time of excruciating sciatica, so I dismiss the "oh you will know because it's so painful" descriptions mostly), but I am having prodromal labor and lost the mucus plug, and have continued spotting, which implies that my cervix is probably still effacing and dilating.
So... we wait. Could be tonight! Could be three weeks from now! There's no way to know! GREAT.
SO EVERYONE JUST SLOW YOUR ROLL, OKAY? LOOKING AT YOU, MOM.
AHHHHHHHHHHHH
If you follow me on the Twittermachine, you probably know why I'm yelling, but I'm going to back this up and start at the beginning.
So 37 weeks is one of the weeks that was definitely highly marked on my calendar, because at 37 weeks, the cerclage comes out. So leading up to Wednesday, I definitely had, some nerves and trepidation.
We also had our last childbirth class this past Sunday, which went well. In the car on the way over I remember thinking "hm, my back hurts, but this is not my usual 'whoops fucked up my lower back again' back hurt, this is different, let's file this shit away". Which is what I did.
The last childbirth class main event is the hospital tour, which was great, except for the part with all of the walking and standing around. I mean, I get why we were standing around - there's no way to predict which rooms are open for viewing, what's going on, etc., so for each part of the ward (ante-natal monitoring, labor and delivery, post-partum), our instructor had to leave us in the hallway and go talk to the floor nurses to see what was up and where we could go. It's just that walking is tough on my third-trimester hips, and standing ain't much better. Plus there were, you know, like 20 of us crammed in to one room at a time, and that got HOT, which made me and a few of the other pregnant folks almost pass out. So that was not fun.
Good things are one, we like the hospital, it seems nice, two, I got to ask the nurses about hospital gowns and those mesh panties like every pregnancy-related blog in the history of ever talks about and whether they had them in my size. Which, they were very nice about being asked. They did try to reassure me about the knickers "oh they're stretchy" but when I explained that yes I knew that, and had had a cerclage at <well-known area hospital> in December and they still did not fit me, they were like "Oh, no problem, then, we can order them, and if we don't have them on the floor when you're here, we can have another floor send some down, no big deal." So that was reassuring.
Then we get to Wednesday, when I am 37 weeks exactly and I have the appointment to take the cerclage out. I'll probably do an entry about that process in detail, but suffice it to say that while it was unpleasant, I didn't find it particularly painful (there are some horror stories you can find on the internet about it, which OBVIOUSLY I read). After it was out they threw me on the monitor for a while to see how The Kid was doing and if I was having any contractions from having my cervix highly messed with. Apparently right after the thing came out I was about 2 cm dilated and 50% effaced, which sounds impressive until you realize that there are pregnant folks who walk around in that state for LITERALLY WEEKS before delivering. Kid was fine, and I wasn't having any contractions to speak of, so I got sent home.
Thursday I'm spotting some - expected after cerclage removale - and having some irregular contractions, but nothing big. Mostly all day I was antsy and cranky, and none of my usual tricks to alleviate those states worked. Usually cranky is "need more foods", and I kept eating foods, but was still cranky. Antsy usually is nesting, so I went and did some more baby laundry and put away baby clothes and it DIDN'T HELP either, so I was antsy and cranky.
Then we get to Friday. Thursday night I was dreaming about being in labor, and woke up a couple of times with contractions, but nothing regular and nothing serious enough I couldn't just roll over and go back to sleep. Friday morning, I get up, pee, and oh, wow, yeah that is definitely a pretty decent sized chunk of gelatinous crap streaked with blood. Bloody show, real thing in the world folks. (Yes, you can google pictures of it if you want to.) And then some bright red spotting, which was unusual and a little like, uh, whoa. So I call the midwives and tell them what's happening - bloody show, bright red spotting, irregular contractions the past few days, cranky, antsy, etc. - and they're like "well you aren't in active labor yet, but given your history you'll probably go sooner rather than later." Okay, cool, at least I have nothing to worry about.
Then I call my mom, because my instincts are telling me "nope, stay home", and I have an appointment later that day (not doctor/midwife). And I tell her what's happening and y'all, my mom is so unbelievably excited and it's like LOOK CALM DOWN MOM. She remains convinced I will go in to active labor today, ps. We'll see about that. But she concurs staying home is probably a better idea, so I stay home.
And then I get an hour of contractions about oh, twelve minutes apart. Then they stop for half an hour.
Then another hour, about ten minutes apart. Then they stop for half an hour.
And again.
Then an hour later I have contractions five minutes apart, for an hour. And I was pretty sure yes, these are contractions, because I'd catch myself taking deep breaths, or rolling my hips, and be like oh, well. And note the time and about how long it lasted, and what it felt like.
They all feel a little different. Sometimes it's like someone is squeezing my abdomen in from both sides. Sometimes they're like period cramps, really low down, right above my pubic bone. Sometimes I could feel my uterus tighten up from top to bottom. Sometimes my back would hurt and it would wrap around to the front. Sometimes it was a low, tight pulling. Which, the internet tells me are all accurate descriptions of contractions. HELPFUL.
WOULD BE MORE HELPFUL IF THEY WOULDN'T STOP.
I literally had contractions, regular contractions, five minutes apart, lasting a minute each, for an hour, AND THEN THEY STOPPED.
STOPPED.
MOTHERFUCKERRRRRRR.
After that, I had some more contractions, including some more about 7 minutes apart for half an hour. Then I called my mother to whine, because this is some bullshit, and she laughs and says that all of her pregnancies ended like that, and what happened with her is that after a day and a half of this bullshit, since she was already past 41 weeks, she was told to come in, and with her first two, they artificially broke her water, and with her third, they gave her pitocin, but good news was nothing was ever horrifically painful and once active labor DID get going, it was quick - maybe a few hours.
*sigh*
This matches my research - there's a term for this start-stop business, it's "prodromal labor". There's a bunch of theories about why some people get it and some don't; the predominant theory is that it's helping position the fetus in the best position for the birth canal. Problem is, no one can say how long it will last. Some people report they had it for a day, some report literally three weeks.
Y'all if this last three weeks... look I can't even.
There's also no telling when it will flip over to active labor. There are some exercises and positions recommended to help if it's a positioning problem, so yeah I'm trying those, but there's no guarantee it'll flip the switch, so to speak. And again, once the switch is flipped, active labor tends to be short.
And I still just want to stay home and snuggly and not leave. Like, the nesting feeling is GONE. I'm still cranky, but nope, staying home, need to stay home, wrap me in some blankets and rub my back and feed me popsicles.
I can't tell if my instinct saying "yeah, baby SOON" is actual instinct or just a strong desire for this BULLSHIT MAKE UP YOUR MIND SHIT to end soon. Sigh.
So that's where we're at. Today I have had some irregular contractions and some brief periods of more regular shit. I'm trying to ignore it as best I can. My water hasn't broken, and nothing has been horribly painful (although knowing what I know about my pain tolerance, and the fact that yeah I've lived through six months at a time of excruciating sciatica, so I dismiss the "oh you will know because it's so painful" descriptions mostly), but I am having prodromal labor and lost the mucus plug, and have continued spotting, which implies that my cervix is probably still effacing and dilating.
So... we wait. Could be tonight! Could be three weeks from now! There's no way to know! GREAT.
SO EVERYONE JUST SLOW YOUR ROLL, OKAY? LOOKING AT YOU, MOM.
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