35 Weeks, 5 Days

A few days ago, I talked my husband into an impromptu maternity photo shoot. When you’re 35 weeks pregnant and feeling cute, you take advantage bc it may never happen again ;). I’m the photographer in the family, but he held his own and got me a few good shots to remember my last pregnancy by.

Amelia is super pumped to be a big sister. I’m excited for her, but I’d be lying if I said it didn’t pile onto my anxiety. God forbid, if something should go wrong, it’s not only my husband and I who will suffer. 😦 *BUT ENOUGH OF THAT FOR NOW* I don’t have enough energy to entertain negative thinking at the moment.

Saturday, baby girl passed her non-stress test quickly for the second week in a row – I, on the other hand, experienced some regular, mild contractions while on the monitor. The nurse mentioned that they could keep me and hook me up to IVs – as is pre-term labor protocol – but because I live only 5 minutes from the hospital, she told me to go home, take it easy and hydrate, with orders to come back in if the contractions became painful.

I spent the rest of the day relaxing with my girl, in bed, binging “My Little Pony: Friendship is Magic.” It was nice, and eventually, they went away.

This week, I’ve had some stressful night meetings, and today the contractions were back with a vengeance. I feel like I still can’t tell the difference between real contractions and Braxton Hicks. What I felt came from the top and not the sides, and the pain, though slight, was accompanied by pressure and pushing down low. From what I have read and remember from my first labor, they definitely seem real.

I had to go into the OB’s office to redo my Group B Strep swab anyway, so I asked about them and told the NP that last time the contractions felt like this – no big deal – until they were 1.5 minutes apart and suddenly terribly painful. We decided it was best to do a quick exam, just to see where things stand. Everything for the moment is high and shut down tight, which is good. She can stay that way for another couple of weeks, but then it’s time to work on coming out to meet us!

Her movements are delightful bc they tell me she’s OK in between our weekly NSTs, but they’ve also become painful, and cramped. I wake up feeling sore, like someone has beaten me in the night. I wake every 1-2 hours to pee. I’m so ready to be done.

My glucose numbers have evened out a bit. Last week I thought they were getting crazy again, but I feel more confident now that perhaps I can finish this thing through on two 500mg Metformin tabs per day, sans insulin. I’ll come back in a few days and post all my numbers, just bc I think they will be neat to see all in one place.

I hope that I can continue limiting carbs after this baby is born. Definitely not as strict as I have been doing, but it might be a good idea to try and avoid getting Type 2 when all is said and done. After all, my mother’s five brothers have Type 2 diabetes, and my father is pre-diabetic, and I started this pregnancy quite a bit overweight. All of those odds are stacked against me.

I feel the nesting bug hardcore, and there’s so much to do, both at home and at work before this baby comes! Wish me luck πŸ™‚

31 Weeks

Friday, we hit 31 weeks into this pregnancy, and a little more than 2 weeks into my gestational diabetes diagnosis. It seems like it’s been an eternity, with 9 or so weeks to go.

I finally heard back from my OB, who was reviewing my food log and numbers, and he has decided to put me on Metformin once a day (at breakfast) in an attempt to lower my numbers. They just hadn’t improved as much as he would have liked, but he assured me it’s likely nothing I’m doing wrong. *Sigh of relief*

Sometimes, your body just needs help.

I did some reading, and learned that Metformin tablets work to lower the amount of sugar in the blood by lowering the amount of sugar produced in the liver. They also increase the sensitivity of muscle cells to a patient’s natural insulin. There’s other good news too –

There seems to be adequate evidence of efficacy and short-term safety of metformin in relation to maternal and neonatal outcomes in GDM, with possible benefits related to lower maternal weight gain and lower risk of neonatal hypoglycemia and macrosomia (large infant size at birth). Additionally, metformin offers the advantages of oral administration, convenience, less cost and greater acceptability.

-National Institutes of Health 

Today, I’m two – almost three – days into that treatment, and it seems like it might be working. Still haven’t had a perfect day yet – that’s the goal. I hope this is the week, even though there’s an awful lot going on at work to be stressed about.

My diabetes counselor reached out today and suggested more protein in the mornings, which is something I know I struggle with, since I don’t enjoy meat (or eggs all that much). She offered to get me in with a dietician, but I’m going to see how the Metformin treats me this week and see what insurance will cover before I take on what could be another added expense. She also reminded me that sometimes there will be unexplainable glucose spikes – after all, a pregnancy hormones are hard at work.

OB also called me today about an ultrasound I had back at 28 weeks, on Good Friday. Somehow they lost track of it (I’m wondering if it was because of the holiday), but I followed up like a good little patient and asked about it. The scan was to see if my partial placenta previa from 20 weeks had moved – and it had – but not far enough. He said it’s difficult to tell, but the placenta was either 2cm or 1.5 away from the cervix at 28 weeks. By now, it could be in the clear, but he wants to do a transvaginal ultrasound between 33-35 weeks to see where we stand on that. She was also breech at the time, although she has plenty of time to move, and weighing in a week ahead, at about 3 pounds.

I have to get bloodwork this week to see how my crappy thyroid is hanging in there. And the nurse told me I’ll start NSTs near the end of my pregnancy to monitor the baby’s wellbeing, though she didn’t estimate what week. When asked about the risk for early delivery or a need for induction, she indicated that will depend on a number of factors, which the doctor will speak to me about at my 33 week appointment at the end of this month. So I guess we’ll see.

The diet is getting monotonous, and a lot of the new foods I have been trying tend to cause spikes. My mood has been better overall, and my body has been more comfortable, until today at least. Today I feel huge. And tired.

Check in at 32 weeks πŸ™‚