We saw Kathryn (our midwife) yesterday....so much happened that I want to make sure I get it all down.
First of all, let me just say that you are one BIG little girl! You are growing and growing, despite the fact that I've cut out sugar from my diet and really been watching what I eat. You're already estimated to be over 8 pounds. A big, strong girl....I'm not surprised.
I asked lots of questions yesterday and I got very reassuring answers. There is no time limit for labor at our hospital. That means that you aren't forced to take Pitocin or get a c-section if your labor lasts a really long time (which is common for first babies). I learned that episiotomies are very, VERY rare, even with the doctors at our hospital. Our midwife has cut only one in her career and it wasn't at this hospital. That made me feel better....lots of doctors and some midwives are far too keen on cutting episiotomies and they can be very difficult to recover from.
Unfortunately, I'm Strep B positive. That means that I carry a bacteria that is totally harmless to me, but can be passed to you during birth (which could be dangerous). The solution is for me to have antibiotics while I'm in labor. If this were a home birth, I would be able to take them orally. But the hospital protocol says that I have to have an IV, which is a real bummer. Actually, I won't have to have an IV - but a hep lock - which is an IV opening in my arm, so the antibiotics can be hooked up when I need them. I'll still be able to move around freely but I'll have the hep lock in my arm the whole time, which isn't the best news.
I told Brian it will be a distraction to help with my breathing techniques - something to focus on other than the contractions/rushes.
Oh, that's the other thing. I read Ina May's Guide to Childbirth and loved it. She encourages women to call contractions 'rushes' and think of them as rushes of energy to your body. The word 'contraction' connotes tight muscles which is exactly the OPPOSITE of what you have to do to easily bring your baby into the world. Using the word 'rushes' helps put my focus where it needs to be - on relaxing through them and riding the wave of each rush as it brings me closer and closer to you, my baby girl.
But back to our appointment yesterday. Kathryn checked your heartbeat and it was very, very fast! Too fast, actually. So she sent us for a non stress test across the hall. I sat in a chair and had two hard plastic electrodes strapped to my belly for twenty minutes while a machine monitored your heartbeat. Many doctors, I learned, require their patients to wear this contraption throughout their whole labor and delivery, which entirely limits their movement during the whole process. (yuck!)
Everything turned out fine - your heartbeat was totally normal. Kathryn checked your heartbeat right after she had been pressing around on my belly and you had been kicking and stretching a bunch, which made your heartrate go up. No big deal.
Sitting in that chair, though, I was scared. It was the first time I considered that you might be in danger. Thankfully, I knew that if something WAS wrong, that you were old enough to come into the world today if you needed to. In that moment, I was willing to do whatever it took: Pitocin induction, c-section, whatever, to make sure that you were safe. I think it was one of my first real mother moments.
Kathryn told us, after feeling around my belly for a minute, that you are occipital anterior. That's not great news, kid. Your face is up against my belly - but we want it to be facing my back. I have some exercises that I'm supposed to be doing every day (lots of sitting on the floor - absolutely no laying on my back or crossing my legs) in order to encourage you to move. It'd be great if you moved for us - labor and delivery will be a lot easier for you AND me if you turn...
Kathryn did a cervical exam and it turns out that I am 70% effaced and 1 cm. dilated. We're getting there, Sophie. Only a couple more weeks (if that) and we'll be able to look at each other in the eye. Oh, I can't wait. I can't WAIT!!!