So I just got my glucose tests back and they were NORMAL (too bad I'm not) but that was cool. The testing itself was such a pain.
I didn't eat after 9pm, which would have been fine regularly except knowing that I wasn't allowed to eat, just made it more difficult not to.
Andi and I had gotten up early to take the dogs to the park.... Then I went into Emanuel's outpatient lab for my 10am (first) blood draw. Well, needless to say their lab was packed and completely running behind so I finally got my first blood draw at 11am. Had to drink glucose (twice the amount I had to drink for the first screening) so it was super sugary and made me feel a bit nauseous, especially since that was all I had had was water for 14 hours. Getting poked four times in one day is a lot too. The lab people were cool and tried to use different veins for each draw, which was nice.
So I get back out to my car around 2:15pm and there's a ticket from security chastising me for parking in a "visitor/guest" lot with a employee sticker... Needless to report, I was feeling fairly grouchy and tired by this time so I decided to wait to call them until the next day. So, I called Emanuel's security who told me to start leaving notes in my window stating that I am a patient there today, not an employee. How frustrating and dumb - don't they know that I have pregnant brain syndrome? And if I'm in labor, don't think I'm gonna be remembering the stupid post it note for my window.... Apparently you can get "written up" for doing this too many times... But I suppose the good news of all of this is that I don't have gestational diabetes so that's one less thing to have to deal with! So, yah!
p.s. the baby is a butternut squash this week (if anyone is in the slightest bit curious to know what fruit/veggie he is compared to for this week!)
Wednesday, June 18, 2008
Thursday, June 12, 2008
placenta data
This information is from a program we have at work
called "Up to Date" with medical management info.
Anyway I looked up "marginal previa" or "low lying placenta" and here's what I found --
Low-lying placenta — The occurrence of cesarean delivery in relation to placental location was illustrated by a retrospective review of 121 cases of placenta previas diagnosed by transvaginal ultrasound within two weeks of delivery [27] . Cesarean delivery was performed electively or emergently in 42 of 42 women with placentas that overlapped the internal cervical os (complete previa) or reached the os (marginal previa), in 38 of 40 women with placentas 0.1 to 2.0 cm from the internal os, and in 22 of 37 women when the placental edge was 2.1 to 3.5 cm from the internal os. Emergent deliveries were performed for hemorrhage and nonhemorrhagic indications and were likely biased by knowledge of placental location. Based on these data, and other similar reports [28-31] , there appears to be a reasonable possibility of vaginal delivery without hemorrhage when the placenta is greater than 2.0 centimeters from the internal os.
So right now, as it stands, my placenta is 0.9 centimeters away.
We are hoping it moves away -- as you can see at least 2 centimeters.
I will find out in July at my next ultrasound and go from there.
As for the glucose screening stuff:
my first screening test came back slightly elevated so I now have to undertake:
Three hour oral GTT — We suggest administering a three-hour 100-g oral GTT and using the criteria proposed by the Fourth International Workshop-Conference on Gestational Diabetes, whereby GDM is present if two or more of the following serum glucose values are met or exceeded (show table 2) [25,44] :
Fasting serum glucose concentration >95 mg/dL (5.3 mmol/L)
One-hour serum glucose concentration >180 mg/dL (10 mmol/L)
Two-hour serum glucose concentration >155 mg/dL (8.6 mmol/L)
Three-hour serum glucose concentration >140 mg/dL (7.8 mmol/L)
But I will get this done on Monday so will know what's going on soon.
More later....
called "Up to Date" with medical management info.
Anyway I looked up "marginal previa" or "low lying placenta" and here's what I found --
Low-lying placenta — The occurrence of cesarean delivery in relation to placental location was illustrated by a retrospective review of 121 cases of placenta previas diagnosed by transvaginal ultrasound within two weeks of delivery [27] . Cesarean delivery was performed electively or emergently in 42 of 42 women with placentas that overlapped the internal cervical os (complete previa) or reached the os (marginal previa), in 38 of 40 women with placentas 0.1 to 2.0 cm from the internal os, and in 22 of 37 women when the placental edge was 2.1 to 3.5 cm from the internal os. Emergent deliveries were performed for hemorrhage and nonhemorrhagic indications and were likely biased by knowledge of placental location. Based on these data, and other similar reports [28-31] , there appears to be a reasonable possibility of vaginal delivery without hemorrhage when the placenta is greater than 2.0 centimeters from the internal os.
So right now, as it stands, my placenta is 0.9 centimeters away.
We are hoping it moves away -- as you can see at least 2 centimeters.
I will find out in July at my next ultrasound and go from there.
As for the glucose screening stuff:
my first screening test came back slightly elevated so I now have to undertake:
Three hour oral GTT — We suggest administering a three-hour 100-g oral GTT and using the criteria proposed by the Fourth International Workshop-Conference on Gestational Diabetes, whereby GDM is present if two or more of the following serum glucose values are met or exceeded (show table 2) [25,44] :
Fasting serum glucose concentration >95 mg/dL (5.3 mmol/L)
One-hour serum glucose concentration >180 mg/dL (10 mmol/L)
Two-hour serum glucose concentration >155 mg/dL (8.6 mmol/L)
Three-hour serum glucose concentration >140 mg/dL (7.8 mmol/L)
But I will get this done on Monday so will know what's going on soon.
More later....
Sunday, June 08, 2008
this is a quick one
I am into my 28th week. Wow. But just if anyone is interested, he's a chinese cabbage this week. The estimated weight on 6.4.08 during the ultrasound was 2 pounds, 13 oz. Yup, he's growing! And don't forget any pictures posted on here that you want to see larger, just click on them so you can see them bigger!
Wednesday, June 04, 2008
Ultrasound Round #3
So, I had my third ultrasound today....
Just a reminder you want to enlarge the picture, just click on it so you can see him a bit bigger! So, the ultrasound went ok - he looks good (i.e. is healthy - no worries for growth or abnormalities, etc...) and got some good 3D pictures of his little face today.
The unfortunate finding is that my placenta is still less than a centimeter from my cervix. So...I have to go to another ultrasound in 6 weeks because there is still hope that the placenta will 'move' away from the cervix. And that ultrasound should be able to tell us more -- they're just calling it "marginal previa" right now, not "placenta previa".
Anyway, I also had my first childbirth preparation class tonight.
It went well...my instructor is Laurel Lee, a CNM (Certified Nurse Midwife)
and she seems very cool and laid back.
Chrissy, my doula attended the class with me and Laurel said she was welcome to join each class along with whomever I wanted to bring (she acted like I could show up with as many people as I wanted to which was cool).
So here are the pics - you can see his little face...it's changed a lot! As you can see, the difference between 2D and 3D is just amazing - it's kinda scary but in a super fun house sort of way too! More later - it's late and I'm starting my work week tomorrow.
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