Showing posts with label Constipation. Show all posts
Showing posts with label Constipation. Show all posts

August 17, 2011

Things I Wish I'd Known

Several of these things are specific to being pregnant after a loss, but not all of them. These cover things through about Week 20 or so of the pregnancy. Maybe I'll do another one of these after delivery...



1) Getting pregnant after a loss is scary.

When I was TTC after my loss I had it in my head that getting pregnant again would magically make everything OK. It doesn't. Its scary to be pregnant again with a little one that you want so badly when you know so much about what can go wrong.


2) Spotting doesn't always mean miscarriage.

It can, in fact it did for me the first time around. This time though I spotted a lot (see chart) and he's still very much still around. I guess I'm pretty much a great example of the 50% chance they give you of a miscarriage when you're spotting. Spotting is terrifying though, especially when you've been down the road of it meaning the beginning of the end before.


3) Symptoms can come and go.

For a lot of ladies, the bulk of 1st Tri symptoms don't really start to kick in until around 6-7 weeks. For me, weeks 7-9 were the most worst. Its totally normal to feel nauseous or tired as anything one day and fine the next. The same has held true for my 2nd and 3rd Tri symptoms so far. Movement has come and gone. Swelling has come and gone.


4) Its common for 1st Tri symptoms to drop off around 10ish weeks.

My symptoms completely tanked around 9 weeks and were all but gone by 10 weeks. Turns out a ton of the ladies on Pregnant After A Loss (a board on The Bump) were experiencing the same thing. Pretty sure around that point is when the placenta takes over, making those annoying 1st Tri symptoms fade.


5) Not everyone gets morning sickness (or other 1st Tri symptoms) really bad and every pregnancy really is different.

I'd heard all these horror stories about morning sickness. None of them were true for me. To this day I've not puked when pregnant. I had nausea, sure, but only a handful of times was it to the point where I thought I might puke...and it was never in the morning. I was an evening nausea girl. I never had Super Smell with this pregnancy (did a little with the first one), just a sensitivity to a few odors. With my first pregnancy I was exhausted, this one just a few days here and there.


6) Make Mr. Metamucil your BFF.

Taking Metamucil (I'd recommend the clear and free kind that dissolves in just about anything) can really help you if you get backed up...something that is common in early pregnancy but that people don't often talk about. Other things like colace, fruit, drinking tons of water, etc can also help.


7) The days before ultrasounds are nervewrecking.

Having had my miscarriage confirmed via seeing my empty uterus on the big screen, I was terrified going in for ultrasounds early on. The worst, by far, was the one where I knew there should be a heartbeat but I had no tangible proof that the heart was in fact beating. I was scared beyond words walking into that appointment. Seeing that beautiful flicker was absolutely amazing, there just are no words. I've gotten better about ultrasounds now that I can feel him and he's passed his anatomy scan, but I still worry a little.


8) When you get news that your child might have something that will make his/her life more challenging...nothing else matters.

OK, I kind of knew that in theory going into pregnancy, but processing the news that our little one had a 1:10 chance for Down Syndrome (courtesy of the Quad Screening) was hands down the hardest moment thus far for this pregnancy. I just wanted our child to have the best chance at the best life possible...and hearing s/he might face extra challenges was hard. It did put things into perspective though and helped me realize that as disconnected as I'd felt from this pregnancy (emotionally protecting myself from another loss, I think) that I really did love the baby already.


9) The amnio wasn't as bad as I thought it would be.

It was scary seeing the needle in the amniotic sac on the ultrasound screen, but the procedure itself didn't hurt as much as I thought it would. The worst part of the whole experience, by far, was waiting for the results. Given that I'll be of advanced maternal age for future pregnancies, thus increasing my risks for several things the amnio can check for, I'll likely get an amnio instead of the Quad Screening in future pregnancies. So many of the other tests they can do just give you odds of a problem or can't rule things out completely. With amnio they are checking the DNA and you get a definitive answer. Sometimes just knowing one way or the other what is going on is necessary...at least it was for me.


10) The first movements don't always feel like flutters.

For me it felt like a bug was crawling inside of me. Why everyone else gets butterflies and I got a giant beetle...I have no idea. I've heard other ladies describe the feeling they had as it being like a vibrating cell phone.


11) Its totally normal to only feel movement intermittently before the start of 3rd Tri.

Even if your little one has been predictable as anything with their movements, when they are still relatively tiny, sometimes they can get themselves into a position where you can't feel them. Sometimes their sleep/awake patterns can change as well. If you have any concerns, absolutely call your doctor or go into Labor & Delivery (I did)...just go in knowing that in most cases the baby is fine.


12) Registries: Baby Bargains, Lucie's List and a game plan

Walking into a Big Box baby store as a first time parent is overwhelming. I found doing some research beforehand really helped me calm down. I highly recommend the book Baby Bargains (2011), available on Amazon for about $11 (image credit: http://www.amazon.com/). They literally go through and rate every product by pretty much every manufacturer and outline things like features, recalls, etc. The book will more than pay for itself. Seriously. Another thing I found helpful was http://www.lucieslist.com/. This website outlines the bare minimum of what you really need for baby. I don't agree with all the recommendations for big ticket items (a personal preference thing), but the listings of how many of this, that and the other thing you really need was helpful.


When it comes time to actually register, do what you can online. When you go to the store (there will likely be things you'll want to see in person), keep in mind that you don't have to do it all in one day. We did strollers and car seats one week, cribs and pack n'plays the next...you get the idea. You can always tweak it online at home. Oh and another important tip-If you get tired, that's a GREAT time to try out the gliders. Just sayin'.

March 5, 2011

8 Weeks


(image credit: http://www.thebump.com/)


I've decided to set up a little questionnaire I'll answer each week. I figure it will make it easier for those following along to read.


Size wise this week the little embryo is roughly the size of a raspberry. Fingers and toes are just beginning to form this week, and the arms can even flex at the elbows and wrists. The eyes are becoming more obvious because they’ve begun to develop pigment (color) in the retina (back of the eye).

Also, the intestines are getting longer and there isn’t enough room for them in the baby’s abdomen, so they protrude into the umbilical cord until week 12.

By now, the beginnings of the buds that will develop into your baby's genitals have made their appearance, although they've not yet developed enough to reveal whether your baby is a boy or a girl.*



How far along: 8 weeks
Total weight change: +2. Bloat
Maternity clothes: No, but I did bust out the Bella Band once this past week to deal with bloat.
Stretch Marks: No
Movement: Too early
Sleep: I've been sleeping fine other than being woken up by mild cramps and having to pee.
Best Moment This Week: Having the calendar turn from February to March. Hopefully we'll get to see a heartbeat this month.
Belly Button In or Out: Definitely still in
Cravings/Aversions: I can't stomach the texture of eggs. I've also had issues with BBQ sauce this week.
Symptoms: Still quite mild, sometimes all but gone. I actually would love to have a few more symptoms, as strange as that may sound. Still no puking, but I've had more reliable nausea in the morning and evening. Mild growth cramps have happened occasionally, mostly in the evenings. I've had a couple of really minor instances of spotting AGAIN this week. I've also gotten introduced to pregnancy constipation this past week...which I noticed led to an instance of spotting. Mr. Metamucil has become my friend to deal with the constipation.
I'm starting to notice a trend with the spotting. I seem to spot after just about anything disturbs my nether regions (vaginal ultrasound=spotting, sex=spotting, BM=spotting). Wonderful. At least there seems to be some reasoning to it though. I'm going to mention it at my appointment next week, but Dr Google tells me spotting after each of these things is pretty common.
What I'm Looking Forward To: My first appointment with my new doctors office is this next Thursday, the 10th.

I have to confess I'm having some issues with waiting so long to know there is a heartbeat. Having had a loss in the past and having spotting throughout this pregnancy...seeing the heartbeat would comfort me. I know its no guarantee of a happy ending whether I see it now or weeks from now, but it is a huge step and the chances of a miscarriage drop dramatically once a heartbeat is seen.
From talking with my new OB office, they like to schedule the appointment for 11-12 weeks. Another month of waiting. They say that its so that it will look more like a baby. Thing is, I'm well aware that in the embryonic stage of development things don't look human. I've unfortunately seen it in person. I don't care if it looks like a manatee, a gummy bear or an alien. I just want to see that it has a heartbeat and that its measuring roughly what it should be.


*Developmental information is from: http://tinyurl.com/4lax6et

May 2, 2010

Am I a fetus?

Ah, the questions I'm sure smudge is asking right now.

Depending on the website, smudge may not be an embryo anymore. The information is fairly evenly divided as to when an embryo is considered a fetus. Merck says 8 weeks, IVF.ca says 8 weeks and medline says 8 weeks.
So we're saying 8 weeks.

And in that case... meet my fetus:















-----------Smudge 8w via Dr L ---------------------------Smudge 8w1d via Dr Z-------

At 8 weeks, we had our first appointment with Dr L, my new OB. Her partner (Dr M) is my Gyn, and I and thrilled that i'm able to stay with the same practice.

Dr L is exactly the kind of doctor I need. She's going to be a weight nazi, and has me already counting calories and calcium content and focusing on low-glycemic carbohydrates. I need that. After losing 60 pounds, and keeping it off for more than 2 years, I'm actually terrified of gaining too much weight. Not because I don't want to - i'll PROUDLY wear my baby belly, but that's all I want it to be. I'm still a good 45 pounds overweight, and I really want to keep it to the minimum. Hopefully she'll be able to help me do that so I can also try to avoid complications like gestational diabetes.


Another thing I like about her is that she isn't all about medication. THRILLED because neither are we. She asked me about constipation, which you all know I know well at this point. She had me add 500mg of magnesium to my vitamin regimen taken at night before bed. It's working so far. YAY for no more prunes. But I love how she went to the magnesium, and NOT the colace or the metamucil. This is definitely the doc for me.


I was a little concerned about her being a single doctor OB practice, but she was able to set our minds at ease. She schedules her vacations in advance, and if she has plans or makes plans for the window around your due date, they tell you at the time of your first appointment, so you can decide if you want to stay with the practice, knowing she might not be able to deliver you. For me, the worst case scenario would be if Smudge comes on thanksgiving, because she'll be 6 hours away with family, but other than that, we're good to go. I'm not worried.


The next day was my last appointment with Dr Z. It was so bittersweet. It was awesome that smudge is doing SO great (1 day ahead in growth and a perfect heartbeat). He was happy to tell me that our miscarriage rate is now less than 5%, having hit the 8 week mark. We saw little flippers on the u/s and a brain cavity! And I really love seeing the little flicker of the heartbeat.


Dr Z hugged me before we left. He said that if I ever want to come back for an appointment with him, all I have to do is call and that he WANTS to see me; they don't get to see many pregnant bellies at his office. He gave me his personal email address to send him pictures and updates. And best of all, he reminded me that he was ALSO board certified in ObGyn, so if I ever had any questions about something I was being advised to do, I could just call him and get his opinion.


Have I ever mentioned how much I LOVE Dr Z? I'm going to miss him and his staff. We're sending them an edible arrangement to thank them for getting us this far, and for being so awesome.


So, for now, I have to try to get used to being a normal pregnant lady (albeit, one who is advanced maternal age). It's going to be difficult to switch to monthly visits rather than weekly. I'm used to all of this medical attention. So weird now.


So, our upcoming schedule:

10w: Next Dr L appointment

12w2d: NT scan

14w: Dr L

18w: Dr L

20w1d: Anatomy Scan


You know i'm going to have to finagle something for 16 weeks. There's NO way i'll be able to go a FULL month with NOTHING.


Oh jeez - i can totally see me buying one of those dopplers now, for in between appointment use. Hey - at least I'm trained to use it.


 

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