The birth plan I wanted, and the discussion with my doctor

At my last appointment I brought in the following draft birth plan. That was when the doctor told me about the likely early induction and of course now my birth plan will need to change. But I wanted to share my original thoughts.

*If no medical complications arise, the following is my birth plan:

During labor
• Allow in delivery room: my spouse, doula, my mother
• Planned delivery: vaginal
• Stay hydrated with clear liquids and ice chips
• Eat and drink as approved by my doctor
• Intermittent fetal monitoring while I’m still mobile
• Heparin or saline lock rather than an IV
• Pain relief: Demerol at first and Epidural when requested and possible
• As few interruptions as possible
• As few vaginal exams as possible
• Hospital staff limited to my own doctor and nurses (no students/residents/interns)
• No labor augmentation

During delivery
• Not be reclined
• Use foot pedals for support
• Continue Epidural
• Use a mirror to see baby crown
• No forceps usage or vacuum extraction
• No episiotomy

Immediately After delivery
• Cut umbilical cord only after it stops pulsating
• I would like to see the placenta before it is discarded
• Hold baby and attempt to breastfeed

• Keep baby in my room at all times
• Baby’s medical exam given in my presence and/or my spouse’s presence
• Please don’t give baby formula or a pacifier
• Breastfeed with the help of a lactation specialist
• Baby’s first bath given by myself or my spouse
• Circumcision performed by my doctor

If C-section is necessary
• Exhaust other options first
• My spouse to remain in the room the entire time
• Stay conscious, use epidural
• Explain the surgery as it happens
• Hands free so I can hold the baby immediately
• Breastfeed in the recovery room

I was expecting to go into labor naturally and labor at home for as long as I could stand the pain so I could eat and move around and be more comfortable. Being induced means I’ll be strapped to the bed the entire time with the IV full of medication and of course an epidural, cause there’s no way I’m doing pitocin contractions naturally. I was expecting to have the contractions start out bearable and gradually increase, and maybe have my own pain tolerance increase with them, but that won’t be the case with induction. Pitocin contractions come hard and fast, period.

The doctor said they don’t allow you to eat because your stomach needs to be empty should a C-section be necessary. I thought that was due to anesthesia but he said it was because there is a risk you might aspirate if you throw up. Ok, got it, no food. But he said I can have glucose and clear liquids, so Gatorade is going on the packing list.

On a lot of these medical intervention items – like forceps and episiotomy (where they cut you down there if you’re not stretching enough) he said that I gotta trust his judgement. I’d rather have a small tear than a large cut, but sure if that isn’t even possible then yes if necessary, cut. I guess I should add the word “routine” to some of these. Hopefully my doula will be able to help facilitate the conversation so that the doctors and nurses aren’t making decisions without my input.

I’m wanting most of the stuff done to the baby to be at least in my husband’s presence if I’m not able to participate. Hopefully the nurses will allow that. Doctor said I won’t want the baby in my room the entire time, but it is hard to feed on demand when the baby is kept away. I don’t want them to give him formula or a pacifier at least until breastfeeding is established. But I might change my mind as exhausted and out of it as I will be at that time.

I’m also told if I end up having a C-section, I might be in the hospital up to 5 days. That doesn’t sound fun, but again, I might feel differently. I need to check with my insurance and find out the coverage details in that situation.

Got some unexpected news at my last doctor’s appointment

On Friday I had a bit of meltdown at/after my doctor’s appointment, because my timeline is being cut in about half. It started out like a normal doctor’s visit, but this one was a little more involved because the doctor took the Group B strep culture and I also got my flu shot and my Tdap vaccine. I also brought a copy of my draft birth plan because I wanted to go over it with my doctor before meeting with my doula. My original thinking was I’d go into labor and wait it out a bit at home until the contractions got unbearable. That way I could still move around and eat and be comfortable before going to get the epidural and being strapped to a bed for the remainder of the time.

What the doctor told me instead was because of my gestational diabetes they will need to induce me, and may do so as early as 38 weeks or maybe up to 39 weeks, so the baby doesn’t get too large. I was almost 36 weeks at the time of the appointment, so I kind of had an OMG moment since that’s just over 2 weeks away! I really didn’t want to be induced, partly because I’ve read that can increase the chances of a C-section, it makes the overall experience last longer since they need to give you all kinds of medication to prep your body for delivery since it hasn’t done that on its own yet, plus the pitocin makes the contractions come hard and fast, so no gradual increase in pain as labor progresses. That means I’ll be asking for an epidural right away and won’t be able to walk around for any of it.

That will certainly throw a lot of what is on my birth plan out the window, but I definitely understand the risk of a large baby. I was just thinking that I was controlling that with diet and since my blood sugar numbers have been good and the doctor hasn’t needed to put me on insulin yet I thought I was in the clear. I’m really glad I brought the topic up since that really changes my plans quite a bit.

So the doctor said he might be inducing between November 3-10. I thought I had another month to go with my due date being November 17th. So, bear with me while I get the rest of my mind wrapped around this change.

My Mom isn’t flying in until November 8th, and I wanted her to be here for the birth so she could help me get around during recovery. But now that Dad has decided to fly out with her and take a couple of vacation days to stay until mid-week, perhaps this is a good thing. At least if I have the baby before they arrive, Daddy will get to see his grandson in the short time he’s visiting. Mom will stay for a month and a half though since she can do some of her work from my house.

On a more fun and less stressful note, I had my Houston baby shower on Saturday. I hosted at my house since few people had been over yet and now my friends know where I live and can visit me and the baby. I had a really good turn out and I’m so happy with the great friends I have here. I got a lot of fun toys and good stuff for me that I didn’t have yet, so I’m very thankful.  Also, look at the Smurf cake for Smurfberry!


5 things that make pregnancy oh so glamorous /sarcasm

5 things that make pregnancy oh so glamorous

There are things we are commonly warned about that occur in pregnancy, such as stretch marks and nausea. But there are also other interesting tidbits about being pregnant, especially in the 3rd trimester, that maybe not all of us are aware of. Here are a few observations I’ve made recently that show just how UN-glamorous pregnancy can be. Come have a chuckle with me and enjoy the list.

5 things that make pregnancy oh-so glamorous.

  1. Hemorrhoids. Yep, apparently these are common. Yech. Not only are you constipated a lot, but when you do go, it isn’t all that pleasant. TMI? No topic is off limits when you’re pregnant.
  2. Incontinence. You’ll sneeze and pee yourself. Yep, it is just a matter of time. I live in panty liners now.
  3. All that discharge. Did I mention panty liners? Yep. Cause gross stuff comes out of you. Here’s TMI again.
  4. Gas. You’ll fart like an old man, I kid you not!
  5. Leaky Boobs. Ok, I haven’t experienced this quite yet, but I’m sure it is coming. I carry some of those boob pads in my purse just in case I start leaking at work someday.

Got anything to add to this list? I’d love to hear it.

Gestational Diabetes and the managed carb diet. Pricking your finger is no fun.

Gestational Diabetes and the managed carb diet

Late in my second trimester I had to do what every pregnant woman gets to do in the mid-20th weeks – take the glucose tolerance test. Well, I failed the 1 hour test, as many people do, and I was really trying to be optimistic about having to take the 3 hour test. Unlike the 1 hour, you have to be fasting for the 3 hour. So not only do I have to skip breakfast, but I have to have my blood taken 4 times, before, and at each hour after drinking the extremely sweet stuff, and not be able to eat or drink anything until the test is complete. I took a mental health afternoon from work that day since I knew by the time the appointment was over I’d have a massive headache and would be in no condition to drive to work and think anyway. So I scheduled a hair appointment instead.

The test itself was a bit worse than I expected. I felt so nauseous the first hour and was very worried I wouldn’t be able to handle it. I was in the waiting room with everyone else waiting for some blood work at the lab so it wasn’t like I had a comfortable place to go lie down. I just leaned back in my chair against the wall and tried to relax until it passed. Immediately after my final blood draw I had my husband meet me and we went and had an awesome lunch at Chili’s, which included their amazing giant cookie skillet dessert! YUM. Oh man I want one right now.

Anyway, unfortunately, I flunked the 3 hour test as well (yes, that is what my nurse told me – I “flunked” it). So that meant I was diagnosed with Gestational Diabetes and needed to meet with a dietitian to discuss my results. She told me my first and second hour results were very high, but that by the third hour my body kicked in and processed the stuff ok. My fasting number was fine too. But the risk with my body taking several hours to process a large amount of carbs/sugar is the baby is getting too much food and can grow too quickly. The last thing we want is a huge baby with health problems, so for the remainder of my pregnancy I need to be on a controlled carb diet. The dietitian explained to me that I can have 30 grams (aka 2 servings) of carbs for breakfast and for each of my snacks, and 45 grams (3 servings) for lunch and dinner. So as long as I watch the labels of my foods and try to be careful with the amounts (because servings are tiny ok!) I should be fine. Then she gave me a device to prick my finger and measure my blood sugar and said to measure my blood fasting, and 1 or 2 hours after breakfast, lunch, and dinner. Not fun at all, let me tell you. Especially pricking my finger at work. Gross. Thankfully my OB only wants me to record my fasting blood sugar. He said as long as I follow the diet, I only need to provide him with a trend of my daily fasting numbers to see whether I need insulin. So far my numbers have been fine, hope that continues to be the case.

The first two weeks of being on this diet I actually lost two pounds. I wasn’t expecting to be losing weight while pregnant, but I did have plenty that I recently put on with my “I’m pregnant, I can eat whatever the hell I want” diet. I’ve also noticed my feet haven’t been swelling as much, but I don’t know if that is related. I’ve been doing this for almost a month now and I’m finding it not too difficult to stick to the diet unless people try to tempt me with dessert. I haven’t been attending the office monthly birthday parties since it is always cake and ice cream – none of which is on my diet right now. I know I’ll splurge a little at my own baby shower – yes I have at least one more put on by my Houston friends (and maybe work will throw me one) but that’s it. For now as long as I eat a good dinner of meat and salad, I can still have the skinny cow ice cream that I enjoy. So I guess it could be worse, right? So not only am I counting down the days till I can have sushi again, but I’m also counting down the days until I can eat a giant cookie dripping in fudge and ice cream. Just bring those to my delivery room, ok?

Why would you say these things to a pregnant woman?

Why would you say this to a pregnant woman?

There’s this one lady at work who every time she sees me will say things that are quite inappropriate. She doesn’t say them in a rude way, but what she says is not something I feel good hearing. Seriously, why would someone say such things to a pregnant woman?

Here’s what I mean:

* You’re due in November? Oh there’s no way you’ll make it that long as big as you are. [Umm.. so you're telling me I'll have a preemie just because I'm big?]

* Are you sure you’re just having one? [Yes, just one, thanks for calling me fat.]

* How much weight have you gained? [SERIOUSLY, WHAT WOMAN ASKS THIS OF ANYONE!!!?????]

* Are you sure you’re having a boy? Did you see a penis on the ultrasound? [OMG since when is my baby's genitalia any of your business???]

I saw this hilarious post on Pregnant Chicken on this very same topic, so I know I’m not alone in receiving such comments. Have any of my readers been on the receiving end of such remarks? Feel free to share your posts with me if you blogged about it, I’d love to read them.


Ultimate Healthy Living Bundle 2014 sale Sept 10-15

This post contains affiliate links, which means that if you buy the product, I will receive a commission.

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Welcome to Third Trimester

Today I am at 29 weeks pregnant, so I’m well into in my third trimester. I thought this would be a good opportunity to reflect upon the end of the second trimester and everything we’ve accomplished so far.


I took this photo a few days ago so I thought I’d share it as part of this post.

Smurfberry’s accomplishments:

By the end of the second trimester, Smurfberry:
* Weighs about 2 pounds (or more, since we’re measuring bigger)
* Can kick and poke (and oh boy does he!)
* Has thickened layers of skin, some hair and body fat.
* Has all 5 senses functioning

Go Smurfberry! You keep on growing nice and healthy, but be nice and let’s not get to be like 9 pounds at birth, OK?

Mine and hubby’s accomplishments:

We’ve gotten a lot of the big stuff that I know we’re going to need – crib, car seat and stroller, dresser and changing table, etc. Here are some of the awesome things:





The crib was actually a gift/hand me down. My niece and nephew used it, and my MIL painted it so it would look nice and new for her newest grandchild. She also gave us the adorable Lion King bedding :) We’ve been wanting to use greens and browns in our theme, something forest or jungle themed, so that works out nicely.

Since we’ve already had our destination baby showers with both sides of our family, we already are stocked up on a lot of the goodies we will need. My friends are talking about throwing me a local baby shower too, so I’m excited to finish off my “you will need this” list.

I am starting to feel the effects of the third trimester though. I’m out of breath again, feel huge some days and have a hard time getting up from a seated position. Nevermind dropping stuff – if there’s no one around to get it for me, I don’t need that item! lol Heartburn is back and sleeping has become difficult. But, I’m still trying to remain optimistic that it won’t get too bad, and am trying to stay calm about all the unknowns of the labor experience. It terrifies me, but I’m trying not to let the fear take over. Now’s the time to start reading inspirational posts even though I’m not usually into the squishy stuff.

Anyone have any advice for me? I’d love to hear it :)

Ultimate Healthy Living Bundle 2014 sale. Get this bundle for FREE.

This post contains affiliate links, which means that if you buy the product, I will receive a commission.

Have you heard of the Ultimate Healthy Living Bundle? I’m excited to have joined the team to get the word out about this fall sale! I’ve been working on getting healthy for the past few years, with losing a lot of weight prior to this pregnancy, and now trying my best to stay healthy through this time in my life and beyond. I’m looking forward to learning from this event and continuing the wellness journey for myself and my growing family.

The Ultimate Healthy Living Bundle will include more than 70 eResources from top healthy living bloggers as well as amazing, tangible bonus offers. This year’s bundle is valued at over $1,000!

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Second Trimester Update

As  I’m finishing up my 24th week, I thought I’d reflect on how my second trimester has been going. In short: it has been great! The second trimester is known for being the most comfortable, and I can certainly say it is much better than the first!

What has changed:

1. The nausea is gone, hurray! All the food aversions seem to be behind me. I guess bring on the cravings?

2. The breathlessness is gone and I finally have the energy to go up the stairs once or twice if I really need to. I’ve even walked over a mile one day! (I mean, I don’t plan to do that again, but it is cool to know that I can, right?)

3. The bump is bumpalicious! So I no longer just look a little fat, but I actually look unmistakably preggers. My little (or big on some days) bump is fun to sport, actually. I’ve had to go buy some maternity clothes because I was just no longer fitting most of my “fat clothes” and the belly button band with my pre-pregnancy clothes was no longer comfortable.

4. Little kicks! I can feel Smurfberry moving around all the time now and it is just so fun. It makes me laugh sometimes because it is like he is knocking to say hello. He is responsive, too. When the nurse was searching for his heartbeat at my last appointment, he kicked back at her. It was neat. There’s a little life stirring around inside me and I’m finally feeling connected to him.

I struggled with wrapping my head around all that being pregnant means during my first trimester. Now, I’ve definitely embraced being pregnant and have been enjoying these past few months. I feel great and people smile at me a lot. I’m a bit worried about the third trimester though, because I don’t want to be uncomfortable again. And of course, I am terrified about labor, but I think I have enough knowledge about what is going to happen, and support (I also plan to get a doula, in addition to my family support), so I think I will get through it. Hopefully, with my sanity intact heh. I haven’t quite embraced the thought of being a parent yet, but that will come I’m sure when I’m holding little Smurfberry in my arms.

Smurfberry ultrasound update

Friday we had our 19 week appointment that involved an ultrasound. We would have been able to find out the gender then, but we already knew earlier from our genetic testing. Smurfberry is definitely a boy. Oh boy, he was not shy at all. We were told he is measuring in the 91st percentile in growth, so he will definitely be a big boy. I’m sure he’ll be tall and take after hubby. I wonder how long until he’s taller than me? I mean I’m only 5 foot 3. Anyway it was so amazing to see him moving around during the ultrasound. He moved so much. He actually kicked up with his feet a few times at the ultrasound wand. I don’t think he liked being pushed on. I can’t feel it quite yet since I have an anterior placenta, but I should start feeling it in a few weeks. At one point he waved his little fingers at us. It was such an exciting appointment since the previous ultrasound was too small and you really couldn’t see much going on. This time there was so much activity. Here’s the best picture of the little guy. Now if we could just pick a name.BrJ2-syCYAA5uuY