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The Good, The Bad, and the Eh.

The good, the bad, and the egg.  I mean, the eh.We'll start with The Bad:

  • Getting my sorry arse to Boston proper yesterday should have been a quick ride.  My first appointment was at 8 am, I was leaving my house with an hour and 15 minutes to spare (I had hopes of grabbing breakfast before my appointment and getting a little work done on the trusty laptop) but traffic on the way into the city dashed all hopes of getting there on time.  It took me two hours and fifteen minutes to make a 35 minute drive.  Needless to say, I was livid by the time I had arrived at Joslin.
  • And while I'm driving, I'm watching my blood sugar climb.  Crap on several levels, because as I edged closer to 170 mg/dl, I started to wonder if my insulin to carb ratio needed to be changed, I fretted about the effects on the baby, and I also realized that two hours in the car at an elevated blood sugar equaled "OMG I have to pee like you read about."
  • Also, felt a dampness in my armpit and became disgusted with myself, realizing I was sweating through my shirt?  Gross, Kerri.  That's just gross.
  • Arrived at my appointment 30 minutes late, they squeezed me in, and after I gave a urine sample, they told me that I was spilling ketones for the first time in my pregnancy.  FanTAStic.

Which leads me into The Eh:

  • Turns out that my blood sugar was climbing because my infusion set wasn't connected to my body.  The pump was on my hip, the site in my arm, but the two weren't joined at the set, leaving every bolus and every basal unit pooling into my armpit.  Thus explaining the stain on my shirt (and the fact that what I thought was sweat was, instead, vital insulin units).  Two hours without insulin explained the high, the headache, and the ketones.  And also made me feel extremely dumb.
  • My eye dilation was deemed "inconclusive" by the retinologist.  She said that my right eye was perfectly fine, but the left did still have two spots close to the macula.  Again, less an issue with the spots themselves and more with their precarious location.  "But I feel comfortable with you attempting a vaginal delivery.  But if you have a long labor, or a difficult labor, you'll need to have a c-section."  My initial response was "Oh, but I'd really like a healthy baby and healthy eyes for myself, so would a section be a better chance at having both?  Or do you just want me to push, possibly harm my left eye, and then possibly still have the c-section?  Does not compute."

But thankfully, there's still The Good:

  • BSparl remains at a steady, healthy weight, and her heartbeat was lovely enough to make my own skip a beat.
  • My doctor called me at nine o'clock last night to tell me that she reviewed my eye exam with the other high risk OB/GYN and they feel confident in recommending a c-section.  Their main concern is the Factor V Leiden issue, which could cause a clotting concern with the delivery wound, but I've already had my medical team advise me that I'd be on Heparin for a few weeks after delivery.  They just want the baby out safely, and for my eyes to remain intact.  I'm on board for that, as I'd like to be able to clearly see this creature we've created. 
  • And now I know how she's arriving, and I can start Googling that and freaking out.  No, I know not to Google and not to completely melt down.  But honestly, the whole "giving birth" thing, no matter the method, has made me nervous for years.  And it's strange to know that in eight weeks, I'll be doing it.

Which brings me to the best part of The Good:  Only 64 days until I can hold her in my arms and tell her I love her.   It's on. 

Comments

Yahoooooooooooooo!!! An April baby...how lovely!

My sis had two c'sections ~ the first an emergency after going 2 weeks overdue, being induced and in labor for 48 hours. The second was scheduled (also in April) and went sooo smoothly.

8 weeks will be over before you know it and you can finally tell BSparl all the wonderful things you've been telling us for months.

Good luck, Kerri!

Well, it sounds like the bad isn't so bad, the eh was okay, and the good is FABULOUS!!! Don't freak about the c-section - I think you will do just fine. You are prepared for this ahead of time, and I'd imagine that makes it easier than having it sprung on you at the last minute. Much more stressful that way.

And now, the count-down to BSparl beings in earnest!! Wwhheeeee!!!

Do not Google the c/s!

I had c/sections with both of my kids due to low blood platelets (the c/s was preferable because the timing of delivery could be controlled). It is not the ideal method of delivery, but it was not too bad, really. Like you, I was also at risk for post-delivery complications, but I recovered easily.

I am glad to hear BSparl is doing well!

I can't tell you how many times I've forgotten to hook the set back up following a shower. I usually smell the insulin before I feel the symptoms. Don't feel stupid; join the club.
I've never been pregnant but my wife has. During labor they attached a fetal monitor to my unborn son. Things progressed normally until time to push. Turns out what the doctor thought was a soft round head, was a soft round butt. A C-section quickly followed. There was no time to freak out or plan for the event and it all turned out OK. We're with you, Chris, and BSparl.

I had a c-section with my son, and if I were ever to have another I would absolutely request a c-section again. A few words of advice:
1. Ask your doctor about an abdominal binder. Mine uses them as a matter of course, but not all do. If they do not routinely use them, bring your own to the hospital. It really helps to support the abdominal muscles that have been cut through and makes moving around so much easier.
2. Get out of bed as soon as you can. Being up and moving will help you feel better faster.
3. When getting out of bed, raise the back of the bed as high as you can, and lower the height of the bed as close to the floor as you can. Use your arms to push yourself up, don't try to use those abs right away!
4. Bring comfy pj's, slippers, and (sorry, guys) your own pads. You'll be much more comfortable with your own, as opposed to what the hospital provides.

Aaah, Boston traffic. What I don't miss about living there!

I will let you in on a little secret - Number One son was a "surprise but not emergency" C section - flipped into breech 3 days before my due date. Number 2 was two weeks late and induced VBAC (they did those then), number 3 simple VBAC and 3 pounds lighter than number 2... Of the three I had the most comfortable recovery with the C-section...

The point is going home with bSparl, not how you get her out! You'll do fine.

A was born via C section as he decided to present his bottom first at the last minute. E was born 'naturally' Whatever way, it is the most amazing thing I have ever done and that moment when you see them for the first time is just 'WOW'! The C section wasn't nearly as bad as I imagined , day 2 was tough but no worse than the normal delivery. Not long now!

Congratulations!! Everything will go smoothly, and you have a ton of people cheering you on!

I had a c section w/ my daughter and it was easy. One major advantage.......there will be no ugly mom, new born baby pictures. You can fix your hair and makeup and your pictures will look great!

I agree with the getting up as soon as possibe, but the nurses might require you to do so. Mine did and that was 10 years ago (wow).

On being scared, remember we have a build in "forget factor". As soon as you see Bsparl, you will forget any and all pain. (That's His trick to get us to have more!!)

I hope you felt better quickly. Glad to know Bsparl is healthy and on her way!

I agree with getting up out of bed as soon as possible after abdominal surgery - I was required to stay in bed the first 24 hours after my recent procedure and I think that didn't help recovery.

(Thanks to the commenter who mentioned an abdominal binder - I'll be looking for one for my next surgery!)

I cannot get enough BSparl posts. They make me smile like mad!

I have a friend who had her first child vaginally and her second child via c-section, and she says the c-section was a lot easier, particularly the recovery (which is the part I'd worry about).

I know anecdotes aren't evidence, but I hope it helps offset at least one of the scary stories you'll inevitably find when you Google.

I think you're very smart to trust the advice of your medical team, and that it must be a relief to have the decision made.

I really love it when i forget to connect my infusion set back... I wish that was my problem today... no such luck! LOL

Best wishes to you! Not everyone who has a c-section has an easy recovery, but here are some great tips to have on hand for yourself: http://ican-online.org/recovery/recovering-a-cesarean-birth. I'm a cesarean and VBAC mom myself...

I heart you!!!! And your blog!!! Seriously---your post was funny and serious and beautiful! :)

The silver lining: you will know the baby's bday before it happens. Don't be scared it's to late to do anything about it anyway!

I agree with the other posters about getting out of bed ASAP post surgery, no matter how much you don't want to...I think it really helped me recover fast. My doctors said I moved so well the day after the my c/s's that you wouldn't even know I had them.

Wow - can you believe that little girlie will be here so soon! So exciting for you! You will do just fine with the C-section. I havr had 3 of them. 1st baby was 9lb, 9oz. YOWSA! Hold a pillow against your tummy when you laugh afterwards. It helps. Really. And you will tell people to not make you laugh, cause that's an experience in and of itself.

You will do fine. Relax and enjoy the ride, whatever it may bring. It's all one grand experience!

Whew. I thought I was the only one who read about pee!

I've forgotten to connect on multiple occasions, and it makes you feel like the dumbest person alive. If only the body had some sort of organ that could just deliver insulin without any human input...

Harry, your comment made me laugh out loud. Seriously. (As did your comment on your blog about your wife's reaction to the plight of Christmas trees. Broke my heart. :) )

Oh, that stinks. *thumbsdown* I hate when I do dumb things like that. And feel crappy for it!

So close, though! how much is bSparl weighing in at? Are there any names on the table? I'm glad things are going smoothly. You have a wonderful team. *hugs*

You've heard it a bunch of times already, but I just wanted to add my "I had a c-section and it wasn't that bad at all" to the mix. It doesn't really qualify as a "fun" activity, but it's very manageable. I was pretty scared going in, but I was pleasantly surprised at how (relatively) easy it was. SOOOOO worth it when you see her precious face and fingers and toes and everything in between. :) You'll do great!

As always your blogs send me to goosebump city :)

I am still confused why your eye issue would mean a c section.. sorry if you explained but I didn't see it.

I recommend 2 movies for you to watch before going the c section route.

The Business of Being Born
and
Pregnant in America

Good luck!

LJK, when you have diabetes (primarily when you have pre-existing diabetes during pregnancy, aka, you had DM before you got pregnant), you are at high risk. Period. High risk includes risk of retinal detachment and blood vessel exploding during "pushing", which can lead to PERMANENT blindness, so c-sections are preferred.

I agree that in most cases, natural childbirth, like those depicted in The Business of Being Born, are the best route. But in a case of a woman with long-standing type 1, this is often not the case.

I hope this helps you understand better why BSparl will be born via c-section, and there is absolutely nothing wrong with that, as it is what is best for Mom.

Carrie, if you already know your c-section delivery is on its way, I personally would not fret over what LJK is suggesting (that you could convince yourself out of getting a c-section). Pregnancy/Labor/Delivery Fear Stories drive me INSANE and I hope you are avoiding them like the plague. This comes from a mom of 2 who delivered totally naturally in a hospital, but who also doesn't have diabetes. Whole different ball game.

My twin sister also type 1 on pump and with as many years with t1 as you has had three successful C-sections. She loves to talk babies and she loves your blog-she also has a lot to say on the eye issues that can accompany such things...if you want you can email her (Rachel) souleap at hotmail dot com. I am happy to hear about the c-section. It is the safest best. I was there for two of my t1 sister's three pregnancies and even got to hold the babies first (so it goes, Dad must tend to mommy first as the docs whisk the babies away for a quick check and a lil' wipe down) and while it is scary to think of the C-section, I think the anxiety/ anticipation is the worst part.

Take care! I'm rooting for you and Bsparl, as ever. :) Amylia

My best advice for c/s Momma's: bring a heating pad!! I didn't with my first, did with my second and mostly certainly will pack it FIRST for my third. Trust me, your shoulders will thank you! :) GL Kerri!!

Kerri,

BabyBL was born a month ago via c-section. I have NO complaints. I am not supposed to drive or lift anything still, but was up and walking around the next day and feeling like myself within a week. By day 10, didn't need any more heavy painkillers. If you need to have a c/s, I wish you the same recovery. I am really pleased with how it all went!

As for insulin/BG management, I went into surgery with pump suspended (on doctor's orders) and a perfect BG but was 190 and rising an hour out of the OR. I resumed my basals against the endo's instructions and enjoyed beautiful numbers for the five days I spent in the hospital.

C-sections for both my kids. Not my preferred method, but I really thought recovery was a breeze. Tell the anthest...(whatever, the dope doc) you don't want a huge shot of happy juice once baby is out unless you're in a lot of pain or freaked or whatever. It really made me forget much of the first 30-60 mins with my little guy, and I regret it. Didn't have much at all with little girl, and was fine with that and happy to remember her first hour. Don't be dumb about "getting things moving" which you have to do before they let you eat - just ask for some prune juice and walk that baby around the floor in her rolling bassinet 3x an hour until you get results! Oh my, I swore I would stop giving unsolicited advice!!! :-) We Moms really can't help it - you'll see with your first friend's pregnancy after BSparl's arrival!

I want to be clear I was only asking the question of why. Personally, I hate that pregnancy and delivery keeps being treated like an illness when it is not. Then again, I live in a country where 1 in 3 babies are born AT HOME ;) (The Netherlands)

The worst thing about a c-section is anticipating it. Once you're there and in the midst of it all, you're so focused on the baby that it won't be scary at all.

And spinal blocks are AMAZING. Oh, I can think of SO many social situations in which complete numbness from my armpits down would be incredibly useful.

I'm not criticizing your doctors, but a woman's uterus will push out the baby without any pushing by the mother at all. Did you discuss that with the doctors? What did they say?

In any case, whatever way your baby gets to you safely is the best way.

I've had 2 c-sections and written on the topic extensively. My best words of advice are prepare carefully, relax and use your abdominal binder. You will soon have your beautiful baby in your arms and you want to enjoy it as much as you possibly can :-)

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