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Eight Months ... But Two to Go?

Ah, the cruel truth to pregnancy.  I'm currently 32 weeks pregnant, which means I'm eight months along.  "Oh great, Kerri!  That means you only have one month to go!"

WRONG!

Those perpetuating the rumor that pregnancy is only nine months long, I beg you to stop.  Because when we, the pregnant messes, crest up to the eight month mark, only to realize that there are eight weeks left to go?  We cry.  Sometimes we just bust out crying.  Because pregnancy is 40 weeks long, and when you divide 40 (weeks in total) by 4 (weeks in a month) ... well, even I can do that math.  It equals 10.  Ten months. 

So I'm eight months along, but I've got seven weeks left to go.

BSparl at 32 weeks
(Yes, this shirt is the same one that my best friend wore to her baby shower.
Nothing says "I love you" more than sharing maternity clothes.)

Expansion is rapid these days, and my pregnant body has gone from "comfortable" to "OMG, TEN MONTHS LONG?"  On the regular ol' pregnancy front, I'm experiencing some wicked swelling in my hands and feet, but thankfully my blood pressure is still holding steady.  Also thankfully, it's been warming up for the last few days, so sporting flip flops doesn't look too dorky.

Sleeping is an issue, though.  I'm having a miserable time getting a good night's sleep, because this swelling in my hands is waking me up with shooting pains in the middle of the night.  Actually, every hour or so I'm waking up with pain, despite the fact that I'm wearing wrist braces to bed.  I may have to bite the bullet and take some Tylenol, even though it will render my Dexcom pointless. (Tylenol makes the Dexcom throw inaccurate results, and I can't take Advil while pregnant, so it's about choosing pain or accurate CGM results.)  I'm trying to relax and remember that it's only a few more weeks of this.

On the diabetes front (and I'm afraid to say this out loud), I seem to have hit some kind of stride.  The 300's are gone.  The 240's are gone.  I'm seeing a few spikey 200's, but they are sometimes explainable (like after I was 50 mg/dl and I over treated a low) and some I just need to forgive myself for.  Overall, my numbers are steadier and I'm seeing more flat lines on the Dex than I saw a few weeks ago.  I'm so, so hopeful that the next seven weeks roll out in the same fashion.  My total daily insulin dosage is up to between 68 - 75 units of Humalog a day (far cry from the 24 - 28u I was taking pre-BSparl), and I'm wondering if this will remain the case until the delivery.  I'm holding my breath, praying that things just hold freaking steady for a little longer.

This week, I'll see my OB/GYN and the rest of my prenatal team, and I have a lot of questions to ask.  Like what happens if I go into labor before my scheduled delivery date?  What exactly is supposed to be that "bag that stays packed just in case?"  What can I do to alleviate this swelling, in efforts to stay comfortable for the next seven weeks?  How about those four days we'll be spending in the hospital - will I be able to wear my pump once the c-section is over?  Can I put the Dexcom back on at that point, too?  Does the baby sleep in the room with us or does she have to go to a different part of the hospital while I recover?  Will I be on painkillers after the surgery?  Does someone show me how to breastfeed or is that something I'm supposed to take a class for beforehand? 

Are they really going to trust me with a BABY??

(The question mark has become the most-used key on my laptop these days.)    

Comments

Just keep remembering- you're amazing and you can do it. And we're all so excited for you.

I have to show my hubbie this post because I screamed this my whole pregnancy... they lie when they say it is 9 months long. I am convinced that the same MAN that invented pantyhose must be the one that started this 9 month rumor:)

Trust me, Darling, they are going to trust you with a baby. Someday you may even forgive the baby for taking so long to be born.

The problem is that all months except February have more than 28 days. So each month is really ~4.5 weeks long.

Hang in there Kerri. You're doing great.

Kerri, after all this is over you'll wonder why they don't ask more of you before you get to take BSparl home. Each time we've adopted the paperwork and wait and crap is overwhelming, and then they hand you a baby and it all seems so insignificant. Thank God for our ability to forget the painful details.

You (and Chris) will be great, I hope your BP stays stable.

I remember when I first learned that trick pulled on us.
It was explained to me by a doctor who loved to teach ... that in reality it is 9 COMPLETED months ... I told him (at 41 weeks along ...) that that was very little comfort ... stubborn child didn't come for another week!

Good lord, girl, I pray I look this good at 8 months (or 96,000 weeks) pregnant. :) You're almost there!

Kerri,

I wish I had some great advice for you on the swelling. I had it all 3 times with my girls. The only thing I could do was try and keep my feet up and drink lots of water. You have lots of people cheering you on including myself!
Your are doing amazing!

Actually, it's only 9.5 months long. They count 40 weeks but date from LMP (figure it out guys) so for weeks 1 and 2 you aren't actually pregnant yet. Apparently the numbering system was not only thought up by a man, but a math-challenged one at that. Go figure.

I'm sure you'll get your questions answered according to your doc and hospital's protocol, but here is what my experience was like. I wore my Navigator sensor through my c-section on the arm opposite my blood pressure cuff. I just had my hubby keep the receiver in his pocket. And I resumed pump delivery about an hour after surgery b/c my nav was beeping about a projected high. They kept me on a dextrose drip for a day or so, but never had me on an insulin drip.

My husband was holding her immediately after they suctioned her and finished the Apgar. And I got to kiss her while he held her. The surgery began at about 8:35, she was born at 8:47, they zipped me up by 9:15, wheeled my stretcher to my room, and then brought her to me almost immediately for breastfeeding.

Little Bsparl will latch on to your tata with fury! (And the nurses are great for all the tips on tata feeding!) Its incredible how instinct works in this whole process when a new little life arrives! Kerri, you will be awesome :)

My boss wore that same exact shirt to her baby shower too!

I hope your doctors appointment goes smoothly! Sounds like you have some good questions prepared :) I might copy them for when I'm ready to have a baby too!

I was on an insulin drip for my (labor then c/s and planned c/s) deliveries (hospital policy). It wasn't so bad though because the insulin works IMMEDIATELY. I checked my own bgs and if it was heading low they'd turn down the drip and the number would hold steady; if it was heading high they'd up the rate and down it'd go right quick. Would be nice if our pumps worked like that! I didn't like not having control over my insulin but I *was* the one telling the nurses when to change the IV pump! (I was able to wear my pump again once I was back on food a day or two after delivery -- again every doc is different on this).

If you do have a c/s TAKE THE PAINKILLERS! I tried to avoid them for some reason with my first, but for my 2nd I took the advice of others and didn't turn them away. Made the recovery SO much more comfortable! (And after a week I didn't need any, maybe a little tylenol). HTH! You will do great!

10 LUNAR months. In case you had not noticed, the ONLY 28 day month is Feb (and only sometimes)

The average month is 30.43 days

If you are 32 weeks, you are 224 days (roughly) - 224/30.43 = 7.3 months...

I just weaned my last baby -- I had 3 and nursed each of them for 2+ years...that's 6 straight years!!!!!!!

I think it would be helpful to take a class first so you can get and idea of positioning and how to tell if your baby has a good latch. You'll feel much more confident in the recovery room if you've taken a little time to get acquainted with the process...that being said, however, those instincts are pretty amazing :)

I was a L&D nurse for several years -- and I also have my doula certification. If you go into labor before your scheduled date, then HAPPY BIRTHDAY!!!! They will probably try to stop it if you're less than 37 weeks, but, otherwise, GAME ON :)

You're quite a cutie with you awesome shirt and that baby belly!

I agree. Pregnancy is 10 months. I have always thought that... I've also always thought of the year as being 13 months long and not 12 (52/4=13, not 12).
As far as the CGM + tylenol thing, I can't take it at all. 30 minutes after I take it, I get ??? and it won't go away. I end up having to take out my sensor completely.
And you and Chris will do just fine. You have taken great care of her this long, and you'll continue to do so when she's in your arms. :-)

Your hospital should have a class, that you should take in the next few weeks, which will answer a lot of your questions about where the baby goes and the rooming-in policy, other hospital policies (like how to check in) and whatnot. Ask your doctor about it if it hasn't been mentioned yet. Sometimes they're combined with a Lamaze style class, sometimes not. Depends on your hospital.

As for the bag, it's all a matter of personal preference. I didn't take much other than a pair of stretchy pants and a big t-shirt for the ride home, giant underwear and the biggest pads I could find, a cute outfit for the baby, warm socks for everyone, and my purse. I didn't want to have to worry about a bunch of STUFF (or bleeding all over my own clothes - that's why God invented hospital gowns, right?). I learned in my class that the hospital would be sending us home with a bunch of stuff, too, so I planned accordingly. Other people pack like they're going to the North Pole for a two month expedition. Are you the sort who is comforted by having your own stuff around? Will you want your iPod? Your laptop? Your make up? You know yourself, so pack accordingly. Use the lists (google "labor hospital bag list") as a guide, but don't feel like you fail childbirth if you don't bring EVERYTHING. Your husband can always run home for stuff.

Here's a pro-tip - install your carseat NOW. That way you have plenty of time to take it to the local carseat checker (80% of carseats are installed incorrectly). Depending on where you live, that could be the place where you take the class I mentioned above, the police station, the fire station, or the hospital itself. Anyway, it's better to get it looked at and installed correctly now, because you don't want to have to worry about it when the baby is crying because she hates the carseat and you're trying to leave the hospital and go home. :)

Won't be long now!

10 months?!?!!! Crap, I am on week 5. Looks like I have one hell of a long way to go. At least right now I get to enjoy eating 10,000 girlscout cookies without having to bolus. Lovely first trimester lows :) :) You'll do great Kerri - you're ALMOST done!!

Kerri,

I'm currently 18 weeks pregnant and just discovered the no Tylenol while on the Dexcom rule. I was shocked! I've been having some terrible headaches and there's just not much to do but whine.

I'm really enjoying your pregnancy posts now too, as you're just that much farther ahead! You look like you are doing well. :)

Tekakwitha (aka author of the now silent The 'betes blog.)

Just a little something that I wish someone would have told me...breastfeeding is not something that just happens easily for most people. I suggest reading up on in before hand and taking a class. And then you will still need the help and advice of a good lactation consultant. I wish someone would have given me the heads up. Breastfeeding can be an emotional rollercoaster...and I'm still on it. I ended up mostly pump feeding and my daughter is 9 months on Fri. And now I'm trying to decide if I'm emotionally ready to be done with the pumping...not sure that I am. Good luck. I feel like dejavu when I read about your pregnancy.

Hi Kerri

I am also a Type 1 Wondermom ;)
I have an 18 month old and I am currently pregnant again.. I feel your pain and excitement!

For leg/ankle swelling.. I went to Target and bought 3 GIANT pillows and put my feet up everytime I sat down or laid down and that helped it a bit.. although it was still really bad by the end of the pregnancy.

I was induced at 37 weeks with my son due to leaking fluid (like a car?!) and so I never actually made it to that 10th month.. but Good luck to you, you'll do GREAT!!

Ps. - Why are you having a c-section.. sorry if thats personal, but just wondering since I am in the same boat as you, I'm on a pump, etc. I didn't have a c-section with my son.. just wondering!

Thanks for the swelling tips, Anon! :) And as far as the c-section goes, I'm having one because of the placement of my retinopathy. I have a few spots that are v. close to the macula in my left eye, and my docs don't want me to blow out my eye.

Details were in this post, if you want more info:

http://sixuntilme.com/blog2/2010/02/the_good_the_bad_and_the_eh.html

:)

ok, first BREATHE. honestly, everything just sort of falls into place. Have a list of questions for your dr regarding what to do with your pump/cgms. TELL them what YOU would like to do. Just because you're in the hospital, doesn't mean you're sick (well, yes, after the c/s you are a little), but after that..you're a mom, having a baby, you're not ill and you should be able to care for your diabetes the way YOU see fit. So have an idea how you'd like to do it, and have your Ob/gyn write it all in your chart. Slightly different, but I had them write in that I wanted to wear my contact lenses during delivery and while that wasn't standard, they wrote it down and everyone left me alone. Sometimes you just have to ask for what you want. :)

As for the bag - I suggest bringing jammies. I know everyone says don't bring something good, bring an old nightgown..but I was most comfy in my own jammie pants with my own jammie tee-shirt. I slept better at night. and when people came to visit I wasn't constantly trying to arrange myself. someone else said it, but socks, socks, socks, socks. and did I say socks? Your body temp drops a LOT after delivery and your feet will be cold. Load up on snacks too - whatever you like to nibble on at 2am when you find yourself awake. :)

the baby can stay with you - the baby can go to the nursery. Mostly she'll be with you but really, if you're totally exhausted, let her go to the nursery. You're there in the hospital, the nurses are trained. There's nothing wrong with getting a good night sleep. They'll bring her to you to eat every few hours. Remember, you ARE having surgery, and you still do need to recover.

You're going to be great.

Hi Kerri,

I had c-sections for both my boys. I am a huge pain wimp and I made it through to the other side still wanting to have more kids. I packed a bunch of my favorite jammies, toiletries, pump supplies and my camera but there is always something left behind.

I got to wear my pump both times within 6-8 hours after my c-sections. At my hospital, they were a bit uppity about me checking my own blood sugar but I would let them do it, then I would check with my own meter too.

I nursed both of them. My oldest was very sick from something unrelated to my diabetes so I used a breast pump. My second was early and liked to sleep so he didn't really get the hang of it until he was about a month old. We alternated between formula and my milk until he got the hang of it. I had the lactation nurses help both times.

I'm sure you will be a wonderful mom. Remember that like diabetes Bsparl doesn't come with a handbook. Just keep moving forward.

For some reason I feel like I should post my Diabetes stats before I post anything. So... Type 1 for 15 years currently 21 weeks prego. Last A1c 5.9. No worries about the fourty weeks thing. I think that may be one of the only perks to being Diabetic and pregnant (Other than getting to skip the glucose testing) Is the fact that I've always been induced around 38 weeks. Everything was always perfectly fine but they still always took me a bit early just to be on the "safe" side. So you may actually have LESS time than you think!
Second, I agree with the person who posted the fact that nursing doesn't always come "easy" I have nursed two girls and although I would say it is wonderful I would not say it is easy (Until about week three) Thats about when the natural kicked in for me. The important thing is don't give up because every day gets easier. The thing that kept me going was the small articles I found here and there on the small link between milk based products given before a childs first year and diabetes. Who knows if there is any relevance to them but hey, why not, just in case right? ( I don't have a clue if the link is true or not and I am not a Doctor) Three out of Four of my siblings have type 1 and the only one that doesn't have it was the only child that was breastfed. That was enough evidence to get me through three weeks of sore nipples :) For this reason after I stopped breast feeding I started my kids on soy based formula.
Good luck, you will do great no matter what you decide to do! Motherhood is the best!

Hey Kerry,
Don't be insistent on making all the diabetes decisions yourself after your c-section. You may think you know best, but it's pretty hard to make good decisions when you come out of surgery and you are on painkillers. My advice (after two c-sections): trust your doctors/nurses, take the pain meds and take a relaxed attitude toward blood sugar control. You'll do great!

Nice to see a note from Tekakwitha here! Congrats to you Tek!

Re Breastfeeding... the nurses in the hospital were always helpful in getting us started and if you have any questions/concerns check in with the lactation consultant before heading home. One of the nice benefits of a c-section is that you get a little extra time in-house before they let you loose :)

I tried wearing my pump after having my son via c-section. The amount of insulin you need after having a baby is so very little and the lows were constant.

yeah - re insulin pumping - I was disconnected once and remained connected the second time. Having done it 'both ways' I would just make sure that you are prepared (supplies-wise) to reconnect when you feel ready, and be sure that there's no 'permission' needed.

It is a rather weird thing, when you're used to taking care of yourself, but it is a good idea to just let your endo. be in charge of your diabetes during birth and right afterward. Your insulin needs will be changing super-drastically and your milk will be coming in... your having the Dexcom will probably help you be able to track some of what's going on, but letting the doc do his or her thing means one less thing for you to think about. Use your own poker and meter as much as they'll let you though - for some reason, those hospital lancet devices are just BRUTAL.

I don't know how your husband is, but mine was thoroughly confused when it came to bringing me clothes to go home in. My delivery date was kind of a "surprise!" and my bag was NOT packed. I think he brought me capri pajama pants to wear home, in December. That's where packing the bag yourself will help. You can always send him or your mom or whoever else will be about at birthtime for whatever extras you want. I have my little mental list of what I'll want for next time, since your first birth is a little bit "trial-and-error."

I'm sure you've already picked up some baby-rearing books, but I'll put my vote in for Baby 411. To me, it was more straight-forward and practical than some others that get into the philosophies too much. Sometimes you just want a simple answer about why Baby did ____! :)

The only other thing you might want to bring to the hospital is a pair of flip-flops to use for shower shoes. I was completely grossed out by the shower floor at the hospital when I had my DD, and was desperate enough to shower standing on a folded towel because it was NASTY. Brought the cheapo thongs for #2, and wore them even though the shower was much better! :)

Hi Kerri,

My name is Carrie and I am a labor and delivery nurse in the process of preparing to take the Certified Diabetes Educator exam. I am enjoying reading your blog from the 'patient' perspective and listening to the thoughts and concerns of a future mom! It sounds like you and your team of doctors has a well established team approach to your pregnancy and delivery plans.In the end, B-Sparl makes the birth plan regardless of what anyone else thinks!
I just started the blogging process and plan to continue as I navigate the maze of learning diabetes outside of the intrapartum insulin drips I am used to! Good luck!
Carrie

I was going to tell you that since most months are over 28 days, 9 calendar months is roughly 40 weeks.

I've enjoyed reading your posts as you bring BSparl into the world. My 13 year old daughter has type I diabetes - I hope she handles her health and any future pregnancies as well as you have.

I had no idea about the no tylenol and dexcom rule. I'm looking at the dexcom 7+ but I get wicked headaches and I use tylenol for them.

Is it the same for people who aren't pregnant?

I was talking about this only the other day to my friend and how saying it is 9 months is wrong because people like to work off the mathematical months i.e. 4 weeks in a month, 36 weeks in 9 when really it is 40 weeks in 10!

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