Home Stretch: Diabetes, Pre-Eclampsia, and a Cute, Round Head.
The people at Joslin are eventually going to lock the doors when they see me coming. Because last Friday, at my latest round of BSparl appointments, I burst into tears a few dozen times.
I am not a crier. I'm very emotional, but can usually keep my emotions well-contained until I'm back in the safety of my friends or family, and then I let loose. But with just over six weeks until the baby arrives, I'm the definition of a basketcase.
Arriving at Joslin, I was on time. For once. And sporting hands clad in wrist braces and ankles sheathed in compression stockings. Again, hot momma. ;) This puffiness was my top concern that I wanted to talk with my obstetrician about, so it was good that I was at least exhibiting the signs, so she could see Le Puff first hand.
During the first appointment, Dr. T lubed up my belly and we took a peek at Ms. BSparl.
"Wow, she's got a good head on her!"
"Yeah, the Morrone kids, all of 'em, were born with these tremendously round, sunshine heads. We're like little moons orbiting around. My niece and nephew were absolutely adorable, and they had the same beautiful, round heads."
"Well your daughter appears to have that head. She's perfectly round!" Dr. T took some measurements and determined that BSparl was about 4 lbs, 11 oz at this stage. "She's on track to be about 8 lbs, 5 oz, it seems. She's in the 58th percentile, and I'm very happy with that."
"Is she a little bigger because of my diabetes?" (This question prompted the first set of tears - damn, I'm an emotional mess these days.)
"No. If that was the case, her abdomen would be out of proportion, and her body is in perfect proportion. She's just a little tiny bit bigger than average, but her size is not diabetes-related. Your blood sugar control has been great. How big was your husband when he was born?"
"He was 8 lbs, 8 oz. And I was 7 lbs, 8 oz, I think."
"Right. So your daughter is on track to land between the two of you. It's completely normal."
And finally, finally, I saw my daughter's face on the ultrasound machine. In previous checkups, BSparl had been spine up, face in, so her face was obscured by the placenta and I never had a good look at her. A few other times, she had her hands up in front of her face, only letting us see a little bit of her. But this time, she was pretty visible, and I could see her chubby cheeks, her button nose, and her father's lips.
She has a face I can't wait to smooch.
After the ultrasound, Dr. T and I talked about her main concern: my weight gain. In the last month, I've put on 10 lbs, without reason. My pants and shirts still fit the same, I haven't been eating more or less, and my numbers have been creepily stable, but the scale tipped out at 10 lbs heavier this visit.
"What the HELL is that about?" I asked, ashamed that up until the beginning of March, I'd only gained 27 lbs with this pregnancy, but now I was already pushing the 35 lb mark ... with six weeks to go.
"Your feet. Your legs. And your hands. I'm very concerned about this weight jump, not because of the weight itself, but because it's obviously water weight. And I don't want any issues with pre-eclampsia cropping up."
(Enter the second set of tears from me.) "I've been checking my blood pressure at home, and haven't seen any spikes. But I'm puffy as all get out, and it's very, very uncomfortable. No headaches, no trouble urinating, but puffy? Yeah."
"I think we should run some blood work today to see if you have the blood indicators of pre-eclampsia. It's not just the blood pressure and the headaches that are indicative of this issue. By running the blood panel, we can see if your body is already gearing up to develop this problem, and we'll be prepared either way."
"Okay." Blotting tears. Such a mess. "So we'll do that and an A1C and go from there?"
"That's the plan."
After a few other appointments, I headed home and focused on the weekend. Dr. T called me on the ride home and said that my blood work came back perfectly, without a single blood panel indicator of pre-eclampsia and my urine also didn't show any protein spilling. I felt reasonably at ease and comfortable with the fact that Le Puff was simply due to Le Pregnancy, and nothing more.
But there were some aggravating moments at Joslin, which deserve a whole separate post. And the weekend? Had plans on tap other than "relaxing." All is well, but it was a long and tangled experience. More on that tomorrow.