Jen's Pregnancy Diary: Week 29

This week I had my first appointment in the Semi Private clinic. The midwife, Ann, was absolutely lovely. She saw I was a doula on my chart and was full of questions. She was so warm and showed genuine interest in my pregnancy. She mentioned there was protein in my urine but was not concerned as everything else was fine. She ran through my GTT and said I had absolutely no markers for gestational diabetes which was a relief. She did say my iron was a little low – but after 6 months of sickness I’m not too surprised. I said I would up my iron intake to build up stores. 

I met my doctor, Claire, who was a similar age to me I think. She was nice but very clinical. I mentioned all the Braxton Hicks (which had continued all through this week too – making me feel pretty drained). She popped me up on the bed and lo and behold baby has flipped again! She is now almost head down (slightly diagonal) in OP position (facing out). The doctor mentioned she would expect baby to be getting into position around now but they are not overly concerned until 34 weeks. 

While going through my chart she said my EDD was now 22nd of March and I nearly dropped off the chair. I said my date has been fip flopping from 30th, 31st march and 1st April but I have not heard 22nd march. She told me that at my 21 week scan the sonographer changed the date to match babies size. I had a long discussion with her about how my early scan is the most accurite. My babies size has nothing to do with how mature her lungs or brain function are. That her gestation is most important. I said from my first early scan and my dates my EDD should be 1st April. I told her both my boys went post dates (40+8 & 40+14) and I would really appreciate as much time as possible to avoid unnecessary intervention at the end of my pregnancy.  She was very helpful and went to speak to a senior consultant, who was happy to change me back to 1st of April. I was very relieved with this as it gives my body that bit more time at the end to go into labour undisturbed. 

Of course I was told all the usual hospital policies. It was mentioned that I would “not be allowed go past 41 weeks”, that I would be monitored very closely during labour and at the first sign of any issues I would be “straight to section”. I decided to just nod as I had one win for the day and didn’t particularly want to have written across my notes “this one is trouble”. So I left knowing I would need to have those conversations at a later date. 

Certificate of Attendance for my Training Day with Cuidiu 

I attended a weekend of training for Cuidiu Antenatal Teachers course. I haven’t been at tutorials for over 6 months as I have been so sick but I have 2 to attend in order to qualify. On the Sunday there was a Study day on Loss, Grief and Disappointment. It was facilitated by the Rotunda Bereavement Midwife, Trish and a Cuidiu Tutor, Niamh. It was the second time I attended this day but I always think these kind of days are so valuable. It was a heavy day but I felt better knowing what is available to parents suffering deep loss such as the death of their baby either in pregnancy or soon after birth. I also appreciated touching base with my own emotions and reactions around the subject and having time to reflect on how to support families in this situation. In my role with Irish Premature Babies, I supported many families who lost their little babies and it is a privilege to be part of that journey with them. 

This week the tightening/Braxton Hicks are continuing so I am resting as much as I can, while still being a mum and running a business. Our cat Shadow is showing me so much love – like over the top. He just wants to be on me all the time, kissing my face and rubbing off me purring. I am thinking he can sense the Braxton Hicks perhaps? Any cat people out there have a similar experience?

My mother in law was admitted to hospital with a terrible gastric bug and is on a drip. I would normally be the first to run around and be by people's side but as they are unsure of the cause I need to avoid just in-case. Plus with all the Braxton Hicks I’m not sure I would be up to it. I do feel really wiped this week. Hopefully this will all pass soon! 

Next week Mary is coming up for an important meeting (for DoulaCare Ireland) We are so excited to spend some time together in person! Then we will have our Team CPD day in Portlaoise, which again I am so looking forward to.

Until next time....Jen x

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Week 29: What Is Happening  To Your Baby

© 2013 Simon Huntley, Flickr | CC-BY | via Wylio

• Your baby is now approximately the size of a butternut squash and they are continuing to get plumber over the next few weeks as they lay down body fat. 
• Their head is getting bigger to make room for their ever growing brain 
• At this stage if baby were to be born early they would have a much better chance of survival (however, the closer to full term they can get the better for their mental and physical well being and development). 
• There is such a huge increase in brain activity from this week on it is thought that your baby may be capable of dreaming now. 

 

Week 29: What Might Be Happening To your Body

• If you have been suffering from heartburn or consitpation you may find it worsening now for the rest of your pregnancy until baby arrives 
• Some women find they get headaches 
• Your belly may be itchy as your skin here continues to stretch and expand. Drink lots of water and use a good moisturiser to support your skin. Do let your GP know if the itching is severe just in case it's a sign of something more serious
• You may have pain in your back, legs and/or hips as your body manages the extra weight. As well as this your body is also producing the hormone Relaxin to help soften the ligaments and joints in preparation for your birth. Some women find they are in extreme pain with SPD and will need some extra help like a support belt, regular visits to a physio or maybe even crutches. Being in water can be a huge relief so regular visits to the pool might be on the cards to help. 
• You may find you are leaking breastmilk as hormones in your body start to produce colostrum- so stock up on breast pads to help. Washable pads are much better for the environment and in the long term cheaper on your pocket. 
• The hormone that is responsible for producing milk (prolactin) can also make you feel sleepy. So don't be surprised if you need to take naps again. 

Week 29: Pregnancy Tip

You should be looking into applying for your Maternity Benefit payment around now (or the equivalent payment for the country you are living in). Citizens Information is a very helpful place to read up on this payment. You can read if you are entitled to it and when you should apply (at least 6 weeks before you intend to take it). The form may take a bit of time to fill in so it's useful to get started around this point in your pregnancy. The Maternity Benefit Section of the Dept of Social Protection are usually very helpful if you are unsure of anything in particular.  Your local Citizen's Information Centre can also help you fill in the form if you need this support. Your partner can read up on Paternity Benefit on the Citizen's Information website so they are prepared and understand how to apply for their entitlements. 

Jen's Pregnancy Diary: Week 24

So this week I had a full week of postpartum clients and scheduled phone calls to follow up on. I love that I am feeling better in myself and can still be out supporting families. We have a great mix of clients at the moment (with different backgrounds, ages of children and personalities) So no two days are the same and I really enjoy chatting away with each client, catching up on their news and supporting them with the help they need to make life with a new baby that bit less stressful. 

Picture of the Queue in the Rotunda that circulated on social media around the same week I attended

I had my 24 week check up in the Rotunda public clinic, where I was due to speak with their community midwife team to see if they will accept me. I arrived to an unbelievable queue. Not only was the waiting room to check in full but there was a queue of pregnant women standing all down the hall as far as the clinic waiting room. There was at least 40 women ahead of me.... just to check in!! I really was shocked as some of the women were heavily pregnant and struggling to stand in a stuffy corridor. (It was freezing outside so most of us were bundled up too which didn’t help ;) 

Eventually I made my way to the check-in desk and I was told to take a number and I would be called by consultant. I explained I was due to speak with the team and so she told me to find a midwife at the nurses station to chat to. I did find a midwife and I was told very bluntly that there was no appointment for me to plead my case as there was no point. As Leon was 4.53kg they would not accept me. I then asked about the NBAC clinic and I was told their cut off point was 4kg. I was so stunned by this attitude. I questioned why, in a healthy pregnancy I could not have antenatal care in the community, because one of my babies was over their criteria?? She simply said it was out of their scope of practice, which is absurd. All they do is check my pee, my blood pressure and measure my bump. Surely they could do that and if they were concerned about anything I would happily go to the hospital. There was no talking to them. I did ask why I had to wait until 24 weeks to find this out, as when I spoke with the community midwife team, when choosing which hospital to book, they didn’t seem to have a problem at all. Again very unhelpful, I received an 'it is what it is' type answer. 

I was bitterly disappointed. I wasn’t sure if I was going to cry or boil over with rage, not just for me but for all the other pregnant women using this hospital. Women do so much better with midwifery led care and it is such a shame that a previous “big baby” can put a woman who has a healthy baby and pregnancy in every way into high risk for her antenatal care. I sat another hour and a half waiting to be called, fuming over the system and how women are treated. 

When the consultant called me I went in, still bubbling under the surface. He seemed to think that because the baby is a girl she will be smaller and there is no way she will be 10lbs (surely this is not evidence based at all but interesting to hear a total conflict of their reasoning for not allowing me the care I requested) I spoke with him about my options and he did a similar thing explaining ‘hospital policy’ and so forth.  He did say I had a 90% chance of vaginal birth as I laboured well with both boys and reached the second stage with Leon before a caesarean was required. He reassured me that there would be no pressure on me for a caesarean birth and hopefully everything should go as planned. 

I felt a bit better about this at least, but as I have seen time and time again with doula clients – everything is grand until 38 weeks arrive and then the discussions begin about caesarean, risk with VBAC, big baby and so on. We will just have to wait and see what happens. He said he would like to see me again in 4 weeks so I queued again for 15 minutes and asked for an appointment. The lady was so unhelpful. I was asking about times that I could work childcare and she said I would just get the next available slot.

I decided there was no way on Earth I would do that queue every appointment, so I walked over to the semi-private clinic to see would they take me on. The receptionist there was so lovely. She couldn’t have been more accommodating. Booked me in for a date and time that suited me and cancelled my public appointments. She even moved my GTT to the semi private clinic so I could "relax there, as the rooms are much quieter" -  I wanted to hug her! 

So I left feeling deflated but glad to have the public system behind me. I will think about my options over Christmas. I may make a few phone calls to the Coombe and see what is available there. 

After a crazy week it was wonderful to get out for the weekend. Paul and I took the kids to Causey Farm Santa Experience. It was really amazing, they made it such a special experience and the kids loved it.  We left feeling very festive and even got a take away as a treat on the way home. We all snuggled up after to watch a movie and I for one so needed this day to just switch off and remember what is important. 

The kids went to Butlers chocolate factory with my mam and her partner on Sunday, which they loved. They came home delighted with their chocolate santas. While they were at that I did a mad dash to Blanchardstown shopping centre to get some Christmas shopping done. My tummy has been a bit sick the last few days so I had to keep stopping for breaks but I got the bulk of it done. 

Baby is moving around lots and you can now see my tummy moving with her. Paul gets a little freaked out by this which I find hilarious - he thinks it’s like an alien LOL. He likes to know she’s moving and doing well but doesn’t want to see it!

Until next time... Jen x

Week 24: What Is Happening To Your Baby

Your baby is the size of a cantaloupe melon this week 

• Your baby is really starting to put on weight and fill out this week and they are about the size of a cantaloupe now. 
• Their lungs are developing branches in the respiratory tract as well as cells that produce surfactant, a substance that will help his air sacs inflate once they are born and start breathing in air. 
• Your baby's skin is becoming much pinker and less see-through as they develop.
• Your baby's brain is also growing rapidly now and will continue to develop at a enormous rate over the next few weeks

Week 24: What Might Be Happening To Your Body

• If there are any concerns about Gestational Diabetes you will usually have your Glucost Tolerance Test around this week. You can read more about it in our blog post here
• You may have lots of backache now as your muscles are having to work harder to carry the extra weight. You could try getting some body work done with a physio or osteo, or treat yourself to a nice massage (just make sure the therapist is trained in pregnancy massage and can accommodate you). 
• Dry eyes can be a symptom some women suffer from in pregnancy. This can be accompanied by irritation and a feeling of grittiness. Talk to your optician about how you can make this less uncomfortable 
• Some women will suffer from Piles/Haemhorrhoids during their pregnancy - they can be the result of becoming constipated and increasing the amount of fibre and fluids in your diet can help. It can also help to avoid sitting for long periods of time. Talk to your GP if they are severe as you may need some medication to help relieve the pain. 

Week 24: Pregnancy Tip

There is a huge amount of breastfeeding support around Ireland - find out where you can access support before baby arrives 

Are you hoping to breastfeed? If yes start looking around for a good breastfeeding class you can attend. You may find your hospital run these but they can book up fast, and it's really helpful to take a class before baby arrives. It's also useful to find out where your supports are and get in touch with them beforehand as well - this way you will know who to contact if you should need some extra support after. Friends of Breastfeeding offer a Buddy system, whereby a trained Mum will come out and support you in the early days of breastfeeding. It's such a great idea and completely free - so definitely worth booking. Cuidiu have regular breastfeeding support groups around Ireland as well as trained breastfeeding counsellors who are available by phone to provide support and a listening ear. (Both Mary and Jen are Cuidiu Breastfeeding Counsellors). La Leche League also run support groups around Ireland have their Leaders are available to offer breastfeeding support as well. So do make contact and if you can at all once you are on maternity leave, pop into your local group and say hi. Pregnant women are always more than welcome along and it's nice to meet other Mums who are breastfeeding before your baby arrives.