Jen's Pregnancy Diary: Week 38

As I turned 38 weeks I felt back on track. I had reflexology with Jessie again and she brought me some more lovely oils.  Saturday was St Patrick's Day, but it was freezing so I brought the boys to the cinema to see Peter Rabbit. I thought between the parades and rugby match we would be the only people in the country there....I was wrong! We had to queue for 45 minutes for the tickets and book for the next viewing (in 40 minutes) so we hung around. The movie was very good and it was great to get out and about for the afternoon. 

Sunday brought more snow so we chilled out at home for the day. The boys didn’t even want to go out and play in it, they were totally over the whole snow thing. In fairness it was fairly blustery and yuck out so I didn’t blame them. 

On Monday Leon headed off to his friends birthday party in a play centre and Seth went to his friends for a play (they ended up going to Jump Zone and had a ball). While they were gone I did lots of Spinning Babies and some lunges/squats and sorted out the washing and a few bits around the house. After the party one of Leons friends came to ours for the afternoon and they played away.   

On Tuesday I had a real “get this baby back into position” day. It started with reflexology, then I went for a good walk, then I had shiatsu with Joanne Faulkner and used Moxa sticks to try to encourage baby to come back head down. I ended the day with spinning babies and then a bath with essential oils and listening to “perfect positioning” on my Gentlebirth app.

Our Cork DoulaCare Ireland team from l-r: Zoe, Mary, Claire and Jacquie at our Meet the Doula Event for World Doula Week in Cork. 

Wednesday I spent the morning dropping items for our World Doula Week events off to our doulas. I got a phone call from my GP to say my bloods showed that I have extremely low B12 and need to start a coure of B12 injections as soon as possible. She told me to go straight to her after my check up in the hospital. I am glad as I have been feeling very tired and breathless (presuming it was just normal end of pregnancy stuff). Hopefully with the injections I will feel a boast of energy before baby arrives.  Then I rushed back to take a DoulaCare Ireland conference call with a new business prospect. Mary and I are constantly working on growing the business end of things, while ensuring our clients remain at the heart of everything we do. We are excited to hopefully share some news over the next month or two! I finished the day with some body work and more Moxa sticks before bed. 

Thursday brought my hospital appointment. I dropped the boys to school and headed into the Rotunda. The midwives were all lovely and supportive as always. I met a new midwife called Bridget who spent a good bit of time with me asking how I felt and giving me space and time to chat. This midwifery support is so important in antenatal care (especially for me as I had wanted midwifery led care to begin with). They are all so kind and patient and really offer mothers space and time to process their emotions and get a clear focus on their thoughts.

When I saw my consultant she confirmed baby was still in an unstable lie, and my amniotic fluid levels were officially polyhydraminos (a medical term for too much fluid). The two combined creates a dangerous situation for baby, in that if my waters were to release the cord could get flushed out ahead of the baby. Of course the umbilical cord provides oxygen to the baby so that would not be a good situation if I was at home. She broke the news that I would need to be admitted . I negotiated heading home to pack a bag and explain to the kids what was happening. I collected them from school, then brought them both to McDonalds for a treat and we had a good chat. They both understood that both the baby and I were fine it was just for the doctors to keep an eye on things. I packed a bag and when Paul came home from work he drove me in. I was feeling pretty gutted as my mind movie of labouring at home, supported by Mim and Paul slipped away. The kids, especially Seth really wanted to be there too – Seth even learned how to do some back massages for the big day!  

The antenatal ward was pretty busy on arrival but the staff were all lovely. I had all the routine checks and everything was really good with baby and I. I have all my positive tools with me (Ear phones to listen to GentleBirth tracks, essential oils to keep my senses calm, my laptop to keep my mind busy writing or watching movies, books and so on). 

* * * * * * * * * * * 

On Saturday 24th at 38+6 weeks I lost my mucus plug, just as I was settling down for the night. I went into spontaneous labour (while on the antenatal ward).  Baby Kayla Rose arrived just over 3 hours later in an intense and quick, intervention free VBAC. She weighed 8lb 2oz and instantly we were head over heals in love. Birth story to follow soon x

Kayla Rose getting skin to skin after a very fast VBAC birth in the Rotunda Hospital 

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

* * * * * * * * * * 

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 20

This has been a great week. I am feeling good in myself and coming through the sickness. I am eating a wider variety of food and feeling like my energy is up. This week my herbal remedies from Cork arrived. I have been taking them and hopefully they will help to build me up. 

I have been focusing on growing DoulaCare Ireland and this week I attended some fantastic meetings that will hopefully open up amazing opportunities for us in 2018. I will of course keep you posted once deals are done ;)

I had postpartum clients two full days this week and then my lovely November birth client needed me. She was admitted unexpectedly as at her 39 week check they found her waters to be extremely low, which her care team explained could be a sign of the placenta failing. Her induction began on Tuesday, I spent 6 hours with her helping herself and her partner to get their head around the situation. We all sat and chatted and I was a sounding board. We listened to GentleBirth tracks, joked between us, and ran through questions to ask her care team. Once all their questions were answered my clients were happy to consent to induction. 

Reasons for low fluid (oligohydramnios) can include:

• Mothers waters are slowly releasing
• Being more than 42 weeks pregnant
• Medication mother is taking
• If baby has a medical problem with their urinary system

Other common reasons for induction include:

• Post dates – babies approaching 42 weeks gestation
• Advanced maternal age – women 40 years plus
• Big baby – often a guess weight
• Issues with placenta (coming away from wall of uterus or not working efficiently)
• Waters have released without labour begining

Some of these reasons can be negotiated and navigated with your care team - it can be helpful to be aware of the current evidence surrounding best practise for some of the reasons mentioned above (which is where taking an independent antenatal class can be such a help as these issues are usually covered. Classes that the hospital offer tend to focus on what the hospital policy is rather than what is evidence based care).  

I popped back to my client on Wednesday, after a postpartum shift for a few hours. Again we spent the time chatting and supporting my client in getting into the right head space. On Thursday things kicked off so I spent most of the day with them, and their beautiful baby was born at 6.15pm in such a positive end to what was a long  process. It was very emotional as this will more than likely be my last birth client for a long time. I am getting too big myself in pregnancy and once baby arrives I know I would not be comfortable being on call. It was a wonderful birth to end on and I am still on a high. They are such a lovely family and I look forward to our postnatal meet up in the next week or two. 

During the birth it was so lovely to be welcomed into the maternity unit. On 3 separate occasions midwives came to say hello when they heard I was the doula on the ward. This is just so wonderful to have such good relationships with the staff and it really helps to grow the feeling of a birth support team around parents. When we went up to postnatal ward I was again greeted with fantastic midwives who remembered me from past clients. It was all a really positive experience and I am so thrilled to end things for now on such a high. 

Also one of my good friends Ruth and her boyfriend Brian got engaged this week while on a romantic sun holiday. I am so thrilled for them both and you could feel Ruths joy and excitement bursting through the photos in our whatsapp group! (Ruth was sone of the girls I went away with a few weeks ago, we have been friends a long time) Ruth moved up north to live with Brian so I am unsure if they will have the wedding up there or perhaps even in the sun somewhere fab. It’s always nice to have a wedding to look forward to :) 

My baby has been moving so much and on Thursday night Paul finally felt baby kick :) We were thrilled. I can’t wait for the kids to feel too. 

Next week we have our ‘big’ scan. We are hoping to find out babas gender too. I will fill you all in more next week...

Until next time....Jen x

* * * * * * * 

Week 20: What Is Happening To Your Baby

Photo by Mike Dorner on Unsplash

• Your baby is the size of a bananna this week
• This is the last week baby will be measured from 'crown to rump' (they were measured like this because their legs are curled up in a foetal position - from next week however measurements will be taken from top of head to tips of toes!). 
• Your baby is swallowing more this week - really helpful for their digestive system 
• Your baby is starting to produce meconium - this is a greenish black sticky substance that will accumulate and be stored in their bowels and you will see it when they first pass this in their nappy (or if you haven't managed to get the nappy on them, it might end up on you or your birth partner!!!). Some babies will pass meconium in your womb or during the birth.
• Your baby is forming sweat glands this week

Week 20: What Might Be Happening To Your Body

• Woo hoo!!! You are now half way through your pregnancy (more or less!! Baby may not arrive until 42 weeks!!!). 
• You could be snoring for the first time ever!!! Blame those hormones again. The increase in Oestrogen can result in the mucous membranes in the nose swelling. It can help to sleep on your side and elevate your head slightly. 
• Sleeping can start to become very challenging from this week. See our Pregnancy Tips below for some ideas on how to help your sleeping. 
• You may find you have a vaginal discharge which is getting more noticeable as the weeks go on. This is normal and you can expect it to keep increasing until baby arrives. It helps keep bacteria at bay. It it becomes green, yellow or starts to smell do let your GP know. 

Week 20: Pregnancy Tip

It can be tough to get a good night's sleep when you are pregnant. Some things that can help are: 

•  Listening to the Sleep Sanctuary on the GentleBirth app. It is very soothing and Mums will often find they drift completely off having listened to it. Do yourself a favour and get yourself some SleepPhones if you are listening to the App regularly btw - they can help with the sleep because they are not as uncomfortable as ear buds.
• Mary's Sweet Dreams Essencia Blend is also a great blend of aromatherapy oils to help promote sleep. It's safe to use when pregnant, smells amazing and is especially designed to help you relax and drift off - and works great in conjunction with the Sleep Sanctuary track. A body pillow can help ease aches and pains and make you more comfortable in bed. Switching off the phone at least half an hour before you go to bed can help as well. And trying to grab a cat nap during the day if your sleep is disturbed is important so you don't get too exhausted. 
• Check out this EUMom article from GentleBirth founder Tracy Donegan to get more tips to help with sleep.