Friday, March 15, 2013

And the countdown begins! (6 1/2 weeks until due date)


I have gone far too long without writing anything here, despite the fact that I want to write and have ideas of things to write about. It's not that I'm super busy (although some weeks it seems like I'm always on the go), it's more that I'm pretty exhausted most of the time and a lot of the time all I can manage is to veg out on the couch and watch Netflix or Hulu, obsessively check Facebook, or read through some of the many websites and articles about pregnancy, childbirth, and parenting. But this morning I am committing to writing something and actually posting it!

So, first thing's first, an update on how things have been since my last post in...January (wow!). I was 24 weeks pregnant when I posted last, I am now approaching 34 weeks and I can't believe I'm approaching the end of my pregnancy so quickly! There's still so much to do to prepare for Poppy's arrival and to fully enjoy these last few weeks as a family of 2.

Things have been going relatively well overall. My OB appointments have been uneventful which is kind of strange after so many years of dealing with health problems. Aside from being on blood thinners, I'd say that my pregnancy has been totally normal and there have really been no issues which is fantastic! I am still doing my Lovenox (blood thinner) shots once a day and they are just part of my daily routine, although I do have to have alarms go off so I remember. In a few weeks I'll be switching from Lovenox, which is a once-a-day shot, to Heparin, which will be 2 or 3 times a day but is safer to be on when I go into labor because it is shorter acting and can be reversed if I were to need an emergency c-section. I'm not really looking forward to the switch because it means more shots everyday, but it will only be for a few weeks so I'll handle it fine.

We have been doing our childbirth class which is a Bradley Method class. It has been great and I think it's really the best one we could have chosen because it's really thorough and covers all kinds of things that other classes don't seem to touch on. Of course, it's a 12-week class so of course it's going to involve things that shorter classes won't. We worked on putting together our birth plans and I may post them once we've gone over them with the instructor and finalized things.

Now, on the Lyme/chronic illness front things have been pretty stable. I'm still not needing IV fluids very frequently at all. I actually went away for a weekend last month and didn't even bring any with me which is the first time I've done that...probably since I started on IV fluids back in 2005! It's so crazy go have this level of freedom without being hooked up to a pump for so much of the day and to not have my port accessed most of the time. I can actually shower every day without having to think about it which, again, hasn't happened since I started on fluids almost 8 years ago! I'm worried that I'll have a huge crash with all of this after the baby is born and my blood volume goes back to normal, but we'll be prepared for that as much as we can with fluids at home and then deal with the issues as they arise.

We (my doctor and I) are preparing for the testing which will be done at birth to see if there is evidence of Lyme or Babesiosis in the placenta or umbilical cord. She's getting a kit for me to take to the hospital and then the samples will be sent off to the lab in California (Igenex Labs, if anyone is interested). I'm not too worried that there will be evidence of the diseases in the tissue samples but there is of course still a level of fear that the antibiotics I've been on during the course of the pregnancy haven't been enough.

One of the things that the testing will determine, other than whether we need to really be worried about Poppy getting either of these infections from me, is whether or not I will be able to have my placenta encapsulated. If you don't know what placenta encapsulation is, here's a website that has some basic information about it – http://placentanetwork.com/placenta-encapsulation/. Basically, it involves cleaning, steaming, and dehydrating the placenta which is then ground up and put into capsules to be taken for the weeks or months after delivery. This greatly reduces postpartum depression, helps with healing, and balances out your hormones. We are the only mammals that do not consume our placentas and, although I know it may seem gross to some people, the reading I've done on it and the people I've talked to about it convince me that it can only be helpful. The only issue is that, with the infections I have, there's some question about whether it's safe or not. So, after talking with my doctor about it, we've decided that if the testing of the placenta comes back negative for both infections we're testing for, I can go ahead and have it done. So I have someone lined up to do it and I'll just have to keep my placenta in the freezer until the results come back.

At my doctor's appointment yesterday we also determined that we won't be doing cord blood testing since testing the fluid is less likely to be accurate than testing tissues (placenta and the cord itself). This is great since it means that we'll be able to do full delayed cord clamping and cutting which, again, is something that I've read a lot about and see it as being a huge benefit to the baby.

I will also be breastfeeding with the blessings of my doctor but it will require me to stay on antibiotics (ones that are safe for breastfeeding, of course) for as long as I'm breastfeeding. For a while my doctor wasn't supportive of breastfeeding but new information she heard at a conference a few months ago showed that it can be a safe option with Lyme disease as long as antibiotics are used. It's a big relief to have her support and not have to fight for it since it's something that I feel very strongly about wanting to do.

I am still on the same antibiotics I've been on since I was about 16 weeks – Ceftin and Zithromax. I'm tolerating them both well and we've been slowly increasing the dose of Zithromax to see where my threshold is since it has caused ringing in my ears (tinnitus) before. So far I'm up to the full dose (500mg) 3-4 days a week and a half dose (250mg) on the other days. I'll most likely continue on these two antibiotics while breastfeeding for at least the first month and then possibly switch off the Zithromax on to something else to avoid the issues with tinnitus.

Other than that, things have been relatively good. Aside from being tired all the time, which I just attribute to being 7 ½ months pregnant and having trouble sleeping now that it's hard to get comfortable, I'm not having many issues. And it's so hard to tell if something is from the Lyme or just from being pregnant (like trouble thinking/concentrating). Overall, though, I feel like being pregnant has made things much better. My doctor joked at my last appointment that maybe I should just have a lot of kids! Eric didn't think that was so funny, but it really does seem like my body likes being pregnant most of the time.

I'll be back soon (hopefully) with more about the preparation for labor and delivery, including my birth plans, and how preparations are going for Poppy joining our family!

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