Showing posts with label pregnancy. Show all posts
Showing posts with label pregnancy. Show all posts

26 November 2011

Quick Update & Some Favorite Things

Hello Friends!!

I hope you all had a safe and wonderful Thanksgiving! I just wanted to give you a quick update. Because my appointment on Wednesday was postponed due to a birth my midwife was attending, I had my appointment rescheduled for yesterday morning. I'm up 0.5 pound since the last appointment putting me at a grand total of 24.0 for the pregnancy (I think at this point in my pregnancy with Ewan, I was already at about 35-37 lbs of weight gain). My blood pressure is still great (114/70), Austen's heart rate was in the 150s, and even though she's getting obviously bigger (boy can I feel that!!), little girl is still getting her Jane Fonda on at all hours of the day.

And guess what? I'm still measuring exactly on track for 33 weeks. I know all of these updates must sound exactly the same but personally, I still can't get over how utterly normal and textbook this pregnancy has been. Believe me, I do not take it for granted in the least, especially having gotten to know some of you now who have had difficulty getting pregnant, and/or had difficult pregnancies besides (my hat is off to you, truly) -- but honestly, it still surprises me every time when I find out everything is humming along exactly as it should.

We're working on some optimal fetal positioning techniques to help get Austen in the best possible place for birth. She's been head down the whole time (thank you, baby girl!), but really prefers to have her back and rear smooshed into my right side. We're doing some sleep positioning as well as spending time on hands and knees to coax her more toward the middle with her back up against the front of my belly. So far, our success has only been temporary (she always finds her way back to the right side), but hopefully by the time she's ready to come, we can get her in the best possible place for a relatively quick and easy labor.

* * * * *

And since I'm nearing the end of my pregnancy, I thought I'd share just a few things that I've found incredibly helpful to me. Just to be perfectly clear, no one at all has asked me to write about these things and I'm not getting any kind of incentives (financial or otherwise) to feature any of the products below. These are just things that I find incredibly useful right now (and those of you who are or who have ever been pregnant know that a pregnant lady needs all the help she can get).

So move over, Oprah! Here are a few of Kirsten's favorite things ...


Liz Lange for Target Long & Lean Maternity Tanks
Even when I'm not pregnant, I love wearing tank tops. They're great layering pieces and are generally inexpensive enough to buy one in every color once you find one you love. I tried three different brands of maternity tanks, and the Liz Lange for Target ones are literally the only ones that covered my pregnant body for the entire pregnancy. As an added bonus, they're incredibly affordable and come in a variety of yummy colors. The ones by Gap Maternity and Motherhood stopped covering my pregnant belly shortly after 20 weeks -- a serious maternity tank FAIL.

Sweet Almond Oil
So I would totally love this even if I wasn't pregnant, but I've had enough uses for this while pregnant that it just begs to be shared here. I was looking for an all-natural solution for keeping my belly and other skin moisturized, and sweet almond oil was just the answer I was looking for. I rub it on my belly every morning after my shower. I use it on my arms and legs instead of lotion. I pour a cap full or so into a hot bath so my skin doesn't dry out. I remove my eye makeup with it. I use it on my lips when they're especially chapped and cracked. James uses it on my feet when he rubs them. Initially, I bought a 16 oz. bottle at a local Whole Foods for around $17. But I found it on Amazon for around $11-12 (it seems the price fluctuates a bit). I recently ordered three bottles, got free shipping, and was not charged any tax to boot. Definitely a win/win situation!

Chocolate Mint Teeccino
James and I discovered Teeccino shortly after we were married. Though you could consider it an alternative to coffee, it really is in its own category. Made from chicory root and other all natural ingredients, Teeccino is a tasty and healthy NO CAFFEINE replacement for a cuppa something wonderful in the morning. We love to make it super-concentrated, sweeten it with Stevia (an all natural, calorie free sweetener), refrigerate it, and mix about 2 parts brewed Teeccino with 1 part vanilla almond milk and enjoy it over ice. It's great hot, as well. And seriously, it tastes like you're drinking dessert without all the extra calories. This is something we're saving money on by signing up for Amazon's "Subscribe & Save" option (save money on the product, and get free shipping -- another win/win!).

Chocolate Covered Katie
I learned about this website through a Facebook friend of mine. "Chocolate Covered Katie" concocts the most delicious and (would you believe it?) healthy desserts I've ever tasted. Because I've had such a sweet craving this time around, it's been great to find a way to indulge my appetite for sweetness without compromising on nutrition. So far, the Cookie Dough Dip and Chocolate Fudge Pie are our absolute favorites!

VitaMix
We recently acquired a VitaMix while they were doing their roadshow at Costco. As far as this happy customer is concerned, it is living up to the hype. I make delicious green smoothies in there, breakfasts, desserts, dinners (homemade cream of tomato soup, anyone?), nut butters, and so on. It's all so healthy, and clean-up is a snap!





Zico Chocolate Coconut Water
When I was pregnant with Ewan, my doula (the wonderful Annie) suggested I stock up on coconut water to stay well hydrated and replenish essential nutrients both before and during labor. I tried a can of every brand I could get my hands on. My tastedbuds just did not approve. I tried sweetening with stevia, adding a squeeze of lime, adding other fruits to it -- it was just so hard to make it palatable for myself. And then I discovered Zico Chocolate Coconut Water. It's got all the goodness of coconut water with some coconut cream added, as well as some cocoa. This stuff tastes like rich, delicious chocolate milk (at 110 calories per 14 oz.) and satisfies that sweets craving I talked about earlier. I have no trouble downing these babies at all. The price of a case (which I've linked to on Amazon) is a bit pricey, but they have them at our Costco at a lower everyday price, and they have an instant $4 rebate per case right now until the new year. Needless to say, I am stocking up.

* * * * *

Wow. I just looked at my list and realized most of these things fall into the Food & Beverage category. Ha!! Well, a pregnant lady has got to eat and get proper nutrition, doesn't she?

Your favorite things?
What about you? Was there anything you came to use a lot during pregnancy? What do you recommend to other expectant mamas that helped you out (or that you just really liked)? Jump over to the Team Ewan Community page on Facebook to tell us your answer.

19 October 2011

The Belly Report :: 28 Weeks Pregnant

Woot woot!! Welcome to Trimester #3!!

I can hardly believe that today marks the beginning of the final trimester of my pregnancy. If this trimester goes whooshing by like the others, I will have a baby girl in my arms before I know it! I still feel like I just shared the news that I was pregnant again, and here we are already -- Week #28.

28 weeks pregnant

BabyCenter tells me that Austen is roughly 2.5 pounds and about 15 inches long from head to heel, and boy, is she is using those heels to dance, dance, dance. My guess is that it's the can-can. And I kid you not, I swear the little one is keen to when I have the camera turned on her. She will be moving and grooving right along and as soon as I get the camera on, everything gets quiet and still -- so I haven't gotten any good video of her antics this week, but it's been fairly hilarious to see just how far those little feet can stick out of my belly.

In other news, I have finally discovered the secret to getting a good night's sleep. Now I didn't realize going into it that with second (and subsequent) pregnancies, all those hormones that help the baby out later on start kicking in a good deal earlier, meaning that discomfort in certain areas (ahem!) that didn't begin until the third trimester or so last time kicked in several weeks ago this time -- and with greater intensity than the first time around. 

Hip pain has been an ongoing issue with this pregnancy, as has been waking up with an incredibly angry back (and neck -- and shoulders). I couldn't figure out why using the same configuration of pillows as I did before didn't help like it did last time -- but I have finally discovered the secret to sleeping sans hip pain at night and to waking up with a very happy back indeed. I learned from the chiropractor yesterday that my pelvis is in a much happier place (I know you were all wondering -- so now you can rest easy), so I have to conclude that the change I've made is really working.

What I'm about to describe is, I am sure, horribly dull and unworthy of mention to the general populace -- but just in case there is some other poor pregnant lady who is reading this someday, wondering why she can't sleep at night with her aching hips or without waking up with a back that has completely mutinied on her, I will describe what has worked for me and (hopefully, potentially) give her a way to alleviate her misery.

Taking a cue from the fact that I was resting so comfortably on our couch with my hip resting in the crease between the cushions, I took two very firm regular pillows and positioned them horizontally on our bed, one right above the other. I placed them about a palm's width apart, resting on my side with the widest part of my hip in the space between the two pillows. The top of the upper pillow comes to just below my armpit. Not only does this more evenly distribute the pressure across my whole side when I'm sleeping (instead of concentrating it in the hip area, as it had before), but it also relieves stress on whichever shoulder is resting on the bed -- an area that also took a beating at nighttime. 

processed_kirsten_101811_0001
Like so.

I'm still using my Boppy body pillow, just on top of these two that I put on the bed. Because these pillows supporting my side underneath also do a good job of supporting my belly, I've taken the Boppy wedge pillow and positioned it underneath the head of the body pillow. Because of the wedge shape, I can adjust to varying degrees just how much my head is elevated so it is the most comfortable. This also helps remove any pressure on the shoulder that is resting on the bed. I kid you not, I can sleep on my left side comfortably all night long without rolling over multiple times. Just about anyone who's been pregnant before can appreciate just how truly miraculous this is.

processed_kirsten_101811_0006
The total configuration.

Like I said, I realize this is horribly dry stuff and I don't know that it would work for everyone, but changing around these pillow positions has made a world of difference for me. I am sleeping through the night without pain, the neck and shoulder tension I was previously experiencing is gone, and I'm able to move through my day very comfortably without feeling like my spine is going to snap in half. Glory hallelujah!! It's even truer now than it was before: I'm feeling completely FANTASTIC.

Other than that, nothing too exciting to report. My next midwife appointment is this coming Monday and that means it's everybody's favorite time -- the glucose test. Blech. I've ingested some truly nasty liquids in my life (barium sulfate, anyone?), and luckily this one doesn't seem nearly as horrid to me as I've heard some people describe. But it will still be nice to get the whole thing over and done with, to find out I don't have anything to worry about where gestational diabetes is concerned (which I'm assuming since I didn't have it last time and since my weight gain has been modest by comparison this time around -- but we'll see), and to go on my merry way toward our due date.

Conversation!
If you're interested, we're discussing on the Team Ewan page in Facebook today what our favorite parts of pregnancy are. I know there are plenty of aches and pains that come with the territory (and that some pregnancies are so incredibly difficult that not being pregnant anymore may be the favorite part) -- but if it's baby kicks or setting up the nursery or picking out clothes -- feel free to discuss!

Third trimester, anyone? Here we go!

28 September 2011

The Belly Report :: 25 Weeks Pregnant

It's Wednesday, and that means it's time for a bump update and the weekly photo of yours truly, who appears to have swallowed a beach ball (or at the very least, stuffed one under her shirt).

[The "Conversations" series will resume tomorrow with a topic that really gets me going. I'll be very interested to hear from anyone who has experience with the same thing. A HUGE thank you to everyone who has contributed to the conversations on the Team Ewan page on Facebook -- I'm learning so much from you, love your stories, and appreciate the unique perspectives you all bring. And dare I say, it's been fun! It's great to hear from you -- many for the first time -- and to get to know some of you a bit better.]

[Oh, and thanks for your patience with our internet issues. We're still waiting to hear back from the only provider who hasn't said one way or the other that they don't service our area.]

25 weeks pregnant

We had our 24 week appointment this past Monday, and everything is as normal as can be. Yes!! I love getting to be a very normal and very boring pregnant lady. Baby's heart rate is great, everyone is measuring right on track, and I'm shocked at my weight gain -- or lack thereof, rather. I've gained just 2.5 pounds since my appointment last month for a grand total of 18. Not that I'm complaining -- it's just that in my pregnancy with Ewan, I put on at least two thirds of my total pregnancy weight gain in the first twenty weeks (even with all the offerings I was making at the "porcelain throne"), so this slow and steady stuff is taking me by surprise. Go figure!

And you know what I realized? I'll be in my third trimester by the time I have my next checkup in four weeks. Ah!! It's going by so fast!! (I have a feeling I'll be saying that lot).

Austen Brielle is still plenty active, and at most hours of the day. This morning she was holding a full-on dance party in my belly. I've been trying to get some good video of it for my family but she tends to get all shy on me as soon as the camera is on. I love feeling these not-so-little anymore bumps from the inside. Definitely one of my favorite parts of being pregnant. But ha!! I outsneaked her and caught some of her antics on camera ...



In other news, my back has really been feeling this pregnancy. Even with all the yoga, stretching, and back exercises I've been doing, it seems like I'm feeling the strain more this time around. I'm adding heat to the regimen and am seeing a chiropractor, but am hoping I don't really have to go as often as they say to feel better. All those $20 co-payments really add up!

Since we're on the topic of backs, I should also add I finally figured out the pillow configuration that works best for me at night, and it's with less pillows instead of more. I realize this may sound very mundane, but for a lady whose hips, back, and neck have been hurting enough at night to keep me awake for a few hours a night the past 6-7 weeks, I'm pretty darn excited about it. I'm using the Boppy Prenatal Body Pillow, the Boppy Prenatal Wedge, as well as a regular pillow between my ankles, and one to wrap my right arm around as I sleep on my left side. It works really well as long as I don't feel an urgent need to turn over. The memory foam cover on our mattress is a lifesaver, too!

Sigh. A well-rested expectant mama is a happy one. We will see you all again soon!

14 September 2011

The Belly Report :: 23 Weeks Pregnant

Well. And today we see why this is called "The Belly Report." I feel like a hippopotamus! Or as James likes to say, "You're busting out with girlish pride."

Or something like that.

23 weeks pregnant
23 weeks pregnant with one (human) baby

I know, right?!

And since I'm in somewhat of a self-deprecating mood today, here are a few outtakes from today's photo shoot. James' own version of Beyonce goes something like this: "All the Kirsten ladies" or alternately, "All the pregnant ladies," and then "If you like it then you should-a put a baby in it ..." which he was singing while taking my picture.

23 weeks outtakes
"Are you sure it's not twins?" "Are you sure you've got a January baby in there? Looks more like October."

more 23 weeks outtakes
My deepest, sincerest apologies to Beyonce (who inspired these moves)

Strangers here seems to be a lot kinder. Or maybe it's just that they know to keep quiet instead of coming up to me and saying, "You must be due any day now, right?" or, "What are you doing at the gym? Shouldn't you be in the hospital pushing?!" It might also have something to do with the fact that I'm not out in public quite as much. Either way, it's nice not to have to deal with unsolicited comments of a size-oriented nature. 

Since we're on the topic, here's the thing about me and belly size. I'm not built like a Russian supermodel, but neither do I seem (so far) to produce particularly big babies. Ewan was born at 37-1/2 weeks and weighed 6 lbs 7 oz and was 18.5" long. He was in the 50th percentile for all his measurements when he was born except for that great big noggin of his which was in the 90th percentile (we can thank my side of the family for that particular trait). But for the most part, he was pretty average in terms of his size. (And off the charts when it comes to cuteness. I'm just sayin'). When it comes to this pregnancy, (and I know ultrasound measurements can be off) Austen is measuring in the 55th percentile in size for her gestational age, with the exception of some long legs (a trait not from my side of the family) that are a couple weeks ahead of that.

I might have a smallish-to-average sized body frame (which is likely something of a factor), but I think the main culprit is being short in the waist, on top of which I'm the type of person that you can't really tell is pregnant from behind (take my word for it) -- the belly sticks straight out, having nowhere else to go. And on top of which this is my second pregnancy in less than two years. So yes, it looks to some people like I'm carrying a woolly mammoth. Or a baby elephant. Or triplets. What can I say? We can't all look like Gisele Bundchen when we're with child.

In other belly-related news, I'm feeling miss Austen move and kick A LOT more. I feel and see her kicks and squirms on a regular basis now. It is so much fun -- this is easily one of my favorite parts of being pregnant -- and it delights me to watch her move around like she does. What a personality! I can't wait to meet her.

Aaaaand ... I've added just a few fun little Austen-y details to the nursery. Okay, okay you've twisted my arm! I'll show you  ...

"a" is for austen
I hung the wooden letter "A" inside the frame, and added the ultrasound picture of her little feet.
little miss austen's room wouldn't be complete without it!
Austen's room must have a copy of Jane Austen in it! This volume used to belong to James' grandmother.
both my babies
Pictures of both my babies

I've barely made any progress in this room or any others over the last couple of weeks. Day-to-day things seem to have taken over, on top of which this belly growth has me needing to lie down with a large collection of pillows more frequently (as of last night, I am up to six). Make no mistake, as fun as it is, growing people is hard work!

I hope you all are having a great week! The photo reflection series leading up to Ewan's birthday on Sunday will resume tomorrow.

07 September 2011

The Belly Report :: 22 Weeks Pregnant

Before I show you my basketball of a belly, I just wanted to say thanks to everyone for the e-mails, notes, and Facebook comments regarding our recently announced happy news!! If there's anything at all better than having good news, it's getting to share it -- especially with people who have been with you through the worst news. I do hope to do more vlogs in the future (now that I know what I'm doing) since that is a really fun and more personal way to connect.

Oh yeah, and one more thing that I just can't get off my mind ... HEALTHY BABY GIRL!! Yeay!!

girl name

I mentioned in the video that I've been holding on to this name since college, long before I was married and long before naming children was in my immediate future. My bachelor's degree is in English Lit, but it didn't take that to be smitten with all things Jane Austen (she's just so brilliant and sharp and witty and feminine and wonderful). I really hoped then that if I ever married and had children, that my husband wouldn't think this was too weird a name for a girl, so the fact that James loves it too is just another way for me to know I definitely married the right man! (Which I would still think even if he didn't love it. But having disagreed frequently enough over boy names, it was nice to come to agreement on our girl name so very easily, especially one to which I was so attached.)

And now, here's the belly. Can you believe that (assuming I go a full 40 weeks) I have 18 weeks left?! I wasn't um ... quite so convex at 22 weeks with Ewan. I guess that's what happens with second babies, especially ones this close together. Assuming this little one arrives on or around her due date, Ewan and Austen will be born a little less than 16 months apart.

22 weeks diptych

There's not a whole lot to add beyond this, except to say that this little girl seems to love 3 am. Out of the last seven mornings, she's woken me up six of them with her kicking at right about the same time. And true to Austen-ian form, they're not little flutters, but nice, strong kicks. I feel her throughout the day of course, but 3 am is when she really goes for it. I totally love feeling her rolls and kicks, getting a good sense of her activity, and knowing that she's doing well ... but I would love to get some more sleep! Mama has a lot to do before little Austen comes, and the mama also knows she's not going to be getting much sleep from there on out.

Sigh. It's a happy burden to bear, truly. I love being pregnant. But I really could use a nap!

24 August 2011

The Belly Report :: 20 Weeks Pregnant

Drumroll, please!! We have officially arrived at the halfway mark in the pregnancy.

And might I just say: "Holy growing belly, Batman!" This little bean is not so little anymore if I'm any judge. I think it was just about 3 weeks ago I was thinking, Geesh, I barely look pregnant. No mistaking that fact anymore. In fact, I was asked on Monday when checking out at Home Depot if I was sure I wasn't having twins. And so it begins!

When I replied in the affirmative (as in "Yes, I am sure that I am not having twins"), the woman told me, "Well, at least you're sure to have a nice big, healthy baby." I got the twins comment when I was pregnant with Ewan a lot, too -- but he didn't exactly tip the scales at 6 lbs 7 oz.

Sigh. But enough on pregnancy remarks from strangers!

20 weeks!!
20 weeks pregnant!! I sure hope I don't double in size from here.

And just so you can compare these blooming profile shots, check this out. I'm wearing the same top in the 20 week photo that I am in the 17 week photo. Baby growing much?

17 to 20 weeks belly progress
Click to view larger and behold the progression!

I'm excited that our first midwife appointment is this coming Monday! Soon after that, we should be able to set an appointment for our first ultrasound and hopefully, set our minds at ease that Ewan's little sibling is in all respects as healthy as can be (which really is my primary concern). And of course, we can find out if we can call baby's wardrobe good for the first year or so (we have boy clothes coming out our ears!), or if we need to go shopping for dresses and bows and ruffles and tights and sweet little girlie things. I have to admit, I've already indulged a little bit in that area.

Okay, okay ... hold that part about "a little bit."

baby girl clothes
Just in case, right? Never hurts to be prepared!

As far as how I've been feeling goes, I've been pretty set in a good workout routine for the past two or three weeks which is really helping me feel healthy and energetic. I do a prenatal yoga video at home on Monday, Wednesday, and Friday. On Tuesday, Thursday, and Saturday, I do strength training and cardio at the gym. I love the variety and find I feel best with a balance of both. Between this routine and the unpacking and housework and going for walks, I feel like I'm in great shape!

I should also mention that I'm completely obsessed with working on the baby's room. I've had to get up in the morning and write down for myself what I intend to accomplish during the day so that I don't go and just move things around in the baby's room that are perfectly fine where they are. Until I started making these lists, other areas of the house went sorely neglected.

I know I've already shared a few photos of it, but what's a few more, right? I have done a bit more since the last time I shared ...

nursery


For awhile there wasn't anything hanging right above the crib, and I felt like it needed something there. I had two of these large gilded frames from Michael's (they're pretty reasonably priced if you get them at 50% off, which I think they are most of the time) that I used for props when doing photoshoots. Since they were identical and I knew I wouldn't miss the use of one, I took a ribbon I had leftover from a baby shower gift, nailed it to the back, put some binder clips on the ribbon, and voila! -- a creative way to display photos and mementos above the baby's bed. I'm not normally much of a DIY or crafty type of gal, but sometimes I do get the odd inspiration.

nursery side-by-side
nursery details


There are more details about the room I'd like to go into more -- there are so many little pieces that have so much meaning to us -- but I think that will do for now (I've got to get back to that list), and save some for another time. I hope you all have a great week!


* kirsten

22 August 2011

Let the voting begin!

team pink or team blue

As you can see, I've installed a voting tool in the sidebar on the left so you can cast your vote if Baby Petermann is on Team Pink or Team Blue. I know a number of people who have a strong feeling already, but if you don't, perhaps a comparison of the two pregnancies will help.


Pregnancy with Ewan:
* Nausea: Started at about 6 weeks and lasted until about 20 weeks. Nausea/vomiting was intermittent (not every day), 1-2x per day.
* Cravings: Salty/sour foods, especially & vinegar potato chips, spaghetti
* Aversions: Coffee, chocolate, sweets, cooked mushrooms

25 weeks pregnant
25 weeks pregnant with Ewan



Pregnancy with Baby #2:
* Nausea: Started at about 6 weeks and lasted until about 13.5 weeks. Nausea/vomiting/dry heaving every single day, approximately 2-5 times a day
* Cravings: Vietnamese food, frozen yogurt, sweet treats
* Aversions: Sour (vinegary foods, citrus), potato chips, anything greasy

19 wks + 4 days
19 weeks + 4 days with Baby #2 (growth spurt, anyone??)
See the 19 weeks pregnant photo

So ... there you are. You know what they say: Vote early, vote often! The poll will be open until 5 pm (EST) on Monday, September 5.

21 August 2011

So ... when is the ultrasound?

As we near the 20 week mark, I've gotten a lot of questions lately from people wondering what a lot of you are probably wondering ...

When do we find out if Baby Petermann is a boy or a girl? 
team pink or team blue??


The short answer is: We don't know yet. I know, I know. It's driving us nuts, too!!

Our first official appointment with the midwife is Monday, August 29 (the meeting we had with her a few weeks ago was a free consultation), at which point I will beg to be referred for the soonest possible ultrasound. So that translates -- I'm guessing -- to early September.

Once we find out the date, we plan on letting our families know the date and time of the appointment, but otherwise plan on holding that particular detail close to our vests. I'm not going to announce the date of the ultrasound on Facebook or the blog for a few reasons:

  • I don't want anyone to worry if we don't announce anything right after our appointment.
  • I'm going to be anxious enough that day (being mostly concerned about finding out we've got an otherwise whole and healthy child, and about heart health in particular), and I just don't want to have a reason to put any extra pressure on myself. I don't know if this makes sense at all, but I think feeling able to take our time with the news will help me to remain more relaxed.
  • After that ultrasound appointment, we'll need time to tell our families (and I'll warn you: James has a big one) and, I'm guessing, to take a deep breath and soak in whatever we've learned (and hopefully that's the news that we have a healthy baby).
  • I want to do the announcement in a really fun way, and this will give me some of the time I'll need to do that. ;o)

Please believe that we are at least as excited to find out as you are, and we are excited about letting you know as soon as possible!!

I will be launching a voting bar on the blog in a day or two where you can cast your vote if you think Baby Petermann is on Team Pink or Team Blue. I will provide some details comparing the two pregnancies when the polls open if that will help inform your choice.

And then ... let the voting begin!! :o)

19 August 2011

Midwifery Follow-Up :: Ewan's Hospital Birth

First of all, I wanted to thank you for reading and offering your feedback on my recent series on why we're opting for a midwifery model of care. I know there are a variety of strong opinions in just about anything concerning pregnancy and birth, but the feedback (even from those who prefer to receive care from an OB) was largely positive. I ended up learning some new things myself, and got to hear from those of you who have great things to say about the medical care you've received (or about the great midwives you had)!

I received one question that I thought about addressing in the course of the series, but (because I was concerned about length) didn't get a chance to write about. I was asked about how it was to have Ewan's birth in a hospital setting with an OB, so I wanted to take some time to answer that inquiry.

I have and will continue to sing the accolades of Dr. J, our OB in Washington State. We didn't find her ourselves, but was referred by our midwives when we learned about Ewan's heart. When I called to set our first consultation, the receptionist went on and on for about 15-20 minutes about how wonderful Dr. J was without me even asking her for her opinion. She was confident I would love her, and our first meeting with the good doctor proved our receptionist right.

We had a lot of questions for her, most of which she answered before we even had a chance to ask them. She said something like this: When I took this job, I understood that I'd be working incredibly long hours and getting called out of a sound sleep in the middle of the night. I trust a woman's body. If a woman was meant to have a baby in six hours, she'd have a baby in six hours. As for episiotomies, I just don't cut them. There are women who I swear would tear to high heaven who never did, and women who had their seventh babies who I thought would stretch nicely, but I ended up taking over an hour to stitch them up afterward. If you're going to tear, it's better to just let you tear. Now if we get to the point where something doesn't look right, nobody is going to freak out. I will let you know what's going on and we'll talk about it, and I'll let you make your decision.

We were sold. And her actions in subsequent visits (and in our birth with Ewan) bore out the truth of what she told us at the beginning. What's more, she was incredibly proactive. Before we even had our first consultation with her, she got in touch with the doctor in charge of the NICU at the hospital where I'd be delivering to make sure they were set up to handle a baby with Ewan's condition. She got in touch with them again four weeks prior to my due date to make sure they were set and ready to go, and again when she sent us over to the hospital from her office. Again, she was totally amazing and on top of it.

The overall hospital experience, however, left something to be desired. While I understand people are human and while I do not expect perfection at every turn, I also am savvy enough to know that there are certain standards to be observed when caring for someone in a medical capacity. Take a look for instance at this picture my husband snapped with his BlackBerry while the nurse was getting my IV ready.

Oh, modern medicine.

That's right. She's getting ready to put an IV in my arm, and is doing her prep work on a TRASH CAN. Even if the lid of that trash can had just been sanitized, is it really appropriate to stick a needle in someone's arm with materials that have been resting on top of a surface that says in big black letters WASTE ONLY?!

Fortunately, she was not our nurse for very long.

We had some great and incredibly caring nurses over the course of my labor, and nurses who (especially toward the end) kept asking me if I wanted any meds so I could be more comfortable. There are a whole host of reasons I won't get into here for rejecting medication, but one primary reason outweighed the rest: I didn't know how long Ewan would be with us, and I didn't want to be numb (literally or figuratively) to any of it.

When it came to post-partum care in the hospital, I had some fantastic nurses who were very patient and tender with me. Because of how quickly Ewan came out, I was one of those unfortunate ladies who tore to high heaven, as they say (north, south, east, and west) -- to the third degree. Ouch. They took amazing care of me. One nurse I was particularly thankful for since, when she was reviewing my chart to verify the course of post-partum medications, noted that I had a vaginal birth and not a c-section, so what was that drug (specifically for those recovering from c-section) doing listed on my regimen? I'm thankful she caught that error before I had something on board that I did not need.

And finally, there is something to be said for the NICU. I mentioned how our doctor was proactive in assuring that the NICU would be ready, not only with the right medications and supplies, but the staffing as well. When Ewan came, the doctor who was supposed to be in the NICU was nowhere to be found. The nurses attempted calling and paging him to no avail. And no one could find the medication to give Ewan that would ensure his PDA would remain open. When Ewan had to be intubated later that day, a nurse practitioner had to do it since the doctor was not there. When he was extubated a few days later at Children's, we learned the tube they used was too big for him and caused some lacerations and swelling to his windpipe.

kirsten_0919_0009
Ewan at 1 day old. Poor little guy was pretty darn uncomfortable. (I can't look at this without crying.)

So, while we had some amazing people taking care of us, there were some areas of our care that were definitely lacking. I have no wish to disparage the hospital or any of the people who were taking care of us and as I said, I know people make mistakes. It happens. I'm incredibly fortunate to have gotten to have the birth experience I hoped for (even if the setting wasn't what I hoped for) and a supportive group of people around me. In our particular set of circumstances, most OBs wouldn't have given me the option of laboring and delivering naturally, but Dr. J did. My biggest regret is that Ewan was caused any pain as a result. But that's the truth of our experience.

* * *

I also wanted to mention that following the completion of this series, I got an e-mail from a friend of mine who is currently pregnant and living with her family in Scotland. She told me that the system over there works much differently than the United States. Every pregnant woman is automatically assigned to a midwife and only sees an OB if it's absolutely necessary. The midwives will deliver at a local hospital if that's what the family wants (or if it's necessary), or at a birthing center or home if they prefer. There really isn't the same kind of stigma around midwifery, or about choosing a midwife "instead" of an OB.

It's become a topic of interest to me to learn how babies are born in different areas of the world, and I know I've learned a lot from looking beyond the US to learn about how it works in other countries. I guess I don't have a whole lot to add beyond that, but it gives me some food for thought in any case.

Thanks again for hanging in there with me, and thanks for all the feedback you've offered! It's been fun to discuss your experiences and hear your thoughts.

I hope you all have a great weekend!

17 August 2011

The Belly Report :: 19 Weeks Pregnant

I can't believe that another full week has passed by already!! I feel like people twice my age when I say this, but seriously ... where does the time go?! Growth is definitely the theme again here. Baby-Gaga.com tells me that from head to foot, baby is about 10 inches long and weighs over half a pound. Crazy. I mean, I know (obviously) that the baby is supposed to be growing (and me with him/her) ... it's just crazy that it happens so fast.

19 weeks pregnant diptych

When I was pregnant with Ewan, time seemed to inch by at a snail's pace, especially the first half of the pregnancy. This time around feels like I'm racing by comparison -- like I'm going to blink and then all of the sudden, have a baby here. I mean, I feel like I just announced I was pregnant, and now I'm racing toward the halfway mark?! Watch out, I'll blink again and have a fifth grader!

James and I can both feel the baby move a lot, especially when I'm lying down. I love that he can feel it this early on since I think I might have been somewhere between 22-24 weeks with Ewan before he was able to feel anything. We feel little jabs, punches, and kicks all over the place. It's gone from that goldfish-bumping-around-in-a-plastic-bag feeling to more solid and deliberate, like ... hmm ... a little person bumping around in a plastic bag (how's that for a description??), which sounds cruel but since the little person is supposed to be there and it's not actually a plastic bag ... well, you get it.

I've gotten a lot more done in the nursery this week. I didn't think it was possible, but I do believe I'm liking the setup we have here better than the one we had when we lived in Seattle. It's probably because in our apartment in Seattle, we had two bedrooms, meaning: the nursery/office space was combined. Since we have an extra bedroom here, we can keep them separate and have the rooms each dedicated to their specific purpose. It's still not totally done in there, but I couldn't wait to share a preview.

baby room preview

baby room preview

baby room preview

baby room preview

In other news, I can hardly wait until I can share with you a video project my dear friend Christianne has been working on in which I had the privilege of participating. I don't want to give away too much too soon, but it involves me being on camera talking about grief and loss. Many, many others are sharing stories relating to a variety of experiences close to their hearts. I've seen some rough cuts of just my piece and am incredibly anxious to see the final product. I can't wait to share it with you when it's ready to go public. It's going to be amazing!

I've really been missing Washington this week -- my home, my friends, and things that are familiar. This past weekend at church, there was a baby girl who was baptized. The baptisms get me every single time. While we had our own special moment with Ewan in the hospital, that was one thing I always looked forward to when I had a baby -- that moment when the church community gathers around and welcomes the newest member of Christ's body. Later on in that service, we sang a song that we sang frequently in our church in Issaquah. Singing it took me back, reminded me how I missed that community, and how I missed the musician who would lead us into that song so beautifully (the same one who did the music for Ewan's funeral as well). This precipitated missing a whole lot of other things and before I knew it, I had tears coming that I could not stop. I know it will happen, but it will just take awhile before this feels anything like home for me. In my mind, home is still 3,110 miles away. 

Other than that, I'm slowly getting the hang of being whatever it is I am now: a stay-at-home wife and mom who kicks butt at the gym, does some prenatal yoga, grocery shops, makes homemade granola, does a lot of laundry, cooks and cleans up after ... you know, what a lot of women's lives look like! There are days where the transition from full time work to this is still difficult and I wish that when James asked me what my day was like, that I had something more interesting to tell him besides, Would you look at how our bathroom counters just sparkle?! I realize I do more than that, of course -- but like I said, it's just this whole crazy transition. Patience, Kirsten ... patience.

Speaking of which, I could use some prenatal yoga. And a nap. See you next week!

15 August 2011

Why We Chose Midwifery Care :: Part 3 of 3

And one last time, the disclaimer ...



When it comes to having selected a midwifery model of care for my pregnancies, I speak only from my own experience. I claim no expertise in the fields of midwifery or obstetrics, and make no claims to know what is best for each individual pregnant woman and her family. Recognizing that a variety of experiences and reasons inform a woman's choice of who will provide her with the best care, I have nothing against any person who chooses an obstetrical model of care for her pregnancy and birth. I believe every woman should choose the form of care which she is convinced will provide the best experience and outcomes for her and for her family. 

* * * * *


Read Part 1
Read Part 2


Insanity: doing the same thing over and over again and expecting different results.
Albert Einstein



So. Assuming you've read the previous posts in this series, you may be thinking what I would probably be thinking at this point: that seeking out methods of health care outside the mainstream was and is a reaction against my prior experiences with modern medicine. That may be partly true, but there is much more that may be said about my reasons for choosing such alternative means of care now.

I related two experiences that stand out in terms of my relationship to the modern medical system, but it is important to note that they are not isolated. They are largely representative of what I came to be familiar with on a broader scale in subsequent visits. I found that I could roughly expect that the doctor would be running late, seem rushed, that I would have to repeat things I had already stated, or that things that I had said might be forgotten or dismissed as irrelevant. I came to expect that instead of a diagnosis and a treatment plan intended to achieve better health, I would get what was oftentimes a misplaced hypothesis that achieved no more than getting me to feel like a bit of a lab rat -- a body pumped full of pharmaceuticals that achieved nothing, or that were intended to mask the underlying cause. It appeared to me that the goal was not necessarily good health, but rather symptom management. The times when I did not feel like this were sadly and overwhelmingly the exception. 

Frustrated doesn't even begin to cover how I felt. The modern medical system -- for all the merits it may well possess -- failed me. Seven prescriptions, five doctors, two ER visits, two endoscopies, one CAT scan, and thousands of dollars later, and I was nowhere. But lest it be thought I'm coming down hard exclusively on doctors, it needs to be said that I recognize that they are operating within a system in which there are a number of factors at play that are out of their control, including but not limited to: insurance companies and their policies, hospital and/or clinic leadership and policies, pharmaceutical companies, federal regulations, and so on. I also recognize they are not the ones determining significant factors that directly impact my experience of the care I receive (e.g., how many patients they're scheduled to see in an hour, etc).

Seeking an alternative form a care came out of more than frustration and disappointment. When I was in good health and an infrequent participant in the medical system, I didn't have any problems with what I experienced. But being in and out of it on a very regular and frequent basis for a year revealed a host of weaknesses to me. The system as I experienced it was very broken, and I refused to believe that what I had experienced was the best that was available to me. So I went in search of system that would not only work, but that I could believe in.

When I did my research on some of the core premises of naturopathy, I found I agreed more with the foundational principles of this alternate form of care than I did in the more "modern" approach I had experienced. Naturopaths also abide by the promise to "first, do no harm" just like medical doctors do, but in addition to this there are five other principles that under gird the practice: the healing power of nature, discover and treat the cause -- not just the effect, treat the whole person, the physician is a teacher, and prevention is the best cure. I could add my Amen! to all of those.

Now, it should be said that when it comes to methods of treatment labeled as "alternative," or that otherwise veer from the norm of modern medicine, there are some utterly bizarre and questionable things out there -- things that, like many others who advocate the modern approach, I reject as forms of quackery. Those aren't at all the types of things I would support. For me, it really was finding a system that treats the whole person, that uses the gentlest and least invasive methods possible, and that produces the best overall results in my health (which for me, includes not losing my mind in the process). Midwifery, like naturopathy, is a method of care that meets those criteria in my assessment. In fact, the reasons I went to a naturopath and the reasons I'm now going to a midwife can be tied to just two root causes that go hand in hand, stemming from my previous experiences.

1. I want to use a method of care that is holistic (i.e., that treats the whole person) and effective, as well as a provider I can trust.
Though naturopathy is seen as an "alternative" form of medical care, it ended up being the most effective for me. For the cost of a few hundred dollars and over a period of just a few weeks, I got what thousands of dollars, multiple expensive tests (some of which were highly invasive, others of which involved ingesting copious amounts of nasty, thick liquids), and wasting months on end did not. In naturopathy, good health was presumed to be the norm and the ultimate goal. It was not just about getting rid of symptoms. In my naturopathic physician, I found someone who partnered with me in finding and addressing the root cause of whatever ailment it was that caused my health problems. I felt like he was on my team.

I see midwifery in a similar light. Instead of primarily being a medical event, pregnancy is seen as a healthy, normal part of life. Statistically speaking, pregnancy comes without significant complications for most women, meaning: most women don't require significant medical interventions. Fetal heart defects in my previous pregnancy excepted, I am one of those women. The pregnancy part is (relatively speaking) a breeze and my prior labor and delivery couldn't have been any more textbook. My OB in Washington noted that I had a body that was perfect for delivering babies naturally.

What's more, there tend to be significant differences in terms of the approach to care. Appointments with a midwife take more time. More than just the raw physical data is considered and discussed. In the hour we have together, we spend a lot of time talking not just about my overall physical health, (e.g., blood pressure, weight, baby's heartbeat, etc.) but also about how I am handling things emotionally. We talk about anything and everything impacting my overall well-being. When we had our first consultation with Kelli, the midwife we are seeing here in Florida, she told me: We will talk about your weight, your blood pressure, and your nutrition. We well do all the tests we need to and we will listen to the baby. But I also want to know about your heart and how you're feeling emotionally. She explained and affirmed what I already knew to be true: that these things as well as the others impacted one's pregnancy, labor, and delivery.

For me, this makes a substantial difference in terms of developing trust for the one providing my care. I am more relaxed even when the talk and procedures are medical in nature because my experience affirms that I am being seen and treated as a whole person. My pregnancy feels more like the beautiful, life-changing thing that it is instead of primarily being a medical event. I feel more at ease when I have the freedom to air whatever it is I'm feeling or thinking. The OB we saw in Washington for my pregnancy with Ewan was really great at accomplishing this same thing in the relatively short amount of time allotted for our visits together.

But we're in a very different place now, and I'm nearly halfway through this pregnancy. We know what kind of care we want, so seeking obstetric care is only a priority should something go awry.

Which brings me to my second point ...

2. My experiences at the doctor have led to a serious case of "white coat hypertension" and distrust.
Prior to dealing with my stomach issues five years ago, I had no problem going to the doctor. It didn't make me nervous in the least. I trusted my physicians implicitly and kept going back for my routine check-ups, or on the odd occasion that something didn't seem right.

The year that I spent dealing with my stomach issues changed all of that. I know there are good doctors out there -- great ones, even. I have seen some of them. But for the most part, I would have to describe the care I received over the course of that year as consistently mediocre. Not only were my health issues not resolved, I became frustrated and angry at how I was being treated, falling repeatedly through some fairly wide cracks and rifts in the system.

It is difficult to describe just how psychologically wearing this was on me. On top of being sick and exhausted, I wasn't getting the help I desperately needed and actively sought in order to get better. My quality of life was severely compromised. I felt dismissed and ignored, and there were many times I could tell that the guy with the stethoscope wasn't listening to me, but just ticking down the seconds until he could check me off his to-do list and get on to the next patient. I was pumped full of pharmaceuticals that weren't doing the job (and believe me, I said as much), but was instructed to keep taking them "just in case." Doctors that were working concurrently on my case routinely disagreed about the best approach to my care, and I got caught in the middle of the tug-of-war.

Since that year, I have absolutely hated going to the doctor, no matter the doctor and no matter the reason. I have no problem actually going when I know I need to go, whether it's for a routine check-up or I've got a medical issue that requires attention. But no matter how benign or routine the visit, I still become incredibly anxious.

Another result of this experience is that my capacity to trust doctors and the entire system of which they are a part eroded almost entirely. I am no longer willing to put up with the things I once patiently endured. Even when I know for sure I am seeing a good doctor and am able to reason with myself at length that I have no reason to be nervous (my OB from Washington being case in point), I will still get hypertensive. My heart will race, my blood pressure rise, and my breaths become short and shallow -- without fail (and all this before I even walk into the doctor's office).

maternity: on the farm {EXPLORED}
I like being pregnant. Really!

I love being pregnant. I have no idea how many times I'll get to do this again, and I want to enjoy every blessed minute of it, aching hips and all. I want to be relaxed, and I want to receive the best possible care from an experienced provider. I would rather look forward to my prenatal visits than dread them. It's not only better for me, but for the child who depends on me, too.

When it comes to labor and delivery, I want to have someone there who I trust, not only with her level of expertise, but also with her demonstrated understanding of the sanctity of the event. After all, she's playing a key role in one of the most intimate and transforming life events that a person can experience. The last thing I want is it being reduced to anything less in the process. Like any good midwife, we will have an emergency hospital backup in place before I ever go into labor just in case things don't go as planned (and with this particular midwife, we have the added advantage that she has several years prior experience as an EMT). But in the more likely event that we do not require that backup, I look forward to having my next child in an atmosphere where I feel safe and relaxed, with a person who (by that time) I know well and who understands not only just about pregnancy and birth, but what James and I want and need from her in one of the most important events of our lives.

I know midwives aren't for everyone, and I know they aren't perfect, either. Like doctors, I am sure there are some less than stellar examples of the profession out there. It also should be said that I know a lot of women -- many friends, in fact -- who are more comfortable having their babies with an OB in a hospital setting and who certainly don't have the white coat issues that I experience at doctor's visits. More power to them, I say! Who am I to have a problem with it?

But when it comes to me, to the tiny sliver of universe I occupy and to the choices that are mine, I find that if I don't absolutely need it, the modern medical approach is almost certainly not the best for me. It produces in me too much anxiety and frustration to be good for my overall health, things that are especially important to avoid in pregnancy. My current midwife comes from a varied background, several years experience, and hasn't lost any moms or babies in her many years of attending births. I'm not sacrificing good prenatal care for the sake of an experience. I'm getting all the same scans, tests, and blood work that I would get if I were seeing an OB.

The truth is, I just feel a whole lot better about how I'm receiving those things. Like any expectant mom, my heart is in this. I've been through too much already to compromise on what I want, what is most important to me, and on what I'm convinced my family needs. For my own well-being and the well-being of my baby, I want and need someone alongside us for the journey who gets this, who practices her profession in a way that not only reassures me that she knows our hearts, but that hers is in it with us, too. 

13 August 2011

Why We Chose Midwifery Care :: Part 2 of 3

Before I jump into the content of the current post, I'll add the same disclaimer up top that I included in the previous post:



When it comes to having selected a midwifery model of care for my pregnancies, I speak only from my own experience. I claim no expertise in the fields of midwifery or obstetrics, and make no claims to know what is best for each individual pregnant woman and her family. Recognizing that a variety of experiences and reasons inform a woman's choice of who will provide her with the best care, I have nothing against any person who chooses an obstetrical model of care for her pregnancy and birth. I believe every woman should choose the form of care which she is convinced will provide the best experience and outcomes for her and for her family. 
* * * * *

By the time I had graduated from college and progressed into my mid-twenties, I had moved well beyond the childhood that was characterized by 7-Up, saltines, and long waits in the allergist's office waiting room. A six-year course of allergy shots through my junior high and high school years successfully did away with my severe allergies. I was eating healthy, exercising regularly, and taking vitamins. I had reached a point in my life where I felt vibrant and healthy, going to the doctor only for a routine yearly check-up.

me @ whatcom falls park
July 2007

Early in the summer of 2006, I went to the doctor for a case of acid reflux. It didn't matter what I ate or when I ate it, or how many how much I consumed in the way of Tums, Pepto Bismol, or Rolaids. It was unrelenting. I went to my doctor, got a prescription for the acid reflux, and went on my way. The course of prescription treatment did its job -- for a little while. Within a few weeks, I was back in her office complaining of the same issue.

She prescribed the same course of treatment and since it had served me well in the past (this was not my first bout with acid reflux), and we thought we'd try it again. I took the sheet she had torn off her prescription pad, went to the pharmacy and had it filled. I took it gratefully, hoping I could experience relief in a few days. Instead of getting better however, it got worse. 

I went back again, explaining the latest round of meds had not only not worked, but that my symptoms had worsened. My stomach constantly hurt -- a burning, cramping hurt -- no matter what I ate or drank, or didn't eat or didn't drink. The pain was growing more persistent and more intense. New meds were added.

Over the course of the next several months, my symptoms continued to worsen. I continued to seek the help of my doctor, and other general practitioners as well -- not that I didn't trust my primary physician, but I thought perhaps a different perspective and a fresh set of eyes would help provide some insight into my condition. Over these months, prescriptions were added, dosages were modified, and my pain continued to worsen. The side effects of whatever I had increased. I was losing weight, suffering something with the rather unglamorous title of "leaky gut syndrome", a description apt enough that you can understand why I don't go into the details. My unexplained weight loss accelerated. Four pounds at first, then six, then nine. Then sixteen. Several months and six prescriptions later, and I wasn't any better. On top of that, I couldn't stay awake past six in the evening. My body was so fatigued. All the energy I once had was long gone.

One day, the pain was bad enough that I went to the ER. They put an IV in with a medication that helped me relax and relieved the pain I had. Though the nurses were incredibly caring and attentive, the doctor who saw me that day ended up charging me $600 for the sixty or so seconds of his time that it took him to write a prescription for vicodin (a drug that is notoriously hard on the stomach), and return to his very busy schedule.

I was finally referred to a specialist, another doctor who had a waiting list of several weeks. I went to his office and told him my symptoms, how long I had been dealing with them, and he proposed an endoscopy, a procedure in which a camera is fed down the esophagus and into the stomach so the doctor could see more specifically what might be going on in there. Finally -- someone was going to do some tests! Now we were getting somewhere. 

When I followed up with him for the results, he handed me a sheet of paper with pictures of my esophagus and stomach. The sheet said I had a hiatal hernia and gastric mucosal atrophy. Basically, my stomach was pushing up through my diaphragm, and the lining of my stomach was so damaged it had atrophied.

Would you like to treat this? he asked.

I was flabbergasted at the question. I thought it a ridiculous one, given the lengths I had gone to in seeking a solution, and how tired I was of dealing with stomach pain, unexplained weight loss, and more unpleasant symptoms than I could list. I answered him affirmatively and definitely. Of course I want to treat this, I replied. I'm miserable!

He said that basically he thought I had a "spastic" stomach that liked to squeeze a little too much, and then wrote me a low-dose prescription for an anti-depressant that he assured me would help the stomach to relax. With that, he whisked out of his office. Apparently, there was no time for questions -- for asking more specifics as to why I needed an anti-depressant for a gastrointestinal problem. I looked at the clock on the wall, hardly able to believe the blur of the visit that had just occurred. From the time the nurse had ushered me into the room and taken my blood pressure, to the time the doctor practically ran out the door was exactly four minutes. Four.

In the course of 8-10 months, I had seen five different physicians, taken seven different prescriptions (six of them concurrently), lost about thirty pounds by this point, still had no solutions, and was still in an incredible amount of pain. I was still obviously not healthy. On top of suffering with an unidentified and worsening condition, I felt like I was banging my head against a brick wall with the medical professionals whose help I sought. 

Frustrated, I sought a different form of treatment from a physician who had treated many people I knew personally. He came highly recommended. He was a naturopath

I went to his office and told him all of my story. And he listened. For a good thirty minutes, I sat opposite him in a blue velvet-covered chair and recounted the details of the previous ten or eleven months of gastric and medical misery I had endured. He took notes, asked clarifying questions. This was the first time in months I felt like someone was actually listening to me. At the end of it all, he rested his chin in his hand, and let out a hefty sigh. 

He affirmed what I already knew: whatever my condition was, it was not normal for a woman of my young age who, until that first bout with acid reflux, had been enjoying good health. He gave me an herbal intestinal repair complex, a natural supplement designed to help the stomach heal and repair the irritated and atrophied lining. He put me on an elimination diet -- a diet in which several potential problem-causing foods (e.g., sugar, alcohol, gluten, eggs, red meat, pork, dairy, etc.) are eliminated from the diet for three full weeks, the foods added back one at a time to see which foods specifically might be causing irritation. 

And he ordered extensive blood work. In the months and months I had been seeing doctors, this was the first time anyone had ordered blood work, the results of which showed that I was also severely anemic (my iron levels at about 25% of what they should be), had reduced thryoid function, reduced adrenal gland function, and a low red blood cell count. The elimination diet revealed an incredible sensitivity to gluten (e.g., anything made with wheat, kamut, spelt, barley, or rye) and to dairy. In addition to eliminating these things from my diet, I took supplements and treatments for my thyroid and adrenal glands. 

And over the course of just a few weeks of eating gluten- and dairy-free in conjunction with the supplements to get me back on track, my health improved considerably. I gained energy, and I had color back in my face. I could stay awake past six in the evening. My stomach no longer hurt, and I gained back about ten pounds. No more leaky gut! Follow-up blood work a few months later revealed things were back on course: my iron was normal, my red blood cell counts were healthy, my adrenal glands were functioning, and my thyroid was operating at optimal levels. I was healthy again!

12 August 2011

Why We Chose Midwifery Care :: Part 1 of 3

When it comes to explaining how and why we chose a midwifery model of pregnancy and birthing care for our pregnancies, I have to go back in time a bit and share some stories with you. This series will be comprised of three parts. In Parts 1 and 2, I will describe two very different, but very important experiences I had going to various doctors. In Part 3, I will explain how these experiences changed how I think of modern medicine and the approaches used, and how it brings me to where I am today.

Before I do that, however, I will preclude the stories with a brief disclaimer:

When it comes to having selected a midwifery model of care for my pregnancies, I speak only from my own experience. I claim no expertise in the fields of midwifery or obstetrics, and make no claims to know what is best for each individual pregnant woman and her family. Recognizing that a variety of experiences and reasons inform a woman's choice of who will provide her with the best care, I have nothing against any person who chooses an obstetrical model of care for her pregnancy and birth. I believe every woman should choose the form of care which she is convinced will provide the best experience and outcomes for her and for her family. 

* * * * *

As a kid, I was in and out of the doctor. I was one of those kids who caught the flu bug pretty much every year and consequently spent at least two or three days at home on the couch with a glass of 7-Up and a big golden-colored Rubbermaid bowl nearby for those times when I just couldn't make it to the bathroom in time to get sick. An allergy sufferer, I knew waiting rooms well, and stick tests, shots, antibiotics, nose spray, inhalers, and being prescribed a daily course of multiple colorful medications. There is no doubt modern medicine helped me out of a compromised immune system and some of the most intense allergies our new local allergy specialist had ever seen. I needed medicine, and you had better believe I was grateful for it (and I still am).

7 years old

Fast forward a few years ... a senior in high school, I was on the way to Seattle for for a university preview weekend with some friends when we got in a pretty serious car accident. I was a backseat passenger and we hit another car going around 50 miles per hour. Though the car was totaled, we were all okay. The next morning, I woke up with an incredibly stiff neck, hardly able to move my head from left to right or back again without incredible pain. My mom made me an appointment with her chiropractor and my dad picked me up the next day and brought me home.

The chiropractor gave me a soft neck collar to wear and prescribed a frequent course of spinal adjustments and massage therapy to help with the soft tissue damage. It was severe enough that there was tingling in my arms and hands, numbness in my face, and a constant, throbbing pain at the back of my head like someone was repeatedly hitting me with a Louisville slugger. Though my tolerance for pain was fairly high, there were times it got to be more than I, or any dosage of ibuprofen could handle. At twice the recommended daily dosage, I was still in tears, unable to concentrate or to sleep. Though I put on a happy face in public, I was deeply miserable.

The chiropractor referred me to a neurologist to assess the extent of the soft tissue and nerve damage, and also for physical therapy. Like many specialists however, the neurology appointment came with a several weeks-long wait. So I continued going to the chiropractor (which helped me noticeably), getting twice weekly massages (which, sadly, are not as fun as they sound when dealing with that level of soft-tissue damage), and physical therapy appointments. These appointments came to comprise the whole of my after-school life.

After just a couple of weeks, I was obviously no longer able to manage the pain on my own, so I scheduled an appointment with our family doctor to discuss pain management and to see if there was anything else I could take to manage the pain -- at the very least, to help me sleep.

I told him about the accident, about the course of treatment I had already taken, and about how I was taking twice the daily recommended dosage of ibuprofen every day, and it wasn't even putting a dent in my pain.

I've got an idea, he said, smiling. If your neck is giving you problems, how about we just cut it off? He said it with a wry grin, obviously amused with his clever comment. But I was in no mood for the  particular brand of humor that involved amputation.

And for the pain, why don't you just take some ibuprofen?

While I was customarily patient and attentive with professionals whose help I was seeking, dealing with the unremitting and intense pain over the course of weeks had cut my patience short. I had no tolerance for his joke about "cutting it off." His instruction to take ibuprofen indicated to me that he really hadn't been listening attentively after all. I reminded him that in my account, I had shared that I was already at twice the recommended dosage (as published on the bottle), and that it wasn't putting a dent in my pain. I unashamedly and quickly added that while I was undergoing treatment to deal with the root of the problem, I was then and had been in a level of pain that was interfering with my studies, my activities, my relationships, and my sleep, and that I needed something more than ibuprofen if I was expected to function at all in my senior year of high school.

He was clearly taken aback by my impassioned reply. Though I cannot remember what he said in response, I remember walking away with prescriptions that would both help to manage the pain during the day, and that would help me to sleep at night. Given my childhood full of doctors offices and prescriptions, I was none too keen on taking drugs for much of anything unless, of course, they were absolutely needed. But these I knew I needed, and I took them gladly.

When I got home, my parents could hardly believe what he had said to me. The next day, my mom called the doctor's office and spoke with his nurse about what he had said to me, and how inappropriate it was to tell a girl who was obviously in a great deal of pain to just "cut it off" and to keep taking something that was not helping.

Well, she is going to a chiropractor, the nurse replied. The word "chiropractor" was dripping with obvious disapproval. And, she continued, informing my mother, The dosage of ibuprofen your daughter was taking is fine. It's not going to hurt her.

Yes, we are going to a chiropractor, and that is our option, my mom replied. And with how she was just treated in your office, is it any wonder?


Little did I know at the time that my frustration was not to end there.

10 August 2011

The Belly Report :: 18 Weeks Pregnant

Nothing much new to report here, except baby and I are definitely both growing!

18 weeks pregnant
Click to enlarge ... you know, just in case I'm not large enough already!

I wish I had been more consistent taking belly shots with my last pregnancy (I took plenty, but rarely on the exact day) so we could adequately compare, but I do have a shot from 18 weeks + 6 days from my pregnancy with Ewan. (So flattering, I know!)

As far as baby names go, we've long been settled on the girl name (since early in my pregnancy with Ewan), but the boy name is quite a bit more difficult. It took forever to come up with Ewan's name -- something that has meaning, something that's unique (nothing too weird, just nothing where there's going to be five or six of the same name in his class), and that we both like the sound of. It was a struggle to arrive at the one boy name we used already. We just can't agree.

Sigh.

I've been busy getting the baby's room ready. There's a lot more work to do, but it's great finally to have a start. I can't wait until all this unpacking is done!!

The nursery is definitely in the middle of a really big "so far" stage.
Lots of stuffed lovies (many inherited from a big brother) waiting for our bean.


I'm still feeling good and am finally back in a regular routine of working out. When I was still in the throes of nausea (up until about 13-14 weeks), there was not a single vegetable I could keep down. Over the last several weeks, I've definitely been making up for lost time. My favorite lunch these days is a veggie sandwich made with cucumber, baby spinach, Roma tomatoes, sliced black olives, and lite cream cheese on a whole-wheat sandwich thin, and a side of carrot sticks, if you please. And speaking of healthy (but so delicious you'd swear it was baaaad), I recently tried this recipe for the first time so I could indulge my sweet craving a bit. James and I finished off a whole bowl in less than 24 hours.

I'm just sayin'.

My "reality check" pic. The words "miles to go before I sleep" come to mind ...


In other pregnancy-related news, I'm already at that part where my hips hurt during the night. But luckily, I am also at the part where we can feel the baby move a lot which is always fun. S/he seems to wiggle around quite a bit and rarely kicks the same place twice.

We are fast approaching that midpoint in the pregnancy, but our first official appointment with the midwife isn't until August 29 when I'll be close to 21 weeks. At that point, we will get referred out for an ultrasound (that's the only kind of test she doesn't do in her office), so I will probably be around 22 weeks or so before we go in and find out if we've got a little brother or little sister baking in there.

And while we're on the topic, I am not anxious about the ultrasound, but I do have some nervousness when I think about it. I mean, who in our shoes wouldn't be? I want to see my baby, and I definitely want to know more about who is in there. But the truth is, we got a heaping dose of bad news at our very first ultrasound with Ewan, and the medical professionals we were dealing with at the time didn't exactly smooth the way for us. So while I'm not fretting or nervous, I'm not exactly jumping all over myself to lie on that table to get under the ultrasound wand to discover that information. I can reason with myself all I want about how statistically unlikely it is and how it is most likely the case that everything is fine, but the truth is, we just don't know either way yet. So I am hopeful, but sober.

One this is for sure: this child is incredibly loved (regardless of whether s/he is "perfect" or not), covered in prayer, and is eagerly anticipated by more than his/her parents and family. C'mon, baby!! Grow baby, grow!!