Tomorrow I am 32 weeks pregnant
And today
Finally
I had my first appointment with a Consultant
An appointment I referred myself for
At the hospital
After a routine growth scan
Because though I was supposedly referred for Consultant Led Care
At 10 weeks
My referral had somehow slipped through the net
Today was such a reassuring appointment for me
But also raised a lot of questions
Things for David and I to consider
As we begin to think about the birth of our fifth and final baby
As I am over 40
It is policy in our NHS trust
To offer an induction at 39 or 40 weeks
They do not like to leave older mums
To go beyond their due date
To be honest I am also not comfortable with going beyond my due date
As I know that there is a risk
With my age
That the placenta will not function fully
As it should
I was induced with Bea
And it was all straightforward and fast
The consultant said that because of this
They know that induction works for me
My age is going to be a big factor
In deciding a birth plan
I am meeting the Consultant again
At 36 weeks
To talk through our options
Because of my age
And the fact that I seem to be growing a giant
There are decisions to be made
The Consultant said today they would be willing to offer sweeps
From 37 weeks
They want to avoid a C Section
As do I
Because of the scars I have from previous surgery
I would be a very high risk case for a section
At the moment baby girl is head down
That can change
But I am going to do all I can
To encourage her to stay in an optimal position for birth
Especially after the Cons told me today
That he would encourage me to consider a vaginal breech delivery
Over a section or an ECV
That does not sound like fun to me
We talked a lot about the size of baby
The Consultant feels confident that I could birth a baby up to 4.5kg
After that size they would be worried for baby and me
If baby continues to be a giant then early induction will be discussed
The problems for baby with this are possible problems with their lungs
Though steroid injections would help with this
The other serious consideration for birthing a big baby earlier than they are ready to be born
Large babies born to mothers with gestational diabetes are less likely to have shoulder dystocia
As those babies are large and fat, with fat on their shoulders to protect them
Large babies born to mummies like me
Who for some reason just grow big babies
Are more likely to suffer shoulder dystocia
As they do not have fat on their shoulders
They are not as protected or as easy to birth
This is a reason for inducing as late as possible
To avoid this complication
I think optimum time to induce for us is 39 weeks
I will be 39 weeks pregnant
On Matilda Mae’s birthday
We have a lot to think about
In talking to the Consultant
I shared my concerns about baby’s movements
He had a feel of my tummy
Measured my bump
I am measuring 33 weeks
Ahead of the game the Consultant said!
He then sent me up to Maternity Triage
To have a CTG
The midwife at Triage was so lovely
So very very lovely
She stayed with me for the whole of my monitoring session
I think she could tell I was nervous
She also detected that baby has ectopic heartbeats
This will be monitored closely now between my midwife and Consultant
Hopefully it is something that will go away before baby is born
Baby may now have a heart scan when she is born
But I think it is likely she would have done anyway
As William and Bea both had PDAs as tiny babies
On the whole the monitoring went well
The CTG picked up movements that I was not feeling
And this evening baby has been kicking and wriggling away
So on the eve of turning 32 weeks pregnant
I have much to be thankful for
And much to mull over before I see the Consultant again
I am back at the hospital on Wednesday for a second growth scan
Which will give us more of an idea of how accurate the first scan was
And an idea of what size baby is likely to be
Pregnancy is never easy
The midwife and I had a good chat about that today
The worry starts the minute you know you are pregnant
And it never goes away
Not even when your children are fully grown
Being a parent is such an amazing privilege
It is also the hardest thing by far
That I have ever done
Hi Jennie, just wanted to reassure you that my daughter was born spontaneously at 36+3 weeks and her breathing was fine, no help needed at all apart from a nasal gastric tube for a few days while she got her sucking organised, which she had on the ward with me. Because of her early arrival, they gave me steroid injections for my son in case he followed suit. They smart, just a tad!
Obviously I know you had Esther and William very early and they are doing so well, but pre-term is a different matter than premature.
Best wishes. Xx
Thank you this is good to hear. The Consultant yesterday said best to get to 38 weeks for lungs. We brought Esther and William home at 35 weeks without any breathing apparatus or problems. I think at 36 weeks if they are talking early induction I might ask again about steroid injections x
Congratulations Jenny, I had no idea you were pregnant. It’s been too long since I caught up with your blog. I’m glad you were reassured by the appointment and it’s great that the consultant is now going to be there to support you with any issues that arise.
Nat.x
Matilda Mae will never be forgotten, I have not visited your blog in ages and matilda has just sprung into my mind, for no reason at all. So, I don’t think we’ll ever really get over her and certainly will never far from our minds.
I hope you are all fit and well.
Take good care
Lu.