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28 Week Check-up

I guess overall today’s check-up went well.  For the past week I’ve had such a strange feeling that this baby is going to be born as early as Nora.  I hope I’m wrong!

Highlights from the visit

  • This isn’t really a highlight, more a pain in the behind…  Since Eric’s work changed a bit on August 1st, so did our health insurance.  We shouldn’t have a gap in coverage, but since I don’t have the information for our new insurance, and our old expired at the end of July, it’s making things difficult.  Apparently Eric’s new HR department is not exactly, with it.  Yesterday morning I got three phone calls, one from the specialty pharmacy who supplies me with my Makena injections telling me that the refill claim was rejected, one from my doctor’s office alerting me that I had an appointment tomorrow (today) and my coverage was expired, and another from the nurse at my doctor’s office who worked seriously three weeks to get our previous insurance to pay for Makena saying she was asked to start the approval process over…  Ugh.  And of course I had to tell each of them I was pretty much clueless, that we have retroactive coverage, but I have no idea who it’s through or what it covers.  The approval process for the Makena is just more than I really want to deal with again, and I even considered just paying cash for it, but it’s $3,000.00 per injection, so per week, and that will add up quickly.  I had my doctor’s office give me an injection today so that I could save the two doses I still have at home, hoping the insurance mess would be resolved before I run out.  I’m not holding my breath.
  • Right when I arrived the nurse had me drink the orange glucose ‘beverage’, for lack of a better term.  I honestly don’t think it’s bad, but then again I love Starbuck’s flavored lattes which I assume have about as much sugar.  They told me I didn’t have to fast this morning, but to limit sugars…  I had a piece of peanut butter toast and a banana.  No clue if that was a good or bad choice.  I just received my results online, 163, which I’m pretty sure means I have to do the three hour fasting test.  Does anyone know for sure?  With Nora my result was 137 and I remember them telling me I just passed.  Great.  One more thing to worry about.  I’ll wait to hear what my doctor has to say…
  • The nurse also told me that it’s at your 28 week check that they like to give a tdap booster, so of course I was willing.  Already my arm is killing me though!  Picking up Nora tomorrow should be fun!
  • My doctor came in next and we chatted for quite a while about all my symptoms.  Even tonight I’m still experiencing all the same, lots of pressure very low in my abdomen, off and on tightening of my belly, very low, some mild cramping, etc.  I basically feel like baby is just way too low already, sitting is uncomfortable, how can that be at only 28 weeks tomorrow?  And forget bending over!  My belly just aches all the time.  Is that how others feel when they’re pregnant?  I didn’t have this until last week… around the same time I started having these feelings with Nora’s pregnancy.  I just can’t imagine feeling this crappy for another 12 weeks.  I mean, I know women go through worse, but… this isn’t fun.  Although neither is having a baby in the NICU for months…  And I wouldn’t say the tightening is painful, more uncomfortable, like I find myself moving to try to get the feeling to stop.
  • My doctor listened to baby girl’s heartbeat, which was in the 140s I think, which she said was good.  Then she measured my belly with the tape measure, and it measured 30cm, so two weeks ahead of where I should be.  She said she wasn’t concerned, that measuring bellies is more an estimate.  My doctor doubts whether this baby is actually the size of the average 30 week baby… probably more just how she is laying currently.  Oh, which is feet down right now.  So perfect if she’s born in the next week, maybe we can have a repeat breech delivery!  Kidding, let’s hope not.  Does anyone reading have experience with not measuring to the week you actually are?  Just curious how common this is and what it means.  With Nora they never measured my belly, I guess we never got far enough!
  • Next my doctor checked my cervix (which I thought they weren’t supposed to do, but she’s the doctor) and she was happy to report that the length is still around 2cm and I’m dilated to just a fingertip, which she said is okay with her, given my history.  She said usually the cervix will completely shorten (efface) before it truly starts to dilate, so being it’s still 2cm long is great.  I mean, it’s shorter than it should be by about 50%, but at least I still have some length!  The fact that I’m not dilated further than a tiny bit tells my doctor that my tightening is not true labor, not yet anyway.
  • Given all my symptoms, and the fact that I am dilated just a tiny bit, my doctor wants to start seeing me weekly.  Ugh.  That’s a lot of driving, but probably a good idea.  Her main concern is, if I am going to have this baby early, the more notice we have for steroids the better.  She said that steroids are most effective the later and closer they are given to delivery, preferably 48 and 24 hours before delivery.  Giving too early can waste their effectiveness so to speak…  Nora’s were given almost exactly at 48 and 24 hours as I was given magnesium to stop labor until we completed those doses, and thankfully, breathing was never her primary issue.

So all in all, I guess okay for now, except for hopefully I pass the three-hour glucose, if that’s where I’m headed next.  I know this sounds selfish, that I should put baby girl’s needs first, but honestly, I just don’t feel right and can’t picture feeling this way for 12 more weeks.  I know inside is better than a NICU though, just trying to wrap my head about feeling this way for an extended period of time.  I remember in the hospital, when I was in active labor with Nora, the nurse kept telling me that this was my new normal, that I wasn’t in labor, and I wanted to punch her.  I was actually relieved when she was born, that all that awful pain was over.  I guess a part of me feels that way now.  So again, lots of guilt.  I don’t wish this baby early, but just this feeling in the back of my mind that my body isn’t acting as it should…

I think I had more I wanted to write about, but I only slept two hours last night, thanks to my pregnancy insomnia.  So I’m off to bed now that Nora is sleeping.  Good night!

13 thoughts on “28 Week Check-up

  1. It’s ok not to want to feel like crap for 12 weeks. Hope you manage to get some good sleep.

  2. oh man, insurance is so annoying! we went through a big insurance coverage ordeal while i was on mat-leave and when we just got it figured and i had to switch to a family plan through hubby’s work… sigh. i hope it all works out! i wouldn’t worry about the three hour test coming back with GD as i am fairly certain the PB and banana you ate would have thrown it off. my dr. told me i could eat the morning of the test but specifically told me not to eat a banana haha. super high in sugar and then the PB (lots there too).

    1. Oh crap! Here I thought I was being good with fruit and some protein! Shows how much I know about blood sugar!

      1. you live, you learn 🙂 ya, she instructed eating eggs and bacon (only protein) the morning of.

  3. My glucose test says anything equal to or less than 180 passes so I think your fine. Hope you start feeling better! I’m 31 weeks and I can’t bend over without pain and my pubic bones hurts a lot like I was kicked in the groin… Good luck!

  4. So I measured off a few times during my pregnancy, it could be baby’s position added fluid, I went up then down. They will do an ultrasound if concerned. No measures at 44cm at 37 weeks, yes there was only one, and he was 2 oz under 8lbs. I had gestational diabetes, balance your proteins, fat, and carbs. Feeling like crap while pregnant sucks, aches and pains suck but better in than out. But you can complain becasue your have a parasite sucking the life out of you, a lovely one, but a parasite. Just remember if it really doesn’t feel right rest, hire more help, and put yourself first. Also I had more Braxton hicks with the 2nd and Carly was 40 weeks to the day. You know the differences between real and false, use them to monitor your rest and fluids. I wore a belly band with Nolan to help!

    1. Thank you, I love personal experience!

  5. I’m glad to hear you are still pregnant and baby seems to be doing well. That said, i really hope you don’t feel miserable for the next 12 weeks!
    Also, I just don’t know how you deal with medical insurance stuff, just reading about it sounds stressful to me! I’ll admit it’s one thing that makes me so thankful to be Canadian!

  6. Oh man, hugs! The indurance crap is the last thing you want to be dealing with now, so sorry you have to deal with it.

    Did the doc put you on any sort of bed rest? Tell you to modify/reduce your activity level? If you did have to be on bed rest at home or in the hospital, do you have a plan for who would take care of Nora, Kona, and the house? XO

    1. My doctor has repeatedly told me there are few to no studies which show bedrest works 🙁
      She did say to limit my activity if I notice more tightening and such. So much easier said than done with a toddler though!

      1. I’ve had lots of tightening throughout my pregnancy but every woman and pregnancy is different. Always check for changes in discharge or any bleeding or actual pain with tightening. Going in every week is probably a great thing so try to figure out how to make it work. Hopefully they don’t manually check your cervix each week?? Ask the doc and vocalize your concerns that the manual cervical checks could be further irritating your cervix and/or uterus or God forbid cause spotting, leading you to worry more and that is no good either. An ultrasound can still aggravate your cervix but seems much less invasive.

        Also resting throughout the day will help the tightening. Drink more water than you ever thought possible and find position that causes the least tightening for you (for me our couch is terrible but the bed or recliner are better. Sitting feels like it causes more) for me it’s about peace of mind and feeling better and worrying less. I agree with my docs who say bed rest is unnecessary but I don’t want to worry each day about the amount of contractions I feel, especially since they started around 24ish weeks for me.

        Hang in there! Rest when you have helpers come in with Nora:) I’ve been pretty active this pregnancy and now I’m at 36 weeks so I do believe my doctors but taking an hour in the morning and an hour in late afternoon just helped recharge and give me a break from worrying about the tightening. Finally, terribly I stopped timing the tightening this pregnancy…just caused anxiety. I was just always on the lookout for the other changes and rested if I thought it was getting crazy

        1. Thank you so much for the advice. This tightening is worrying me, but I guess I shouldn’t be timing them, as it does make me more nervous and anxious. I like that my doctor is going to see me weekly for a few weeks, maybe just to get me past when I had Nora, maybe then I can relax a little. I have been trying to rest more, especially when Nora naps. Still difficult. A huge part of me wishes she was in daycare a few days a week, especially after baby comes. We’ll see…

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