Week 35 Midwife Appt

During my pregnancy, I have put on approximately 40 pounds.  This is about 10-15 lbs more than I hoped, although I’m not terribly concerned; I figure if I’d kept up the gym routine rather than dropping it sometime around November (whoops!) I’d be closer to my ‘ideal’ number.  Again, honestly, I don’t really care about the weight I put on so long as my baby comes out healthy and at a normal size, but it’s obviously on my mind nonetheless.

I had a midwife appointment yesterday, and when I weighed myself I showed as 6 lbs heavier than two weeks ago.  Thinking this had to be a mistake, I went and peed (trace protein in my urine, which has happened at about 75% of my appointments but isn’t a cause for concern unless accompanied by some other symptoms) — as if peeing is going to make me shed a few pounds?  Weighed myself after — still 6 extra lbs.  I know Maia didn’t grow that damned much, so I’m going to blame the fact that I’ve been eating Gardetto’s like they’re going out of style.  My mom sent me a case of twelve bags for my birthday, which is one of the best birthday presents ever, but I’m not doing very good at portioning them.

Anyhow, we met with Sarah today.  She always says I have a “neat” bump, which makes me smile.  When she was checking Maia’s position, though, she slid her hands around and said, “I think she’s kinda curled around with her back close to yours” — then somehow STUCK HER HANDS INTO MY STOMACH AND TOUCHED MY SPINE.  I mean, I didn’t see how she did it, but since it felt like that’s what she did, that’s my story and I’m sticking to it.  Then Maia flopped around as if just as disturbed as her mother, and continued flopping as Sarah tried to take her heartbeat.  I’m pretty sure this little girl has more attitude than her mommy and daddy combined already…

Then we learned about all the fun gynecological exams I’ve got coming up.  No, really.  Within my next appointment or two, I get to do vaginal and anal swabs of myself to see if I’m a carrier of some sort of bowel bacteria that is entirely harmless to adults (40% of women carry it, and the bacteria comes and goes so that’s why they check at the end of pregnancy rather than earlier) but can, if spread to the baby during the birth process, cause her to get sick.  Inconvenient type sick, not deadly type sick.  If I do carry it, I’ll be prescribed some anti-biotics to prevent that from happening.  But seriously, I get to swab my own butt.  That’s pretty special, and by “special” I mean “I deserve some hot chocolate afterwards”.

There’s also something they call a  “stretch and sweep” (aka a membrane sweep), which they routinely perform from 38 weeks onwards.  Sarah says it is not effective at inducing labour in and of itself unless your body is READY to give birth.  I feel like I need to ask more questions because I can’t remember why she said they do it, I just accepted it as part of their normal routine.  Also, I mean, it’s kinda cringe-worthy to think about how much a pap smear pisses me off and makes me uncomfortable for days, and I’m going to be welcoming someone’s goddamned FINGER caressing my cervix?  Sarah was giggling about how sometimes the cervix can be hard to find before the woman enters labour, because of how it is shaped and the position of the baby’s head, and I have to admit that the thought of lying there spread-eagled with a midwife’s fingers in my coochie trying to squiggle around the back of my baby’s head just to poke my cervix actually made me laugh.  I swear there’s something wrong with me.  Maybe it was the look on Chris’ face that was so hilarious.

After this appointment, we headed over to the hospital to register in their maternity ward.  We did let them know we’re planning a homebirth and that my OHIP doesn’t kick in until March 16th, but just in case we have to head to that hospital they’ve got all my relevant information about allergies / preferences / medical history and whatnot.  Something I found interesting is that for a “visitor” to the country, a hospital stay — not including any doctor’s fees, and who knew that a doctor charges separately from the hospital charge? — is $2500 a day.  For an “uninsured resident” (me), it’s $900 a day.  I just thought that it was really interesting (and cool) that, even though there’s only a 90 day window in which a resident is uninsured, there’s a special billing classification for us.

In other, semi-related news, I slept on the couch last night and slept through the entire night.  This is as opposed to sleeping in bed, where I wake up at least three times (and pee).  I really hate not sleeping next to my husband, but if crashing on the couch where my back is better supported (and I get lots of puppy love!) ends up helping me sleep through the night, I’m not going to argue with it.

My father-in-law is visiting today.  I don’t know what time and I don’t know if I’m cooking for us or if we’ll be going out to eat or what.  He is so much like Chris though — they’re both so laid-back about making plans, late anywhere they go, and not very organized at home — that I’m not terribly worried about either impressing or disappointing him.  Our apartment isn’t spotless?  Big deal, neither is his.

Chris mentioned today that he feels weird about being the only man at the birth (two midwives, my mom, his mom should all be there with us) and was like “I should invite my dad or brother to come.”  I’m pretty sure he was joking, but just to be sure, I let him know in no uncertain terms that such a thing is not happening. I love his dad and brother, but seriously, I don’t think that welcoming them into my labour and delivery is a step in our relationship that needs to be taken.  He was smirking the whole time though, so I’m pretty sure he’s aware of that.

Today is one month til my due date!  It’s crazy how the time has flown by.

Maternity Ward Tour

Last night, Chris and I went for a tour of the maternity ward at the hospital we’ve chosen.  Chris hates hospitals and started complaining as soon as we walked in.  This was turn-off number one for me.

After making our way through the maze of buildings (bad news: we parked on completely the opposite side of the hospital grounds from where the tour starts; good news: we parked right where they recommend labouring women park), we settled into comfortable lobby chairs to wait on everyone else to show up.  Score one for the hospital!  Within five minutes, one bed-ridden woman and one baby, both hooked up to IVs, were wheeled by us at a casual pace; turn-off number two.  We were joined by four other pregnant women (my due date in the middle of us all) and our friendly little tour guide, a nurse named Cheryl who had been working there for 19 years.

We started in Labour & Delivery.  And yes, somewhere down the hallway, a woman was moaning in her labour, which seemed to make the tour guide far more uncomfortable than me (honestly, as pregnant women, only one of which was expecting something other than her first child, do we need to be shielded from the sounds?  it’s an experience we are going to go through); she kept saying, “Usually it is very quiet in here, since 85% of delivering women end up choosing an epidural and make very little noise.”  Turn-off number three — I expect a labour & delivery ward to be an active, lively, noisy place; after all, this is where babies are being brought into the world.

We head into a labour room on the opposite side of the ward from where the one woman is labouring; all of us fit into it easily.  Score two for the hospital.  There’s no window in the room and as soon as we walk in and close the door, I’m suddenly aware of how many machines and monitors there are; something like six different cables poke through the wall behind the bed.  Chris is so tense beside me that when I glance over at him to try and share an empathic look, his knuckles are white from being clenched so tightly.  Turn-off number four.

Cheryl explains how when we come in, we’re immediately hooked up to a monitor.  She points out how most women end up being hooked up to the IV as well (100% of women who get an epidural are, and then there are others who are hooked up for reasons like exhaustion).  I have a deep and abiding hatred of needles.  Turn-off number five. She talks about how after delivery, they like to place the baby skin-to-skin with the mother for “bonding time”.  Score three for the hospital on skin-to-skin; turn-off number six is that she puts “bonding time” in air quotes and there’s no mention of breastfeeding.

Following skin-to-skin, the nurses will take the baby to a little side table to clean its eyes and inject some vitamin K.  Then, Cheryl says, if baby hasn’t been fed yet, they will encourage the mother to feed.  She says nothing about breastfeeding vs formula, only that the hospital provides formula if needed.  The hospital does not, however, provide any diapers.  What the fuck?  Turn-off number seven.

At this point I desperately want to leave.  I’m literally at the point of antsiness where I know this is not where I want to be and if I do not leave I may donkeypunch someone, but at the same time I’m aware of the fact that if I do end up coming here for one reason or another, we really ought to know where we’re going.  Plus, I gave the homebirth class all the time it needed, and I should do the same for this hospital tour — I want both sides of the picture.

Only one labour room has a jacuzzi tub, and the hospital does not allow water births.  Turn-off number eight.  Cheryl shows us to the other jacuzzi tub that is not in a labour room, which is at least nice to have there as an option.  I ask about the monitors we’re hooked up to and whether they can be removed so we can walk around; she says that in a normal labour, that’s not a problem after the first half hour or so although monitoring will continue on a regular basis.  She seems happy to explain how walking around is a great way to make labour progress. Score four for the hospital.

After the tour of this area, we head up to the post-partum / maternity ward.  It’s silent up here, which is more than a little disconcerting.  However, the hospital has a “rooming in” policy, which means that the baby stays in the same room as the mother after being born, and the mother is responsible for all of the baby’s care.  I like this.  Score five for the hospital.   The hallways here are bright and uncluttered, the walls painted in soothing pastel hues with little pony-shaped, pink and blue plaques marching across them listing the babies born in the ward.  My kid would have her name on the wall here? Score five for the hospital.  The plaques are $100 apiece and you don’t get one to take home with you.  Turn-off number nine.  If you want a telephone in your room, it’s a $20 hook-up fee; television is the same.  The use of cell phones is not permitted in the maternity ward.   Turn-off number ten.

Visitor hours are only 2pm-8pm; fathers cannot stay overnight even if the mother is the only person in a two-bed semi-private room, and it costs $25-125 to upgrade to a private room.  Turn-off number eleven.  I cannot fucking fathom the thought that, if I have to stay in the hospital for an extended period (vaginal deliveries stay 24-48 hours generally), my husband cannot stay with me and his baby; I have to be alone in a strange place, having just given birth, unless I want to pay extra, even if there’s an empty bed in the same room with me.  As it turns out, this is the thing that pisses Chris off the most.

I honestly feel like a big oversight of the pregnancy care I’ve received so far is its failure to acknowledge and include the father as an important part of the process.  It’s like he helps make the baby and then he doesn’t matter again.  His health coverage can’t cover ultrasounds; his presence at the baby’s side isn’t considered pivotal.  I don’t need Chris just for making babies; I need him around to make me feel whole.  I couldn’t do this without him.  He has been so supportive and so involved that everytime someone slights the role of father I want to scream from the rooftops that this would be miserable without him.  Am I too dependent on him?  I don’t know.  I just know that I feel stronger and more capable when he’s around, that he is full of pride and love for his girls, and I couldn’t find better support than he provides.

I ask how often labours are induced; the answer is approximately 27% of the time.  If the mother is 1 week overdue, labour is automatically induced.   Turn-off number twelve.  Admittedly I hope Maia’s not late, mostly because the longer I have to wait the crazier I’ll go, but I am anticipating it nonetheless.  I do not I want my labour artificially rushed to try and get her out on someone else’s schedule when she’s perfectly healthy and safe just chillin in my womb.

Then I ask the question that apparently is more unexpected than I expected it to be: I ask what the benefits of a hospital birth over a homebirth are.  Now, I admit, my midwives have the edge here, as both are something they deal with on a regular basis whereas someone who works in a hospital clearly only deals with hospital births.  Cheryl makes it clear that she respects midwives and understands that homebirth can be safe, but points out the extra emergency precautions of a hospital birth.  Honestly, I wanted more.  I wanted her to give me facts and numbers, not a vague statement about emergencies, but I guess this probably came out of nowhere for her and it’s not something she really thinks about.  So I greatly appreciate that she acknowledged the training and qualifications of midwives, but since I came into this tour with the expectation that I’d have an ardent spokesperson for hospital birth just as I’d had for homebirth, I was a little disappointed.

When the tour ends shortly thereafter, Chris and I walk in silence, hand-in-hand, down the hallway.  Finally he asks, “So, we’re doing a homebirth then?”

Yep.

I was so happy to walk out of that hospital.  We will still go to the maternity registration clinic on Wednesday afternoon, so if I do change my mind or end up there, they have all of my information and preferences written down.  But it is certainly not our plan.

Doing Research

Yesterday afternoon, I was sitting around utterly bored (aka “procrastinating cleaning”), and decided to do a little research into this whole “homebirth” thing.  Maybe I’m so against doing it because I haven’t read enough about it, right?  So, following a group of links from the wonderful A Mamma in the Making, I ended up on the MotheringDotCommunity forums where they have just a ton of topics about the homebirth experience.  And I started to feel a little better about things in general, except for the fact that I’d be doing it in this particular apartment (we love this place so much that we call it “the apartment of rot” … yes, really…), until I decided “Alright, time to watch some videos.”

IF I HAD WATCHED VIDEOS OF GIVING BIRTH 31 WEEKS AGO, I WOULD NEVER HAVE GOTTEN PREGNANT.  Holy moly.  How scary is that shit?  Of course, at the end of every video I start crying when the baby finally slips out and the mother looks so relieved and happy, because all my hormones were like awwwwwhh! I then did the most logical thing I could think of: I called Chris.

“Hi honey,” he said.

“Hi,” I answered, “I’m just calling to let you know we’re never having sex again.”

Copyright © A Very Good Year 2012. All Rights Reserved.