Thursday, March 19, 2009

By the pricking of my thumb....

Nah, nothing wicked this way coming and I guess my thumb is one of the few places I wont be getting pricked.

I met my OB last week. He's quite nice. I had a resident first. She was very pleasant, but needs a bit more training. She was listening for the heartbeats and couldn't find one. Um. Okay. I wont stress too much, just because its the boy I cant feel move much because of an anterior placenta. So she went to get the u/s machine. The Dr came back in with her and let her know she should use the u/s first to find the position first. Baby B was fine on the u/s. Sigh.
He's moving my u/s scans to the hospital I'll be giving birth at. Next one is the first week of April. I don't mind the move, the hospital is much closer to both home and work so I'll need less time off for the appointment.
He also moved me to the GD clinic at the same hospital. For some reason, my GP's reception said there wasn't one there, but there is and its bigger and I was able to get in sooner.
Because of the placenta previa and the placement, he really does not want me to go into labor at all. The risk of bleeding is too great. So we had some discussions of when twin pregnancies typically start labor. I'm going to be scheduling a c-section for the first week of June. I'll start banking some of my blood in May.
Oh and no exercise. I even asked about the exercise bike since its no impact, but nope. I can go swimming for short periods a couple of times a week "for now", but I have to bus there and back. I need to find a bathing suit that fits. That's the goal this weekend.
I'll be seeing him every two weeks for now.

I saw the GD doctor last week. She pretty much agreed with everything I had been told so far. My weight gain is still fairly low (14 pounds). She was going to put me on insulin and I'd get the training for that with the nurses.
I went to the GD clinic this morning to meet with the nurses and the dietitian. The clinic is really nice. My glucose levels are to be below 5 mmol before meals and on waking and under 7.8mmol 1 hour after eating (sorry, these are the Canadian units). This is lower than what I have been getting most of the time, sometimes, but not all. They are also much lower than type 1 or type 2 diabetes (I would have been in okay ranges for those). I'm on a slow release insulin that I take twice a day (breakfast and bedtime). I also have regular insulin to use as necessary but wont start using it until I see the Dr again next week. I have to also start carrying sugar or other instant sources in case my blood sugar gets too low. I have the 'what to watch for' with hypoglycemia. Oh and I have to test my urine each morning for ketones.
I then saw the dietitian. My diet is not too bad. I have to eat more though, and what I need more of is those things everyone else is cutting back on - starchy carbohydrates and fruit. And add a snack before bedtime.
I have to be more rigid about when I eat and the testing. No delaying meals because I'm busy and even weekends need to be more structured.
There was a lot to take in during a 2 hour period. I'm sure I'll have more questions. I go back again on Tuesday for a follow up with both the nurses and dietitian. I also have to book an appointment to see the GD doctor again.

But I still feel great. I need to keep my legs elevated more often since I'm starting to get some swelling in my feet if I don't. I have on again, off again sciatica type of pain. It doesn't bother me much at all, just annoying. I feel Thumper (baby A) moving quite a bit. I feel Little Rascal much less. I "know" he's still there but I wish I could feel him more.

I still owe a post with some things about me.


onwardandsideways said...

Was curious if your C-section is being recommended because you're carrying twins? Or is it because of the 'complications' that have cropped up? Glad to see everyone is progressing well... : )

Selmada said...

The c-section is purly because of the total placenta previa, not because of the twins. My OB prefers not to do c-sections if not necessary.

K J and the kids said...

Did they think the previa would or could resolve itself ? I had a little previa and as the placenta grew it moved ?

Take care of you. EAT EAT EAT !