Friday, June 27, 2014

Labor, Delivery, and Happiness!

Just a few hours before I was to be admitted to the hospital for an induction, I started bleeding. Running came Mayuresh (okay, driving!) and took me to the hospital. We were all happy that the delivery will be 'natural' and not induced. Although why there is this emphasis on naturalness, I do not know. But more about that, in a separate post.

Anyway, as it turned out, the bleeding was not related to the onset of labor. The hospital gave me an hour-long NST (No Stress Test) to confirm that the baby was not experiencing any distress in the uterus. It was quite funny - I was strapped to a machine and was asked to push the button of a probe every time I felt the baby move. :D Finally, as there were just 3 hours left, they decided to admit me and induce me, before the originally scheduled time.

I was transported from the triage room to 'labor and delivery room'. They connected an IV and all of a sudden, the in-house gynecologist stormed in, inserted a Cervidil, and left. I was asked to lie down for 2 hours without moving. After two hours, I was allowed to eat. My contractions had also started in the meanwhile.

Poor Mayuresh was suffering from allergies and the medication made him sleepy, so while he slept, I endured my contractions using breathing techniques. That's right - breathing techniques. I had never thought they could be so effective, but heavily breathing in and out during the entire contraction certainly reduced my pain, or my reaction to the pain, a lot. By the way, I was only experiencing pain in the back and not in my stomach, and the nurse told me that's because I was in back labor, meaning the baby was facing my stomach, rather than my back. And as luck would have it, my kind of labor was the more difficult one. Sigh!

By 2 AM, the pain was almost too much to handle. I was super-tired, and very distressed. I was even beginning to hope that the Cervidil doesn't work and that I have to be delivered by C-section! Sigh, 7 hours of labor pains does that to you! I asked for an epidural, and while it was uncomfortable to get administered, (it stings! and the anesthesiologist was quite curt. Then again, it was 2 AM... :P ) but once it was administered, I felt almost instant relief. I had not been that comfortable in several months!

I went to sleep on my back...on my back, I think after 5-6 months! As a side-effect of the epidural, my upper body was itching a little; and the nurse came and woke me up every now and then to change my position to monitor the effectiveness of the epidural; but apart from that, I felt extremely relaxed and slept peacefully. I was so glad I opted for the epidural. Many people had advised me against it, with reasoning like epidural has many side-effects during and after delivery, and that having labor pains is a natural process and should not be over-ridden. Natural? Really? Just because pain is natural, should girls continue bearing it despite having an option to reduce it? By that logic, any sort of medication to cure any form of illness is also un-natural, isn't it? Then why do we accept it, in children as well as adults? Sounds a little MCPish to me to make an exception for labor pains!

Anyway, epidural serenity in effect, I slept until I felt my water break, at about 4 AM. After I informed the nurse and she confirmed it, I went back to sleep, only to be awakened by my OB/GYN who had come to check my progress. I was expected to be fully dilated by 4 PM that day, as it usually takes about 24 hours after induction to reach that stage. However, surprise, surprise! I was ready to deliver, at 8 AM itself! In fact, Mayuresh was getting ready to go home for a quick shower when the doctor announced this unexpected news! LOL imagine what would have happened if the doctor were to arrive a few minutes later... :P

The actual delivery went surprisingly well. After the first few minutes of faltering, I could push correctly. I was well-rested and felt energetic. Also, I could feel the contractions, in spite of the epidural; so I knew when exactly to push. (The good thing was, I could feel the pressure of the contractions, but not the pain! :) :) ) To motivate me to push, they also placed a mirror in a way that I could see my dear little baby crowning. I was SO eager to see her, not so that the delivery could end soon, but so that I could meet her and hug her and welcome her into this world! :) Bless the epidural, really!

So amid eating ice chips between every pushing phase (for some reason, water is not allowed but ice chips are); discussing my doctor's Vegas trip with her, the nurse, and my husband; and pushing very, very hard, the biggest miracle in my life happened! :) It took just 1.5 hours; and except for the last 5 minutes, I didn't even have to wince.
About 9 months and 12 days of pregnancy and about 20 hours of induction, labor and delivery happened, and then suddenly I heard a cry. I looked up and there she was... so little, so precious, so delicate.
What happened afterwards was kind of a blur to me - The placenta delivery, the many stitches, the cleanup... I am totally woozy on the details. I, along with a very teary-eyed Mayuresh, was busy seeing our baby. ('Our baby' has such a nice ring to it, doesn't it? )

Weighing all of 5 pounds and 15 ounces, baby Ananya was here to rule our world! :)

Thursday, June 26, 2014

The due date finally arrives, and simply goes by!

We were scared that my doctor, who decided to go off with her husband to a conference in Las Vegas just a week before my due date, will not be able to deliver my baby, and that I will have to rely on some fill-in doctor.
However, the doctor returned, my due date arrived and went by. Apart from increased discomfort, there were no signs that my labor was near. Waking around did nothing to brng on labor. It did increase my backache though. Hehehe!

So finally, it was decided that I will be induced on the 21st of May, 2 days after my due date, and that the delivery will most likely happen on the 22nd of May.

Monday, June 16, 2014

9th month is here!

And somehow, both slowly but suddenly, the 9th month was here.

This was a month of mixed feelings. I wanted the baby to come out soon, but I also was extremely terrified of the labor and delivery process.
Also, the pelvic exams hurt like hell. (Well, I don't know how hell hurts, technically, but still! :P)
I also finally took the prenatal birthing class. It was quite okay... got a little boring towards the end, with it being day-long and all.

The good thing is, we finally shopped for everything, now that we were officially in the 9th month. Long Live Ikea! (Did I mention the big, long discussions we had with so many people about how "we don't buy anything in India until the baby arrives"? :D)

And of course, my parents were here now! Big yayyy! :D

A pastime for this month was finalizing baby names. While we began thinking of names way back n the 3rd month or so, we were not sure about which one name to choose from the shortlisted ones. Ananya, Almitra (my original choice - it's the name of the seeress from Khalil Gibran's book the Prophet, one of my favorites), Mukta (meaning liberated - I loved the meaning of this name), Maitreyi, Rimjhim (This one was vetoed by Mayuresh. While I loved the named, he seemed to hate it.), Zoya, Avni (I vetoed this one. It reminded me of a haunted Vidya Balan from Bhulbhulaiyya. LOL), and so on were jumbled in our minds. We then decided that only when the labor pains start, will we be able to zero in on it. But there were no signs of labor pains whatsoever so far. hehehe

As the 9th month was coming to an end, the wait began to get really too much. Too much anxiety... when will I deliver??


So, 8th month means body aches!

Yeah it does, it does!
Back, hips, abs, feet, legs, you name it, and it hurt!

Turning over in bed was a chore; it felt as though my body was a helium balloon; standing hurt, sitting made me feel cramped...arghhh!

However, I did get to watch my stomach do gymnastics, and finally feel the baby kick and twist and turn, and what not. She was a very, very active baby, and kept dancing all around my belly, all day and night! Ohh the silver linings of dark clouds! :-)



Shifting homes and the beginning of the third trimester

The 10th of February it is, and the 2nd trimester finally comes to an end.
Now the challenging 3rd trimester began. (so people say...for me, the first 2 trimesters were very challenging, too :P )
The third trimester also arrived with the shifting apartments frenzy. Lots of decisions, planning, packing, phone calls, arrangements, shopping to be done.
Add to it the shopping for baby stuff, lest the delivery happen prematurely (hope not).
The day we actually moved to the new city was surprisingly snow-free! Unlike what we feared, the journey was quite good.
For some reason, the 7th month, and the beginning of the 8th one were emotional for me. My mood was mostly low, I kept feeling paranoid and scared and restless. None of the pregnancy books or websites list this as a common condition, while they did so in the previous months. Probably my timeline of emotions is off. :P
Or it is also possible that moving into a new place took its toll on me.
This month also saw the onset of the famous back ache. Standing in the kitchen for long seemed impossible. I had to sit once every half an hour, whether I was just standing or simply strolling in a mall. Bloating and gassiness were like seasoned guests now.
Having to wake up twice a night to pee was not just tiring, but also led to insomnia. Somehow, I just couldn't put myself back to sleep after those multiple nocturnal relief routines! :P
Getting to know the new doctor in the new city and settling in the new processes and routines went relatively well, though.

The happy 5th and 6th months :-)

The 5th and the 6th month were quite different from the rest of the months. Happy, energetic, positive.
The nausea had subsided and the intense discomfort had not yet begun. Long walks were easier to enjoy, and most of all, I had begun to feel tiny flutters in my stomach - my first real interaction with the baby! :)
Yup, thanks to me having an anterior placenta, ( The placenta is between the stomach and the baby, as opposed to the more common location of between the back and the baby.) I could only begin feeling movement late in the 6th month. But when I did, it was quite pleasurable! 

Furthermore, we began window shopping for baby stuff, 'cause I could walk now! :D
A whole new world that we did not know existed opened in front of us - that of baby stuff. There were so many products, so many varieties, so many price ranges, it was like Alice in Wonderland for Mayuresh and I. :)
Different types of car seats, swings, strollers, play yards, rocking chairs, toys, clothes, and so on... what to buy, and what to avoid... Shop-crazy times those were! :D

The Diabetes Saga

Now this, is a tragic-comic story! Also, it is an ode to Lord Murphy! :P

So I had to schedule this oral glucose test to check for possible gestational diabetes. I went to the lab, drank a yucky orange glucose solution, and sat there for an hour. They then drew my blood to test my blood glucose level.
The maximum value for a negative result is 140. Guess what my result was : 139! And then the doctor suddenly realized that their facility uses 135 as the maximum value and not 140. Thus, I was sent off to do a 3-hour Glucose Tolerance Test.
I had to fast for 10-12 hours (at a time when i had morning sickness), and then get my blood drawn to test for fasting sugar. Then I had to drink an even more concentrated glucose solution (this time clear), and get my blood drawn every hour, 3 times! Now if 2 out of these 4 blood tests came above normal, I would be diagnosed as a gestational diabetic.
:-)
Yeah, I did not get 2 values above normal. I also did not get all values normal. That's right, ambiguity rules! I got 1 value slightly above normal. Ugghhh..what is it with borderline results and me????

Anyway, so technically, I wasn't diabetic. Still, my 'over-careful' doctor  asked me to attend diabetic counselling. The class was totally useless, and didn't tell me anything I did not know before. And we had to shell out 300 bucks for it! The worst part was that it paved way for the prick-athon sessions. I was given a blood glucose monitor, made to buy the testing supplies (needles and testing strips), and then, made to prick my finger and check my blood glucose twice everyday. Every single day! Boohoohoo :'(

To add to the confusion, there was some major health insurance hullabaloo. Why? Because the insurance wouldn't pay for my diabetic supplies and counselling sessions unless I was officially diabetic, which I was not.

The processes did not end there. I was asked to do a complete anatomical ultrasound at the hospital, because of questionable gestational diabetes (?) and the fact that we refused to do the genetic screening. Thankfully, the results if the ultrasound came back normal. And oh, we found out that we were having a girl! Yayyy! :-)

Several more weeks of blood glucose checking continued, with most of the results being well within normal limits, of course. But continue, they did!

Thankfully, by the end of the 4th month, my nausea had almost gone away, and by the end of the 5th month, I was feeling quite energetic, too. Thus we had started doing some exciting stuff, like thinking of baby names, and shopping for the baby! :-)

Also, as it eventually turned out, the diabetes scare did some good - it helped me keep my weight under control. By the time I delivered, I had gained just 14 pounds over my pre-pregnancy weight. Yayy to that! :)

The Second Trimester Begins...

With some confusion! Is the beginning of the 13th week or the 14th week equivalent to the beginning of the second trimester? (because all months are not February). Hahaha! :D
Also, the nausea still remained, along with occasional vomiting and feeling low-low. When will I have energy....whennnnn?
Poor Mayuresh still had to cook and clean, although I did help him a bit with other chores now, especially those outside the kitchen.
I had also eaten out a few times now: Noodles and Company, Montri Thai, Subway, Chipotle, and of course, Samosas and Chaat. Thankfully it all went down well.

Slowly, as the 4th month began to end, the nausea almost disappeared. I still felt a little queasy on an empty stomach, and was super-sensitive to smells. But the ability to be inside the kitchen and to tolerate the smell of hot oil was quite a relief.
Of course as one problem ends, another starts. (How pessimistic and cynical am I! hehe) I started feeling pressure and a little pain while sitting down, standing up, and while moving from side-to-side while lying down. The doctor said it was normal, but I guess she meant it like "Pain during pregnancy? of course it is normal!" :D

The 4th month also marked the end of my ability to wear regular jeans and tops. Bless maternity clothes and bless my dear friend Pradnya who sent me an awesome gift card of a specialty maternity store! Who knew maternity shops were so evolved? Not only do they have awesome, stylish, and practical maternity clothes ( no more loose clothing that makes you look like a scarecrow!), but they also have these cute little prosthetic baby bumps in their changing rooms so that you can check how the clothes will fit you in your later months of pregnancy. It's so funny, when we are not pregnant, we hardly give any thought to these things! :D


The 4th month also marked the beginning of the diabetes saga. You can read more about that in the next post.

The first trimester (Half of it, actually)

So, by the time my blood tests for pregnancy came positive, I was already pregnant for a month and a half. But goodness knows, the rest month and a half was a drag! Pure misery. Sometimes, I was so miserable that I got angry when people congratulated me with utmost happiness in their voices. :) I was like... tera kya jata hai khush hone me..yahan jaan meri jaa rahi hai :P

Yeah, I couldn't eat, couldn't sleep, was nauseous with the mildest fragrance ( I banned roses from the house, including the celebration bouquet Mayuresh bought when the pregnancy was confirmed! Ditto for all rose perfumes and room fresheners! Hehehe ), and gagged and vomited if I even cleaned my tongue.

My first OB/GYN appointment was rather good, with the Ultrasound technician confirming that I was 8 weeks pregnant, and the nurse/midwife going through a lot of elaborate exams and discussions with me. (yes, exams - vaginal and pap smear. They hurt! )

A lot of restrictions were placed on my diet, and they were so contradictory to the standard Indian practises. For instance, in US they ask you to stop eating uncooked sprouts, while they encourage it in India. Also, eating ginger is a complete no-no in India, while the docs in US asked me to stock up on ginger ale and ginger cookies, to help fight my nausea. My mom was shocked, to say the least. hehehe!

The 12th week checkup at the OB/GYN was not so comfortable, though physically, there was nothing intrusive involved. But the doctor started with 2 extremely irritating topics - my probability of getting gestational diabetes and getting genetic testing done.

I have a little history of diabetes in my family. That doesn't mean I WILL get diabetes, right? Wrong... as per the doctor, there wasn't any shred of doubt that I would. Hence she asked me to, in her own words, DIET, DIET, and DIET! Sigh... never mind the fact that I was already 5 pounds below my pre-pregnancy weight. Also they asked me to do an oral glucose test in the 16th week. Well, let's see what happens.

The second and more stressful issue was that of genetic testing. The doctor said it was optional but was pretty insistent that we do it. My point was, the test they asked us to do was not 100% fool-proof. There was a good chance of false positives and negatives. In case of a positive, false or correct, we would have to get amniocentesis done to verify the results. Amniocentesis is invasive, and also risky. Moreover, the whole process would take 6-8 weeks, which would mean too much stress on my already stressed mind.
Also, if the amniocentesis came positive and the baby did have Down's Syndrome, what would we do about it? It would have been a major conundrum.
So, after a lot of inquiries and research and discussions and deliberations, we decided to defy the doctor's orders and not do the test. The doctor wasn't happy about it, but that couldn't be helped, could it?

The thing to look forward to by the end of the trimester was the ending of nausea. (Everybody had told me that the nausea disappears by the end of the third trimester.) But alas! Why? Let's see in the next post.

Pregnancy diaries - prologue

Nausea and fatigue! Yes, my prologue can only start with those 2 words. It can continue with restlessness, drowsiness, moodiness, indigestion, bloating, and so on. Oh yeah, surprise and happiness, too! :D

So we had just been back from our trip to Colorado, where I had humiliated myself by being so tired and breathless that I could hardly walk; while my husband and his friend coolly jumped up and down the rocks. Even after we came back, I started feeling low on energy, I couldn't eat properly, and of course, was super-nauseated. As my paranoid-self resurfaced, I thought I was either anemic, or diabetic, or, you know, had cancer. A slightly more optimistic fragment of my mind gave some weightage to food poisoning, while on another weirdly and illogically pessimistically plane, I thought I was prematurely menopausal! Hahaha beat that! 
I decided to go see a doctor, when it got out of control. He listened to me rambling about my symptoms and then casually asked me to take a urine pregnancy test. I knew I had taken one at home, but thought, “fine, whatever!”. The doctor returned in 5 minutes... and guess what; he said I am most definitely pregnant. My mouth was left open and hanging. I had spent a month worrying about what was wrong with me. The doctor also did a thorough blood test by the way, just to be sure, as my home pregnancy test had come negative. The blood test confirmed that I was 6 weeks pregnant! 6! Already!

After recovering from the initial surprise, there was no more "recovery". It was almost as if the knowledge that I am pregnant made me psychologically more symptomatic. I started having higher gag reflexes, severe nausea, motion sickness, etc. etc... Worst of all, I couldn't eat anything. There were several days when I would survive on just 3-4 pieces of wheat toast a day. Oh but more about that, in the next post!