Thursday, May 27, 2010

How Non-Conventional Can You Get?

38 weeks, 5 days.

There are many ways to spin a breech baby. Some seem obvious and straightforward - like having a doctor manipulate your baby and physically turn her around and some are a little less concrete. Well, as I found out, straightforward is not that simple, but there are other things that can be done, from logical to mystical, I am trying them all. Let's see, what have I done so far?

Inversions. This is pretty easy for most people to do, most non-pregnant people anyhow. An inversion is meant to get the baby's feet or butt out of your pelvis so she will be free to turn around. There are a variety of ways to do it, but simply put, you need to raise your hips 12 inches or more above your shoulders. I have done this while lying on an ironing board leaning against the couch, by piling up couch cushions and lying on them on the couch or floor and by kneeling on a chair and putting my hands and face on the floor. To some degree or another, they kick my heartburn in, so it is a bit uncomfortable to say the least. Nothing seems to happen, but Piper is not in pelvis, so that's something, I suppose.

Exercises. Pelvic tilts, cat stretches, crawling and rocking. I have been on my knees a lot, waving my butt around like a feline in heat. So much so, that my knees are getting sore. All of these exercises are supposed to be done when the baby is active, so at random moments during the day I leap off the couch, and crawl around on the floor like a bulldog with my hips higher than my shoulders. If anyone was watching me they would think I have serious problems, none of which having to do with a breech baby. I don't know if they are doing anything to help encourage Piper to turn, but my arms are getting rather shapely.

Hammock Belly. Either on my hands and knees or by trying to rest face-down in a pile of carefully placed pillows, I try to relax my belly and make it loose and free like a hammock for Piper. The idea is to get her to float around and allow her to turn, and again, I am supposed to do this when she is active. Every time she starts rolling around, I drop to my hands and knees and try to make the 'belly hammock', but it's like it scares her and she stops moving. As soon as I get up and resume what I was doing, she goes back to moving and kicking like it's some kind of game.

Acupuncture. The Chinese have been doing it for 3000 years, they must know something, right? Well, maybe. I have gone to 5 sessions with an acupuncture group located in Morristown, about 40 minutes from us. Now, I hate needles, fear and dread them, however, acupuncture is not like having a needle. They are fairly painless and if you don't ever look at them it's not bad at all. There is a point on the outside of the pinkie toe that, when stimulated, is supposed to encourage the baby to move into the vertex position. It gives you mild contractions and really wakes the spawn up. There are also a bunch of other spots that help increase blood flow, so they stuck me all over. I was surprised at how quickly she started reacting to the first session. Within five minutes of being turned into a human pincushion, Piper was kicking and flopping about. No spinning though.

Moxabustion. Along with the acupuncture, you can stimulate that point on the pinkie toe with what is essentially a giant incense stick. It gets very, very hot and you hold it near your toe to activate the point. This, even more so than the acupuncture got things moving. They acupuncturist gave me some to take home and and I instructed Griffin on how to do it to my toes. It really gets Piper moving and gives me long lasting contractions, but she hasn't gotten the idea yet.

Webster Technique. If I was skeptical about acupuncture, you could say I am downright dubious of chiropractors. Even when I had that terrible sciatica, I refused to see a chiropractor, I would rather suffer. It's funny what desperation will drive you to. For me, it drove me to Livingston! That's about 50 minutes from our home. At least I am smart enough to make back-to-back appointments. I would go to the chiro and then the acupuncturist. It made for a very long day. The chiropractor did 'tests' on my spine and told me that my pelvis and neck were out of whack. He wanted to 'adjust' both. I told him to forget about touching my neck. I was here simply for the baby stuff. The Webster Technique is supposed to help align and open to pelvis so the baby has room to turn. Nothing seemed to be happening, except that my wallet was becoming thinner with the $10 copays. The more I went there, the more I felt it was a waste of time. 5 sessions and I was done with him. Of course, they he thinks it is 'crucial' that I keep coming in, but honestly, my back is starting to hurt me!

Self-Hypnosis. I believe in the power of my brain. I can analyze and figure out complex problems, I can create works of art and I can write for hours on end, but can I use my brain to turn my baby? Well, I have been listening and participating along with a baby turning-self-hypnosis program. It is very relaxing and makes me lie still for 40 minutes. Part of the process is envisioning your baby turning and staying in the vertex position. I have a hard time with this because I can't picture Piper. She is still the giant squirrel that rolls around in my belly and kicks me. I am not good at picturing babies, but I have been trying. I will continue to do this until there is no time left. At least it is relaxing.

Swimming. Well, we live on a lake, but it is only May. After my last acupuncture session yesterday, I decided to force myself into the lake. I hate lakes, almost as much as I hate needles. I love to look at lakes, but swimming in them is revolting to me, but I am stubborn. So when I got home I put on a tankini that looked totally bizarre with my great, big pregnant belly and I walked down to our dock. There was green mucky algae floating in clumps and within minutes I was surrounded by dozens of hungry fish. The water was fairly clear and I could see the slimy rocks below the dock. I decided I needed my water shoes. So I went back in the house and got my Keens. Good thing my feet aren't swelling too much anymore; I got them on fairly easily. I marched back down to the dock, braced myself and climbed in. I half doggie-paddled, half breast stroked my way out into the lake. The breast stroke is supposed to encourage the baby to turn around. Swimming with Keens on isn't really easy, but it kept the fish from eating my feet. I did a bunch of laps until I was panting and climbed out, collapsing into the deck chair on the dock. It felt good despite the lake-ieness of it all. I will try to swim everyday now.

Mayan Abdominal Massage. Today, I start something new. This is supposed to help relax and open the uterus for the baby to turn. It's an ancient technique that has resurfaced in massage therapy. Didn't all of the Mayans mysteriously disappear? Anyhow. It's something else to try. Of course, I hate massages. At least ones from strangers. Having some random person touching and rubbing my bare skin is a little too personal for me, however, if it will prevent have some random person cut me open like a fillet-o-fish to get Piper out, I will give it a shot. My appointment is at 6:45 today, so I have lots of time to do all of my at home exercises.

Even if I don't get this baby to turn and end up the dreaded c-section, I really feel like I deserve a gold star for working so hard at trying to turn her so we can have the birth we envisioned. Yup, stick a great, bit gold star right on my forehead. Good try there, lady.

Monday, May 17, 2010

The Exciting (non) Conclusion

37 weeks, 3 days.

I wanted to write a triumphant entry on Thursday night about the wonders of medical science and how the doctors fixed my little right-side-up/up-side-down issue, but I couldn't. The external version failed. Well, in my mind, the doctor performing it failed.

Griffin and I arrived at Morristown Memorial Hospital a few minutes early; we seem to arrive everywhere a few minutes early. After driving around trying to find the proper entrance we just parked in the visitors lot. There is a lot of construction going on at the hospital and it looked like a battle zone. Griffin spotted the "Women's Services" entrance and we went in. The main desk was empty, so, we walked down one hall and then turned around and walked down another. It wasn't clear where to go. I felt like a rat in a maze.

We started to follow some printed signs for Labor and Delivery Admission. After what felt like an eternity we got to a security guard who let us into the 'ward'. I tried to check in at the desk and they all stared at me blankly when I told them I was here for a version. The nurses at the desk asked each other if there was a version scheduled. They looked a little like Keystone Cops running around digging through paperwork trying to figure out if I was scheduled. Finally, one of them found something and a nurse led us into the nicest hospital room I had ever seen.

Since we were in the Labor and Delivery Ward, I guess they have tried to make the rooms nicer. It was kind of like a new budget hotel room with lots of medical machines in the back with tons of wires running out of them. Of course the bed was a hospital bed, but it had a little rounded end that looked a little more comfy like a chase lounge. There was one chair, a stool and that was it for seating. Griffin plopped into the chair.

The nurse gave me a johnny to put on and told me to leave my underthings on. I got dressed and Griffin tied up my back. I rolled onto the bed. The nurse came back in, untied me and gave me a sheet. She wrapped a fetal monitor around my belly and set the machine to beep quietly.

Kasey, Judy's student midwife found us. Since there was no where else to sit, she climbed up on the stool. We chatted as the nurse went about setting things up and then left to check on where the doctor was.

We talked about how I hate to give blood or have IVs put in. My veins are skinny and deep in my elbow pits, and yet that's where they always start looking. I have become rather proactive about the whole thing and I tell the person trying to poke me that my hands are a much better place to look. I have strong hands with veins that pop out with very little effort. I can stand the pain of being poked there and it is usually done in one shot.

The nurse came in to start the IV and I gave her my usual speech about my skinny veins and how I would be happy to have her put the IV in the back of my hand. She told me she hates doing hands and tried to find a vein in my forearm. I don't know what she was looking at (I never watch when they are trying to do this), but she stuck me in the middle of my arm. She dig around a bit and then pulled the needle out.

She moved to the crook of my arm. Poked, dug, pulled out. Poked, dug, grunted, dug, wiggled and finally it was set. I turned to look at the IV and saw the furiously red blood running down my arm from the two first pokes. She tried to wipe it off, but it has started to coagulate already. She got some wet paper towels and wiped my arm clean and put two Band-aids on. She set the IV to drip saline.

A few minutes later a little man came into the room and announced he was going to need a couple of vials of blood. I cringed. I told him about my skinny veins and he just ignored me. He put on the tourniquet and started looking at the veins in the crook of my other arm. I sighed. I hate hospitals. He poked me once and started to dig. I felt the needle go in and out several times inside my arm. Looking, looking, looking. I was bound to spring a leak somewhere. Finally, he found something and got his two vials of blood. "That is going to bruise a bit," he told me. Do ya think? He gave me a Band-aid too.

Apparently, the doctor was running late because he had an 'emergency procedure'. C-section, I figured. The nurse left and the three of us chatted about all sorts of things. A couple of hours passed and I could hardly stand it anymore. I hadn't eaten since 9:30 the night before and I was getting the shakes. The nurse came back in and said the doctor is on his way. Yippee.

The OB came in with two other doctors in tow. Great. He questioned who Kasey was with a weird look on his face. They started up the ultrasound and jellied up my belly. He stood in front of me and pointed out all of Piper's anatomy. ". . . and here is her spine, can you see that?" he asked.

"The only thing I can see is your back." he turned and looked back at me and made a weak attempt to get out of my line of vision to the ultrasound screen. I was ready to just get this on. The nurse prepared to give me the 'medicine' that would stop my uterus from contracting while he worked on me. She gave me a shot in my arm! What the heck was the IV for?

Within a few minutes the doc and one of his lackies started the version. They pushed, twisted, grunted and dug into my belly. Oi. It hurt on the surface and felt weird and creepy inside. They were trying to get a hold of her head and butt and turn them around. Piper's head was stuffed so high into my ribs that he couldn't get a good grip. The doc talked about how he didn't want to bump the placenta, and yet he was spinning her head right for it. Why not go the other way then? I had to be reminded to breathe a couple of times.

The lackie was grunting and following directions. These two rough men were doing battle with my little girl. She was winning. My belly was suffering. After about 15 minutes he announced that this 'wasn't happening'. My skin was on fire. It felt like an Indian burn and I was sure it would bruise.

They turned on some lights to talk to us. Well, the florescents weren't done flickering before the words "scheduled c-section" came out of his mouth. I looked at him dumbly. He said he could get me on the schedule now and that it was better than just waiting until I was in labor and doing an emergency one. C-section? I was planning a home birth! He basically told us that if he couldn't turn her, she wouldn't turn and you can't have a vaginal breech birth. And then he looked at me rather queerly and asked, "Do you have insurance?"

"Yeah," I was dumbfounded. I wasn't prepared to schedule anything. I wanted to go home. And so we did. I called Judy, our midwife, on the way and told her what happened. She gave me the name of another OB and the phone number of the midwife from Uganda that does home breech deliveries. Judy told me if we go that route, she could not be there because the State doesn't allow certified nurse midwives to do them. I was shocked.

I was very sore by the time we got home and I collapsed in a chair. Griffin talked about everything. I was not happy about the prospect of a c-section. It is everything I don't want to have happen. Eventually, I cried it out. In the days since, I have been doing a lot of reading about turning a breech baby. There are other options and I intend to try them all. I will not give up.

Today I am going to see an acupuncturist. They have a treatment that encourages the baby to move into the vertex position. There is also a procedure I can do at home that they will teach me to do. I am waiting for a homeopathic treatment to arrive today as well. It is supposed to help relax the uterus and make it easier for the baby to turn.

Tomorrow we are going to meet with another OB, this one is a woman, who may agree to do a version for us. I have read the the external version should be done gently and in a massaging manner. Roughness and forcing is futile. (I'll say.) She is also one of the few OBs left that is willing to assist in a vaginal breech birth. Of course, I would have to do it in the hospital, but it seems like a compromise to me.

I will also schedule a (GASP) chiropractor appointment. There are a few chiros that do a procedure called the "Webster's Technique" which is supposed to help widen and loosen the pelvis as well as straighten a twisted uterus. That will be an act of desperation for me.

In addition, I have been doing exercises at home and lots of belly massage. In fact I have been able to move Piper around quite a bit. I am a little nervous about flipping her completely because that damn doctor put the thought in my head that maybe she won't go because she has her cord wrapped around her neck. It is highly unlikely. I really don't like doctors. So, this isn't a conclusion, but a continuation.

And I will leave it as "to be continued . . . "

Thursday, May 13, 2010

Right-Side-Up is the New Up-Side-Down

36 Weeks, 6 days

Judy, our midwife, and Kasey, the midwife in training, came to our house on Tuesday to check out the space where we are planning on having the birth. We discussed the location options and decided to have it set up in the nursery. Outside on the deck was a thought, but the deck is old and I was concerned about the weather too. We talked about the last few things we need to get together and that we should have them all ready to go.

There was some discussion about the tub for the waterbirth and the fact that she only has 3 tubs which are all out right now. Two of them are at mother's houses that are due on the 16th. As long as one of them delivers before I do, I will be the next in line to get the tub. I figured they can't both go overdue, so I am bound to get one of the tubs. Also, we thought there was very little chance that I would go into labor this week or early next week anyhow. In a pinch, our own bathtub would have to do. With that settled, we moved on to the regular appointment stuff.

Kasey, the midwife in training, took my blood pressure, checked Piper's heartbeat and measured my belly. I weighed myself and all looked good. She then felt around my belly to see where Piper is lying. She thought that Piper was still in the proper head-down position. Judy asked if she was sure, she was pretty sure, somewhat. With that, Judy checked my belly.

She felt around for a long time and kept wiggling Piper from side to side. She told Kasey to feel my belly too, I was a bit concerned. Apparently, I have a lot of abdominal muscle and it is very hard to feel the baby's pieces and parts. There are just two obvious lumps - one in heads the other tails, but which is which? Judy said she thought the baby had flipped again and was once more breech. There was a lot more feeling around and discussion. Finally, Judy wanted to do an internal exam to see if she could feel anything that way. At this point Griffin had to leave for a meeting. I was on my own.

We went upstairs and using olive oil as a lubricant, Judy dug around inside me. Oh, how I hate internal exams. There is no dignity in pregnancy. She couldn't feel anything. Piper was so high up in my uterus that she was out of reach. Other steps would need to be taken to determine what was going on.

Judy called the back-up OB office and told them that we needed an ultrasound STAT (okay, she didn't really say stat, but she got an appointment for the very next day anyhow).

Griffin and I went to the office yesterday and they confirmed that Piper is breech. The next step is to have an 'external cephalic version' performed. This is a procedure where the doctor attempts to gently turn the baby from the outside. It is successful in 60 to 80% of the cases and there are very few complications involved. They will give me an IV of a muscle relaxer to help loosen things up. This is done in the hospital, just in case, so the OB called the hospital and told them we needed an external cephalic version, STAT! (Now I just like saying it.) We got scheduled for the next day, which is today.

So here I am, Thursday morning, waiting to have the ECV performed at 11am. I am not allowed to eat or drink anything in case they need to perform an emergency c-section. I am fairly calm and quite hopeful that this will work out just fine. The c-section option would happen only if there was an extreme emergency, which is very rare. I am not happy about having to go through this, but hopefully it is the final hoop I have to jump through until I give birth.

I have also been thinking about how it will be a lot more comfortable for me not to have Piper's head wedged in under my ribs. Perhaps that's why I can only eat a few mouthfuls of food at a time now.

Stay tuned for the exciting conclusion of "As the Baby Turns"....

Sunday, May 9, 2010

Happy Almost a Mother Day to Me

36 Weeks, 2 days

Today is Mother's Day. I woke up at six and drowsed in bed for a while. The house was very still. Griffin is not home and the dog and cats were not pestering me to get up. So I laid there. Piper had the hiccups and my belly bounced every 10 seconds with each one. I felt the rolling slide of her whole body moving and the little flicker of hands. I have gotten very used to feeling all of this; it will be strange when she is no longer inside me and I am all alone with myself again.

I have been battling swollen ankles and feet for the last few weeks. Work was especially stressful as I tried to get everything wrapped up before I started my maternity leave. There is just not enough time in the day for it all. If I didn't actually have to teach every period, I would have had time to wrap up all of the other stuff. I had begun new projects two weeks ago that required my help, input and attention. Poor planning on my part. I should have just rolled out the markers and told them all to draw what they want to do for summer vacation. If only.

The flubbiness of my feet has not been my only concern; my belly has gotten so large that I have trouble doing things I normally don't have to think about to do: such as put on socks or feed the cats. I find myself holding my breath as I half bend over, half squat to get to the floor. I think I have forgotten what it is like to just go about your business without noticing that you are doing anything. I know I can't crush Piper by bending over, but she sure puts up a fight when I do.

My last progesterone shot was this past Thursday. The progesterone will stay in my system for a week to 10 days. Commonly, women having these injections go into labor sometime shortly after that seven to ten day period. So things could be happening very soon.

I am not nervous about labor or giving birth. The thought of the pain does not frighten me and I don't think I will be begging to go to the hospital for drugs. For me, the worst kind of pain is the type that is inflicted by someone else and I have had a lot of that over the past three years. My body will not create more pain than I can handle, but intervention by someone else might.

Its strange that I have actually become calmer and more relaxed about having our home birth as it gets closer. Griffin and I have been going to birthing classes and many of the other women seem to be terrified of the prospect of pain. There is only one other couple that is planning on having a home birth and we haven't actually spoken to them. Some of the women in the class are actually planning on having epidurals during labor, I wonder why they are taking a natural child birthing class.

We are planning on having a water birth as well as laboring in the birthing tub. Judy, our midwife asked us if we want to put the birthing tub out on our deck. At first it struck me as strange to give birth outside, but I am sure it strikes people as strange that we want to give birth at home. I have mixed feelings about being outside: it might rain, I might get cold, it might be too sunny and I'd get sunburned, what if my labor goes into the night and there are bats flying around us? (Actually, that would be pretty neat.) I don't care about privacy and the neighbors 'seeing' anything and that was the main concern that Judy had. Who cares about the neighbors? What about the weather?

Really, my biggest concern is what to do once Piper is here. Getting her out won't be nearly as difficult as knowing what to do with her once she has. I keep trying to picture myself hold a little, tiny baby wrapped in one of those swaddling outfits. Wrapped so tightly she barely wriggles around, I peek in and see her big eyes, her cute ears and her long whiskers. Meow. It always turns into my cat. It is so hard to picture myself holding a baby, a human baby, my baby.

Well, pictured or not, she will be here soon. I have lots of things to do yet and perhaps I should get started. I would make a list, but that would just be killing more time before I actually do something. Maybe I will look at those baby clothes one more time.

Meow.