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Weekly Update: 41 Weeks Pregnant // We’re overdue!

Well, I definitely DID NOT think I would be writing a weekly pregnancy update at 41 weeks and 1 day pregnant, that is for sure!

But it’s been quite a week so here is my update, thus far.

I had the first of my two ‘Sweeps’ on Wednesday. During my appointment at Broomfield, I met with my lovely Midwife, Caroline and Consultant. Both parties were concerned about the size of Boy – obviously, he’d measured up large for dates since Week 28. But on Wednesday I measured at 44cm (44 weeks pregnant). SO! They both agreed that I should not go past Sunday without having Boy as he’s looking too large now. So another Sweep was also organised for Friday (yesterday), incase the first one didn’t work. I was also tested for MRSA and given the usual checks, all of which were fine.

The first sweep did not work, despite me having really painful period pains and contractions for 10 hours! So feeling a little despondent, back to the hospital we went again yesterday. A second sweep was performed and the Midwife really gave it a good go – she even tickled Boy’s head – which was a bit strange! When we got home I was convinced the sweep had worked! So we had yet ANOTHER curry and bounced on my ball as we watched more Olympic’s 🙂

But no, the second sweep doesn’t appear to have worked either! BOO 🙁

I also just wanted to point out that a sweep really doesn’t hurt. Yes, it was uncomfortable – but it’s going to be. I can honestly not believe that people have said this procedure is painful on forums and other blogs.

So, it looks like we’ll be going back to the hospital tomorrow to have the induction kick-started. I have to call in advance to ensure we have a bed and will be given a Propess Pessary when ready. We’ll be staying in the hospital for at least 6 hours and will be sent home if nothing happens. Then we have to go back within 24 hours for assessment and if nothing else happens, we’ll be having my waters broken and placed on a drip. Which I’m REALLY hoping won’t happen as I desperately wanted a water birth. Water has helped so so much during my pregnancy – I’ve literally not been out the bath! It’s been so helpful for my SPD pains.

So keep your fingers and toes crossed that Boy decides he wants to come naturally tonight, so we don’t have all the hassle tomorrow!

MM.

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Weekly Update: 40 Weeks Pregnant // Today is our DUE DATE.

Last Saturday we went to a wedding! This is us at 39+1 weeks.

Baby size at 40 weeks: 50 cm long.

Baby weight at 40 weeks:  7.6 + lbs

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Well, here we are. The day I didn’t think we’d actually get to! Today is our DUE DATE. Actually cannot believe that Boy hasn’t arrived before now!

I’d convinced ourselves that I’ve been in “slow labour” since Monday of this week. I’ve either been going to bed with VERY regular and quite intense contractions… or waking up at 3:30am with the pains. The pains start off as period style cramps (front and back) and nausea, then I get the tightening across my tummy. I’ve also had the most excruciating stabbing pains in my undercarriage at the same time. It’s been the most frustrating thing EVER. Every night we’ve gone to bed thinking “THIS IS IT!!!”. Last night felt like Christmas Eve and we went to bed incredibly excited! But Christmas hasn’t arrived so far today 🙁

BOOO!

Now I’m going to have a little rant – please excuse me! 🙂

I went for my final Midwife check up yesterday and have to say I wasn’t (and still aren’t!) happy with how it went. Firstly, there was a student midwife left in charge. No other help at all! I’d normally have my assigned midwife, and then a student if she had one that week. So I was really very shocked. Now, I do not mind students or trainee’s to do the usual checks – I’m all for it! How else will people learn, without practical case studies!? But yesterday was my last appointment, I had lots of questions and frankly the midwife just wasn’t experienced enough!

Firstly, she did my blood pressure and it came out as 110/80. Which is about usual for me, as per my notes (which, she did look through after checking each and . She said my blood pressure was HIGH? But this blood pressure is ‘optimal’ if anything! I ignored it.

Then it came to measuring me. Now I’ve measured big the entire time. Last Thursday I measured 42cm (by two different people!). Now I know this is not an exact science and normally don’t read anything into the fundal measurements – especially since we had our growth scan a fortnight ago! But she measured me at *just* 38 weeks. So obviously, I was dubious. I asked her to re-measure me as I can’t have lost 4cm in the space of a week – I’m usually growing 3cm a week! She re-measured me and said “Oh yes, about 40cm”. Whatever.

THEN she went to check Boy’s heart rate. But nothing was registering on the doppler. She started to panic, pulling the probe across my tummy. I showed her where to locate his heart beat. But it still wasn’t registering on the monitor… She blamed the machine and said it must be broken. But it wasn’t broken, SHE HADN’T PUT GEL ON THE PROBE! Struth.

THEN! I asked if she was going to examine me. Especially considering the contractions and pains I’ve been experiencing. She said she wasn’t allowed due to “policy”. I was completely under the illusion that you were given an internal at 40 weeks, to check your cervix/dilation?! Apparently not at my hospital! Or was it the case that she wasn’t supervised?! So frustrated!! And it’s doing nothing for my Oxytocin levels!

So I’m not very happy. At all.

My next appointment will be for my sweep at Broomfield Hospital on Wednesday 1st August. But hey, Boy is DEFINITELY coming this weekend, so we won’t be attending that appointment 😉

 

So what is happening to baby boy this week?

Fig 1: http://www.babycentre.co.uk/pregnancy/fetaldevelopment/40weeks/

After months of anticipation, your due date has been and gone, and… you’re still pregnant. It’s frustrating, but lots of women find themselves in this situation. Your baby continues to shed the greasy, white substance (vernix caseosa) which has been protecting his skin. If he shows no sign of making an appearance after another week, he may have slightly dry skin when he arrives.

Your baby has mastered all the skills he’ll need after he’s born. He can instinctively search for his thumb and suck it, just as he will search for your breast for a feed soon after birth.

 

MM.

 

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Weekly Update: 39 Weeks Pregnant.

Here we are at 38 + 1 weeks pregnant at the Day Assessment Unit in Broomfield Hospital.

Baby size at 39 weeks: 50 cm long.

Baby weight at 39 weeks:  7.2 + lbs

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Me and the internet have been having a somewhat long distance relationship the last fortnight! I’ve been absolutely EXHAUSTED. I’ve been getting up around 4-5 times a night for a wee (HOW?!) and been snoozing throughout the day. Aside from when I’ve been having hospital appointments and meeting the girls from my NCT group!

So, I’m just a week away from my due date. I REALLY thought Boy would have arrived by now. Considering how big he is! But clearly, he’s just far too cosy in there.

Last week I went to the doctors about my rash (Pruritic Urticarial Papules and Plaques of Pregnancy) who was beyond blasé about the whole thing. By Saturday of last week, I’d scratched myself so badly I was drawing blood. I was also struggling with my SPD, so we took a trip up to the Day Assessment Unit at Broomfield to seek their advice. I was taken to an assessment room and hooked up to a monitor for 45 mins. I had lots and lots of tests done. But the doctors were not concerned about my rash – it’s quite common and will disappear after Boy arrives. What they were concerned about was the fact I’m still measuring big! I was measuring just over 41 weeks. So went for a growth scan on Wednesday of this week while we awaited results for late onset Gestational Diabetes. Boy is measuring correctly for 39 weeks… apart from his tummy! He’s a little bit on the chunky side 😀 To us, he sounds absolutely SCRUMMY! The scan, at so far into my pregnancy, was incredible! You could see his spiky hair at the back of his head! But because he was so big and squashed, you really couldn’t see as much as on earlier scans. SO, it’s back to the waiting game!

Boy is still head down (good boy) and is 2/5th palpable – which means only 2/5th’s of his head can now be felt above my pelvis. So that’s good.

We REALLY hope he arrives soon – we’re beyond impatient! 🙁

 

So what is happening to baby boy this week?

Fig 1: http://www.babycentre.co.uk/pregnancy/fetaldevelopment/39weeks/

It’s all about watching and waiting now, as your baby could arrive any day. Your baby could be up to 50cm long, and weigh about 3kg.

The hair on your baby’s head may now be thick, and his fingernails extend beyond his fingertips. They may look long when he’s born. Your baby’s skull bones are not yet fused, which allows them to overlap as he passes through the birth canal during labour. This is the reason your baby’s head may look cone-shaped after birth.

 

MM.

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Hospital Update: Meeting the Consultant and measuring 34 weeks at 28 weeks.

My favourite image of our Baby Boy so far! Taken at 20 weeks, UCLH. 20th March 2012.

Yesterday morning we drove up to Broomfield Hospital for another appointment with our Consultant; to discuss the findings from our last scan –The Bilateral Talipes. But our actual consultant was stuck on the M25 (of course), so we saw someone else and had to go through the whole rigmarole of explaining everything that’s happened in this rollercoaster of a pregnancy!

Fast forward half an hour and I’m on the couch being measured up with a tape measure again. At my Midwife appointment, less than a week ago, my bump was measuring up at 30cm, so 30 weeks – Weekly Update: 28 weeks. So had expected it to be about the same.The two Doctors measured me again… I was measuring 34cm, so one would assume, 34 weeks! UH OH.

I was referred for an emergency scan to check out baby boy’s measurements properly, along with an index of my amniotic fluid. Had to sit around the hospital for 3 hours until the scan. MASSIVE YAWN.

Had the scan and everything was FINE. He’s measuring up at 29 weeks (of which I am 29 weeks tomorrow). He weighs about 2 and a half pounds. He couldn’t be more spot on measurements wise, he’s spot on all the ‘average measurement’ lines on the scan graph. Which is great!

Also, my amniotic fluid is showing up at 6cm at the deepest point, which again, is absolutely normal! So everything is great. I just have a lot of my own water retention and bloating..possibly because I drink far too much water. What can I say? I’m a thirsty girl!

Additionally, the Sonographer also said that we no longer need to go back to have a scan at 32 weeks. She’s more than happy with the progress of everything and doesn’t see why we should have to go back to the hospital to review baby boy’s Talipes. Which is also fine by us! We’re over the moon! But at the same time, I’m also a little bit sad that we won’t be seeing our baby boy for a little while… in fact, the next time we see him will be when he’s ARRIVED! Which to be honest, is also a little bit scary! It’s all very very very REAL now. EXCITED.

So the moral of this story is, don’t believe the measurements! It was never going to be an exact science, measuring your bump – who thought it would be?!

MM.

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Hospital Update: Baby Boy bump has (mild) Bilateral Talipes.

Wednesday 18th April: Re-scan at UCLH, Fetal Medicine Unit.

This morning we visited the Fetal Medicine Unity in UCLH (University College London Hospital) for the re-scan of baby boy bump’s feet – to confirm or exclude Talipes (Club Foot). Since my worrying Midwife appointment the other week, I’ve thought about nothing other than the results we might find at the scan today. Not about his feet though, I was thinking about everything else that it could be linked to. Yesterday the panic set in again and I started googling all sorts, which we all know, is probably the worst thing you can do – ever! Based on the, err, google search findings, I’d really worried myself about how his spine might be developing, as Talipes can be the result of other genetic disorders. This all combined with the Midwife appointment made me really really quite anxious in that waiting from this morning.

Appointment was for 9am, we arrived early, as always, at 8:30am. We went into see the FMU and Speciality Doctor who has performed our most recent scans at UCLH, at about 9:15am. Our Speciality Doctor is beyond thorough, so started off with checking the progress of the brain and heart. Then he went on to check other internal organs for size and function, making the necessary measurements and notes as he went along. (See below for measurements from this scan!) He muttered that “everything is developing beautifully”. Then he turned to the back, looking at the spine and ribcage. He pondered over the spine and I clenched onto OH’s hand. The Doctor didn’t say anything so I asked “Is his spine ok?”. He smiled and said “Of course, he’s beautifully in proportion and developing as he should be. It’s a good thing!”. PHEW. I was happy at that point 🙂

As baby boy bump has proven at every single scan, he’s a wriggler. He moves non-stop. Which is amazing! But not great when the Doctor is trying to desperately get a good view of his feet! It was at this point that he got the 4D scanning images up again – which is just incredible. It’s so amazing to see your baby’s face like that – unbelievable to be honest! But he was really wanting to get a good view of his feet… so it was a quick look at his cute-as-a-button face and then back to business.

The Doctor scanned his feet for about 15 minutes using both the 4D and 2D imaging. He then turned to us and said that he was “convinced there is a degree of Bilateral Talipes. But is extremely mild”. He then went on to discuss corrective methods and said he’d like the Consultant to take a look. The Consultant arrived and said that the Talipes was so mild that “I probably would have missed it to be honest!”.

So with all this in mind, we’re over the moon. Couldn’t be happier. We always knew this baby boy of ours would be a character, and he’s certainly that!

We”ve now been discharged from UCLH and referred back to the care of Broomfield. We will have another scan (YES!) at 32 weeks to see the progression of the Talipes. This will be our 8th scan, although these scans have not been under happy circumstances (mostly), we’re extremely grateful that we’ve been lucky enough to see our baby boy growing at every single stage. As long as the Talipes has progressed as it should (or hopefully, not at all) then we’ll remain within the care of Broomfield. We will not be treated any differently for the birth, so there is no reason for me not to have the Water Birth I’m planning! Once baba is born, we’ll obviously review the extent of the Talipes and take it from there.

Measurements at 25 weeks and 5 days.

Biparietal Diameter (BPD): 67.9 mm

Head Circumference (HC): 243.9 mm

Abdominal Circumference (AC): 213.3 mm

Nuchal Fold Thickness (NT): 5.6 mm

Nasal Bone: 7.4 mm

Femur Length: 45.5 mm

Estimated Fetal Weight (BPD, HC, AC, FL) :842 g / 1 lb 14oz

4D scan of baby boy’s face. He has my nose and chin and OH’s eyes. He’s playing hide and seek here though unfortunately! 

MM.

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Re-Scan: Echocardiogram and Anomaly Scan at 21+4 Weeks.

Tuesday 20th March: 4D scan! Fetal Heart Echo (Echocardiogram) and 20 Week Anomaly Scan at UCLH.

This Tuesday we went back to the Fetal Medicine Unit for a repeat Echocardiogram, doubled up with our 20 week Anomaly Scan. We are absolutely chuffed to say that every appears normal and all of baby boys organs are working correctly. So we will have no further review organ-wise, which is great news! The specialist was also (more than!) kind enough to surprise us with a few sneaky peaks at a 4D scan of our baby boy! It was absolutely incredible.

The extensive scan did however highlight that in some views there was a suspicion of Talipes (club foot). But in other views both feet appeared normal. The specialist also noted that the range of movements in all joints is normal. So this basically means that we have to go back to the FMU in about 4 weeks time to have a repeat scan to confirm or exclude the suspicion.

If it is found that one of his feet are a little on the wonky side, there are tons of things that can be done – without the need of surgery. So we’re happy.

Just also curious to find out if you had a baby with a suspected club foot and your experiences? What happened after the birth?

Here are some measurements and findings from the Anomaly scan that you might find useful. We were told these measurements were pretty much spot on for gestation, 21+4 weeks.

Biparietal Diameter (BPD): 52.4 mm

Head Circumference (HC): 189.1 mm

Abdominal Circumference (AC): 168.0 mm

Nuchal Fold Thickness (NT): 5.3 mm

Nasal Bone: 7.3 mm

Femur Length: 34.1 mm

Estimated Fetal Weight (BPD, HC, AC, FL): 416g / 15oz

MM.

 

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CVS: The Fetal Echo (Echocardiogram) at 16 weeks.

Tuesday 14th February: Fetal Heart Echo (Echocardiogram), at UCLH.

Today we went back to the Fetal Medicine Unit in University College London Hospital (UCLH) for a specialist Heart scan. The scan was performed like any other normal ultra-sound scan, but was dedicated to looking closely at the heart; the way the blood flowed, the rate and a close look at the chambers of the heart. The sonographer will use colours on the monitor to look at the blood flow etc – so don’t be alarmed if you see lots of red and blue splats all over the screen! (This looks a bit like a heat map).

Look how much bigger he is! (Image above). All his organs are now well formed and his bones were all clearly visible. He was, again, moving all over! Such a lively little boy we have!

We’re very happy to say that everything looks on course here! The blood is flowing the correct way and he has a smashing heart rate. But we have to go back on 20th March just to have another look, when he’ll be much bigger; he’s still pretty tiny at the minute. But overall, no cause for concern! 😀

MM.

 

 

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CVS: The Full Results.

Thursday 2nd February: The full results came back.

I had anxiously waited all week for that ‘BLOCKED’ number to call me again. It got to 4pm every day and I felt physically sick. I was shaky, dizzy and unable to concentrate at work. I was going to give it until Friday 3rd February at lunchtime, and then I was going to call UCLH to chase up the results. I couldn’t bear another weekend not knowing.

We got home from another tiring day at work, I felt withdrawn and exhausted and drained at the fact I hadn’t had that phone call, again.

There was a few pieces of post on the doormat… including one postmarked ‘London’, the address was handwritten. I just KNEW these were the results. I felt that pang of sickness and dizziness again.

We sat down together on the sofa as I struggled to open the envelope. I quickly glanced over the letter just looking for the words ‘normal’ and ‘positive’ and ‘clear’. The letter was a generic, photocopied letter.

But we saw the words we desperately wanted.

“We are writing to inform you that the results from your CVS demonstrate that your baby has a normal chromosome pattern“.

We were overjoyed! The letter was post-marked as 30th January, so the results took less than the two weeks to actually come back. Shame the hospital couldn’t call me to tell me directly – it would have saved a whole lot of agony. But still, we got the results we hoped for!

The letter also stated that we could call the FMU department to find out the sex of our baby. We we desperate to find out! So I called first thing the next day and they called back to tell me that we were having a LITTLE BABY BOY!! Absolutely ecstatic. We weren’t hoping for a boy or a girl specifically, but were beyond surprised to find out we’re having a boy! My partner is the last male on his families side, so we’ll be carrying his family name on – which is a wonderful bonus! We’re still in shock – but it’s so lovely to be able to bond with him properly now. Our little boy 🙂 Most people don’t get to find out the sex of their baby until the 20 week scan and even then, the scan isn’t 100% accurate! So we felt a little bit smug knowing that we’re having a boy, and that it 100% definitely is a boy! 😀

The next stage was an Echocardiogram (detailed Fetal heart scan) at 16 weeks – scheduled for Tuesday 14th February. Aptly, on Valentines Day.

MM.

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CVS: The Rapid Result.

Wednesday 18th January: The Rapid Result came back.

I was laid on the sofa with the quilt, again, running through every single scenario possible. We were told that we’d get the rapid result back within 3 working days, and that an FMU midwife would call after 5pm. We anticipated that we’d get the phone call on Friday 20th January. My mobile started ringing at around 5pm. The number was ‘BLOCKED’. I knew it had to be them. I sat myself up and prepared myself.

The FMU midwife asked me to confirm my name and date of birth and then said the words we’d only hoped for, the results were NORMAL. That meant that there were no abnormalities with regards to Down Syndrome, Edwards Syndrome or Pateau Syndrome.

I rang my partner first and we both cried. I then rang my parents and close family – then my best friend. We all could breathe a sign of relief and relax, a little bit, until the final report came through…

This was the most agonising 2 week wait of our entire lives.

MM.

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Referral to UCLH for the CVS procedure.

Tuesday 17th January 2012: Appointment at UCLH for detailed scan and CVS procedure.

With barely a wink of sleep between us, we arrived at the Fetal Medicine Unit at 9am for our 9:15am appointment. We were taken a for full scan which lasted around 45 minutes. There were two specialists and a FMU Midwife present, along with a student who was observing. The specialist doctor who was performing the scan said that there was a lack of nasal bone visibility, which also carried through as a ‘soft marker’.

We were taken into a family room where we could discuss our options… and we were then joined by an FMU Midwife who went through the basic pro’s and con’s of the procedure and the impending results that would follow.

I signed the consent forms and was taken back through to the specialist room where the procedure would take place.

The doctor and an additional Midwife scrubbed up and I was given two injections of local anaesthetic directly into my tummy, on the left hand side. The injections were the easy bit…

After around 5 minutes the anaesthetic had taken hold and the doctor proceeded to take the first of the placenta samples, while the FMU midwife constantly scanned my tummy. The procedure was uncomfortable and felt like tugging. I winced quite a fair bit and squeezed on my partners hand so tightly! I just kept looking at him and both he and all the staff present reassured me throughout. I felt in safe hands, with the best in the business!

The second biopsy was taken and I breathed a sigh of relief. The FMU midwife showed us our precious little babbit on the screen again to reassure us of his movements again.

I was then taken, slowly, into a recovery ward where one of the FMU midwife’s who had been present joined us to explain that that procedure had collected two successful samples that would be sent away asap. We were to get the ‘rapid result’ back within 3 days. The rapid result checks for Down Syndrome, Edwards Syndrome and Pateau Syndrome. The rest of the results would follow in around 3 weeks with a detailed report on rarer chromosomal abnormalities.

After recovering for a further 25 minutes or so, we were free to go home. My partner took me home and I tried to sleep on the sofa all day. I was exceptionally emotional and quite sore. I was advised that I may have period-type pains, some bleeding and soreness for a few days. I could not help but run over every single result and scenario in my head… and again, barely slept a wink that night.

MM.