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Mr Eli has Talipes…What happened next?

Just hours after Eli was born, 6th August 2012.

It’s just dawned on me that I have failed to write about Eli’s Talipes! I did blog about it when I was pregnant as it was found when I was having additional scans at UCLH, you can see the original post here: Hospital Update: Baby Boy bump has (mild) Bilateral Talipes. And I mentioned it in the 4 week update I did, here: An Eli Update: 4 Weeks Young. But I haven’t updated my blog with the developments since…

So from the top, it was found during an additional scan at UCLH that ‘baby boy bump’ had mild Bilateral Talipes. As the weeks progressed and I got bigger,  it meant that ‘baby boy bump’ got more and more squashed up inside me. This was the cause for Eli’s Talipes; it’s “positional” due to him literally being too big for me!

As you can see, from the first picture above (taken just a few hours after Eli was born), the Talipes looks really mild. But it turns out Eli was quite lethargic after my traumatic labour and birth. It wasn’t until he was home that we noticed how much he pulled his feet inwards (picture below).

This photo looks distorted, must have been a strange angle! Eli is 4 days old.

We were seen by a Paediatrician just before we left Broomfield Hospital and we were told that Eli would need his hips X-rayed and of course, Physio. I was told to expect both appointments within a few weeks.

After 3 weeks, I spoke to my Health Visitor who advised to wait one more week and then chase. I chased and chased and chased. I was pushed from pillar to post between departments. I couldn’t believe how badly organised everything was. (Hence why I haven’t actually written about this until now!). It was an absolute shambles. I finally received an appointment for Eli to have his hips scanned when he was 7 weeks old. During the scan I was told his hips were absolutely fine! (PHEW!) And again, that his feet were an isolated case due to him being so crammed in (Sorry boy).

I was STILL yet to receive an appointment for his Physio at this point. But as we have common sense, from birth, we had been massaging Eli’s feet ourselves with exercises we found on the internetz.

8 weeks old, after his first set of immunisations.

-You can see Eli’s left foot is much straight, but his right is still pulling inwards.

We saw a marked improvement with this – until about 9 weeks, when it just seemed to not get any better. It felt like we’d hit a brick wall. I finally had my appointment with the Physio when Eli turned 10 weeks. I’d like to point out at this is appalling. It took 10 weeks to finally see someone and the Physiotherapist, although absolutely lovely, gave me the exact same exercises to do. She said that it’s the muscles and tendons on the insides of both feet that are tight; causing Eli to pull his feet inwards. She suggested that Eli might need plaster casts, and in her opinion, it would only be for a week. I already had another appointment organised with a leading Talipes Consultant at Broomfield for when Eli was 12 weeks old. Again, this is terrible – we should have had Eli seen by a Consultant WAY BEFORE he got to 3 months old. I’m extremely unhappy about how long it’s taken and the awful communication, or lack thereof, between departments.

10 weeks old feets 🙂 

Last week we finally saw the Consultant at Broomfield. He looked at Eli’s legs, hips, spine, neck and feet. Which we didn’t expect, but was really reassuring. He agreed that Eli has Positional Talipes and has advised a course of plaster cast treatments. The casts will go from his foot and up his thigh – to avoid him kicking the pot off! When the Consultant left I spoke with the Senior Nurse (who organised our first appointment for THIS week). The Nurse advised that Eli will wear the casts for up to a fortnight at a time and will then need to wear special boots inbetween plaster cast treatment, the Consultant did not mention this, so I’ll see on Wednesday of this week what the definite course of treatment will actually entail. This sounds like Eli would be undergoing the Ponseti Method, but like I say, we’ll find out this week.

I am SO SO pleased that our beautiful baby boy is finally getting his little feets sorted out. Better late than never I suppose.

I’d like to hear from you. Has your little one undergone treatment for Talipes? What was your experience? Can you offer any advice or tips?

MM.

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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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Weekly Update: 37 Weeks Pregnant // Full Term!

Here we are at 36 + 3 weeks pregnant! Not long now!

Baby size at 37 weeks: 49 cm long.

Baby weight at 37 weeks:  6.1+ lbs

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This week we are FULL TERM! Absolutely ecstatic 😀

So this weekly update comes to you late, again. I had to give the interw3bz the old ‘heave ho’ this last week as I was ACTUALLY resting up! I’m finally listening to what my body wants… Well, I gave in more like.

This week I have somehow managed to develop PUPPP (pruritic uticarial pupules and placques of pregnancy or also known as, polymorphic eruption of pregnancy). With me being small and petite before my pregnancy, my tummy has had a good old stretch into my third trimester, where I started getting stretch marks to my hips, upper thighs and some under my belly button. But that was it…. I had my pregnancy massage last week and noted that some of the stretch marks under my belly button were sore and itchy. Since then, they became REALLY itchy. To point where I have zero self-control and have itched them to the point of bleeding. The stretch marks formed bumpy rashes that have since developed into ‘hive’ like spots. The rashes have spread to my upper and lower (inside) arms, behind my knees and my chest. It’s the most uncomfortable thing ever. PUPPP mixed with SPD has been horrendous. Through false labour into the equation and you have my week pretty much wrapped up!

So what could be causing the PUPPP? Well, PUPPP is more common in mothers with large fundal measurements and/or those who are carrying large babies, twins, and triplets. Certain studies reveal that this condition is more frequent in women carrying boys, although no formal research has been conducted. Statistics cite that 70% percent of PUPPP sufferers deliver boys.

Well, as I have documented throughout my updates, baby boy bump has always measured large (around 5 weeks bigger than the average measurements). In fact, at my last midwife appointment he was described as “larger than average”. So this all adds up. I’ve only been able to lather myself in E45 cream and continued to take Piriton which I was prescribed for my Hayfever. I’ve also tried E45 oil in luke-warm baths (hot water can irritate the rash and make you even more itchy!). It doesn’t seem to be getting any better to be quite truthful, but allegedly it’s another one of those pregnancy ailments that just magically disappear when you finally pop! So fingers crossed!

So as you can probably tell, I am not a happy bunny all-in-all.

So what is happening to baby boy this week?

Fig 1: http://www.babycentre.co.uk/pregnancy/fetaldevelopment/37weeks/

Your baby is now considered to be “full term”. That means they are capable of feeding and breathing outside the womb without any medical assistance. Your baby is starting to look nice and plump, and will continue putting weight on steadily until they’re born. The new fat stores are keeping their body temperature about 0.3-0.5°C above yours. They’ll need to be wrapped up warmly after they’re born though, otherwise their bare wet skin will lose heat rapidly. Your baby is also showing all the reflexes they will have as a newborn, curling their fingers and toes tightly around objects (grasp reflex) and turning their head and opening their mouth when something touches their cheek (rooting reflex). They’ll need this last reflex to find your nipple once they’re born.
Your baby’s head is now cradled in your pelvic cavity – surrounded and protected by your pelvic bones. This position clears some much-needed space for his growing legs and buttocks. Many babies now have a full head of hair, with locks up to 3.5cm long. And then, of course, some babies don’t have any hair at all. Speaking of hair, most of the downy coat of lanugo that covered your baby from 26 weeks has disappeared, and so has most of the vernix caseosa, the protective whitish substance that also covered him.

 

MM.