(no subject)
Nov. 26th, 2008 09:40 pmI am packed for our vacation, yay!
...Well, my clothes are packed. I still need to assemble trifling things like entertainment and medicine and directions and plans. But how much could that all matter? The important thing is that I'm almost ready to blow on out of here and not come back for several days.
Great midwife visit this afternoon. All's well on every front: my 28-week labs were "absolutely perfect," my blood pressure (116/74) is "beautiful," my weight gain (a pound a week since the last visit) is "ideal," my fundal measurement (30 cm from the pubic bone to the top of the uterus) "shows the baby's been reading the pregnancy books," and the Niblet's heartbeat "sounds great."
But! That's not all! I saw the senior midwife today, Kathy, the one who's had her midwifery license since the year I was born. For various reasons, it's the first time I've seen her for a prenatal appointment since the first one, although we've had several phone consults. I took the opportunity to ask her the question that's been burning in my mind.
Those of you who have been reading my LJ since my first pregnancy may remember that, given the pelvic abnormalities I have from my birth defect and various well-meaning attempts to correct it, Kathy was pretty discouraging about my chances of having a natural delivery. She put my C-section risk at "greater than 50%," and was so unsure that my weird pelvis would let a baby pass through that she suggested we consider inducing before dates to make sure the baby stayed small. And this is a very non-interventionist midwife, mind you, so those are probably the best odds we would've been quoted by anyone. But then, of course, I went on and had a beautiful, unmedicated, natural delivery of a 8.25-pound baby (almost a pound over average size) at 41 weeks and 1 day.
So as I prepare to give birth again, I've been wondering: did I just get lucky last time? Did I have the world's best midwife, who heroically worked the baby around the weirdness in my pelvis with positioning and so forth and won me a natural delivery I would not otherwise have had? Or was my situation not as messed-up as both a pelvic exam and my X-rays made it appear?
So tonight I gathered my courage and asked. And her answer was surprisingly optimistic. She said that Alex's birth demonstrates that a baby is able to get through my pelvis, and that with a second birth we would expect more pelvic widening and an easier passage than the first time around. Of course she warned that if the baby is large or if the head doesn't tuck right to get past the pelvic obstruction, I might still run into problems. But she doesn't see why I should expect that I won't be able to have a similar birth to my first. What about Julie's unbelievably phenomenal baby-maneuvering skills? Don't worry, we all do that, she said.
I am so happy. I haven't been feeling as awful about the prospect of a C-section as I did the first time around - I certainly don't want one, but I've already gotten to have the experience of a natural labor and delivery, and I don't think I'd feel totally bereft if I didn't get to do it again. But I'm so, so happy that Kathy doesn't think I'm especially high-risk. I was hesitant to ask because I figured she'd tell me there was no way of knowing, it could've just been luck, et cetera. The answer she gave me instead feels like such great news.
I will be thankful tomorrow, indeed.
...Well, my clothes are packed. I still need to assemble trifling things like entertainment and medicine and directions and plans. But how much could that all matter? The important thing is that I'm almost ready to blow on out of here and not come back for several days.
Great midwife visit this afternoon. All's well on every front: my 28-week labs were "absolutely perfect," my blood pressure (116/74) is "beautiful," my weight gain (a pound a week since the last visit) is "ideal," my fundal measurement (30 cm from the pubic bone to the top of the uterus) "shows the baby's been reading the pregnancy books," and the Niblet's heartbeat "sounds great."
But! That's not all! I saw the senior midwife today, Kathy, the one who's had her midwifery license since the year I was born. For various reasons, it's the first time I've seen her for a prenatal appointment since the first one, although we've had several phone consults. I took the opportunity to ask her the question that's been burning in my mind.
Those of you who have been reading my LJ since my first pregnancy may remember that, given the pelvic abnormalities I have from my birth defect and various well-meaning attempts to correct it, Kathy was pretty discouraging about my chances of having a natural delivery. She put my C-section risk at "greater than 50%," and was so unsure that my weird pelvis would let a baby pass through that she suggested we consider inducing before dates to make sure the baby stayed small. And this is a very non-interventionist midwife, mind you, so those are probably the best odds we would've been quoted by anyone. But then, of course, I went on and had a beautiful, unmedicated, natural delivery of a 8.25-pound baby (almost a pound over average size) at 41 weeks and 1 day.
So as I prepare to give birth again, I've been wondering: did I just get lucky last time? Did I have the world's best midwife, who heroically worked the baby around the weirdness in my pelvis with positioning and so forth and won me a natural delivery I would not otherwise have had? Or was my situation not as messed-up as both a pelvic exam and my X-rays made it appear?
So tonight I gathered my courage and asked. And her answer was surprisingly optimistic. She said that Alex's birth demonstrates that a baby is able to get through my pelvis, and that with a second birth we would expect more pelvic widening and an easier passage than the first time around. Of course she warned that if the baby is large or if the head doesn't tuck right to get past the pelvic obstruction, I might still run into problems. But she doesn't see why I should expect that I won't be able to have a similar birth to my first. What about Julie's unbelievably phenomenal baby-maneuvering skills? Don't worry, we all do that, she said.
I am so happy. I haven't been feeling as awful about the prospect of a C-section as I did the first time around - I certainly don't want one, but I've already gotten to have the experience of a natural labor and delivery, and I don't think I'd feel totally bereft if I didn't get to do it again. But I'm so, so happy that Kathy doesn't think I'm especially high-risk. I was hesitant to ask because I figured she'd tell me there was no way of knowing, it could've just been luck, et cetera. The answer she gave me instead feels like such great news.
I will be thankful tomorrow, indeed.