Monday, May 31, 2010

What is bed rest?

After a Facebook exchange with a friend, I got to thinking that perhaps this would be a good question to address in my blog. Having posted about spending some time in the pool, said friend asked a perfectly innocent question about the rules of bed rest and swimming. Of course after my last week with the now infamous buttinsky, I may have been feeling a bit sensitive and may have gone on the defensive. (Sorry friend!) After our exchange it occurred to me that said friend (and anyone else for that matter) doesn't have any reason to know what is and isn't allowed. So I decided to address it here. Of course, I am not a doctor and everything I am about to write comes strictly from my own experience and from what I've read on various online bed rest communities. Take everything I say with a grain of salt.

What is bed rest? What is and isn't allowed? As far as I can tell there are three different forms of bed rest (there may be more). The first seems like the worst kind, strict hospital bed rest. Having never experienced if myself I can only give you a small picture of what it is like and may actually be completely wrong, feel free to correct me if I am. From what I understand the lucky individual on strict hospital bed rest lives in the hospital and is either not allowed out of bed at all (think bedpans and sponge baths) or is allowed out sparingly with the help of nurses. They are allowed out for the bathroom and maybe a shower once or twice a week. Sounds like fun, no?

Next we have the close relative of strict hospital bed rest, strict at-home bed rest. The lucky strict bed resters have slightly varying degrees of restrictions, but for the most part are required to remain flat, on their left side, for 90% of the day. They are allowed to get up for the bathroom and a shower 1-3 times a week. Food and water need to be brought to them and they are not supposed to sit up. The point being to take the pressure off of the cervix and in some ways counteract gravity. If these lucky individuals live in a two-story home many of them will not be allowed to climb the stairs meaning they will either live in their bed upstairs or on their couch downstairs.

Finally we have my category, modified bed rest. This kind of bed rest seems to have the most variations. I strongly suspect that the restrictions you are given depends not only on your particular issues, but on the doctor placing you on bed rest. I have seen people on modified bed rest with a wide variety of restrictions. These range from "stay reclined/seated most of the day and try to only get up for food, water, bathroom and the occasional/daily shower" to "try to stay off your feet and relax for at least four hours a day." I envy the latter group as I fall a little closer to the "sit all day" end of the spectrum.

Now that you have a general picture of the types of bed rest out there I will tell you a little about what my particular restrictions are. Over the last 7-8 weeks things have changed a little. In the beginning, when I was contracting every 2-4 minutes and was 50% effaced I was pretty much stuck on the couch all day. I got up for the bathroom and the occasional snack, but that was it. After several weeks my cervix returned to normal and the contractions, although still very frequent, were not quite as regular. Now I spend most of my days sitting in my recliner, but have been encouraged by the doctor to engage in very light activities at least a few times a week. Getting up and moving around helps to promote blood circulation and prevent blood clots in the legs. Because of this I get to do small activities here and there, like loading the dishwasher (how thrilling!), making dinner, walking to the mailbox, driving myself to doctor's appointments, running a quick errand and even floating around in the pool (floating only, no swimming!). Although I am allowed to certain activities there are definite no-no's; lifting heavy objects, running, jumping and the best part... I'm on pelvic rest. If the words "pelvic rest" aren't self-explanatory well then too bad, you can just google it because I'm not explaining it.

Seems like a lot right? Don't worry, I never do all of these things in one day. Depending on the level of the activity I may only do one or two of those things and then I sit right back down on my bed rest throne. I am also charged with the responsibility of listening to my own body. If at any time any of those activities begin to wear me out or in any way increase my contractions I have to stop what I am doing and rest. At this point I'm pretty good and telling what will and won't work for me. For instance, frequently loading the dishwasher is just too much for my poor little bed ridden body to take. The pool however is a completely different story. ;)

Saturday, May 29, 2010

33 Week Survey

How far along: 33 weeks!! 7 weeks to go until the due date!

Total weight gain/loss: +24lbs - after they weighed me they took my blood pressure. It was high. Coincidence? Hmmm.

Maternity clothes: Yes, definitely. I live in Target maternity tank tops. Although today I get to debut my pretty maternity dress.

Stretch marks: Not yet. I still check every day. I assumed I would get them since I a lot of old one from my growth spurt as a teen.

Sleep: TERRIBLE!! I wake up every. single. hour. to pee. It sucks!

Best moment this week: Husband coming home last night, we ate a tasty dinner and watched old movies together by the fire.

Movement: Yes, and lots of it. He's recently started kicking my ribs. Isn't that sweet of him?

Food cravings: I get random cravings. This week it was a bagel with cream cheese

Gender: Boy

Labor Signs: Still having a lot of contractions, but they aren't really doing much other than annoying me.

Belly Button in or out: We're still in belly button limbo. The top half is kind of poking out and the bottom half is still very much in.

What I miss: Sleep. I think it would be a miracle if I could sleep through the night. Or even if I could just go back to getting up once or twice.

What I am looking forward to: Still need to get that prenatal massage and my first baby shower is today.

Other Updates: I went to the doctor yesterday. She said that was the last time they would be doing the fetal fibronectin test. I was checked and my cervix still looked good, closed and high, although it's in a posterior position so it was hard for her to feel. I really wanted her to check with the ultrasound, but she said she didn't need to. So here we are. Hopefully coming to the end of bed rest within the next 3 or 4 weeks. Very exciting!

Friday, May 28, 2010

No Buttinskies Allowed

Occasionally in life people offer up unsolicited advice that makes you wonder 1. what crawled up their patootie and 2. who made them the boss? Sometimes these people might be in your own close circle of family or friends and other times it can come from a complete stranger. Either way, when receiving said "advice" you are bound to feel just a little irked. If you're a rational human being, and the advice doesn't turn in to down right pestering you might be able to blow it off. Smile on the outside, roll your eyes when the person isn't looking (maybe even stick your toungue out at them behind their back?) and move on with your life. Now imagine being seven month pregnant, on bed rest, running on very little sleep, and a mountain of stress threatening to come crashing down on you at any moment then receiving said unsolicited advice over and over and over. What do you do? How do you act? Do you still brush it off. Be the bigger person? Or do you totally flip your #&%@$ lid? You be the judge...

Being pregnant seems to make people think they have free reign to make comments about you and your personal life. It's an interesting phenomenon really. Buying a quart of ice cream at the grocery store pre-pregnancy? No problem. No one bats and eyelash. Try doing it while pregnant. I hear the result can be pretty brutal. Crazy old ladies telling you you are killing your baby. Cranky mothers whispering about how you'll never lose the weight that way. It's enough to make you want to throw the ice cream at their heads and run away crying (*note - not an actual experience of mine, but believe me, it happens). Having been on bed rest for the last seven weeks I have limited experience with the morons of the world, but believe me even I have had my fair share.

Prior to the bed rest I took Husband's car to Jiffy Lube for an oil change. That day there was a new woman working behind the counter. As soon as she honed in on my belly the "advice" started pouring out: don't hold him too much; give him honey water to help him sleep; make sure to breastfeed; give him cereal before he's six months, I did it with my boys and they are strapping young men! On and on it went. The longest twenty minute oil change of my life. I stood there, grinning and bearing as best I could until finally my car was done. I grabbed my paperwork and made a dash for the door before she could tell me to give the baby a little whiskey to help soothe him.

Luckily that was pretty much the extent of my experience with buttinskies, that is it was until I was put on bed rest. We have really been blessed to have so much help offered to us during such a stressful time. The people from our church have been amazing. They come by for visits, to clean, to bring meals by and who can forget the great unpacking debacle?? It has been really nice. Really. I promise. That said, recently one particularly nosy woman, a few years older than me (so apparently that much wiser) has started to put her little nose where it doesn't belong. I think it all started with the best of intentions (you know what they say about the road to hell and good intentions right?) so I've excused it. When you are stuck at home and people are volunteering to take care of you the least you can do is sit patiently and listen to their advice, no matter how ridiculous.

What do you do when the advice starts to become judgments though? "You drive yourself to your doctor's appointments?? Why doesn't Husband take you?" Followed by a disapproving look only a mom can give you. "Husband is going out of town for work for the day? Well I guess I'll have to stop by to check on you." Ummm, nobody's twisting your arm. I'm fine. "Did you take it easy this weekend?" Yep, sat around by the pool and went church, it was very relaxing. "Oh, so you didn't take it easy then?" More disapproving looks.

Jeez, you would think that I'm up running marathons or something! I have tried gently reminding her that I am on modified bed rest, not strict and that my doctor has approved light activity. In fact, the doctor has said I can do way more than I actually do, I'm just being extremely cautious. Then the comments about Husband not taking care of me... that's where I draw the line. Husband has been the most attentive person around. He works 12+ hours a day, comes home and helps me finish cooking. He cleans on the weekends and runs all of our errands. He brings me water and rubs my back. He is the best. Seriously. And if you try to imply otherwise I might kick you!

Still, I continue to ignore the judgments. She's concerned. She trying to help. She's not meaning to be annoying and rude. It's ok... Breathe... Then the final straw. It started off a normal conversation about pediatricians. If you take a look at my earlier post with the list of things to do, you will see "find a pediatrician" listed in bold. At 32 weeks it is an important item, but not urgent. As soon as she found out I hadn't found one yet she started in. "You really need to get on that! I have a great pediatrician. It's important to interview them to make sure it's a good fit. You NEED to take care of it!!!" You would have thought her head was going to explode. I calmly explained to her that I had in fact researched two different pediatric groups in our area and was planning on contacting them within the next week. She visibly relaxed then asked if I would like her to make of copy of the questions from her old pregnancy organizer. - Do they really make those?? What's to organize? - I said that would be nice and then the conversation moved on to less tense topics. That afternoon after she left I made two appointments with pediatricians. Yay, another thing to scratch off my list!

The next day, I find an envelope shoved into the door frame. When it falls to the ground I pick it up and examine it. What do you think is inside?? Sure enough, a copy of the questions with a note attached. "I think finding a pediatrician is something you want to sort out asap." OK, seriously 1. what crawled up your patootie? and 2. who the heck made you the boss of me?? BACK THE %$@# OFF!!!!!!

So, what would you do? Buttinskies are everywhere. You can't escape them. Do you blow your top and let them have it? Or do you continue to stick your tongue out at them behind their backs (or maybe you're more of a "give them the finger" type)? For now, I use my computer and the oh so generous ear of Husband to vent my frustrations so that I can continue to smile at the buttinskies of the world. Don't blame me though if these pregnancy hormones one day get the best of me. :)

Tuesday, May 25, 2010

Pediatrician Interviews

Apparently all I needed to do was complain about how I have blogger's block to get unblocked. Who says complaining isn't useful??

With approval from my doctor I will be taking about a half hour out of my Wednesday and Thursday next week to interview two pediatricians. I was going to take the slacker route and just take whoever is at the hospital when I go in to labor, but then a nosy mom got super nosy and pushed me to actually do the interviews. So, like an obedient little novice, I have scheduled the appointments. I'm hoping one of them doesn't suck. To make sure I remember everything I have compiled a list (four pages) of questions to ask the doctor/staff/myself. Yep I plan on grilling those suckers. I won't let just anyone handle my little man. Clearly he needs the best that pediatrics has to offer!

In case you are interested I have included the questions here. I'm giving fair warning; it's pretty long so you might fall asleep reading it. Some of the questions were taken from babycenter.com, but I adapted several of them to fit my needs and added a few of my own, including the rating section at the end. I figure I might as well post it in case someone else is looking for questions to ask.

Name of doctor:

Name of practice:

Location:

Phone:

How did you hear of this doctor?


About the Practice - Questions For The Staff

1. Do you take (name of insurance)?

2. Is this a solo or group practice? solo / group
  • If group, how often will we see other doctors in the practice?
3. How long has this doctor been in practice? ______ years

4. Does the doctor have any subspecialties?

5. What are your hours?

6. What evening or weekend hours are available?

7. How will we reach you if my child gets sick after hours?

8. How can I reach the doctor in an emergency?

9. When the doctor's not on call, who covers?

10. Which hospitals is the doctor affiliated with?

11. Does the practice have a Web site? yes / no
* If so, what's the URL?

12. How does the practice handle payments, billing, laboratory charges, and insurance claims?


Questions For The Doctor

1. Where are your views on:
  • bottle vs. breast-feeding
  • circumcision
  • immunizations/vaccinations (delayed schedule?)
  • getting babies to sleep (Cry It Out, etc.?)
  • Attachment Parenting/4th Trimester
  • Holistic/Alternative Medicine?
2. Does your practice encourage parents to call for routine/non-emergency questions? yes/no

3. Do you communicate via e-mail? yes / no

4. Do you see newborns in the hospital or at the first office visit?

5. If I go in to preterm labor will you be taking care of the baby at the hospital?

6. Will you be available for discussions about my child's behavioral developments (discipline issues, social development, ADD/ADHD, etc.)? yes / no

7. What do you like best about your job?


Questions to Ask Yourself

1. Was everything clean? yes / no

2. Is the waiting room pleasant and kid-friendly? yes / no

3. Were toys and books available to occupy your child? yes / no

4. Were the office staff and nurses helpful and patient? yes / no

5. How long were you kept waiting?
  • In the waiting room?
  • In the exam room?

6. Is there a chair in the room for the doctor? yes / no (This is important to me because it indicates whether or not the doctor takes time to actually sit with the patient vs. get out as quickly as possible).

7. Does the doctor seem to welcome questions? yes / no

8. Does the doctor seem to know about the latest medical advances? yes / no

9. Is the doctor's style of communication a good fit with yours? yes / no

10. Is the doctor more inclined to give you directions or offer you options? directions / options

11. Did you feel comfortable with the doctor? yes / no

12. Was parking readily available? yes / no

13. Is there a separate waiting area for sick vs well children? yes/no

14. Does the doctor respect my religious beliefs?

Rate:

Office Staff Overall Friendliness

1 2 3 4 5 6 7 8 9 10

Doctor Overall Friendliness

1 2 3 4 5 6 7 8 9 10

Office Atmosphere

1 2 3 4 5 6 7 8 9 10

Doctor’s Knowledge/Experience

1 2 3 4 5 6 7 8 9 10

Our Beautiful Boy

I almost forgot! We did get a 3D/4D ultrasound done for Husband's 30th birthday. We had one done a while ago around 23 weeks before the great bed rest debacle and we were excited to see how much he has grown. He was absolutely perfect and quite the little ham. Here are a few pictures for your enjoyment.

Our little sleepy boy at 31 weeks.



Blowing us a a kiss.

Licking his umbilical cord. MMMM...


Silly duck face baby.



The view from the outside (32 weeks).



Can't wait to meet our beautiful boy!

Blogger's Block

Is that a thing? Like writer's block? If it is I certainly have it. I have nothing to say. Maybe that's what six plus weeks of bed rest will do to a person, I don't know. It's not really due to a lack of topics. I have had plenty of things going on in my world worthy of entire blog posts and yet I'm just not inspired. I could tell you about our "vacation" that wasn't but I think that's one of those things you laugh about later and "later" hasn't come yet. I could tell you about my loved one who had surgery but I really don't feel like talking about that. Or there are the more light and fluffy topics like why I hate "Your Pregnancy Week By Week" which should really be called "101 Ways Your Baby Could Die." I'm guessing they wouldn't get as many buyers with a title like that though. Or maybe a post about the crib renovation and my thoughts on whether or not a crib from the early 80's with a drop side is safe. Hmmm. Yeah, no, not inspired. So instead I leave you with this... enjoy!

Saturday, May 22, 2010

32 Week Survey

How far along: 32 weeks!! This is a major bed rest milestone. Grow baby grow!

Total weight gain/loss: +20lbs at the last doctor's appointment. I don't weigh myself in between.

Maternity clothes: Yes, definitely. I live in Target maternity tank tops.

Stretch marks: Not yet. Let's hope I can make it eight more weeks.

Sleep: Poor. Very very poor. Getting out of bed is becoming more and more difficult.

Best moment this week: Seeing our little man on a 3-D ultrasound and Husbands 30th birthday.

Movement: Yes, and lots of it. He's recently started kicking my ribs. Isn't that sweet of him?

Food cravings: I like food. All of it.

Gender: Boy

Labor Signs: Still having a lot of contractions, but they aren't really doing much other than annoying me.

Belly Button in or out: We're still in belly button limbo. The top half is kind of poking out and the bottom half is still very much in.

What I miss: Wine, coffee, sleep.

What I am looking forward to: A prenatal massage and a hair appointment. Also my first baby shower is next weekend! Yay!

Other Updates: Lots going on on, too much to update here. I will post about all my adventures later this week. I'm sure you will all be waiting with bated breath.