Thursday, December 29, 2011

Tuesday, December 27, 2011

Our Birth Plan: The Second Time Around

When thinking through a birth plan when I was pregnant with Asher, it was more of a non-plan birth plan. I wanted Asher here safely and I didn't have much of a preference of how it went down. I was totally open to pain medication and induction was fine by me, too.

Well, after a whirlwind of a birth and a long recovery from a c-section, I put a lot of thought into what we'd like this time around. Keeping in mind what truly matters is a safe, healthy baby and delivery.

First things first, I changed OBGYNs. I wasn't thrilled with 90% of my experience with my first OBGYN practice and swapped over when I found out we were expecting this time. So far, so good.

At my first visit, they began discussing my options and they have continued to discuss them and answer my questions at each visit. Today, at my 32 week appointment, I officially told them my plan is to attempt a VBAC. Sure, the idea of scheduling a c-section at 39 weeks sounds appealing (think: plan in place, date known, no being overdue, etc.).

But, recovering from a c-section again sounds appalling. And, my OB said that after two c-sections they wouldn't encourage a VBAC - so this is my chance to have a vaginal birth, which I really want to experience. And, they also said they wouldn't recommend more than three c-sections (nor would some of them even agree to perform one at that point).

Now, I'm not family planning four children over here (not yet anyway), but I don't like the idea of a c-section being the reason I cannot have more kids, or as many kids as we may decide we'd like to have. I also don't like the idea of each surgery carrying more risk. I have enough to stress about over here.

So, I asked around. Talked things over with Rusty. Did some reading. Weighed the pros and cons. Talked with all of the doctors in my new practice. And, today, they wrote in my chart: VBAC.

I feel good about this. I have a good feeling we'll be successful with a VBAC. (I also have a good feeling I'll be running to them at 39 weeks begging to schedule a c-section to get this baby out of me. But, writing this should help hold me accountable.)

Here's our current plan:

  • Allow my body to go into labor naturally. (Pray my body goes into labor naturally.)
  • Have a home birth. JUST KIDDING. I think the idea of a home birth is beautiful for some, but just not for me. Really, I am open to an epidural and pain control and plan to use as needed.
  • Continue my chiropractic adjustments weekly. My chiropractor has experience with VBAC mommas and has seen correct alignment prove to be helpful with VBAC deliveries. Given the fact that my pubic bone was separating so early and my pelvis was out of line, I'm hoping that having her adjust me will put me in a better place for contractions that are productive this time around.
  • Keep active. Try to prevent the swelling nightmare from the first time around. Walk walk walk, which will help with previous item, too. Well, and chasing Asher and climbing stairs daily will help.
  • Do not schedule a c-section until 41 weeks, and then only if I feel like that's the appropriate route. My OBGYN will not induce me since I had a c-section with Asher. So, I'm not interested in being forever overdue, miserable and end up in an emergency c-section situation.
  • Research doula support as a supplement to our labor experience. I actually began this process officially today and realized that I'm very late to the ballgame. I don't think I'll be able to find a qualified, experienced doula at such late notice. In the cost department, Rusty was not so thrilled, but I've had several friends mention the positive experience that the doula was able to provide them during their labor and deliveries. It'd be great to maybe even find a new doula in the area that's looking for clients or visibility and work out a blog/doula swap off. Either way, though, I may have missed the boat on this one. 
  • Have a plan in place for Asher and Rusty. Come to peace with the fact that if there is some crazy flu outbreak at the time of delivery, I may not be able to see Asher while at the birth center. Use this as fuel for my VBAC fire (less time at hospital).
  • Remind myself to take my Zoloft to delivery and pop that pill ASAP following birth. Also, remind myself that my body may have a much better time recovering and dealing with delivery and postpartum hormones if I can manage a VBAC. We've even talked about placenta encapsulation over here as a means to help me in my postpartum recovery. The idea kind of makes me gag to myself, but in reading about the benefits and the research behind it all, there does seem to be something to it. I don't think Rusty will ever officially agree to it, but it is something we are researching. 
  • Realize that this is not all in my control. I can pray about it. I can prepare for whatever may happen. And I can be proud of growing this baby thus far and even more proud when I see his sweet face for the first time - no matter how we get to that meeting. 
So that, my friends, is our plan this time around. Please pray for a safe delivery and a healthy baby. And pray that God's will be done along the way. 

Thursday, December 22, 2011

Losing his lap

Slowly, my lap is running out of room for the Asher man. He will back his way up and plop down and squeeze in. And then, bless him, he will try to lean back and relax. It's like leaning back around an exercise ball and calling it cozy - not likely.

It makes me sad. Does he understand what's going on? Is he missing the way it used to be? So many changes ahead for him. I just hope we all handle it well and Asher just feels the expansion of love when his brother arrives.

Friday, December 9, 2011

Random Ramblings

And, I mean random. But here are some things that keep popping into my head.

  • Christmas decorations are fantastic. I heard people griping that they were up around Halloween, but  honestly, I didn't mind at all. I love Christmas and all things Christmas and I think such an important and beautiful holiday deserves more than just 30 days of decorating. Granted, I know a lot of places are trying to 'make money' off the holiday, but I enjoy seeing trees and sparkly wintry things hanging from the ceiling at Target even when I'm shopping for bleach in the first of November. I like the wreaths on the light poles and the bows on the railings. Bring it on, I say!
  • I'm so tired of hearing about the Elf on the Shelf. I get it, and yes I think it's pretty neat. But, I'm going to try not to give into that. First of all, it's everywhere. Movies and books and this and that. I think more focus on Christmas belongs on baby Jesus and the true meaning of the holiday. Not an elf on a shelf trying to make kids behave. Of course, when my kid continues his tantrums and terrible two-ness next year I could revisit this stance. But, mostly, I want the focus in our family to remain on the birth of Jesus, as much as possible. That is all.
  • Santa diapers are awesome.
  • I slacked on our Advent calendaring this year. I know, this kind of goes against random thought #2. But, I'm pregnant and that entitles me to being a little too tired. My mom and I gathered Christmas and holiday books - one for each day of the month. The plan was to wrap each of them, open one every night and read it together as family. Next year, we'd do the same with the same book collection. And the tradition would repeat itself over the years. Except, December 1st came really fast and the only presents (four of them) wrapped in this entire house are the ones my sweet mom wrapped for me weeks ago. So, to sit down and wrap 25 books just wasn't happening. Instead, I have the adorable wooden sled that Rusty's Granddad made overflowing with our Christmas books and we read them when we can. Sometimes, over and over and over when Asher finds one he likes. We'll regroup on this next year.
  • I feel large. And I get winded so easily. The stairs are a pain in my hind parts and bending over to pick up toys is not pleasant. But, I do believe said activities are helping keep the swelling down. Knock on wood.
  • Hmm, what else did I want to ramble about? 
  • I'm hungry again. 
  • Have I expressed how the humidifier is my child's favorite toy ever? Or gadget, since we don't advocate it as a toy. We use it most every night because my kid can snort and snore like an adult. And the thrill of his night every night is filling it up and turning it on. I'm serious, ya'll. 
  • Currently, my favorite thing that Asher says is: "Ere-it-is". Read: There it is. And he says it in context. And it's fantastic.
  • Currently what he says too much and in repetition and in repetition and in repetition and in repetition that drives me crazy: Uh oh uh oh uh oh uh oh uh oh. Loon loon loon loon loon loon. Pasay pasay pasay pasay pasay. Uh oh uh oh uh oh uh oh uh oh.  No no no no no no no no no no no no no.
  • Today, we were listening to the Trans Siberian Orchestra. Asher was eating his fruit calmly and one of the songs crescendo'ed to a loud, active, rocking part. Asher threw his hands up like he was conducting the orchestra and started dancing. Just when I thought my kid couldn't get any cooler, he went and did that.
  • I'm going to stop rambling now, take my Ambien and go to bed. Night night!
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