Warning: The post you are about to read contains the words placenta and uterine. If you feel this is TMI, do not continue reading!
Even though we haven't mentioned it in awhile, we really are having a baby. And we really are excited about it. Although many people wouldn't plan on having a fourth baby (certainly not a 4th c-section), we did. But we do plan on it being our last. As much as we love children and love having children, this is it for us. And while this pregnancy has been really good, it has had just enough worries that we are certain it's time for us to stop.
One major concern we had was the position of my placenta. It is low lying and anterior. For most people that is not a big deal, but because I've had 3 c-sections there were some added risks. One risk is that of placenta accreta, where the placenta attaches too deeply to the uterine wall. This can lead to lots of complications including premature delivery, hemorrhaging, and hysterectomy. The other thing we were worried about was the possibility of having to cut through the placenta to delivery the baby. Thankfully, at 28 weeks, an ultrasound confirmed that my placenta had moved up enough that it should no longer overlap my previous c-section scars and we are no longer concerned about those risks.
At present we are worried about my platelets. Apparently they are low. From what my doctor tells me, normal is about 150, dangerous is about 50, and at my last blood draw I was at 130. We are now monitoring my platelets every few weeks to see if they are dropping and how fast. If they continue to drop below what the anesthesiologist feels is safe (maybe around 100), I won't be able to have an epidural for my c-section. The risks of having an epidural with low platelets include blood clots in the spinal cord, which could result in paralysis. Not good. So for me that would mean having a baby under general anesthesia. Not ideal. Ryan wouldn't be allowed in the OR for delivery and I would go to sleep pregnant and wake up not pregnant. Weird. Also, because we don't know the sex of the baby, I would probably be the last to know, by the time I woke up from the anesthesia. While this isn't as unpleasant as placenta accreta, it is certainly not what I want. We won't know if I'm having an epidural or general anesthesia until the morning of delivery, currently scheduled for June 30th.
Since there isn't anything we can do about my platelets, other than pray, we needed to come up with a plan that we were both comfortable with in regards to finding out the sex of the baby. We are both kind of old fashioned and don't like to find out until that magical moment when the doctor holds the baby up and says, "It's a girl!" or "It's a boy!" We waited with our other kids and the moment did not disappoint. But if I am going to be sleeping through it and Ryan will be waiting in the waiting room, the moment seems a little less magical. But we didn't want to find out now, either, and then end up having everything go as planned and then already know what we're having. After much brainstorming, we decided to have a 3D ultrasound and have the technician determine the sex of the baby but not tell us. She printed a picture and sealed it in an envelope. If the morning of the c-section we find out that I have to have general anesthesia, we will ask for some private time together and open the envelope. If my platelets don't drop and we have an epidural, we won't know until they hold that baby up and we can see for ourselves. That's the plan. Ryan hid the envelope (because he doesn't trust me or Jaida) and we both signed the envelope along the seal so we will know if it has been tampered with. This is serious business!
Below are a few pictures to let you see how things are progressing. With less than six weeks to go, I'm feeling pretty good. Starting to get a little more tired, a little more clumsy, and definitely waddling more. But I'm trying to enjoy every moment, relish every kick, and memorize what it feels like to have a child inside of me. I know too well that it goes by too fast and the next six weeks will be over before I know it. I am very excited about meeting this little person, but I can wait. Even the waiting is a blessing.
Ultrasound at 20 weeks
24 weeks pregnant
32 weeks pregnant
Baby in 3D ultrasound at 33 weeks
5 comments:
That compromise sounds great! I hope that you are able to both find out together when he/she emerges but it never hurts to have a Plan B in mind. ;)
Ok I am going on record and calling this little angel a GIRL! In comparing the two preggo pics I've gotta say I'm strongly leaning towards girl! ;)
I can't to meet her!
oops...forgot to add how fabulous your looking....love that blue color on you!
Pam, you look amazing! You are beautiful and I love reading your updates. We'll be visiting this summer when Jennie is in town! Take care of yourself and try to stay cool in this hot hot weather we have!!
I love how resourceful you guys are! Keeping my fingers crossed for a boy to bring some balance to the household, but secretely I hope its a girl because I need to buy little girls stuff, it's just so much cutter!
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