At the hospital Saturday the nurse asked if I had a written birth plan. Suffering too much for sarcasm, I just said no and left it there. But now here’s my thought, “Do I need one?” A friend wrote a plan for a subsequent birth that included a brief description of her loss of her first son. I considered one, and talked a few weeks ago with Dr. K about it. But when thinking of a term birth it seems extraneous. One of the advantages of New over Old Hospital was that more than likely Dr. K would deliver, or one of her partners would. All of whom know me, and all of whom share the desire for unmedicated vaginal births if that’s what the parents want. But, all of whom also recognize that desire one is living baby and know I will instantly change the plan if necessary. It’s a personal-enough environment to make the document sort of silly. My desires have already been communicated clearly.
Now, however, it seems the birth might be early and at Old Hospital. Is there a reason for a birth plan for a premature birth? I’m going to have a small army of doctors, residents, and possibly med students in that room, most of whom I’ll have probably never seen before.
The doctors at Old Hospital all read the chart it seems – in that no doctor has come into the room unaware of my history and that we’ve lost a son. The nurses are another matter [Why is that? I thought the stereotype was that nurses were supposed to be focused on the patient, doctors on the condition?]. Given the numbers of possible strangers I could have standing at my vagina, it seems like a birth plan might be helpful. But at the same time, a premature birth is sort of an emergency (caveat to birth plan #1 – nothing on it trumps the desire for a live baby) so I’m not all that sure it matters. If it’s going to be vaginal, I’m going to not want meds because I’ll want it fast & knowing my reaction to anesthesia I’m sure I’ll be the woman whose labor is slowed down by it. I will lose my mind if this baby gets stuck in the birth canal even if it is no big deal. But I’ll be perfectly happy to have an IV inserted or whatever in case of the need for an emergency caesarian.
Any thoughts? Is there anyway to plan for a premature birth?
We had a doctor’s appointment this morning. No cervical measurement because it was stable this weekend and Dr. K thinks it’s best to keep implements out of that area as much as possible. I’m fine with that for now – knowing the exact length of my cervix isn’t going to change anything about management. We’re just waiting for labor at this point. I told her what the doc had said Saturday about 34 being possible but probably not 37 weeks, and she responded that really anything is possible. I could lay here with no changes indefinitely. If I deliver between 30-34 it will be in an operating room and I will need an IV but no epidural. The team will be bigger than with a term delivery, but not as large as the one present for a 24-30 week delivery.
I think the kidney stone is still trying to work its way out. Pain is less, but I’m having some sensations I’d describe as strange in that area. One fairly bad attack while I was sleeping last night, but it woke me up from a nightmare where I was being chased by a giant placenta monster in a shopping mall while I was trying to kill Volde.mort with a spell for chicken pox, so that was okay. For Harry Potter fans, I was also trying the ava.da ked.avra on the placenta monster and Vol.demort but apparently I’m not evil enough because it didn’t work. My chicken pox were quite effective though.
I lost 3 pounds since Wednesday. Probably due to all the flipping water I’m drinking plus the fact that abdominal pain and eating don’t go well together. That’s not bad, but not good either so I had a fatty lunch. Of course, that’s wonderful for the 3rd trimester heartburn. I’m actually grateful for the chance to complain about normal pregnancy issues.
If things continue quietly here for a few more days, maybe I’ll try for a thoughtful post.
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