Friday, January 23, 2009

Foiled again

So seriously, why does every medical professional think that having T1 diabetes makes you some sort of high risk patient when you're pregnant? Ugh!

I went to the new clinic that I talked about in a previous blog entry. During the intake appointment everything was going fine, until the intake nurse asked what provider there I would like. I told her that I wanted a midwife, that I planned on having a waterbirth and that's why I was there. I let her know that one of my MDC friends told me about her rotation there and that they have great waterbirthing facilities. I guess that's when she checked my chart and realized that I'm a T1.

Her response, "Oh you're a T1... we don't allow people with T1 to have waterbirths." Um, what??? I explained that the friend of mine had told me that being a T1 wouldn't risk me out of having a waterbirth with them and that I would love the care I receive with these midwives/OBs. She was very adamant that I must be mistaken and that no diabetic had ever had been allowed a waterbirth. They've been allowed to labor in the water but *must* get out to birth.

I am sadly discouraged now. I think it's now time to take a serious look at unassisted homebirth. I can go and get my OB and perinatologist care, but just have the baby at home. My labors are so easy and fast, so unless there's anything showing on a test from the peri, I may just try to coax the baby out around 39 weeks... I don't think Troy will have a problem with trying the "natural induction methods" like, um, sex and nipple stimulation...! After the baby is born, I'd probably have Troy drive us to the hospital just to get checked out. Sometimes babies of diabetics have low blood sugars, I can check that at home, but I think I'd feel comfortable with having a doc check us out. That would also make it easier to get a birth certificate and social security card. :p

Why can't doctors stay out of the birthing process? Maybe I should fight the OBs on waterbirthing, making it easier for T1s to do so if they want. I dunno...

Friday, January 16, 2009

What an interesting conversation. She had apparently gotten a note from the front desk staff letting her know that I requested copies of my records to take with me to the midwifery office next Wednesday. I had arranged with the OB's staff to pick up the records next Tuesday.

Anyhow, Dr. S starts talking about how she doesn't want to lose me as a patient, she wants to make sure I'll be in a good OB's hands, etc. I told her that I'm planning on going to St. Joe's since they allow waterbirths. She seemed okay with that, but really didn't want me to leave her practice. Interesting, since she wouldn't "take" me as a patient until a perinatologist told her it was okay. Sheesh.

I think OBs are getting scared here in WA. Lots of malpractice claims going on, lots of interventions done, tons of c-sections. None of them want you to go into labor on your own, they all want to induce. It's total craziness.

Of course, in order to guarantee myself a waterbirth, I'll probably have to be induced. I hate that, but as long as they only use pit, I'll be fine. Pit works on me, I had it with Tania. I don't want to be induced before 39 weeks though, as I think that's when my babies are best cooked. :)

Tuesday, January 13, 2009

A small victory

I had asked around MDC if any of the birth professionals there knew of any water birth friendly hospitals near where we live. For a few responses I got mostly the standard response that there are none. All of them will let you labor in the jacuzzis, but none will actually allow you to give birth in one of the tub itself. All of a sudden I got a response from someone who did a rotation at St. Joseph's in Tacoma. She told me that they have two "spa suites" where they allow you to birth in the jacuzzis. OMG! Seriously?

So I called our insurance company this morning and asked them if the midwifery clinic attached to the hospital is covered as an in-network provider with our insurance. They sure are! I called the clinic then and asked if they would take a patient who is already 17 weeks along...as long as I had documented proof of prenatal care, then yes they would! I asked if they'd take a T1 patient, and yes they will! I asked if there's any way for a T1 to have a water birth at St. Joe's, and yes as long as my A1c is in check! A1c is in check, definitely. Documented proof, check. Take a T1, check. YAY!

I do still have to go to an intake appointment to establish as a patient there, so that's on the 21st. Not too far away, thank goodness.

The only thing that may make me a little leery of Tacoma is that if I go into labor spontaneously, then I won't make it to the hospital at all. I may end up needing to be induced a little early, or on my due date, in order to be sure I'm at the hospital already. I really wanted a home birth, but obviously that may not happen. Then next best thing for me is to be in a hospital, birthing in a tub. The peri's won't let me go past 40 weeks, so as long as everything is good with the baby and my bgs, then I'll be okay with a small push of an induction. Pit yes, Cytotec no. Membranes swept yes, breaking the water no. You get the idea.


Monday, January 5, 2009

It's a...

BOY!!!

Can you tell???

Oh, my goodness! I really had no idea that I could even have a boy anymore... It's been 18 years since my last boy was born. I never in a million years thought that I could have another boy. I mean, all my doctors and I had this theory that Chris (the 18 year-old) made me allergic to testosterone, so all of my miscarriages must have been boys. Guess that theory has now been blown out of the water. Oh, and the baby has caught up in size. He's now only measuring 1 day behind instead of 4-6 days behind.


This is quite exciting, I must say. I get a reason to shop! I don't have anything for a boy... I have some cloth diapers that would work for a boy, but only for infant times, since all my larger cloth diapers are girlie. Though admittedly, I might go back to 'sposies, since they are so much easier (less laundry, really). I have absolutely *no* boy clothes. Even if I still had PJ's infant carrier/car seat, I couldn't use it anymore since it's "expired". Who knew they put expiration dates on car seats?

In other news, my perinatologist is not going to sign off on my shoulder surgery while I'm pregnant. So, it's cortisone shots for me until the baby is about six months old. Then I figure he'll be able to utilize different nursing positions so he doesn't kill my shoulder while it's recovering... of course who am I kidding, I'll probably finally get the surgery when he's in kindergarten! My sugars are doing great. My peri was very impressed! He even said that I can now fax in my numbers instead of coming in to see him every two weeks.

My next appointment with the peri is Feb. 2nd. Then I will be getting a fetal echocardiogram, just to make sure none of those "advanced maternal age" things are hurting the baby's heart. According to the ultrasound today, the heart is beating well, the four chambers look like they're supposed to, and the cord insertion is perfect.

Just heard from a friend that I'm getting a lot of name suggestions for the baby already... I'm going to have to write a list of the greatest here sometime. :)

Saturday, January 3, 2009

Since Troy and one other guy work for GraphOn from WA, he and his wife and Troy and I try to get together for dinner around Christmastime. Last year we didn't end up getting together and I was sad about that. I look forward to going out with Rob and TJ, they're way cool people. :)

Last night we met up at the Snoqualmie Casino. We ate at the buffet, which was good, but not worth the price in my opinion. Though Friday nights are crab legs nights, I can't eat seafood so the choices were limited for me. Maybe it's worth the price for seafood lovers... Afterward we sat in the lounge and talked abuot quite a lot of different things. Troy got to play with TJ's iPhone, Rob and I talked properties.

Troy and I decided to split from the Currey's and go play some slots while they played blackjack. After two hours, we came home with $53 more than we came with. Not bad for just playing slots!

Happy New Year!

 

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