Wednesday, August 24, 2011

Summer in Germany Has Arrived

I'm sitting in my living room, a cold, wet wash cloth draped over my neck.  It's after 8:00pm and still around 87 degrees.  The girls have "stolen" our lone fan. As soon as I'm sure they are asleep, I'm taking it back.  For the past several days it's been in the high 80's and 90's. With humidity.  I'm 8.5 months pregnant and not taking kindly to this weather.  AC is nowhere to be found.  Not even in many of the local stores.

I feel like a wimp.  Some people probably think my Facebook updates about the weather are rather annoying.  But, seriously, I feel ill. I've taken two cold showers today.  I'm drinking coconut water  as it's supposed to be healthier for you than Gatorade, and replenish you with five essential electrolytes--potassium, magnesium, calcium, sodium, and phosphorous (Real Food athletes are now turning to coconut water instead of Gatorade).

It has been so humid here, my husband has had to take off his wedding ring, something he's never had to do in the past, because his fingers are swelling. I'm a little puffy. You can see it in my face and fingers. I had one day of ankle swelling last week and my midwife checked them a couple days later and said they were fine.  I can still see my ankle bone. So, I guess that's a good sign.  However, I know I must be retaining some water because my sandals are fitting a bit more tightly.  I've been swimming, taking baths, and drinking mineral water - all recommended by my midwife to keep down the swelling.  

My previous two pregnancies were in cool, dry Alaska. So, this is new for me.  I had a little bit of swelling with Olivia towards the very end and I don't remember very much with Lila. In fact, I gave birth to Lila wearing my wedding band.  My rings were removed a couple months ago, sadly, this time around.

Fortunately, the girls are back in school and I don't have to find ways to entertain them in this heat.  Today, however, we are hitting up the town pool as soon as they have an afternoon snack!  Must go get the bag for the pool packed and ready to go!!  I only wish I could sit in the shade and read a book while they swim - still too young for that...

Saturday, August 20, 2011

Proverb

"Being pregnant and giving birth are like crossing a narrow bridge. People can accompany you to the bridge. They can greet you on the other side. But you walk that bridge alone." - African Proverb

As I begin to contemplate natural birth, just weeks away, this quote reached out to me.  I will have support to help me achieve and maintain inner strength and a calmness of mind.  But, it is I, alone, who will have to draw from somewhere deep inside of me to reach the other side.

Tuesday, August 9, 2011

The Boy's Name

We've been getting asked more and more frequently about the baby's name.  I've had a name picked out for years and years.  Matt, however, was on the fence.  It appears, however, we have finally agreed on the first name, at least.  His middle name is still up for debate and while I'll post what we think it may be, please bear in mind that you all won't know for sure until we announce his birth (So don't be surprised or upset if it changes-though, I do think it's pretty unlikely or I wouldn't be posting it now).  So here it is:

Colden Jack McQuilton

We've tossed around Colden Patrick (my pick).  Patrick is Matt's middle name.  He does not like his middle name - so that was tossed out the window.  Though, I do think it flows together a bit more nicely than Jack.  

So, where did these names come from?  Matt is an Adirondack 46'er.   In short, he's climbed all 46 high peaks of the Adirondacks in New York.  I don't think I'd be far off in saying that Matt would rather be in the Adirondack Mountains more than any other place on Earth.  

What does that have to do with our son's name?  Well, Mount Colden was the last of the 46 high peaks he climbed.  I've always thought naming his son Colden would be a nice way to commemorate this accomplishment.  Though, I think Matt would say that the 46 peaks haven't really been completed until he's climbed all 46 of them in the winter.  If we were ever stationed in Fort Drum, NY, surely, that would be his mission.  

Jack is a name Matt has always liked.  He really believes a boy should have a one-syllable, grunt-like name.  It's also the name of his favorite uncle who passed away some years ago.  

I've always believed a child should pick his own nickname when he so chooses.  So, while it would be easy for me say that we'll call him Cole or C.J. or Jack, we'll be careful to let him to decide...


Sunday, August 7, 2011

Clinical Anxiety and Pregnancy

For many years, I've struggled with clinical anxiety.  I have worried needlessly over my health dozens of times. Fortunately, it didn't present itself in germaphobia or take over my life in any sort of debilitating way.  Nor do I have anxiety in any other areas.  I sure have gotten picked on a lot about my clinical anxiety - which is frustrating because so many people suffer from depression or other forms of anxiety, that I've never been able to understand what's so humorous about clinical anxiety.  At times, however, months and even years have gone by without me thinking too much about matters of my health.

Unfortunately, in 2009, I was diagnosed with meniere's disease.  This diagnosis told my already anxiety-ridden brain that there is reason to worry. Something bad could happen to me.  While my meniere's disease has been kept under good control and hasn't impacted my life in a debilitating way, I have been very clinically-sensitive ever since.

So, when the doctor doing my last ultrasound told me my amniotic fluid was low, I freaked out (see previous post-it actually wasn't low - which he explained to my midwife the following day).  Then, a couple weeks later, I got it in my mind that my baby was breech.  Even though a few days prior, my midwife had told me he was head down.  I thought for sure I felt him flip.  I felt a round, bony head up in my rib cage and, for sure, that had to be his head.  I kept asking myself why he would flip back up after being head down for over a month!!

So, I panicked and started looking things up (Yes, I know better). Breech babies are often breech for a reason and I started to worry something was wrong with him - even knowing that he had plenty of time to flip back around as I'm only 32-weeks pregnant.

So, what did I do? I called my midwife.  She agreed to come see me this past Friday, even though we have an appointment scheduled for Tuesday.  She quickly put my mind at ease.  He's most likely not breech, as she can hear his heartbeat down below my belly button and not up near where I thought his head was.  A baby's heart beat is heard up near the head and upper back.  She explained that since I still have eight weeks to go, what I'm feeling is a bony bottom. Up until about week 36-37, a bottom can feel almost exactly like a head because there isn't a lot of fat on it.  Also, when I would move that "head" back and forth, his whole body would move.  When you move a head back and forth, the whole body doesn't move. The head will give a little or he will kick.  A bottom, on the other hand, when moved, will in turn move the whole body.

She also reminded me that while she does not deliver breech infants, she has a friend who does and who would assist her. That is,  if the baby was breech at the end and I still wanted a home birth.  If I did not want to attempt a breech birth at home, a local hospital allows for breech vaginal delivery as they view breech as a variation of normal.  In the event of an emergency (i.e., baby got stuck), skilled OB surgeons would be on hand. So I have no need to worry about a breech presentation anyway!

I love that my midwife comes right to my home, when I need her.  There's no way I would get that kind of care anywhere else.  She is a little concerned about my anxiety, however, and is sending a doula who teaches  relaxation techniques my way.  Even though I feel calm now, you just never know when  relaxation techniques could come in handy! 

Wednesday, July 13, 2011

Musings of the Early Third Trimester

Cloth Diaper Wipe

First off, I have to say that this pregnancy has gone by very quickly, in retrospect.  When I was sick, early in the pregnancy, the days did seem to drag. However, since Spring hit, we've been so busy, and the weeks have flown by.  I'm feeling well, haven't gained more than 20-lbs, the acid reflux has been mild compared to my pregnancy with the girls (so far) and I am still am able to sleep comfortably. I am now in my third trimester, running quickly into week 29!

This past weekend, I took a sewing class on the military facility.  I had such fun and look forward to taking more classes.  Sewing doesn't come to me like recipes do. I'm the idiot in the class who needs someone to sit with her.  I'm very visual and hands on.  Give me a website or pattern, no matter how easy, and I just can't figure it out.  I know that will all come to me as I learn technique and vocabulary - but, until then, I will get frustrated.  I did, however, learn to make perfect squares.  The instructor kindly showed me how to make cloth napkins (we don't use paper napkins in our home and I had previously bought cloth napkins at Etsy.  However, they were pricey and look easy - so I inquired about making my own. In a 15-minute lesson, I caught on).  I promptly went to the fabric store and bought some flannel boyish fabric and am going to make all of our cloth diaper wipes.  The one you see above is the one Matt made with Olivia (Yes, my husband can sew and quite well).  I'm going to make them double-sided,with the red you see above on one side, and the striped white and blue on the other.

In other news:

Now that I'm in my third trimester, my midwife recommends I eat 100-grams of protein a day. Or, close to it. How is that possible, especially in this heat and humidity? Anyone tried it and succeeded? I have some whey protein (grass fed, organic, no artificial anything, etc.) powder that offers up 19 grams each serving. But, whew. I just can't eat that much every day. It's supposed to help the brain development of the baby and fluid retention in the mother, among other things. I think I'll aim for 75 and be happy with anything over that.

I had an ultrasound yesterday to see if the placenta had moved up as the uterus grew. It did. Not a lot, but out of the "danger zone." I knew it would move.  Matt was upset that I even got it checked because in something like 99.3% of the time, it's not a problem by the end of the pregnancy.  All it did was give the doctor another chance to find something else potentially wrong (because he's a genetic specialist and one of only two in the area - he's always looking for something, as per his job). Which he did.  He told me that my amniotic fluid was low and asked me to come back in three weeks.  I promptly called my midwife. She called him. Unfortunately, he does not speak English very well.  He should not have told me that my fluid levels were low (though, he did tell me that I had nothing to worry about as he walked out of the office - but, by not giving specifics and being vague, I still freaked the heck out). They are not low.  They are in the normal range - but on the lower end of normal.  Now, I don't know what the actual number is, but, it is possible that because I was so busy all weekend and probably only drank 8-10 glasses of fluids between Saturday and Monday morning, my fluid levels looked a bit lower than usual.  The more I drink, the more the baby pees, the more fluid is in there. Being more hydrated would have probably brought my fluid level measurements up only a nominal amount. But, even 2-3 points can put you in a higher category and ease the mind of an OB. Nonetheless, the doctor redid my 20-week check-up and everything looks fine. The biggest thing to watch out for, when fluid levels are lower than they'd like, is growth retardation. This was not the case with the baby. He's growing fine. His head is a bit narrow - but over-all head growth checks out fine.  His dad has quite a narrow head - so, it's probably just genetics. And, if I remember correctly, Lila's head was a bit small at some point on ultrasound. Don't be like me and Google, "Fetus+narrow head." 

So, what does this mean? Well, first off, fluid levels are something a midwife (or OB) can monitor without the use of an ultrasound.  Here's an example: You go in for a check up and the midwife pulls out her measuring tape and measures your belly.  You measure a little small.  So, she then palpates around, seeing if she can feel baby parts - which are very very easily felt when the fluid levels are low.  If this is the case, she'll send you in for an ultrasound to see what's going on.  This is how, in fact, low fluid levels are usually found (on top of fewer kick counts the mother may notice).  Most OB's in the States do not do an ultrasound at every appointment during pregnancy.  So, it's found by the tape and hands-on method. In Germany, or at least the clinic I went to before I started seeing my midwife, they do an ultrasound at every single appointment and find it that way instead.  Just different methods-but both just as good.

I don't know that I'll go in for another ultrasound.  I asked my midwife instead to start seeing me every two weeks (which wasn't supposed to start for six more weeks) so she can monitor his growth very carefully.  She is not concerned at all - but, agreed to do it.  If she starts to see growth retardation, she will send me in and we'll go from there.  Worst case scenario is that my fluid levels will drop dangerously low, retard his growth and he'll come early.  But, that's worst case and very very unlikely.  None the less, I now know how it feels to be scared into following every instruction your OB tells you.  Until this pregnancy, I had only seen an OB once or twice, with both girls combined. I've only ever known midwifery care - which is calm, cool and collected. They trust pregnancy and the birth process.  It's very refreshing and calming.  I've stayed away from OB's because I knew that they are very very conservative and control for every little thing they find.  This has been (one reason) what has led to our high rates of c-sections in the States and even here in Germany (just 1 or 2% lower than the US rates).  While I'm not against c-sections or interventions at all, I am against unnecessary ones.  I think there is a fine line that OB's cross all too often out of fear.  And, I question any doctor, OB or not, who practices out of fear.  So, I am taking extra precautions - just in case - but, I'm not going to go in every two weeks for an ultrasound to check fluids when I know it can be checked easily another way, in the comfort of my own home. 

On a side note, this is the second ultrasound in a row where he did not cooperate and we could not see boy parts.  This time, I freaked out and asked the doctor to go over the first ultrasound picture with me and point out the penis. Which he did. I then asked him, even though it looks like a penis to me, why he thought it was a penis and he explained, as best he could in his broken English. But, still, I'm a little nervous now! I shouldn't be because two doctors in a row told us it was a boy - but, oh, you know how it is. I'll be happy with a girl - I'm mostly concerned about all the boy stuff I now have. I think I'll save receipts - just in case!




Monday, June 27, 2011

The Thing About Traveling When Pregnant


Anna and I in Strasbourg, France


We've been doing a lot of traveling lately.  Last week, we went to Normandy, France.  This weekend, a friend and I went to Strasbourg, France.  It's a beautiful city just over an hour's drive from here.  Next weekend, we're bringing the girls to Legoland.

How am I surviving with all this traveling?  Well, actually, quite well.  All the walking keeps me in shape, that's for sure.  No ankle swelling (yet) or fluid rentention (except the fingers - which I get not pregnant). However, it's really really hard to stay hydrated.  We carry water bottles with us - refusing to pay highway robbery prices for bottled water at parks or tourist destinations.  The problem is that I can't drink much (Which gives me a headache).  When I do, I have to stop to use the bathroom - a lot.  In many places, it'll cost you.  I've paid as much as 70 euro cents (Just over one US dollar) and as low as 40 euro cents.  It should be illegal for pregnant women to be charged to use the bathroom. It really isn't fair.

Along the River in Strasbourg


It's not easy to always find a bathroom either.  In Strasbourg, I snuck into a Subway.  Two other times, I used the one at the restaurant in which my friend and I were dining.  In Paris last month, I found myself in tears trying to find a spot on more than one occasion.  I remember walking into one cafe only to be told that the bathroom was out of order. Yeah, right. The place was ultra fancy and packed full and I'm sure the staff wasn't holding it all day!  Deny a pregnant woman a bathroom equals serious fail. 

We're tent camping this weekend.  I dread waking up in the middle of the night to walk to the restroom.  So, I'll bring a toddler toilet and use that.  Sounds gross, I know. But, hey, in order to travel during the pregnancy, I've had to give up some money and some dignity.  Par for the course, I guess.  I have less than two weeks left in my second trimester.  I'm well aware that the need to use the bathroom will only get worse as the weeks progress. This may be my last month of travel before I throw in the towel and consider a walk down to the local pool as travel enough!

Thursday, June 16, 2011

Toyota Prius and the Three-Across Car Seat Dilemma

Those of you who follow me on Facebook know that I had a bit of a panic attack last week over fitting three car seats in the back of my Prius.  Here's the story:

Upon finding out I was pregnant, Matt and I agreed to keep the Prius.  We'll get something bigger (AKA - Minivan) when we move back to the States in a couple of years. I have driven a bigger vehicle in Europe (Toyota 4-Runner) and hated it.  I know, I know.  Hate is a strong word.  But, really, I'm not fit to be driving a big vehicle in Europe.  Tight parking spots, narrow roads, crazy drivers - enough said.

So, I decided to get the Combi Coccoro.  It's designed for fuel efficient cars.  You can get three of these across the back seat of a Prius.  I've seen pictures of this car seat with two Sunshine Radian car seats in the back of a Prius (Lila's Britax Marathon is way too big).  However, Olivia will be closer to seven by the time the baby is born and already in a booster. I don't need two Radians.  Especially at $229 a pop. When I explained my dilemma to friends, they were very quick to point out that I can't take the Coccoro out of the car like I can an infant car seat designed with a handle and base.   How, everyone gasped, could I dare take a sleeping baby out of his car seat?  I replied that since I will be wearing him in a wrap, sling, Ergo, etc., that I will just plop him in there.  No, no.  That will not work.  My life will be hell.  The baby will freak out. I will not be able to calm him.  Huge mistake.  So, I freak. And, freak some more.  Matt nearly jumped off a cliff, frustrated that I was backing out of my original plan and now lost as to what to do.  Did we need to get that minivan now? 



Radian

So, I went to a friend's house to see if her infant car seat (removable) would fit in my car with two boosters. Not even close.  I then start to question if the Coccoro will fit in my car with two boosters. Or one booster and a car seat.  It really didn't seem that much smaller than an Graco Snug Ride, Chicco Keyfit or Maxi Cosi.

A friend in Wiesbaden, about an hour away, came to the rescue.  She has a Coccoro.  She offered to test it out in my car as none of them are sold around here.  It fits perfectly with two boosters.  I even have room to buckle Liv's booster seat easily.  The Radian, more narrow than a booster, will easily fit.  While the Radian is expensive and the baby's car seat and Radian combined will cost just over $400, I can hand down the Radian to "The Boy" when he's about two.  Lila will not mind being in a 5-point harness for another two years. She's extremely small for a 4.5-year-old anyway. She'll have plenty of room to grow in the Radian.

As far as taking a sleeping a sleeping baby out of the car - I'll deal with it.  It will be fine.  I know it will - especially if it's all he ever knows.  I think the safety and warmth of being up close to mama will put him right back to sleep.  Or it won't and, well, time will pass by and, like what happened with my two girls, he'll be a off to kindergarten in flash.  It's a good thing, in this situation, I'm not a first time mom.  I know how fast this all goes by.  It really is temporary.  Soon enough I'll be wallowing in self pity because I have no more babies left...