Tuesday, September 28, 2010

The Meltdown

In yesterdays post, Are we there yet?, I talked about my stupid insurance company, with their stupid deductible and all the stupid people who think it's just as simple as making the baby come before the end of the month. A few hours after posting, I thought I might have been leaking amnio fluid. I tried not to get excited about it and for 45 minutes, tried to figure out whether I was just peeing my pants, a drop at a time or if it was in fact my water. Finally, I decided to just go to my doctor's office and have them do the test. I knew if I didn't Micha and I would just be freaking out all night. Turns out, I was just peeing myself. Awesome. This baby is not coming until October and I get to be wet the entire rest of time. And that was it, I completely lost it. I started bawling, sobbing loudly, in the car, driving down I35 all the way home. I scared Micha when I finally pulled in the drive, still sobbing. Was I really that upset about peeing myself? No, I've been peeing myself for weeks now the only difference is I can't really feel it anymore. Was I upset that I wasn't going into labor and thought I soon would be? No, I'm actually torn between being excited to be so close to holding Charlie and being sad that I won't be pregnant anymore. I was just tired of thinking about it. I was tired of hearing all day long things like "Clocks ticking" and "Wouldn't that be better than paying an extra $1000?" (when referring to the affects of Castor Oil and/or Pitocin). For starters, I am not going to issue an ultimatum to my baby, "Either come out on your own before midnight Sept 30th or I will make you come out!" I'm not evicting Charlie from my uterus. Secondly, unless you've actually had Pitocin, then shut the hell up! It's not like getting an IV of antibiotics. It's miserably painful- more so than natural, unmedicated labor. And yes, I could have an epidural, and like last time the headache that accompanied it for the week following delivery. An unrelenting headache and a newborn baby, between the two of which, a new Mom will never sleep. Sounds like a real party. Induction isn't even on the table anyway. My doctor won't do it and I think it's great that he feels strongly enough about letting babies arrive in their own time, not to allow patients who might be tired or uncomfortable to just decide they don't want to be pregnant anymore and force the baby out.

My doctor did offer up a couple suggestions but most of the options are about as appealing as the ass end of a skunk. There's the old wives tale about sex, which actually has some scientific basis and is the only attractive option. Micha really likes this suggestion, although maybe not in conjunction with some of the other methods. The most effective, in the doc's opinion, is Castor Oil. Castor Oil is not only not very palatable, it also works by causing diarrhea. Lovely. The other is what is called 'sweeping the membranes'. Now, let me preface the explanation of what this is with a little statement about my doc. When he does my exams, he is extremely 'kind'. I'm 31 years old and this is my second pregnancy so I can guesstimate that I've had approximately 20 or so vaginal exams in my lifetime and he, by far, is the best. Very quick and virtually no discomfort. This is important, particularly during pregnancy, because when you already have something essentially the weight of a bowling ball sitting on top of your cervix, the last thing you want is some guy with gorilla hands feeling around up there. 'Sweeping the membranes' is when the practitioner goes in with his fingers and pulls the membrane away from the uterus around the opening of the cervix. In order to accomplish this, he would have to push his fingers through the cervix. Sound painful? By all accounts, it is. Plus, there's not much evidence that sweeping the membranes works and there's the small risk of accidentally rupturing the membrane, at which point the clock really does start ticking due to the increased risk of infection.  Fenugreek and Evening Primrose Oil have also been used to get labor started but little is known about their efficacy and Fenugreek can cause diarrhea and Primrose Oil is thought to lengthen labor time.

So I can have a painful, invasive vaginal procedure while having the shits with a suppository stuck up my woo hoo ditty, and that might start my labor but it will be longer than if I had just waited. (Notice I didn't mention having sex because, let's face it, with all that going on there's no way sex is happening.) The best part is, the baby may still not be ready before midnight on September 30th, making my last few weeks of pregnancy miserable for no good reason. Where do I sign up?! I wish the money wasn't a consideration for us, but that just isn't our lot. There are somethings that are just not worth the worry though and somethings that are totally worth the wait.

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