Oh I have so much to cover and so very little time (or energy) so I won’t be doing my typical Q&A format. Instead, I’ll just hit the highlights…and lowlights.
Last Monday, I started insulin shots twice a day. Despite a gradual increase in my medication and a mostly well-restricted diet, my blood sugar levels were teetering on the recommended limits. The decision was made to bring out the big
guns needles and start taking this stuff seriously.
The only problem? It didn’t work. The first two days saw higher numbers than any of the previous days when I was on the medication. I started to freak out a little. Insulin dosage was increased, but it only helped slightly.
On Thursday, I went in for my weekly monitoring and ultrasound and that’s when things got really interesting.
To summarize why I get twice weekly monitoring, I’ll try to explain it simply. Having gestational diabetes means my body (specifically my pancreas) is not producing enough insulin to break down carbs and sugars, therefore during pregnancy, the baby’s pancreas tries to do the work of both his little body and my big adult body. That’s not good. What usually happens is that the baby gains a lot of weight and pees a lot because it’s being overworked, therefore resulting in a big baby at delivery, with a very large, round belly, and swimming in too much amniotic fluid (aka baby pee). So when I go in for ultrasounds, the techs are looking for those warning signs – large baby, large belly, lots of amniotic fluid. So far, the ultrasounds have shown a perfectly healthy and normal-sized baby with normal-to-lowish levels of amniotic fluid.
Until Thursday, when my amniotic fluid went from a 16 the week before to a 4. A sudden drop like that typically means the bag of waters has broken or is leaking. I knew my water hadn’t broken and I hadn’t noticed any substantial leaking. Still, anything below a 5 apparently lands you an overnight stay at the hospital for continued monitoring and an IV. So that’s what happened. I was wheeled upstairs to the maternity ward and checked into a room, hospital gown and all. After a couple of blow veins, the IV was finally inserted (OUCH!) and monitors were strapped to my belly. The rest was pretty uneventful. The hubs and D came up for a visit and brought me a few essentials. I enjoyed taking advantage of the room service and stocked up on mesh underwear. (Don’t laugh until you’ve had a baby. Mesh underwear are AWESOME post-delivery!) Caught up on some work emails and some blog reading, and just tried to make the best of my first overnight hospital stay alone. It really wouldn’t have been so bad if it weren’t for the IV and the crappy L&D bed that was made for L&D and NOT for comfortable pregnant lady sleeping.
The next morning, my fluid levels were measuring at 6.5. Not great, but not bad enough to keep me so I was discharged early afternoon and instructed to keep track of baby’s movements and do kick counts until my next check-up on Monday. Talk about stressful!
Oh, and the doc at the hospital gave me a heads up that I most likely wouldn’t be making it to my 39W and 4Day c-section. That if my fluid levels dropped again, I could expect to deliver this baby sometime around 37 weeks. EEEK!
The rest of the weekend was spent in baby-prep mode, just in case Monday came and my fluid levels had dropped back down again.
Well, it’s now Monday and the good news is, I’m not at the hospital. My fluid levels were 7.5, which is still on the low side, but nothing terribly concerning. We’re still not sure what caused it, but best guess is my placenta is starting to fizzle out, perhaps caused by my change in medication from Glyburide to Insulin or just another random effect of the diabetes. No one really knows. But given both issues – the diabetes that’s being a biotch to manage and the low fluid levels – my OB moved my c-section up by one week, so my new due date is now March 13!
While it was sort of exciting to think I could have a baby this week, I’d MUCH rather hold off as long as possible for the health of the baby. I’ve already experienced having a baby in the NICU and I’d like to do everything possible to keep from repeating that experience. So a 38-week delivery sounds just perfect to me.
And since I wasn’t sure if I’d be having a baby tonight or not, I went ahead and snapped a photo this morning, just in case.