And so the roller coaster continues....

For those of you who have followed this pregnancy and developments along the way, you may recall points where I shared significant details we'd learned. For us, there are some dates that were very important. Like, on August 7, we learned we were having a baby boy, and that I had placenta previa which was something we knew we'd have to watch. Then, on Oct. 24, Dr. McKenzie and I discussed how so far the placenta hadn't moved and there was still a 70% chance it might not and I'd have a c-section? Then, you know how on Nov. 19 I posted how great it was that the placenta had moved and our prayers had been answered? Well, add today, December 13 to the list of dates when we had to re-think things again. :-)

Today was the scheduled ultrasound and check-up to get a recent update on where the placenta is, because the last 2 weeks of spotting and all had Dr. McKenzie concerned that maybe it wasn't moved over as far as we'd hoped. Mom was in town, and that was great, to have her go along to the appointment with James and me. My sweet friend Jamie kept Isaac and Abigail, and I am so glad they were able to be with her, because it turned into 4 hours at the hospital!! The office was running behind when we got there, and it just got more backed up when Dr. McKenzie was called downstairs to deliver a baby. We did the ultrasound first, which gave us another look at our sweet boy, and pertinent information. Unfortunately, it wasn't necessarily the news we'd hoped for. Our hope was that his weight and pressure as he'd moved down lower would cause the placenta to shift on up more out of the way, since it was just marginally close anyway. However, instead it's just compressed the edge of the placenta right there, just 1 centimeter away from the edge of the cervix. The tech was concerned and repeatedly looked at it from different angles and took pictures for Dr. Mc to see. Then, we had the fun part of seeing Elijah's precious face, full lips, and profile that look so much like Abigail's. He had his little hand up by his mouth and eyes again, rubbing one eye just like Isaac does when he's tired. We saw him blink too, and it was such a cute moment! Overall, he measured a week or so ahead, though his little round belly measured at 41 weeks!! Sheesh!! Afterwards we headed out to the waiting room to wait a while longer till Dr. Mc was back upstairs. Mom, James, and I discussed what we predicted he'd say, and all thought a c-section was looking more like the plan now.

When he came in, we were all anxiously awaiting his opinion of the situation. We knew from his comments last week, that he wasn't really thrilled with my going into labor if the placenta was so close, because of the risk of the placenta separating (abrupting) and putting Elijah into danger during a vaginal delivery. He started by saying that the sonogram gave him great photos of Elijah, that he looks great, healthy, and a wonderful size. Then, he reminded us of how we have all along known that a c-section was a possibility. He said though sometimes he knows he's delivered babies and wondered why the mom had such severe bleeding, because no previa was diagnosed, and though it was hard and somewhat scary, they turned out o.k. However, he said, when he had information staring him in the face, he had to make a plan beforehand. He said he just wasn't thrilled with the placenta still being so close to the cervix, and that he knew it just meant things would be very complicated during a vaginal delivery for myself and the baby. After questions and discussion for all the reasons for and against, we all understand and agree that it's the best plan to go ahead and plan for a c-section, whether I go into labor on my own or not. If I do, then he'll still be delivered surgically, and if I haven't by the 27th, that will be our baby boy's birthday!

I think we're all fine with the news, even though it's almost humorous how we've gone back and forth with this whole subject. I have to think overall that this is a good thing - we know what we're dealing with, and that we have a smart plan to handle this the best we can to insure Elijah is born in as safe a manner as possible, with as little risk to me or him. On the 27th, he'll be 38 weeks and 2 days, which Dr. Mc said was a compromise. He'd like to wait till 39 weeks on one hand, but then said with E's size already estimated at over 7 1/2 pounds, he feels like it's safe to deliver him a little earlier to cut down on the chance of my going into labor. However, my Mom, James, and Dr. Mc (and every nurse in the office who came near us) all think I will go into labor before that date arrives. That's just the earliest he felt comfortable planning to deliver Elijah, because little white boys are known to be the most likely to have problems if they come early.

Until he's born, whenever that is, I have been put on total bedrest. When James asked Dr. Mc to clarify what I'm allowed to do, he said, "You can get up to fix something to eat, and to take a bath." I just sat there with my mouth open, and he said he just wants to get Elijah to be as big, healthy, and far along as possible. Mom asked him what about church, or just little quick trips where all I do is go in somewhere and sit the whole time. He jokingly said, "O.k. You know how in Baptist churches you'll have the 'prayer time for the shut ins'? You're the shut in." :-)

I'm very thankful for James' being off this week, which has allowed us to get even more last minute preparation done, and for friends who are already setting up meals to help us out during this time. I'm also happy it's only two weeks at the most that we'll have to get used to Mama being limited in activity. I have friends who have spent months on bedrest, with multiple pregnancies. Really, I am dealing with NOTHING compared to that. I really know we have a great situation overall here, and after waiting this long for this baby boy to come, I am happy to oblige and do whatever we need to, to get him these last few days of growing time. Please do pray for us as James heads back to work next week, that the kids will understand my limitations, that I'll obey the doctor's orders with a cheerful attitude, and that, again, God will bring Elijah at just the right time.

35 weeks

Well, yesterday we reached the 35 week milestone, and are relieved to have done so, after last week's little adventure. I had an appointment with Dr. Mc today, which went well. I was excited to hear that something actually is going on now, and I was a whole 1 cm dilated ;-) and 50% effaced, though Elijah is still up pretty high. I asked about his thoughts on Elijah coming early, since Abi came a month before her due date, and he said there really is no way to know if he will or not. He asked how big she was, and I reminded him she was a good size to be 4 weeks early, at 6 pounds 13 ounces. He said, "Well, I'm betting Elijah left 6# 13 in the dust a long time ago." That was after measuring me (which showed 38 weeks), and based on past ultrasounds and the size Elijah feels to him, and he said he really wouldn't be worried if E. was born soon, guessing he could be around 7 1/2 pounds already. I feel the same way - though we don't really know how big he is for sure, or when he'll come, I do think we've reached a great point where I'm comfortable with him arriving whenever he's ready and God decides so.

Because of the continued spotting off and on since last Friday, and the fact that we're just not sure exactly where that annoying placenta has settled, we're going to do an ultrasound before next week's appointment to get the latest information on it. Though he is not unduly concerned, Dr. Mc said he'd feel more comfortable with knowing a little more recent update on it, since it was still so close to the cervix last time. He said that at this point, when I go into labor, he is concerned that I get to the hospital quickly, because if it's still just over a centimeter removed from the os of the cervix, there could be significant bleeding, combined with how Elijah presents and that affects things. With all the Braxton-Hicks contractions I've had lately, he said to expect continued spotting, and not to be alarmed, because it's just probably how it's going to be as E. grows and puts more pressure on the placenta, and it is actually shearing away from the lining of the uterus little bits at a time. (Doesn't that sound lovely?)

As he left, he said he'd be on call this weekend, so I told him I appreciated knowing that, and I'd go ahead and plan on seeing him then if I had my way about it. :-) Overall, it was encouraging and again a great reminder of how blessed I am to have such excellent care and concern from this wise man. He asks about the kids and James by name almost every time I see him, and though that's not really even something I'd think about if he didn't, it means so much to me that he does seem to care for our family's well-being, and not just me as another patient he sees during long work days.

To close, here are some sweet and sappy photos we took this week. I really wanted a few of me pregnant with this baby boy, and of our family of 4, before he arrives. This whole process - the 2 years of waiting to get pregnant again, and now the end of that pregnancy nearing brings bittersweet emotions, because it has been such a huge blessing and answer to prayer. At one point while I was holding this little word "hope" carved from wood, I just lost it and started crying. Poor James probably thought my hormones were to blame, and they may have factored in some. Mainly though, I was really overwhelmed thinking about how this baby is almost here that we prayed and longed for, and at times doubted we'd ever have. Holding that word in my hands, and remembering how I would sing and cry through "My Hope is in You" for so long, and realizing that hope is almost fulfilled is a pretty amazing thing. God is awesome, you know? Thanks for sharing this journey with us. I hope you're encouraged by my ramblings and details of things you may not really care about, if only because they point back to a God who answered our prayers in a beautiful way, and comforted us while we were waiting on that answer. I feel so undeserving and so grateful.

29 weeks

What a nice birthday gift today has been already! I had a check-up with Dr. McK this morning and was in and out of the office in less than an hour. Elijah was cooperative and we heard that steady heartbeat, complete with kicks of enthusiasm from him. :-) It's hard to believe that at 29 weeks, our sweet Isaac was born. I'm so thankful that I'm not in labor right now. Though Isaac was a fighter and did amazingly well to be 11 weeks early, that is just too soon to enter the world, and has made his life complicated at times. We have lots to be thankful for!

Dr. McK was happy to hear Disney went so well, and we chatted for a while about that. We discussed a few other things too. One was the possibility of a c-section looking more possible (he gave me a 70% chance of having one due to the placenta not shifting yet, though it's still possible). I'm still hopeful, but not in despair or anything if we have to do surgery. Reading up on placenta previa and realizing the profuse bleeding and scary issues that happen when a mom goes into labor sure make me want to avoid that. It's so risky for the mom and baby, so I am glad we have technology to help us be aware of these situations today.

As he measured me and felt around on my belly for E, I asked him to show me how to tell what was what. He took my fingers and lightly pressed down on the top of my abdomen, and said when I felt the bouncing back, that was the head. Then, the bottom feels "doughy", and gives in a little, instead of bouncing back like the head. Right now, Elijah is still breech, which is not uncommon at this stage of the pregnancy. That explains why I felt like a foot was stabbing me last night, really low. It was! He said he can still turn to get in position, but it's harder with the placenta in the way, and with his increasing size.

A little concern is that he shared he's never had a lady get pregnant with an ovarian remnant and also have placenta previa, resulting in a c-section, so he said that will just be something he has to carefully consider if we end up going the surgical route. (Some of you may remember that this remnant was found months ago before I was pregnant, growing where my left ovary was removed 11 years ago. We left it alone, because it wasn't changing over several months that we watched it and wasn't causing any problem, so neither of us wanted to do a surgery just for it.) His word to describe the c-section with placenta previa and the additional factor of removing this remnant is "grungy." :-) He said a uterine polyp or tumor would be simpler to handle, since he obviously would be there in the uterus anyway. Getting over to the ovary area and removing that during the bleeding that happens in a normal c-section is just more complicated. Right now we can't even see it any longer during sonograms, due to Elijah's size, so don't know what exactly is going on with it. It's not a major problem, just something he wanted me to know he remembered (I'd totally forgotten about it), and that we'd talk more about it as things progress.

For now, he put me on additional iron supplements, since I was borderline anemic with my last visit's bloodwork, and plus, he said anticipating the possible surgery, he wants me to "tank up." I realize more and more every visit how much I appreciate this man for his sensitive manner, and godly wisdom. James and I both are so impressed with the care he's given us for 6 years now, and it's so nice to really trust that he is seriously praying for us, and the best way to provide care for me. It gives me a lot of peace of mind, and I can happily anticipate each visit, knowing his heart, and his attention to details. What a blessing.

I'll go back in 2 more weeks, and then the next visit after that, probably at 33 weeks will be the final ultrasound to determine the delivery plan. Thank you all for praying! God is so good.

2/3 of the way there!

This morning I had another great doctor appointment. I did the fun glucose test also, and the results of it were great, so I'm so happy to have that behind me. That stuff tastes awful. Dr. McK gave me an overall good report, saying my weight gain was fine and he was pleased with how I seemed to be doing. We asked if he had any concerns about our Disney trip coming up in a week and a half and he said he felt that I was doing fine, so had no qualms about our flying or the busyness of the week. He suggested that I go get a follow-up ultrasound next week to check the placenta previa since it would be good to know what we're dealing with before traveling. He doesn't expect any problems though, even if it hasn't resolved itself. If it hasn't resolved by then, we'll check it again closer to the due date, and see what we're dealing with. It was nice to be reassured, and we're really looking forward to the trip with my family.