Baby 4 Update

I had an OB appointment yesterday with Dr. B's nurse practitioner, Leslie. Apparently Dr. B is out of the office until after New Year's. My appointment went as well as I had expected. Charlotte is still a very active little girl and her heart rate was going pitter-patter at 150 bpm. I'm measuring 34 weeks, which is exactly how far along I am. I've had a difficult week of contractions and pain. Leslie checked my cervix because of all the contractions. She said I was definitely more thinned, probably about 50% effaced, but not dilated. That's good news! I have been given permission to stop taking Brethine next week. This medication has done a good job of slowing down the contractions with the occasional help of some prescribed narcotics. Leslie explained that Dr. B would not do much to stop labor past 35 weeks - that's next week! I've also been given permission to begin walking next week too. I've missed being able to go outside for a stroll and get some fresh air. I've definitely felt the cabin fever recently.

Unfortunately my blood glucose levels are getting tougher to manage. I've had 5-6 elevated readings over the past week. Leslie explained that Dr. B would want to put me on medication if I've had over 5 elevated readings in a week. I begged to not be put on more meds and I asked if I could try to eliminate even more carbs out of my diet for the remainder of this week and see if I can do it with diet alone. Leslie gave me permission but she made me promise to call their office next week if I've had no luck getting the glucose levels down. Leslie had some concern that I had lost some weight over the past few weeks, most likely due to the strict diabetes diet, but she was willing to let me try tweaking my diet this week before prescribing yet another pill. Of course, what really stinks, is that she was aware that being able to walk and exercise once a day would solve the problem completely. But for fear of me going into labor too soon, Leslie has ordered no walking or exercising until I'm at least 35 weeks. She said that having a premature baby would be a worse situation than me having to take a pill for the diabetes. Alas, she is right...

We are scheduled to have an ultrasound on Jan. 10, when I'm 36 weeks, to see how Charlotte is growing and to estimate her weight. Leslie explained that this is a routine ultrasound for moms with gestational diabetes to make sure the baby is not growing too large too quickly. And then she followed that up by explaining that my measurement was an indicator of Charlotte growing exactly the way she needed to be.

Now it's just time to ride out the discomforts of the remainder of this pregnancy, eat just meat and vegetables, and wait to see how long before the contractions get close enough to check into my suite at the luxurious St. Mary's Hospital.