Today i had my 24 wk doctor appointment.
it was for 9:00 am.
I arrived, book in hand, and was called out of the main room almost right away, one of the advatages to being the first appointment of the day. I was ushered into that tiny room where i was weighed and then had my Blood pressure taken.
I winced as i saw the numbers soar up on the scale... but you're supposed to gain weight, right? The nurse said: "You've gained quite a bit of weight since we last saw you." then after consulting my chart: "But i suppose it's about time you started gaining, you hardly gained any in your first trimester"
After the results were charted, she led me down the hall to the examining room to await my doc. after a few minutes there was a knock on the door and in walked a pretty brunette, not my doctor.
"Hi," she said "I'm an intern and i'm working with Dr. X today. I'm going to take your measurements and listen for the heartbeat. Is that okay?"
do i have a choice?
"okay" i say.
I hop up on the table, and with a bit of maneuvering position myself semi-comfortably and allow the pretty brunette to measure the length of my belly.
Before she starts to listen for the heart, i ask her if it's okay if i video tape it. B-rad hasn't been able to make the appointments and hasn't yet heard the heart. She agreed and i got a pretty good clip.
She marked down a few things and then left.
And i sat.
and finished 3 chapters in my book.
finally Dr. X waltzes in. She's in her late 50s - early 60s with short black hair sprinkled with grey. She's wearing a Purple Leather Jacket and matching Purple Leather pencil skirt. I remember the last time i saw her she was wearing a red leather jacket and black leather pants. This woman seriously likes her leather.
She is generally friendly, but always in a rush. She looks at my chart for a few seconds, asks how i've been feeling then says: "Well, we'll see you again in about a month" while handing me a requisition form for lab work.
"We're going to have you do some bloodwork next time" she says. "You gained a lot of weight since last time. Ten Pounds! That's too much. You only really lose about 12 pounds at delivery, so you need to keep your weight at a more managable level."
damn. there goes that DQ Blizzard i was going to pick up afterwards
"We're going to be testing you for Gestational Diabetes. Remember, you're eating for ONE not two... this means you can't have that second helping of ice cream, that's all"
fuck. i don't want gestational diabetes. sigh. this means no more of the good stuff, no more Coke Slurpees, no more chocolatey snacks!?!? WAhhh.... :(
so, my goal for the next month is to not eat like a crazy person. and to get some more excersize.
just as she was about to leave, she asked me about pre-natal classes. I told her i was registered with the health region, but i'm also taking a private prenatal class with a Doula.
She told me that she's had some experiences with Midwives and Doulas and they've been generally positive. "The problem with them," she said "is that they tend to focus more on natural births, y'know. Sometimes if the labour isn't progressing as quickly as it should* we'll rupture the membranes to speed things up, and doulas and midwives generally don't like to do that**... i mean, if you're 3 cm and not progressing - breaking the water can bring you to 6 cm like that! also, they have their opinions about epidurals whereas i personally think that Epidurals are Gods Gift to women!***"
*as it should? - all i could think was how much i don't want any interventions like that, and once again it seemed like a convenience for her, rather than me...
**midwives generally don't like to do that - i thought: "is that cuz that's what the mother wants?"
***Epidurals are Gods Gift to Women - i thought: "SHIT! I'm fucked! - She's going to be pushing drugs on me!" And i quickly recalled one of the Docs from the Film festival saying that the University Hospital is currently doing a "Study" on labouring women and drugs and how they will tend to push you in that direction for the sake of their research....
Dr. X went on to say something about if men were the ones delivering babies epidurals would have been invented hundreds of years ago - and how if the dad gets up in the mom's face for not doing in naturally Dr. X would ask them if they would have their vasectomy's without anesthetics. i don't know, i stopped listening to her and tried to smile as she said her cheerful goodbye.
i left the office thinking that my Doc had made me feel worse about delivering this baby than good. Not that i was concerned for my health or my baby's health... just that this was another person who was trying to lead me away from my birth plan. i felt conflicted - i want to trust my doctor, but this will be tricky when our philosophies don't gel.
all in all, i saw my doc for about 4 minutes.
i got in my car, the clock on the radio said 10:07