Monday, July 30, 2007
7/30/07 - Change Happens
Sisters
Back Troubles
David's back has been bothering him a lot lately. He's had back problems for years, but every once in awhile he'll have a flare-up so bad that he can hardly stand up straight. For awhile he was going to the chiropractor once a month to help maintain the improvement he had gained, but he quit several months ago, saying he felt better and didn't need it anymore. He's had a few bad days since then, but he always insists that he's fine once the pain subsides, and that going to the chiropractor when you're not hurting is a waste of money. I, however, view it as preventative maintenance, in order to avoid an ordeal like the one we're going through right now. A few days ago his back started hurting, and he figured it was from loading the rental birth tub back into the midwife's car. It's only gotten worse since then, though he's tried to rest, and last night came to a head. At 1am he woke with a charlie horse in his leg, and jerked so quickly that he wrenched his sore back. All day he's had stabbing pain radiating all the way down his leg, and has been stuck flat on his back. Eva wanted her Daddy, but he couldn't hold or lift her.
To make matters worse, Dave was forced to cancel and reschedule a job interview he had this morning. Also, I've started bleeding again for the first time in three days, which my midwife says is a clear sign of overexertion. She wants me to take it easy and let my body fully heal, which is difficult to do with Dave out of commission. My parents postponed a day trip to visit friends in Orange County in order to stay home and help take care of us. They've been very helpful, especially with Eva and the baby. I don't know what we would do without them. Dave decided to make an emergency trip to the chiropractor, since he could barely walk. She managed to help him stand upright, and eliminate the pain radiating down his leg. But she told him that it's going to take several appointments close together to help him fully recover, while a maintenance visit once a month could have helped prevent flare-ups for a lot less money and time.
Birth Certificate
Under current state law, a licensed midwife cannot issue a birth certificate; only a doctor can. It's a huge extra hassle, because there's a mile-long list of hoops we have to jump through to get Amanda’s birth certificate, all while we're trying to recover. To me, it's a discriminatory policy designed to discourage out-of-hospital births. There are two main reasons for this: at home, it is the woman who has control of her birth, not the medical establishment. Secondly, doctors and hospitals don't make any money if you birth at home. It's why you hear the medical community claim that only hospital births are truly safe, even though the facts clearly show otherwise. They scare you with stories of all the things that can potentially go wrong, but you never hear them admit that many complications that occur during birth are due to adverse effects from unnecessary interventions, and could have been avoided if they had let nature take it's course instead of interfering. (I'm not referring, of course, to the rare instances when interventions are medically necessary, but to the majority of times when doctors jump in due to impatience or a simple desire to CYA).
So while a woman in America has the right to a homebirth, she has a whole mess of bureaucratic red tape to wade through in order to get her baby the legal documentation he/she needs. Once a baby's born, we (the parents) have to call the Office of Vital Records & Statistics and request a "home birth packet". They send it to us, then we fill it out and call back for an appointment. At the appointment have to bring: valid ID for both parents, a witness to the birth (husbands qualify), the baby (duh!), a signed letter from the midwife verifying my pregnancy, a birth certificate worksheet provided by the midwife, three proofs of the mother's residency (two from before the birth, one from after): such as utility bills, letters addressed to the mother, mortgage payment receipt, etc. And the doozy: three notarized letters, handwritten, from people not related to us and from different households, to confirm that I was pregnant, the date the child was born, and the address where the child was born. They must include the names, address, home and work telephone numbers of the people who wrote them, and be notarized, or they won't be accepted. Isn't that a hoot? Oh, and the process needs to begin no later than 10 days after the baby's birth, and the office is an hour away from me in downtown San Diego. No big deal for a mother recovering from childbirth and a brand new infant, right? I can't help but think it would be alot easier if I was just an illegal alien who jumped the border and delivered my baby in an emergency room: no valid ID required, and the baby is an automatic citizen. What could be easier?
Saturday, July 28, 2007
7/28/07 - A New Person
Already Amanda is showing us that she is her own little person. The first few days she's was sleeping a lot during the day, but fussing and wanting to nurse constantly at night. She's been having trouble burping, which means she'll wake suddenly with sharp cries suggestive of gas pains. However, last night she slept peacefully, only waking every 3 to 4 hours to nurse, which is restful for me. She's taken quickly to nursing, and now that my milk has come in, she stays fuller longer, and seems to be more comfortable. During her alert times, she loves to stare at faces or lights, and will gaze wonderingly all about her. She makes the cutest facial expressions, which have already stolen the hearts of Grandma and Grandpa Stone. When she decides wants to nurse, she wants it NOW, and not two seconds from now. She hates having her diaper changed or being given a sponge bath, and will cry angrily until she turns bright red all over. Dave nicknamed her "Jack Jack", after the baby with the fiery temper in "The Incredibles". It's clear she's a very different personality than Eva was, and I look forward to getting to know her more as the days go by.
Eva is doing so well with the new baby that it's almost a non-event. She alternates between fascination, wanting to look at and touch her, playing with the new baby gadgets, or simply going on about her busy little day as if nothing was different. She seems more unsettled by having company over than Amanda's arrival. She loves all the excitement and attention, but can get a little touchy (depending on her mood) if one of my family tries to take over a job Mommy or Daddy normally would do, like changing her diaper.
Healing
Four days old, and Amanda has already gone for her first car ride and outing. Grandma and Grandpa took us to Babies 'R Us to buy us a double stroller of our choice, as a baby gift. It was nice to get out of the house, even though I'm certainly walking slower. Then we hit the drive-thru for some In-N-Out. Amanda stayed in the infant carrier the whole time, with the exception of a blowout diaper change in the back of their van, and a nursing session in the parking lot.
I am recovering much faster from this delivery than I did from my last, and feel much more energetic. For one thing, the fact that Amanda came out facing the right direction means that my hips and pelvic bones, while tender and sore, are healing much faster than last time. Already I can sit on any chair in the house without my donut pillow, which, when I had Eva, I still had to use nearly three weeks afterward. I can make it up and down the stairs without pain, and I no longer need to take ibuprofen. I still can't walk far, but that's more due to the exhaustion of overexerting myself than it is to discomfort. I still waddle like I'm pregnant when I walk, due to stiffness and the fact that my deflated, jello-like belly feels unstable and sways with my movements. It will be awhile before I can get firm abs back.
Family
Thursday, July 26, 2007
7/26/07 - Amanda Lee Is Here!!!
She arrived 3:08 on Tuesday afternoon, weighing in at 8lbs 2oz, and 19 inches long. She has a head full of dark brown hair and her eyes are a dark bluish gray.
I woke up Tuesday morning (July 24th) to find a small trickle, and suspected my water had broken. After a couple hours and no more leaks, I started to wonder if I was mistaken. Then I started to get cramping sensations in my lower back. At 9am I finally called my midwife to give her a heads up, though I wasn't sure what was going on (frankly, I was in denial, and felt totally unready). The midwife suggested I come to her office so she could test with a pH strip to see if it was really amniotic fluid or not. I left Dave setting up the birthing tub just in case, while my Dad ran to the store for a couple items that were missing from our homebirth supply list.
I had several good contractions during my office visit, and Michelle confirmed that I was indeed in labor. My water had partially broken and I was dilated to 4 centimeters. She tested my blood once again for anemia, and it came back at normal levels for the first time in weeks. She cleared all her afternoon appointments and told me to call when I was ready for her. By the time we got home (11am) I was pretty uncomfortable, but I ate part of a turkey sandwich for energy. I settled into our bedroom, rolling up my snoogle pillow into a donut shape so I could lay down with my belly supported, while Mom and Dave took turns applying counter-pressure on my back.
At noon Michelle arrived with her two assistants, Laura and Lauren, and started to set up. It was blazing hot outside, but a window A/C unit and ceiling fan kept it cool and comfortable. Eva seemed bewildered by all the excitement, but still managed to go down for a nap. It wasn't long before I was in the tub, clinging to Dave for support. Amanda was born under water after only 4 pushes, at 3:08 in the afternoon. It was incredibly fast and intense, but the safety and support of being at home was wonderful. Amanda was calm and alert, floating in the warm water with a look of wonder on her face.
My Dad brought Eva into the room to meet her new baby sister, and she watched intently as they weighed and measured her, and checked all her vitals. After they wrapped Amanda up, Dave brought her over for Eva to see. She stroked the soft bundle like it was a cat, then pointed out her new sister's features with interest, saying, "Eyes! Nose! Hands!" Later she brought her favorite pink blanket out of her room and tried to lay it over Amanda to keep her warm. It was very sweet!
Caught By Surprise
Postpartum Recovery
The midwives stayed for several hours after the birth to monitor me and the baby. I was pretty weak and shaky, so they helped me eat and shower, and get settled in bed. Amanda was alert and active, waking frequently to nurse during the night. Still, we were able to get pretty good sleep in three hour intervals. The next day I was too sore to leave our room. Mom and David helped me get to the bathroom and back, waiting on me hand-and-foot. We had lots of visitors and phone calls, and my room was full of flowers. Aunt Nanci brought Grandma Geri by to see the baby. She can't get into the house with her wheelchair, so Nanci brought the baby out to the car so she could hold her. Later that evening one of the midwives stopped by to check on me and the baby, and determined we were doing well. I'm now feeling well enough to get up and down the stairs by myself, so I'm no longer confined to my bedroom.
Sunday, July 22, 2007
7/22/07 - Grow, Baby, Grow!
Well, the job in Encinitas fell through, unfortunately. Still, there are a few leads David’s been given from a former marketer of his that he plans to pursue. In the meantime, we wait to find out if Dave has been approved for unemployment, and prepare the house for the arrival of my family and the new baby.
My belly is so heavy now that it's really straining my lower back. It sticks out so far, it probably enters a room a full 10 seconds before I do. We got together with Dave's family for a group birthday party for the guys yesterday, and the overall reaction (especially from those who haven't seen me in awhile) was pretty much "OMG! You're HUGE! That doesn't even look real!" Frankly, I'd have to agree. Most people, however, are still sweet enough to claim that I'm carrying it all out front, and "from the back, you can't even tell you're pregnant". It's hard to drive because I have to sit further back from the steering wheel and pedals. Simple chores like loading and unloading the dishwasher leave my back muscles aching and exhausted, forcing me to lie down and recover before trying the next task. Picking Eva up takes a huge effort, as does hauling myself up the stairs. I know I'm supposed to be walking, but just getting around the house all day or on the occasional errand takes a lot out of me.
It's so frustrating to feel like I'm carrying a 40lb sack of potatoes strapped to my front, 24 hours a day. I see things around the house that I want to clean up, like mopping the kitchen floor, but I know it would end up being not only draining, but painful. I have to limit myself to quick tasks like throwing in a load of laundry, and then take a break. The way all my insides have been cramped up leaves me with constant, sharp gas pains. I avoid gassy foods like the plague, but it hasn't helped. Often I'll feel a stabbing pain after sitting up or changing positions. When the baby stretches, I can feel pressure on my cervix while her feet push up against my breastbone. I've also been noticing uncomfortable pressure on my front pelvic bone, especially when I first stand up. Sometimes I wonder if it's her bony head grinding up against my pelvis. I can't really tell which way she's positioned now. She moves around so much, I don't know if she's still posterior or not. But I'm doing everything in my power to help gravity move her into the anterior position, if at all possible. I really don't want to deal with back labor!
Snack Attack
Thursday, July 19, 2007
7/19/07 - Suspense!
A couple nights ago I started getting frequent contractions, strong enough that I started timing them. 5 minutes, 10 minutes, they were all over the place, and finally let up after a couple hours. Frankly, I was relieved. As eager as I am to get this baby out, we still don't have the birthing tub, my mom’s not here to help yet, my midwife’s home visit (to go over all the plans) isn’t until Monday, and there are a few last-minute things I want taken care of first.
The baby's imminent arrival isn't the only thing that has us holding our breath. Dave still hasn't heard back on the results of his second interview with Atria yet. The recruiter assures him he's still in the running, but with no other local job leads, we're kind of on pins and needles. It will still be several days before we find out whether or not Dave's been approved for unemployment, either, so we have no idea what our income may be in the near future (if at all).
My parents' arrival has suddenly been delayed by a new crisis, too. A couple days ago, a neighbor happened to peek in the window of my brother's mobile home and noticed mold growing up the wall. Apparently a water heater leak flooded the house and enabled mold to grow in over half of it. The trailer has been vacant for a couple months, so there's no telling how long it's been going on. And of course now they're going to lose the income from the new tenant that was planning to move in on Aug 1st, not to mention all the money they invested to buy it. They still don't know at this point whether their insurance will cover the damage, whether it will be a total loss, or whether they'll have to pay to clean up and rebuild. Since my brother and his family are still in China, my parents have to sort it out before they can leave to drive down here.
Blessings in Disguise
Barefoot and Pregnant
Daddy's Girl
Sunday, July 15, 2007
7/15/07 - The Saga Continues
Looking Forward
It's hard to believe that soon we'll be a family of four, and Eva will be a big sister! I guess it's like it was last time we were expecting: you try to imagine what it's going to be like, but you just can't wrap your head around it until you're there. I'm starting to really look forward to meeting this baby. My Braxton Hicks contractions are getting stronger and longer lasting, but they're erratic and unpredictable. I recently found out I tested positive for Group B Strep, so Michelle is prescribing a treatment for the next two weeks. If I still test positive after that, I may need IV antibiotics during labor to protect the baby, something she can easily take care of at a homebirth.
We've got a lot going on in the next couple weeks. Dave's interview with Atria on Sunday went really well, and he has another interview scheduled for Tuesday, this time with the Regional Director. It looks very promising. Then David's family is getting together this Saturday to celebrate all the guy's birthdays. Early next week my parents arrive from Oregon, just in time to be there for the midwife home visit. Then we have the MediCal interview next week (even if Dave gets this job, his benefits won't kick in for awhile).
Where Did My Baby Go?
Healthy Eating
Thursday, July 12, 2007
7/12/07 - Health Care Hurdles
Eva had an eye appointment this week, and the doctor determined that her eyes are responding to her new bifocal prescription, so once again we've managed to dodge surgery. I'm glad this was taken care of while we still had insurance. Trying to maneuver the health care system is a real drag. Our coverage officially ends 30 days after Dave's termination date. We thought about extending it with COBRA, but found out it would cost us over $700 per month. Even if we had income right now, we couldn’t possibly afford that. Besides, that wouldn't let us add a newborn baby who wasn't on the plan previously. For now, our only choice is to go on MediCal. Even if Dave started a new job today, it would be at least three months before he qualified for health benefits, and this baby is due in just three weeks.
I called my pediatrician’s office to ask what I'm supposed to do about those first newborn check-ups. She said they only accept Medical for previous patients (like Eva), not new patients (the baby). I have to personally show up at the local MediCal office and ask them to cover me immediately (by-passing the normal 45-day application process) because my due date is so close, and then sign up for the only MediCal insurance my pediatrician accepts: Community Health Group. By the time that goes through, the baby would be about two months old. How aggravating! If I was an illegal alien, I could just show up at the local clinic or emergency room and not have to pay or verify a thing. But because I'm a law-abiding, taxpaying American citizen, I have to run the gauntlet of endless paperwork and requirements (including a signed letter from my midwife to prove that I'm actually pregnant, because apparently a huge, stretch-marked belly doesn’t count), hoping that someone, somewhere, would be willing to see my newborn baby without sending me a hefty bill.
I was sharing my concerns with my midwife, and she assured me my baby would get the proper care. Not only does she stay with us for at least two hours after the birth to monitor our condition, she does a follow-up home visit a few days later. She also offers newborn check-ups at two, four and six weeks in her office, at no additional charge. That's such a load off my mind, I can't even tell you! If I hadn't chosen a homebirth and already pre-paid a midwife for all her services, I'd really be in a fix right now! I wish medical insurance was more like auto insurance: you'd buy it yourself without having it tied to your employer (which limits your choices to whatever crappy plans they choose, anyway). And then you'd get discounts for healthy habits and preventative care, and could choose what levels of coverage you wanted. And while I'm dreaming, how about a big lottery win?
Time to Spare
The job hunt hasn't been very productive yet. Dave has posted resumes on Monster and CareerBuilder, and has applied for several positions in Assisted and Independent Living. But so far the only nibble he's gotten has been for a building in Texas, and they just want more specific info for the application. Of course, he's gotten plenty of e-mails and calls from recruiters trying to get him into commission-only or home-based business schemes (they'll take anyone who's breathing), but all they do is waste our time. I did notice that in the past few days, three more Executive Director positions from Dave's company have popped up on the job sites, which means he's not the only casualty from the merger. Word of mouth has gone better. One of his local networking contacts put a good word in for him for a Sales Director position in Encinitas, and they want to meet with Dave. We'll see how that goes.
Being jobless has allowed David to indulge in many of the favorite activities he doesn't often get to do. Cycling is the big one right now. He's been seriously into that for awhile, but watching the Tour De France every day has gotten him all fired up. I've been finding cycling magazines all over the house. Dave never misses a chance to go for a bike ride, even if it means taking Eva with him in the toddler seat or trailer. Even his beloved surfing has taken a back seat to cycling, probably because he doesn't have to drive anywhere or meet anyone to do it. Tinkering around the house is another favorite activity. It's nice because it's usually very productive, but occasionally I have to draw the line. With the countertops finished, Dave wants to start scraping the acoustic popcorn off the master bedroom ceiling. If I wasn't getting ready to deliver a baby there in a few short weeks, I might consider it. But the idea of having to move out furniture, protect everything from gritty white residue, find another place to sleep and store my clothes, all while trying to prepare for a homebirth, is just too much work so close to my due date. I understand there won't be many opportunities once the baby comes, but if we're not moving or selling in the near future, it won't matter anyway. I'd rather David started building the new backyard fence, so we can get that pile of lumber out of the garage and park both cars there again. Plus, that job is outside, so it won't disrupt the house at all.
Monday, July 9, 2007
7/9/07 - 'Haven't You Had That Baby Yet?'
Time Stands Still
Is it possible to get the baby blues before the baby arrives? Time hangs heavily on my hands these days. I feel like I'm in an endless holding pattern, waiting for the next step, but unable to move forward. It's been weeks since I've felt relatively comfortable, and it will be weeks more before I will again. It's not that I don't have things to do. It's that I'm tired, achy and cranky, and can't seem to muster the motivation to haul my fat pregnant butt off the couch to do anything. Then of course I feel lazy and guilty for wanting to lay around, and for not having anything productive to show for myself at the end of the day.
It's been wonderful having Dave home, but spending so much time cooped up in the house together can get wearing, too. He can't sit still for two seconds together, and I know he'd like to go do stuff together, though he tries to be patient with me. Dave's so busy doing a million different things, while I selfishly want him to take over watching Eva and some of the household chores, keep me company, or wait on me as long as he's around. It's really not fair to him. I can see he's trying to be compassionate, but probably wonders why I sometimes act like more of an invalid than I really am. He suggests I'd have more energy if I'd just move around more. I don't mind going to a friend's house where I can sit down, or on a necessary errand, but I avoid any extra exertions of energy. Any place where I have to stand for long periods, or walk very far, or spend the whole time chasing after Eva isn't very appealing right now.
I find myself going online a lot to check my e-mail or the ConnectingMoms and MySpace message boards, just to see if there's anything new. I look for something interesting to read or watch on TV, or try to think of people I haven't called in awhile that I might chat with. My mind is restless, but my body wants to take it easy because it won't put up with much. Sleep isn't much of an escape, either. I wake up to moan and groan every time I have to roll over in bed, and inevitably find that the new position puts pressure on my bladder, so then I have to get up and pee. The same thing happens every time I shift positions in a chair or get up after sitting too long. It's a real drag, but I just need to keep the finish line in sight. If it just didn't seem so far away...
Movie Magic
Puppy Love
Aunt Nanci and Uncle Gary got two new dogs they rescued from the animal shelter: Bandit and Cleo. Already, Eva's in love. Whenever we drive up to their house, she starts calling "Bandit!" and looking for him. The first time she came over, Bandit chewed up Eva's stuffed doggy, and now it's his favorite toy. But since they got Cleo to keep him company, I'm sure he'll enjoy that more. Eva didn't mind, anyway. A live dog is way more fun than stuffed one any day, and she loves to hug and kiss them, and squeal at their antics.
Teething Again?
Eva's been unusually whiny and cranky lately, and has started a new habit of chewing or sucking on her fingers. Occasionally she'll cry in her sleep, though when I go to check on her she settles right down, and I notice she's not really awake. I'm beginning to wonder if she's teething again. Her dentist told us to expect her two-year molars to start showing themselves in the next couple months, so that might be it, though I haven't been able to feel any bumps yet. Meanwhile, Dave has been dealing with tooth problems of his own. For the past few days he's been trying to ignore a sore tooth that's especially sensitive to cold, but he finally gave in and made an appointment with the dentist. When he went in, the pain had stopped and they couldn't find any cavities or problems, so we have no idea what that was all about.