Hey, everyone! Walter and I are at week 35 (that means only 5 more until my due date, 8/25/08). A few updates in our childbirth preparations (apologies for the long post):
We have another prenatal appt scheduled for tomorrow (July 25th) which will be our last with our old clinic. We are transferring care to another women's clinic that is also allied with UCDavis Medical Center, to a physician who is more supportive of natural childbirth, Dr. Gillott. He was recommended to us by a couple in our childbirth/delivery class who really, really loved him and found him supportive of their desire to have a natural delivery.
We have been concerned with the prevailing attitude at at UCDavis Medical Center, especially after our tour of their labor/delivery suites. They are the best trauma center in the region and a teaching hospital which mean two things: 1) if you're in serious trouble, you need to be at UCDMC and 2) folks who are the most up-to-date on the latest medical technology will be working with you. However, when that attitude translates into labor/delivery, it means that what should be a natural process of letting your body do what it can do turns into a medical procedure to be managed and monitored.
Walter and I stayed after the tour and talked to the nurse who led it who freely admitted that UCDMC's c-section rate was 33-34% (higher than the 25% national average he quoted on the tour) and that their standard operating procedure was IV's and constant fetal monitoring. When I pointed out that constant fetal monitoring had been shown to lead to an increased c-section rate, he shrugged and nodded his head. I had a
horrible experience with an IV at the ER in Toledo a few years back. And, from what I have read/researched, they are really only necessary for the administration of pain meds (which I don't want) or antibiotics (which I hope I don't need) or to counteract dehydration (which can be dealt with using less intrusive measures by an attentive delivery staff). If I end up needing an IV, I don't see why I can't have one put in then (esp when I understand exactly why it's necessary!).
After the tour was over, I cried. And cried. And felt trapped when I called my insurance company was told that I could
only deliver at UCDMC because they would not approve my changing my primary care physician to one aligned with another hospital. Walter and I discussed using another birthing facility that wasn't covered by our insurance, but that's taking a tremendous chance that everything MUST go well. So, we have spent the last two weeks doing what we can to ensure that our experience is as positive as it can be and as close to what we want as possible.
To that end, we hired a woman to be our
doula. She is meeting with us for two prenatal visits (our first prenatal visit is tonight actually) to help establish our birth plan and get to know us better. Then, she will also be with us through the labor/delivery process and then visit twice postpartum, too. California state law mandates a minimum 48 hr hospital stay after a normal vaginal delivery and 96 hr stay after a c-section, so her first postpartum visit will be on Day Three after SuperSchwarm's arrival. She's also a lactation specialist (read: breastfeeding expert) and is currently a student
midwife, too.
She has been a professional doula for 7 years and has attended over 170 births in that time period. Given that the best outcomes (i.e., least interventions) occur when the mother labors at home for as long as possible, I feel much more reassured that someone with so much experience will be there with me, helping me through the process. Plus, she'll be with us at the hospital to support us and provide us with the personal attention and care that we (more than likely) won't be getting from the professional medical staff. She has delivered babies at UCDMC before, too, and is familiar with their operating procedures which will help us figure out what we're okay with and what we're willing to fight for.
To help ease the transition once we're home, I've also made arrangements with a diaper delivery service here in town. They supply a diaper pail, liner bags, and cloth diapers with once a week diaper pick-up/drop-off. So, all we have to do is take the dirty diaper off SuperSchwarm, drop it (UNwashed) into the pail, and then stick the liner bag outside once a week to get clean diapers. We decided that we're going to try using cloth diapers at home where they're convenient and disposable diapers when we leave the house and they're convenient (no lugging around dirty cloth diapers to bring them back home). I will report on how it goes!
And, I've hired a woman to come in twice a month this fall and do general housekeeping (including laundry and beds). The laundry/beds thing is key because most maid services won't do that and I like that she's essentially an independent contractor, so I'm not supporting minimally paid slave labor. Having worked as a cleaning person one summer during graduate school (great way to lose 20 lbs in 6 weeks btw), I know how hard a job it is and I want to reward people adequately for the job they're doing for me. She's also licensed, bonded, and has her fingerprints on file with the Sacramento County Sheriff's office, so everything is above board and proper.
The reason we hired her (at least for this fall when we're adjusting to our new post-baby lives) is that Walter will be working full-time, in addition to teaching 3 hours a night on Monday, Tuesday, AND Wednesday nights. I know that I will have more time, or so everyone says, because "babies sleep a lot," but I will need that time to catch up on research and get some articles submitted to journals and conferences (especially if I want to go up for early tenure in Fall 2009!). And Walter will be too exhausted after working two full-time jobs (my regular teaching load is 3 classes/semester, so that IS two full-time jobs if you stop and think about it) in addition to a new baby. So, we are using some of the money that he's getting paid to have some household help this fall. Best of all, she'll come as (in)frequently as I want her, so I can adjust everything to our needs as we get settled in.
Our childcare plans for the fall semester are pretty well planned-out (for the most part). I will take care of the baby during the day while Walter is at work and during the evenings that Walter is teaching. Once my paid leave runs out in mid-November, Walter and I will be handing off the baby at school on the evenings that I'm teaching (MW). Our childcare plans for the spring semester are still being ironed out, but hopefully I can report some positive developments on that front soon. It is somewhat difficult because many childcare centers don't like to take children younger than 1 year of age, so we are cobbling together what we can until next August when SuperSchwarm is older. Wish us luck!