We are in the home stretch of this pregnancy. I’m now 36 weeks pregnant. There is less than a month until my actual due date. It won’t be long now and I’ll be posting a “Welcome to the World” post. I’m getting to that point where I feel like I’ve been pregnant FOREVER. It mostly feels like “holy crap, how am I already 36 weeks along”, but at the same time it definitely feels like I’ve been lugging this big ol’ belly around for far too long and my body is getting tired of it.
As I mentioned a couple weeks ago the last couple of appointments with my OB have been about determining if it is going to be safe for me to attempt another vaginal delivery after the tearing I had with Maya and the post partum complications that came along with that. And, the short answer is, yes, I should be able to deliver Baby Girl 2.0 vaginally if that is what I want to do, which it is.
Last week my doctor did an internal exam to check for any signs of scar tissue build up or other healing issues associated with my tearing that may indicate that a vaginal birth was not in the cards for me. He found that I healed very well and found no scar tissue build up. He stated that based on that alone he would be very comfortable advising me that a c-section would not be necessary. There was, however, one more thing he wanted to check on, the size of Baby Girl 2.0. If she was measuring large he wouldn’t necessarily be comfortable recommending that I try for a vaginal birth. So, a growth ultrasound was schedule for this week’s appointment. I can’t tell you how neat it was to see her moving all around in there. I didn’t have a late pregnancy ultrasound with Maya so it was so cool to see what things look like in there at this stage. She is definitely squished in there but still has plenty of room to wiggle. She was very wiggly through the whole scan and did her best to make it a challenge for the ultrasound tech to get the measurements she needed. She also spent a majority of the time sticking her tongue out at us. She is going to be quite the little stinker, just like her big sister. The good news is she is measuring right on average for 36 weeks gestation and is on track to be a bit smaller than Maya was. So, with those two factors in check I’m set to continue on the track of having a vaginal delivery again as long as nothing comes up in the mean time and nothing happens during delivery to make that not possible. Yay!
The appointment went very well after the ultrasound too. My weight is good, my blood pressure was perfect and I’m measuring right on track belly wise. I had my first cervix check today and my body is already making progress. I’m 1 cm dilated and 50% effaced. My doctor does not think I’ll make it to my due date. The only requirement I have is to make until after Lorne gets home from Australia (Friday night!), after that she can come whenever she is ready.
I’ve been having a few irregular, minor contractions lately, which makes sense now that I know I’m already starting to make progress. The braxton hicks have also picked up. They are happening a lot more often and although they don’t hurt they are definitely more uncomfortable. I’m still getting back aches at the end of the day, but they actually aren’t as bad as they were a couple of weeks ago. Some days I feel huge but most of the time I”m still feeling really good and since I can still paint my own toe nails and shave my legs in the shower I know I’m not crazy big yet 😉
I’m so thankful that I’ve been blessed with another uneventful, enjoyable pregnancy. It feels so good to be in the home stretch and know that it won’t be long now before we get to meet this little girl.
A subchorionic hematoma (also commonly referred to as a subchorionic hemorrhage) is basically a pool of blood that collects where implantation has taken place. It forms between the uterine wall and the placenta. It can cause early pregnancy bleeding as the pool of blood, blood clot, or bruise leaks. Which, for a woman in early pregnancy when the miscarriage rate is at its highest can be very scary.
For many women the blood will be reabsorbed with no bleeding at all and no negative impact on the pregnancy. For some women the most common symptom, and what often leads to the diagnosis of a subchorionic hematoma, is vaginal bleeding early in pregnancy. The presence of a subchorionic hematoma doesn’t not necessarily mean there will any negative impact on the pregnancy, however, it does increase the risk of miscarriage. As such your doctor will likely monitor you more closely during early pregnancy and may even prescribe pelvic rest until you are “out of the woods”.
At my first ultrasound at 6 weeks I was diagnosed with a subchorionic hematoma. I didn’t at the time know anything about them. My doctor stated to watch out for bleeding and if any occurred to call him immediately. I was asked to come back in 2 weeks for another ultrasound so they could monitor the status of the hematoma and check on the pregnancy. My doctor highly downplayed the risks of a subchorionic hematoma and I left his office thinking I had nothing to worry about. At my next appointment at 8 weeks the ultrasound showed the hematoma had greatly reduced in size and was no longer a threat to my pregnancy. I was incredibly relieved, especially since I had also been one of the lucky women who did not experience any bleeding as a result of my subchorionic hematoma.
A subchorionic hematoma does not mean your pregnancy is going to end. The risk of miscarriage does increase but not significantly. The larger the blood clot the more risk to the pregnancy. There is nothing a pregnant woman can do to prevent a subchorionic hematoma and there is really nothing you can do once you receive the diagnosis. The best thing you can do is listen to your doctor, follow his or her orders and wait and see. Be sure to discuss your concerns with your doctor.