Pippin never actually spent the full nine months inside, but for comparison reasons, here’s my big girl at 37 weeks old with a picture of my giant bump at 37 weeks pregnant:
Obviously, I never made it to the full 40 weeks. As I had Gestational Diabetes I was having growth scans every couple of weeks, and at 34 weeks the Dr’s felt Pippin had had a bit of a growth spurt. They felt that if the growth spurt had continued at my 36-week scan it would be best if they scheduled an elective section for 39 weeks.
Gestational Diabetes is Diabetes that develops during pregnancy. It is usually diagnosed during a screening between 24 and 28 weeks, called an Oral Glucose Tolerance Test (OGTT). Basically, they take a blood sample, make you drink and sugary drink before waiting and taking another sample. Usually, you’ll only have this screening if you’re having symptoms or considered to be in a high-risk group for developing Gestational Diabetes. I was high-risk, because of my weight and because I have a family history of Type 2 Diabetes.
I managed the Diabetes through my pregnancy just by diet, and I had to take my blood sugar levels either before or after meals, dependant on the day. I carried around my little kit and book and couldn’t indulge in all the sugary snacks I really wanted to. C’est la vie.
Theoretically managing your blood sugar levels well should help reduce complications, but there are increased risks such as macrosomia (a large baby, which can lead to birth complications), perinatal death and neonatal glycemia (baby having low blood sugar).
What developing Gestational Diabetes had meant for me was that they were unwilling to let me go ahead with a home birth, as Pippin would have to be monitored after the birth to check that the blood sugar levels were normal.
So, at the 36-week scan, they decided that Pippin was well on track for an 11lbs birth weight, and there was absolutely no way they were willing to let me go to full term. In the end I was booked in to be induced on the 25th August. They didn’t want to leave it any later in case I went into labour ahead of schedule.
So I went in to be induced on the 25th. This is where I am going to be fairly brief. Frankly, the whole experience was a hell, and not something I have come to terms will yet.
I had my first pessary at about lunchtime on the 25th, and I think my waters were broken at about 3 pm on the 26th.
I had more monitors than I care to think about attached to me, and I was pretty much immobile. I managed the pain quite well, at first, by just breathing. I then had gas and air and then diamorphine.
After fourteen hours they decided that 4cm was probably as dilated as I would get, and I was prepped for a C-section. Pippin came out crying and was an 8lbs13 little girl, which is pretty much what they estimated she would be at that gestation.
Unfortunately, I had quite a bit of blood loss, and we both had infection markers. I got given some antibiotics, and Pippin got taken away to have a cannula fitted for her medication. Then they were still unhappy with her breathing, so they took her away and put her on oxygen and a nasogastric tube. She wasn’t allowed to feed because they were concerned she might aspirate some of her milk.
After three days she was allowed back on the main ward with me, and after a further two, we were allowed to go home. Which was nice.
Although, those first few weeks are a whirl of medication and injections. I was on lots of tablets for pain relief and for infections, and I had one injection a day for six weeks after the birth to stop blood clots.
The birth wasn’t ideal, but we got through it relatively unscathed. But it still feels pretty raw, and I don’t much like talking about it – even eight months on. I know that I’m dealing with some negative emotions around the birth, emotions I will probably have to face at some point. I’m not there yet though, I’m just not ready to relive it. Not right now.