Wednesday, January 14, 2009

Cravings, and Other Ramblings on Food

All Things Citrus Make Me Happy

I'm fortunate in that I don't generally experience morning sickness when pregnant. What I do struggle with is a serious aversion to food, and if this pregnancy ends up being like my pregnancies with Gracie and Zachary, that won't end after the first trimester.

So far, I've struggled to eat meat or nearly any sort. I'm affected by the smell, the taste, and the texture, so it's a no-win situation on all accounts. I can eat sandwiches with small portions of meat in them, like a chicken salad sandwich or a deli sandwich from Potbelly's. I can sometimes eat meat overcome by some kind of carbohydrate, like fajitas or a meat-in-rice casserole. Right now, though, I would totally throw up if I tried to choke down a chunk of pot roast. I have other random aversions generally related to smell or texture, but meat is the only predictable thing.

Cravings have been minor, really, and rare. I've really been enjoying all things citrus lately. I've been drinking more milk than I normally would. James had to make a cheesecake run this week. The best thing ever is when I find a food I've been craving on mark-down. For example, on Wednesday I ate nearly an entire carton of strawberries on my own. On Thursday, I went back to the store for more and found that several of the cartons had just been marked down to $1.00 each. I bought six pounds (six pounds!) of strawberries and now on Friday, we have a little less than three pounds left.

Monday, January 12, 2009

Back From the Past

Today, as I sat having my blood drawn for the millionth time, the phlebotomist asked me why my doctor sends me in for lab work every three days. I explained my doctor's caution by telling her of my normally short luteal phase and the resulting low progesterone levels that have ended three of the six pregnancies I've had. Before I finished speaking, familiarity shadowed her face.

"I lost a baby once -- at sixteen weeks," she said. "I was in maternity clothes and everything."

There she stood in her middle age, in her workplace, drawing blood from my arm, and she couldn't find her way back from the past.

Sunday, January 11, 2009

Because I'm Not Immune to Melting Down

Last night, I had a major meltdown. I'm sure a good bit of my emotional outburst was induced by my currently raging hormones, but I had a moment of being completely overwhelmed.

With lots of crying.
Along with some snot.

First, I should say that I have an incredible sense of peace about this pregnancy. I don't necessarily know what to predict as far as an outcome goes. I'm hopeful that we'll come home with a baby in July or August, but I know whichever way the tide turns, God is faithful and He will sustain me. To clarify, I don't feel an imminent sense of doom, and I don't necessarily feel like I'm going to have another miscarriage. I really just feel sort of ambivalent about this pregnancy, disconnected -- like it's something that's happening to me instead of really being a part of me, a part of who I am, a part of my core makeup. I find that I'm excited with reservation, hopeful with a healthy dose of reality, and most of all, confident that my strength lies outside of my own abilities -- regardless of what outcome befalls me.

But last night, this whole pregnancy "situation" just sort of overtook me.

I'm a very self-reliant person, but because of lifting restrictions, I now have to wait for James to unload the groceries, move bins of Christmas decorations into the garage, and do various other sorts of suburbany feats of strength. I suddenly felt overwhelmed by my new found "disability," as well as the dishes, the laundry, the decluttering, and the newly-spayed dog pinned in her crate. I felt overwhelmed by kids making messes and needing snacks and being sick. I felt overwhelmed by appointments and practices and play dates and lesson plans and wondering how it would all work if tragedy should strike.

And then I felt overwhelmed by how it would all work if tragedy didn't strike -- if, say in 6 months or so, I brought home a squirmy little person who would need lots of me in the midst of kids making messes and needing snacks and lesson plans and having play dates and practices and appointments. How would all that work then? Could I hold it together? Could I keep all the plates spinning? And if not, which plates would fall? Could I or could I not do it all?

Then I felt guilty. I felt overwhelmed by guilt because I felt so overwhelmed in the first place. I felt guilty because my emotions absolutely seemed like a lack of trust in what God can and will do in my life, and in this situation, however it goes. I felt guilty because I knew how extraordinarily terrible I would feel if I did indeed miscarry -- like I'd wished the whole thing on myself.

Rationally, I know this is a season, but emotionally, I was momentarily consumed. I know as far as my new "disability" goes, I'm sacrificing so little for the potential of such reward. It's just that I'm in those weird weeks of waiting -- those weeks where I feel okay physically, but I don't really feel anything else. Since I'm not yet far enough along to feel the baby moving, it's all still so abstract, and that makes me feel like I'm not pulling my weight around the house or in life in general. May this be a time that I look to the Lord for the simplest of needs, and may God meet me at even my basest place.

"But may all who seek you
rejoice and be glad in you;
may those who love your salvation
say continually, "Great is the LORD!"
As for me, I am poor and needy,
but the Lord takes thought for me.
You are my help and my deliverer;
do not delay, O my God!"
Psalm 40:16-17

"And this same God who takes care of me
will supply all your needs..."
Philippians 4:19a NLT



Cross-posted on Mandigirl Muses

Wednesday, January 7, 2009

Monday's Numbers, Again

The nurse called this morning with the results of Monday's lab work. My progesterone level was at 46.5!! I have NEVER had results like that, ever! It makes me feel good about weaning off of the progesterone supplements next week. I can't believe it's that time already.

Tuesday, January 6, 2009

And now I'm stressed out...

I've been handling medical crises with ease, but I just announced my pregnancy on Twitter and Facebook, and now I'm sick with worry. I've had no morning sickness to speak of, but now I feel like I could easily throw up. What's wrong with me?

Monday, January 5, 2009

The Roughest Week Wasn't So Bad

Week 8 of pregnancy is always our worst. Two of our four losses have happened at this particular gestational stage -- at 8 1/2 weeks to be precise. But I'll be 9 weeks pregnant tomorrow, and all is well. My progesterone levels are holding steady (with a result of 23.6 from Friday's draw), a baby still growing 2 days ahead of schedule (by today's scan), and a heartbeat of 184. I'm really so surprised. It's nearly like I'm a normal human being.

Emotionally, things were a bit harder this week. During week 7, I was miserable physically -- so miserable, I was sure I was miscarrying -- yet my ultrasound showed everything to be well. During week 8, I felt great physically and was certain that meant the baby's heart had stopped and I'd had a missed miscarriage. Fortunately, I couldn't have been more wrong and the baby is just fine. I suppose my physical well-being is a bonus, not a bad omen. I really should just embrace how I feel physically and take advantage of my need for a good long nap.

I'm still dealing with intermittent brown spotting, but at my appointment today, Dr. T (my MFM) was unconcerned. The spotting could be related to the ectopic pregnancy still being reabsorbed (it's smaller now and the yolk sac is flattening). It could be implantation bleeding just slow to release. It could be anything really, but nothing to be concerned about at this stage. He did prescribe a Grade B antibiotic to ward off any bacterial infections that may result from the spotting, but it's more of a precaution than a need. Dr. T just doesn't want there to be any irritation around my cervix, and an infection would be an irritant.

Not one person on my care team is willing to take any risks with this pregnancy, and I'm really so glad -- no, grateful -- for such conscientiousness.

I really am so surprised to be at 9 weeks. I've only ever been this far along with Gracie and Zachary. Being at this stage nearly makes me feel ready to make the public announcement. Nearly.

Thursday, January 1, 2009

Even Strangers Concede...

James is working on a search for an MFM/Perinatologist in Wisconsin. When following up with his client yesterday, an OB who serves as president of the group, he shared our recent obstetrical experiences by e-mail. (They'd talked about the fact I was expecting when they met recently, so James caught him up on the heterotopic pregnancy and its progress.) James thought his response was hilarious, but I'm not sure I agree:
WOW !!

You could get an entire high risk OB education with your wife. I have seen alot, including abdominal cerclage, etc. I can truly say I have never seen or known anybody with heterotopic pregnancy. Thank goodness it has resolved without surgery.

Have a peaceful New Year,

Herb