this week in pregnancy (accidentally-skipped-last-week edition)

Last week, I got sick again, the third illness in a row without breaks. Fortunately, that cold passed pretty quickly (though not before getting me snotty enough to vomit bile twice after not having thrown up for quite a while, ugh). I’m just pregnant-sick now, not additional-illness-sick, and I’d like to stick with that, please.

Other physical developments:

  • I’ve turned a corner into the absurdly-frequent-urination part of pregnancy, though it still doesn’t seem as marked as it did throughout my first pregnancy.
  • My upper back and chest have gotten insanely itchy, and all my skin is annoyingly sensitive, all of which contributes to my considerable existing sleep challenges. It’s not dry skin. And it’s awful.
  • I’ve been astonished at how different the changes in my breasts are this time. Early in my first pregnancy, before I’d even told people I was pregnant, my breasts went from the-size-they’d-been-since-puberty to HUGENORMOUS; I was joking yesterday about how my bras from then look more like (and currently fit me better as) hats. It was very sudden and dramatic. After pregnancy and a year and a half of breastfeeding and gradual weaning, things evened out to a size much much smaller than pre-pregnancy. This time, my breasts have grown very gradually over the course of the whole pregnancy so far. I’ve been wearing my pre-first-pregnancy bras and adjusting them slowly, every couple weeks; I may need to buy a couple new ones soon, in a size between those and the hat-like ones.
  • It seems very different not to have the placenta blocking sensation in the front of my uterus (I had an anterior placenta last time). Both Noah-as-fetus and this fetus have seemed very active and feisty to me. But I can feel this one’s movements in far greater detail and specificity than last time. And it’s much easier to tell, from feelings of heaviness/fullness and with my hand from the outside, where the fetus is at any given moment, which bit is its head, and so forth. It’s neat.
  • Still exhausted. It’s hard to deal with fatigue for soooo loooong. The nausea, reflux, etc. are pretty much the same as they’ve been for quite a while. The part that bothers me the most right now, other than just hating the ebb and flow of queasiness, is the total unpredictability of when a little vomit will pop up into the back of my throat. So gross, and no warning or pattern.

from my journal on 13 January:

Well, that was a totally exhausting prenatal visit. I think we learned that having Noah skip quiet time so we could see Erin right after his school is a Bad Idea. He was climbing all over everyone, tugging on clothes (at one point he gnawed at Erin’s sweater), and just generally being loud and ungentle. I’ve been lying down and listening to music since she and Karen (whom we met tonight … I feel like telling her I swear he’s usually not this overwhelming and/or I swear we’re competent parents) left, while Eric cooks supper. It wiped me out.

On the other hand, Erin smiled so genuinely when she felt and heard the fetus moving around—we’d just been telling her it’s very lively and reactive. And she found its head and let me and then Eric feel it; it was so cool. She showed us where to put a thumb and index finger and then shimmy them back and forth a bit, and I could very distinctly feel the head shift and sort of jiggle between my fingers. Feeling the weight and three-dimensionality of a particular body part is pretty amazing. It’s wild to me that it’s already getting big enough that it’s possible to pick out and manipulate individual features.

The big news this week is that I think we’ve finally assembled our birth team. That is a totally dorky term, but what else can I call it? Karen (mentioned above) is an advanced midwifery student who’s started taking on her own clients under supervision and will act as Erin’s assistant at our birth. She has a great energy, and she and Erin obviously really like each other. They’ll both be at prenatals from now on. And although we haven’t met in person yet, I’m pretty confident that we’ve also found ‘Noah’s person’ (as we’ve been calling this role); a few days ago, I spent probably an hour on the phone with a midwife who also works as a doula and sometimes as Erin’s assistant. She seems very willing to serve in an odd role–taking care of Noah, answering his questions, helping him support me and witness the birth in ways that work for where I am at the time, making sure our dog gets to eat and go out–because that’s what we need and she totally gets why. These are three women who laugh a lot and respect birth, children, and our weird little family. And there’s something really cool about the idea of having three midwives at this birth–all that knowledge and strength and love–even though they won’t all be acting in that role.

I have to go back to work (and commuting) in a couple weeks and am freaking out about that. I’m barely, barely able to manage my physical problems well enough to enjoy my life at all right now. I simply will not be able to rest and take care of myself the way I really need to be doing once I’m teaching three courses and driving two hours a day three days a week. Things are hard enough right now, with a very flexible schedule and near-constant access to my bed, refrigerator, microwave, toaster oven, etc.: I just don’t know how to transition back to work without pushing my body and myself over the edge into really-not-okay again.

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6 Comments

  1. Posted 28 January 2012 at 5:55 AM | Permalink

    Hi Molly,

    I was just wondering, did you happen to mention your itching to your midwife? I don’t want to alarm you, and maybe you know this already, but itching can be a symptom of a pregnancy-related liver problem called Obstetric Cholestasis. I’ve had it three times, in all of my pregnancies. It is a manageable condition, but it can have serious risks if unmanaged. Typically, the itching starts in the third trimester and happens mostly on the palms and soles of the feet, but different women can be affected differently, so whenever a pregnant woman mentions itching, I always think OC. It is usually diagnosed by a fasting Bile Acid Test (blood test). I don’t have the link handy, but there’s a website called OC Support UK that offers heaps of wonderful advice and information, if you’re interested.
    Sorry, as I said, I’m not trying to alarm you – the itching you described is not typical of this disease, but I just thought I would mention it and you can check it out if you feel you need to. All the best!

    Anna (from Sydney)

    • Molly
      Posted 28 January 2012 at 9:38 AM | Permalink

      Thanks, Anna! Actually, my midwife’s already arranged to pop by between our regular appointments to do a blood draw to run a liver panel, just in case. I suspect it’s just another one of my mystery unpleasantnesses, but we think it’s good to check everything out.

      • Posted 28 January 2012 at 2:09 PM | Permalink

        Ah, you are in good hands, then. In my first pregnancy I had intense itching that started on my hands and feet but eventually spread all over my back, chest and arms. It kept me awake all night and made me miserable. I mentioned it to my GP (I was doing shared-care between my GP and the midwifery team at the local public hospital, but she had no idea what the itching was about. Weeks later, I ended up being admitted to hospital with pre-eclampsia, which developed from the undiagnosed OC. As I said, OC on its own can be very serious, so sombinex with pre-eclampsia, there really was no option but to have my baby induced early at 36 weeks. This is why I always mention OC to pregnant, itching women!! Good luck with your screen, I’m sure everything will be fine! And keep writing, I love your blog!

  2. Posted 28 January 2012 at 2:10 PM | Permalink

    * so, combined – not sombinex!

    • Molly
      Posted 28 January 2012 at 2:44 PM | Permalink

      Ugh, so sorry you had such a scary experience.

      I do feel really fortunate in my care during this pregnancy. I LOVE being in email and phone contact with my midwife between appointments–way less seems to fall through the cracks this way (in terms of me mentioning, her noticing, and dealing with stuff promptly).

      I wish I’d stop being so freaking itchy, though! Whatever’s causing it, it bites.

      • Posted 29 January 2012 at 4:01 AM | Permalink

        I hear you. I hope it resolves quickly for you.

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