This past week has been quite the whirlwind……but amongst all the chaos, we finally have an end in sight. Things couldn’t be working out more perfectly than they are lining up to be at the moment. As long as everything continues on the path it’s going now, it should be smooth sailing from here.
The biggest question we had going into the 30 week OB appointment was, “what now?” Thankfully she has been amazing and has broken protocol for us because of just how much is going on. Practice policy is to visit with all doctors starting at 20 weeks because you never know who is going to end up on call when you go in to deliver. We have been lucky enough to see her every visit but 2 this pregnancy, and all future appointments and delivery will be with her as well. So here’s the breakdown:
1) Starting at 32 weeks, we will go in twice a week for appointments. On Monday’s we will go in for a non-stress test. Basically they will hook Logan and I up to monitors to see how we’re both doing. If everything goes well, we get to go home…..if something is off we go to l&d. Thursday appointments we will also have a non stress test, followed by an ultrasound to check fluid and end with a quick once over by the OB.
2) We will have growth scans at 32 and 36 weeks to make sure that Logan is growing appropriately. Luke stopped growing at 36 weeks according to the files sent over from our old practice. So this is a critical time for us. The HG could cause the baby to stop growing and the GD could cause him to grow too much.
3) Depending on how my glucose levels are, we will be inducing at either 38 or 39 weeks. The doctor will do a cervical check at my Thursday appointment to see if I need to go in Monday night to start the process or Tuesday morning. Induction will either be 11/29 or 12/6…..unless he decides to come on his own earlier.
Internal Medicine Plan:
Again, I am so thankful for a knowledgeable and cohesive team. The doctor that manages my picc line and asthma is managing my GD as well. The initial dose of insulin wasn’t impacting my glucose levels like we want so he has made plans too.
1) we bumped my bedtime insulin up from 24 to 36 units.
2) We started a fast acting insulin at lunch and dinner to bring those numbers down. I am to inject 6 units at lunch and 6 at dinner.
3) I am to call Monday if we’re not seeing much change and can adjust over the phone.
4) the picc Line will be in place through delivery and be removed within 24 hours of Logan arriving.
5) Asthma is being well treated and doesn’t need further attention unless I start having trouble breathing again.
Overall, everything is going rather smoothly despite my body’s best effort to put a wrinkle in the plan. As long as things continue to go well, we should be meeting our little boy in 7-8 weeks or so!