Showing posts with label gestational diabetes. Show all posts
Showing posts with label gestational diabetes. Show all posts

Sunday, January 10, 2016

I'm envious of all the women with the big kahunas



I`m envious of all the women who breastfeeding came naturally too. The women with nipples. The women whose babies prefer breast milk, who eagerly suck, who are patient with fumbling attempts. When asked while pregnant what I planned to do to feed my baby by health professionals following my babies birth I responded easily without question I planned to breast feed. I never considered it might not work. Or that it would be so much work. 

After J was born she had low blood sugar so the hospital had her on premixed formula, similac sensitive. As you will recall I had gestational diabetes and hadn`t eaten anything since breakfast. They had me on an insulin drip also. J was born at 8:24 pm. In the hospital she developed quite a taste for formula.  The nurses would prick her foot at every feeding to test her blood sugars. It was so sad to see her howl in displeasure and pain. Her blood sugars continued to rise to normal rates but yet they continued to poke until I was discharged. 

My breasts were not cooperating with feeding. I later learned that sometimes the drug Syntocinon used to speed up contractions will flatten your nipples on my already flat chest. J would get frustrated with the plastic nipple shield and wail. After finally requesting late on Wednesday I was given a breast pump to try to encourage breast milk production.

We were sent home. J was born on Tuesday evening. We were discharged early Thursday morning. 

I didnt really see much of the medical staff on Wednesday as there were some emergency c-sections on the ward and other scurrying around with code this and that announced over the intercom. Suffice it to say I had not figured out breastfeeding. I thought they would have had someone come in during my time in the hospital to provide some pointers.

Two days later a public health nurse visited our home. I now understand the day 4-5 postpartum blues. She tried to give me pointers and little J panicked and cried so hard. I had never seen my baby cry so hard. The health nurse to calm her put a blue plastic glove on and stuck her finger in little J`s mouth. It was a little shocking. Finally baby J calmed down and the health nurse left but not before booking me an appointment the following week with a lactation consultant.

My friend K had lent me her Medela Swing pump. I was attempting to nurse J. She would try then give up when there wasn`t the immediate gratification of milk on demand. Or cry out of frustration. So out came the bottle. I would then pump for up to an hour. It was exhausting. I was so sleep deprived trying to keep this up every 2-3 hours. 



I was very emotional. L was disappointed I was giving up and not giving our baby the best chance at nutrition and the opportunity to ward off possible future health risks. I cried and cried and cried. I feel like a failure as a mom. My mom, L`s mom and countless others told me to not give up, that I wasnt trying hard enough, that I just had to give it time, to eat this, to drink that, to try this, to try that. I feel bad that I want to give up, that I havent tried hard enough, that I havent pumped enough, that I havent tried to make her latch more, that I havent eaten all the recommended foods enough or drank enough milk thistle tea. Ive watched a number of youtube videos to see how other women are breastfeeding and all I see are big kahunas and think no wonder those women can breastfeed they have nipples! 

Am I failing baby J? 

I think of my brothers and my husband who were all fed formula. They are all intelligent, healthy men - three engineers and a lawyer. They all have developed healthy attachments. For the most part they are healthier than me the breastfed baby. 

I really wish I could do this but maybe I cant.

On Monday I spent the day in Emergency with a blood clot in my leg. Luckily I do not have DVT but it is still uncomfortable and I need to be careful. Up until this point I had still been pumping. My parents were home watching J and giving her the bottle of formula mixed with what little I had been able to pump. Sitting in emerg it wasn`t until late afternoon that L got the idea to borrow the breast pump from Women`s Health. That was the most I had ever pumped: 2 ounces. It gave us a spark of hope that maybe we could still do this. Back home I was down to my regular 10-20 mL when pumping every two-three hours. 

Wednesday came and a trip to the lactation consultant. Up until half an hour before I was ready to cancel on my appointment. J was a model student. What?!? She actually latched, nursed and cooed. I was floored. Maybe we could do this. Back home again a few hours later J was hungry. She wouldn`t have breast milk. 

The lactation consultants put me on a two hour schedule and lent me a pump that pumps on both breasts at once to hopefully cut down on the time I was spending pumping. I guess she could see how exhausted I was. Hour 1: Wake J up, change, position, latch, feed, then pump for remaining 5 minutes. Hour 2: Put J down to sleep and have a rest also. Ok it sounds great in theory, but I couldn`t keep it up. Sometimes it takes me up to an hour to fall asleep. Or baby J will not go to sleep without being cuddled and rocked. The nurse called back to see how it was going and told me to keep pumping and to take the weekend off from nursing.



Ive reseached other schedules. Miss J does not like to be on a schedule. I`m still trying. I tried to put J down for a nap this morning so that I could pump. She wouldn`t sleep on her own and so I had to pick her up and rock her in my arms until she fell asleep cutting short our pumping session.

So all this to say I don`t think breastfeeding is in the works for us and I feel crummy. 

The bright spot in my life is J. She is growing and changing every day. She weighed 5 pounds 7 ounces when she was born. When she was discharged she had gained an ounce and was 5 pounds 8 ounces. Usually babies loose weight upon birth. At the consultation with the lactation consult she was up to 5 pounds 11 ounces and on Friday when we went to see the doctor for her checkup 11 days after birth she was up to 5 pounds 14.5 ounces.  

I want to enjoy these days and not feel lousy about not breastfeeding. I want my baby girl to get the best version of me, one that is not stressed, exhausted, frustrated, pressured, shamed. I want her to feel loved. Isnt she adorable? She melts my heart. I want to give her the best and then some.



Baby J I am sorry that mommy is flat chested. 

Monday, December 07, 2015

Gestational Diabetes, Ultrasounds, and NST

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Here I am lying on a hospital bed clicking every time I feel the baby move with a band strapped around my belly that records the baby's heartrate. The nonstress test records the baby's movement, heartbeat, and contractions. It notes changes in heart rhythm when the baby goes from resting to moving, or during contractions if you're in labor.

How did I get here?

I drank this orange drink waited one hour, had my blood drawn and went home. I received a call two days later that I had failed the glucose test and needed to have a follow-up two hour test. In the two hour test the lab takes a sample of your blood prior, one hour in and at the two hour mark. I went home and again received the fateful call that I had failed this test also and would need to see a dietician.

So I went to see a dietician who explained I had gestational diabetes. Gestational diabetes occurs when a woman's ability to process glucose is impaired. The high blood glucose levels can lead to a large baby, immature lungs, and problems at delivery. A carefully balanced diet and/or insulin injections are generally used to manage gestational diabetes. 

Some of the factors that may put you at higher risk of having gestational diabetes include: polycystic ovarian syndrome (PCOS), having gestational diabetes in a previous pregnancy, your age (you may be considered as higher risk if you are 30 or older), being known to have insulin resistance, previously having a large baby, or a previous unexplained stillbirth. Did you know if you are as old as me, 37, you are classified as a high risk, geriatric pregnancy. I hit three of these factors.

The dietician showed me how to check my blood sugar, and what are acceptable rates. After I met with a doctor who perscribed diabetes supplies. They are expensive! 


Around this time I was transferring doctors from Alberta to Saskatchewan so my care was also transferred to the diabetes clinic at the hospital. Here I learned I would have to take samples of blood sugar 7 times a day. Not fun! I am very thankful that gestational diabetes goes away after pregnancy although I am at risk for developing diabetes after. I really feel for individuals who have had diabetes all of their lives. It is miserable! At first I thought how can I do this. Actually I almost passed out the first time I had to prick myself because I have a low tolerance for blood. I had to put my head between my legs and I felt really faint. The nurse had to bring me a glass of ice water. Now I am an old pro at it. Well not really but it is much easier. It was really hard for me to keep my blood sugar levels on target in the mornings. Additionally I have to measure my ketones . I would wake up and my blood sugar would already be high as well as my level of ketones were difficult to control.  I really do not understand how I can go to bed with an acceptable number and wake up with high blood sugar. I was referred to a doctor who specializes in diabetes. Now I have to meet with him once a week and also take insulin three times a day. The number of needles never ends! 

I have found however that much more effective than insulin is walking. I can take insulin and not really see any change but if I go for a walk my blood sugar levels come significantly down. So I try to go for a walk once or twice a day. Thank fully the weather has been cooperating and we are experiencing very mild weather. 


Isn't 9 degrees Celcius incredible for December. I am so thankful that the weather is great for getting outside and going for a walk.


Today on my walk I met this gentleman and his falcon! We had a lovely chat.


Gestational diabetes increases the risk of having a very large baby and so I was sent for an ultrasound. 



The ultrasound was quite unlike the others I have had that are all cheery. She was rather quiet and did not make any comments then said she had to go talk to the radiologist near the end leaving me laying on the bed for quite a while. I never even got a printout of pictures like I usually get. I thought something was up. I left the clinic and was in the parking lot of Superstore to get some groceries for dinner when I received a call from my doctor asking I come into see him within half an hour. I was really worried and cried in my car because I did not know what was happening.

I still don't really know what this all means. I learned from the doctor that the ultrasound revealled not the expected large baby but a small baby. You might think this is a good thing but it is not. Intrauterine growth restriction (IUGR) is a fetal weight that is below the 10th percentile for gestational age as determined through an ultrasound. This can also be called small-for gestational age (SGA) or fetal growth restriction. I went from the 50th percentile on my previous ultrasound to the 10th percentile. 


There are basically two different types of IUGR:

  • Symmetric or primary IUGR is characterized by all internal organs being reduced in size. Symmetric IUGR accounts for 20% to 25% of all cases of IUGR.

  • Asymmetric or secondary IUGR is characterized by the head and brain being normal in size, but the abdomen is smaller. Typically this is not evident until the third trimester.

Our baby is the second type. 

Pregnancies that have any of the following conditions may be at a greater risk for developing IUGR:

  • Maternal weight of less than 100 pounds
  • Poor nutrition during pregnancy
  • Birth defects or chromosomal abnormalities
  • Use of drugs, cigarettes, and/or alcohol
  • Pregnancy induced hypertension (PIH)
  • Placental abnormalities
  • Umbilical cord abnormalities
  • Multiple pregnancy
  • Gestational diabetes in the mother
  • Low levels of amniotic fluid or oligohydramnios
Also I learned that the amniotic fluid around the baby had decreased. 

So that is why I am now having non stress tests for the baby every two to three days. Further the ultrasound revealed that the baby is in frank breach position and as a result I was told I would be having a c-section around week 38 or 39. 



I have been trying to drink more water as I've heard that may help to increase the amniotic fluid and my prayer warriors have been praying for me. The baby has really been moving/kicking today. I have been trying to eat more also hoping that this will help the baby to grow and increase the size of the baby to a little more than the 10th percentile. I don't know if it will help. Who but me has trouble gaining weight in pregnancy. Ironic.

I have another ultrasound on Wednesday. 

I hope and pray for my baby that it will be healthy. Today we are 35 weeks. 

Saturday Larks