Monday, 28 July 2014

Week 23

Week 23 pregnant belly side view

Week 23 pregnant belly side viewWeek 23 pregnant belly front view

STATS:

How far along: 23 weeks.

How big is baby: a large mango.

What is baby doing this week: Your baby now weighs a little more than 500g and measures about 29cm from crown to heel. His hearing is established and around now he may be able to make out a distorted version of your voice, the beating of your heart and your stomach rumblings.

When your baby is born, loud noises he has often heard in the uterus (womb), such as the barking of a dog or the roar of a vacuum cleaner, probably won't bother him.

Some people swear by the theory that unborn babies prefer classical music. So in the coming months you could put on relaxing Bach or Mozart for his enjoyment – and yours!

In addition to advances in your baby's hearing, his lungs are developing to prepare for breathing. And as he gets bigger you may be able to see him squirm underneath your clothes!

As for you, you may feel clumsy now that your centre of gravity has shifted. Your gums may bleed when you brush your teeth and your belly button, once an 'innie', may now stick out. It'll revert to its pre-baby state soon after you give birth.

http://www.babycentre.co.uk/23-weeks-pregnant#ixzz387NGARZ7

Total weight gain: 52.2kg, a gain of 300g since last week and 5.4kg since the start of pregnancy.

Maternity clothes: Maternity bras, maternity trousers, normal tshirts. Getting close to having to wear maternity shirts as my regular ones are starting to get a bit short in front.

Sleep: Far, far worse. Bedtime tends to be 1:30am lately, after i've finished editing some photos after work and then got the washing/washing up/feeding the dog done.

Best moment of the week: 

Food cravings/aversions: None.

Symptoms: 

Nausea: None.

Fatigue: Nope.

Other: Never had this last pregnancy - but when i cough, i have to tighten my PC muscles or i get a tiny amount of leakage, which is a new thing for me and i hate it. At the moment i have had a cough for two weeks so have had to try to remember to tighten a lot... sometimes i forget. Also i try to go to the toilet frequently to help prevent any issues.

Movement: Active, mostly morning and evening. I think he's currently breech, most kicks tend to be below the belly button and in my pelvis.

Gender: Boy.

What i'm looking forward to: a non-eventful second half of my pregnancy (fingers crossed)

What i miss:

Next appt: TBA.

What else i've done this week: 

Tuesday, 22 July 2014

Week 22

Week 22 pregnant belly side view

Week 22 pregnant belly side viewWeek 22 pregnant belly front view

Comparison of my 5 month pregnant belly in my first pregnancy (on the left) and my second (on the right).
And my belly progression from weeks 19 through 22. Filling out below the navel!

STATS:

How far along: 22 weeks.

How big is baby: a spaghetti squash.

What is baby doing this week: Your baby now weighs almost 430g, measures about 28cm long from crown to heel. Your baby's legs aren't curled up so tightly to her tummy now. This means she can be measured from the top of her head to her heels, instead of her bottom. She is proportioned like a newborn, albeit a thinner version since her baby fat hasn't yet developed.

Although she's getting heavier every day, her skin still appears wrinkled and translucent because she needs to gain more weight. Her lips are distinct and her eyes are formed, though the coloured part (the iris) still lacks pigment. The pancreas, essential in the production of hormones, is developing steadily.

Even this early, the first signs of teeth appear in the form of tooth buds beneath her gum line. Before you know it, your baby will be born, and soon after, her first teeth will come through.

You've probably gained between 5.5kg and 7kg. Starting now, you'll begin to put on weight more steadily, averaging about 225g per week. You may crave certain foods and you may notice an increased (but not bloody) vaginal discharge. Both are a normal part of being pregnant.

http://www.babycentre.co.uk/22-weeks-pregnant#ixzz381NUn68Z

Total weight gain: 51.9kg, a gain of 700g since last week and 5.1kg since the start of pregnancy. With babe #1 i gained 8kg by full term. I am hoping the weight gain slows a little or i'm headed for a lot more this time.

Maternity clothes: Maternity bras, maternity trousers, normal tshirts. Getting close to having to wear maternity shirts as my regular ones are starting to get a bit short in front.

Sleep: Still need to work on the usual getting to bed on time.

Best moment of the week: Hubby poking my belly and baby kicking back!

Food cravings/aversions: None.

Symptoms: 

Nausea: None.

Fatigue: Nope.

Other: None.

Movement: Active, mostly morning and evening. Getting rhythmic movement now that makes me think hiccups. Lots of kicks on the right hand side of my belly, below the level of my navel.

Gender: Boy.

What i'm looking forward to: a non-eventful second half of my pregnancy (fingers crossed)

What i miss:

Next appt: TBA.

What else i've done this week: I've seen several people for the first time this pregnancy, and they've all remarked on how small my belly is. I'm inclined to think it's all the Tubigrip, but comparing my photos from last time it's not much different. It was later on, about 30 weeks that i really started to poke out in front.

Friday, 18 July 2014

Week 21


week 21 pregnant belly side view


week 21 pregnant belly side viewweek 21 pregnant belly front view

Sorry for the late post, busy weekend and then i got sick. Only just managed to take the photos this morning at 21+5.

STATS:

How far along: 21 weeks.

How big is baby: a banana.

What is baby doing this week: Your baby now weighs about 360g and is about 27cm long. Your baby's eyebrows and eyelids are fully developed, and he can now blink. If you’re having a boy, testes will descend from the pelvis into the scrotum in the coming weeks.

If you've started to feel your baby's movements, you can look forward to more action in the coming weeks. You may soon feel like she's practising martial arts, as her initial fluttering movements turn into fully-fledged kicks and nudges. You may also discover a pattern to her activity as you get to know her better.

You're probably feeling quite comfortable these days. This, in fact, may be the most enjoyable time in your pregnancy. You're not too big yet, and the usual aches and pains associated with pregnancy like nausea, frequent urination, and fatigue are for the most part gone. Relax and enjoy it while you can.

Have you thought where you might have your baby? Find out more about having your baby at home.

http://www.babycentre.co.uk/21-weeks-pregnant#ixzz37pNMkKna

Total weight gain: 51.2kg, a gain of 100g since last week and 4.4kg since the start of pregnancy. Can't complain about that gain this week.

Maternity clothes: Maternity bras, maternity trousers, normal tshirts. Getting close to having to wear maternity shirts as my regular ones are starting to get a bit short in front.

Sleep: Still need to work on the usual getting to bed on time.

Best moment of the week: Had two photoshoots lined up this weekend and my business cards arrived. Almost ready to start booking paying clients - just need to find them!

Food cravings/aversions: None.

Symptoms: 

Nausea: None.

Fatigue: Nope.

Other: None.

Movement: Active, mostly morning and evening. Getting rhythmic movement now that makes me think hiccups.

Gender: Boy.

What i'm looking forward to: a non-eventful second half of my pregnancy (fingers crossed)

What i miss:

Next appt: 18 July midwife appointment (rescheduled from 15th).

What else i've done this week: Nothing pregnancy related.

Tuesday, 8 July 2014

Hearty chorizo and ravioli soup

This was inspired by a recipe i saw in the Women's Weekly while waiting for my ultrasound. I read it through and tried to remember it, but forgot parts so had to make it up. It's fairly simple but really tasty.

Ingredients:

1 onion, chopped
2 carrots, chopped
2 sticks celery, chopped
1 tsp crushed garlic (or 1 clove)
1 chorizo sausage (about 200g), sliced
1 420g tin diced tomatoes
1 litre chicken stock
1 tin cannellini beans
1 zucchini, chopped into 2cm chunks
1 1/2 cups ravioli (your choice of filling, i used roast chicken and garlic)
1 cup frozen peas
160g baby spinach leaves
grated parmesan or romano, to serve

Method:

Fry the onion, carrots and celery in a little oil until starting to soften, then add the garlic and fry for 30 seconds before adding the chorizo. Cook until chorizo starts to curl at the edges (about 5 minutes), then add the tomatoes and stock. Bring to the boil then reduce heat and add the cannelloni beans and zucchini. Simmer for 5 minutes (zucchini should be starting to soften), then add in ravioli and peas, simmer for another 5 minutes. Add the spinach leaves, stir until they wilt, then turn off the heat and serve sprinkled with the grated cheese.

Makes 6 serves.

Sunday, 6 July 2014

Week 20 - halfway!

week 20 pregnant belly side view


week 20 pregnant belly side viewweek 20 pregnant belly front view


Definite round belly starting here! For comparison purposes, here's week 7 next to week 20. You can see the extra weight on my thighs and boobs, my arm, and possibly a little on my back above my butt?


STATS:

How far along: 20 weeks.

How big is baby: a small cantaloupe.

What is baby doing this week: Up until now your baby has been measured from crown to rump but from this point on the measurement will be from crown to heel – and this week she is about 26cm long and is steadily gaining weight. A whitish coat of a slick, fatty substance called vernix caseosa begins to cover your baby, protecting her skin during its long immersion in amniotic fluid. It also eases birth. Your baby's swallowing more this week, good practice for her digestive system. After your baby takes in amniotic fluid, her body absorbs the water in the liquid and moves the rest into her large bowel. In her bowel, a sticky by-product of her digestive system, called meconium, accumulates. It'll appear in her first nappy after she's born.

Make sure you're eating a good diet, and are getting enough iron. Your baby needs it to make red blood cells, among other things. In fact, it's almost impossible for you to get too much from food alone without overeating. Iron-rich foods include lean red meat, poultry, fish, lentils, spinach, and iron-fortified cereals. See our eating well guide to see what you should be having in the next few weeks.

http://www.babycentre.co.uk/20-weeks-pregnant#ixzz36e8mQZzW

Total weight gain: 51.1kg, a gain of 900g since last week and 4.3kg since the start of pregnancy. That's 9 lb 8 oz for you old schoolers... more than the expected weight at term of my baby. Eep!

Maternity clothes: Maternity bras, maternity trousers, normal tshirts.

Sleep: I managed one decent bedtime last week (10:30ish)... will try for two this week.

Best moment of the week: Had anatomy scan and baby is developing well, no problems detected.

Food cravings/aversions: Chocolate.

Symptoms: 

Nausea: None.

Fatigue: Nope.

Other: Bit of reflux again, particularly if i do inversions at night, even though it's several hours after dinner.

Movement: Active, mostly morning and evening.

Gender: Boy.

What i'm looking forward to: a non-eventful second half of my pregnancy (fingers crossed)

What i miss:

Next appt: 15 July midwife appointment.

What else i've done this week: Nothing pregnancy related.

Anatomy scan

I've taken a little while to write this up. I think i built it up a bit much with the hope that we'd have a pigeon pair family, and when that fell through it took me a few days to get used to the idea.

So yes, we are now team blue and are having a second BOY! We are happy to have another gorgeous healthy boy, but sad that we will never have a daughter. I told my online mothers group and those who had also ended up with two of the same told me they understood my disappointment in not having one of each, but encouraged positivity by telling me that now they had two of the same they wouldn't change it as the siblings developed such a close bond and really played well together, having similar interests. And, the world can always do with two more wonderful, kind, gentlemanly men. So i'm looking at that as the positive and gradually i can look at pigeon pair families as i walk around the shops and not feel sad. And, because i'm starting into photography, i can make gorgeous headbands and tutus for the little girls i get to photograph, one of the things i would have like to do for a daughter :)

Mind you the toddler was more than happy to model said tutu for sizing and wanted it on again today! Haha. Husband wasn't too pleased! I'm not worried if a two year old wants to wear a tutu and have nail polish (he hasn't shown interest in the latter). It's all part of them trying out different things and they haven't been told yet that it's 'girly' or 'gay', which is a lot of what makes them stop i think.

It has made us stop and think if we want to raise our family size from two kids to three, to see if we could actually go for a girl. I think however that we'd end up with three boys. I also don't like the number three in families, it's an odd number and you tend to get two ganging up on one at any given time. (Our family had three kids, it's how i know!). Hubby has also genetically produced three boys now. We're not entirely sure if he's the biological father of his first two kids (boy and girl) - they look nothing like him or the third child but look very much like his adopted brother. I think i've mentioned previously how messy his family is (parents, siblings and his ex). So from that it seems he produces boys only. I know of a family who kept trying for a girl... they were up to 7 boys last i heard! I like two; it's doable cost wise, particularly with daycare and then later with sports/hobbies. It's easier to do things with two such as go shopping/to the park etc with only one adult. Also my low-lying placenta this pregnancy has really made me think about how a lot of pregnancy is up to chance - for example a complete previa would have dashed my hopes of a vaginal birth and could have also put me at risk of placenta accreta and a hysterectomy. Each pregnancy would have all those different things again that could go wrong.

Speaking of, that was the second part of my writeup here, i have a low-lying placenta. It's anterior and is 15mm from the cervical os. It should move further away as the lower part of the uterus develops around the third trimester, and the doctor at the scan recommended another ultrasound at 32-34 weeks to make sure it's moved a good distance. I think a lot of doctors prefer 25-35mm away from the cervix, which it should definitely be by that point in time. I would however prefer not to get the scan. I am certain that the 30 week scan was what turned my son breech last pregnancy, as he was transverse that next morning when i woke and settled into what i now know was footling breech when i got up. He was head down at the scan. If however my midwife is unwilling to continue with a home birth without knowing the location of the placenta, then that may be my only option for a home birth (unless we go unassisted). Will need to discuss it with her at the appointment and see how she feels.

On the plus side however, baby boy is looking healthy, heartbeat of 142bpm, and everything developing as expected for this gestation :) We saw his little heart beating, the four chambers, valves opening and closing, and a beautiful spine, much clearer than last time as it is now changing from cartilage into bone. 10 fingers and 10 toes!

Wednesday, 2 July 2014

Placenta accreta update

At my 12 week NT scan, the sonographer noted that i had an anterior placenta. I asked her at that point if she could see if it was clear of my c section scar, but she said they couldn't tell at that stage as the uterus was still small (i got the impression the placenta was covering most of the front!). She said they would be able to tell more at my anatomy scan.

I've just had the anatomy scan, and my placenta is classed as low-lying, 15mm from the cervical os - thank goodness it's not covering it. She and the doctor said in 95% of cases, by about 32-34 weeks it's moved well away from the cervix. While the placenta doesn't actually move, the lower segment of the  uterus doesn't develop fully until later in the third trimester which effectively 'moves' the placenta by increasing the space between it's edge and the os, and this is why they recommend another scan at that time to ensure it's away from the cervix. I think in 0.5% of cases the lower segment doesn't develop to a point where the placenta is away from the cervix. I'll have a discussion with my midwife at our next appointment to discuss the pros and cons of having this third u/s.

They didn't mention anything about the placenta covering my cs scar, or placenta accreta, so i took that to mean it wasn't an issue. I was still curious though so i googled when i got home and found these two reassuring studies. I had no idea that the scar is actually through the cervix! Because i was in labour at the time of the cs, my cervix had effaced somewhat, so the lower uterine segment they cut through was an area that used to be between my internal and external os, i.e. inside the cervix. Wow! So in most cases a low lying placenta does not cover the cs scar.

From http://www.ncbi.nlm.nih.gov/pubmed/22928532:
CONCLUSION: CS incisions are mostly performed in cervix, in elective as well as in emergent operations.

and from http://onlinelibrary.wiley.com/
Conclusion Cesarean sections, especially those done during uterine contractions, are actually performed through cervical tissue. This finding is in agreement with the physiological process of cervical effacement during contractions. Copyright  2004 ISUOG. Published by John Wiley & Sons, Ltd.

The Wiley.com article also contains several ultrasound images with the important markers pointed out clearly for a non-medical person to see.