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Ocean View Verandah
Thursday 20 September 2001
You know I almost think that I might be interpreting hunger as nausea now, I've gotten so used to feeling of feeling sick every time I let myself get hungry. Then again, maybe I'm just nauseous...
I talked to a doctor at the hospital to which my birthing centre is attached today. She works in the foetal medicine unit, and she was both reassuring and helpful, in terms of giving me information.
I had been hoping that my higher chance of miscarriage due to having a smaller uterus was limited to the first trimester - that if I were going to miscarry it would be most likely in the first twelve weeks, as is the case normally. But then lately I'd realised that by twelve weeks (which is where I'm at now) the baby still has heaps of room to slosh around in, so if the uterus is going to have trouble learning to grow, it's probably going to be later on.
This is in fact the case. This doctor told me that the 'danger' periods (my words) are in fact around weeks 16-17 and between weeks 30-40. She said that the problem can be that the uterus is not well enough vascularised - ie isn't getting good circulation, not enough blood - then the baby's growth can be too slow, because it's not getting enough nutrients.
However, she also said that as long as I am having regular appointments with the midwives, and they are aware of the possibilities, she would not be concerned about me. She said she had seen another woman with the same problem once, who had had to have a c-section at 33 weeks, because the baby had stopped growing in the womb, but once born, the baby was perfectly fine.
I am also comforted by the fact that often with this 'condition' (it has a name, of course, but I forget what it is), the kidneys can be affected, as they form at the same time as the ovaries. Since that is not the case with me, I am hoping that the uterus will also have normal vascularisation, and all will be well.
The doctor was very positive (of course) about using ultrasounds to keep an eye on things, but also very definite that what tests you have and whether you have any must be each woman's personal decision. She said and I moreorless quote 'You don't have to have any test at all, or see anyone at all, if it's not right for you.' I was very happy about that, because I am not keen to have any unnecessary tests, even ultrasounds. She also said that if the midwives are measuring the size of my uterus with a tape measure, as they have done for centuries, they can be just as sure of whether the baby is growing at the normal rate as they could with ultrasounds.
On a different subject (slightly) - Sabine had her baby, after about an 8 hour labour, and all is well with them both. This makes it all seem a bit more real and exciting for me. I just wish I could go over there and meet him.