Monday, June 20, 2011

Infertility depression

So, to start, I'm not just discussing long-term infertility, but also the short-term, secondary, etc. While it's definitely traumatizing to be waiting years, it's also traumatizing for many women to be waiting months. After all, those who did wait years started out waiting months, too. Here, I'm also only discussing from a woman's point of view. I know men go through quite a bit as well, but lacking the personal experience, I'll leave that up to a dad to write.

During this time, all sorts of thoughts can go through your head. Feelings of inadequacy aren't uncommon and neither is depression. It starts with the trying to conceive (TTC) cycle. First, there's excitement, as we finally decide to try. We know it might not happen right away, so we first just stop any birth control measures that might have been in use and just enjoy sex au natural.

After that doesn't work, we start timing. Some people buy ovulation predictor kits (OPKs) and some watch for signs of fertility (cervical fluid, maybe mild cramping--mittelschmerz). Others start charting their temperatures and many do all at once.

We hear the stats--two healthy, fully fertile people have about a 25% of conception in any given month. Okay, so, a few months have passed, this month should be it! We're doing everything right--we know when we're ovulating, we're going at it like bunnies on a schedule (some every day, some every other day in an attempt to give the sperm a chance to build up) and we're still not getting pregnant.

Looking for something 2
Doubts, that many of us already carried, perhaps in silence, for a long time, start to surface--"Can I even get pregnant at all?" Many women, especially those who successfully use birth control for a long time, actually worry that they may not be able to have children, though they have no real reason to feel that way. Sometimes it's a real, conscious concern or fear, sometimes it's subconscious, only waking up when the reality of actually trying to conceive arrives.

Often, what follows is depression. For me, I felt disconnected from the living world. I couldn't do the most basic of life tasks--reproduce. It made me feel broken, like I was really dead inside and something was seriously wrong with me. I watched other women with their bellies ballooning, bemoaning their human fertility and it hurt. It hurt a lot.

Every time someone talked about being 'afraid' of being pregnant, I wanted to scream at them to just give me the baby. I wanted the baby, don't be afraid, don't worry, just hand it over! Of course, instead, I tried to be supportive, while inside, I hated them a little in my pain.

Now, from here, women go many different ways. Some just keep trying naturally, hoping that some day, it will just happen. Some because they don't have money for anything else (fertility treatments are expensive!), some don't believe in interfering with nature and some just really, really want it to come from them.

Others go on to schedule workups to find out what's not working--many hope that it's their husbands and not them. Some try more natural approaches with herbs or supplements. And others make the decision to stop trying to conceive entirely and move onto looking into adoption.

From there, some go on for fertility treatments and more still move onto adoption options. And across the board of the women in treatments, using natural help and just keeping on the old fashioned way, women start getting pregnant: Finally!

Now, many recover and their spirits fly at this point. They've succeeded! However, many others continue to suffer from depression into the pregnancy. For me, I was unable to believe that I was really pregnant. I tried to find causes of positive pregnancy tests outside of pregnancy. The only one that seemed to fit my symptoms was a tumor. So, while I carefully nurtured my body in case I was wrong, I inwardly braced myself to face the big C.

This manifests in other ways for other women. However, it can lead to a distinct inability to bond in many women, for many months. You might not be able to believe you're pregnant, even when you're going through all the motions of nourishing a pregnancy. The depression that came from all those months of unsuccessfully TTC can utterly spoil what was supposed to be a joyous time in your life. Something you were waiting months or years for. Something very special.

This depression can persist throughout pregnancy and a little beyond, especially if you have a highly medicalized birth. If you experienced pregnancy or birth loss in the past, it can increase the problems quite a bit. Of course, the depression and bonding difficulties don't dampen any of the feelings of loss if the pregnancy ends unexpectedly.It could even make them worse.

Most women start bonding and recovering from the depression during milestones in pregnancy. The quickening is a big one--feeling the baby move, really move around in there, can push through that infertility depression fog. Sometimes, the first time mom hears the heartbeat makes it all real and connects her to the little life growing inside. Other mothers find comfort in a routine ultrasound showing them their active little bumper is really and truly a baby. Others still find random triggers, some not even related to pregnancy, that lead to pushing through the fog. Finally, the big show--birth--may be what it takes to really chase away those issues.

This post was really written to let other moms know: you're not alone. This is a problem that affects many, many women. It's not a sign that anything is wrong with you--it's a kind of traumatic response, even a defensive mechanism. It will eventually pass. However, my friend Dionna at Code Name: Mama has some great suggestions if you're currently pregnant and going through this, that might be helfpul.

Monday, June 13, 2011

Living Respectfully With Children

So much mainstream parenting is disrespectful to children, but our society, in its attempt not to offend people we don't even know, for reasons we don't often understand, points no light at this. It's not okay to offend the guy three houses down by walking outside topless (if you're a woman or an overweight man), but it's okay to tell a child that their idea is irrelevant, take their property (and yes, once it's given to them, regardless of where it came from, it's theirs--after all, your gifts are yours, are they not? Not 'on loan' from the gift giver?) without permission and give it away, sell it, throw it away, etc., control them through fear and pain, interrupt what they're doing or saying and utterly dismiss them as people.

I don't agree that that's okay (but you saw that coming).

Children are people. Yes, sometimes they're annoying people. Yes, they have very simple ideas and they come up with things that we learned (as children) just don't work. Because everything is new to them!

above: flashlights and giant dandelions: things that were once top dollar entertainment

We lay expectations down on our children that are impossible for the average adult to live up to. Children are often discouraged from joining adult conversations, expected to sit still while their little legs are aching for exercise, overridden in their food choices (I'm not talking about wanting ice cream for a main course, I'm talking about the tremendous disrespect of forcing them to order from the children's menu, even if there is nothing there that they want, just because it's cheaper--which it isn't always!)... and that's just a typical restaurant experience for a child. Is it any wonder that kids are often crying at the table with frustrated parents? How would you act if those were the expectations set forth for you?


Next, how about the bathroom? This isn't parental, but a way that society disrespects children. Bathrooms in most places, even 'family friendly' places rarely have toilets that are close to the ground, nor sinks, so young, potty learning/training children have their independence taken from them (and while most kids are used to this--some of us with two year olds know how important that tiny independence is to them!).

Now, this is also a disservice to most adults, though we don't know it--toilets lower to the ground are actually easier on our bodies for going number two. So it would benefit both children and adults to have a couple short potties in each bathroom. And a short sink would save mom/dad's back from having to hold the kid up! (I just stick mine on the counter and let them do it themselves, then I have to clean the counter after.)

Now, the phrase that really got me going on this very long tangent (there are so very many things that could be listed in how the world is unfair to its shortest, newest citizens): Pick your battles. Now, this is good advice on one hand, but the terminology... as though children are on one side and parents on another! Children don't want to fight battles.

They want to have control over their own lives, just like you and me. Unfortunately, they don't have the life experience or education to make the best decisions in all things, so we do occasionally have to redirect and take over. Maybe it's to keep them safe or maybe it's to keep life running smoothly for everyone in the family.

Because a family is a working unit. For it to work properly and exist happily, everyone must have their basic needs met and have equal respect for each other. Just as we can't just run over a child's autonomy or choices, they need to respect ours and a balance has to be found to keep the family in working order. That varies for every family.

Personally, I think a good rule of thumb is to ask yourself: "How would I respond if this was my sister's child? My neighbor's? A stranger's?" Then, compare it to, "How would I respond if this was my roommate? My best friend? My spouse? My mother?" Look at the differences in your answers for each situation. Then ask, "How would I want someone to respond if this were me?"

Be honest. No one in their right mind is honestly going to answer, "Gee, I would want them to hit me," or "I'd want them to take away my television/Netflix/computer/whatever." Sure, we might joke, "Slap/shoot me if I ever..." but we don't intend for it to be taken seriously. We mean: confront us with what we've done and remind us why that's a bad idea. If someone took our property, we'd be pissed off--after all, it would make no sense and we'd see it as a lack of respect and a violation. Kids are no different there.

Now, after you have your answer, add in your child's personality and what you know about them. Try to think why they are doing whatever it is that's annoyed you enough to react (hint: the answer is not actually 'just to annoy' you--if they want to annoy you, then something else has already come up and not been addressed). Why are you reacting? What is your concern with their action? If your answer involves, "What will other people think?" then you need to rethink. That is a bad reason in general.

From there, you will have a lot more compassionate, reasonable and respectful approach to the situation and be on a better road to living respectfully with your child/ren. This is important because children learn from what they see much more than they learn from what they hear. If they see you consistently demonstrating respect, then they are much more likely to return it and know how to react respectfully in the future.

And if you fail now and then? Then you're human, just like the rest of us. But it's a good place to start and a good goal to have.


One last tip: Let them stop and smell the roses if you don't have an appointment. Yes, it's five more minutes until you could be on the internet or prepping dinner or whatever. However, if our kids can 'wait a minute' for us, then we should return the courtesy now and then.

Thursday, June 9, 2011

The Donor Milk Dilemma

Dripping Milk 4
Okay, hard truth first: Formula is not as good as human milk. Formula is rated fourth in the hierarchy for infant nutrition (Mom's milk, mom's pumped milk, milk from another mama, then formula) and should only be used for babies with galactosemia or any other reason that they cannot consume human milk.

Human milk is the standard of human infant and toddler nutrition. Formula is inferior, plain and simple. It has its place and can be useful, but it should not be the first option when breastfeeding/pumping cannot happen. If you cannot breastfeed, it does not follow that you must use formula.

Donor milk should be the first option after mother cannot provide the milk that baby needs. However, if you say that to most women, what is their first reaction?

"Eww! No way!"

Why? Why do we distrust other women so much as to assume that their milk is inferior to formula, when it was perfect for their own children? The risk of disease from donor milk is lower than the risk of formula contamination. But many women cannot be persuaded of this. Why?

"Women are dirty. Women's bodies are dirty."

This is a prevailing attitude in our society. It is illegal to show breasts outside your home, though men can show their nipples legally. It comes from puritanical thinking and the old "Eve committed original sin" attitude. Which is just plain ridiculous. It's the same reason that women think that childbirth must be a painful ordeal, despite the absence of pain in uncomplicated births in cultures that have not been exposed to this concept.

Women are adversarial to other women. They don't trust them. So, regardless of the fact that women go through the same STD checks in pregnancy and that donors are routinely screened, women refuse to accept that another woman's milk is clean. Sometimes, they cannot accept that another woman can do something that they cannot. Their competitive nature causes them to become resentful and aggressively reject that which they feel they cannot do.

Some women are so misogynistic that the thought of anything coming from a breast is 'dirty' -- even if it's their own! This is usually an attitude held by only the most immature mothers, though.

Many women tout themselves as 'victims' because they either made a choice not to breastfeed or were unable to, for whatever reason. But the real victims here are the babies, being given an inferior food substitute because of a cultural stigma against women's bodies.

Yes, some of it is the backlash of the medical germaphobe: 'all bodily fluids are infected with an unknown number of virulent diseases just waiting to pounce.' But even with that, there is still an imbalance, as formula is actually more bacteria-laden and research shows a greater risk of infection from it.
Refill for Will
I'm not saying women shouldn't have a choice. I am saying that formula should not be the first choice to follow. I'm saying that the cultural stigma against women needs to end. The hidden misogyny in our society needs to end. Only then can there be increased access to a variety of donor milk so that all babies who can safely consume human milk have access to it.

Saturday, June 4, 2011

Musing on Kitties

Because we all know that the internet is powered by adorable and funny cat pictures, it's about time I paid my dues.



No joke, this ^ was voluntary.



^ This was her 'safe place' when we would leave to go anywhere (and this picture won a contest once upon a time!).

Serephina was contemplating sending Brat to Abu Dhabi. ^




And some of our foster kittens...




So, there, internet. Caption away or just enjoy the kitties.

Friday, May 20, 2011

AAP Surprises

There are a few things you may not know are recommended by the American Academy of Pediatrics. Some people get outdated information and others simply misunderstand the language. Here are a couple things that are not considered mainstream (but should be!) that the AAP, who is supposed to be the mainstream 'go-to' (especially for pediatricians) recommends.

Cosleeping
http://82cottage.com/images/Bedroom%202%20double%20+%20crib.jpg
The first thing that comes to most minds when they hear "cosleeping" is baby in the parents' bed. But really, that's just one type of cosleeping, referred to as 'bed sharing' to be specific. Another form is to have baby in a crib or cosleeper attached to the bed and yet another is to have the crib in the parents room. The AAP actually recommends that babies spend the first six months of life in their parents' room, in a separate sleeping area (a bassinet, cosleeper or crib). This benefits both the research that cosleeping is better for babies and crib manufacturers, who hate those studies. "Mother and infant should sleep in proximity to each other to facilitate breastfeeding."

Rear-facing for Two Years (and beyond!)

Her chest clip needs to be adjusted a little bit here, but this is Lilly, rear-facing at 2 1/2.
The AAP advises parents to keep kids rear-facing as long as possible, up to the maximum limit of the car seat. The current (new) minimum recommendation is now 2 years. Most people aren't aware that this is the recommendation, because they have been following the minimum law (if at all), much to the potential detriment of their children. Children under 2 who are rear-facing are 75% less likely to be fatally injured in a car accident.

Feed On Cue, Not Schedule
Feeding the wild
There are repeated comments on this in the official AAP guidelines, from "Crying is a late indicator of hunger," to "During the early weeks of breastfeeding, mothers should be encouraged to have 8 to 12 feedings at the breast every 24 hours, offering the breast whenever the infant shows early signs of hunger such as increased alertness, physical activity, mouthing, or rooting."
A1
Breastfeeding Past the First Year

The AAP's official stance: "There is no upper limit to the duration of breastfeeding and no evidence of psychologic or developmental harm from breastfeeding into the third year of life or longer."

So there you have a few things you may not have know that the AAP recommends.

Saturday, May 14, 2011

Don't Schedule Cesareans for Breech babies!


Breech presentation is not a valid reason to schedule a cesarean. Yet, whenever a care provider finds a baby in the breech position in the last few weeks before the EDD, they ask the parents to pick their baby's birth day.

Now, people consider breech presentation one of the main reasons to have a cesarean. However, while I'll agree that with the prevailing ignorance of the average obstetrician in catching breech babies, in the hospital, it may be safer to have a cesarean--if the baby is presenting breech in labor.
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Babies can turn in the womb as late as in active labor, into a vertex, or head down position. So, scheduling a cesarean is foolish, especially if it's scheduled before your EDD. An EDD is not a good measure of when the baby is coming, unless you see it as the middle of the average: 38-42 weeks. So, scheduling a cesarean for 38 weeks is not a good idea unless you have full placenta previa or another reason that labor must be avoided.

Ideally, you should go on with a breech pregnancy with the belief that baby will turn. You can use the techniques at Spinning Babies to help a stubborn baby point in the right direction. If you are approaching the big day and you've tried positions, inversions, chiropractic care, shining a light down low, etc. and baby is still breech, many obstetricians can perform what is called an external cephalic version.

A version should be a last resort, as it is uncomfortable and comes with its own set of risks, including PROM (premature rupture of membranes), premature labor, bleeding and fetal distress leading to the need for an emergency cesarean. The success rate is around 65%.

Ideally, you will have a care provider who is trained in breech vaginal birth, which 70% of breech babies are candidates for. This is not a 'new' thing. In fact, it is an old skill that has been virtually lost with the popularity of the cesarean. A transverse baby is a definite risk out--you can't birth a baby shoulder first! Footling breech is considered too dangerous by most care providers to attempt a vaginal breech birth. Baby breathes through the cord and it can become dangerously compressed in a breech birth. The likelihood of this in a footling breech is 15-18%.

Frank breech is the ideal for a vaginal breech, as the baby's legs protect the cord. In full-term, vertex babies, 0.4% suffer from cord prolapse. In frank breech, 0.5% will experience this complication. So, you can see the rate is very similar. The next risk comes with complete breech babies, which have a compression rate of 4-6%, a significant rise, though not as dangerous as footling breech.

Ideally, you should give baby time in labor to finally turn vertex. At the worst, if you end up with a cesarean due to an unsafe breech position that will not resolve or you are uncomfortable with the risk of breech vaginal birth, you will have given your baby all the time he or she needed to 'cook' and even a brief trial of labor can give the baby the benefits of labor, which prepares the baby for life on the 'outside.' At best, your baby will turn in early labor and you will go on to have the birth that you desired and that gives your baby the best start in life.

At the very least, you should research your options and remember that you have the right to make this choice! A cesarean is major abdominal surgery. As common as it is, so are complications--for both you and baby. Scheduled cesareans may be more convenient, but they are not safer than vaginal birth (except when labor would be dangerous in the first place).

Happy Birthing!

Tuesday, May 10, 2011

ADHD Doesn't Need a Cure

Some of this is lacking coherent transitions, please forgive my pregnant brain. I also probably should cut off most of the end, but I wanted to get all my thoughts on this subject out in just one entry.



Something that comes up as often as people looking for a cause for autism is a cause for ADHD. Because if there's a cause, like some kind of infection, it can be rooted out and cured. But I don't believe that. I don't believe it's as simple as people want it to be. If you've read any older literature, you know ADHD has been around longer than televisions, ultrasounds, vaccines and artificial dyes. It's not likely any more prevalent today than it was 200 years ago--we just have a name for it now. A 'diagnosis' and a 'fix' (or twenty). When you look for something, you are much more likely to find it than you are when you don't even know it exists.

There's a story that was told by Sir Ken Robinson at a TED talk in 2006:

“And the third thing about intelligence is that it's distinct. I'm doing a new book at the moment called Epiphany, which is based on a series of interviews with people about how they discovered their talent and actually about how people got to be there. It was really prompted by a conversation I had with a wonderful woman who most people have never heard of; she’s called Gillian Lynne. … She's a choreographer, and everybody knows her work. She did Cats and Phantom of the Opera. …

"Gillian and I had lunch one day, and I said, 'How did you get to be a dancer?' She said it was interesting. When she was at school, she was really hopeless. And the school in the 30’s wrote to her parents and said, 'We think Gillian has a learning disorder.' She couldn’t concentrate; she was fidgeting. I think now they'd say she had ADHD. Wouldn’t you? But this was the 1930s, and ADHD hadn't been invented at this point. It wasn't an available condition. People weren't aware they could have that.

"Anyway, she went to see this specialist … She sat on her hands for twenty minutes while this man talked to her mother about all the problems Gillian was having at school. … In the end, the doctor went and sat next to Gillian and said, 'Gillian, I've listened to all these things that your mother's told me. I need now to speak to her privately. Wait here; we'll be back. We won't be very long.' And they went and left her.

"As they went out of the room, he turned on the radio sitting on his desk. When they got out of the room, he said to her mother, 'Just stand and watch her.' The minute they left the room, she said she was on her feet, moving to the music. They watched for a few minutes, and he turned to her mother and said, 'You know, Mrs. Lynne, Gillian isn't sick. She's a dancer. Take her to a dance school.'

"I said 'What happened?' and she said, 'She did. I can't tell you how wonderful it was. We walked into this room, and it was full of people like me: people who couldn’t sit still, people who had to move to think.' … She was eventually auditioned for the Royal Ballet School; she became a soloist; she had a wonderful career at the Royal Ballet. She eventually graduated from the Royal Ballet School and found her own company, the Gillian Lynne Dance Company and met Andrew Lloyd Webber. She's been responsible for some of the most successful musical theater productions in history; she's given pleasure to millions, and she's a multimillionaire. Somebody else might have put her on medication and told her to calm down."*


This principal is trying to work to change people's views on ADHD, which I think really needs to be the goal. The perspective on ADHD needs changing, not the children. It's very defeating to hear that you are a 'problem' that needs to be 'fixed.' Especially when that problem is the way your mind works.

I, too, can think most effectively when I'm in motion--or when I have everything else in the world shut out through music. I put on headphones, point myself at a computer and words pour out by the thousands--no exaggeration. I wrote an entire book in a matter of weeks doing this. I'm only just now learning how to work with the way I think, because I wasn't given the chance to adapt and adjust and know my own mind, from a short time after I was diagnosed with ADHD.

We all know ADHD is highly over-diagnosed. But I think there is a secondary problem, too: a 'mimic' condition that presents as ADHD, but does have a cause. Like heavy metal toxicity emulating autism and being curable, some children diagnosed with ADHD can be 'cured' by adjusting their diet. This isn't a new idea, I first heard about it in the 90s. But I've also seen this strategy fail and it's not a cure-all for ADHD. Because there isn't one.

Because it doesn't need to be 'cured.'

Now, I don't have grandiose ideas about how to help educators deal with the unique needs of children with ADHD. Frankly, I'm not a fan of public schools (largely due to my run in them) or any form of institutionalized schooling, for that matter. Particularly not for anyone with an unconventional mind. I'm not an unschooler, I believe in structured schooling. I think. Ask me when my four year old is closer to eight and maybe I'll have a more firm idea on that. I'm still new at this.

I know that children who must go to school must get along in school. But I strongly disagree that forcing them into patterns of instruction that they do not learn from and giving them drugs for the benefit of others and not the child receiving the drug is the answer. It's not. Concessions need to be made. I don't have the answers as to what--but I believe that's where ADHD research should be focused. Not on drugging away the special way that ADHD kids think, but in teaching educators how to use it, instead.

I think this is easiest for homeschooling families, as they have a wide berth to individualize their teaching and typically don't have 20+ students in one room, trying to learn the same thing. I know I've read at least one homeschooler's blog where she had adjusted for her two sons who have ADHD--they could do their work, right on track with peers, but needed to be able to move around while they did. I wish I could find that blog to link to it, she had such a wonderful outlook and great ideas on alternative education ideas.

Some parents refuse to get the child tested, for fear of a 'label.' I don't think that's helpful for everyone... I know how much labels hurt, but I also know that they help you to understand what's going on to adjust for it. Children without labels are equally stigmatized in school--they just don't get any compassion, either, because they're still going to be labeled: troublemakers. The problem is that some teachers automatically apply that label when they hear "ADHD" but many will have more empathy with the diagnostic label than just their own.

We can't stop teachers from being human. We shouldn't be trying to stop our children from it, either. I don't see ADHD as a psychiatric disorder--I see it as a personality trait. Yes, it's caused by chemical reactions in the brain being different from the average person. So what? We all have different chemical reactions in our brain. Some of us just have more obvious differences than others.

ADHD kids just think differently... and society needs to start thinking differently about ADHD.


*Here, you can watch the entire twenty minute talk, “Do schools kill creativity?” that this story was taken from (about 15 minutes in)

Thursday, April 7, 2011

Only One Absolute in Pregnancy

There's only one absolute in pregnancy and that is that the baby is going to come out eventually.
gift from above
image courtesy of stockxchng

So, when we think about getting pregnant, we think of certain things immediately. Missed periods. Nausea. Strange cravings. Big bellies. Did you know that none of these are absolutes?

The missed period

Okay, so this really is an absolute in a way--no one has a 'period' while they are pregnant, in that they aren't shedding the uterine wall lining in preparation to begin the ovulation cycle again. However, many women experience vaginal bleeding that can mimic a period for a month or even the entire duration of pregnancy. So, some women don't know they're pregnant right away, because they think that their cycle is continuing. This is especially problematic for women who have never had a stable cycle.

"Morning Sickness"

It seems like most people know by now that morning sickness has nothing to do with the time of day for many women. The reason that some women only experience it first thing in the morning (and why 'remedies' include eating something carbohydrate-bearing before you get out of bed) is that it's often tied to blood sugar.

Many women never experience morning sickness.

So, this is, again, not an absolute sign of pregnancy or lack thereof. While some women are tortured with morning sickness their entire pregnancy, for most women, it vanishes somewhere between weeks 10-14, after the placenta starts picking up in week 10. Sometimes morning sickness just translates as a reduced or increased appetite (depending on the mom-t0-be).

Personally, I didn't have it until my second trimester with my first, had it horribly with my lost baby, none with my second daughter and this pregnancy has been a low level nausea for about 80% of my day on average.

Strange Cravings

If you say you want pickles and ice cream, someone will likely joke that you must be pregnant. However, aversions are possibly more common than cravings! Again, this is a symptom that some women just don't get (or don't notice if they do, especially if they're used to having weird taste). And not all cravings are of foods you wouldn't normally want--common food cravings include fruit or meat and have all sorts of old wives' tales surrounding them (usually about gender).

For the record, my pregnancy cravings have gone as follows: fruit like crazy with my first girl and meat and veggies with my second girl. This pregnancy has been all about the meat, potatoes and cereal. I could really go for Steak Monterrey right now with a baked potato and Frosted Flakes for dessert. But I could probably fill a journal with things that gross me out.

Big Bellies

This one is rather hard to escape. When people talk about women 'not showing' through their whole pregnancy or being able to hide it, they immediately assume that the woman must have been fat. Which is totally untrue. I have a friend who is very thin and it took her almost to 30 weeks before she 'popped' enough for it to be visible past her shirt. We all could see her adorable bump before, of course, because we knew what we were looking at--but to a stranger, she didn't really look very pregnant.

Of course, having some extra pounds on can obscure a developing baby bump. I once had two horrible women debate whether I was pregnant or just fat right in front of me at the grocery store when I was 8 months pregnant and feeling beautifully pregnant. After that, I got a "Baby" patch and safety pinned it to whatever shirt I was wearing. I can't tell you how much that still hurts my feelings.

However, some women, for some reason, just redistribute the weight in a way that they think they're putting on a little weight and it doesn't show in that distinctive basketball shape. A heavier woman is more likely to have this happen, but it certainly doesn't only happen to women with curves.

A Positive Pregnancy Test

False positives on pregnancy tests are very rare and happen mostly with +/- tests. Surprisingly, Dollar Store tests are often more reliable and can tell you pretty early if you're pregnant. However, false negatives happen far more often. That's right, you can get a negative pregnancy test and still be pregnant. Usually, it comes from testing too soon (because you ovulated later than you realized or you were just too excited to wait), but for some women, rarely, they just never get a positive pregnancy test.

I have a friend who never had a positive pregnancy test in her entire pregnancy. If you look it up, it happens enough that it's a 'thing', but there don't seem to be any statistics on this phenomenon. It's not a sign that you're going to miscarry, either. For some reason, some women just don't seem to pass hCG into their urine.


Now, reading all that, it might sound like there's just no way to prove you're not pregnant, but really, to have all of these happen at the same time is so unlikely as to be virtually impossible. A blood test can usually confirm pregnancy where urine tests can't and the vast majority of women will stop bleeding, get tired, moody, sore and nauseous. Still, other than the baby eventually coming out (which can take up to 45 weeks, by the way--though 42 is much more normal in a first time mom and 41 or less in moms who've had more than one), nothing is certain in pregnancy.

And yes, there was one woman, once, who, for some reason, carried a fetus for 46 years. However, she still went into labor--she was just frightened out of the hospital and her ectopic baby never came out--probably because it was never in the uterus to be expelled. Had she stayed, her baby would have been taken by cesarean. No one can know if the baby was even alive at that point, but it was a very strange occurrence. And the baby did come out, after her body finally decided it was tired of the charade and she got sick. Since this is the entry for oddities, it would be incomplete without mentioning her.

Oh, and just for the mention...

Nine Months

Pregnancy is considered to begin before you're actually pregnant, for the formula that people use to calculate the due date. I originally wrote "modern" due date, but it's not. It's actually several hundred years old and created by a botanist. However, it's because the menstrual cycle is much easier to track than ovulation. Ovulation can vary by a week easily, so unless you're charting your fertility, you might not be ovulating when you think you are.

So, you are pregnant for two weeks before you get pregnant. Women who chart their cycles would do better, when reporting their LMP (last menstrual period) to simply go back two weeks from their ovulation date and list that date as their LMP. So, the EDD is 38 weeks from ovulation/conception, basically.

Still, "nine months" is 36 weeks, since pregnancy is charted by lunar months, not calendar. Since we are supposed to be pregnant for 40 weeks (give or take 2-4 weeks), that is actually ten months. "Nine months" really comes from the calendar, more than an accurate measure of months. The number of months pregnant you are is divided by four weeks--not what month it is, so it's more accurate to say that pregnancy lasts ten months, but you're typically only aware of it for nine of those months anyway.

So there you have it. There's only one absolute in pregnancy and that is that the baby will come out. Unless you're that one lady in Morocco.

Tuesday, March 29, 2011

I'm Different



Every time I read about a postpartum guideline, I think how very sad I would be to be treated that way. The most recent was about limiting the visit to 15 minutes like a time nazi. I would feel so dismissed and like I wasn't worth my visitor's time--like I was putting them out--if someone did that to me. Yes, there are times where I want short visits, but if I actually invite someone over for a visit (very rare in the first place), 15 minutes isn't going to cut it.

I am a social person. I hate how isolated I felt after the birth of my second. I didn't want to be alone with her (especially switching from one baby to two!). I have no problem nursing around people (so if you're around me, you have no problem with it either, or we won't be seeing each other much). I loved having my MIL come out to see the kids after they were born--and we didn't use to get along at all. And one of the highlights after Naomi was born was the baby shower a few days later.

If you're just dropping something off, someone will meet you at the door or your car, lol. But don't be scared to invite me out just because I just had a baby. I'll say no if I'm not up to it. But don't just squee and run. I like to share my babymoon. Maybe I'll feel different after I finally get a natural birth. Only time will tell.

Mostly, this was so I'd quit wanting to post frowny faces on all those guides!

Are those guides accurate for you? Did you want people to just leave you and your baby alone during your babymoon?

Thursday, March 24, 2011

Hi, everybody

Sorry about dropping off the face of the earth, but I've been a bit busy... creating life.

I'm 7 weeks, 5 days pregnant. Remarkably, I got pregnant on the first try. We didn't think that would ever happen. My first little girl took 18 months of trying before I gave up--right after getting pregnant ;) My second was 8 months with two losses in the meantime and required supplements. So, I'm going to be a nervous Nellie for who-knows-how-long while I go from pregnancy milestone to milestone.

I'm having a yucky first trimester, but since a friend has hypermesis gravardium (where you puke endlessly, end up having to go to the hospital to be hydrated, etc.), I don't really see it as that bad. I take morning sickness vitamins and have only puked once, even if I spend about 80% of my waking time feeling like I'm going to and being afraid of it, because I'm exhausted, weak and can barely tolerate much food.

On the night I ovulated, I had a dream. This dream was so interesting that I overslept and had to tell a friend all about it. I wrote it down as a micro-fiction and that friend told me I should make it into a book. I laughed, because that seemed so silly, but the worm was in my head and I decided to write a short story.

Exactly 3 weeks later, I had over 100,000 words--a full novel. I wrote an average of 5,000 words a day (my daily goal) and put in 8-14 hour days on it. I was driven and I enjoyed it. I felt so fulfilled and productive. I've never written like that in my whole life. All the while, this little bean in there grew, implanted and started the road to becoming a baby. My little muse. My muse has always taken maternity leave when I get pregnant, so having him go into overdrive was strange and welcome.

So I've neglected my blog, dramatically and I'm sorry. But I'm also not sorry, as I had quite legitimate reasons. I don't know how active I'll become, since not a lot has really come up, parenting-wise, lately, that isn't already super-blogged. I'll eventually cover car seats and the new recommendation, but that's for another day. Today, I want to go lie on the couch and veg out, trying to forget about the ever-present nausea and overwhelming cravings for potatoes.