I'm losing track, I think this is my 6th PNA. We'll just call it my 27w3d appt since that what I am today. Overall everything is still going well. I gained just 3 lbs since my last appointment (but that could be because most of my appointments have been after lunch and this one was before, but hey, I'll take it). So far the weight gain is up 22 lbs since my prepregnancy weight and while that seems like way too much for me, the doctor said I'm right on track in the weight gain department. (Let's pray I only gain 8 more lbs total and I'll have stuck to my original goal of just gaining 30 lbs).
My uterus is also measuring approximately 27 cm which is right on track and Kaua's heartbeat was averaging in the 140 BMP which is also right on track. My pee test (which I think they check for sugars or proteins, who knows) is normal, my blood pressure is normal, just about everything is normal. Hah, you'd never guess the kind of MC history I had prior to this pregnancy had you not known about it. But it's all very good so I'm happy.
We talked about me passing the glucola test and being slightly anemic. Doc said it was normal for women in this stage of pregnancy to get slighly anemic and that if I had a low red blood cell count, I would feel fatigued and lethargic (not sure if I'm feeling that now) and that during birth, I will typically lose some blood and if that is coupled with an anemia condition, it could make me even more fatigued and lethargic after birth. So, I could either take an iron supplement OR eat more foods rich in iron. (Hmm, too late, I already bought the iron supplement based on the advice of the nurse who called me). So I told him I'll be doing both, taking the iron supplement and trying to eat more foods rich in iron. We went over the instructions that I was not to take the supplement with dairy products, but he did tell me that if I took it with citrus (like orange juice or cranberry juice) that that would HELP with the iron's absorbtion in my body. So perhaps, I'll go pick some cranberry juice up to have with my pill (which I love, but it's got to be cran-grape or cran-apple, or some other mixture) .
From here on out, doc said I'm supposed to be able to feel Kaua move pretty consistently. Doc was a little vague on the meaning of "consistently" but what I got from our discussion is that I should feel him every day, I should feel at least 6 movements after eating and if I think that I dont, I should drink something cold, lie down and really pay attention to his movements. Baby will typically move more when I'm resting.
As for what type of movement I'm actually feeling, I'd say he's pretty active often and I feel him probably every couple of hours. Over the past few days he's been very active, to the point where I'm like geeze Kaua, take it easy in there, I'm trying to rest! But he still makes me laugh. His movements are a mix between kicks (taps) and what I call body movements (where it seems like he's brushing a body part against my tummy or pressing his head or other body part out). Doc said that it's normal to be feeling the body movements at this point, but as the space gets more cramped, it'll diminish to more kicks. I can tell that Kaua is getting bigger because his movements are stronger and on the rare occasion, his movements/kicks will take my breath away or really make me pause. Nothing painful, just more surprising and sometimes uncomfortable or distracting. Overall, his movements are reassuring though.
I've been reading that some girls due around the same time as me are starting to have every 2 week appointments from this point on, but not me, I got one more 4 week appointment (sometime around October 3, they didn't have the schedule up yet, so they'll call me to confirm soon), then after that one (where I'll be almost 32 weeks), I'll be going in every 2 weeks.
I also asked if I had any other big tests to take and he said the only other thing that will happen that's different than what I've been doing in these PNAs is that at my 36 week appointment, they'll be doing a vaginal exam and culture to check on my cervix (looking for dilation) and to see what position the baby is in. Doc said that by 36 weeks, the baby usually doesn't flip around and is usually in the position he'll be in for birth. For about 95% of women, the baby is head down, but if I happen to be in that 5% category (breech), then we'll have to talk about my options then. I hope Kaua decides to stay in the 95% category. Doc said he thought the baby was head down during the exam because when he found the heartbeat (which was immediately, it's amazing how fast they find it now), it was below my belly buttom which indicated to him that baby was likely head down.
We also talked about pediatrician recommendations and pregnancy class recommendations. Lucky for me, he agreed that I didn't need to take the childbirth preparation classes (which cost $80!!). I am already taking other classes offered by my health care provider (which are free) which he said are the important ones, and I'm planning on renting the Laugh and Learn DVDs (on childbirth, labor, newborn care and breastfeeding) from my library, so we're covered in the educational department. Also, I asked about getting a lactation consultant and he said the way it works for our health care provider, the consultants usually come around while I'm in the hospital after birth to see if I need help. He said to be sure that I see one, all I need to do is tell the L&D nurse I'd like to see one and she'll set it up. So, no worries about that till after birth.
I meant to bring my birth plan in to talk about it with my doctor this appointment, but I forgot it (which is becoming quite typical for me nowadays - forgetfulness), so doc said to bring that in for the next appointment and we can go over it.
So far everything is going A-OK for me and baby and that's just dandy! (yeah, I said dandy. =) ) We're in the home stretch!! =)