No Anesthesia (Labor & Delivery)

"It felt like there's a coconut stuck inside my cervix, that I could not move out no matter how much I keep pushing it out..."

It has been 12 days now since I had my second labor and delivery experience. That experience now tops the list of my  excruciating moments. But at the same time, it also is one of the best 30 hours adventure of my life.

It started at 4 o'clock on a Sunday afternoon. Right after a warm bath, I was singing in the bathroom, tying to hit a high note (Tina Arena's 'Burn'), when I felt a sudden  gush down there. When I checked, I saw fresh blood spotting and then I felt nervous. Is it time? I was 39 weeks and 2 days pregnant. Two hours later, I was having irregular contractions, 6-7 minutes apart. It was already 6 pm and I was worried if we did not go to the hospital earlier, I would end up waking our toddler in the middle of the night to go to the hospital. So at 8:30 pm we decided to go to the hospital. 

When I got to the hospital, they hooked me up to the monitor for an at least half an hour and they checked my cervix. I was only 3 cm dilated that time, with irregular contractions --- around 7 minutes apart. My doctor felt it was too early to get admitted, but she said it could be any time tomorrow. So, we decided to go home first. 

I was able to sleep for a few hours, until I woke up Monday at 3 in the morning. I felt the contractions again, this time in more regular intervals of 7 minutes. 2 hours later it was down to 5-6 minutes apart. So I decided to make an appointment at the doctor's clinic for a check up. I got there by 10 am and when they checked, I was already 4 cm dilated, with 5-6 minutes contraction intervals. I was advised that I was already in labor, but I can have lunch first and then I can go to the hospital around 2 pm.

So, we had a quick lunch. We took our toddler to school. I even walked him to his classroom. We fetch our son at 1:30 pm and by that time the contractions have gotten stronger that I jhad to stay in the car while my husband fetch my son. We went to the hospital right after and got admitted around 3 pm. 

When they checked my cervix, I was only 5 cm dilated, meaning it only progressed by 1 cm over the 4 hour+ period from the last time they checked in the morning. They felt that the progression was slow and the contractions are still a bit far apart (5-6) minutes. But, I decided to get admitted already. Although the contractions were 6 minutes apart, the pain is already unbearable in comparison to my first labor experience. 

By 5 pm, they checked again my cervix and I was only 6 cm dilated. With the very slow progression, we decided to proceed with rupturing the amniotic sac. Our main reason is that the longer we wait, the more strength I would have to use during contractions, even before the final stage of labor and the actual delivery. Plus, it was almost a day since the contractions first started and I don't want to wait until the next day to give birth.

I was asked regarding pain management, if I want an epidural. I had epidural with my first baby and this time, I wanted to experience the whole natural thing. My cousin just had a her third baby a few months ago and she tried it without any medication and she said she felt better and the baby seems to be more healthy compared to her first two. 

Aside from that, I hated the experience of having a catheter for peeing. Unfortunately, the catheter is non-negotiable if you will have epidural. So, no epidural it is. But, just in case I can't take it, we still put an IV line as plan B if somewhere along the way I needed it. 

The nurse assigned to me was very helpful. She has been coaching me in pain management and has been motivating me all throughout labor. She taught me some pain relief positions and some movements to help the baby go down faster. She seems to be pro-natural delivery and has been very supportive with my decision. Up to the point where I was about to give up, she still pushed me to go through with it. (Thanks Nurse Katia!) 

Thirty minutes after the sac broke, the "real" labor began. I was standing at the edge of the bed, when I suddenly felt that level 10+++ pain. We were trying to manage it but then I suddenly burst into tears, lost my composure, and went for the bed. I just lie there, feeling the pain, and never stood up from that moment on. 

For more than an hour I was in excruciating pain, the contractions were getting stronger, longer, more frequent, and with less interval (lost track of my counting the duration and length). After awhile, it was hard to keep your mind at bay. You are just focusing on yourself and the pain. Although, I still try to listen to the coaching of the nurses, but at some point I had to shut them all out. It was just me and my pain. During contractions, you will also feel liquid gushing out from down there. It was the amniotic fluid. The more it goes out, the closer you are to delivery.

I was crying from time to time during contractions. They tried to talk me out of it because it will disrupt the flow of oxygen that me and my baby needs. So, amidst all the pain, I had to stop crying and focus on breathing. I also made loud cries of "Aaaah's", "Eeeeh's", and "Ooooh's". They did help a lot. Each of them brings different feeling of relief. If one does not work, I would switch to the other. I was really screaming from time to time just to let the pain out. 

All throughout the final stages of labor, I wanted to hold on to my husband's arm or hand. Or if he has to go attend to our toddler (who by the way is in the room, behind a curtain divider 😁), I had to hold on to a nurse. I don't want to feel alone. Just having someone to hold on to helps a lot. One time they were all away from the bed and I had to tell them "don't leave me...", just like a little girl not wanting to be left alone. 😂

By the time I reached the 2nd hour, I was already 9 cm dilated. Mind you, during the contractions, they also had to do a vaginal check from time to time to see where your cervix opening is at. I had mine checked at least 3 times during the 2 hour period. 

I don't really remember what happened or how long it was, but I just suddenly had the urge to go with the flow and just push, push, and push. I can't hear anyone else and they all look blurry to me. Finally, I heard them say that it was time. They hurried to prep everything. They pulled out the lower part of the bed. Positioned me, facing up and opened my legs. There was a nurse assigned to hold each of my leg. I felt so exposed that time, but it doesn't matter because I just want to deliver the baby. In a minute or so I was already set up to deliver the baby.

I remember I had to push along with the contraction. It was a mix of conscious effort to push and somewhat with the help of your muscles involuntarily pushing the baby out, too. I had at least 3 sets of push before the baby's head got out. However, his shoulders got stuck, so I had to give it one final push... and I finally heard his cry. 

After that, my mind was suddenly cleared up. I can think straight. I can see them all, the nurses, my doctor, the baby, and my husband. I watch them as they put  my baby boy on top of me. I heard the doctor asked my hubby to cut the cord and I saw him do it. After that, I needed one more push to flush out the placenta and the sac. After that final push, everything felt light down there --- a sudden relief. It felt really good.

While doing the skin to skin bonding, I still have to open my legs to my doctor, as she start sewing my tears --- third degree. It took awhile for her to do the sutures. She said there was a lot of tears and she has to make sure that all are sewed up properly. It hurts a bit, but nothing compared to all the pain I have been through earlier.

After she was finished suturing, the nurse assisted me in helping the baby latch. I had to stay at the room for at least an hour. They had to check my bleeding. Every 15 minutes, the nurse would press on my tummy and I would feel the blood gushing out down there. Within that hour, I was able to pee also. After everything seems to be well, they transferred us to the Mother-Baby unit, where we stayed for 2 days for recovery.  

***

It was a memorable experience. I'm glad I got through with it. I feel much better compared to my first experience with epidural. I am more aware with what happened. I was even able to apologize to the nurses for turning mean during the final hours of my labor and also thank them for all the assistance and motivation.

By the way, the baby was 8 lbs and 11 oz when he got out, which explains all the pain and the tears down there. There goes all the ice cream servings I indulged in during my last few weeks of pregnancy. 😁

Some pointers that I personally derived from my experience:

- When you're 9 months pregnant and you are not yet ready to deliver, avoid singing songs with high notes. 😜

- Wait until your contractions are shorter and more regular before you run to the hospital. This will save you time, effort, and extra medical bill. That false alarm costed more than $1000+ in our medical bill. (Good thing it was covered by our insurance. Thanks Anthem!)

- Having no anesthesia during labor is really painful but doable. You need the right mindset and moral support to be able to go through it. 😊

- The "Aaaah's", "Eeeeh's", and "Oooh's" really helps. 👍🏻

Early Stage of Labor

It's 3:25AM and I am currently having contractions at around 6 minutes apart for the last 30 minutes. I decided to write this blog to keep my mind off the pain, while I also monitor the progression of my contractions.

Yesterday afternoon, while I was fixing myself inside the bathroom, just right after shower, and while singing "Burn" by Tina Arena, I suddenly felt a soft gush down there. I decided to check it out right away and I saw blood at the center of my extra long liner, covering the center, around 1/3 of the pad. So, I hurried up and made some inquiries online and through my cousin, who's a nursing graduate and who recently just gave birth. 

So far, the possible cause was the thinning of the cervix. As long as it is not a big gush of blood, like a heavy flow that is continuous, then it is safe. I took a picture of the liners I had for an hour. The first one has more blood, the second one was lighter pink and fewer. Then the third one is like a smaller drop with sticky mucus. I would have posted it here, but then again, it might be too much info for your viewing. 😁

So, after that I started to prepare the last stuff needed for the hospital, mostly for my husband and 3 year old. An hour later, I started to feel irregular contractions. The next hour it became more regular. The 3rd hour, I was at 7 minutes apart. It was already past 7pm (Sunday), so I decided to give my doctor a call. Since my back is already aching and the pain is constant, she told me I can go to the hospital and she can check. Just to be sure, I waited another hour and since my contractions are getting stronger, we decided to head to the hospital.

When we got there, after filling up a few paper works, I was led to the exam room. After taking my vitals, they checked my cervix and voila! I am only 2-3 cm dilated, and my contractions are irregular again. I waited for my OB and she gave me the choice if I want to go home and wait. Since we are only 2.5 miles away from the hospital, and I wanted my toddler to sleep at home, I decided to go home first and wait.

We got home before 12 midnight and I was able to sleep a bit. I woke up at 2:30am with my 6 minute contraction intervals. So now, here I am writing about  it... It's 4am now and I am still at 6 minutes interval with my contractions. Each contraction lasts for around 20 seconds and hurts stronger than yesterday.

I feel I am on the right track. But it may take a while. I just need to monitor my contractions. Not until it is 5 minutes apart for an hour, then I am not on active labor yet. Let's see later... 

Some tips:

1. You can take your pee breaks right after the contractions. In my case, I have a 5 minute window to go to the potty. I just had one and I noticed some more mucus discharge on top of a slightly reddish brown light blood on my liner.

2. You can try to do something else while waiting it out. In my case I am writing this blog, and am also playing with some game apps on my phone. 😉

3. Changing positions helps... Sitting, walking, standing, lying down. I find walking around the house much more helpful. Then, during contractions, I would stop and hold on to something for support.

4. Eating. Since I am not sure when active labor will kick in, I am just eating light snacks. Just had a slice of plain white bread half an hour ago. But as soon as I have my contractions at 3 minutes apart, I'll stop eating anything and just have water.

2 hours later...

Just took a bath and while in the shower I had 2 contractions. Had to be careful in the tub. Right now I'm reading more info on early stages of labor and this site is very helpful:

http://americanpregnancy.org/labor-and-birth/first-stage-of-labor/

I've been at my early labor phase for 5 hours now, if I would start counting from 2:30AM, where my contractions are more regular. However, at 7:30am it stopped. It's been 16 minutes now since my last contraction. Darn! I'm using the phone clock by the way in monitoring my contractions. I just press laps and it records intervals. Maybe I'll just use this break to take a quick nap...

At 10AM, I went to see my OB at the clinic and I have already gone up to 4cm dilation and have officially gone up to Active Labor. My contractions are 4-5 minutes apart and is getting stronger and longer up to 30 seconds. I was advised to have lunch first and then proceed to the hospital around 2pm...

I guess I am indeed expecting my 2nd son later this afternoon... 😊👍🏻

Inducing Labor: Stripping of Membrane

I had my visit to my OB Gyn last Friday at exactly 38 weeks for my 2nd weekly pelvic exam (which started on my 37th week).  

I was surprised that she offered if I want to naturally induce labor already. She was talking about stripping of the membrane. I declined. Although, that time I was not sure what she was talking about. But still, I declined just because I'm not ready yet, and I feel 38 weeks is still early. (Maybe next week... who knows?).

So, when I got home I googled it and found this:

Stripping the membranes. In this procedure, your doctor or midwife will use a gloved finger to gently separate the amniotic sac from the wall of the uterus. This releases hormones that can trigger contractions. (www.WebMD.com)

I also found this site to be helpful:

http://m.newkidscenter.com/Stripping-Membranes-to-Induce-Labor.html

After doing my reading, we were even more puzzled why the doctor offered to do the procedure already since I'm only on my 38th week. 

Personally, I want to wait until the baby is ready to meet me. With my first born, I delivered at 39 weeks+ and he was healthy, 7 lbs 14 oz, with smooth skin and a bit puffy already. I would have wanted that for my second one, too.

Right now, 2 days after my exam I still feel a bit of discomfort down there. I hope my doctor did not try to do the procedure without my consent. She said I might have spotting after the exam, but good thing I did not. Maybe, I am being paranoid because the exam last Friday felt longer and deeper compared to my last exam a week ago. I'm taking it easy for now. Will start my walking exercise again when  I'm 39 weeks already. 

Happy 4th of July Weekend! 

Our Crib: Graco Travel Lite Crib

I just received this Graco Travel Lite Crib with Stages yesterday and I am glad I finally bought it after months of pondering (2 weeks before my due date). 

It was a last minute decision since we already have the Graco Pack N Play Playard as a gift. But, I was intrigued by the reviews and specs of the Travel Lite Crib, particularly its smaller size. So, when I saw a mark down price in its Spin pattern at Babies R Us, I decided to order it right away. From $109+, I got it at $82+ tax. 

We needed a smaller crib, where the baby can sleep inside our room. We're just renting an apartment here in CA and we can't afford to have a separate nursery room yet. When I assembled the crib, it was a perfect fit right beside our bed. 

I think we'll be able to use it for the first 3 months. After which, I'll switch to the Play Yard, with bigger space, when the baby starts to roll over. We can also use it for travel or just a play pen outside the room. 

Here are the main features from Graco Website:

Features

• One-of-a-kind, height-adjustable bassinet grows with your baby
• Versatile crib easily converts to a portable playard
• Weighs less than 20 pounds, so it’s ready to go anywhere
• 20% smaller than our traditional playards for easy in-room fit
• Compact fold, so you’re ready to go anywhere
• Signature Graco® push-button fold makes closing your playard quick and hassle-free
• Removable infant bassinet is perfect for sleeping
• Quilted mattress pad creates a comfortable sleep space
• Canopy with soft toys to soothe baby
• Airy mesh on all sides for maximum ventilation
• Convenient carrying bag for no-fuss travel and storage.

For the mattress/pad included in the crib, I also ordered a mattress sheet for it. I think it is safer to use the right sheet cover that fits it, to avoid dangers of suffocation. 

So far, I am satisfied with my purchase. I am excited to see my baby in there in a couple of weeks. 

Choosing Your Baby/Diaper Bag

Baby bag --- this is your travel companion while you're with your infant up until toddler years. There are a lot of available options now for your baby bag, from different designers and brands. So, how do you choose which one to get? Let me share my personal criteria:

1. Size. How many baby items do you intend to carry? On a regular day, you need diapers, wipes, change of clothes, burp cloths, and a blanket. If you're bottle feeding, you need bottles, water and milk container. You might want to add an extra shirt for you, in case of accidents. Aside from the baby items, do you plan to put yout personal stuff in there, too?

Personally, I used bigger baby bags when my son was below 1 year old. But as he gets older, I can manage using a 9 x13 x 5 inch length bag for a 2-3 hour trip outside the house.

2. Straps. Are you comfortable using regular shoulder handles or you want it crossbody or longer ones. I like both. There are baby bags with adjustable shoulder straps. So you have to option to  shorten or lengthen it. My hubby likes long straps because he has broad/wider shoulders. Whether you prefer long or short straps, make sure the strap is thick enough to support the weight of your bag and all the baby items in it. Carrying your baby around is already heavy enough, you need proper support for your baby bag, too. 

3. Pockets & Compartments. These help you organize your stuff. You want to be able to fish out the baby items fast and with ease. It'll be nice if your bag has 2 big compartments to separate food and non-food items. Then you need the small pockets for small items like binkies.

4. Bag Closures. I prefer and recommed bags with zipper closures. You have a lot of baby items in there and the last thing you want is your items falling out of the bag when you accidentally trip it somewhere. I've seen a lot of baby bags with open tops and just magnetic closures and they really turn me off no matter how nice the design or how right the size is. 

5. Color & Design. I would recommedbd gender neutral bags in terms of color and design especially if you and your husband might be using it alternately. If you really want that pink bag for your baby girl, just make sure you have a spare black, blue, or gray one for your hubby to use. Some husbands may not mind the color and design, but some do, too. So better to be on the safe side

6. Material. Nylon? Canvas? Leather? The lightest ones are the nylons. They are easy to clean, too. Canvas are light, too, but usually easy to get dirty. Although, there are coated canvas too that repels dirt and easier to clean. Leather are not common just because they are heavy and may not survive spills and liquid splashes. 

7. Price. There are a lot of brands and options in the market. You'll find a large, roomy, and sturdy enough baby bag between $30 - $80 (Carter's, JJ Cole, Skip Hop). A mid-level branded baby bags from $150-$400 (Kate Spade, Marc by Marc Jacobs, Coach, Michael Kors). Or luxury baby bags for $800 and up (Gucci, Prada, Burberry). Regardless of your budget, you have a lot of options out there. 

So what's my diaper bag?

For now, I have 3:

1. Rebecca Minkoff Knocked Up Diaper Bag. It retails for $345. But I got it on a good deal at Amazon for $120 November last year. Now, it's up on its regular price again. What I like about this is that it's simple, but with gold hardware. It has a long adjustable thick strap, a handle that fits my shoulder and extra stroller straps. I like that it has small compartments inside and it also has a changing pad. It's made of nylon with leather trims, and comes with zipper closure. It has side pockets for bottles, too. The only downside on this bag is that it is a bit heavy than I would have wanted.

2. Juicy Couture Nouvelle Pop Nylon Baby Bag. It retails for $248, but Juicy Couture offers a lot of sale and promos that I got it for around $70 only. It is made of nylon, light weight, has adjustable thick straps, zipper closure, a changing pad, and enough room for me. 

3. Lesportsac Deluxe Everyday Bag. It retails for $80, but I got it a discount again and end up around $50 only. This is not a baby bag, but somehow its compartments have been useful for my baby stuff. It's small, just enough for a short trip to the playground, playgroup, or running errands with your kid. There are 2 major compartments. One I use for my son's diaper and wipes, and extra set of clothes. The other one is where I put his water bottle and snacks. The smaller pockets in front is where I put my keys, sunblock, hand sanitizer, and other small stuff. There's another pocket at the back where I sometimes put my small wallet or other personal stuff. I can carry it crossbody or as a shoulder bag. I let my hubby use it too when he takes my son to the park. It is very useful, easy to clean, washable, and lightweight. It comes in a lot of design, too.

In choosing your baby bag, it's really up to your need and preferences. Sometimes it takes a couple of misses before you find the right bag for you. You just have to know what your need is, so that you'll find the right one to fill that need. 

Our Chicco Car Seat & Stroller

We got our car seat and stroller a month before my due date, just because I'm pretty confident that the baby is still holding up and the item is available and is delivered within 2 business days from order (Amazon Prime). But as early as 32 weeks, my OB has been asking me if we have it already, perhaps for extra preparedness just in case the baby comes in early. So I guess as early as 7 months through pregnancy, you can start shopping for your car seat already. The stroller, you can still delay if you don't have the space to store it. 

For our second baby, we opted for Chicco:

Chicco KeyFit 30 Zip Infant Car Seat

Features:

• ReclineSure leveling foot to help achieve a proper base angle in a wide range of vehicles
• RideRight bubble levels to indicate an accurate base angle
• SuperCinch one-pull, latch tightener to achieve a tight and secure fit
• Seat interior lined with EPS energy-absorbing foam for improved impact protection
• Infant insert for smaller babies from 4-11lbs
• 5-point harness with one-pull tightener
• Quick remove seat pad that is machine-washable for easy cleanup
• Adjustable, multi-position canopy
• Easy one-hand removal from stroller and base
• Ergonomically designed carry handle with comfort grip
• Conforms to FMVSS213
• Compatible with Chicco Bravo, Urban, Cortina, Neuvo, TRE, Activ3, Cortina Together, Liteway Plus and KeyFit Caddy strollers (sold separately)

Chicco Bravo LE Stroller

Features:

• Removable seat for easy transformation into a stylish frame carrier for the KeyFit
• Large basket easily accessed from front or rear
• Multi-position reclining seat and all-wheel suspension for baby’s comfort.
• Provides comfort for parents with height-adjustable handle and linked rear brakes.
• Features one-hand fold, auto-positioning wheels and a self-standing compact fold.
• Includes a premium convenient parent tray with zippered storage and cup holders
• Removable reversible seat pad insert
• Includes child tray that attaches to carry Chicco infant car seats.
• Canopy features a flip –out visor extension

Personally, I can only make a comparisson with my first born's Graco Click Connect Travel System. 

What I like about the Chicco KeyFit 30 Car Seat is it feels more padded and softer than our old Graco. It has more accessories, too --- removable zip foot cover for cold weather; canopy adjuster; and extra cushion pillow for the baby's head.

For the Chicco Bravo LE Stroller, what's nice about it is that it feels more sturdy and roomy. The wheels are larger. The rear basket has more space. Plus, we have the option to remove the seat first, while our baby is still using the carrier. This stroller arrived with some parts to be attached, and the set-up was easy. Opening, closing, and handling of the caddy is also easy, for me.

These two are not the lightest duo in the market, but I would say not the heaviest either --- pretty acceptable to me.

Another plus point for this duo is the design. I like it a lot. The color matches our beige car interior. The chevron trims gives it a bit of uniqueness. 

These Chicco models also received good reviews from consumers, too, which gives us a bit more certainty that we made the right choice.

For the price, it is relatively higher than Graco ($300+ range), but still in the medium range of stroller and car seat prices. We got the Chicco KeyFit 30 Car Seat for $229.99 +tax and the stroller for $249.99 +tax. However, since registered it through Amazon Baby Registry, we got a 15% completion discount, which gives us more than $70 savings. 

Overall, I'm pretty happy about it. Hope the baby will be happy to ride it, too. We'll find out in a few weeks... 😊

Maternity Photo Shoot

It's Memorial Day weekend and we had nothing planned other than a movie date. So, I decided to ask hubby to drive up to San Francisco and do a maternity photo shoot. I'm at my 33rd Week of pregnancy and my baby bump is quite big already.

I picked The Palace of Fine Arts as the location. I love the place. If I could not have a pre-nuptial shoot here (since we're married already before we moved to California), at least I'll have a maternity photo here. 

When we got there, it was a bit crowded. Aside from the regular tourists, there was a number of graduates having their photos taken there, too. It was a bright and sunny day, but a bit chilly and windy.

We brought our 3-year old toddler with us. Unfortunately, he was on explorer mode and it's difficult to have him stand still during the shoot. Oh well, we tried. I was glad we were able to get a few good shots.

33 Weeks at The Palace of Fine Arts, San Francisco, May 2016

33 Weeks at The Palace of Fine Arts, San Francisco, May 2016

Last time I was pregnant, I had the shoot with my hubby inside a simple studio. This time, it's my husband who's taking the photos, and we're doing it outdoors. 

28 Weeks, August 2012

Whatever concept you choose, just have fun. I searched for some good shoots online and some had it on the beach or gardens. If you live in San Francisco, a view of The Golden Gate Bridge at your backdrop would be nice. Or you can also have Cherry Blossoms and garden ambiance at The Japanese Tea Garden, I like that place, too. 

Or you can just have it at home, set up some nice backdrop or props. You can lay on your bed, have picnic on your backyard, or chill at your patio. You are carrying a baby for 9 months and it would be nice to have a memento of it for keeps.


When is the best time to have your photo taken?

I think between 32 to 36 weeks. Your belly would have really shown already, but you are still comfortable to move around. After 36 weeks, that's when I found myself bloated and really heavy. With my first born, I had my photo taken at 28 weeks and I think my baby bump was still a bit small that time. But then again, you'll be the best judge of it, when you feel like it and when you're comfortable to have it.

What to wear?

Just about any outfit that you feel like it. Since I will be posing with someone (my son or my hubby), I prefer to match colors with them. Also, think of the background, either you want to stand out or you want to blend in. In this case, I think we blend in with our olive green theme, and a bit of a pop matching it with white.

If you're wearing a dress, I think long flowing dresses looks nice on your belly bump. I've seen maternity photos with the moms wearing that, and they look nice. But, if it's a knee length or short dress, I like the fitted style better, it shows the curve of your belly, without making you looking too bulky.

If you can avoid jeans --- I think it does not accentuate your pregnancy belly (just my opinion). If you like pants, just stick to yoga or leggings, match it with a maternity top, and you're good.

Shoes? Before I wore high heels. But that was because we were in a studio. Since I was posing with a toddler, and I expect chasing him around, I went with my sneaker buddy - my white Converse. But, that's just me. Choose whatever comfy or glam shoes you want, just make sure you can walk on it safely, just to avoid accidents.


Whatever you decide on --- concept, theme, colors, style... just have fun. Be yourself. We may not be as fabulous as the other celebrity pregnant moms... but hey, we all want to celebrate the beauty of pregnancy and motherhood.



 

Comfy Shoes for Pregnant Women

During my first and second trimester, I've been able to wear most of my shoes, preferably the low or flat-heeled comfy ones. 

However, as I entered my third trimester, I feel a lot heavier and thus my footwear choices are becoming limited. 

Here are my current dependable ones:

1. SLIP-ON SNEAKERS - Easy to wear, comfortable, and low-heeled. But, not all slip-on sneakers are reliable. Some are heavy weight, and have hard sole and thick heels. Better look for light ones with flexible heels. Personally, I like the following:

a. Roxy Minnow

b. Lacoste Maurice

c. Lauren by Ralph Lauren Janis

d. Vans Asher

2. LOAFERS - Comfortable, easy to wear, low-heeled, and has a variety of choices and colors for more serious occasion to casual getaways. Here are some brands to consider, tested for comfort: Crocs, Naturalizer, Cole Hann.

Although, I find my MK and Coach loafers comfy, too. I think most loafers with soft leather and flexible soles are comfortable enough. I find Sperry's a bit tight during this time. But, if you have narrow feet, they might work for you.

3. SANDALS - Breathable, easy to wear, perfect for warm weather, no socks required. I personally prefer those with wider footbed since the feet tend to swell during pregnancy. Also, slides and no-buckle slingbacks are prefered, too. It is not easy to bend down and adjust buckles when you get in and out of your sandals. Here are some brands to consider:

a. Aerosoles 

b. Fitflop

c. Crocs

d. Birkenstock

4.RUBBER SHOES/ SNEAKERS - There are days when I want my feet covered and secured, and rubbershoes and sneakers are my go-to shoes. My only  struggle are the laces. Bending down and tying them up is not that easy. As a remedy, I bought some non-tie, stretchable laces for my sneakers. For my rubber shoes, I just knot them on each side so I can slip in and out of them easily. 

I like my Adidas Adipure and Nike Kaishi. They are both lightweight, breathable, and roomy enough for me. 

For my sneakers, my Converse and Vans are comfortable enough. During this time I find Keds too tight, and Superga a bit heavy. 

Breastfeeding Seminar

Breastfeeding is best for babies, they say.  ...

My first child was not breastfed. We had a latching problem during the first few days and I was also not prepared that time. So this time, on my second baby, I am determined to try harder to breastfeed. 

I signed up early for the seminar on my 28th week so that I have lots of time to prepare. These seminars are ideally offered during the Third Trimester, as your due date gets closer. 

Some women have the "breastfeeding instinct". Unfortunately, I didn't. So I want to condition myself earlier, both mentally and physically, to be able to handle breastfeeding. 

The seminar was helpful. I know there are  a lot of reading materials available online regarding breastfeeding. But personally, attending the seminar and listening to a lactation consultant is a nice start. After attending the seminar, the supplemental information in the net is easier to grasp.

Here are some bullet points, I found useful for me:

1. The baby should latch at a bigger portion of the areola and not just the nipple. This will lessen nipple cracks and soreness.

2. In the first 2-3 days after birth, your mammary glands produces colostrum, which is good for the baby. The actual milk starts around the 4th day.

3. For flat or inverted nipples, there are products available to help the baby latch. I found these online:

a. Medela Contact Nipple Shield

b. Lansinoh Latch Assist

4. Ideally, you should breastfeed directly your baby for the first four weeks, before introducing them to bottles. 

5. If you need to go back to work, you should start bottle-feeding at least 2 weeks before you leave for work.

6. There are available supplements to help you produce more milk. Most of these include Fenugreek as the main component/ ingredient.

These are just some of the info that I find helpful. I suggest parents should attend a breastfeeding seminar to help prepare yourselves on what to expect and what to do during breastfeeding.

Less than 10 weeks from now, I will be able to apply what I learned. Hope I'll be able to handle it. :)

GTT - Glucose Tolerance Test

On my 24th week of regular check-up, my OB GYN gave me a request slip to undergo Glucose Tolerance Test (GTT). She recommended a 1-hour Non-Fast GTT.  This test is done between 25-28 weeks of pregnancy, to make sure you have not develop Gestational Diabetes.

So, I went to the laboratory on my 26th week. For the testing, they asked me to drink a 50 gram of concentrated Glucose solution in a bottle (color orange, looks like Fanta/ Royal Soda; and tastes a bit similar minus the carbonated taste). 

After I finished the drink, they set the timer for 1 hour, after which they drew my blood for testing. I got the results after 2 days. Good thing the results were still within normal limits. 

During my first trimester, I had my 3-hour GTT, with 12 hour fasting. It was recommended by my OB GYN just because the result of my initial blood test showed high sugar level. I went to the laboratory first thing in the morning. For the 3-hour GTT Test, they made me drink 100 gram of Glucose Solution. Then, they drew my blood after every hour, for 3 hours. 

During the 3-hour test, I cannot leave the laboratory premises. No food or drink was allowed, too. And no matter how sick I may feel, I cannot throw up, otherwise it might affect the test results. It was difficult and I dread repeating that test ever again. 

But just in case you have to take this test, it is tolerable. You just have to keep yourself busy with a book or your phone, plus moral support from a family member, preferably your spouse. 

Who Determines the Gender of Your Baby?

I always wanted both a boy and a girl for our children. My first born is a boy, that's why I was a hoping for a girl for my second baby. But, 12 weeks into pregnancy, after doing the Panorama test, we already found out the gender and... it's a boy.

I checked a Chinese Gender Prediction Calendar with my age and the month I conceived, it should be a girl, they say. Nah...  

During my first 2 months of pregnancy, I was very sensitive to smell, vomiting morning and afternoons, and very weak. I was also very picky with what I eat. Compared to my first pregnancy, it was a very different experience. I already thought I was having a girl because they say the morning sickness is worse for those having a girl. I was wrong, again.

A friend of ours, who got pregnant two weeks later than us, is having a girl. My husband's office is organizing a group baby shower for the family of their employees, 3 of them are having girls, and we are the only one who is having a boy. 

So, who's responsible for the gender of your baby? 

I researched ('googled') a bit and they say Men determines the gender of their children.
Here's the link: Boy Or Girl? It's In The Father's Genes 

Date: December 12, 2008
Source: Newcastle University
Summary: A study of hundreds of years of family trees suggests a man's genes play a role in him having sons or daughters. Men inherit a tendency to have more sons or more daughters from their parents. This means that a man with many brothers is more likely to have sons, while a man with many sisters is more likely to have daughters.


Men born from a father who have only sons, are more likely to have only sons, themselves. And men born from fathers with daughters is more likely to be able to produce daughters, too. 

Hmmm... My husband has 2 brothers, no sisters. My father has 6 sisters and 4 brothers. He has 5 daughters and 1 son. My cousin's husband has a sister and a brother. Now, they have 2 daughters and a son. Hmmm... interesting...

I conceived my first baby a few days before my ovulation day. I conceived my second baby a few days after my ovulation day. Both of them are boys, regardless. 

Oh well, we can test again the theory with a third child. But then again, after reading the article, I am no longer inclined to. I'm okay with 2 boys. They can share their toys and clothes. They'll play basketball or soccer together. They might even have a double date in the future. But yeah, I'm good with two, for now... 😊

Panorama Test during Pregnancy

After my 10th week of pregnancy, I had the Panorama Test done. It was recommended at my doctor's office. It was optional, but they are more keen about it when you are in your 30's. Some insurance covers it, including mine. 

The test basically screens for chromosome abnormalities, like Trisomy 21, 18, 13, Monosomy X, etc. Aside from that, they can also determine the gender of your baby (no need to wait for 2 to 3 more months, during ultrasound). 

For more detailed info, you can check their site:

http://www.panoramatest.com/en

(photo credit: Natera website)

My doctor gave me a Natera kit (box), which I brought with me to their partner laboratory. They took around 4 vials of blood from my arm. 

I got the results in about 2 weeks. Thankfully, we have low risk for the the abnormalities. 

Next comes the billing. Even though my Insurance covers it, we still have co-pays and deductibles, so I was monitoring the claim. I was surprised the test cost $7,999.00. And my insurance approved only of $4900+, thus a $3000+ co-pay?! But, I checked right away with Natera. Called their office and they explained to me that I am only to settle less than $100. The $3000 I think was a negotiated rate, that will not be covered by the insurance, and will not be paid by the client. Thank God! So, if you're going to have the test, make sure your insurance covers most of it. You wouldn't  want to be worrying about medical bills before you even give birth.

If you are not going to have the test, don't worry much. There is a Pre-Natal blood screening on your 2nd Trimester which will also cover some of the chromosome adnormalities. I even found it redundant that I had the Panorama test. Although, it helps you detect the abnormalities earlier, by 5 weeks+, and also predicts gender of your baby sooner and at 99.99% accuracy. 

Pregnancy Weight Gain

I'm 19 weeks pregnant and I already gained 10lbs! 

During the first 12 weeks, even though my baby bump ballooned early, I only gained the first 4 lbs, mainly because of my morning sickness, selective cravings, and heightened sense of smell, which made me avoid foods with strong aroma. But after the first trimester, my energy and suppressed appetite came back and thus, have been eating more often and much more, the whole day.

So, what is the weight gain guideline for pregnant women?

a. If you are healthy, with a Body Mass Index (BMI) of 18.5 - 24.9, it is between 25-35 lbs.

b. If you are underweight, with a BMI of less than 18.5, it is between 28-40 lbs.

c. If you are overweight, with a BMI of 24 - 29.9, it is 15-25 lbs.

d. If you have a BMI of 30 and up, the suggested weight gain is only between 11-20 lbs.


My BMI before I got pregnant was 24 already, so I'm close to being overweight.
With my first pregnancy, I gained a total of 30 lbs. I was only able to lose 20 lbs+ after. This time I will set my weight gain limit to 25 lbs, just to make sure it will be easier to lose them, postpartum. 

If you want to check your BMI:
Click the link: BMI Calculator.
or go to: 
http://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/english_bmi_calculator/bmi_calculator.html


Also, during my first pregnancy I avoided sweet and salty food for the first and second trimester. However, in my third trimester, the sweet cravings kicked in --- doughnuts, milk teas, chocolates, and ice cream and within that last few months I've noticed how bloated I look compared to the previous months. 

This time, I decided to submit to my sweet cravings during the second trimester. True enough, the weight gain jumped up immediately within a month. But, come third trimester, I will stay away from sweets and carbs (hopefully). 

They say, you can gain 1 to 5 lbs during the first trimester, and 1 to 2 lbs per week during your second and third trimester. 


During my first trimester (12 weeks), I gained  4 lbs, and from 13 to 18 weeks, 6 lbs. So I guess, I'm on the right track. But wait, if I continue to gain 1 lb per week in my remaining 21 weeks, then, my total weight gain will be 32 lbs... (uh-oh!) Maybe somewhere around my last 2 months I will find a way to resist the sweets and carbs. Wish me luck! 

References: 
American Pregnancy Association
www.babycenter.com  

Travelling to South Lake Tahoe In Winter, While Pregnant

Heavenly Mountain Resort - Observation Deck

I was 17 weeks pregnant when we went to South Lake Tahoe, first weekend of February, together with my husband and 3-year old toddler. It was a 4 hour drive from our place at the bay area. A day before we left, I just had my visit to my OB/doctor, and she gave me a go signal to travel. I was at the earlier part of my Second Trimester, no longer having morning sickness, and was a bit more energetic. Fetal heartbeat was fine. The only advise that my doctor gave was not to stay at more than 8,000 feet altitude. I'll tell you why, later.

Here are the things we need to consider and prepare for:

1) WEATHER. We avoided the bad weather as it increases risks for longer travel time and other travel considerations. A week before our travel, there was a winter storm and the 4 hour travel time was increased to 6 hours due to speed limit, heavy traffic, and chain controls. We were already booked that time, together with my husband's office colleagues, but we decided to cancel a day before our scheduled departure. We are glad we did, otherwise, we would have endured the hassle. We booked a week later, with clear skies forecast, and as high as 50 deg F on daytime. 

2) TRAVEL STOPS. We planned just for one stop, halfway to our destination, at Sacramento (2 hours from home). We left around 9AM, and by 11AM, we were already there, in time for early lunch. Within less than an hour, we finished lunch, had our pee break, and were back on the road. Being pregnant, I  needed to keep myself hydrated and as such pee break is a must. If you want to plan more pee break stops, it would be better, maybe one stop per 1.5 hours of travel. 

3) TRAVEL TIME & TIME OF TRAVEL. I think it is best to avoid traveling late night. Food and other stops are more accessible in broad daylight, especially if you're not familiar with the place where you are going. On our way there, we have no problem with the travel time, we got there in 4 hours driving time. But on the way back, the traffic was slow (Sunday afternoon) at Highway 50, with only one lane, and some passing lanes every few miles. Actually, I feel that the passing lanes caused the bottleneck. An extra hour was added to our travel time. When we stopped at our original planned stop, I was having a bit of leg cramps already.   

4) TRAVEL KIT. Bring snacks and some heavy food, in case of emergency (bread, canned food). Bring plenty of water, too. Bring medicines, blankets, extra clothes. Bring car tools and tire chains, too. 

5) LODGING. You have to have a reliable hotel, inn, or lodging house. I read reviews before booking our hotel. Cleanliness is a big factor for me, especially that I'm carrying a baby in my womb. I don't want bed bug bites and smelly rooms. We had to balance cost vs comfort. We also considered accessibility of our hotel to other tourist spots and restaurants to save time and effort. 

Lake Tahoe Resort Hotel

We were able to book at Lake Tahoe Resort Hotel. We had to shoulder the higher booking rate because we booked a day before, just to be sure that I'm feeling well. It was a nice, non-smoking hotel. I have seen a lot of families booked there. They also have a breakfast buffet which serves a variety of food choices. They have their own vallet parking (with charge). But there is also a nearby open free parking (walking distance). They also have  option for late check-out, with extra charge ($25 for 2PM and $50 for 8PM). Being situated along Lake Tahoe Boulevard, it is also walking distance to Heavenly Gondola, some shops, and food establishments. However, at nights, if your room is facing the street, you can hear the music from nearby bars. It was not that loud, we were still able to sleep well (maybe that's just me). Better if you choose the room at the other side of the hotel, just to be safe.    

6) FOOD. We ate from familiar restaurant chains. There are a lot of restaurants at South Lake Tahoe main area. Being pregnant, I wanted to make sure I can eat something familiar from their menu. Trying out new food may not be that advisable to avoid tummy discomfort especially while traveling. Being pregnant, taking medicines for any form of discomfort is not easy, readily available, or advisable. But if you really want to experience other food, just make sure they are fully cooked and better if you bring your medicine, approved by your OB/doctor. 

7) ACTIVITIES. 

- Snow Tubing for family (not me) :)

Hansen Tube & Saucer Resort

Being pregnant, skiing and ice skating is already out of the picture. I just watched my husband and toddler go for ice tubing at Hansen Resort. 

They charge $20 per age 5 and up for 1 hour and $15 for succeeding hours. It already includes the tube. 



You need to bring your own gears, but because the slope is not that narrow, most tubers are not wearing any. 

As for me, I was wearing my snow boots while watching them at the sides. The ice can be a bit slippery and balancing maybe a bit of a challenge while walking on sloped areas. Just make sure you have a pair of good traction snow boots. 
   

- Sightseeing 

Gondola Ride up to the mountain

We also went to the Observation Deck of Heavenly Ski Resort. We took a ride at the gondola for $50 per person up (age 13 and up). Children 4 and below are free. Child rate is $22 (5 - 12 years old). It's a 2.4 mile ride.  

The Observation Deck is at 9,123 feet. Up there, you can see the Carson Valley, Desolation Wilderness and a wide view of Lake Tahoe. 

Observation Deck, Heavenly Mountain Resort

About the altitude recommendation from my doctor, the reason was the oxygen level is thinner as we go up. Some people may experience difficulty in breathing, and also reduces the oxygen for your baby. We only stayed there for less than an hour. I felt fine, no nausea or anything, other than feeling chilly up there. I never had any shortness of breath. 

If you are fit, in good shape, and have no pregnancy complications, I think it is okay. But best if you have a go signal from your doctor. 


We also went for a quick drive to Emerald Bay, just a 15-minute drive from our hotel. We went to the spot with a central view of the bay, about a mile from the vista point. 

Emerald Bay, Lake Tahoe

It was not that hard to travel at 4 months pregnant, but it was not as easy as when you're not. The size of my belly is still manageable; I can still walk with only a little discomfort; And am no longer having morning sickness. 

I just made sure I was well rested in between activities and I do not tire myself much. I take extra caution in walking on ice or climbing slopes. There a lot of limits with the activities you can do, but you can still find enjoyment in other simple activities, especially when you spend them with your family.