Week 21: Doctors Apt

Today I had my monthly doctors exam... I getting into the swing of things with these. I go once a month, they weigh me, check my pee, check my blood pressure, say hi, listen to the heartbeat (it always seems to take a few minutes to find this!), ask if I have questions and done! All in all, it takes only about 20 minutes maybe. Pretty quick!

I am in a group practice for my OBY/GN - I choose them initially because they are close to my house and the nearest hospital... of course, then I find that they only deliver at one that about 30 min away (no traffic), but I decided to stay with them. (they deliver at the further one because they prefer the staff and their epidural people... I have heard that if anything is 'wrong' with me or baby they would have to transfer me to this hospital anyways, so that's fine)

Because it's a group practice, they want me to meet with all of the doctors before I give birth. The doctors rotate who is 'on call' at the hospital so that someone is always there for delivery. Good idea, I think! :) I prefer female doctors usually because they better know what things feel like, but I'm not opposed to male doctors (I just find that they aren't as gentle or warm up instruments before sticking them in you; and they don't stick in quite as well as females). So, today I met the first of several male doctors. And I LOVED him!!!

He was pretty funny, very laid back and easy to talk with. All of the doctors in the practice (and nurses) have been this way and so I'm glad the men (so far) is like this too. I'm pretty laid back and enjoy people explaining things to me in rather... flippant ways, I suppose! ;) Everything seemed normal to him - my blood pressure was good, the heartbeat of baby Z (her nickname starts with a Z!) was good (between 145-50s), ... good! I asked 3 questions this time: (I'm paraphrasing his answers)

1. I have gained about 11 pounds (176 lbs) since last month. This is pretty high, is there anything you recommend?
- Yes and no. I wouldn't worry too much about this - mainly the more you gain, the larger baby will be and big babies can mean c-section as opposed to vaginal delivery. But, one month at 11 lbs is nothing to really worry about. Perhaps if next month you come back and gained another 10 pounds, we may want to talk about what you are eating :) Try to avoid the cookies and cakes and stuff with sugar. Fruit juices (apple juice, orange juice) has LOTS of sugar, so watch that. I think that because you are aware of this, you won't gain that much through next visit.

2. What's your opinion about the H1N1 shots?
- You MUST get the shot. About 6% of the pregnant women who get H1N1 die - much higher than the normal population. While the CDC and our office is kinda' eh about most years and the flu shot, this year we are VERY insistent that pregnant women should get both the flu shot and the H1N1 shot - and your husband too. They are starting to distribute the H1N1 vaccine, but we don't know to whom yet or how many. Call around and find SOMEONE to give you the shot!!!!!

3. I have been getting these dark... bubbles of skin on my nipples? ...???
- That's just your ducts starting to (shot, what did he say?) grow/fill up (?). Very normal :)

So, that was my fun appointment this morning. This week I did start to track my food intake - I had stopped for this past month- and hopefully that will help me be more aware of what I eat and control things :) I'm also planning to try to swim AT LEAST once a week - I don't get a chance during the week to do much, but weekends are good for this sort of thing. Oh - at the start of my pregnancy I was around 148-50 pounds (I have actually gained about 10 pounds this past year!) and I'm now at 176. You can mostly tell in my face I think, although my husband thinks I still look good... he says I'm trying to catch up with his belly size ;)

Wish me luck!