29 weeks today!

Hit the 29 week mark this morning, awoken by strong contractions 2 minutes apart and bleeding. I am literally screaming in between typing sentences. Glad to have made it to this milestone, really hoping we can slow down these contractions... Was a tough night but in great hands being monitored closely. 

Last night around 11pm I received the second dose of our second round of betamethasone steroids for baby's lungs. That set off a sea of  uncontrollable contractions for about two hours. We tried to control with Procardia (which I am finding has some not-so-fun side effects of its own) and eventually they settled so I could get a few hours of sleep. The place of placental abruption is now tender to the touch on my lower left abdomen, and the bleeding likely causing the ongoing uterine irritability. 

This morning we are likely moving to L and D. Still awaiting the doctors who are conferring about plan of attack. Baby has been great all week though last night began to show some very mild discrepancies in her charting where we're monitoring closely. IV fluids have been helping a ton with the contractions. Really hoping we can do this circus for at least another week and make it to 30, but if we deliver today, I know God is watching over us and whatever his plan, is meant to be.

Love you all, thanks for the continued support- we really need those extra thoughts and prayers today. Get on out there and have an extra great Sunday for me!  

 

Obligatory ugly hospital selfie. I mean, I am a millennial mom after all :)  

Obligatory ugly hospital selfie. I mean, I am a millennial mom after all :)  

Camp Bedrest Day 28: great report on baby

Yesterday Grant and I went in for a growth ultrasound and speculum exam-- and received awesome reports from both! Baby girl is in the 79th percentile, weighing in at 3 pounds and all of her organs looked great! One of the many silver linings of this experience has been how frequently we get to hear her heartbeat (during non-stress tests) and see her swimming around on ultrasounds. The speculum exam showed everything continues to be stable and no further dilation, pessary in place and baby is still head down not breech like two weeks ago! 

Photo I discovered on Grant's phone from when I was first admitted into the Hospital, not knowing it would be a month long journey or that we had much of a chance bringing this baby girl to full term! Sweet Grace listening to her sister's heartbeat looks as glum as we all felt  

Photo I discovered on Grant's phone from when I was first admitted into the Hospital, not knowing it would be a month long journey or that we had much of a chance bringing this baby girl to full term! Sweet Grace listening to her sister's heartbeat looks as glum as we all felt  

On my end, doing okay and really happy to be home and spending more time with Grace. Physically, I feel like I've hit a wall- my bones constantly feel like someone is "flossing" between them and my muscles feel like forks are tearing them apart like pulled chicken while also battling heartburn for the first time ever. Not huge deals, just a new normal to get used to. All to be expected after 4 weeks flat on my back.  

Looking forward to play dates with friends and their little ones, binge watching anything on Netflix and cooking this baby girl to term! Tomorrow we (either my mom or my mother-in-law) will do my first at-home P-17 intramuscular injection (nothing like having loved ones shoot you in the bottom!) but so far the perks of home Bedrest are far far outweighing those of the hospital (food is 100x better!)   

Thank you again for walking beside us on this journey, love when we can report such great news to those who have so generously kept our family in their prayers! 

 

Camp Bedrest Day 26: Home Sweet Home at 28 Weeks!

It's official, I am home home - back in my childhood home under my parents roof, pulling a Regina George from Mean Girls and even "Switching Rooms" with them. (Their bedroom is on the first floor and as I'm not allowed to walk upstairs, they're discovering for the first time that I actually had the best room all along with views in every direction! But I feel awful about all of the upheaval this has caused for everyone) 28 weeks has finally come, and there is a huge sigh of relief coming from everyone in our family and on our medical team -- we still have three months to go, but we made it to the "safety zone"!

28 weeks:

We will do an official growth scan on Monday at my MFM's office but my discharge ultrasound showed we were mostly stable, no amniotic fluid leakage and baby had flipped and was heads down, no longer breech! Big prayers she stays that way! 

According to BabyCenter, she is the size of an Eggplant this week - and I believe it! Our very active little eggplant keeps rolling about and we can actually see it which is fun! Now that she has reached 28 weeks, all of her vital organs are developed, she can blink, and she has reached 90% viability (some doctors claim even 95%+ viability as we are such close access to level III & IV NICUs when the time comes). The "Sixth Month" in pregnancy is a delicate one - weeks 24-28 are truly when the miracle of viability outside the womb occurs. Now on to the 7th, still technically have 12 weeks to go (3 months seems like forever!) but the worst is behind us. (Your prayers are working! Thank you!) 

If baby was to be be born this next month, between weeks 28-32, she would be considered "very pre-term" but we have graduated past the stages of "micro-preemie" and "extremely premature" - something we had been preparing for with the support of the awesome Neonatologists at Stanford's El Camino NICU. I would still need a magnesium drip but we probably would not try to delay labor any more as I am deathly allergic to Aspirin and Indomethacin is ibuprofen based.  Being born now, Baby Girl would likely stay in the NICU until end of January 2016, but we are confident she would be in good hands and have an opportunity to develop properly now that she has passed this big 28 week milestone-one of the reasons we were able to discuss me being discharged, and eventually decided I would go home and continue the strict bedrest from here. 


Life at Home:

It feels SO good to be home, I even had the chance to wake up this morning with Graceface in my arms (after she refused to go back to sleep at 2am so Grant brought her down with us for a family sleepover). Husband and baby in bed, life was as good as I could imagine! No more sirens, beeps, screens or screaming newborns keeping me up all night. No more vital checks every three hours or long monitoring sessions. No more hospital wristbands getting in the way of my arm knitting--- I feel great! 

But that "great" feeling is a double-edged sword. I feel invincible and slightly victorious for having made it to week 28 with the odds stacked against us. For those who know me, I tend to be a bit competitive/ Type A / Self-sufficient, and the fear is not being strapped to a hospital bed may make me more likely to push it. Doctor D would have liked to keep me until  week 32 at the hospital, but as I was doing so well being obedient and staying stable, we agreed I could resume complete bedrest at home. Insurance was also becoming a nightmare. The challenge is I now have an adorable 15 month old I just want to care for, lift up, and play legos with on the floor- none of which I can do as I need to be staying reclined. 

Being out of the clinical setting has been a great emotional booster for me, though I do need to recognize the added stress for my loved ones who now are having to take care of me (bring me meals, wait as I shower, babysit me so that I am not playing too aggressively with Grace even in bed.) When I did home bedrest for 14 weeks while pregnant with Grace, I fortunately only had a dog to worry about, so I was able to be solo (with the help of a dogwalker) all day while Grant worked - and he would just help bring the necessities. I am on a much more strict form of bedrest this time around since I am already dilated with water bulging, unable to really help myself or my child which is a struggle as I physically feel wonderful (the progesterone shots do this to me!) I feel guilty asking for water refills, or bothering my parents who have now been displaced out of their lavish master bedroom and are babysitting our little girl around the clock. My mother-in-law comes tomorrow to help, but again, I just feel awful being an inconvenience and adding work to everyone- especially when I feel so good. (Relatively good, my muscles still hurt and I was made aware of my disuse osteoperosis, but overall, I don't feel like I should be stuck in bed!)

Fortunately, although El Camino is called the "Hospital of Silicon Valley" the internet was so poor I couldn't stream any video (I only watched the CMAs and Captain America the entire time I was at the hospital- mostly read and crafted) so I now have at least a weeks worth of binge watching Netflix, Hulu  and OnDemand to keep me occupied and bedridden. We are looking into a wheelchair so I can get outside a bit more, though I really need to be in a reclined, not seated position for the time-being.

I am eager to move into our new home (we closed the day before I was admitted at 24 weeks) but Grant was a bit inspired by HGTV and is having new hardwood floors put in, rooms painted and lights hung and built-ins re-purposed so I have no idea what the house is going to look like when I get in there (remember my post on stress causing pre term labor? Ya well I had really hoped to decorate my home once things settled down but that is another story...) but it is unfortunately not a place we could live in right now, especially in this condition so were all at Camp Kennedy for the next few weeks...

That is our update here for now, I'll continue to post about life on home bedrest as I know many of the amazing moms-to-be I have connected with through this blog are under the same "prescription" and to be honest, blogging about everything has been the most therapeutic remedy for me to process this turn of events.

Thank you for your continued support and prayers on this next leg of the journey-- you have helped us come so far and each comment, message, note and prayer has meant more than words could ever express. We still have a long 3 months ahead but are so grateful we had the chance to save this baby girl and get this pregnancy back on the right track. God works in mysterious mysterious ways... 

Camp Bedrest Day 24: Pessary Problems and Possibly Going Home!!!!!!

After 24 long days (and even longer, lonelier nights), I am ready to resume this bedrest back at home surrounded by family. Later today we will do a physical exam and ultrasounds to see if I am in an okay position to do so. This Sunday will mark the big milestone we have been waiting for since I was admitted...week 28! Fingers crossed I get discharged and get to go home at some point this weekend.

I am getting huge! Taken this morning during one of my 15 minutes/ day on my feet :)  

I am getting huge! Taken this morning during one of my 15 minutes/ day on my feet :)  

Physically, I have been feeling pretty great despite a little scare on Wednesday night. I had been enjoying dinner with a friend visiting when I felt a low kick followed by instantaneous pain and pressure. Not wanting to make a big deal about it, after my friend left I went to the ladies' room (with a pessary, having a full bladder can be quite painful) and hopped into a hot shower. The pain subsided a bit, but an hour later I was still feeling enormous pressure and heaviness-- like a bowling ball was trying to fall out of my insides- even when lying flat on my back. I alerted my nurse who had me hooked up the monitors in under 5 minutes where we tracked that I was having contractions- but nothing too severe. Maybe it was just pains because my belly had grown? (and everyone in the past 72 hours has pointed out how huge I am...ugh)

Being my second pregnancy and feeling intune with my body, I was emphatic that it wasn't my upper uterus contracting that was of concern, rather a very very low, constant pressure. Dr. Sandberg was on-call and we discussed performing a manual exam as he agreed it was likely something with the pessary. (Note: Be your own patient advocate!) On one hand, we wanted to know what was going on and alleviate the pressure, but as I am dilated with my bag of waters bulging, any exam comes with the huge risk of my water breaking and/or infection causing me to go into labor. We decided to move forward with the manual exam, and I was glad we did, it seems the baby had moved the pessary up and back behind my cervix. Adjusting the pessary forward, instantly the discomfort was far more manageable as now the weight of the baby was not pushing through my dilated cervix but being held by the pessary again. Whew!

Turning 28 weeks on Sunday means we will have officially made it to milestone #1! 28 weeks is a big big deal in terms of viability (90% chance of survival!) and decreasing the risk of cerebral palsy and other permanent disabilities. All of that said, 28 weeks is a milestone, not a finish line. My doctor would like to keep me here until week 32, but as we live just a few miles from two of the best hospitals and NICUs in the country, they can have me on a magnesium drip within 15 minutes should I begin to go into labor or have any serious changes...

This is a great graphic I stumbled upon that shows how big our baby is now, relative to other milestones (40 weeks being full term) Obviously we have a long way to grow...

This is a great graphic I stumbled upon that shows how big our baby is now, relative to other milestones (40 weeks being full term) Obviously we have a long way to grow...

37 weeks is considered term (40 being full term). Educating ourselves on NICU stays with our neonatologist, if baby were to be born this week, we would still be looking at about three months in the NICU. Having never experienced a pre-term baby in a NICU, my friends who have shared their stories tell emotionally excrutiating stories of both fear and hope. While yes a NICU (level III or IV) in the best place for them to grow, many preemies suffer from an increased risk of pneumonia and other serious infection (especially this time of year)- so we are still toying with a real risk of morbidity. Per hospital policy, any child born before 35 weeks is automatically sent to the NICU, with most staying until their due date (ours is February 1, 2016)- at which point they are expected to be able to control their own temperature, breath without a ventilator, and eat from a bottle/breastfeed as opposed to a feeding tube. After 28 comes, we will be focusing on making it to 32 and then 35 in hopes that we can give our baby girl the very best odds for a great start to life.

While I have had a few days of "pity party" here in my hospital room, I keep being asked how I am handling the strict bedrest and I have to be honest- it is not so bad. The hardest part is being away from Grace, but when you are asked to do something for someone else- your own unborn child- giving up freedoms like walking/sleeping in your own bed/and undergoing constant monitoring is nothing. I would do this again x10. In my short lesson with Grace so far, I have learned that this is what motherhood is- you "give up" everything, but in return receive a bounty unimaginable. Every day in this bed is a push closer to having my family together in our new home. What more do I need than that for motivation? I am lucky to have a chance to do something for this little bean, even if I hadn't anticipated this journey when we first found out we were pregnant. That said, I couldn't have done it without the strength and support of each of you-- thank you!

Stay tuned, will keep you updated on if I am going home!!! 

 

 

Hospitalized Bedrest Essentials

One of the greatest blessings of this whole experience is the number of mothers-to-be I have connected with who are facing a similar situation- while I wouldn't wish this upon anyone else - I have great gratitude that I have been able to share the journey with other moms. Two women in particular were recently moved from home bedrest to hospitalized bedrest, and asked what they should bring - wanted to share this list if you know of anyone going the hospital route. All of that said, my nurses all laugh and say no one has ever moved into a room quite like I have (I mean, who brings a laminator to a hospital room?!) but I have narrowed down some essentials that may be laying around your house- or if not, I found that Amazon Prime Now (1 hour delivery) and Google Shopping Express both delivered to my actual room (packages sent took a few days in the hospitals mail room). Check with your hospital!

 

Bedding and Sleep: 

Let's get real. You are going to be spending 23.5 hours in bed a day (if you're lucky enough to be granted to bathroom privileges) - may as well make it comfy! Hospitals are a really really difficult place to sleep (computers beeping, babies crying, sirens blaring) but what you and your baby need right now is rest- so lets maximize comfort!

  • Pillows: Hospital pillows are encased in plastic due to recent bedbug outbreak and cleanliness issues, so you absolutely must bring your own as the plastic will make you sweat like a sauna. I suggest two. 
  • Quilt: My mom actually brought my childhood  twin size quilt and I thought I wouldn't need it - but I sure did! The color brightened my room and it was great for those nights I wanted to leave the window open and finally get some fresh air. 
  • Egg Crate: I had Google Shopping Express deliver mine - just a plain twin size egg crate (like you get moving into the dorm rooms) I think it was $14.99 and made a world of difference. My first two nights I was just on the plastic encased hospital bed mattress, the egg crate made it so much more comfortable and also prevent bed sores.
  • Earplugs: I couldn't get comfortable sleeping with them, but if they work for you- such a necessity! Babies cry 24/7 which made me miss Grace- but also almost drove me bonkers. 
  • Eye Mask: Again, something I didn't use but I have read really helps a lot of people
  • Linen Spray: My bestie Daniela sent me the "Rupa Mist Relaxing Body & Linen Spray by Chopra Center" and OMG - game changer. Sure the nurses change linens every day, but a squirt of this could change my mood and ability to sleep and relax. 
  • Pajamas: You will want socks, pajama pants and tops. If youre hooked up to the IVs, you will likely just wear what they give you, but if you can get off, you'll want comfy jersey tops and bottoms - nightgowns and robes won't work as you'll likely be monitored multiple times a day and need quick access to your growing bump.
  • Noise Machine: I didn't bring one in, but as my daughter uses one to sleep, I kind of wish I had - would solve a lot of problems. 
  • Humidifier: I have also read a lot of people bring in humidifiers. I didn't but if it will make your stay more comfortable- do it!

Pamper & Bath Products:

  • Water bottles: I keep three waterbottles at all times (so the nurses don't have to run back and forth so often, I drink a ton of water) - a pitcher would work also. Staying hydrated while pregnant is key, dehydration can cause contractions and PTL. I also ordered cucumber slices and lemons each day on my hospital menu to turn my water into "spa water" - it is the small things!
  • Organizers: I had Google Shopping Express drop off a few organizers (my room had no closet or any place to stash stuff) and I keep a small one bedside with essentials. Having everything close at hand and easy to grab is so important.
  • L'Occitane Hand Lotion: Hospitals are notoriously dry and my friend Alice sent this lotion that proved to be a lifesaver! 
  • Chapstick: EOS or any type - stash one in the bathroom and one bedside - again, hospitals are dry!
  • Facemasks: h/t my friend Cathryn who suggested treating the stay like a spa - facemasks that you just have to unroll (I bought a few from Target that GSE delivered and were $2.99 each) is a fun way to kill time and keep your skin intact
  • Full-size bath products: I cannot stress enough how important this is. If you are being admitted for the long haul, not having to fight with a travel size shampoo every other day makes a world of difference. Although my showers are all "chaperoned" with my nurse in my main room, my showers each day are my escape for 5 minutes- get the very best products and spoil yourself.
  • L'Occitane Body Oil Wash: This is my favorite product hands down for any pregnant woman soooo moisturizing- available on Amazon or Sephora, it is pricey but worth the indulgence - and will keep your growing belly stretch mark free! 
  • Hair Dryer: I used one of those hairdryer brushes and kept it next to my bed -- when you have to sit in bed for hours, its best not with wet hair. 
  • Bathmat: so this is purely optional but my first few days I was sliding around the bathroom floor terrified, GSE delivered a $12 bright turquoise bathmat from Target that brightened up the bathroom and made my 5 minute escapes that much more pleasurable (and safer). 
  • Towels: My hospital actually has amazingly plush towels but I've read that to be a major complaint by many. 
  • Glasses: I normally wear contacts but found myself only wearing glasses in the hospital due to how dry it was... and how little I really actually needed to be able to see :)
  • Dry Shampoo: if you are not granted shower privileges, this is an absolute absolute must!! Even if you are, you may not want to wash your hair daily but being stuck in bed will do a number on it so I highly recommend. 

Entertainment:

Bedrest means you will have a ton of time to kill -- staying busy is the best way to stave off depression which is common amongst bedrest patients. I kept a checklist of things to occupy my time each day - but honestly - if you can schedule visitors throughout the day- you may not have enough time to get anything done! Truly-- days passed by quickly the more visitors I had, I still have tons of projects to tackle!

  • Laptop: a laptop is essential, don't forget the power cord! You can take classes on Coursera or Duolingo, write the next great american novel, surf the web and shop! 
  • iPad filled with books and games: I like to actually hold a physical book, so this isnt for me, but if you are good with ebooks, a kindle/ipad/etc is your best friend. I have also heard lots of people like listening to audio books while knitting etc-- the internet is your oyster! Also a great way to interact with friends who can't come visit, games like Words with Friends keep you connected.
  • Board Games: If you have a favorite game, bring it in. There is nothing more awkward than having visitors come visit. You can't get out of bed, you likely don't feel beautiful, and they're just staring at you trying to have conversation but unfortunately nothing is "new" in your world except the hospitals Soup du Jour (ick!) Having a way to interact kills the awkwardness
  • Adult coloring books: well these are the greatest invention ever! Friends would come visit and we could chat and color - also have a pencil sharpener, extra colored pencils and a clipboard ideally for visitors to use to color. 
  • Craft Kits: PaperSource has some awesome kits that friends like the Guajardos, Stephanie and Ashley all brought me-- great way to kill time - kits rock because they are self contained
  • Other crafting supplies: cross-stitch, sketching, knitting, crochet- whatever suits your fancy!
  • Magazines: friends and family would bring them by- a nice escape and even nicer to share with the other moms in the ward on bedrest of the nurses for the break time
  • Thank you cards and Stamps: So I've had the Thank You cards forever, but for all of you whom I owe one to-- I am sorry- smuggling in stamps has been impossible!!! I can't seem to get them delivered and family hasn't had a chance to run to the post office with everything going on!
  • Books and Toys: If you have other children, I cannot stress how important it is to have a little basket filled with books, diapers, pouches, and toys so that your kids feel more comfortable hanging out here. My new friend Elizabeth sent me a wonderful book, "Wherever you are, My Love will Find You" that I read to Grace when she visits and to the new baby while I am hooked up to the monitors.

Etc.

  • Extension Cord that fits 3-6 products: I had my laptop and phone charger always plugged in, along with my blow dryer after showers. Its a must.
  • Notebook + Pen/Pencil: questions for the doc? great ideas? you just need these bedside, trust me.
  • Scissors and Tape: you just need these, and keeping them bedside helps. I taped up all the letters of encouragement I received and used the scissors for packages that arrived, trimming flowers, etc. 
  • Snacks: I've been trying to be healthy on bedrest and focus on protein, so little bags of cashews have been my go-to but things like granola bars, etc. are awesome. Most hospital rooms do not have a fridge, so just make sure items are non-perishable and easy to open. 
  • Trash bags: in the beginning, I wasn't really supposed to get up- keeping a shopping bag I could throw kleenex/wrappers/etc into helped a lot.
  • Family photos: I have a few pictures of Grace around my room which can bring a smile to any day. Our visits are usually just 20-30 minutes long, but seeing her little face makes the long days brighter.
  • Lap Desk: I got a foldable, plastic lapdesk from Target for $15 and it was a lifesaver - the tables can be a bit funky but this allowed me to bead, draw, color etc. so easily- highly recommend!

 

If you're being admitted, send this on over to your husband as a scavenger hunt and see what he comes back with! Would also love to hear any other ideas to add!

 

 

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Camp Bedrest Day 21: A look at the Physical Aspects of Deconditioning by Bedrest

Here we are on Camp Bedrest Day 21, doing really well and excited about the possibility of assuming my reclined position back at home next weekend. The past few days I've been blessed with a bevy of visitors- friends, family -- and Grant even snuck Kellydog in for a visit to my surprise! Time still ticks by slowly here in the hospital, especially after dinner until around lunch time, but I took up a few new hobbies learning to "Arm Knit" scarves and blankets on YouTube  and starting a "Bedrest Book Club" with some other bedbound mamas I've met on the forums. I also have been absolutely spoiled by old friends and new ones I have yet to meet with gifts to keep me occupied and brighten some of the darker days--- thank you!!!

As an overly-active young woman (is almost 31 still young? ehhhhh) one of the biggest issues I have been facing since my bedrest "sentence" is balancing the health and wellbeing of my unborn baby and minimizing my own physical deconditioning. Any woman who has had a baby can attest to the fact that pregnancy and labor alone do a number to your strength and conditioning, but adding being immobile for a month, and we are beginning to face a real challenge. I need to be physically able to care for my children when this is said and done.

Each year, 1,000,000 mothers-to-be in the United States are placed on some level of reduced activity at some point in their pregnancy. While bedrest is a hot topic amongst physicians globally, universally it is agreed upon that inactivity and bedrest are unnatural states for the human body.  Except for extreme circumstances (like being 2 cms dilated at 24 weeks!) most doctors, including the American college of Obstetrics and Gynecology, encourage reduced activity but not full bedrest due to the harsh side effects for anyone at risk of premature labor. 

According to a study done by the University of Florida in 2003, the average rate for deconditioning of muscles is "1-3% per day, in 3-5 weeks looking at 50% decrease in muscle strength." According to a 1993 study by the NIH, other major concerns include pain from having muscle fiber and connective tissue in a shortened position over a longer period of time (I can barely flex my feet... my calves are so tight and I cannot use bands or do isometric exercises as these engage my core which could cause contractions and further dilation). After about 3 weeks of bedrest (where I am now) the connective tissue around my joints and muscles is becoming dense instead of loose which means once I get off bedrest, I will have challenges walking, balancing and overall mobility. Today I weighed in 3lbs lighter than when I first arrived. 3 lbs may not sound like much, but my body composition has quickly transformed from being muscle to all fat (and muscle weighs more than fat)-- and this is during a period of pregnancy when I should be gaining about 1lb per week. Working daily on basic physical therapy exercises (ankle rolls, one foot at a time, while not engaging my core) has helped, and I honestly don't feel as weak as the numbers tell me I should. 

In addition to muscular deconditioning, the biggest issue I have been facing is "disuse osteoperosis" caused by lack of gravity, weight bearing exercises and muscle activity on the bone mass--essentially everything we are doing to keep the baby inside me is weakening my bones. Pathophysiologically, bedrest patients see an increase in the excretion of calcium into the urine - which makes kidney stones a major risk factor (something I have lots of experience with unfortunately-- 15-30% of patients on bedrest for more than 5 weeks have had to be treated for kidney stone pain due to incomplete bladder emptying- I believe this statistic calculates the number for those using bedpans and not having restroom privileges though). According to the UFL study, after 12 weeks of bedrest bone density is decreased by up to 50% - causing increased risk for broken bones - especially in labor (interestingly 9.5lb Gracen broke my tailbone during our 23 hours of labor... so I'm also prepared for this ha!) 

Cardiovascularly, bedrest patients typically see an increase in resting heart rate of about 4-15 beats within their first 3-4 weeks; and a decrease in blood volume (5% in 24 hours, 10% in 6 days and 20% in 14 days) which is why the fetal monitoring non-stress-test is so important as a pregnant woman's body is supposed to be doubling the amount of blood volume during this period. I've become fascinated with my monitoring sessions. Blood clots are another major concern, but fortunately technology has assisted here with the awesome "moon boot" SEDs I wear 23 hours a day. I also do hourly training on my peak flow meter to maintain an ample lung capacity (something crucial when it comes time to push!)

So, that is basically where I am at- becoming crippled but for a great reason. As my pregnancy progresses, I will be encouraged by the doctors to do greater activity as the risk of me decomposing will begin to outweigh extra time for the baby to cook. Crazy!