So this week I had a full week of postpartum clients and scheduled phone calls to follow up on. I love that I am feeling better in myself and can still be out supporting families. We have a great mix of clients at the moment (with different backgrounds, ages of children and personalities) So no two days are the same and I really enjoy chatting away with each client, catching up on their news and supporting them with the help they need to make life with a new baby that bit less stressful.
I had my 24 week check up in the Rotunda public clinic, where I was due to speak with their community midwife team to see if they will accept me. I arrived to an unbelievable queue. Not only was the waiting room to check in full but there was a queue of pregnant women standing all down the hall as far as the clinic waiting room. There was at least 40 women ahead of me.... just to check in!! I really was shocked as some of the women were heavily pregnant and struggling to stand in a stuffy corridor. (It was freezing outside so most of us were bundled up too which didn’t help ;)
Eventually I made my way to the check-in desk and I was told to take a number and I would be called by consultant. I explained I was due to speak with the team and so she told me to find a midwife at the nurses station to chat to. I did find a midwife and I was told very bluntly that there was no appointment for me to plead my case as there was no point. As Leon was 4.53kg they would not accept me. I then asked about the NBAC clinic and I was told their cut off point was 4kg. I was so stunned by this attitude. I questioned why, in a healthy pregnancy I could not have antenatal care in the community, because one of my babies was over their criteria?? She simply said it was out of their scope of practice, which is absurd. All they do is check my pee, my blood pressure and measure my bump. Surely they could do that and if they were concerned about anything I would happily go to the hospital. There was no talking to them. I did ask why I had to wait until 24 weeks to find this out, as when I spoke with the community midwife team, when choosing which hospital to book, they didn’t seem to have a problem at all. Again very unhelpful, I received an 'it is what it is' type answer.
I was bitterly disappointed. I wasn’t sure if I was going to cry or boil over with rage, not just for me but for all the other pregnant women using this hospital. Women do so much better with midwifery led care and it is such a shame that a previous “big baby” can put a woman who has a healthy baby and pregnancy in every way into high risk for her antenatal care. I sat another hour and a half waiting to be called, fuming over the system and how women are treated.
When the consultant called me I went in, still bubbling under the surface. He seemed to think that because the baby is a girl she will be smaller and there is no way she will be 10lbs (surely this is not evidence based at all but interesting to hear a total conflict of their reasoning for not allowing me the care I requested) I spoke with him about my options and he did a similar thing explaining ‘hospital policy’ and so forth. He did say I had a 90% chance of vaginal birth as I laboured well with both boys and reached the second stage with Leon before a caesarean was required. He reassured me that there would be no pressure on me for a caesarean birth and hopefully everything should go as planned.
I felt a bit better about this at least, but as I have seen time and time again with doula clients – everything is grand until 38 weeks arrive and then the discussions begin about caesarean, risk with VBAC, big baby and so on. We will just have to wait and see what happens. He said he would like to see me again in 4 weeks so I queued again for 15 minutes and asked for an appointment. The lady was so unhelpful. I was asking about times that I could work childcare and she said I would just get the next available slot.
I decided there was no way on Earth I would do that queue every appointment, so I walked over to the semi-private clinic to see would they take me on. The receptionist there was so lovely. She couldn’t have been more accommodating. Booked me in for a date and time that suited me and cancelled my public appointments. She even moved my GTT to the semi private clinic so I could "relax there, as the rooms are much quieter" - I wanted to hug her!
So I left feeling deflated but glad to have the public system behind me. I will think about my options over Christmas. I may make a few phone calls to the Coombe and see what is available there.
After a crazy week it was wonderful to get out for the weekend. Paul and I took the kids to Causey Farm Santa Experience. It was really amazing, they made it such a special experience and the kids loved it. We left feeling very festive and even got a take away as a treat on the way home. We all snuggled up after to watch a movie and I for one so needed this day to just switch off and remember what is important.
The kids went to Butlers chocolate factory with my mam and her partner on Sunday, which they loved. They came home delighted with their chocolate santas. While they were at that I did a mad dash to Blanchardstown shopping centre to get some Christmas shopping done. My tummy has been a bit sick the last few days so I had to keep stopping for breaks but I got the bulk of it done.
Baby is moving around lots and you can now see my tummy moving with her. Paul gets a little freaked out by this which I find hilarious - he thinks it’s like an alien LOL. He likes to know she’s moving and doing well but doesn’t want to see it!
Until next time... Jen x
Week 24: What Is Happening To Your Baby
- Your baby is really starting to put on weight and fill out this week and they are about the size of a cantaloupe now.
- Their lungs are developing branches in the respiratory tract as well as cells that produce surfactant, a substance that will help his air sacs inflate once they are born and start breathing in air.
- Your baby's skin is becoming much pinker and less see-through as they develop.
- Your baby's brain is also growing rapidly now and will continue to develop at a enormous rate over the next few weeks
Week 24: What Might Be Happening To Your Body
- If there are any concerns about Gestational Diabetes you will usually have your Glucost Tolerance Test around this week. You can read more about it in our blog post here
- You may have lots of backache now as your muscles are having to work harder to carry the extra weight. You could try getting some body work done with a physio or osteo, or treat yourself to a nice massage (just make sure the therapist is trained in pregnancy massage and can accommodate you).
- Dry eyes can be a symptom some women suffer from in pregnancy. This can be accompanied by irritation and a feeling of grittiness. Talk to your optician about how you can make this less uncomfortable
- Some women will suffer from Piles/Haemhorrhoids during their pregnancy - they can be the result of becoming constipated and increasing the amount of fibre and fluids in your diet can help. It can also help to avoid sitting for long periods of time. Talk to your GP if they are severe as you may need some medication to help relieve the pain.
Week 24: Pregnancy Tip
Are you hoping to breastfeed? If yes start looking around for a good breastfeeding class you can attend. You may find your hospital run these but they can book up fast, and it's really helpful to take a class before baby arrives. It's also useful to find out where your supports are and get in touch with them beforehand as well - this way you will know who to contact if you should need some extra support after. Friends of Breastfeeding offer a Buddy system, whereby a trained Mum will come out and support you in the early days of breastfeeding. It's such a great idea and completely free - so definitely worth booking. Cuidiu have regular breastfeeding support groups around Ireland as well as trained breastfeeding counsellors who are available by phone to provide support and a listening ear. (Both Mary and Jen are Cuidiu Breastfeeding Counsellors). La Leche League also run support groups around Ireland have their Leaders are available to offer breastfeeding support as well. So do make contact and if you can at all once you are on maternity leave, pop into your local group and say hi. Pregnant women are always more than welcome along and it's nice to meet other Mums who are breastfeeding before your baby arrives.