It has begun. The Cankling. Being on my feet for any extended period of time past, say, I dunno, 15 minutes results in lower extremity swelling. Awesome. (At least *knocks on all hard surfaces that even resemble wood* there has been no upper extremity problem, like the painful neuropathy/numbness I had last time, that lingered for weeks postpartum.)
I'm also pretty amazed this baby has so much apparent room, being a mutant giant and all, to move around as much as he does. He shifts position constantly. And it feels horribly uncomfortable. I've tried to reason with him, have tried complaining to him, and have tried poking and pushing back on his wee giant parts from the outside, all to no avail. He's got the moves like Jagger.
My 36-week appointment is Tuesday and I'm going to initiate a frank discussion with the doctor about several things. 1) It needs to be noted in my chart that I have a medical education, am not a layperson, and do not want to be approached like I'm in the lowest common denominator and/or have a third grade education. I want facts, medically accurate information, options, and respect. There's a variation between doctors in the practice as to how I am spoken to and how much information, requested or volunteered, I receive. I'm also sick of hearing about "hospital policy" when what I want to know is about clinical judgement. When everything was fine, this was not an issue. Whilst shit is hitting the fan, this needs to be fixed. Especially in time for L&D. 2) I want to know if they'll support me in an effort beginning at 37 weeks to do whatever we can to kickstart labor for a spontaneous L&D experience, in the form of weekly (or more often, I don't care) internal checks and, if possible, membrane sweeping. This promotes release of prostaglandins that encourage the cervix to ripen and, to use a medical term, get busy. I can't imagine why they would be opposed to this approach, but you never know. I am interested in anything, medically validated or wives' tales, that helps us avoid the need for pharmacological or surgical intervention. I chose this practice in the first place for their minimum-intervention philosophy and statistics, but it feels like at the first sign of complication, that gets checked at the door. Imma get it back. (The OB I'm seeing at my 37-week appointment seems like she would be on board with my request, but I'm not 100% sure. The OB I'm seeing at my 38-week appointment with follow-up ultrasound, my favorite OB in the practice, I think would be. She gets my concerns.)
Maybe I'm committed. Or just stubborn. Or should be committed. No matter.