34 weeks today! I’m feeling anxious and ready to meet this little one but also know he/she needs to stay in a bit longer and keep on getting bigger and stronger. My pregnancy insomnia has been through the roof, mainly because the amount of times I am getting up to pee! The other night for example, between 10p and 3a, I was up 4 times and after the 4th time I was wide-awake. I went downstairs, watched some TV, and worked on a little R+F. 4 hours later, I could hear the rest of my little family starting to wake up.
I had an appointment this week with my OB and I am pretty happy to report that I gained 2 lbs in 4 weeks. My BP was good 115/60 but baby had been pretty quiet for the last few days. I understand that the baby is getting bigger and running out of room but even during the normal awake periods for this one, he/she was quiet. I even went as far as to break out the Doppler to check baby’s heartbeat a few times. So, when I went to the office I mentioned it to my OB and she basically yelled at me for not calling L&D the night before. She made me promise to call any time there was a decrease in fetal movement but I had felt some kicks and of course got the hb on the Doppler. Either way, they sent me to get an NST (Non Stress Test) and a biophysical profile to check the amniotic fluid.
The test involves attaching one belt to my abdomen to measure fetal heart rate and another belt to measure contractions. Movement, heart rate and “reactivity” of heart rate to movement is measured for 20-30 minutes. If the baby does not move, it does not necessarily indicate there is a problem; the baby could just be asleep.
The primary goal of the test is to measure the heart rate of the fetus in response to its own movements. Healthy babies will respond with an increased heart rate during times of movement, and the heart rate will decrease at rest. The concept behind a non-stress test is that adequate oxygen is required for fetal activity and heart rate to be within normal ranges.
A reactive non-stress result indicates that blood flow (and oxygen) to the fetus is adequate. A nonreactive non-stress result requires additional testing to determine whether the result is truly due to poor oxygenation, or whether there are other reasons for fetal non-reactivity.
During my NST, I was given a clicker and was told I needed to click each time baby moved. The nurse told me to expect the NST to last 20 minutes and within that time they want to see 3 good movements by baby. After 10 minutes that baby had not moved at all and was clearly sleeping. The nurse came back in and used a harmless electro stim to wake the baby up, which seemed to do the trick. Once she did that the baby was moving around and we were able to see an increase in heart rate and then a decline back down to normal levels.
After the NST was done, I went and got a biophysical ultrasound done to make sure amniotic fluid looked well and to take a quick peak on baby. Overall, baby looked great and my fluid level was over 12.5, which my OB was happy with. I go back to see her in 2 weeks and then weekly after that.
So far I’m continuing to experience Braxton hicks contractions, mostly at night when I am finally sitting down. Random high(ish) BP readings but they do eventually fall back down into the normal range, and a little bit of swelling. All in all, it is a pretty normal pregnancy up to this point, which is great. I am still working out, usually 4 x a week, and I got another compliment from a gym member that just randomly started working at Makenzie’s daycare. She said to me, “Are you the one that I see at LA Fitness all the time?” I said, “Yes, probably.” She said, “Your such a beast at the gym!! Good for you!” I try to work really hard when I am at the gym so I’ll take that as a compliment!
Now for a 10 week progression: