Sunday, November 10, 2013

Pregnancy Week 31: it's a girl!

There are 2 appointments at Magee Woman Hospital of UPMC this week:
  1. Tuesday, October 22, another ultrasound to check the development of fibroid that found in my uterus from last ultrasound session. The physician said that there is no increased in size so this can be categorized as normal. But maybe there will be another ultrasound appointment has to be made to make sure the development of the baby. Oh no, I don't feel very comfortable with all the waiting and things that I don't really understand they were trying to find and measure in the monitor, except when they zoom it out (this my own term) in the baby's face. The great news is, although the physician had convinced us that the baby is a girl for the second time, with the following ultrasound, we will able to make sure it again, hahaha. Here are some interesting pictures we got :                                                


  2. Routine Prenatal Visit, at October 24. This is my third prenatal visit to Magee Woman hospital. This time i didn't have to wait for so long like the 2nd visit. Maybe because of i came 30 minutes earlier and right after lunch break (1 pm). I came by myself because Riza had meeting at school. The doctor said that she needed to do another papsmear test because the previous one didn't provide anough sample. I wondered why that thing could be happened, maybe because of the previous doctor is still an ob/gyn intern. For me, it is okay to go with an intern, I got a lot of spare time, as long as their action did not harm me and my baby's health. After pap smear, I got the 2nd flu shot (the first one was done in Adelaide, but the doctor said it would be better if I get one here because of the different season and the content might also be different)
Here is the summary of prenatal check week 31:

Provider (doctor): Ann Peters
Elevated glucose tolerance test 790.22, this is related to diabetes in pregnancy : normal
Blood Pressure (B/P): 110/75 (for adults is generally normal in the range of 90/50 to 120/90 mm Hg)
Height: 5' 4" (1.626 m)
Weight: 138 lb 6.4 oz (62.778kg) previously it was 61.689kg (why there are so many unit measurement standards in USA?).
Body Mass Index: 23.74 (kg/m^2)
Body surface area: 1.67 (m^2)

My weight gain and BMI were considered normal based on these general guidelines for pregnancy weight gain:

Pre-pregnancy weightRecommended weight gain
Underweight (BMI less than 18.5) 28 to 40 pounds (about 13 to 18 kilograms)
Normal weight (BMI 18.5 to 24.9) 25 to 35 pounds (about 11 to 16 kilograms)
Overweight (BMI 25 to 29.9) 15 to 25 pounds (about 7 to 11 kilograms)
Obese (BMI 30 or more) 11 to 20 pounds (about 5 to 9 kilograms)

Next prenatal visit will be in the next 2 weeks (twice a week since third trimester). The doctor said, after 36 weeks, the prenatal check will be once a week.

My own experience in this week 31, I feel so much more healthy, no nausea but still couldn't stand with some smells like baked pizzas or bread from subway restaurant, fried onion, fried chicken. I eat a lot :
- cereal, fruit and milk in the morning (7-8 am)
- bread or nuts or sometimes unhealthy chips at 10-11 am
- vegetable, rice and protein from meat, poultry or fish for lunch (12-1 pm)
- snack at 3 pm
- chocolate milk, juice, or snack again around 5 pm
- dinner with vegetable and rice, or others like pizza, sandwich, sushi around 7-8 pm
- dessert like cake, juice, chocolate, or anything

Before I got pregnant, I was quite hard to put myself in healthy diet food, only fruit for breakfast, no more than 2 small slice of sweet of chocolate cake per day, no chips, vegetable should be provided with a larger portion than starchy food. But, I just can't stand it now. I need a lot of carbohydrate, and based on food pyramid, carbohydrate should be the largest portion of our daily meal.

 So, I think I don't have to worry about it now. Things I should reduce it the sweet and sodium from chips.










Sunday, October 13, 2013

Books and References for Pregnancy

Here are some paper based references I've read during this pregnancy (all of them are free)

Books
  1. The Complete Illustrated Pregnancy Companion: A Week-by-Week Guide to Everything You Need to do For a Healthy Pregnancy - Robin Elise Weiss
  2. Menanti Buah Hati & Hadiah untuk yang Dinanti - Abdul Hakim bin Amir Abdat
  3. Baby Nurse Bible - Carole Kramer Arsenault
  4. Your Baby's First Year - American Academy of Pediatrics
  5. The Official Lamaze Guide: Giving Birth with Confident - Judith Lothian & Charlotte DeVries
Magazines
  1. Your Guide to Breastfeeding - US Dept of Health and Human Services, Office on Women's Health
  2. American Baby
  3. Fit Pregnancy
Articles/ Paper guide
  1. First and Second Trimester Education Information - Magee-Woman Hospital of UPMC
  2. Third Trimester Education Information - Magee-Woman Hospital of UPMC

How to count or Estimate the due date of your pregnancy

Count the estimated due date:
The day of conception is the day you first become pregnant. But most people do not count pregnancy from that date because there is no way to know for sure on which day you actually ovulated and conceived.

You can work out the estimated due date by counting from the first day of your last menstrual period (LMP). My LMP is March 18 2013. Pregnancy is estimated to last 40 weeks or nine calendar months and seven days. So, adding the 40 weeks from 18 March 2013 our baby will be born around December 23 2013.

Saturday, October 12, 2013

Week 1 - week 29

After my period was a week late, I bought a pregnancy test pack, it was the expensive one. The result was negative and I immediately discard it. After another weeks late, I tested again but at that time I bought the cheapest one. After waiting for only about three minutes, I was incredibly full of joy seeing the two red line in the test pack.

I was still not really sure about the result, so I immediately bought another one, and it was still showing 2 red lines which is positive. Next?

Here are things happened and I did when got a positive pregnancy test result :
  • Cry, this comes inevitably. Me and my husband have been waiting for a baby since the moment we got married (it was about one and a half years ago). We were about to have a medical check in order to get pregnant.
  • Tell my husband about the news of course. He seemed also very happy knowing that he will going to become a father soon.
  • Make appointment with doctor. Whether there are some test I should take, medications or vitamins, changes in lifestyle, anything that should be prepared during pregnancy.
  • Some people suggest not to tell the news to everyone at this early stage of your pregnancy, even if it's your family. I agree, but as soon as I get the confirmation from doctor, I will let everyone knows that I'm pregnant. First it should be my family and the closest friend.
  • I don't have any knowledge about pregnancy, so I started do some browsing about pregnancy, what should I have and what should not I have while pregnant. Also find some book as references. I just realized there are a lot of pregnancy books and references available in bookstores, library or hospital.
  • Count the due date of pregnancy.


Week 1 - week 5

Overall, during this very early weeks of my pregnancy, i didn't feel much change except that i got easily exhausted of huge increased appetite. I was assume it was a pre-menstruation syndrome (PMS), so I just continue my activities as usual. But don't worry, the doctor said as long as you have a normal pregnancy, you can continue to work or even exercise as usual. The upper limit of the level your body could handle can be close to to what you have before pregnancy.

Body changes and symptoms of my pregnancy during those weeks:

Weight: My weight is about 56 at this stage
Nausea: No
Exhausted: Yes, felt much more exhausted than before.
Increased appetite: I eat a lot more than usual. I suspect this was to prepare my body for the following early pregnancy symptoms.
Breast changes and breast tenderness: There was change but it was not too obvious
Skin: I started having a little breakout around my forehead
Hair: Normal amount of hairloss, it was about 50 hairloss per day
Spotting: no spotting during this period of my pregnancy
Backache: no backache during this period of my pregnancy
Frequent Urination: Yes, I got to urinate a lot more than usual


Week 6

At week 6, I got my first appointment with doctor,  but I suggest others to get an earlier one. The doctor asked me to get some blood test and gave a direction to start a prenatal appointment at a woman hospital which I will deliver the baby.