Let us begin here: At 36 weeks and five days, the baby is otherwise healthy, but the hoped for mid-November no-risk birth? That has escalated to a late-October or early-November high-risk birth. Well-meaning comments about the potential for flipping the baby are appreciated; Bingo, though, is not going to flip via low-level intervention. Nor do we want at this point for Bingo to flip independent of professional monitoring.
The thing is, PartnerA is an idealist and I am a realist. We’re perfect for and we balance each other in this way. How those traits manifested themselves during the last midwife appointment with DietCoke (D.C.), however, was astounding. I was worried and disappointed; PartnerA was shocked and devastated. I began devising a plan of action; PartnerA pulled inward and wept.
The truth of it is that Bingo is not just breech. The midwife, D.C., referred to Bingo’s position as being wedged in a doorway. Head up, bum down, one leg fully extended up with a foot near the ear, the other leg partially extended down with a knee slightly bent. It’s physically impossible for a baby to be born in the position that this baby is in. We were warned about the risk of Bingo wrapping him/herself in the umbilical cord. We were warned about the risk of a prolapsed umbilical cord too. This is our gentle, hippy-inspired, natural-birth-advocating midwife pushing for medical intervention in our case, which makes me all the more ready and willing to accept it. We are to hightail it to the hospital at the first contraction yelling ‘BREECH!’ at everyone we encounter, instructed D.C., and if PartnerA feels anything at all there, call 911. That’s the reality of the situation.
The consultation appointment with the OB/GYN who specializes in breech pregnancies is scheduled on Tuesday, October 22, 2013, at 12:30 PM. D.C. refers to his hands as “magic”. Apparently, this OB/GYN is one of the best of the best in the area at external cephalic version.
On Tuesday, October 22, 2013, the OB/GYN will do an ultrasound. Based on his assessment of Bingo’s current position, he will say yay or nay to ECV. If he says nay to ECV, the only option is a scheduled C-section in late October or early November.
If the OB/GYN is willing to attempt ECV, the procedure will most likely occur on a scheduled date between 38.5 and 39.5 weeks (October 31, 2013 – November 7, 2013). The procedure takes place in a hospital with staff and equipment present to perform an immediate induction or emergency C-section as necessary. PartnerA is given an preemptive epidural and both she and Bingo are monitored for signs of distress.
1. If Bingo can be turned head-down during ECV and doesn’t show any sign of distress, immediate induction. Bingo will be born that day or the day after.
2. If Bingo shows any sign of distress during ECV, turned or not turned, immediate C-section. Bingo will be born that day.
3. If Bingo doesn’t turn and doesn’t show any sign of distress, a C-section will be scheduled for a later date.
So barring an unexpected turn of events (har har har), Bingo will be born between October 31st and November 7th.
This morning (36 weeks, five days), PartnerA got to practice paging the midwife when she stepped out of the shower and onto the scale and discovered that she’s lost six pounds in the past four days. “Don’t worry, man,” chuckled the ever-nonchalant D.C. to the anxious first-time we-don’t-know-anything parents. Apparently wild weight fluctuations are normal toward the end of pregnancy? It’s the body’s preparation for labor? Bingo is still moving as much as ever, PartnerA feels fine, and there’s no sign of fluid loss. So for now, we keep on keeping on, thankful that despite the contortionist positioning, Bingo is healthy.
Yesterday, Friday, October 18, 2013, was exactly eight months since Monday, February 18, 2013. Bingo was conceived exactly eight months ago yesterday (to Carly Jepson’s ‘Call Me Maybe’ no less!). Monday, October 21, 2013, is 37 weeks exactly — term. Almost there.