Weight gain is weird.
I lost five pounds in the first trimester due to a chronic case of gagging upon thinking about dinner, but gained 15 in the second, due to a chronic case of discovering food again. I’ve been more than steadily gaining during the third trimester, enough to the point where a nurse practitioner (who I actually like a lot) had a little chat with me about it. I was basically gaining twice what I should in a week. This little chat was at my OB appointment just before Thanksgiving. I fretted and stewed over this, especially her warnings of a 10 pound baby. Despite all this worrying, I did exactly nothing differently (except eat, if possible, more – it was Thanksgiving after all) in the two week gap between the Weight Discussion appointment and my next appointment, but you see where this is going, right? I lost three pounds. How is that even possible?
(Side note: I’m not used to gaining weight. Please do not hate me, but it’s one of the few ways I’ve lucked out in the genetic lottery. (I’ve “won” plenty of other shitty shitty genetic traits, so seriously, don’t hate me too much.) I know I’m supposed to gain weight during pregnancy, and I certainly AM, but it’s so, so odd for me to catch glimpses of myself in the mirror and think, “who is that chubby pregnant woman?” only to realize that, hey! that’s me. I was looking at some pictures of me from our baby shower over Thanksgiving weekend and was astonished to find photographic evidence of a double chin. And an ass that, how can I put this, just won’t quit. Ultimately, I’m not too crazy far outside of the recommended weight gain range, and my mom (who is super thin) gained like 50 pounds when she was pregnant with me (and lost it all within a month or two). I know everyone gains and loses weight differently, especially in pregnancy, but damn it is a strange and not entirely comfortable phenomenon.)
Baby size is weird
La fetus has been measuring ahead this whole pregnancy, basically since the very first ultrasound when she was nothing more than a squiggle and a cheerio. I like to joke about how advanced she is, but now I’m getting all kinds of worried because she’s measuring two whole weeks ahead. The perinatal doctor (where my OB sends me for ultrasounds) and the ultrasound tech kept asking me if I have diabetes. Excuse me, I can’t hear you over the sound of me crunching on this kit-kat. What was the question again? (No, I don’t have GD.) After the ultrasound, in which the tech told me she looked perfect but was “just big…all over big…BIG baby,” I had a sit down with a high risk doctor. She also warned me about the size of the baby (93 percentile!!!!!!!) and then segued into a discussion of the hospital policy on cesarean birth.
(Side note: the doctor asked me if I was a big baby (nope, 7 something pounds) and then tentatively asked me if I knew how big “the father” was at birth. We told her we didn’t know how big the donor was at birth, but as an adult he is 6’1” and 170lbs. So, not enormous, but not a shrinking violet, either. Tammy then volunteered the information that she was a big baby, being over 9lbs, mostly just to make conversation and to point out that her mom had vaginal births will all of her kids, all of whom were over 9lbs. The poor doctor was very confused by this information but did her best to integrate it into our discussion by saying that Tammy’s birth weight explained why I was carrying a big baby. Ha! Not so much. Poor confused doctor.)
Now, first of all, I know that ultrasounds are not the best predictor of birth weight. The doctor even admitted that their measurements can be up to a pound off, and when we’re talking about a fetus that weighs 4 pounds (per the internet average) or 5 pounds (what the ultrasound measured my baby at), that’s a margin of error of 20%! My fundal measurements are a lot closer to where I know I should be (sometimes a week ahead, sometimes only a few days ahead).
But, with that out of the way, what if I DO end up with a big baby? I would like to avoid a c-section if possible (what the fuck was the point of taking the damn Lamaze class, I ask you) but at the same time I don’t want to spend all that time (and pain!! Let’s not forget the pain!!) in labor only to end up with an emergency C anyway. It’s like the worst of both worlds.
Basically, the hospital policy is that if the baby looks like it will be around 10 pounds they strongly recommend a scheduled C. The baby is head down, so I could probably have a chance at a vaginal birth, but my hopeful suggestion to the doctor that big = come early was shot down, as was the suggestion that they induce me around 38 or 39 weeks. Apparently the risk with big babies and vaginal births is that the risk of the baby getting “stuck,” either head or shoulders, is higher than with an average or smaller baby. And that could potentially cut off oxygen to the baby and all sorts of other dreadful things.
I’ll probably have another ultrasound in a few weeks to see how the baby’s grown and figure out the plans from there.
While I’m quietly freaking out over this new development, I do have to laugh. In all those panic attacks, all those meltdowns, all those hysterical moments to Tammy, not once did I worry I would have a baby that was too big. I worried about miscarrying, I worried about her health, I worried about preterm labor (I love that I said I wasn’t worried about preterm labor in that post. LIAR!!!), and on and on and on. But a big baby? Never entertained the possibility.
Ha. Ha. Joke’s on me, I guess. But you know what? If this is the “worst” thing that happens, I’ll take it. Every single time.