Winter in the Cities

� Where I draw the line | Main | the waiting is the hardest part �

December 4, 2008

and so it goes....

I found out the other day that, because I'm on insulin, I "get" to do fetal surveillance twice a week instead of once a week. My doctor tells me that most women complain that they don't get enough ultrasounds and that I truly am an outlier in voicing my frustration over "getting" to have these ultrasounds twice a week.

As I have said previously, maybe if I didn't already have an OB/GYN appt every week, a PT appt every week, a visit to the endocrinologist almost every week, and a quick conversation with a diabetes educator (is that everything? I can't remember!), maybe I wouldn't mind these twice weekly ultrasounds.

I'm not sure how much doing fetal surveillance twice a week will make a difference to the outcome. The doctor tells me that there's an increased risk of fetal death when you're on insulin, although I think there's something contradictory in that statement. I don't think insulin "causes" fetal death. I think uncontrolled diabetes probably plays a contributing role. But, if you're taking insulin and your fasting blood glucose is less than 95, and your two hour post-meals are less than 120, I don't see how insulin is the problem. Nope. I don't see it.

I do think there is one way in which all of this fetal surveillance (don't you just love that term?!?) WILL make a difference. I think that looking at my baby this way twice a week is bound to make someone somewhere decide to move up my planned c-section date. As eager as I am to have this baby, I'm not eager to have someone decide she needs to be born early because she didn't take a practice breath today, or her movements weren't frequent enough. The doctor informs me that in fact, there IS a statistically significant likelihood that my date will be moved up based on increased monitoring. Hmmmm....interesting.

So, we're in the car this morning, and J says to me, do you ever feel like someone is watching you? And I respond: "only when I see the fetal surveillance van parked out in front of our house." He didn't get it. Lucky kid.

Posted by chri1010 at December 4, 2008 1:54 PM | Family Matters

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HAHAHA!! So, the baby is watching you? That's the only think I could think with "fetal surveillance"

I can't imagine trying to get to that many different appointments each week - when do you sleep?

Posted by: Kimberly at December 4, 2008 8:23 PM

Ah, I hear ya, honey. I had weekly appointments at the diabetes clinic, weekly appointments with my OB, and weekly fetal monitoring. It was ridiculous.

You're getting so close!

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