Tuesday, September 02, 2014

Dear Baby - Part 15

Hello kanna,

Just wanted to catch up with you. I know its been a long time. Couple of weeks back Amma underwent the last scan of the three trimesters. It was again not so pleasant encounter. Scan was scheduled for the afternoon 1:30. It was only after agonizing wait of another 2 hours we were let in. Prior to the appointment scanning was done and we saw that you were in a breech position. Breech position refers to the state where your legs are near the the uterus rather than head, which makes the normal delivery not possible and has to be done only via C-section.

Jogita was the one who was present for the appointment. As soon as she saw the scan she had a huge smile from ear to ear. It seems your Amma was a third patient that day with breech position. Amma's first question was to enquire if it was heriditary to which doctor smiled and said no. You see, Dadi had to undergo C-section for my delivery, hence the doubt. She assured us that we shouldn't be blaming ourselves and added, much to our dismay, that only 3% cases have such breech positions. She told us about ECV procedure a method employed to rotate the baby by a certified physician that we can opt for. It was 34th week when we found this. For ECV, the best time to have it done is around 36th/37th week and we scheduled another appointment for 1st September.

One additional thing that we learnt was there are some stretch exercises using which it is possible for baby to rotate naturally. Since this wasn't a scientifically proved or tested theory they aren't having any authority to publish it or advice but told us to search on the net. That ended our consultation for the day. On our way back Amma was visibly upset and cried a little. Poor thing, she had so much hopes to have a normal delivery and she felt cheated that all her strict exercise routines and walks did not yield any results. I told her to look at positive side of things i.e. exercises helped her avoid any leg or joint pains. Now that it may lead to C-section, she can even plan her leaves better, have the delivery on a auspicious day after consulting panthulu. (frankly I don't believe in such things). The bottom line is you can have only two types of delivery - normal or C-section. With a population of 7.24billion people on earth, that 3% translates to millions, meaning it really isn't a odd thing. I too was one such right. That seemed to have cheered her up.

As per doctor's advice searching the net, we saw 4-5 standard practices being adopted for such cases of breech babies. Except for one (Breech tilt) everything else looked a bit daunting task to do and it definitely needed a supervision. This stretch involves Amma lying down on the floor, having both her legs on the bed at an height. Once in that position we need to elevate the remaining body in an inclined manner of about 45%. When we tried to implement it though we weren't sure if we were doing it right as that inclination was hard to get by. It had to be done on empty stomach and was advised to be done at least twice per day. Amma wasn't enthusiastic to pursue after one or two failed attempts.

She went about performing her regular exercises, everyday hoping you would turn naturally. Yesterday i.e. 1st September we went for the checkup. Though we could see that the bump quite clearly at the top, still we had to have this appointment. It was Jogita again who performed the scan and confirmed you are still in breech. So we now have two options -

Option A - ECV (which was I talked about at start of the post). She checked up with the branch at Abids about the doctor's availability for the week and two dates are given to us - 4th Sept or 9th Sept.

Option B - If we don't wan't ECV, then the only solution is a C-Section and that it would need to be performed between 10th to 17th of this month. She explained to us that C-section is done usually in the 37th or 38th week post which it becomes difficult for surgery.

She asked to think about it and get back to her with our answer. We did a brainstorming and we have decided not to go for Option A. Thing is even after you come to natural position post-ECV, it is no guarantee that you would stay like that till the due date. Added to that we weren't sure the effect of ECV. Amma found out from her colleague that out of 4 cases she has known 2 were successful (meaning baby turned to required position), 2 other had some complication. Hearing it we decided dead against ECV. Jeyjayya and Dadi too were firmly against it.

What this all means is my dear muddula kanna is we are going to have you sooner than expected, which quite frankly took some time for us to let that sink in. With our mindset set on the week of 24th, and Amma deciding to work till 12th to have sufficient time for her to get into the mood of settling at home. This puts a spanner in the works. Question then is to see if she should be taking leave much sooner. On 4th anyway Amma is going to Avva's house (your first home till 5th month) till 7th. Does that mean it is better to be on her maternity leave from 4th itself? What if on 12th, on the next scheduled appointment, you turn and we find that the delivery needs to be pushed till 24th?

Nope not really, she will continue with her original plan of taking leave from 12th. On 14th and 15th its a project go-live and I am all set for any day after that, which actually leaves only two days 16th and 17th. Amma is totally miffed at my mere mention of 'work'. I don't want to do any injustice to my work, that's my stand. The decision is still left hanging and would be taken up either by your Amma or Avva.

Anyway let's talk about you. You have been the most obedient baby all throughout never giving Amma much trouble. Of late you have been very responsive when I gave small kiss to the tummy. You spin round and round as soon as I do that. It just makes me immensely happy. Dadi who has just come back from her trip to Bangalore meeting her friends gave us an advice to start treating you neutrally and not just as Maya. It seems baby's have sixth sense and you may be cross.

Only few more days left kanna, waiting eagerly with all my heart.

With Loads and Loads of Love,
Nanna
P.S. On getting a checkup done for my leg pain, I have come to know I have Hypothyroid apart from deficiency in Vitamin B-12 and Vitamin D. Am taking all prescribed tablets and vow to become fit as a fiddle to play with you endlessly.
P.P.S - We also have bought new DSLR camera exclusively in the wake of your arrival. Hoping to capture and treasure each beautiful moment with you. Will be posting some pics soon.

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