Wednesday, November 15, 2017

week 24 - viability milestone #pregnancyDiary

Week 24 is a bit of a milestone. This is the earliest that a baby could possibly survive if he/she were born already. The statistics improve for every extra week they stay in the womb. So it goes form odds of only around 40% at this week to around 90% by week 30. It's great to have reached this stage.

At the weekend we had to run some errands. Since we do car sharing it makes sense to rent the car for something like four hours then try to get everything done at once. It can be a bit of a rush though! We brought some garden waste to the dump, went to the hardware store to pick up some things, then went to a furniture shop and finally to the supermarket for groceries. It was Saturday morning so everywhere seemed to have traffic and long queues. It was good to get stuff done but exhausting. I felt a little faint at one stage at the hardware shop so once we got to the furniture place we went to the cafe for a snack. Once we got home and had unpacked the stuff we had to prepare lunch before finally we were able to put our feet up and relax.

On the way back in the car it suddenly hit me that next year we will have a baby and everything will change. Planning a trip like that would have a whole other dimension added as presumably we'd have to think about bringing a nappy changing bag, be aware of naps and feeding times, use a car seat and have a buggy or carrier. Of course I have often been daydreaming and imagining how things will be with a baby but the huge responsibility of it just struck me all of a sudden! This isn't going to be something we'll be doing for just a few weeks, our lives will be changed forever. I'm not saying I'm not ready and I don't want this completely. It was just a moment of thinking of how much our lives will be different next year!

I've had friends in the past say to me that after they had their kids they had to mourn their old lives - being able to do things spontaneously for instance. As someone going through infertility I didn't have that much sympathy since I was more than ready to give up a lot of my freedoms, though I would try to understand. Of course whenever I picture our lives with a kid I imagine a well behaved easy one. I'm not daydreaming about being thrown up on or having to look after a screaming baby, haha! We'll figure it out though. Hubby and I will make a good team, I hope. I've been reading lots of articles about parenting so I do think I'm somewhat prepared. My birth preparation course starts next week. Hopefully we'll be shown how to change a nappy and bathe a baby, practical stuff like that but if not the Hebamme who will come over after the birth should help us. It's nice to have a few more months to prepare for baby's arrival.

A few days ago I went to the general doctor to get the flu vaccine. My arm was a little sore for a few days after but otherwise no side effects. She commented again how happy she is for me and also that I seemed much less anxious compared to the last time I was there. I had gone to her with my bad cold and cough and asked if I could also be tested for listeria while I was there as I'd worried I'd picked it up by eating some smoked salmon. She had looked at me at the time like I was a little crazy and told me if I had listeria I would have symptoms and it's really unlikely to get it. These days I don't freak out as much about little things.

I had another doctor's appointment this week. This time there was no ultrasound unfortunately. But it's ok, I've been feeling the baby move a lot now so I'm not as anxious to see what's going on in there! Everything was good. He commented that my cervix is "very nice", haha! I had to drink the sweet drink and get my blood taken an hour later to check my glucose levels. I got the results after a few days and they were fine thankfully. The doctor told me I can stop taking the baby aspirin tablets now. He thinks that might also help against my frequent nose bleeds. He wrote a letter for me to bring to the airport when I fly next week just in case it's needed. Hubby wasn't able to come with me and he'll have to miss the next appointment in a month's time too sadly, but the one after in January he'll be able to make. I've been feeling really grateful today that this has been such a smooth pregnancy overall. Hoping it continues to be so!

Wednesday, November 8, 2017

week 23 - no news is good news #pregnancyDiary

My job has been quite stressful lately. Some people left and now there is a lot more work for the rest of us until they find and hire replacements which will probably take months. I've had to do a fair bit of overtime recently too. At least, this was a short week at work which was nice. Baden wurttemberg had two public holidays in a row this year, October 31st and Nov 1st. Hubby and I had a lot of relaxation time. Not much else to report lately. We binge watched the new season of Stranger Things which was really good. I've been catching up on my reading.

The most annoying pregnancy symptom at the moment is probably the heartburn. I tend to get it really bad most evenings. It feel like my throat is on fire! I've been managing quite well with antiacid tablets though. As I mentioned before we already have gotten quite a lot for the baby. Mostly things were given to us by friends who don't need them anymore and we also picked up some stuff second hand. We plan to buy a chest of drawers to put all the clothes and blankets in. We also have to get the cot still. I love the idea of the ones which attach next to the parents' bed to make feeding easier and so the baby is close to you but also in their own space to avoid the danger of SIDS. I've been picking up lots of tips from talking to friends so I think I'm starting to get a pretty good idea of what life could be like with a newborn.

I did feel a little uncomfortable at first with us getting so much baby stuff already as if it were up to me I would have waited longer to start preparing. In Ireland traditionally people are very suspicious about buying things for a child before he or she is born! My parents' generation were like that and some people still are. Things have change massively in recent years though. On a facebook group I'm in for Irish women due the same month as me I noticed that most of the woman had already gotten loads of stuff by this stage. I decided that I don't want to wait until the baby is here to start getting everything- that would be totally stressful! I'd rather be prepared. Also I think at this stage in the pregnancy it is ok to feel relatively secure that everything will be fine. So we are going to continue to prepare and aim to have most things ready by January.

Since the 20 week scan I've also started feeling a lot more relaxed about the pregnancy in general. I'm not as anxious anymore. I've been letting myself believe that we will have a baby and just feeling happy and excited! I've also started to feel more relaxed about things in general, not being as anxious that any little thing I do could negatively affect the baby. I've even introduced some gluten into my diet again. I had quit it as I'd read undiagnosed gluten intolerance was frequent among women with unexplained infertility and it had also been giving me some digestive issues. I find now though that eating it occasionally seems to be ok. I've also been eating dairy which I'd cut out during the past IVF cycle. I was craving it a lot (particularly cheese!) and thought I should have some in case my body is missing the calcium or protein. I try to go for the low lactose options of course though as I still have a lactose intolerance. At first I wondered if I was becoming too relaxed- basically worrying about whether I'm not worrying enough! However I realised how silly that sounded and also decided that me feeling less stressed and more happy has to be a good thing for the baby.

Life can be hard, there's no doubt about that. There are plenty of times when things are awful and there probably will be in the future unfortunately, so when things ARE going well why not let yourself be happy? I'm not going to worry about "jinxing" it but will allow myself enjoy this special time. So that's been my attitude lately! I've been spending some quality moments with hubby, catching up with friends, and having daydreams about the future when we will be a family of three.

Wednesday, November 1, 2017

week 22 - being social #pregnancyDiary

This week since I've been feeling good I arranged several meet ups with friends. Since most of the people I know here already have kids, a few have kindly given us lots of their old baby clothes and various items. One friend brought over three bags full of little girls clothes! I'm delighted to get all the stuff, certainly all the various baby paraphernalia can be really expensive, but I also really want to buy some things for our child too. At the weekend we took a trip to a baby shop and had a look around. It was all very overwhelming to be honest! There are so many potential things to get. I'd like to try to be a bit of a minimalist parent and only buy things that we'll actually use.

I've still been getting pretty bad heartburn these days, nosebleeds and leg cramps. Also I've noticed I often wake up early but then can't get back asleep. Those are my only real "complaints" at the moment and none of those are that bad. I've been lucky that the second trimester has been fairly smooth sailing and I'm grateful for that.

I had no idea that buggies cost so much! You are talking 800€ plus for the nicer ones. And even though we don't own a car we occasionally rent one so it could make sense to buy a baby seat. Those are 100-300€ and only for the first year. From age one to three you need to get another one. I certainly don't want to buy stuff we don't need so I'm trying to work out which items we will actually use and which aren't necessary. For instance, instead of paying several hundred on a special changing table, I'm thinking of using the top of a chest of drawers. There are some markets here where they sell used items so it might be worth checking them out for certain items. In Germany when you cycle a lot with kids you can buy an attachment for your bike. Very handy though these can cost around a thousand!

We will need to apply for the play schools here before the baby even arrives apparently as they really do get booked out fast. You need to fill out a form and register for your favourite seven then also go to them in person, plus it helps if you know someone. There's one place which has a good reputation and both English and German are spoken which would be ideal.

Only two more weeks till I reach viability stage! How cool is that? So I have decided to go to Ireland one more time before the baby arrives. I know we had decided earlier on in the pregnancy that I wouldn't travel anymore but that was when we were still feeling a lot more insecure about everything. At this stage we are both feeling more confident and I've been a bit homesick lately. This will be my last chance to go back during the second trimester and then I won't travel anymore in the third trimester.

The flights aren't so expensive this time of year and it will be nice to go back home for a few days. Hubby won't be able to come with me unfortunately. I'm going to travel light, just a carry on. It will be fun to spend a few days with family and friends. I think that ideally people shouldn't travel in the first or last trimester but the middle seems like a good time. It's only a short flight to Ireland anyway. I have another check up at my doctor in two weeks and then once I'd get back from the Ireland trip my next appointment would only be two weeks later. Obviously if I have any issues while away or after the trip I would go straight to doctor/hospital. But lately everything has been going great with the pregnancy, no issues. I'll just try to make sure to take it easy during my visit. There have been times when I've felt like I needed another holiday after a visit home as I'd be so busy going here there and everywhere trying to fit in meet ups with everyone!

I recently got a new passport - my first one with my married name. It was relatively simple - it just involved filling out a form and sending it to the Irish embassy in Berlin with photos. I had to get my signature witnessed but luckily I had a friend who fit the criteria and had the stamp so it was all fine. I'm not that happy with my new photo though, I look extremely serious and a little grumpy! That's just my resting face I guess, haha. Oh well, I doubt many people have a great passport photo.

Wednesday, October 25, 2017

week 21 - gender reveal #pregnancyDiary

This week started off with my appointment at the gyno for a checkup. It had been five weeks since my last one! My mother in law came with me and it worked out well, she kept me company and loved getting to see her first grandchild. Everything went great. The doctor took various measurements and didn't see any issues. I had thought the scan would be even longer though. I'd been told the 20 week one takes ages but mine only lasted around 15 minutes (my friend told me hers had gone on for an hour!). I had kind of been hoping to see the face more but you can't really make out anything. The doctor said we could pay extra for a 3d scan at a different clinic after 24 weeks so we'd consider getting that done. However I spoke to another friend who told me the 3d scan isn't that great, it can be hard to get a good image if the baby is facing the placenta.

The great news is that the doctor was able to tell me the gender this time! My gut feeling was right, it is most likely a GIRL!! I'm thrilled. That's not to say I wouldn't have been equally delighted to be having a son, I just have had this feeling it was going to be a girl since I got pregnant and it's really nice having it confirmed. After our appointment I went into the shops with the aim of buying something for the baby to surprise my husband with. When I was in the shop, it suddenly occurred to me that this was the first time I was buying something for OUR child. There have been so many times in the past where I've gone to the baby section to buy presents for friends' kids and quite often ended up getting emotional thinking it might never happen for us. It took me ages to pick out something as it felt like such a significant moment!

I had been planning to get something pink but I didn't particularly like the things they had. However I found a cute peach and white stripped babygrow for a newborn and I picked some little white socks as well. Later at home I wrapped the items in pink ribbon and put them in a present. I wrote "Daddy / Papa" on the front. It felt like it took ages for my husband to get home from work that day. Both his Mum and I were really excited to find out his reaction. As soon as he arrived I called him into the sitting room and gave him the present. His Mum was ready with the camera. As he was opening it I started crying! I hadn't meant to, I just got overcome by the moment. He was really happy and we hugged. He got a little emotional too! Probably from seeing me tearing up. It was such a special moment. His Mum got some nice pictures too. Google turned them into a little Gif video and it is really cute. I skyped my family after and told them the news and they were all delighted for us too. And then I messaged some close friends. It was such a happy day!

This morning hubby and I discussed some names. We currently have two favourites. Both have Irish origins but we would use the international spelling. We also went into the future baby's room and discussed how we would organize it. I showed him the "Wish" book I bought and started crying once I read it. It is a story about a much wanted baby and the parents' journey to get there. I can still remember the heartbreak we went through before now and I'm so grateful and amazed to be 21 weeks pregnant right now with a healthy baby. We also looked at the children's books he had bought from his trip. It was such a nice time thinking about the future. I couldn't be happier!

My mother in law commented that four months seems ages away and she can't wait. I can wait though. It's not that I'm not really excited to meet our baby, which I am, but I am also enjoying this time. Having my child growing inside me is special and it's nice to have these months to think about the future and plan. I've been reading books on childbirth and life with a newborn. In another month I'll be starting the third trimester already which seems mad!

A friend from my book club very kindly dropped off her old maternity outfits to me plus a heap of baby clothes her kids have grown out of! Newborn stuff are so tiny, like outfits for a doll. So cute! I hope I'm not jinxing things by already getting stuff for the baby. I still have four months to go after all. But other girls on my due in Feb facebook group already started buying things weeks ago. PEople aren't as superstitious as they used to be in the old days.

And the other news this week was that I met my Hebamme (Someone in Germany who visits you and the new baby) finally! She's nice, made a good impression. However, very alternative! I think most of them are like that. For instance, I mentioned getting the flue vaccine and she said that she would never get the flu vaccine as it's putting toxins/poisons into your body. She also didn't like how many ultrasounds I've had already as she said they heat the placenta and babies don't like them as they are so loud. I have heard those theories before but I don't think it's so bad every few weeks. They offer some classes at the centre she works at such as pregnancy gymnastics. Not sure what's involved there but I might try it out sometime. The other class they have is a mediation/relaxation one which sounds nice.

The Hebamme also asked if I'm anxious when she heard that this is an IVF pregnancy. I said I have been but it's gotten a lot better. I think I've been managing the anxiety quite well in general. She basically said I have to stop myself from worrying as it's not good for the baby. I didn't like that advice as now I'll just worry that my worrying is harmful for the baby! I would have preferred if she had told me everything will be fine. I do think the baby has some awareness of the mother's feelings as your heartbeat would be slower when relaxed and stress releases the hormone cortisone whereas the happiness hormone is oxytocin. However I found some of her theories a little too far fetched for me. At the meditation class they offer for instance, you basically talk to the baby and teach them how to be born according to her! I can't believe that the baby can hear my thoughts. However I'll still go to that class and try it out. Might be a way to make some new friends.

Overall it's been a good week. I'm still just incredibly delighted that I'm carrying our child. This week hubby even got to feel a few kicks too! I notice the baby randomly but often in the evenings. Like really active for a few minutes then quiet again. It's always a nice reassurance when I feel her moving about.

Wednesday, October 18, 2017

Week 20 - halfway there #pregnacyDiary

This morning my husband texted me while I was at work to tell me he was reading about week 20 and the baby is now the size of a large banana! I'm finding it really sweet how involved he is being because I know some men don't really bond so much with the baby until after they are born whereas as a woman you have nine months of the connection. He even brought a little present for the baby back from his work trip - two children's books. Our baby got a second present this week too! One of my mother in law's friends knitted little booties and a blanket. So thoughtful and nice. It's mad to think I'm halfway through the pregnancy now! Actually the last few weeks have gone quite quickly. I'm excited for my next scan which is coming up soon!

I've come down with a bad cold the past few days. It started with just a runny nose and feeling a bit run down but now I've also got a horrible sounding cough making it hard to sleep at night when I have a coughing fit. I've been trying to rest up as much as I can and drinking hot teas. Hubby was worried it might develop into a chest infection or pneumonia so I went to the regular doctor after work. It was nice telling the doctor our happy news as she knew we'd been trying. I guess I told a lot of people! She said she'd rather not prescribe me anything as it will probably get better by itself, which is fine by me. She wrote me off sick for the rest of the week. Even though I've been feeling miserable with this cold (it's the worst one I've had in a long time!), I still feel guilty about having to miss work. There have been a lot of projects and deadlines lately- plus stress to be honest. I feel a bit like I'm letting people down but I have to put me and the baby first right now.

I also got some unexpected good news a few days ago. I have more holidays to use up before my maternity leave starts than I'd realised. 14 days instead of the 6 I'd thought I had basically. I'll barely be working at all really between now and mid January at this rate (due date towards the end of Feb)! In Germany your maternity leave starts six weeks before the birth. What do women normally do then I wonder? Meet up with other friends who aren't working? Cook and freeze lots of meals for when the baby arrives? Decorate the nursery? Relax? Read up on childbirth and parenting? My sister got me a book about baby development and I've been enjoying reading about it.

I think I'm definitely feeling some movement now which is great! When I place my hand below my belly button while sitting down, I notice something now and then. Sometimes it's almost like a little tap against my hand which could be a kick. Other times it's it's sort of like a vibration or muscle spasm in my stomach basically. I've started to recognize the feeling.

Of course this could still be gas, but I like to think it's the beginnings of starting to really feel the baby and it should just get stronger from now on! While watching tv last night there were two times where I definitely felt something for a second. Then today at my computer again. That must be the baby! I'm excited for when hubby will be able to place his hand on my belly and feel the baby move too. Not much else to report, my next doctor's appointment is soon and then we should hopefully find out the gender too!

Wednesday, October 11, 2017

week 19 - a scare and a family visit #pregnancyDiary

The pain which I thought was round ligament pain came back and I had it for several days. I asked some friends again about what they had felt and looked at my facebook group and most seemed to describe something pretty similar to what I was feeling. It was particularly bad one day though so I decided to text my Hebamme and ask her about it. She said that the pain from the round ligaments is normally in the lower pelvis area not near the hip as I'd mentioned. At that stage I started getting worried. I didn't want to waste the doctor's time, however I also didn't want to wait another two weeks till the next scan and be worrying about it so the next day I got to his practice at 8am when it opened and mentioned the pains. I ended up having to wait about an hour since I didn't have an appointment.

What I thought would happen.
I expected to describe the pain and for the doctor to reassure me that it was normal pregnancy pain and then to go about my merry way.

What actually happened.
The doctor was concerned as the area I was having the pain is near my appendix. He also saw some fluid on the screen that he couldn't explain near my intestines. He said he would try to get me an appointment at a specialist immediately to get it checked out. The other doctor was nearby and I was able to get seen to quickly luckily. I was starting to feel very nervous about what was going on at that stage. Hubby was still away so I was just phoning him to tell him what was going on. The other doctor didn't think it was appendicitis but he couldn't rule it out. He advised me that if the pain got worse I should go to the hospital immediately! He saw the mass of fluid on my right hand side and he didn't know what it was. He told me to come back the next day for another appointment. In the meantime he took my blood to be sent to the lab to check for any signs of infection.

The rest of the day I couldn't help but worry. Like I mentioned earlier, hubby was away so I was dealing with all this on my own. I was whatsapping family and close friends from home to let them know what was going on and my mother in law was also calling me. She was getting really anxious and I felt like I had to be strong and try to reassure her! She said she would come immediately if I ended up having to go to hospital (she lives in a different town). Luckily the pain didn't get any worse. Trying to google what the fluid mass could be was a bad idea as I started seeing results about tumours and freaking out about cancer! I'd read a story recently about a pregnant woman who got cancer and had to choose between getting chemo to save herself or not and saving the baby. I don't know how people handle decisions like that! I was also thinking that I don't want to have to go to the hospital to get scary tests done, especially on my own. A normal boring day in the office had never sounded so appealing to me!

That night I managed to sleep for several hours but I woke up then feeling really worried about it all. I packed an overnight bag on the advice of a doctor friend just in case I'd be sent to the hospital after my appointment. There was a long wait at the practice. Finally I got in and he asked how I was feeling. Nervous I said! The pain was the same. My blood test results had come back only showing a slight infection elevation which could just be from a cold. That was good news as if I had appendicitis the results would have looked worse. The doctor did a scan and after several agonizing minutes said that I had an intestinal partial blockage. That's what's been causing the pain. I should massage my tummy clockwise to help digestion and eat simple meals over the next few days. Pregnancy pushes the intestine up into a smaller space often leading to digestion issues. My previous adhesions from surgeries are probably not helping things either.

I was told to come back after several days for another appointment but for the time being all was fine. I didn't have to go to hospital that day which was a relief! Of course he mentioned again that if my pain gets worse I should go straight in and he gave me a printout of my blood test but for now I was able to go back to work. I'm relieved it's not a tumour or something serious! That said if I do end up getting a full intestine blockage that would be a dangerous situation requiring surgery. So I am a little worried about that possibility at some point especially as the pregnancy progresses. For now I'll keep up with the tummy massages to help digestion and watch what I eat.


So at the end of the week I had my third appointment at the doctor for a checkup. He could still see the strange fluid on the screen. I tried to ask more questions this time. The fluid is in my small intestine he says. I also have a lot of air in my intestine which will cause cramps. He said I can eat normally now though still try to avoid food with a lot of "air" such as beans and cauliflower. And then come back in two weeks for another check up and at that stage he'll test my blood for signs of infection again. The pains I was getting have improved significantly recently thankfully. So it looks like for the moment everything is fine and I can breath a sigh of relief!

While I was going through the scare it was also harder as I was on my own. Hubby was away with work. Now he's back and it's been really nice. Also my Dad and sister came over to visit me! They stayed for four days and it was just perfect. They even got quite nice sunny autumn weather while they were here. We went to a pumpkin festival in Ludwigsburg and there was even a wedding fair on that day which we checked out for my sis in case it gave her any ideas.

Another day the weather was warm so we went to the pool for a spa day. I avoided the sauna but enjoyed swimming! We also took my family to some of our favourite restaurants and they had some good meals. It was sad saying goodbye though as I won't be flying to ireland again until the baby is here and a few months old, so it'll be my longest stretch not going back "home". It's great these days with skype, whatsapp and google hangout though, you don't feel as far away as you did in the past.

So the week started off scary with the pains and doctor visits but ended really lovely enjoying some family time. Here are some pictures from our day at Ludwigsburg exploring the castle grounds and pumpkin festival. If you are ever in the area it's worth checking out. The festival takes place every year around September and October.

Sunday, October 8, 2017

When is the right time to talk about gun control?

I rarely get political on this blog. It's not that I don't have a lot of thoughts and opinions on what's going on around me, it's that so many topics seem to be extremely decisive these days with so many people strongly on one side or the other finding it hard to come together in the middle to reach any common ground.

What's upsetting me recently though is the lack of proper gun control debate in America. The Las Vegas shooting was absolutely horrific and tragic. I feel awful for all the victims and their families and I find it so hard to comprehend how someone could do something like that. Prayers and thoughts are great but what is also necessary after something like this is action. Clearly the laws need to change. Gun violence in the States is way too prevalent and it is not ok to just accept it as a part of life now!

It is so frustrating though when people try to bring up gun control but are shut down because "now isn't the time". I've also seen comments such as that "leftists are disgusting" to be bringing up politics at a time like this. At the end of the day, both sides want an end to tragedies like this. So if now isn't the right time to discuss gun control, when is? I've also heard arguments saying these events couldn't have been prevented. Those people who think that way don't seem to even want to try which just annoys me. Other countries don't have as many gun deaths so surely the States can look to other examples and learn from them.

A few years ago there was a bill with the aim of banning people on the no fly list from being able to buy a gun. Something like 80% of the general public agreed with it. When it was brought to congress it was overruled and didn't even get to a vote! The NRA lobby are too powerful there it seems. Then there are other opposers to gun control who think that we want to take away all guns and go on about the importance of their second amendment rights. The objective isn't to ban every weapon. The idea is to bring in restrictions such as more thorough background checks, particularly at places such as gun shows where I believe someone can buy one without a check at all. Also is there really a need for a person to have an assault rifle or machine gun?! And maybe there should also be limits to the amount of guns one person can own. At the very least let's do some more research and come up with a plan.

Now, I realise I'm saying all this as an outsider. I'm not American. I'm European and just trying to understand things there. But to me it seems clear. We all want to reduce gun violence. So why not work together to find a solution instead of refusing to even talk about it?

Wednesday, October 4, 2017

week 18 - sharing the news #pregnancyDiary

After we got the all clear from the harmony blood test last week both hubby and I decided it felt like the right time to share the news more freely at work. He spoke to his boss and told him that he plans to take some of the parental leave. His boss knew about our struggles to have children and was happy for us which was sweet. I had a chat with my manager and that went well too. Once that was done I gradually started telling a few more colleagues who I would interact with quite frequently. I figure the news will probably spread. Everyone was nice about it and congratulated me. There was one comment that bugged me though! This one colleague acted surprised and said he thought I didn't want kids. He reminded me about that (very awkward) time last year when he had asked me about children and according to him, I hadn't seemed keen.

Basically he asked me in front of several other colleagues what my family plans were. So rude and inappropriate! I think I was in shock at the bluntness of such a question and I basically answered vaguely, something like "not yet" and changed the subject to talk about my upcoming Australia trip. That guy is just totally clueless. Of course he assumes that a couple who don't have kids must not want them because if they did, they would just have them, right? Easy peasy. I'm very tempted to say something to him about it if the right opportunity arises. He also made the comment about thinking I didn't want kids in front of several other colleagues. He then told us that he's just persuaded his wife to try for a second baby. I know for a fact that the other colleague he mentioned it to has been trying with his wife to have a second child and she's had a miscarriage. So I can imagine the comments could have bothered him too. Anyway if I have a chance just the two of us I will tell him that actually it was very difficult for us to get this far, without going into all the details, and mention that asking someone about their family planning isn't appropriate as you have no idea what might be happening behind the scenes! I'll just have to figure out how to say it tactfully in German.

People have generally been surprised to hear about the pregnancy so I guess it's not as obvious as I thought! I've barely put on any weight so far probably due to the fact that in the first trimester I didn't have much of an appetite with the nausea. I think I'm eating better now though so I'll probably start getting bigger soon. According to a pregnancy weight calculator I found online, I'm slightly under the amount I should have gained by this stage. I'm sure I'll catch up though! Generally I've been eating reasonably healthy but if I'm craving a treat such as chocolate or crisps, I go ahead.

I've read around week 18-20 first time Mums should be able to start feeling kicks! I've felt nothing yet. Unless I've mistaken it for indigestion! My next scan is going to be at 21 weeks not 20 as my gyno is on holidays again. I'm disappointed as hubby won't be able to make it this time especially as the anatomy scan is a big one. I tried to get a different appointment time that week but they are all booked up. However I then had the idea that I could see if my mother in law would like to come. She was delighted to be asked! I think it will be nice for her to be involved. This is her first grandchild and she's really excited. The only weird thing is that she'll probably find out the baby's gender before hubby! She's promised she'll keep it a secret though. I was thinking after the scan maybe I would go and buy little pink or blue socks and surprise him with them later after work!

This week hubby has been away on a work trip. The house feels really quiet without him. At the weekend I met up with friends for lunch and some shopping then relaxed on the couch watching "Look who's talking". A pretty quiet Saturday night! That's such a funny film. The maternity fashion in the 80s was basically like a big tent! Of course the childbirth scene looked pretty painful as per usual in the movies with the main character begging for pain relief. I loved the scenes where you'd hear what the baby is thinking in womb.

Sunday I met up with a good friend here. She also went through years of infertility - five in this case before finally having a daughter. Her little one is at a fun age now, 10 months. We took her to the playground and she really enjoyed herself. She's also very friendly and good with people. There was a stage when she was only a few months old where she was very attached to her mum and would cry when I tried to hold her. Luckily that's changed. Next year our baby would be around ten months old at Christmas time. The thought of bringing my baby home for an Irish Christmas with my family warms my heart!

The round ligament pain is back now. It feels like general dull aches and pains during the day but gets worse if I sneeze or cough. Then at night when I change positions while sleeping I'll often get woken up with the pain and it takes awhile to get comfortable again. I've also started waking up an hour or two early each morning needing to pee. So it hasn't been a totally restful sleep. I've noticed an occasional heavy feeling around my pelvis. Apparently perfectly normal as the uterus is now the size of a honey melon! However overall I'm feeling good. My "bump" has popped out more and I love it. I enjoy singing to the baby while I'm getting dressed in the mornings. "My bump, my lovely baby bump" (sung to Black eyed peas "my lovely lady lumps" tune). When I'm out and about and I see something nice, such a pretty autumn leaves or a sunset I think how I can't wait to show our child all the great things this world has to offer one day.

Wednesday, September 27, 2017

week 17 - harmony test #pregnancyDiary

So my last updates ended up being pretty long! Well done to those of you who made it through the entire thing. It's making me wonder whether I should break up the weeks into smaller chunks so that's what I'll try now.

Week 17 thoughts

I've been experiencing pain on my right hand side above my hip. At my last appointment I mentioned to my doctor that I'd had various cramps and pains but in general they weren't severe and usually went away and he didn't seem too concerned. The next day the pain on my right seemed to get worse! I noticed it more during movement such as when I'd get up from sitting or turn around in bed during the night. It felt sort of like a stitch or pulled muscle. When it didn't seem to go away I started wondering whether I should go to the hospital to get checked out (this was outside my doctor's opening hours). I had more or less decided I would go to the hospital when I was googling and started reading about something called round ligament pain and realised that's exactly what it felt like. I also messaged several friends who'd had kids to ask them if they'd had something similar. Some hadn't but the majority had. I decided I would wait and see if it got better and luckily it did. I still notice it sometimes but it's not as painful. It seems like aches and pains are to be expected!

Even though I am feeling delighted to have reached 17 weeks, the anxiety hasn't gone away completely. Instead of worrying about miscarriage I've started fearing something going wrong at the birth, even though it's ages away. I've had two surgeries in my lifetime and I have a lot of adhesions and scar tissue as a result. I was told after the operations that the adhesions around my intestines could cause a blockage at any point and that would require emergency surgery. I was googling and saw that although adhesion surgery during pregnancy is possible it carries high risk of infant death and even maternal death. I decided to stop reading those articles! I did take serrapettase for a few months before getting pregnant so hopefully that dissolved some of the adhesions. And there is no point worrying about something that please God won't happen! Stillbirth is another worry. It's not such a far fetched thing as it happened to one of my best friends from home.

I am trying to not think about all those things as obviously worrying and stressing isn't good. I doubt I'll be able to fully relax until our baby is actually here safely. I've been trying to remind myself that so far my body has done what is is meant to and everything has been fine. When I share some of my worries with hubby, instead of telling me that the things I'm anxious about are really unli kely or whatever, he starts to look worried too. So I don't think he's the best person to share all my anxieties with! I think the next time I'm at my gyno I'll tell him about my worries in terms of my previous surgeries having an impact and hopefully he'll give me some reassurance. Anyway later today I'll be phoning my doctor about the harmony test results. I'm feeling a little anxious and really hoping that will all be fine.

Next day

So the update is I must have phoned the doctor about thirty times yesterday but couldn't get through! He has certain Sprechstunde (available speaking times), just a short window really. 4.30 till 5pm on Monday and wednesdays. I had to get to work extra early that day, take a short lunch and rush home in order to try to make that time slot. At first the phone was engaged every time I called. Then finally at 5pm I got through but no one answered, making me wonder whether he just ran out of the door once the window has closed! I tried several times after but still no joy. It was frustrating as we really just want to get the results of the harmony test now to find out if everything is ok. This morning I phoned and was told that I can only be given the results by the doctor and "that's what his Sprechstunde are for". His receptionist can be a bit snarky. I explained how I HAD phoned. She said he's busy today and not there tomorrow so we have to wait till Monday and try again then. Frustrating!

Anyway, I guess I am used to having to work on my patience by now so whatever. I decided I'll hold off on telling more people in the office till next week. Actually I did read that some women don't tell work till they are 20 weeks. They probably wait until after the anatomy scan then. Depending on your figure, it IS possible to conceal the pregnancy. I take back what I wrote before saying it is very hard to hide. I do have a small "bump" but it doesn't look that different to being bloated or whatever and unless someone is looking for it it's not so obvious. There was a team lunch I was at a few weeks ago where the waiter brought us all a digestive shot to drink after the meal, with alochol. I turned it down but so did some other colleagues who didn't want to drink during their work day so it wasn't so noticeable. And even though I've been nasueas, I haven't had to throw up at work luckily, only at home!

The majority of my friends here already had kids (most have two by now). It would have been nice to have gotten pregnant at the same time as some of them. However I love this baby now and I'm not going to live in the past wishing it had happened sooner. I do have one friend here who is two weeks behind me though! I met up with her yesterday which was really nice. We are going to try to go to the same Geburtvorberitungskurs (birth preparation class) in the hospital if possible. Most of the courses have already been booked out! We are hoping to get the one starting November which goes on till January. It'll be two hours once a week.

At my husband's work there are more pregnancies too. I am surprised at how fertile all his work colleagues seem to be. It looks like we are the only ones who had difficulties, judging from how soon most of them seemed to have gotten pregnant after their weddings. Nice for them not to have to deal with infertility of course! Sometimes I feel a little sting at people who are easily able to have several kids wheras we have accepted that we'll most likely just have one. And I hate when people make comments about only children being lonely or how it's selfish for parents to only have one. I can imagine that our one will be very happy! We can make sure to go on plenty of "play dates" and maybe get a pet at some stage.

Later that week

I've noticed that I've been feeling much better in general! It's like a fog has lifted. I don't have the nausea as bad at all anymore and I'm feeling more energetic. I guess this is why the second trimester is considered the "honeymoon" phase! I had a productive week in work on a big project and was feeling very proud of myself. So overall it's been a good week. I've even been more social too. Now I'm not as exhausted all the time, I've started meeting up with friends more often which is fun.

Hubby finally managed to get through to our doctor and we found out the results from the harmony test. Everything is great! The baby only has a 0.01% probability of any of the three major defects. Such a relief! I'm glad now we did decide to go for the harmony test in the end, it's so nice to have that peace of mind. The doctor even said that the results were hervorragend meaning excellent. We already feel like proud parents! My thyroid levels were also fine - TSH 0.7. And my iron levels are a solid 12.2. So good news all round.

Monday, September 25, 2017

What I've been eating lately

Yes, I'm one of those annoying people who takes photos of their food in restaurants before eating! Anyway I thought I'd share pictures of some of the meals I've enjoyed lately while eating out or at home.

Firstly, pumpkin risotto. Yum. I'm a big fan of risotto. Love it with mushrooms or pumpkin in particular. This one was covered in lots of parmesan cheese too. (Meaning I had to take several lactase tablets but so worth it!) This was eaten an international restaurant chain with Italian cuisine, Vapiano.

Another time I had a burgerless burger with avocado sauce and salad. I generally love all things avocado. This was at another restaurant chain, though it's only in Germany as far as I know, called Hans im Glück (happy Hans!). I got the burger bunless as I wanted to avoid any gluten. I also didn't get any cheese as I was trying to be dairy free that day. It came with a vegan sauce.

At home I cooked a yummy vegan meal recently; butternut squash, lentil and spinach curry. I was loosely following this recipe and it turned out really well. Hubby said it was "delicious". The following day I used the leftover squash to make a carrot and butternut squash soup by basically throwing it into a pot along with ginger, onion, garlic, vegetable stock, italian herbs, turmeric and black pepper then using my smoothie maker to blend it once it was soft. I also added coconut milk so it would be creamy. That's a good cream alternative when you are dairy free.

I made myself a healthy salad one evening with rocket leaves, cocktail tomatoes, cucumber, walnuts, avocado and cheese. For the dressing I used olive oil, a little lemon juice and basil and oregano with black pepper.

My husband and I eat a lot of vegan meals as we try not to eat a large amounts of animal products. When we do eat meat, then ideally it's organic and not processed. This was gnocchi with mediterranean veg and rocket leaves at the vegan place in town.

I've got quite a sweet tooth. Dessert used to be my favourite course when I was younger! This is a gluten free carrot cake I enjoyed recently with a caffeine free cappuccino and soya milk.

Tuesday, September 12, 2017

weeks 13 - 16

Trigger warning: pregnancy discussed.
I just wanted to say that I'll be continuing to share my thoughts on this pregnancy every few weeks. If you are at a place right now where you find reading about this hard or upsetting then please skip these posts by all means and look after yourself. I understand completely. I'm planning to continue to separately blog about non pregnancy related stuff also.

Week 13 thoughts

Some people consider week 13 to be the official start of the second trimester, for others it's week 14. Baby is now the size of a fig! I actually don't have much of a "bump" yet which is probably just as well since only a select few people at my office know yet and I don't want it to be too obvious. Once we have the 16 week scan, provided everything is fine, then I would start telling more people at work. It still feels like such a personal thing though.

I haven't really been doing that much lately. I still get tired pretty easily and evenings after work I often just feel like relaxing with a good book or in front of the telly. Last weekend himself and I spent Saturday catching up on housework and chores and just hanging out. Sunday I met up with some friends. One of them lent me a pregnancy book. There was a section at the beginning about getting pregnant. I had a look through it and felt like laughing as all the information just seemed so basic to me - for people who don't have a clue about fertility. I could easily write a thesis on all I know by this stage! I still feel a little jealous sometimes towards the women for whom pregnancy came easily and without problems. Don't think that will ever go away completely. I joined a group of Irish women on facebook who are also due in February as I heard it can be a nice way to make friends. Quite a few are on their fourth child already! It's not that I particularly want to have four kids, I'm just jealous of how nice it must be to be able to plan and choose how many children you want and when to have them.

I continue to be grateful for this pregnancy. Sometimes I feel guilty too. Sort of like survivors guilt. I know there are so many great people out there who are still trying or have since resolved child free and I'm really sorry when it doesn't happen for them. I'm certainly not in any way more 'worthy' than anyone else. I also don't even know for sure what was the winning combination that helped it work for us this time. It could have been changing clinics and the new approach, it could have been all our healthy eating and the fact I went gluten and dairy free, it could have been the melatonin tablets which improved egg quality or the DHEA I took for a few months beforehand or all the extra prayers! We'll never know for sure.

Sometimes I think the nausea has gotten much better and then I get it again. Brushing my teeth often makes gag and feel like I might need to throw up. I went into H&M and had a look at the maternity section. I felt a little like an imposter, like someone might tap me on the shoulder and ask me what I was doing there. They had some nice things but I didn't feel ready to buy anything yet. So far I've been making do with some jeans I have that are not tight around the waist, plus doing the hair bobbin trick where you put a hair tie around the button and through the jeans hole. And I've been wearing longish tops.

I've been thinking today again how lucky we are. I had lunch with a friend (let's call her J.) who's friends with a fertility doctor at a clinic in Munich. She often tells me stories of her patients. J also told her doctor friend about our story. When she heard about us considering the immune protocol, she was all for it, saying she had seen that help in lots of cases. I'm talking specifically patients who have had immune related issues diagnosed when they got extra blood testing done. Anyway I asked J. if she had updated her doctor friend about our pregnancy. She said she had and her friend was really happy for us but also surprised. She had thought based on what she had heard about me (previous surgeries, poor responder etc) that it wouldn't work until our 8th IVF attempt!

The fact is we wouldn't have done eight rounds. We decided that the fourth would be our limit. We couldn't keep putting ourselves through it. So yeah I was just thinking today how incredibly lucky we are that the fourth attempt seems to have worked so far! Somehow our baby now exists and is growing. Things could easily have turned out differently. I'm not saying that the alternative would have been an awful future or anything, we would have found ways to move forward, but I am incredibly glad that this little baby seems to be a fighter and please God will get born in six months time and join us!

There are plenty of fertile people who take their children for granted. After going through the journey we did (and seeing what other people go through), we are well aware of how precious each life is! The timing is everything too. If we had done IVF a month earlier or later, it could easily not have worked. It wouldn't be this exact unique baby created from that particular egg and sperm. This new person (with a soul as that's what I believe) exists now and there is just something so incredible about it. It began with a bunch of cells which kept multiplying and then started forming things like a head, brain, spine, liver, kidneys. Each cell knowing exactly what it's meant to do.

Week 14

I am officially in the second trimester now! How cool is that? From what I've read this is the most fun time (the honeymoon period) as you are meant to start having more energy, less nausea but don't yet feel uncomfortable. It'll still be several more weeks until I can feel any kicks probably. That seems unreal to me, the thought of it! I have gradually been reducing the steroids and right now I am only taking 2.5mg - barely anything. Unfortunately reducing the steroids also meant my nausea seemed to get a bit worse I noticed! From about 5pm till 8pm I feel particularly crap. Being in the office at that stage isn't fun. Like I mentioned before lots of snacking helps. I had one evening where I was leaving work around 7pm and pretty much had to hurry as I was worried I might throw up in the office! Thankfully it passed and I got home and ate something immediately and was ok soon after.

Hubby doesn't feel comfortable with me flying anywhere so he would prefer for us not to go to Ireland until after the birth. He pointed out that "we only have one shot at this". I don't want to do anything to make him feel uncomfortable and of course our baby's health has priority but it's moments like this where I feel the distance from home. Well, this is my home now of course, but I wish I could see my family more often. However I am hoping they will visit me which would be great. I haven't totally ruled out the idea of an Ireland trip but it's looking less likely at the moment. I also need to apply for a new Irish passport as mine is expiring in a few months so need to get that sorted asap. I already phoned the nearest Irish embassy and requested they send the form out.

It's still two weeks till my next scan and as usual it feels like a long time. I'd just like to know baby is ok in there. But I am trying to remind myself there is no reason to worry. I did use the doppler again last night. This time I was able to find the heartbeat fairly quickly though only for a few seconds which makes me wonder if the baby doesn't like the doppler ultrasound waves and is moving away from it. Every night when I'm in bed, I "talk" to the baby. I'm trying to get him/her used to my voice and already start teaching him/her my accent, haha! I just really want the baby to have a strong Irish identity despite living in Germany. I also looked up some Irish folklore children's books which we could read together one day. Traditional Irish stories have a fair bit of violence though. It's a bit like the Grimm fairy tales. There are lots of battles and superstitions! "The children of Lir" is one story which sticks out in my memory.

Hubby and I have discussed how we would split the parental leave. We are thinking that the first month we would take off together then I would stay at home for about six months after that and then I would go back to work with reduced hours if that's an option (it should be but need to talk to HR) and then hubby would stay at home the few six months until baby is about one. I am delighted that hubby wants to spend that time with our child, I think it will be really good bonding experience.

In other news my little sister got engaged! Yay! Very excited for her. Her and her fiance are thinking about a small beach destination wedding which sounds fab. It's crazy for me to think that next summer we could be attending her wedding with our baby. I still feel nervous sometimes thinking too far ahead about the future, though at the other time it is lovely to imagine. I know it won't all be amazing of course, I'm not totally naive. I've followed blogs of women after they have their baby, plus I've heard from friends and I have seen how hard the first few months can be. The idea of childbirth is a bit scary too!

I already had to try to book a "Hebamme". The direction translation is "midwife" but they don't usually attend the birth. It's all a little alternative. You can go to the Habamme here instead of your doctor for your checkups and your health insurance would cover it. The main thing they do though is come visit you after the baby is there and help out. A certain amount of visits are covered. And they offer classes such as "Rückbildungskurs" with exercises to help put everything back into place after birth! And some offer things like pregnancy yoga too. Anyway they are really hard to get as they get booked up really fast but I've managed to find one a friend recommend who's going to visit in a few weeks to meet me.

I went back to H&M and this time bought some maternity shorts and "mama" tights which were reduced. The shorts are really comfy! The weather has changed from summer so I only wore them once and then started thinking that buying shorts might not have been the best idea. However I tried wearing them with tights which was a cute look.

Week 15 thoughts

My gyno is finally back from his holidays after about a month! We phoned on Monday to try to get our blood test results but the practice assistant said he was busy and to call back Wednesday. Wednesday hubby phoned and it turns out the doctor never did the first trimester screening blood test as we thought! He only did some sort of standard blood test. Needless to say we were rather annoyed about it! When we had phoned the following week we were told the results weren't there yet and the next time we called were told we'd have to wait till after his holidays. If we had known that he didn't do the blood test then we would have gotten it done at my 12 week appointment at the other doctor. Now it's too late as it can only be done between weeks 10 and 14 apparently. I really don't know how the "miscommunication" even happened. We both remember the doctor telling us about the blood test you can get that tells you your risk of gene defects and me saying I wanted to get it done.

There is another blood test I could get but it costs between 300 and 500 euros as far as I know. It's called the Harmony test. They would send my blood off to a lab in the US apparently and it would take about a week. The results are about 98% accurate. I've read that there can be false negatives or positives though and sometimes the blood test can be inconclusive. We are undecided about whether to get it or not. On the one hand it would be nice to get the peace of mind that things are ok but I think the risk of something being wrong are still very low. The measurements taken at the last ultrasound were all fine. If there were some health problems with the baby then we would like to ideally know in advance and plan for it. If there is something seriously wrong then that would be a very difficult conversation since hubby and I have somewhat different views. But I would like to remain positive and have faith that everything will be ok. When we go for my appointment next week we'll discuss our risks with the doctor then.

Week 15 - later that week

Tomorrow is our appointment! I'm excited to see the baby again. And a little nervous too. I think the nerves will always be there a little bit. I've started coming down with a sore throat lately and just feel quite run down. My nausea was pretty bad last week, I had to throw up several times but it has been more bearable this week, or maybe I'm just managing it better. I wonder whether we'll be able to find out the sex tomorrow! I am convinced it is a girl so I'll be shocked if it turns out to be a boy. I just have a strong feeling for some reason. I've had dreams about having a little girl too. We decided we are going to get the harmony blood test done. We probably should have done it weeks ago. It would give us peace of mind to know that everything is ok. Well with 98/99% accuracy.

I'm starting to look a little more pregnant too! It's getting harder to "hide" it at work. I think I'll probably have to start telling colleagues soon. Hubby has been really great. We're married four years now and still as happy as ever. He's been protective of me and the baby which is really sweet. When I'm lying in bed and have heartburn he goes down to the kitchen to get my heartburn tablets or a glass of water. He often cleans the kitchen to help get rid of all the food smells so I feel less nauseous. I still can hardly believe we could have an actual baby next year! I was out with friends for lunch at the weekend and there was a tiny newborn baby at the table next to us. Very cute. I was thinking, "am I really going to get one of those?" So amazing! The only thing that scares me a little is the actual childbirth but I'm trying not to think about that too much yet. I'm not that anxious about the pain, although that doesn't sound fun, but rather scared of something going wrong. The hospitals and doctors here are really good though so I know I'll be in good hands. I'll just need to learn all the relevant words in German beforehand!

The immune doctor send me the printout of the test results from my blood test at week 13. She recommends I get another blood test done at week 17 to check the natural killer cells again. That seems excessive to me. Surely by now even if my natural killer cells were to increase my body wouldn't fight the baby?! I'm considering not doing another blood test but then I don't want to take any risks either just in case. I'm going to ask my doctor tomorrow what he thinks. We decided that we won't fly to Ireland again until after the baby is born. Or fly anywhere. Hubby worries about the baby being exposed to radiation. I know plenty of people fly all the time but if it makes him feel better for me not to fly I'm ok with that. Also the fact that the only time I had some bleeding in this pregnancy was a few days after my last flight to Ireland makes me worry a bit about it also. I do feel sad at not seeing friends and extended family again.

However my family are planning to visit me here which I'm excited about. And I'm planning to arrange some skype chats with friends so I can still catch up on their news. I recently found out another friend of mine here is pregnant too. She's two weeks behind me. It will be nice having someone at the same stage to meet up with. Some friends told me recently that they hated being pregnant. I guess they didn't like feeling sick and uncomfortable. I can honestly say I love it. The hardest parts are the anxiety and nausea. The latter I mentioned already, mine seems to be worse than average but it's still manageable. The anxiety is hard though. I'm often worried that something might be going wrong. Apart from that I love the idea of having my baby with me wherever I go and I don't want to rush this time away.

The Hebamme who was meant to visit me got lost and couldn't find her way to our house! She phoned several times and we gave her directions and in the end she gave up. That was rather disappointing. She said I can "call her when the baby is there". To be honest I would much prefer to meet the person before the birth. I messaged another two recommended Habamme and both were too busy to take anyone else on but I finally found someone and I'm going to meet her in October. Hopefully she's nice.

Week 16 appointment

We had our appointment at the doctor finally. The whole thing took ages. Every time I have to give a pee sample, get weighed and have my blood pressure checked. The latter of which was very low. That probably explains why I've noticed I feel dizzy if I stand up to fast. The doctor's assistant also used a device on my stomach to measure any contractions which took about 20 minutes. Luckily there weren't any as it would be far too early! She also gave us a free pregnancy box which contained a few things for the baby. You get another box after birth. We put it into the green room.

We agreed to do the Harmony blood test. There were three options. One that just checks for the three most serious potential issues. The second would have also told us gender and the third option would check for less serious issues (for instance turner's disease). We are happy to just wait until the gender is revealed at a scan and we just wanted to rule out the most serious and potentially life threatening issues so we went for the first option. We'll find the results out in a week. It doesn't actually get sent to the States, they now have labs in Germany where the harmony test can be done. It only cost 250€ in the end. Totally worth it if it gives us peace of mind.

The doctor wouldn't have done an ultrasound today but said he could get one for 40€ extra. Naturally we wanted to make sure everything is still ok with the baby and have a look. Actually this time the baby didn't look all that different from the previous one, and we couldn't really see so much extra but it was still lovely of course. As soon as the doctor started the ultrasound the baby was visible immediately and as usual I found myself holding my breath until I could see the little heart beating. That anxiety never leaves. At one stage the doctor zoomed in on the baby's genital area and said it looked like a girl most likely, although he commented that we shouldn't go out and buy loads of pink things just yet. However later on he was looking again and then he thought he did see something and was less sure! So in the end it was still inconclusive. That was a little disappointing, it would have been nice to know already. My next appointment won't be for five weeks which seems long but that's how they do it here.

There was one potentially bad thing though. The doctor noticed something when he was scanning me later. I'm not sure if he was looking at the placenta or what but then he said I could be at higher risk of developing pre eclampsia which is a little scary. He told me to buy a home blood pressure monitor and use it three times a day making a note of the values. If the value gets too high on a few occasions then make an appointment with him asap, not to wait the five weeks. He also told me to take drops for my blood pressure.

Hubby and I were a bit confused after since my blood pressure is more likely to be low rather than high. When I got the bottle of drops of which I'm meant to take 20 drops of a day, I noticed it has a high alcohol content! So then I was wondering what's worse for the baby; me having too low blood pressure or consuming small amounts of alcohol? I presume if my doctor says it's ok it is but I'm thinking of just taking 10 drops a day at first and seeing if that helps.

We also got another printout of the ultrasound. I took a picture with my phone and when I zoomed in I thought I could make out a cute little button nose and pretty lips! After everything went well with the appointment I decided to phone an aunt who hadn't heard the good news yet. She was delighted for us and I'm glad I told her myself. She also shared some stories of my Mum and Granny with me which was lovely (both of whom have sadly passed). She told me how wanted myself, my sister and brother were. It was lovely to hear. I know my Mum would have made a really fantastic grandmother. Whenever big events happen in my life, it reminds me again what a loss it is when you don't have your mother around. I have to believe she's in heaven watching down over us all now. I'm going to tell our child all about her of course!

I can more or less accept that I am pregnant now, although I still can't believe that we'll really (please God) have an actual baby with us next year! I feel grateful every day for this miracle and never take it for granted.

Thursday, September 7, 2017

The Handmaid's Tale #BookClub

Everyone seems to be talking about "The Handmaid's tale" recently. It was written in 1985 by Canadian author Margaret Atwood but has gained more fame recently after a tv series has come out based on the book. I was intrigued by the premise and happy when it was voted as our next novel in my book club.

I knew that there would be some infertility elements so I was prepared for that. The book is set in a dystopian society in the future. The majority of women are barren and infertile. It seems like a lot of the men are sterile but it is a male dominated sexist society so the male side isn't acknowledged openly. The women who ARE fertile are known as handmaidens and they are first trained and then sent to live with a couple in order to try to conceive a child with the husband which will then be raised by the man and wife. A few months after the birth, the handmaiden will be sent elsewhere and the cycle continues. It is a several tier society. Wives have more power than the handmaidens but not as much as the husbands. There are women called Marthas who are barren that work as housekeepers. There is a strong police presence and spies known as "Eyes". People who say or do the wrong thing get taken away and tortured or worse.

The book centers around the story of one handmaid, "Offred". That is the name that has been assigned to her. All part of losing individual identity. Initially she is a little like a zombie, just going along with the life she has now. Well, it's not like she has much choice in the matter! She often wonders about her ex boyfriend and child who were taken away from her. Without giving too much away, she gradually becomes aware of a secret resistance movement.The husband of the house she's living in also starts wanting to bend the rules with her. As does the wife. Both of which lead to her taking more and more risks.

In terms of the infertility element I found myself often feeling sorry for the wives who weren't able to have their desperately longed for child. It was awful how the handmaids were reduced to baby making machines, which just made me think of how ridiculous it is to base a woman's value on whether or not she can conceive. Women are so much more than that! The book was really good. Not like anything I'd read before. Once I got into it, I definitely wanted to find out what would happen next. I thought the ending a bit abrupt though, a lot is left open. The book has some disturbing scenes and the scary thing is that the world described doesn't seem all that far fetched at times. Let's hope it never becomes a reality!

Friday, August 25, 2017

Weeks 10 - 12 #pregnancyDiary

Week 10 thoughts

This morning I had my ten week appointment at the doctor. It was early so hubby was able to come by for most of it before going to work. I was finally given the elusive Mutterpass (translation: mother passport), which is a booklet pregnant women in Germany get which contains all their relevant information for doctors. This has been categorized as a "high risk" pregnancy due to it being IVF and my 'geriatric' age of 35. That's a joke by the way. 35 is the new 25 don't you know? Anyway, the doctor spoke to us about pregnancy in general, what to avoid doing, what's ok. A lot of stuff I already knew. Some things which are relevant to how things are done in Germany, I didn't. For instance there's an optional test for Toxoplasmosis which health insurance here doesn't cover. It only cost something like 30€ though so I asked to get it done.

Regarding gene defects the doctor said, because I'm 35, the health insurance would pay for an amniotic fluid sample to be taken around week 14 or 16, can't remember now. However he advises against it as it carries risks. He even said that you can end up with a 'dead baby' that could have been perfectly healthy. He certainly doesn't mince his words! I'll be avoiding that test for sure, not taking any unnecessary risks. There is a blood test and based on that plus other factors (my age) will assess the risk of the baby having any gene defects. If it comes back as high risk, such as 1 in 50 then we could consider whether to get another blood check done (this is called the harmony test) which wouldn't be covered by insurance and costs around 450€. The doctor wasn't going to give me a scan at all today as I'd had one recently when I had the scare but I asked nicely! Well I said it would be great just to make sure everything is still ok. Unfortunately hubby had left at that stage as he had to get to work so he didn't get to see it. This time the baby didn't just look like a blob like last time haha! It was great, I could see the tiny little hands and feet moving around!

Oh man, I have so much love for the little baby! I wonder if it will be a boy or a girl. I guess I would have a slight preference for a girl, but honestly either is great! I think hubby prefers the idea of a boy but I also know he would be a great Dad to a daugher. We would like to find out. I'm not sure whether we would tell everyone else or not. Though probably we'd find it hard to keep a secret! I'm delighted to have gotten to the ten week mark. It's definitely starting to feel like a strong pregnancy now!

From around week six I did notice some very mild nausea but not bad at all. Since week nine though it got a lot worse! I also started having a lot more food aversions. The best way to help against the nausea has generally been to eat something pronto, although eating while feeling queasy isn't that pleasant, and it has been hard to figure out what I even feel like eating. Several times I've gagged but not thrown up, but I did end up having to get sick once after brushing my teeth. I've also gone off avocados which I used to love, I hate the idea of fish at the moment plus the dairy free vegan yogurt and ice cream I used to eat a lot of (it's made from a lupine plant) doesn't appeal to me at all anymore. The best food I've found is popcorn! So I end up snacking all day long basically to try to keep the nausea at bay which means I only have an appetite for small portions at meal times. Anyway, overall it is manageable. Being in the office has been a bit challenging as I just get so tired in the afternoons but hopefully it'll be better in a few weeks.

I'm planning to tell my boss and HR manager once I get to the 12 week mark if everything goes well at my check up. I googled something like "when to tell your work you're pregnant" and the first result said not to tell till weeks 16-20 at the earliest and then talk about all the great projects you did recently! I thought, wow, that must have come from a US site. No offense meant to any of my friends from the US. The article basically gave the underlying impression that your job is at risk if you are pregnant. I looked up some German sites and the message there was to tell your work at 12 weeks and the health of you baby has priority. There are lots of great laws here to protect pregnant women in the workplace. For instance you are not allowed to work more than 8.5 hours per day or be expected to carry heavy things or to be on your feet for more than four hours.

The doctors here have no problem giving pregnant ladies sick leave when needed. Sure, there may be women who abuse that for instance I have heard of one who got pregnant and didn't feel like working anymore and asked to be written off for all nine months, but in general that's not common and I think it's great here how the emphasis is placed on keeping you and baby healthy. Your boss is also not allowed fire you until at least four months after you've had given birth. And in Germany there is 14 months parental leave which you can share with your partner. Anyway, there are a lot of benefits to working in Germany! That's not to say that sexism in the workplace doesn't exist here, that's a topic for another day but there is good support for employees. Even when I do tell my boss and HR, I will still tell them that I would like to keep this pregnancy discreet. I would prefer to wait another month or so before other colleagues find out. I'm not sure how feasible that is since people can gossip and maybe I'll start showing at that stage. Right now I'm just really bloated but I think I have the beginning of a tiny bump too! Under all the bloat that is.

I had to phone the immune doctor to ask why my new treatment plan hadn't arrived yet. Turned out it hadn't even been sent! The receptionist sounded embarrassed and said she would remind the doctor and asked if I'd like her to scan the documents and send them by email to me first. I can see why this particular doctor gets such bad reviews, the main complaint seems to be that people are fed up with how slow everything takes! Anyway once the email arrived I had a look. Most things were clear and expected, it gave details on how to reduce the steroids and Granocyte injections. The baby aspirin tablets I'm meant to keep taking until at least week 24. This seems long to me but it's not such a big deal, just taking the tablets so whatever. Two things bothered me. Firstly it said that I have to get my blood checked again to look at the natural killer cell levels. If they are too high still then I would need to keep getting the Intralipid infusions for longer. That is such a pain. I'm so ready to be done with the intralipid infusions! Also I only have one bottle of the stuff left. They only sell it in boxes of ten and it costs about 200€ altogether then about 50€ per doctor visit to administer it not to mention the time it all takes. And the second thing was that it recommended I get a pre eclampsia test at week 13 since I am higher risk due to my missing KIR genes apparently.

I got a little upset about the email. As I was saying to hubby, I just want to have a normal pregnancy like most women and not to be so highly medicated and high risk and have all this extra stress! The thing about all the extra immune stuff is I don't know for sure if it is the reason this IVF and pregnancy is working or not. It could be the thing that made it work or maybe it would have worked anyway. I'll never know for sure. Obviously on the off chance that the Intralipids, granocyte, steroids and baby aspirin are the magic ingredients keeping the pregnancy going, then of course I'm going to keep them up! Anyway a while later I felt better. Getting the preeclampsia test shouldn't be a big deal. I'll show my doctor the letter from the immune doctor and even though preeclampsia itself sounds scary as long as the doctors catch it in time, it would be fine. And the fact that I have to send my blood off to get tested again is a pain but I'll just do it and hopefully the results will show everything is ok and I can stop the Intralipids finally.

My usual gyno is away on holidays for the month of August which was has been awkward. There are two doctors' practices that are helping out. Both aren't that handy to get to from where I live. I phoned them and neither had heard of Intralipids or wanted anything to do with them. It's not an easy thing to explain in German! So neither practice will give me the 12 week intralipid. I phoned the fertility clinic and they agreed to give me the 12 week one no problem so that's great but like I mentioned before it is really far from where I live. I'm going to have to talk a half day off work. The intralipid will be administered by dr. Peppy though, and I'm looking forward to seeing her again!

Week 11 thoughts

It feels like a long wait till the twelve week scan. I've been trying to think positively though and not let myself get too carried away with worries. At ten weeks I realised I am already one quarter of the way through the pregnancy which is a crazy idea! I have also been thinking recently about how lucky we are. I came across some statistics for IVF and the odds of it leading to a take home baby are really surprisingly low in general. It's still early for me and I don't want to count my chickens before they have hatched, but I am so grateful to have gotten this far. This was our 7th embryo. Six other perfectly good embryos were placed inside me over the past two years. One took for a few weeks but sadly wasn't to be and the rest just didn't implant at all for whatever reason. What made the 7th embryo implant and keep growing into a tiny human I have no idea! I wish IVF would work for everyone though. This is most likely going to be my last pregnancy too. Provided it works. I have no idea what we would do if the worst happens. Hubby and I both agreed we wouldn't want to go through IVF again. For many reasons. We have both accepted the fact that we will most likely just end up with one child and we have come to terms with that. Only children are very loved and I have no doubts that our single boy or girl will be happy!

I have a pregnancy app on my phone. It was fun to read today that the baby is the size of a fig now! On my gyno's advice I went for a teeth cleaning at the dentist. I actually always dread it a bit. I was scared of going to the dentist when I was a kid. It's gotten a lot better as I've gotten older but I still don't particularly like the experience. I hate all the noises in the dentist office, like the drill, ah! Anyway the teeth cleaning is normally not too bad just mainly uncomfortable and long. I have sensitive teeth too so some bits like when cold air is blasted on my gums is very unpleasant. But anyway it went fine. And I reminded myself that I'm doing it for a baby. Thinking about the little one moving around in there and growing is a really nice thought. This morning I also feel fine, not nauseous at all! Of course then I started to worry that it could be a bad sign but I googled it a bit and some women's pregnancy symptoms can start to ease off in week 11, so it's probably just that. A lot of women on the forums mentioned their nausea came and went a bit too. Like they'd have a good few days and bad few days again. According to my pregnancy app, you don't look pregnant at this stage just bloated and as if "you've had too much to eat" haha! If I pull in my bloated tummy I think I can still see a tiny bump. Otherwise I haven't noticed any other body changes really. Instead of my hair getting glossier, it's gotten frizzier. I think I'll need to use the de-frizz serum more often!

Week 12 thoughts

Before my appointment I felt a little nervous but not too bad, I had a good feeling that things would be ok. This time we went to a different doctor as my usual one is on holidays and this one was standing in for his patients. I had to do a pee test, have my blood pressure checked and get weighed. Then we went into the room to wait for the doctor. Once he arrived he asked what he can do for us today. I said, well I'm here for my 12 week scan! He looked at my Mutter pass and asked some questions about the pregnancy. I got another prescription for my thyroid meds. I asked about the pre eclampsia test which the immune doctor recommends. He said it's too soon and I can get it done at my next appointment.

He asked about whether we had done the first trimester screening (where they check for gene defects). We said we had done a blood test but then our doctor went on holidays and we hadn't gotten the results. He explained that the blood test alone doesn't mean anything without measuring the baby's neck which hadn't done as far as I'm aware. So that was annoying. The substitute doctor said he would take measurements today. We'll have to wait two weeks till our doctor is back from holidays to ask about the blood test results though. We asked this doctor his thoughts on flying to Ireland around six months and he said it's absolutely fine so that was nice to hear since my usual gyno is against flying altogether. We are still considering whether we might go to Ireland for a week around November.

Anyway then I had the scan. This doctor was a lot more thorough which was great! He showed us the baby, commenting on how great everything looked then proceeded to point out things like the spine and brain. At one stage he said something like "do you see that black dot there?" in a serious voice and in my head I thought, "oh God, is it a heart defect?" but then he said, "it's the baby stomach"! Then he showed the kidneys. He made a joke at one stage about the baby being a girl because she's so "sensitive" (eye roll) but then he said you can't actually tell yet, it's too soon. We'd like to find out the gender but I'm not in a huge rush, I can wait until the next scan. He measured the neck and said it was 1.5mm which is good, they want anything under 3.5mm. That shows a 70% odds of the baby not having down syndrome. You need to look at the blood test results too in order to say with 90% certainty. At one stage he commented that the neck was a little schrag which means crooked or bent! That made me worry as you can imagine. He said that the baby was in an awkward position and sleeping and he would try to wake the baby up to get a better look at the neck. He then proceeded to tap on my stomach! Then we all saw the baby start to move around! It was incredible. He said at that age they sleep every half hour. I felt protective of the baby already and didn't like him disturbing him or her. But I also wanted to get the measurements to make sure everything is ok.

Once baby was in a better position he measured the neck again and it was fine so that was a relief. He/She was also measuring perfectly for 12 weeks. Then baby fell asleep again. So precious! The doctor commented that while 95% of the placenta is in the right position, 5% is a little low so I might experience some bleeding again. He said if that happens, get it checked out of course but not to immediately panic about a miscarriage. He probably noticed I was still a little anxious because at the end of our appointment he told us that the odds of something going wrong are only 3% at this stage which was nice to hear. I then got the confirmation letter for work to say I'm pregnant. It continues to feel surreal that that there's a little baby growing inside me. Still a dream come true! Despite having some nausea bouts and the anxiety, I do love being pregnant and I am trying to enjoy this whole experience. My next appointment isn't for four weeks, crazy! but I guess at this stage everything is ok. Next week I'll get my 12 week intralipid done and then send my blood off to check the natural killer cells again.

Week 12 - later that week

It was strange making my way to my fertility clinic. It's only been six weeks since I had been there last but it felt like so much has happened since then. As I sat in the waiting room, I looked around at all the other couples and really hoped that things would work out for them. My fertility doctor, Dr Peppy set up the intralipid for me. It was really nice seeing her again. She said that the previous intralipid I had gotten at 10 weeks would have taken me to week 12 and I didn't really need to get another one (but I could). I told her that the immune doctor wants me to send my blood again to re-check the NK levels and she said that there is no need to get any more Intralipids done after 12 weeks. By this stage the placenta has already formed. As usual different doctors saying different things! I trust her though and it made me think that unless the NK cells have gotten really bad again that maybe I would choose not to get any more intralipids done.

A few days later I went to my GP to get my blood taken in the vials provided by the immune practice. Then I hurried to the post office and sent it all by express post. A few days later I asked hubby to phone to check my blood vials had arrived at the immune practice and to ask how soon I would get the results. The results were already there! My NK levels have gone down from 18.4%to 14.7%. They are still "borderline" but ok. I can stick with the current treatment plan, meaning I don't need to get any more intralipids. That's a relief! I was a little disappointed that my NK cells haven't gone down even more than that but anyway I'm not going to let it bother me. Some paperwork was missing, I was meant to send a referral in order for my health insurance to cover the blood test costs. I wasn't sure which doctor would give me one since my gyno is on holidays and the substitute doctor had mentioned he doesn't believe in all the immune stuff. Hubby phoned his practice and explained the situation and he sent the referral no problem though so that was a relief. It's nice the blood test is covered 100% by my health insurance this time.

A friend of mine lent me her fetal doppler. That's a device you can use to pick up the heartbeat at home. For some women they can get it to work as early as about nine weeks though others take longer. In my case I finally got to hear baby's heartbeat at 12wks2 days. That was amazing to hear and reassuring. I tried again a few days later. It took longer and I was only able to hear it for a few seconds but it was there. Then at the beginning of week 13 I had been feeling anxious and I tried that night and this time I couldn't find it at all! Hubby tried too but no luck. I started getting anxious but he said baby was probably in an awkward position and not to worry. I tried again the next morning before and after breakfast and still nothing! I found a heartbeat which was probably my own as it didn't sound fast enough to be the baby's. I was sorry then for using the fetal doppler at all. When it works it is very reassuring but when it doesn't it can be scary! Anyway, I tried again that night and finally I was able to find the baby's heartbeat for a few seconds. This time it was on the right hand side instead of the left, so many the baby has been moving around! I put the doppler away and I have decided I won't use it again for at least a week.

Now that I have reached the 12 week mark we are gradually starting to share our news with more people. Telling people makes me a little nervous. I guess it's difficult to feel totally at ease with this pregnancy after the long journey to get to this point. I still have a fear of it all being taken away. However, I have also been making an effort to enjoy each day instead of anxiously awaiting the next scan. I have been trying to stay as calm as possible and I keep telling the baby how loved he/she is! When I told the HR manager at work she gave me a big hug and was delighted for us. That was really sweet. Hubby has also been really happy about this pregnancy and it has been a sweet time. We were joking since the last scan that our baby loves sleeping just like his/her parents! I'll ask hubby "what do you think baby is doing now?" and he jokes back "probably sleeping!". I have also been sharing with him some of the facts from my pregnancy app. Like, I read that starting from week 13 the baby can start to hear things outside the womb! And they can also differentiate between light and dark. I am so amazed that from a bunch of cells a tiny person is now forming and growing. I pray that in six months time we'll get to meet our little one! In the meantime baby can stay put and keep growing and being loved.