August 27th, 2008

38 weeks and counting: still not ascended, no baby yet

Reviewing my 2005 posts, it's interesting to note that at this point in the pregnancy both times I weighed within a pound the same. Given the drastic difference in starting weight, I think that's kind of funny. It might or might not mean anything, but it's definitely funny.

I had monkey labor earlier with T. (just finally started last night for real with A.), and T. dropped later (A. dropped a weekish or more ago; T. dropped right about now). All these calculations based on LMP, not on when the baby was actually born (since I don't know that for A. yet).

I finally packed my bag for the birth center last night, or at any rate, mostly. There are still things that need to get wedged in there that I should probably be running through the wash right now, also there's R.'s stuff and snacks and so forth. I'm really hoping A. holds off until Friday at least (who are we kidding? She'll probably make an appearance about a month from now) so C. will be available to come entertain T. J. is available currently, but she has to go to a day job now and I'd feel bad keeping her up all night.

New child care J. (J2?) convinced T. to get in the car and go for a ride to the store with her and her kids. I think he likes her, and her kids are quite amazing with him -- not aggressively in his face at all, but showing interest in a low-key way. Cat-manners. Good stuff.

ETA: Contractions this time are a little odd. Around 4:30 or so in the afternoon yesterday, I had a couple of really strong ones and thought I was about to throw up. T. was willing to come inside and come up and lay down with me for quiet time for a half hour and that seemed to help a lot. I do not recall that happening and did not mention it in my posts, but that's not the best evidence that it didn't happen before.

ETA2: I'm really glad not to be having the carpal tunnel problems I had last time.

I don't hate _all_ medical research/new treatment ideas


This is terrible secondary coverage (I don't know why they persist in calling magnesium sulfate epsom salt, but hey, if it makes 'em happy):

Abstract of article here:

Short form: Magnesium sulfate drip for premature labor mothers reduces rate/severity of CP in babies who survive, without increasing rate of death (or, unfortunately, decreasing the rate of death).

That's pretty cool!

And while I will grant that the mechanism is as yet obscure (well, other than the fact that probably we're all walking around with worse and worse magnesium deficiency problems anyway), this at least passes the sniff test. Prematurity is associated with HELLP or wtf you want to call it (PIH, toxemia, preeclampsia, eclampsia...) and treated with magnesium sulfate. Prematurity is associated with CP. CP is associated with HELLP.

This matches.

I'll see if I can find better coverage.

As for the magnesium deficiency issue: processing tends to destroy magnesium, need for it increases during pregnancy, calcium supplementation may crowd out magnesium, some common meds mess with magnesium, artificial fertilizers tend to deplete soils of magnesium . . . need I go on?

Moral of the story: eat your greens. But you knew that. That's _always_ the moral of the story. And your beans, nuts, seeds, whole grains. And, just to make it all go down a little easier, bananas and chocolate.

It would be interesting to see more of a push for pregnant women (or women trying to conceive) to supplement magnesium, the way they are currently pushed hard to supplement folate (iron, calcium, etc.). Prenatal vitamins vary widely and I can make no claim about whether they typically contain magnesium. I would observe that the one I'm taking does (and I'm supplementing mag/cal separately at a 2-1 ratio -- you can see where this ties into long-standing biases for me) and that magnesium does not occur on typical lists of what a prenatal "should" contain.

This is all kind of stupid, really. Magnesium has a laxative effect (remember: take MoM in the PM for a BM in the AM. . .) where a lot of what is in the standard supplement package for pregnant women has a constipating effect. You'd think they'd add it just to minimize side effects. *sigh*

ETA: I am so enamored of this idea (encouraging pregnant women who are contemplating supplementation to include magnesium in their supplementation) that I've modified the book.