At 28 weeks 3 days, I am now firmly in the 3rd trimester, no matter who you ask. (By the way, why is there not one standard answer as to when each trimester begins? Can it really be that difficult to divide 40 weeks by 3?) Anyway. I had my 28 week appointment with the midwife this week, who was pleasantly surprised to see me, considering I was supposed to be in Montreal by now. I explained the situation, and she suggested we just continue to schedule appointments (every two weeks now) until I know for sure when we’re leaving, at which point she will give me copies of my medical records (again).
The good thing about staying here an extra month or so is that I was able to cross the 28-ish week items off my list without worrying about having to find a provider in a new country. I did my glucose screening at the end of December, and according to the midwife, my results were “perfect.” (With my family history and my crazy sweet tooth this whole pregnancy, I was convinced otherwise, so that was a relief.) I was also given the tetanus/diphtheria/pertussis vaccination.
When it came time for the RhoGAM injection, the nurse warned me it would have to be in my butt. “No problem,” I said. “I’m totally used to it after what we went through to get this far.” She didn’t seem to understand, so I explained further: “We did IVF.”
“Oh,” she said, nodding (but obviously still not really getting it). “Is that artificial? You know, where they take the egg and the sperm…” and she continued by making a gesture with her hands indicating the two being pushed together.
I tried my hardest not to cringe at the word “artificial” and answered as diplomatically as I could. “Well, conception happened in the lab.” She went on to tell me about a coworker who was my age, going through a divorce (her second, apparently), and still had no children. And how she had suggested doing “artificial” whatever…she didn’t even know what to call it.
You guys, this is a nurse. In an OB’s office. And she had no clue. How many patients has she interacted with? How many who underwent ART of some kind? I can’t even. I have no words.
Other than that awkwardness, things continue to go well. Except that my pubic bone is trying its hardest to separate completely. The last few weeks it has audibly popped when I’ve changed positions to get more comfortable on the couch or attempted to get out of bed. So that’s fun.
This week, my belly (which you can see here) seems to have grown from Monday, when my work friend J said, “I was expecting it to be bigger after not seeing you for two weeks,” to Friday, when all anyone could talk about what how big I was getting.
I’m starting to feel Thumper moving in multiple places at once, like the other night when I was feeling hiccups down low, near my left hip bone, and little kicks higher up on my right side, at the same time. That was the same night I dreamed she was born through an envelope-like opening in the skin of my belly, scratching and clawing her way out. She was also born with fangs and almost immediately began to talk, which, according to J, is very similar to one of the Twi.light movies, something I have never had the slightest inclination to watch. So that was weird.
I’m also still dealing with the bureaucracy of Medicaid. I should have had an answer by now, but instead, they keep sending me letters saying they need more information. And when I call to see how much longer this might take, no one answers or returns my calls. If I didn’t really need the help paying my medical bills, I would just throw in the towel, which I’m sure is why they do things this way. Just to frustrate those who would try to defraud the system. But it sucks for those of us who are just trying to get by.
I guess that about wraps up this long-winded update. My next appointment will be at 30 weeks. Hopefully Medicaid will get their shit together before then. And I really hope I don’t get that same well-meaning-but-completely-ignorant nurse again.