The Joys Of Pregnancy At 24 Weeks
December 20, 2017
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I am happy to announce that our pregnancy is entering its 24th week! Our little boy is growing faster by the day and weighs about 1.2 pounds. In a few more weeks I will be starting the 3rd and final trimester. Its all uphill from here!

Pedometer on Iphone

This is the app on my iphone. It reminds me to keep moving. Today at work I got 17,000 steps!

Sarcasm aside, I’m actually feeling pretty good these days, with the exception of a little fatigue and annoying pregnancy brain.  My bump is finally pretty obvious now so I so I can walk around proudly displaying a pregnant belly instead of just feeling full-figured and puffy.

I am still practicing yoga and working out when I can. My goal is to walk 10-15,000 steps a day, so I started using the activity app on my I-phone to track my progress. I admit, I am becoming so much dorkier as a second time mommy-to-be. I’m just a busy mom with a toddler trying to take good care of herself when she can.

Thankfully, this pregnancy has been pretty non-eventful. All of my prenatal testing has come back showing no signs of any health issues. Each appointment has gone smoothly without any big scares or hiccups (unlike my last pregnancy, which is a long story for another post!). I know nothing is 100% certain, but I feel optimistic that things will run relatively smoothly this time around (fingers crossed!).

The compression stockings are back (pregnancy is sexy!)

Last week I had to bring my lovely waist-high, graduated compression stockings back out of the drawer (they have been in hiding since the birth of our daughter in October of 2015).

As a nurse who works 12 hour shifts at a busy level 1 Trauma hospital, I have been a little concerned with the amount of time I spend in my feet everyday. I am specifically concerned about varicose veins which are a common side effect of pregnancy (and being a busy nurse). Pregnancy increases your blood volume by 50% and I’m also carrying an extra 12 pounds right now so its no wonder that my legs swell after 12 hours of being on my feet!

Woman wearing compressing stockings.

It just doesn’t get any sexier than maternity compression stockings (not my legs). The joys of pregnancy are many.

Alas! Compression stockings to my rescue! My legs are so much more energized at the end of a long shift after wearing compression stockings on then they are without them. They don’t feel swollen and they actually look visibly less swollen too.

I am sure you are profoundly intrigued and want details so I’ll tell you more about my compression stockings. I wear the Jobst 20-30 Waist High Closed Toe Compression Maternity Pantyhose. It just doesn’t get any sexier then that! Just a word of warning for ladies needing compression hosiery: this is not a place you want to be thrifty. I have tried the cheaper versions and quite frankly, they suck and are a waste of money. Mine are so well-made and will actually last through an entire pregnancy, unlike the cheaper ones.

I look like a whale trying to put them on in the morning. They are so tight on my legs it takes me about 6 minutes to get them all the way up (believe me, its a treat to watch!). Per recommendation, I put them on before I even get out of bed in the morning. Before the blood even has a chance to swim around my ankles.

I have a love/hate relationship with these darn things, but they work wonders I tell you. So I will continue to wear them until I stop working towards the end of this pregnancy.

More joys of pregnancy:  heart burn and nosebleeds

Due to daily, mild-to-severe bouts of heartburn, I have Tums strategically stashed in my work bag, the kitchen cupboard, the diaper bag, and at my bedside. Heartburn is just another great side effect of all those fantastic pregnancy hormones!

At about this time in my first pregnancy I started having frequent heartburn, which is something I never have had non-pregnant. Unfortunately, as I get bigger, it will only get worse.  Another one of the awesome joys of pregnancy that I get to deal with!

On another note, I luckily haven’t experienced any nosebleeds this yet. As mentioned earlier one of many fun physiologic changes during pregnancy is that your blood volume doubles. So nose bleeds can be unfortunate side effect. My last pregnancy I got a few nose bleeds right before laying down to sleep at night. Then I was up for over an hour each time trying to stop them!

VBAC or c-section?

At my 22 week appointment my OBGYN asked me of I wanted to have a VBAC (vaginal birth after cesarean) or another c-section. She really caught by surprise by this question.

I was under the impression that since my last pregnancy resulted in a c-section (due to a placental abruption at 33 weeks) that I had to have another c-section. In fact, I thought it was considered dangerous not to. Friends have told me that they had to have c-sections for their subsequent babies since they had one the first time.

My OB explained that I was still a good candidate for vaginal birth since I didn’t have a situation that prevented me from having a natural birth while laboring in my first pregnancy. Like, for example, if the baby wouldn’t descend down the birth canal, or I had gestational diabetes or severe preclampsia while I was trying to deliver naturally. She said that for women in my situation, most are still able to have a successful vaginal delivery. (I’ve since done a bit of research, and it does look like the statistics are in my favor).

I never even had an opportunity to go into labor with my first pregnancy. Instead, I had a freaky, rare and life-threatening situation called a placental abruption at 33 weeks. (Essentially, my placenta detached from my womb. Not good.  You can read about that here.)

By some existential miracle our daughter is OK. She is perfect, actually. She is smart, funny, precocious, brave, and absolutely amazing in 1000 different ways. On Halloween Day she will be two years old.

Anyways, back to my VBAC versus c-section decision. I have done a lot of thinking about it lately. Due to the fact that I will have a 2 year-old at home to take care of in addition to a newborn, I have decided to forgo my original c-section plan in lieu of a new VBAC plan.

My reasoning: a c-section requires major abdominal surgery that cuts through many abdominal muscles resulting in weeks of recovery. I want to be able to take care of my family the best I can when I get back home. Another c-section will make that even more difficult for me.

So my new plan is to have a regular, vaginal delivery. That is, if I can help it. If there is any concern whatsoever over the health of the baby, by all means, I’m 100% all for having another c-section. Priority #1 is to have another healthy baby.

There is no rest with a toddler in a second pregnancy

Zoe and Mom sleeping on couch

It just doesn’t get any better than a sleeping baby Zoe.

I don’t have the time to rest like I did in my first pregnancy. I do get tired and nap on my days off when my daughter naps. Working in the ER now is also much more tiring. It’s doable, just harder.

Fortunately, in some ways I also feel more resilient then before. I know what to expect this time around so there are fewer surprises. I’m not checking my baby apps every week to see what developmental stage our baby is in (I wouldn’t have the time to anyway). I just get to be pregnant and focus on what ever is going on that day.

That may be the biggest unexpected benefit of pregnancy the second time around. I’m forced to live in the present because I’m so busy and I have an extremely energetic toddler to take care of.

And I’m feeling the baby kick a lot! I love that part.

Weird side effects and all, I am glad to have the opportunity to go through pregnancy a second time. This will be the last time so I’m trying to enjoy it while I can.

Thanks for reading!

Sarah, Mother Nurse Love

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