On the bright side, at 37 weeks yesterday, baby Perlman is officially "full term". On the flip side (pun intended), baby Perlman has yet again turned breech. So where do we go from here? Let me fill in some of the blanks.
As far as I can tell from comments my OB, hematologist, and perinatologist have made to me, the hospital where I am delivering is extremely conservative and risk averse. And unless there is a good enough reason, they will not approve an induction prior to 39 weeks unless the OB performs an amniocentesis, or can adequately justify a reason for an early delivery. No worries, right? Except, the doctor is becoming anxious to get this baby out due to the ever changing of events ... and honestly, so am I. And due to my issues, he isn't comfortable doing an amnio.
So where does that leave us? With a highly document and justified induction either next Tuesday, May 12th or Thursday, May 14th... unless baby Perlman makes its own unscheduled arrival on its own before then... which could happen based on the serious contractions the OB has told me have made my body ready at any time. However, there are a lot of things that need to take place before next week in order to prepare for the delivery.
First, I have to schedule my WinRho SDF Infusion for 5 days prior to delivery. This immunoglobulin treatment is to help increase my low platelet count so I can enjoy the benefits of an epidural during delivery. As we all remember, I wasn't able to have an epidural during Sheridan's birth due to my thrombocytopenia, and darn it, I want one this time! The hematologist administers the infusion in his office, and once completed, I go back about 2-3 days later to check my platelet count for any improvement. If there is - fantastic! If not, then the hematologist will write the orders to have a platelet transfusion once I check in to the hospital for the delivery (which he already did, and I'm now carrying them on me at all times - just in case!)
Next, I have to go to the hospital this Thursday to have an External Cephalic Version performed, otherwise known as kneading the hell out of my stomach with the high hopes that it turns the baby from breech to head-towards-crotch position. Sounds like fun, eh? Due to the increased amniotic fluid, the baby keeps rolling and turning, and has yet again managed to wedge its head up into my ribcage. Awesome feeling, let me tell ya. I am doing the exercises the OB mandated, which include getting on my hands and knees, tush high in the sky, 3 times a day for 20 minutes at a time. I'm sure I'm quite a sight. We're hoping that by Thursday, the baby will have moved on its own and I don't need to have the External Version done. Wish me luck. Neither I, nor the OB, want to have a C-Section as I have too many bleeding issues to complicate things.
Tomorrow I go again to the perinatologist for another scan and to see how baby Perlman is growing. Looking at the size of my stomach, I'm sure it's quite fine... However, I'll be happy to entertain guesses as to the final weight and length of the baby next week. As a reminder, Riley was born 9 days early and weighed 7 lbs 5 oz and was 20 inches. Sheridan was born 2 days late and weighed 7 lbs 12 oz and was 19 inches. Baby Perlman #3 will be born at either 38 weeks 2 days or 38 weeks 4 days ... you fill in the blanks!
Until I have more answers, I leave you with a photo taken tonight by Riley.