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whitewriter And what an experience it was, going through it on the other side -- and in lockdown. So the zoom appointment that had been made via phone and set up on email, failed due to some technical area, so the midwife called me and asked if it was okay if we did it by phone instead.
There was a student called Sophie somewhere in the background, listening in.
The midwife, E let's call her - was about to give a spiel about what a booking in was and I basically said - before we go further I'll let you know I'm a midwife out at SSH so that might make things a little easier.
And it sorta did, and sorta didn't but also allowed her to taylor the booking in advice a bit to HCP level.
I wanted to ask if they used the ematernity system but honestly at this stage its irrelevant and I should just be patient, I'll find out all in good time.
Things they did that SSH/MSH doesn't do
1. Classify gestational diabetics based on the 2nd reading in the OGTT.
Thanks to their super strict classification I'm now a gestational diabetic. Thanks MICH.
The testing regime is also super strict. 1 hour after main meals, I'm to test my BGLs.
How the hell thats meant to work on a night shift when I'm working 12 hours straight is beyond me.
>SSH does 2nd hour readings, and does not count the 2nd number in classification of GDM. So if I was to choose to give birth at SSH, I would not be GDM, I wouldn't need to get a BGL machine and be stressed over my readings and modifying my diet:
until most likely I inevitably fail the 2ND GDM test at 28 weeks.
What's the point of delaying the inevitable by 12 weeks.
That being said, RANZCOG guideline states that 2nd number should be included.
I've seen SA hospital policies and they sorta give it a grey zone of an area.
I read through the diet advice from MISH and I reckon, that if I followed what they said, I'd have high readings frequently so they can shove it cause I really really really want to birth in the birth center, and if I don't stay diet controlled they will make me go to the main section
No! I want the birth center. This is my motivation not to eat cake. Or bread. or pasta. or rice.
It's going to be a long 6 months...
My boobs
She asked about if there was "anything that would concern me about my ability to breastfeed"
And reminded me that if I had any breast changes I was unsure about, to ensure that I brought it up, rather than assuming it was just "part of pregnancy".
The Spiel
She had a little heart to heart with me on the phone - that she'd been a pregnant midwife too and that as much as we often take care of ourselves, not to stress over things and try to sort them out ourselves, but rather to let them take care of me. If I have issues or concerns, just to tell them rather than trying to check things out on my own at work.
I thought that was rather good advice. Made me think back to my last shift at SSH where Ac and Jules took me to a back room and we tried to do a fetal heart at 16 wks. Hehe. Naughty midwives, really shouldn't be doing that.
J was saying, women-- have been stealing dopplers and taking them home so they can do fetal hearts on themselves. Outrageous. Those things are not cheap.
Then the booking in ended.
My next appt is at 23 weeks with an obstetrician.
Probably to review the morph scan and see if the kid is overgrown due to the diabetes, and see if I need to be kicked out of the birth center.
All the GDM education is now online so I got a very long winded email about what to do about GDM.
If I wasn't a midwife and fully aware of how it all works, I'd be overwhelmed by the idea of having to check my own sugars and report readings and modify my diet. So hats off to other first timer ladies doing it without experience.
There was a student called Sophie somewhere in the background, listening in.
The midwife, E let's call her - was about to give a spiel about what a booking in was and I basically said - before we go further I'll let you know I'm a midwife out at SSH so that might make things a little easier.
And it sorta did, and sorta didn't but also allowed her to taylor the booking in advice a bit to HCP level.
I wanted to ask if they used the ematernity system but honestly at this stage its irrelevant and I should just be patient, I'll find out all in good time.
Things they did that SSH/MSH doesn't do
1. Classify gestational diabetics based on the 2nd reading in the OGTT.
Thanks to their super strict classification I'm now a gestational diabetic. Thanks MICH.
The testing regime is also super strict. 1 hour after main meals, I'm to test my BGLs.
How the hell thats meant to work on a night shift when I'm working 12 hours straight is beyond me.
>SSH does 2nd hour readings, and does not count the 2nd number in classification of GDM. So if I was to choose to give birth at SSH, I would not be GDM, I wouldn't need to get a BGL machine and be stressed over my readings and modifying my diet:
until most likely I inevitably fail the 2ND GDM test at 28 weeks.
What's the point of delaying the inevitable by 12 weeks.
That being said, RANZCOG guideline states that 2nd number should be included.
I've seen SA hospital policies and they sorta give it a grey zone of an area.
I read through the diet advice from MISH and I reckon, that if I followed what they said, I'd have high readings frequently so they can shove it cause I really really really want to birth in the birth center, and if I don't stay diet controlled they will make me go to the main section
No! I want the birth center. This is my motivation not to eat cake. Or bread. or pasta. or rice.
It's going to be a long 6 months...
My boobs
She asked about if there was "anything that would concern me about my ability to breastfeed"
And reminded me that if I had any breast changes I was unsure about, to ensure that I brought it up, rather than assuming it was just "part of pregnancy".
The Spiel
She had a little heart to heart with me on the phone - that she'd been a pregnant midwife too and that as much as we often take care of ourselves, not to stress over things and try to sort them out ourselves, but rather to let them take care of me. If I have issues or concerns, just to tell them rather than trying to check things out on my own at work.
I thought that was rather good advice. Made me think back to my last shift at SSH where Ac and Jules took me to a back room and we tried to do a fetal heart at 16 wks. Hehe. Naughty midwives, really shouldn't be doing that.
J was saying, women-- have been stealing dopplers and taking them home so they can do fetal hearts on themselves. Outrageous. Those things are not cheap.
Then the booking in ended.
My next appt is at 23 weeks with an obstetrician.
Probably to review the morph scan and see if the kid is overgrown due to the diabetes, and see if I need to be kicked out of the birth center.
All the GDM education is now online so I got a very long winded email about what to do about GDM.
If I wasn't a midwife and fully aware of how it all works, I'd be overwhelmed by the idea of having to check my own sugars and report readings and modify my diet. So hats off to other first timer ladies doing it without experience.
