Tuesday, January 6, 2015

Clarifications


I have come to understand for many, including myself ignorance is bliss. But it is also something very much else hurtful. So I feel clarifications need to be made.

Clarification #1:
I have said this so many times but I guess it bears repeating Dustin and I did NOT pursue adoption because of infertility. Of course there are millions with inferitility that do pursue it for that reason. But being a part of adoption groups, one the most hurtful things a mommy can hear who can't carry a child to term is, "just stop trying and it will happen."

So you can imagine how many comments I get DAILY from people saying, "isn't that how it always happens, you were about to adopt and BAM pregnant. See you just needed to relax." While yes this is true, it is NOT because we were about to adopt we became became pregnant. We felt it was very unsafe for me to concieve more children and were trying to prevent pregnancy. Seeing the cause of death as your diabetes on your child's autopsy will change your conception patterns quickly. I hate that in some way I continuing the stupid stigma that if infertile couples just "relax" a baby will come. I also hate that I am continuing the stigma that pregnancy is the goal and adoption is the alternative. We WANTED to adopt whether we had biological children or not and still see adopted children in our future.

The fact is I am VERY fertile and this little guy is destined to be born into our family as the gift he is from God. That may mean he goes straight to heaven like three of his siblings but regardless God let me be his mommy, Dustin be his daddy, and Henry, Amelie and Claudie be his brother and sisters. So for that we are extremely grateful.

Clarification #2:
As most of you might know I spent the better part of the holiday break in the hospital on two seperate occasions. Most of you probably assume because I have had a loss that the baby is at risk right now for dying. But the fact is this baby is as the same amount of risk of dying at this point in the pregnancy than any baby. We are exposed to the same risk factors as a healthy baby, no more. The risk factors for this baby lie with MY health. And frankly the risk factors at this point are for me. I don't mean to diminish my child's well being over my own, but I felt some clarification needed to be made as most assume I need to spend every waking second in the hospital to have a healthy baby. This is not the case, at least at this point. And in fact, the opposite would be better for baby and my well-being.

To help you understand, Type 1 diabetes affects pregnancy at pretty much every turn. Heard of gestational diabetes? Yep, the placenta likes to make you so resistant to insulin even the healthiest of mommies can get diabetes in pregnancy. Well, I have diabetes for 27 years this week. I have had five pregnancies and  this will be my sixth baby. Each baby causes the body to become more resistant to the insulin you are giving yourself via injection or in my case through an insulin pump. This has kicked me into a type 2 diabetes in addition to a type 1, so I have to take pills to make my body recgonize the insulin I am giving myself through the pump. Well it is easy for many to say (especially doctors) that it is a simple as what you eat, it just isn't.

People often ask me what effects my blood sugar. The answer: EVERYTHING. One of the reason I switched to another high risk OB group is because of how they treat diabetics during pregnancy.  It would never be conducive to every day life, but for these nine months they expect me to eat the same thing at the same time every day. This produces little room for variability, because we know life especially with jobs and small child has enough variablility. Ok, so put me in the hospital right? That would provide the same thing everyday. Well yes this works to some degree, but perhaps the BIGGEST affect on blood sugars is stress and for anyone who has spent anytime in the hospital, you know, you will be stressed.

There will most likely come a time wherein I just can't do it at home and will need to be taken in. But the baby is at no real risk at this point. I am. Why you ask? Well, because my blood sugars have to be extremely close to critically low levels to achieve the goals of a healthy baby that won't be affected by my sugars. So that is why I have spent so much time for close monitoring in the a hospital setting. We have set up safety parameters to make sure I don't pass out at home, and I wasn't allowed to leave until the risk was low enough. Acheiving this tight control should prevent the amount of glucose the baby is exposed to. Both Henry and Amelie needed IV glucose shortly after birth because they were exposed to so much of my glucose it was hard them to compensate after delivery. Claudie's heart enlarged because those glucose levels essentially put her into congestive heart failure and that was despite the best control  I had in all the pregnancies.

Clarification #3:
Why in the heck are you pregnant again if I am so high risk. Good question. I ask myself it way too much and have horrible guilt. But the fact is the guilt will contribute to stress which, as you now know, will only make this baby more at risk. And as my diabetes doctor told me, "this baby is a gift and will be treated as such. End of story."

I would also like to say a HUGE thank you for those who reach out to me via FB, texts, and visits. Those who offer to help with kids or other tangible ways. I am VERY aware of the taxing behavior I have placed on each and every person in my life through this pregnancy and feel so blessed beyond measure to have you all in our lives. We simply could NOT do it without you.

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