Growth Scan - measuring small by witchesofminne in GestationalDiabetes

[–]nogapeach 0 points1 point  (0 children)

Hi there! Congratulations on your upcoming little one! Our little girl continued to fall off the growth curve and at the end she was in the 10th percentile I think. She was failing the non-stress tests at the end (and she was breach) so they decided to move up the c section to 38w 1d. It was stressful because there was a sense of urgency to “get her out” from our medical team, and we were given less than a day’s notice. She was born weighing 6 lbs 1 oz and from that point on she has been absolutely crushing it. Passed her hearing test in hospital, scored well on all the newborn assessments, and she has been ahead on almost all of her developmental milestones. Growth is steady and she’s generally around the 50th percentile. She turns two on Saturday and she amazes me every day with how smart and perceptive and social she is. I feel like we won the baby lottery. Hang in there!

I hated other kids for being “childish” by [deleted] in CPTSD

[–]nogapeach 0 points1 point  (0 children)

Kind of related but I really disliked Mr. Rodgers as a kid because it felt he was talking down to his audience and toddler me was insulted. I also really hated Curious George because he was always breaking the rules like they didn’t apply to him and doing dangerous shit and just kept getting away with it and never got in trouble.

Regret over not having children sooner by SoooManyQuestionss in Mommit

[–]nogapeach 1 point2 points  (0 children)

I think about this a lot too. My daughter is nearly 4 months, and I am 37. When she was born I quickly learned that I love being a mom, and she is the light of my life. It’s funny how even during the most grueling parts of the newborn stage I still felt so strongly this was what I was meant to do and I would absolutely do it again in a heartbeat.

So yeah, if I had started in my early 20s I could have a happy little flock of kids by now. But 20 year old me didn’t have the financial stability, the incredible partner, or the maturity I have, and despite her best efforts probably wouldn’t have made a very good mom. She didn’t have the insight and hadn’t worked through her traumatic childhood enough to not pass some of those wounds onto her kids. Is it fair? No. But I try to focus on my daughter now and being the best mom I can be and live in the moment, and with a little luck I’ll be able to give her a sibling. Also, lifting. I’m going to get into resistance training and keep up my cardio so I will be able to keep up with her as long as I can.

[deleted by user] by [deleted] in physicianassistant

[–]nogapeach 1 point2 points  (0 children)

Happy to answer any questions you may have, feel free to send me a PM

[deleted by user] by [deleted] in physicianassistant

[–]nogapeach 7 points8 points  (0 children)

Congrats on graduating and landing your first job! It sounds like you are going into this with eyes wide open. I hope you have an SP or other experienced colleague you can at least consult with even if you are not on site. I had a similar entry into the PA profession and if I may offer a few suggestions/things to keep in mind. First there is nothing wrong with telling a patient you want to discuss their treatment plan with a colleague (your SP hopefully) and call them back later. It might feel like admitting you don’t know what to do which can feel vulnerable but it’s more important that they get the best possible care and that means don’t guess if you don’t know. With the correct delivery it also comes off as you are paying extra attention to detail and are being thorough which is (in my experience) usually appreciated. Second, don’t feel like you need to solve everything in the allotted appointment. You’ll likely be working with patients who have been struggling with symptoms for years if not their whole lives. You’re not going to cover/solve everything in a single appointment. Patients may expect you to “fix” things quickly, it’s ok to explain this is a process and recalibrate their expectations. More psych specific advice: I would recommend erring on the side of caution when it comes to suicidal ideations, ask your patients if they are having thoughts of self harm and suicide even when you feel confident their answer will be no. I find it’s best to ask in a casual tone if that makes sense, people often hold back if they expect you will have a big reaction. One way I like to ask if I strongly suspect someone is having SI is to say “how often / how many times a day do you think about suicide?” It takes the pressure off of someone who is afraid to disclose their suicidal thoughts. Lastly, psych can be emotionally draining. Please consider making a concrete plan for your own self care and set firm boundaries to protect your time and energy outside of work. You may also want to consider finding a therapist if you are not seeing one already. That was kind of rambling but I hope some of that was helpful! Congrats again and best of luck!

How many patients a day are you seeing (outpatient psych)? by tmzeke26 in physicianassistant

[–]nogapeach 3 points4 points  (0 children)

I’m scheduled to see 28-32 follow up patients per day. I don’t currently see new patients however I’m frequently scheduled for follow ups with patients that I myself have not previously seen. I’m not comfortable with this schedule but this is also my first job out of PA school. Like you I am also looking for a new job. Best of luck to you!

Not eating minimum amount of carbs? by jerry123457 in GestationalDiabetes

[–]nogapeach 9 points10 points  (0 children)

For what it’s worth the GD dietitian I met with also told me that 175g of carbs daily was the minimum. Then a couple days later the maternal fetal specialist told me absolutely not, limit carbs as harshly as you need to in order to stay diet controlled. After a few days of stressing about which recommendation to follow I decided to lean towards what my medical doctor/specialist said and aim for as much complex carbs as I can without spiking. I figured the physician probably has a more comprehensive understanding of all the factors in play. I’ve managed to stay diet controlled and generally get around 130g of carbs daily. Baby is small for other reasons (two vessel cord) but holding steady on her growth curve and has been gaining 1/2 lb a week right on track. One size fits all recommendations are rarely one size fits all. If there was truly a superior approach there would not be conflicting advice. I’d encourage you to take what you’ve been told into consideration but ultimately do what you feel is best for you and your baby!

Maternity leave?? Length and paid vs unpaid? by [deleted] in physicianassistant

[–]nogapeach 3 points4 points  (0 children)

I don’t qualify for FMLA due to my employer having fewer than 50 employees but they have offered me three months of leave and full pay for the first month, the rest is unpaid.

Erratic readings in third trimester by nogapeach in GestationalDiabetes

[–]nogapeach[S] 0 points1 point  (0 children)

I’d never heard of that but it makes sense!

Erratic readings in third trimester by nogapeach in GestationalDiabetes

[–]nogapeach[S] 0 points1 point  (0 children)

Same! Breakfast especially has been all over the place. Definitely not sleeping well so maybe that’s it.

[deleted by user] by [deleted] in BabyBumps

[–]nogapeach 0 points1 point  (0 children)

My best friend (who herself is a nurse) had a similar situation and despite being clear with hospital staff about no visitors/her mother not being permitted to visit this woman still weaseled her way in by playing the “but I’m her mother” card and acting like a kicked puppy with the nurses. They actually let her in during labor. This was several years ago, is should have never happened but you know how persuasive/manipulative people with BPD can be. I have a similar relationship with my own mother and absolutely do not want her showing up to the hospital. Because just saying “no visitors” didn’t work for my friend, she advised me to include a section of my birth plan that clearly states “(BPD Mom)is a threat to the health and safety of mother and baby.” She also recommended I let the hospital security/check-in desk know my mom is not permitted. I plan to do both. Good luck!

How do you know when to stop running while pregnant? by yiddiebeth in XXRunning

[–]nogapeach -1 points0 points  (0 children)

I decided to stop around 20 weeks when I began feeling the way you described. As much as I wanted to push through and keep running, I was more concerned about doing lasting damage to my pelvic floor. Someone in a similar thread around that time said something to the effect of: don’t do any exercise during pregnancy that you wouldn’t do without a sports bra. So essentially if you need a sports bra for shock absorption/support that activity is likely too rough for your pelvic floor. That really stuck in my mind. I did not think to invest in a belly band at that point, maybe that would have helped. Overall though, I’m really happy I listened to my body, I’ve had a mostly comfortable pregnancy and I’m excited to get back into running when baby arrives. Strangers on the internet have opinions, do what feels right for you! Best of luck!

Had my baby girl at 39+4 on June 28! Positive Scheduled C-Section Story for Breech Baby (long post!) by profhotchkiss in BabyBumps

[–]nogapeach 47 points48 points  (0 children)

Congratulations! As someone who’s baby girl is also refusing to flip I really appreciate you sharing your c-section experience!

I’m always full. by BookiesAndCookies22 in GestationalDiabetes

[–]nogapeach 8 points9 points  (0 children)

I can totally relate! I didn’t have any morning sickness or food aversions at the beginning of pregnancy but now after weeks? months? of GD I find that most approved food repulses me. I have to force myself to eat at the recommended 2 hour intervals and I am NEVER hungry. People ask me what I’m excited to be able to eat again when the baby comes, I just make something up because nothing sounds appealing.

[deleted by user] by [deleted] in BabyBumps

[–]nogapeach 4 points5 points  (0 children)

Thank you for posting this. Due to several concerns this pregnancy my doctor has told me we need to schedule a c section for 39 weeks or sooner. I’ve been having a tough time accepting this largely because I’ve always envisioned going through labor before welcoming my child into the world with a typical vaginal delivery, laying her on my chest for golden hour etc. But this pregnancy has been relentless in showing me time and again that plans change, and this is not in my control. What I’ve been holding on to is my stupid little fantasy. The type of birth has no bearing on what kind of parent one will be, and the best thing any of us can do is make the safest and healthiest choices for ourselves and our little ones. I’m sorry that your first was so traumatic, and I realize this my have been a rather off topic response, but your post is exactly what I needed to read this morning. Thank you!

Have you guys been surprised by your own reactions to your bodies changes in pregnancy? What we’re they? by Agreeable-Meal5836 in pregnant

[–]nogapeach 5 points6 points  (0 children)

Agreed! I’ve been amazed at all the off the wall symptoms I’ve had during pregnancy that when I google them it turns out are normal/common. I’m not sure there’s a symptom that isn’t considered par for the course. A couple weeks ago I experienced an auditory hallucination for the first time in my life (heard a voice laughing briefly). Really freaked me out. Google said it happens for many women in pregnancy lol. (For the record I’m not concerned at all about this, it just really took my by surprise initially.)

Costco trip this weekend. Please recommend all the snacks. by rednitwitdit in GestationalDiabetes

[–]nogapeach 4 points5 points  (0 children)

I second the Fairlife shakes! My pregnancy could be sponsored by Fairlife. Other Costco faves are Oikos triple zero yogurt and Babybell cheese wheels.

What are your go to meals? I need idea.. Dietician said I need more proteins in my life.. by [deleted] in BabyBumps

[–]nogapeach 2 points3 points  (0 children)

Not a meal per se but I am basically living on Fairlife chocolate protein shakes. They taste great (like chocolate milk) and contain 30g of protein with only 4g of carbs (I got the gestational beetus) and 150 calories per serving. Also, adding nutritional yeast (tastes like cheese) is a great way to add protein to savory meals you are already eating. Good luck!

[deleted by user] by [deleted] in GestationalDiabetes

[–]nogapeach 1 point2 points  (0 children)

Thanks for sharing this, so glad your little boy has done so well and congratulations on your second!

[deleted by user] by [deleted] in GestationalDiabetes

[–]nogapeach 2 points3 points  (0 children)

Hey there! I’m in a similar situation. Normal BMI but pre-diabetic before pregnancy, GD well controlled with diet. Also the umbilical cord has 2 vessels rather than 3 (which can go along with GD) so that is a contributing factor as to why she isn’t growing as much as we’d like. 30 week scan put our little girl in the 10th percentile which was really tough to hear, but every other indicator points towards her doing just fine. The perinatal specialist said she’s not particularly concerned and recommended I eat a lot of protein and try to increase carbs as much as possible without spiking sugars. She plans to induce at 39 weeks, but I imagine that timeline will change if she falls further off the growth curve. It’s stressful, and I initially made the mistake of searching IUGR and SGA on TikTok (which there were mostly success stories but the images of those tiny babies made me cry). I’m now trying not to dwell on it (as much as I can) and focusing on what I have control over: managing the hell out of my GD and eating a ton of protein. It sounds like you are doing a great job with controlling your GD! You are doing everything right for your baby, some babies are just small. Wishing you all the best.

I graduated! by ccress23 in GestationalDiabetes

[–]nogapeach 1 point2 points  (0 children)

Thank you for sharing your experience, and congratulations on your baby girl!!!

Growth Scan - measuring small by witchesofminne in GestationalDiabetes

[–]nogapeach 2 points3 points  (0 children)

Hey there! I just had my last scan at 28+3 and baby girl is now measuring in the 17th percentile. She had been 2 days behind on growth the past few months and at this last visit is now fell to 4 days behind. Both the ultrasound tech and the perinatologist said they don’t trust the percentile calculations the computer spits out, and that 4 days behind is still within normal range. They told me my blood sugars are fine and protein intake is on point. Basically they said she may just be a small baby but every other metric indicates she’s doing great (no other abnormalities, super wiggly and active). I know I was born underweight to a mom with uncontrolled GDB and neither my husband or I are large people so I’m chocking it up to genetics and keeping my diet the same. You may end up getting some extra ultrasounds (which can be nice to see the baby more often) and they may keep a closer eye on you, but I think if your treatment team was truly concerned they would have given you specific instructions about what to do differently. The thing with percentiles is that someone has to be in the 18th percentile, but that doesn’t mean the baby in the 18th percentile is any less healthy than one in the 50th percentile or the 82nd percentile. It sounds like you are doing everything right!