First off, we are still on for Key West. T-minus eleven days until the movers arrive.
Today was my 28 week check-up and my last prenatal appointment here in Washington. I’m pretty sad about that. I’ve had such great experiences here and have come to know and love the midwives that I’ve seen with my three pregnancies. I’ve had the chance to speak to some of them about my concerns with giving birth in Key West and have received a few different opinions. One seems confident that with my knowledge and experience I should be fine there, even in a “hostile” environment. Two others laughingly advised me to stay home as long as possible and advocated taking the path that would involve hanging out in the parking lot if necessary and coming in only when it was time to push. One of those midwives actually told me that she was working at the medical center in Hawaii during one of her pregnancies. She said that she didn’t want to have her baby there because of some of the hospital policies so she didn’t come in until she was ten centimeters. The one I saw today was pretty on board with my plan to go to a birth center in Miami. She was one of the first midwives at the hospital here and knows the difference between a hospital that promotes natural birth and one that doesn’t. She’s been part of a fight here to go from a hospital that mandated continuous monitoring to one that has a relatively large staff of midwives and a tub for laboring and for birth.
Today was a good visit. I felt like they were going to miss me as much as I’m going to miss them. The midwife today told me she was going to have to tell one of the others that she saw me for my last appointment here. I guess being at the same duty station for three pregnancies is not that common in the military!
Two more things came out of my appointment today. First, I am officially three for three. Meaning that each of the three midwives I went into detail about my concerns with giving birth in Key West confirmed that the 4th degree tear/episiotomy that I had with Madeline will definitely trigger many obstetricians to really push a C-section. I’ve heard enough about some of them trying to schedule a section for made-up reasons. The last thing I need is to hand them a reason on a silver platter.
Second, I am 28 weeks but measuring 27. Only one week “small” at this point, but who knows what will happen in the next twelve weeks. History has shown that I measure about three weeks “small” but still deliver average sized babies. However, a doctor looking for things to be concerned about will no doubt pounce on my measurements. I don’t need that stress…or the plethora of ultrasounds I’m sure will follow. Some of the doctors do them at every visit anyway, and I’m not okay with that. Pick up a doppler and listen. It’s not that hard. They aren’t much better at determining fetal size than a tape measure anyway.
As things stand now I am going with the birth center. Now I have to fight with our insurance and get them to pay for it. Florida actually has a law that says they have to pay for midwives and birth centers (and home births) because women should have the option to give with in the environment they want with the caregiver they want. Yay Florida. Finally a law from that state that I can support. However, TriCare apparently still gives you the run around about coverage. It might be as simple as getting the right people on the phone…or as easy as threatening to sue them. We’ll see. I really want to get permission ahead of time rather than pay out-of-pocket and then have to fight with them about getting reimbursed. All while wrangling a newborn, a toddler and a preschooler.
So that’s where we are. Twenty-eight weeks pregnant, Key West bound in less than two weeks, and a to-do list that is slowly shrinking.