I'm in good shape for 30 weeks (30 weeks!!!). Blood pressure was 110/75, growth is fine (he found the heartbeat of the baby right away this time!), I feel ok apart from the heartburn, ankles have returned to close-to-normal. However, discussing labour today with the doctor he broke the news that they might want to induce me around 38.5-39 weeks. The reason is that in a 'normal' pregnancy the risks to the baby of being born NOW go down until you get to 37 weeks. They then stay flat until about 40w+10, then they start to rise again. However, in women my age and with my history, the flatness doesn't last as long. They aren't sure how long it lasts for, so it's not very scientific, but it is something they worry about. The 2 increased risks are that of pre-eclampsia, which they can monitor for easily, and placental abruption, which they can't and which apparently doesn't always show up as vaginal bleeding. Given his statement last time, that they just won't take any chances with me, it makes sense. BUT I really don't want to be induced, and 38 weeks is really really soon! Certainly puts paid to the idea of working right up to 38 weeks, I know I'll want a bit of time at home to nest etc. before the baby arrives.
If I'm lucky enough to get that time. I went to my ante-natal class today, and one woman had gone into labour this morning, at 32 weeks. She was on terbutaline, so they might be able to stop it, but it was a real wake-up call that (i) we might actually have a baby, and (ii) I might not get the time I want. The doctor's statements just confirmed this.
What they'll do is monitor me carefully. Every 2 weeks from now, then every week from about 35 weeks. They'll decide whether or not to induce based on how I'm feeling, how the baby is growing, any signs of pre-eclampsia or placental abruption, how the cervix is looking, the position of the baby etc. Apparently sometimes they start induction and the cervix just doesn't respond. Sounds like fun, no? Luckily I'm not in any way averse to epidurals as they are more common in induced labour because it comes on so strong when it does start.
I might only have 8 weeks left. It's really quite terrifying. It's not long, and we aren't ready, and I'm realising all the scary things about having a baby. Yes I know it will be wonderful and exciting and the best thing ever, but I do have moments of thinking, as I did this morning when I woke up early and spent a relaxed hour on the sofa, wow, I'll never get to sit here and just simply enjoy this cup of coffee again. There will be someone who needs me. A lot. Almost all the time. That's frightening. And wonderful. And a bit overwhelming. I don't know how it's going to feel, really. But I do know it's going to be more than I can possibly imagine.