On the way to the airport this morning, my OB’s office called with my first glucose test results. The assistant informed me that my result was a few points over the desirable limit (her exact words were, “slightly elevated”), so my doctor wants me to come back in before my 28th week for a second glucose test.

Fuuuuuuuuuuuuuuuuuuck. Needless to say, I was not thrilled to hear this.

For the second glucose test, they ask you to fast for at least 9-12 hours before you come in to drink the glucola a second time. When you come in, they give you the same bottle of glucola, you drink it, then wait an hour. Then, they draw your blood again to see what the result is. I’ve read that for many women who “fail” the first test, the vast majority end up having no issues and do not have gestational diabetes – this is somewhere between 85-90 percent of women. Maybe I will be one of those lucky 85-90 percent of women? Please? Please…

Me? Potentially having gestational diabetes? Why? I exercise a ton and keep active. I eat a very balanced diet and don’t even eat that much refined sugar. This is just really terrible luck if I end up having it. They say that it’s not the pregnant woman’s fault when she gets it, and little can be done to “prevent” it. It’s just genetics and plain bad luck unless you are already obese/overweight, do not exercise, or have a terrible diet.

Just need to keep positive. I really, really hope I pass the next test. It’s scheduled for the Wednesday after we come back from Turkey, and I have to go first thing in the morning. Ughhhhh.

So today, I had my inevitable glucose test. This is the test where, between week 24 and 28 of pregnancy, your OB asks you to drink 10 ounces of a sickly sweet drink called “glucola” in ten minutes. Then, an hour later, they draw your blood and evaluate it to see if you have gestational diabetes. If you test positive for it, they will screen you for further tests to see how severe it is. Then, depending on the severity of it, you will be required to prick your finger multiple times a day and adjust your diet accordingly. That basically means: limiting or eliminating refined sugar, reducing refined carbs (goodbye, white rice, white flour anything, ahhhhhhhhhhh). This needs to be done until you give birth for the health and well being of your baby. And if you test negative, well, congratulations! It means you can eat and live your life as you did before the test.

I know too many women who have developed gestational diabetes during pregnancy, and although it is temporary, it still is no walk in the park. Women always say their lives are already restricted because of pregnancy, and a gestational diabetes diagnosis just restricts your life even further. I’m hoping and praying that I test negative for it.

In the days leading up to the test, I reduced any refined sugar/refined carb intake and even didn’t eat any fruit before my appointment. It’s also been said that regular exercise in pregnancy can reduce your chance of gestational diabetes by more than 70 percent. I hope this will include me.

If I test negative for it, I am definitely celebrating by baking chocolate chip miso cookies. That will be my reward for myself.

I’ve read a lot of really inspiring stories about moms who have been fortunate enough to experience a natural, unmedicated birth. The most inspiring book I read was Ina May’s Guide to Childbirth; it was really eye-opening to me how amazing and magical the birth process can be when you can fully be immersed in the moment and be completely present. Some have given birth at birth centers. Others have given birth at home in their own bathtub (or on a chair, and even standing up!). Some women have had the double privilege of giving birth at a birth center that is affiliated and attached to a hospital. Unfortunately, I just found out that Mount Sinai West, the hospital closest to us that is just one block away, recently closed their birth center in December 2019. Fortunately, though, all their midwives are still delivering with their usual philosophy and methods at the maternity ward at Mount Sinai, and they also work closely with OB-GYNs if medical intervention is needed. But again, the unfortunate part of this? The Central Park Midwifery group that delivers babies here is 100 percent out of network, much to my dismay. So that’s a no-go for me.

I really like my OB-GYN, as I’ve been going to her for nearly ten years now. I love her practice, and I’ve enjoyed meeting with her practice partners. They are actually known as being one of the practices in Manhattan that advocates for “low intervention,” meaning that they will not force a c-section or episiotomy or epidural on you unless there’s actually a medical necessity for that. It’s sad that I cannot say that about all practices in this city or country given that doctors and hospitals clearly profit more from c-sections and the addition of more procedures/medications than from less.

But despite liking my OB a lot, she’s not going to be with me throughout the entire labor process, as she will be on call at the hospital and attending to many moms in labor. She will likely only be able to pop in at the very end of the pushing stage. For that reason, I feel like I may want a birth doula for emotional support and guidance. I need someone who’s going to know what stages I am going through, how to help from a physical and emotional perspective (do I need my hips pressed? my back massaged? do I need a slow dance to relieve pelvic pain?), and how to ultimately advocate for me. A lot of people say that’s what your partner is for, but to me, that’s a little like the blind leading the blind; my husband has never attended to a birth, nor does he have the faintest idea what is going to help relieve labor pain or the right touch or massage techniques to make me feel better in these moments.

I’ve started meeting with some potential birth doulas. I don’t think I’ve found the right fit just yet, but I am interested to see who I mesh with and how this all turns out.

One of my good friends, in her third trimester of pregnancy, developed pregnancy carpal tunnel syndrome. It was so bad that she could barely hold ceramic mugs that had liquid in them and could only carry really light things up until the point she gave birth to her baby. Another friend told me she had milder carpal tunnel, then developed other muscular issues with her thumbs and index finger once the baby had arrived. “Don’t get rid of your wrist splints!” she warned me. “You’re going to need them again!”

Because of these stories, plus ones I’ve read, I have no doubt that I will have exacerbated carpal tunnel soon. It’s not that I WANT it — it’s more that I already know I have mild cubital tunnel and even milder carpal tunnel symptoms from my daily discomfort in my elbows, wrists, and hands (plus my nerve test that confirmed this), so why would it NOT get worse in the third trimester given all the information above with constricting blood flow? Today, I started noticing my palms under my thumbs on both sides were sore, and my elbows and fingers in general have just been feeling more awkward and stiff. It doesn’t seem to matter how much “nerve gliding” I do, but it still just feels uncomfortable. If this does end up happening to me, I hope my body will give me some grace and give me less third trimester symptoms of other sorts.

Now that my little baby has grown quite a bit, it’s estimated that at 23+ weeks, she’s just over a pound in total weight, and thus I can feel her more often than just after rigorous physical activity and eating. Now, I feel her movements throughout the day, sometimes when I am just sitting here on a work call, I can feel her moving and squirming around. Though almost like clockwork, she will always move quite a bit after meals and after my morning workouts.

For a second, I felt a little worried today because after lunch, I barely felt her move at all. So to check in on her, I started tapping and pushing my fingers into my lower abdomen to get her to react, and well, yes, she seemed to have felt it, as she responded by pressing up against my stomach and then making me want to pee immediately. She then continued to move around for a few minutes and then slowed down. It was a little bit paranoid, but I needed to make sure my baby was okay. I’ve read that at week 24 and beyond, baby in the womb can also sense light, so if you are sitting in darkness and shine a flashlight on your belly, she will actually react by moving! I’m looking forward to testing that out and teasing her.

I’m currently doing research and looking at referrals/recommendations for newborn care specialists (otherwise known as night nannies or night nurses) and post-partum doulas for when the baby arrives. Given that both of us have no idea what we are doing when it comes to raising a baby and have no family nearby who could help, it made sense for us to hire someone who actually does know what she’s doing to help us with things like feeding and very importantly, allowing us to sleep and not bite each others’ heads off once the baby is here. Sleep deprivation is very common and almost 100% expected once a newborn has arrived, and it’s the number one reason that causes irritability and problems between couples once a baby has come into the picture. A colleague of mine told me that with his night nanny, he and his wife had zero regrets with hiring her, and it actually ensured their marriage stayed in tact, as they were both well rested and had enough energy to think and speak rationally in those initial 4-8 weeks of newborn chaos.

It seems that these services tend to book up very quickly, as one person I reached out to who has a team of NCSs let me know that she and her entire team are booked out for December. The search and interviewing continues.