Monday, 17 March 2008

The first trimester in fast forward

It's probably pretty clear that these first few posts are us doing catch-up. We are currently in the 3rd Trimester and getting ready for the big day... but we wanted to backtrack to capture those first 6 heady months to make the record complete.

I'm sure Eli will post on this topic as well, but I thought I'd write a few words about the first two trimesters. For obvious reasons it won't be blow-for-blow as we might have hoped but hopefully we'll capture the most important bits.

For me, in a physical sense, of course the first trimester was a breeze since I don't have to bear the burden of the physical pregnancy.

That doesn't make it easy however. Eli was quite ill throughout most the the first trimester and the constant nausea and general malaise she was feeling brought back unhappy memories of when she had to endure treatment for her cancer for both of us. The emotional toil at this was pretty heavy but, as always, we battled through it.

For the observer, as I largely was, not a lot is happening in the first trimester but of course, "under the hood", if I'm permitted such a crude simile, there is a lot happening. There were some small signs of change, a rounding of the tummy, some small weight gain but nothing really "in your face".

Of course, like all expectant parents in the early pregnancy, we were on tenderhooks! We've had a rough couple of years for the last few and my instinct was not to hope for too much in case that hope got dashed. Eli is generally a calm person and she never really betrayed any worry to me about how things were going but I'm a born worrier and I was in hyper-stress mode all through the first trimester dreading that something would go wrong.

One of the first things I learned, and I hope this is a piece of wisdom that any expectant or potential parents who read this take to heart, is that all of the literature you read about early pregnancy is doom and gloom! Don't believe it!

I swear, people, books, TV, everything starts off telling you "You're Pregnant! It's a wonderful thing!" and then proceeds to prophesy every form of negativity you can imagine as if the only possible outcome is bad.

In point of fact, most pregnancies are normal... there is a tiny percentage (less than 1%) in which something goes wrong with the baby or the mother... These books always front up with this ("You're pregnant! It's a wonderful thing! 99.9% of all pregnancies have no problems but...") and then spend almost the entire rest of the book telling you every bloody thing which can go wrong!

You'd think that medical staff would go to some pains therefore to redress the balance for the health of mum-to-be, dad-to-be and of course, baby.. You go to them full to the brim with all this knowledge about the thousands and thousands of things you're completely convinced *will* go wrong with your pregnancy and baby and what you really really need is someone to re-assure you that these things are the minorty, not the majority of cases as it seems... but no.. this being "riskless Britian" they have to be 100% certain that they tell you about everything that can possibly go wrong so that, in the unlikely event that it does, you can't say they didn't warn you.

I thought these people took a hippocratic oath to "do nothing to harm the patient" for **** sake. Isn't it about time they were reminded of it and the Government in this country stop trying to turn the medical staff of its health-service into anti-litigation civil servants instead of carers and physicians!

Well, rant over, let's move on :)

One of the big worries of course (so we were taught to think) is Downs Syndrome. I'm not sure why people are so terrified of having a Downs child. I realise that they take more effort on the part of the parents to rear, and they can have health difficulties but why does that matter? Your child is your child! Why is it so important to single out this one thing. People don't spend hours worrying if their child will be short, blind, deaf, dumb, bow-legged, ugly as a pigs behind... or any other "defect" or attribute they might have which could in some way be construed as negative... yet we should get all bent out of shape worrying about Downs Syndrome... I just doesn't make sense.

I have to admit, I was the one pushing to know at the time what our risk factor was... and I rationalised it at the time as simply to know "what we were letting ourselves in for" but the more I think about it now, I think that was an excuse to myself. In reality I was caught up in that whole mindset... Now, thankfully, I've seen the light and I truly believe if Pip comes out as a Downs child (after all, there's still a risk!), I'll love her not one single bit less than I would if she were "normal".

After all of the emotional turmoil of the first trimester, next of course comes the first scan.

Let me tell you... if you're going to be a Dad.. and you're in the early stages, this event more than makes up for the emotional turmoil and the stress you're going through in the early stages.

To date, for me, it's the most incredible thing I've ever experienced. (Yes, I fully expect the birth to eclipse it - but "to date") We were on complete tenderhooks for the appointment. This is a big day! When we were called in to the room to do the scan, my whole body was, quite literally, rigid with tension.

After exchanging some pleasantries with the lady doing the scan, it was down to business...

First she had to check that there was only one baby in there (Eli gave thanks when it was declared that there was only one!) and then it was down to the main business of the scan.


It's almost impossible to put into words the wave of emotion which came over me when we saw the first proper pictures. It was the strangest feeling I have ever had. When pictures of Pip started showing up on screen, my entire body reacted involuntarily. I was overcome, as I said, with a sensation I can only describe as Awe. My mouth fell open, my eyes watered and I felt an overwhelming sense of protectiveness and love for a picture on the screen.

Incredible! I expected that I'd have some feelings like this when she's born but not when she's a few centimeters long, weighing a handful of grammes and the only visible sign of her existence is a slight swelling and a black-and-white vaguely human image on a TV screen. Nature truly is a marvel.

The lasting impression that day has made on me will never leave.
What a way to cap off the first Trimester!

Sunday, 16 March 2008

How not to tell your man......

There are various ways of telling your man that he's going to be a father, some more romantic than others. You can cook him a nice meal and slip him a little box with baby booties, you can leave him a little message.... Or you can do it my way and give him a heart attack.

I had an inkling that something was afoot; I was late and I'm never late. Having told Joe that I was late and him joking about the possibility of me being pregnant, I virtually ran to the pharmacy to buy a pregnancy test. As I did not for one moment believe that it would be positive, I didn't tell Joe about it but just waited for him to go to work the following morning. I then dutifully peed on the stick and watched it turn pink in about 0.3 seconds. The next few minutes saw me wandering around the house aimlessly, pick up the test stick and comparing it to the positive one in the instructions again and again muttering "oh my God, oh my God". I then went to the computer and sent Joe a message to call me as soon as he got to the office.

He did; and as he didn't know what it was about his exact words were: "Yes, what do you want?" My reply was, of course, really sensitive and considerate: "I'm pregnant!" Well the silence following that statement was quite something. This was followed by him muttering "I don't know what to say" a few times before hanging up. Three minutes later the phone rang again: "Are you joking?" Well, no, I wasn't.

Joe recovered from the shock nicely with numerous cups of tea, a hot water bottle and some TLC.

Our little miracle...

To put things in context, a little history...

In March 2004, Eli found a lump in one of her breasts which was subsequently diagnose as malignant. She had a lumpectomy, an operation to remove some lymph nodes (which killed her - literally - she had to be recussitated on the operating table) and then 7 months of Chemotherapy and Radiotherapy.

This treatment triggered a premature menopause which was, thankfully, temporary.

Roll forward 4 years and we're expecting a baby! Given Eli's age (I aint telling!) and our history, the odds of this are pretty darned miniscule, so as you can imagine we view Pip as a little miracle!

I've been trying to find some hard statistics on this but it's difficult to find something which gives me a very clear percentage chance.

At best odds, extrapolating numbers from one study (
Breast Cancer in Young Women : Effect of Chemotherapy on Ovarian Function, Fertility, and Birth Defects - Bonnie S. Reichman, Karen B. Green)It seems to be about an 8% chance of having a full term pregnancy (19 children from a study of 227 women - I know it's not an exact ratio but it's close enough for a layman)

On the other end of the scale is the fact that Eli is over 35 (don't tell her I told you that! She's 21... again...) has had at least temporary amenorrhea and therefore 96% likely to have abnormal ovulation (post chemotherapy) putting her in a 4% bracket for ovulation and therefore given a 60% pregnancy probability rate (Parenthood probability and pregnancy outcome in patients with a cancer diagnosis during adolescence and young adulthood H. Magelssen, K.K. Melve3, R. Skjærven, and S.D. Fosså) the overall probability goes down to about 2.4%

Even though it's starting to sound like a dissertation, don't get me wrong, this isn't science... I've quoted some numbers from some articles I've read on the subject but they could be entirely the wrong articles or I may well have jumped to the wrong conclusions.

All of the doctors and midwives we've met keep telling us that it's a little miracle that Eli is pregnant with no problems whatsoever for her and baby (touch wood!) I'm just trying to figure out if they're blowing smoke up our asses :)


Given that, near as I can figure, disregarding any other factors, from the above there is somewhere between an 2% and 8% chance of Eli even conceiving! If you start to add in other factors like the probability of my fertility, doing stuff at the right time ;) etc. etc. etc. then it starts to become a more and more remote possibility...

As you can imagine, this makes us feel even more lucky to be where we are right now.

I know every parent feels blessed and every child is a miracle but in this case given the remote possibility, it's actually true :) - My fervent wish is that she continue this streak of good fortune throughout the rest of her gestation, birth and life!

Saturday, 15 March 2008

What's going on here then?

Recently Eli and I have been looking at these Baby Album thingies where you record all the details of your baby's life.

We both love the idea but so many of them are just so... mushy... some are downright tacky and all are just not exactly what we want.

So, this being the 21st century and all, we resolved to embrace the present and use a blog as this form of journal instead of the printed one. That way we can build it as it fits us, rather than as dreamed up by some Hallmark suit. We can always turn it into print later should we wish.

This then, is our journal for the artist currently known as Pip. She's already one part gymnast, one part mule, one part kick-boxer and one part genius... and she's not even out of the womb yet!