Pregnancy diary: week 35 – birth plan

As yesterday was my last day at work (I’ll come back to that in a mo….), all of a sudden giving birth seems like a much more imminent event! So I thought it was about time that I write my ‘birth plan’. I thought I’d saved a copy of my birth plan for Andrew’s birth, but I have a feeling I didn’t back it up to the server (unusual for me, Little Miss Paranoid Doer of Back-ups) and annoyingly my laptop hard-drive died a few days after Andrew was born. The birth plan must be forever lost in an irretrievable gobble-ti-gook of 1s and 0s. But nevermind. I managed to find a great resource on the NHS choices website, which runs through the various points you might like to include in a birth plan. It even lets you save an online version of a birth plan that you create by ticking various multiple choice option boxes and then printing off a PDF, but I found this a little restrictive and preferred to write my own using ideas from the website.

Not much to say this week, other than it's a bump!

I’m not a massive fan of the word ‘plan’ in this context, because I don’t think labour and delivery are really things that you can ‘plan’ in the sense that I normally plan things (like what I’m doing next Monday morning at 10am, or when we will go on holiday next year, or what we’ll eat for dinner tonight, for example). Yes I have an image of what would be an ‘ideal’ birth, and actually I came pretty close to this with Andrew (lose the vomiting after the syntocinon injection and it would have been perfect), but I’m not so naive to think that there is no possibility of complications that might cause my ‘ideal’ birth to fly out the maternity hospital window. I’m optimistic that, given previous experience, the birth will go smoothly, but realistic that I have no control over the fact that it might not.

I remember when I came to write my birth plan for having Andrew that I didn’t know where to start. Although I had some ideas about what I wanted and didn’t want, I also had no idea how I would react to and cope with the pain once I was in labour, having never experienced anything like it before. So most of my points were couched in a ‘I’d like it to be as natural as possible but if I scream for drugs then please give them to me’ kind of tone. This time, of course, I know what it’s like, so I found it easier to write down what I hope for, complications and long duration notwithstanding.

This sets the scene for my birth plan, which I’ve set out below. I will print this out and keep it with my maternity notes, so that whichever midwife gets the job of helping us through labour will see it when she looks at my notes – this worked well last time, and she was keen to read what I’d written before doing much else with me. I’ve probably forgotten some important points, so if you think of anything I might like to mention, I’m all ears. Next week I have another midwife appointment, so I might have chance to go through it with her too, particularly as she’s coming to look at the flat in case of home birth necessity!

Ruth Cumming’s birth plan

This is not so much of a ‘plan’, because I’m not sure you can really ‘plan’ labour and birth, but rather it’s a list of things that I would like and not like to happen, if at all possible.

Location

My preferred place of birth is in the Rosie Birth Centre, because I had my son at the former MLBU, and I liked the relaxed atmosphere and received excellent care from the midwives, who helped me but did not take over.

However, if baby comes even faster than my son did (which was pretty fast), I may decide that I’d rather stay at home, because I’d rather not risk being in advanced labour in the car – I’d rather have a ‘home birth’ than a ‘car birth’!

Of course if there are complications, I understand that going up to the delivery unit in the main Rosie hospital would be necessary.

My birth partner is Tom, my husband, and I would like him with me at all times during labour, no matter what happens.

Labour and delivery

I would like to be in a birth pool during active labour (another reason for choosing the Birth Centre); this helped me a lot for my first labour.

If possible I would like to deliver the baby in the water. Last time the midwife could tell that being in the water was relaxing me too much and she was concerned that I wasn’t pushing as hard as I could during the final stage in there, so she suggested I got out for delivery. She was right, because I gave birth within minutes of getting out, as I pushed much harder ‘on land’. If this happens again, I’m not against getting out of the water if necessary, but would rather have a water birth if possible.

Last time I used a birthing stool for the final pushes – this worked well and I would like it again if ‘on land’.

I am happy for baby’s heartbeat to be monitored like it was last time – with a detached probe device every now and then, i.e. I’m not constantly hooked up to a machine so I can move around freely.

I will move around during labour before the pool is ready, and get into positions that I find most comfortable at each point. This could include getting on all fours (possibly on the bed) and walking around. But I hope to spend most of the time in the pool.

I hope to deliver in the water, squatting or upright in some other way, or if I’m on land, squatting on a birthing stool worked well last time. I do not want to be on my back, lying down or completely horizontal in any way.

If I am in the water for delivery, I would like to pick baby up myself from the water, and sit there skin to skin for a while until I feel I’d like to get out.

If I am on land for delivery, baby should be delivered straight onto my tummy, without being cleaned, so that we can have skin to skin time. This worked well for my son, and he latched on for a breastfeed almost straight away. I would like this to happen again if possible.

I would like the midwife to cut the cord (Tom is not particularly keen to do this).

I do not mind if there are trainee midwives in the room.

Possible drugs/interventions

For pain relief, I would like to try and use just natural methodsbreathing, movements, and the water of the pool. This worked for my first labour and I didn’t need any drugs.

However, if labour goes on for a lot longer than my first labour, I may decide on other pain relief methods. Gas and air would be my first choice. I didn’t find a TENS machine helpful last time, so I won’t try it again.

I would prefer not to have an epidural, but I can see that if I’ve been in pain for several hours and I’m exhausted, that this would be something I would consider and would want to be given if I decided on having it.

I had a 2nd degree tear with my son, so I’m prepared that this might happen again. I’d rather not have an episiotomy if at all possible, but would consider it if the midwife thinks it is necessary if baby was in trouble.

I would rather not have an assisted delivery with forceps or ventuose. But if baby was in trouble and therefore it was advisable to have these interventions, I would consider them.

After my son was born I opted to have the syntocinon injection, but in a reaction to this drug I vomited several times and felt nauseous for about 6 hours after the birth. I would rather not have the syntocinon injection this time, but if the midwife thinks it is necessary because I am bleeding a lot (and I know I’ve had a slightly low platelet count that might not help the situation), I am prepared to have the injection. I would like Tom to be able to stay for as long as possible after the birth this time if I am feeling sick.

I would like my baby to have the vitamin K injection or oral drops.

Breastfeeding

I am going to breastfeed and this is extremely important to me. I struggled with breastfeeding my son in the early weeks, but eventually got on track with it and have continued to feed him until now – I plan to tandem breastfeed if he still wants to continue after the baby’s birth.

So I would like my baby to stay close to me at all times and not be swaddled – I would like to remain in skin to skin contact for several hours after the birth, so that baby can feed off and on whilst lying on me.

If complications arise and I need to be separated from him/her, I would like Tom to be able to have skin to skin with baby whilst I am out of action. I would like baby to be brought to me as soon as possible if we are separated, and have help with positioning baby on me for feeding if I am in pain from a difficult delivery (e.g. c-section).

Pregnancy diary: week 29 – midwife appointment and glucose tolerance test

After our lovely holiday, it’s been hard to get back into the reality of everyday life this week. I felt like I had a good rest, but I guess going back to work and having to do all the usual stuff around the flat have been difficult because I had a nice week without them. I think this is probably partly due to being pregnant, and being more tired than usual anyway. Some people talk about ‘blooming’ in these weeks (about 20-30), but I can’t really say that I feel like I’m blooming. ‘Growing’, yes, but ‘blooming’ suggests something much more positive to me. Not that I want to give the impression that it’s awful being pregnant, it’s just that I don’t think I’m enjoying it as much as some mums say they do. Now that I’m generally not feeling too sick (just in the evenings before bed when I’m really tired, and when I smell food cooking), things are a lot better than before 20 weeks. But still I get tired, I think mainly due to having a toddler to run around after, because I’m sure I feel more tired this time than last!

As I said last week, I was supposed to have a 28-week appointment with the midwife and have my glucose tolerance test last week, but this was impossible as we were a few hundred miles away! So I had these appointments a week late – not that it has to be so precise anyway. You might be wondering what a glucose tolerance test (GTT) is. In our area, all pregnant mums are offered a GTT at about 28 weeks of pregnancy. As far as I can see from some googling, it’s not the same in all parts of the country – in some areas, only ‘at-risk’ mums are tested. At risk of what though? A GTT is used to diagnose gestational diabetes, by checking how your body regulates its blood sugar (glucose) level. Gestational diabetes results when a pregnant mum’s pancreas doesn’t produce enough of the hormone insulin to properly regulate her blood sugar level, when it needs to produce extra to the normal amount once the baby is growing rapidly in the second trimester. If it is left undiagnosed or untreated, both mum and baby are more at risk of complications, a major one being that baby can grow very large and this can cause problems with a natural birth. The condition is usually treated by managing the mum’s diet (including eating less sugar), or, in some cases, insulin injections.

Even if I wasn’t offered this test routinely, I’d probably be offered it anyway, as I have a family history of diabetes. My dad has had diabetes since he was 30, and my mum had gestational diabetes. Thankfully, this is the only factor of increased likelihood of gestational diabetes that I have. Others include: a BMI of over 30; previously given birth to a large baby (9.9 lbs or more); previously had gestational diabetes; family origin with a higher prevalence of diabetes, e.g. South Asian, Middle Eastern, African-Caribbean.

This test is slightly more complicated than the other routine blood tests that I had in early pregnancy. It involved drinking 273ml (precisely!) of Lucozade, and then waiting 1 hour without eating or drinking anything (except water). After this hour, the nurse took a sample of my blood in the usual way (vein in the arm) and sent it off to be analysed. I’m pretty sure this is only the second time in my life that I’ve drunk Lucozade! The first was my GTT when pregnant with Andrew. I can’t stand sweet drinks, and it wasn’t a particularly pleasant experience having to drink it all in one go. But I managed it, and hopefully I won’t have to do it again in this pregnancy.

Wearing my new, very comfy trousers that I got for my birthday. Bump looks like it's growing more week by week now.

Conveniently, I managed to get the nurse appointment for the blood test directly before my midwife appointment. According to the NHS ‘Pregnancy’ book, my midwife should do the following at this check-up: use a tape to measure the size of my uterus; measure my blood pressure and test my urine for protein; offer more blood screening tests; offer my first anti-D treatment if my blood type is rhesus negative. As my blood type is rhesus positive, the last one wasn’t applicable, and also I don’t think I or baby are particularly at risk of other conditions or complications that would be screened for, so I wasn’t offered any more screening tests. The midwife did measure my bump – 28cm, which is bang on the average size for 29 weeks, according to the graph that’s in my notes (I love a good graph, as you’ve probably seen from previous posts). Whilst I was lying on the examination table she also used a little machine to listen to baby’s heartbeat (a probe a bit like the ultrasound scans, but sound only, not pictures), which was 150 beats per minute – that might sound fast, but it’s a good healthy speed for a baby in the womb. My blood pressure and urine were also fine.

We had a chat about various general things, like how I’m feeling and what life is like at the moment being pregnant, working and looking after a toddler. I guess it’s the midwife’s job to tell me to rest whenever I can, but still be active enough. I’d like to think I’m getting a good balance where possible! The topic of where I’d like to give birth also came up, again. She seems very keen on home births. I can understand that as my first labour, which took place in a midwfie-led birth centre rather than the main maternity hospital, was pretty fast and uncomplicated, I’m a good candidate for a home birth this time. I’m still not entirely sold on this prospect, but as I said to her, my current thinking is that I’ll plan to go into the birth centre again, but if it looks like baby is coming even faster than last time, I would probably prefer to stay at home, because I’d rather have a home birth than a ‘car birth’! She gave me a leaflet on home birth, and when I get chance, I’ll sit down and read it properly – from a quick glance I can see that it tells us the kind of things we would need to prepare. Once I’ve thought more about this properly, I’ll write a post about where I’m planning to give birth.

I think that’s covered what my antenatal care was like this week. The next time I see the midwife should be at 34 weeks, so not so much of a big gap between appointments once we’re in the third trimester. Incidentally, just something else I read in the NHS ‘Pregnancy’ book for this stage in pregnancy: it says that if I have young children already, it’s good to talk to them around now about the new baby. I think Andrew is still too young to understand what is going on. I’ve tried to explain to him that there’s a baby in my tummy, even with the 3D photos that we got from the extra scan. But even if he understands the concept, which I’m not sure that he does, I don’t think there’s much I can do to prepare him for what it’s like to live with a newborn baby. There are only 18 months between me and my brother (there’ll be 21 between Andrew and baby), and my parents said that I was too young to really understand what was going on, and I just sort of accepted my brother because I wasn’t old enough to think or do anything much different. I’m hoping this smallish gap will result in the same acceptance for Andrew.

I can’t believe that next week we’ll have reached the big 3-0! That really makes it sound like we’re on the homeward straight. Also, with only 6 weeks left at work, I’m starting to realise that our time as just the three of us is coming to an end, and I’m getting more and more excited about meeting our new addition 🙂

Pregnancy diary: week 20 – scanning for anomalies but not blue-/pink-ness

Believe it or not (I can’t quite believe it really) this week is half-way through this pregnancy already! Where is time flying to?! I suppose the first half is in practice shorter than 20 weeks, because (if baby is conceived naturally) you’re already some weeks pregnant when you’re first aware that you’re pregnant: a test shows up positive or you start feeling sick or noticing other signs. For me this was around 4 or 5 weeks, so I’ve only had about 15 weeks of knowingly being pregnant. Somehow over the next 20 weeks or so I don’t think will fail to know I’m pregnant!

Of course it’s only roughly half-way, because babies don’t generally decide to come into the world on their so called ‘due date’. To be fair, the ‘due date’ is technically an EDD – estimated due date – so a certain amount of discrepancy from this is completely normal. A baby is called ‘full term’ if it is born somewhere between 37 and 42 weeks. Born before 37 weeks a baby is called ‘premature’, and the medical world like mums to be induced, or their labour started artificially, if baby is still showing no signs of coming out by the end of 42 weeks. Theoretically it’s a mum’s choice to be induced or not, but from what I’ve heard, most do choose to be induced because of the potential risks that increase as baby stays longer in the womb. So who knows, I might have already passed the half-way point a week ago, or I might have another week to go. Andrew was born only four days after his EDD; it would be nice if this baby also arrives within a week of the EDD either way, but I know it’s not something I can plan.

Not sure this is much different from last week. I don't feel very big yet, even for half-way through, but I remember from last time that all of a sudden around 30 weeks I suddenly grew and then felt *really* pregnant.

Anyway, apart from doing a little happy dance to celebrate getting to 20 weeks, the highlight of this week has been the ultrasound scan we had on Tuesday. All pregnant mums in this country are offered a routine scan sometime around 20 weeks. You don’t have to have it, but I’ve never met anyone who hasn’t taken the opportunity to see the growing baby inside her. The main point of the scan is to check for structural anomalies in the baby. And we were pleased to know that there were no anomalies visible to the sonographer. She had a very detailed look at everything! It’s quite amazing what you can see these days with ultrasound, such detail.

She started with the head, checking the brain and the facial features including lips and jaw for cleft lip. I said to her jokingly that it was a shame they couldn’t spot tongue-tie before birth with the ultrasound 😉 Then she moved onto the limbs, checking all the bones, and counting fingers and toes. With Andrew there had been a short flash through my head that something wasn’t right when she said ‘four fingers…’ hang on, I thought…. just as she followed it with ‘…and a thumb’ Phew! This time I was prepared for the four fingers comment. All present and correct. After that she moved on to the back, checking the vertebrae in the spine, and the skin on the back. The detail in seeing each vertebra was incredible, especially when baby moved and they all waved in harmony along its length. She scanned in two different perspectives, one at a time: first from the side, so we could see the length of the spine as one picture, then from the bottom to the top, going through each vertebra one by one from baby’s bottom to neck, as a cross-section through the body.

Then came a search through the body for the vital organs, including the stomach (which was black, indicating that baby was ingesting some of the amniotic fluid, as he/she should), the kidneys (which were pretty tricky to spot with the untrained eye, until the sonographer pointed them out), and the bladder (at which point we had to look away in case we glimpsed any signs of whether baby is a girl or a boy – more on this later in the post). Apparently the heart is one of the trickiest things to see, especially if baby is lying face down rather than on their back in the womb. Of course our baby was lying face down, which meant she kept getting shadows from the chest as she tried to get at the heart. After tipping the examination table up so I was almost doing a headstand (well, not quite, but that’s what it felt like – I never knew a scan could turn into a theme park ride!), and getting me to bounce my bum up and down on the table, both in the hope of flipping baby over, she decided to send me out for a walk around, and suggested I drink something and eat something sugary as that sometimes gives baby a boost and makes them move! Good excuse for some chocolate if ever I heard it. I should add that ours really didn’t need any encouragement in the wriggling department – he/she wouldn’t stay still for much of the scan – but the idea was that it might encourage a complete flip onto the back.

Baby Cumming at 20 weeks. If you need a little help in figuring out what things are, here's a description. On the right is the head, with an arm held across the head so the hand with 4 fingers visible is in the top right of the picture, next to the nose, mouth and chin that lie to the left of the hand. The other shape (circle-ish) on the right is a cross section through the abdomen (apparently baby was at a funny angle here, so needs a bit of interpreting!) The white line around the edge is the skin, and the black blob to the bottom-left of centre is the stomach - the fact that it is black is a good thing because it shows baby is taking in some fluid and its stomach is working properly.

It was pretty successful, as baby managed to turn onto his/her side, so we got a better view of the heart. Again the detail was unbelievable: you could see each individual chamber and the valves opening and closing with each heartbeat. This has to be one of the most awesome (as in puts me in awe of God’s creation, not dude language) things I have ever seen. Then the sonographer switched on some kind of colour coding, which I presume, if I remember from Biology A-level, was a depiction of the oxygenated (shown as red) and de-oxygenated (shown as blue) blood, to check where each was flowing. It was all good. Finally, she did a few more measurements, another overall check, and took a picture. It was reassuring to know that everything was alright, and that baby was very active (although I can feel this myself, it’s nice to back it up with visual as well as sensory information).

The position of the placenta was also part of the check. If it is significantly low in the womb, near to or covering where baby needs to get out, this would cause complications during birth, and it might be recommended that you have a c-section. But even if the placenta is low-lying at 20 weeks, often it moves up in the womb as pregnancy progresses, so you would be given another scan around 32 weeks to check this. In our case it looked great, and was nowhere near the opening of the womb. She showed us the currently tiny tube that will be baby’s exit, and it’s hard to believe that it dilates enough to fit a baby’s head through!

The other thing that is possible to find out from this scan is the sex of the baby. This is an interesting point to discuss with other parents and parents-to-be. Some cannot wait to find out the sex, for various reasons, and don’t hesitate to be told at the scan. Others know they definitely don’t want to find out the sex, and like to be very clear with the sonographer when he/she asks if they’d like to know. Others are somewhere in between – perhaps they are very curious, but ultimately would like to have the surprise at the birth. I am definitely in the second category I described: I do not want to know what sex the baby is before the birth, and I was the same with Andrew.

My reasons? To me it makes no difference what sex baby is, as long as it is healthy I really don’t mind whether we get fountains or lakes on the changing mat! I’m most certainly not into the whole pink for girls and blue for boys thing, especially not for newborns – I’d rather see them in simple neutral white/cream/multicoloured etc. clothes. In practice it’s actually very difficult to buy clothes beyond the baby stage that are not pink and flowery or blue with vehicles on. If this baby is a girl, she would be dressed in Andrew’s baby clothes that are mainly neutral, and when older, we have kind offers of hand-me-downs from friends with girls, and she would wear these as well as some of the less overtly boyish clothes (e.g. jeans) that Andrew wore. Of course if it’s a boy, we won’t have any issues in the clothes department as we’re kitted out already. One of the best bits of giving birth to Andrew was that surprise of finding out that he was a boy for ourselves when he was placed straight onto my tummy. To be honest at the time I was just happy to hear that amazing cry and know that he was breathing for himself, but after the feeling of relief that the birth was over and went well, I loved the discovery that he was a boy (I don’t mean I loved the fact that he was a boy – a girl would have given me the same feeling – rather I loved that feeling of discovery at that moment in time). I would not want to give that up this time either.

What about Tom? Does he not get any say in this? Handily, and like many other things in life for him, he is describes his take on this matter as ‘indifference’. On the one hand he’d quite like to find out before birth, out of curiosity, but on the other hand he’d quite like the surprise. With one indifferent vote and one adamantly against vote, I win! But everyone is different, and I completely understand why others do want to find out – it’s a personal choice. In talking to other parents I have generally felt in the minority for not wanting to find out baby’s sex before birth.

So that concludes this first half of our pregnancy journey. I hope you’re enjoying the ride with us, and that you’ll come back for more in the second half. There’s no interval or half-time team talk I’m afraid – we start straight back again next week 😉 If you fancy getting an ice-cream though, make mine an ice lolly, thanks (can’t stand sweet and creamy things at the moment, but something cool and fruity would work).

Pregnancy diary: week 16 – it’s all about the ‘M’s – midwife & maternity clothes

The last time I saw a midwife (excluding the sonographer variety at the hospital for the scans) I was only about 7 weeks pregnant. It was a bit of a polava, because the community midwife at our surgery was off sick on the day I had booked to go, so I ended up having to see another midwife at a drop-in clinic in a local children’s centre about a week later. She was very nice, though got confused with dating the pregnancy as she didn’t seem to listen to my explanations about how I know my own body better than she did – cycles and all that. But the 13-week scan sorted out that minor blip. So this drop-in visit meant I didn’t get to meet my community midwife until 9 weeks later, at my 16-week routine appointment this week.

According to the pregnancy guide from the NHS that we were given at the start of Andrew’s pregnancy, at this appointment the midwife should: review, discuss and record the results of any screening tests I had; measure my blood pressure and test my urine for protein; give me info on the 20-week anomaly scan; let me listen to the baby’s heartbeat using an ultrasound detector. Well, she ticked all the boxes, and we did all that stuff. It was particularly lovely to hear baby’s heartbeat so clearly. When the probe was first put on my tummy all you could hear was whooshing noises, but pretty quickly she moved it to the right position to pick up a very fast little heartbeat – fast is good for such a little heart by the way! Then this was interrupted quite a few times by a crackling sound, which the midwife informed me was baby moving around. Great, I thought, we’ve got another wriggler on our hands! Andrew was exactly the same – never stayed still for scans or heartbeat monitoring, or just in general every day living in fact. This is a good thing; it’s reassuring to know he/she is healthy. It just makes me tired even thinking about what it’s going to be like with two active toddlers – fun but tiring 🙂

Anyway, it turns out I had already met my midwife before, as she was the same community midwife whom I saw when pregnant with Andrew. I thought this might be the case, but I also thought that they might swap around within their team between surgeries or change to being based at the hospital or something. But as I’d had very good antenatal care with this midwife, I was happy to see her friendly face again. (I wasn’t too impressed with her breastfeeding advice post-natally, but now I know where to go for useful advice and help, this doesn’t concern me too much.) We also talked about where I’m thinking of giving birth. I should probably write a whole post on that at some point, so I won’t go into detail here. She was good at her job in that she reminded me of the option of home birth, given how uncomplicated and fast labour was with Andrew, but respected my explanation of why it probably wasn’t for me and didn’t try to persuade me otherwise.

As the appointment drew to a close, she told me that my next routine appointment wasn’t until 28 weeks. This seems like ages away, but apparently I get fewer routine appointments as I did last time because this is my second pregnancy, and it seems like they think you’re a pro at it by now! Of course I can always ring up if I have any problems, but I imagine that time will fly by and it’ll be July before we know it.

I was thinking of taking a photo to illustrate the fact that I'm wearing maternity clothes (see below for ramblings about that), but then thought that it would be interesting to take a picture of the bump each week to see how it's changing, so I got Tom to take one focusing on the middle part of my body. As you can see there's not much of a bump at the moment, but it's more comfortable in these nice and stretchy black maternity trousers, and the grey of the maternity jumper, with room for expanding bump, matches my sea bands very nicely 😉

Apart from this midwife visit, the other event of note in my pregnancy diary this week has been the extraction of maternity clothes from storage and entry into wardrobe! My bump isn’t really that noticeable yet – maybe it is to those who know me, but to the average person on the street I probably just look like I’ve eaten a few too many chocolate bars 😉 I’ve just begun to notice that my clothes (bottoms really) are getting a little tighter, and as I’m still feeling sick (not bad going to get this far in the post without mentioning the ‘s’ word I think), it’s nice to have something a little looser and stretchier around my tummy/hips region. Plus we had Granny help on Tuesday this week, so I took advantage of 10 minutes of that time to do the removal from storage and exchange with some of the clothes from my non-maternity wardrobe.

Although this pregnancy is at a slightly earlier point in the year relative to the last one, I reckon I’ll be fine with the clothes I had before. I didn’t get that many, and managed to wear some looser fitting non-maternity clothes, mainly jumpers, cardigans and empire-line tops. I probably won’t need my coat as much this time (well, who knows with the current state of the weather, but if we actually get some semblance of summer, I shouldn’t need it for as long this time). Last time I deliberately went for layers, so I could, for example, wear a t-shirt or vest under another top or a short-sleeved dress in colder weather. This should work well this time too.

So that’s my round up of the ‘M’-related week of pregnancy that I’ve had. Just to chuck a bit of linguistics in before I leave you, did you know that the word ‘midwife’ comes from Old Engllish mid ‘with’ wife ‘woman’? Unsurprisingly this describes someone (usually another woman, though not always) who is trained to be with and help a woman in the process of labour and birth. I know that next week’s post is also going to talk about a word beginning with ‘M’, which I could have talked about this week, but I’ve already rambled on enough, so I’ll keep you guessing…. any guesses anyone?! 🙂