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Starting My Medevac

August 2, 2018 Adrienne Bitter
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Medical evacuation. It sounds serious doesn’t it? It’s pretty standard for pregnancy deliveries though. One of the perks of being in Riyadh, and many posts around the world, is that families have the option of coming back to the States to deliver. I know of one American diplomat who delivered in Riyadh and her experience was fine. But I would feel terrible about our family not being able to see baby girl soon after she’s born. Riyadh isn’t the easiest place to travel to so it would be difficult for people to visit.

And just in case this little lady ends up running for President one day, I don’t want her place of birth being an issue. ;) JK! She’d be a US citizen no matter where we’re living or where she’s born because we’re US citizens. I clarify this because we’ve actually had a number of people ask us about this.

The one thing I was worried most about the medevac process was finding a doctor Stateside and building a relationship 34 weeks into my pregnancy. I heard from other women who opted to medevac to the US that a lot of doctors don’t like taking on new patients so far into a pregnancy. Surprisingly, or maybe by luck, I was able to secure a doctor at The University of Michigan with one phone call.

The staff at the women’s practice was completely understanding of my situation and even said that they’ve dealt with similar situations previously. I suppose that makes sense being a university hospital with many traveling professors and being in a town that’s pretty transient. Fortunately there were still two doctors available to deliver, given my due date. I started feeling more at ease, securing a doctor and speaking with the staff that was really helpful and communicative.

When we arrived in Chicago I had an initial intake interview with the practice. I thought ahead and emailed a digital copy of my medical file to the office for reference. The nurse asked a series typical history questions. Since we’d be in Chicago for a couple weeks still she gave me her direct line, as well as an emergency number, case I needed it for anything.

Once I arrived in Michigan I had my week-34 appointment in Ann Arbor, where I met my doctor for the first time. She’s great. She not only asked me a lot of questions, but gave me the opportunity as well. She listened to my concerns, the biggest one being that J is here for the delivery. We discussed options, VBAC vs. c-section, and concluded that scheduling a c-section was best, which is scheduled for August 23.

Of course baby girl may decide to come early, but at least we have a little insurance to get J here in time. And the Embassy is closed the week prior for Eid, which means J comes back even earlier! So as long as I can keep baking this girl until he arrives, we should be good to go!

And speaking of 'good to go', I had my last ultrasound on this past Monday. When my doctor measured my belly at week-34 she measured the baby closer to 32 weeks. Measuring with a tape measure isn’t very precise, I know. Since Royce lost weight that last week of the pregnancy she wanted to get precise measurements to make sure baby girl is healthy. And she is, measuring on schedule. She’s also moved head-down. She was quite the performer - smiling, opening her mouth, and sucking her thumb. Was really nice to get a 3-D scan of her as well. She definitely resembles her brothers.

Tomorrow we move into our Ann Arbor apartment and I’ll go in for my week-36 appointment to begin the weekly non-stress tests. I’m definitely beginning to feel like we’re nearing the end. I had a lot of Braxton Hicks contractions the last few weeks and now I’m feeling so much pressure on my pelvis. The pain in my hip flexors is increasing each day, even with yoga and stretching, to the point that I’m now waddling from time to time! So say a little prayer for us, that we make it until J arrives! xo

Tags Pregnancy, Pregnancy Medevac, Pregnant Over 40, Pregnant Overseas, Pregnancy After Twins, C-Section, DiplomatWife, DipLife
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We're Having Another Baby!

March 13, 2018 Adrienne Bitter
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Are we crazy? Maybe. I just didn’t see myself having one pregnancy though. Pregnancies are hard, but I actually enjoyed being pregnant with The Gents. And, frankly, I’m not getting any younger. Plus, J really liked the idea of us having three children. Some might say this is the worst time to have another baby, with having twin toddlers, living overseas, and me not working. We’d argue this is the best time. The boys are young so they’ll all be close in age. There are some perks to being here (more on that below) so I’ll be able to deliver back in The States. And not working eliminates a whole other level of stress that I’m convinced is what set off R’s distress and forced an emergency c-section with The Gents. Honestly, I don’t think we could have a better situation right now. And after having twins, a singleton will feel like a breeze. This kid will probably be so self sufficient it will raise itself...kidding!

I’m sure you all have questions and I’ll give as much information as I think you might be interested in. Mom & Pregnancy Brain are a lethal combination so hopefully I don't miss anything important. As of today I’m 15 weeks +6, due August 30. I had the pregnancy confirmed at the Embassy health unit and then had my first ultrasound around 7 weeks at a local hospital in Riyadh. We were pleasantly surprised with the overall experience. It was incredibly efficient. Dare I comment even more so than The States (gasp)? After getting the ultrasound and having labs, I had a follow-up appointment with the doctor at the Embassy. We discussed the whole process of the pregnancy and delivery while at post.

The big question, where will I deliver? The options are Riyadh, London, and anywhere of my choosing in the U.S. I know of a couple women who have delivered in Riyadh. Obviously women have babies here everyday, but I just don’t know that I’d want to given the choice. I also know of a mother who recently delivered in London, which seems nice, but we don't have many people there. Now that we’re so far from family and friends, I really want to be near them during this time. This is definitely our last baby so all the more reason to share the experience with them. I’m planning on delivering back home in Ann Arbor. I do need to find an obgyn there, which I've heard a lot of doctors don't feel comfortable taking on a new patient that far along in their pregnancy. I'm on the task though and hopefully it won't be as challenging as some people have said.

Because most airlines don’t allow pregnant women to fly internationally past 36 weeks I will get a medivac out of Riyadh at 34 weeks and I will have 6 weeks to recoup. We’re going to try to link-up our 3-week R&R with my medivac, as well. This means we’ll be back end of June through mid-October…nearly four months and the best time of the year to be in the Midwest! We’ll spend some of the start in Chicago, but most of it we’ll be in Michigan. I’m already daydreaming about all we’re going to do on campus, downtown, and hopefully make some use of my football season tickets before we fly back to Riyadh. Yes, The Gents will be coming with me for the entire stay. J will only be there for the R&R and delivery though since he can’t take all that time off. And Wally will have to stay back in KSA. 

What about the rest of my time in Riyadh and all of my appointments? Well, this is why I went to London last month. I had the option of having my 12-week appointment in Riyadh or London. I grilled the Embassy doctor on the benefits of going to London for the appointment vs. a local hospital. Not that I was opposed to going to London, but I felt bad leaving all my men behind. We've been talking about a London trip for a while. And I would miss J’s birthday. It’s not to say that the healthcare in Riyadh isn’t good, but I think the Embassy provides the option for peace of mind, even for the medical officers since the standards at which the various US embassy health units are evaluating a patient are more aligned. It was a really good experience. The doctor, nurses, staff, equipment, and facility were wonderful! I’m so glad I went, aside from all of the eating shopping. ;)

The baby looked great, waving and moving her legs quite a bit. She even jumped when I laughed during the ultrasound. Measurements were so good that based on the scan the due date move up a couple days. So glad to know she’s growing big and healthy, but hopefully not too big! Also during the appointment the doctor measured for any chromosomal abnormalities, which looked fine. Given my age there’s a little more concern so I opted to also have the free cell DNA test completed. Since that evaluates chromosomes the sex can be determined, which is why we know already they we’re having a girl.

How am I feeling? I could have told you this was a girl weeks into the pregnancy because it feels so much different than the Gents. Yes, a twin pregnancy vs. a singleton should feel different, but there are aspects that are much harder this time around! This little girl is working me already. I'm still nauseous in the mornings, although I've never gotten sick. I go to bed hungry and wake up famished. I eat all of the time, but mostly snacks or smaller meals. Anything large makes me feel horrible. My muscles feel so tired, which makes yoga and workouts a struggle. I already get winded walking up the stairs. I’m exhausted and need naps most days. I don’t know what I’d do without our nanny to help with the boys. I’m going to get a rude awakening when I’m back in Michigan on my own! Physically things are just harder. But it's all worth it!

My 16-week appointment will be next week. No ultrasound is needed so I’ll go into the Embassy health unit where they’ll use a Doppler to listen and measure the baby’s heart rate. Then I’ll have an anatomy scan at 20-weeks, probably at one of the local hospitals, although I’m hoping they send me back to London (fingers crossed!). That’s all I know at this point. The good thing is that we’re out of the first trimester and scariest time. Admittedly, after having a miscarriage a year ago I had a tough time feeling an attachment to this pregnancy until that first ultrasound and it wasn’t until the 12-week appointment when I could feel relief that THIS IS HAPPENING! We've definitely gotten accustomed to life boys, but we're really looking forward to this little girl. She's not even here yet and it already feels like our family is complete. 

As usual, thanks for following our journey. We’re so excited to share all of this with you and will be sure to keep you posted along the way. Our story gets richer and richer each year and we’re so grateful for it, and you all. Can’t wait to see many of you when we’re back this summer. So much love…XO!

Tags Pregnancy After Twins, Pregnant Over 40, Pregnancy After Miscarriage, Pregnant Overseas
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