Tuesday, September 30, 2008

24 weeks and 4 days, and Circumcision

Today I had my monthly checkup, and it was with Tina. This was the third time I've seen her, and I like her more each time. I would be really happy if she is the one on call when Shim arrives. Shim's FHT were in the 140's, so that is right on target. She felt my belly and listened to him, and said everything looks great. And she even told me I look cute, so I was thrilled. I'm just not feeling all that cute these days. Other preggos look cute to me, but I'm just starting to feel uncomfortable. I have this allergy and cough thing going on, which I get twice a year when the seasons/temps change. Tina told me to take some Zyrtec and Mucinex with plenty of water. Hopefully this will improve soon, because it's making sleeping very difficult.

Tina asked today if we were going to be circumsizing little Shim. Eric and I have talked about it a great deal, and are leaning towards definitely not doing it. When I told Tina that, her response was that our decision goes right along with what AAP recommends. (American Academy of Pediatrics). In any case, here is some info on circumcisions.

From www.circumcision.org
Response to American Academy of Pediatrics (AAP)
Circumcision Policy Statement

SIGNS OF PROGRESS
The statement takes a position of not recommending circumcision. Consistent with all previous AAP reports, no proven, actual benefits for circumcision are found. The claims of potential medical benefits are discussed in more detail that the last report (1989) and shown to be insignificant. The debate about medical benefits is over.

The report recognizes the extreme pain and trauma caused by circumcision as evidenced by large increases in heart rate, blood pressure, and stress hormone levels during circumcision. The AAP notes that according to a recent study, circumcised infants exhibit a stronger pain response to vaccination at six months than uncircumcised infants, demonstrating that the effects of circumcision are not short-lived. By calling for pain medication, in the form of injection into the infant’s penis, the AAP acknowledges that this extreme pain and trauma of circumcision are serious.

The AAP statement acknowledges that the foreskin contains "a concentration of specialized sensory cells" and reports that "penile sensation and sexual satisfaction are decreased for circumcised males."

The statement references a report that circumcised men are more likely to engage in various sexual practices such as masturbation and heterosexual oral sex. This finding suggests that without a foreskin to contribute to sexual pleasure, circumcised men seek alternative forms of stimulation to compensate for their loss.

The report identifies 20 different possible circumcision complications. The 1989 report only mentioned bleeding, infection, and death as possible complications.

It warns physicians that parents should not be coerced by medical professionals to choose circumcision, suggesting that some medical professionals have coerced parents to choose circumcision. In fact, some infants have been circumcised even though parents explicitly requested no circumcision.

As in previous reports, hygiene is not an issue. According to the report, "there is little evidence to affirm the association between circumcision status and optimal penile hygiene.


And from www.kidshealth.org
Approximately 55% to 65% of all newborn boys are circumcised in the United States each year, though this rate varies by region (western states have the lowest rates and the north central region has the highest). The procedure is much more widespread in the United States, Canada, and the Middle East than in Asia, South America, Central America, and most of Europe, where it's uncommon.

Parents who choose circumcision often do so based on religious beliefs, concerns about hygiene, or cultural or social reasons, such as the wish to have their son look like other men in the family.
Despite the possible benefits and risks, circumcision is neither essential nor detrimental to a boy's health. The AAP and the American Academy of Family Physicians (AAFP) do not endorse the procedure as a way to prevent any of the medical conditions mentioned previously. The AAP also does not find sufficient evidence to medically recommend circumcision or argue against it.

That's just a little information and intro, and there is tons more out there. I've done alot of reading; enough to make up my mind. But, I'm not the one with a penis, so I'm letting Eric have a great deal of input with this decision. We are not Jewish or Islamic, so we have no relegious basis for doing it. Only about half of baby boys are circumsized these days, so the whole argument of "Don't you want him to look like everyone else in the locker room?" doesn't fly. By the time he's in a locker room, I'm hoping it'll be about half and half between the boys are are and aren't. As far as medical reasons, the benefits are so small percentage wise. So are the risks. It really just comes down to a personal decision.

In my research I learned that the reason circumcision was started thousands of years ago was to decrease the sensitivity of the penis, thereby deterring masturbation. Well, it didn't work, but the practice caught on and became prevalent. Well, now in Africa female circumcision is being forced on women to decrease their sexual pleasure, and called "genital mutilation". The rest of the world is horrified, and trying to find ways to stop it. Where was the horror when we started doing this to baby boys who didn't have a say so?

Well, enough of my soapbox of the day. Eric and I haven't made a final decision, but it should be pretty obvious which way I lean. Medicaid no longer pays for circumcision. Other insurances are stopping reimbursement. And when a peds urologist I work with straight up told me the reason it's still so popular is b/c of money to be made, my mind was made up. He says that as soon as all insurances stop reimbursement, you will be hard pressed to find ANY doctor who will do it, without out of pocket payment up front. Makes you wonder doesn't it?

Okay, I'm really done now. Circumcision soapbox over.

And can I just say that I REALLY like having a blog where I can just go on and on about whatever I'm passionate about at the moment!!! And if someone doesn't like it, they can leave a nasty comment, and I CAN DELETE IT! This is truly fabulous. I can't believe it's taken me this long in life to discover the beauty of blogging. My JM friend Angela is the first member of my entourage. I expect the paparazzi to show up any moment now. Gotta go freshen up my lipstick :-)

Sunday, September 28, 2008

I am in such shock, but in a good way

So, as it turns out I am famous. A superstar known to many. Okay, maybe just a few. I honestly thought that my Mom, MIL, and grandma were the only ones who read this thing. Plus a couple of friends. So, much to my surprise, I found out there are others. My friend Angela from the message boards at www.justmommies.com posted this morning that my little blog has been recognized on someone else's blog. Someone who actually has FOLLOWERS. Someone who's blog is so popular it's worthy of advertisements. Someone who's blog I've actually been to and read. And she thought that a post I wrote about midwives was actually worthy of mentioning and linking in one of her posts. I am totally in shock!

So, I know that now you all wanna run over there and read all about it. You can find it at www.crunchydomesticgoddess.com. My blog is mentioned in the article about midwives. You can go see how famous my little blog is. This has totally inspired me to keep on blogging, especially about things that may inspire or educate others. You never know when something you say may get through to someone. I'm so excited- did I say that yet?

Saturday, September 27, 2008

One more thing...

Just want to add that I am by no means an expert or even close to it. And if my blogging makes you think a little, don't take my word for it--do your own research! The internet is a fabulous thing!

Plastic and toys

So, over time I hope to make many blog posts that better explain why I make some of my parenting decisions. I don't necessarily feel the need to explain myself or justify my decisions, but rather would like to help our family and friends understand us bit better. Me, rather. Eric just goes along with whatever I think, for the most part. As long as I have a good rationale with research to back it up, he's usually okay with it.

Now for a few disclaimers. Just because I do research and make a decision that I feel is best, doesn't mean I expect everyone and anyone to agree. It also does not mean that I think other parents who make opposite decisions are making bad ones. Every parent makes choices that are right for them, and I am the last one that should be judging that. I also don't care to hear how your child did such and such (that is opposite from our way), and turned out just fine. That's great, but I just assume someone support us rather than question us. Disclaimers over...

Now, onto the plastic issue, the topic of tonight. There are two things in alot of plastics that I've become aware of through research, and would prefer to avoid. One is BPA(bisphenol A), the other PVC (polyvinlychloride). I've chosen bottles to use that don't have either, and silicone pacifier's as well. Another big thing with these two ingredients is toys. Considering that most babies until 18 months or so are always chewing on a toy, this is one of the big things for me. Making the attempt to keep wooden chew toys around, rather than plastic ones, is one small effort I can make. Unfortunately, they are very hard to find in regular stores like Target and the such. Thankfully, the internet is full of sites for these toys. HABA is one of the biggest name brands. The countries of the European Union made PVC illegal in their toys almost ten years ago---Why is the US always behind??? It really frustrates me. Here is some info from the net:

General tips for toy buying:
General Tips on Buying Safer Products for Kids

Buy less! The easiest way to avoid toys with toxic chemicals is to buy less! For some tips on reducing gift buying, see: "Simplify the Holidays".

Avoid toys that list vinyl or PVC as an ingredient (#3 plastic). Soft plastic toys like bath toys, squeeze toys, and dolls are commonly made of vinyl. If you're not sure if a toy contains vinyl or PVC try looking it up in our database. If you see high levels of chlorine, it is likely that the product contains PVC. If the product you are curious about is not in our database, ask the manufacturer or consider an alternative product.
Steer clear of vinyl lunch boxes; choose cloth lunch bags instead.
Choose uncoated cotton bibs instead of vinyl bibs, or choose bibs made of non-PVC plastic.
Avoid diaper covers, rain gear, and backpacks made of vinyl (PVC).
Choose mattresses made of wool, cotton, or natural latex that don't have vinyl covers.
Choose wool changing pads or portable fabric changing pads that do not have vinyl linings.
For a guide to safer plastics, see: http://www.iatp.org/ foodandhealth/
When possible choose plastic-free toys such as fabric teethers, unpainted wooden toys or cloth and plush toys. Polycarbonate plastic (#7 plastic) should also be avoided. For a guide to safer plastics, see: http://www.iatp.org/ foodandhealth/

Avoid children's metal jewelry and toys with small pieces, particularly magnetic pieces. For more information, see CDC's website on lead in jewelry

Check recall lists regularly, and if a toy has been recalled, send it back to the manufacturer. To receive email recall alerts from U.S. Consumer Product Safety Commission

Take action! We can't just purchase our way out of this problem. We need Government and industry to make our products safer!


And some info on PVC/BPA specifically:
F
rom IV tubing to baby bottles, though, plastics are under attack.

The truth is that some plastics are better than others, both for the environment and for our health. For those interested, look at the bottom of most household items made of plastic. There's a number in a triangular shape, usually 1 through 7. According to The Green Guide, avoid #3, 6 and 7; #1 and 2 are considered safer. Why? Well, not all plastics are created equally. We are learning more and more each day about the health detriments of plastic exposure.

The dangers of polyvinyl chloride (PVC) have been known for some time. Phthalates, the "plasticizer" in PVC, has been linked to asthma and other allergic disorders as well as endocrine disruption; PVC's are suspected carcinogens, too. Fortunately, Health Care Without Harm, the environmental supergroup, has been working with the health care industry to remove harmful PVC's from products like IV tubing.

Bisphenol-A (BPA), a component of #7 plastics, is the subject of most recent concern for environmental health advocates. Found in most baby bottles and canned formula, BPA has been linked to several health disorders. A Federal investigative panel concluded recently that exposure to BPA has effects on neurobehavioral and endocrine development both in utero and after birth, in infants and children. The panel's report has been widely criticized as being not harsh enough, using terms like "some concern" or "minimal concern" for the above health effects. To me, again, it comes down to whether or not you believe in the precautionary principle. If you can't assure safety within a reasonable degree, avoid use. But alas, the plastics industries do not embrace the principle, and our federal government seems more interested in the bottom line than in our children's health.


Because of all the above info and research I've read, I decided to make what small choices I can to protect Shim from this stuff. First thing was registering for Born Free bottles. I may also register for some Dr. Browns, I've heard they have a safe version. I am most obviously not the only mother on this bandwagon, and discovered that at Babies R Us (BRU). When I asked a question at the help/registry desk about a particular pacifier and PVC number, they pulled out a sheet from under the desk. It contained every product in the store considered to be BPA/ PVC "safe". I was shocked and quite impressed. Now, I do just want to say that I am realistic. I know that babies put anything and everything in their mouths. Yes, I know that Shim will chew on his fair share of plastic toys. But if I have wooden rattles/chew toys laying around to substitute for the plastic ones, it will make me feel better. As I see it, every little bit helps.

Here are some websites for wooden toys for anyone interested in how cute they can be:
www.childtrek.com
www.planethappytoys.com
www.oompa.com

So now I've blogged about midwives, doulas, and the whole plastic/wooden toy thing. I still want to blog about hypnobabies, breastfeeding, cloth diapers, organic products, vaccinations, and quite a few more I can't think of right this second. If you haven't figured it out yet, I've become quite granola and crunchy. I haven't always been this way. It kinda started when I moved to Charlotte, which is funny b/c this isn't generally a granola city. I mean, it's not Asheville by any means. But I sure do think I'd fit in just fine there. Or Seattle. (Hi Carmie!) Being pregnant has really amped up my crunchiness. Eric isn't by any means, other than recycling. He just mostly goes along with whatever I choose, within reason. Since he is also in the medical field, supplying him with research goes a long way. Okay, that's quite enough of my random ramblings for tonight. Hope your Sunday is a great one!


Friday, September 26, 2008

A rainy Friday night

It started raining last night, and there isn't an end in sight. What a storm this is. I think they are calling it a noreaster. Not really sure what that means though. I worked til this evening, then came home for dinner and an early bedtime. However, first I had to watch ER and Grey's. They killed Pratt off of ER, and I just have to admit that I bawled like a baby. I'm not joking. Eric walked in the den, and I was almost crying hysterically, with big old crocodile tears running down my face. Dang preggo hormones. I was slightly disappointed with the season premeire of Grey's. It was okay, but didn't really keep my attention. That could be the hormones as well.

Eric got the chair rail up in the nursery today, and it looks really good. He's such a great husband- very handy! I bought some drawer liner, and may start putting that in the dresser and chest of drawers tomorrow. I'm on call from 6:30am Sat morning until 6:30am Sun morning, so my productivity level depends on how busy the hospital is. Hopefully the rain will keep people indoors. At the same time, I'd love to get called in at least once for some $$$.

We are running severely low on gas in Charlotte. Lines are over an hour long, IF you can find a station with gas. If morons with 3/4 tank weren't "topping off", it wouldn't be such an issue. My jeep is out almost- the light is on. Eric still has almost a full tank, so we'll be using his car for awhile. We're hoping the situation is resolved before his car gets low. We don't have any plans really this weekend, especially since I'm on call and it's raining for days. I do have a massage scheduled for Sunday, and I'm quite happy about that. My hips and back hurt. I hope I have the gas to get there:-)

Well, Eric is headed outside to get in the hot tub, and I may join him. It depends on how hard it's raining right now. Have a good weekend!

Tuesday, September 23, 2008

Back to work tomorrow....

I'm in mourning about returning to work tomorrow. I really want to be a stay at home wife. Okay, maybe one 8 hour shift a week would be alright. But honestly, that's about all I want to work. This long vacation has made me lazy. Here is my latest belly pic, at 23 weeks 2 days.



It's really starting to get on out there. My belly button is becoming an outie! Shim moves all the time now, practicing is taebo skills. Active little man he is. I called my office yesterday morning to make sure that the frequency of my braxton hicks (BH) was okay, b/c I have at least 1-2 an hour. And I was also just a little concerned that they started at 21 weeks. I expected them to just say that it was fine, and instead they wanted me to come in for a check. The OB nurse said 99% likely everything was fine, but it's always better to be safe rather than sorry. Anyhow, they worked me in with one of the OB's, and as expected, everything was fine. I was not very happy about having to see one of the Dr's, b/c I just love the midwives all so much. My care with them is so much more personalized and in depth. But, this doc I saw was really nice and thorough, and I really liked her. So, if my worst fear comes true and I end up with a C-section, I would be happy to see her face. At least I've met one out of the 8 or so.

Now that it's a little cooler outside, I have a quarter sleeved shirt I can now wear. My friend Katie sent it to me a couple of months ago, and I've just been waiting to wear it. A pic of it is up above. Even if you are a fan of McCain, you've got to admit it's a cute shirt.

I'm gonna go off on a tangent here. Why won't blogger put a friggin picture I add where I'm typing??? Why does it always go to the top???? If anyone knows a way around this, please leave me a comment. This is my BIGGEST complaint about blogger.

I went shopping Sunday, and pretty much bought my entire cloth diaper stash to last for hopefully the first 6-8 months. It really just depends on how big shim gets, and how fast. I am so excited to have my stash, and can't wait to start washing and organizing them all. Look for a future post on why I'm choosing to cloth diaper, and pics of all my fluff!