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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 3:02 pm 
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From what I understand: heplocks make it easier to connect and disconnect you without running a needle into a vein over and over again. They sound great for things like antibiotics every few hours if you're GBS+.. But there are plenty of reasons you'd need to be on a continuous IV anyway. There's also the argument that once they give you a heplock, it's easier to give you drugs that you might opt against (yes, they're supposed to obtain your informed consent for any procedures, but I always feel a certain "when in Rome" pressure at hospitals).

ETA: just notice that while I was typing this and changing the daily gruwelpoep, Ariann answered that far more eloquenty than I did. Listen to her, she's wise!

And yes, their attitudes towards induction and how long they will allow a labor to progress naturally without getting impatient can be good canaries in the uterus. Or something like that. ;)

a couple warning signs friends have seen at various hospitals:
- one friend had a hospital insist on scheduling her induction when she was six weeks pregnant
- another was told by a nurse bragging about how natural birth friendly the hospital was that they "ALLOW women to labor for 12 hours!" (emphasis mine)

I found that at the hospital I saw, the big warning sign was the lack of personalized care and willingness to consider different treatment options even when they couldn't medically justify their departmental policies early on, and it really didn't get any better.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 4:06 pm 
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Ok maybe I should talk to my dr now then? Ill be 25 weeks next appt so no time like the present. My hypnobirthing class starts in 2 weeks so that will be the first time im in the maternity area of the hospital. Not sure if I get a tour of the birthing suites at that time or at our “make way for baby!” class or if we have to make an appt on our own. From what I understand it’s supposed to be a fancy pants birthing wing with private rooms and supposedly very mom friendly. Ive had 2 coworkers give birth there recently and said the dr’s and nurses were amazing. These 2 people are also VERY different from me. I don’t know if they had epidurals or anything like that but they are not hippie crunchy like me (not that you have to be hippie crunchy to want a med-free birth).
I would *like* an intervention and med free birth. I say that realizing it may not be my choice. My mom had insanely short labors. My bro was 4 hours and I was 3 hours. Mine would have been shorter but they had to WAIT FOR THE DOC TO SHOW UP. No clue if I will follow in her footsteps but im hoping! She had no epidural (this was the late 70s she made it sound like maybe it wasn’t really an option). They did give her some Demerol at one of the births because she got sick but otherwise was med free. My MIL had 4 midwife attended home births so hopefully I have genetics on both sides helping me. however I think she may have mentioned that she had long labors except 1 of the kids was a shorter labor.
Ill start talking with my dr at my next appt about what I want. I think my “demands” are pretty reasonable. I would like to be able to walk around and move during labor. I do remember early on she said something about eventually formulating a birth plan to go over together and things that I wanted, like labor positions, meds, etc. I do not know if this hospital has a tub but I haven’t thought much about that in particular. The not wanting an IV thing is mainly an “ick” factor for me. I hate having a needle jammed into my arm. It just grosses me out. Part of me thinks it will distract me but the reality is probably I wont even notice it once shiitake really gets real. :-P

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 4:46 pm 
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The IV thing was a major ick for me as well - I have a needle phobia and was afraid of really losing my shiitake over just the needles and I actually did wind up kind of losing my shiitake about it in the end. They wound up having to call an anesthesiologist to give me the heplock because I wouldn't allow them to put it where the nurses usually put it (in the crook of the elbow or in the hand - oh my God). The anesthesiologist did an awesome job and put it in my forearm where I barely noticed it and could move my arm freely afterwards. (I was in the ER this past weekend and needed IV fluids and IV pain meds - it took five hours to get them because of the needle stuff and my refusal to let certain nurses give me an IV, it was bad news).

What annak said about having a heplock and then being in a position to be given more drugs you don't want is super true. If you can get away with no IV access at all to start, I highly recommend doing that. If there is a problem, they can start an IV super fast - this is what they do all day long and they are great at it.

I think it's worth talking to your doctor every step of the way so s/he knows your preferences. You could even bring it up by talking about hypnobirthing and whether they've had patients who've used it and how successful they were. Doctors who are supportive of natural childbirth education classes are likely to be more supportive of physiological birth!

And even though you can't plan for every eventuality, your best defense against unnecessary interventions is arming yourself with as much information and prep as you can. I really think that my personal prepping is why I didn't wind up with a C-section (and I don't think anyone could've faulted me for having a C-section - there was certainly justification), why I was able to move as much as I did during labor, why I was able to eat relatively freely in labor, etc.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 4:55 pm 
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my mom is a nurse so i totally call bullshiitake on needing an IV right away in case you need it later it's there. these nurses do this all the time and can probably do it in their sleep!

my dr definitely told us to try a birthing class. she said they were all good and really didnt have a personal preference but thought any education was good for us. she's also pregnant with her 2nd kid right now so hopefully she knows what's what. :-)

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 7:25 pm 
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Mollyjade, some nurse midwife practices will co-manage type 1 diabetics with a maternal-fetal medicine specialist, so if you're interested in midwifery care that could be a great option for you. It would mean extra appointments to check in with MFM along with regular prenatal care by the midwives, so that might be a lot if you have a lot going on. If all goes well in your pregnancy, your labor and birth could be managed by the midwives with the insulin protocol recommended by MFM. You could call up some local practices and ask if that's something they do. Best of luck!


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 7:30 pm 
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Best money I spent to give me a great labor was my doula. I had no IVs and no interventions, except for the stupid internal fetal monitor - because my heartrate and the babies were so close they couldn't be sure she was okay. But that was in response to a situation, not standard protocol. Really everyone left me alone. My doula was great at deflecting people and keeping things relaxed and calm. I love her with the fire of a thousand suns.

Get a doula, you'll be happy you did. It allows you to outsource all your concerns and just focus on being in the moment and getting through each contraction.

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 9:47 pm 
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mooo wrote:
Mollyjade, some nurse midwife practices will co-manage type 1 diabetics with a maternal-fetal medicine specialist, so if you're interested in midwifery care that could be a great option for you. It would mean extra appointments to check in with MFM along with regular prenatal care by the midwives, so that might be a lot if you have a lot going on. If all goes well in your pregnancy, your labor and birth could be managed by the midwives with the insulin protocol recommended by MFM. You could call up some local practices and ask if that's something they do. Best of luck!


I don't want to offer unwanted advice, but if this is something you're indeed interested in, check out Christina Sebestyen at OB/GYN North. It is a hospital-based midwifery practice headed by MDs and work in conjunction with MFM specialists for high-risk pregnancies. I'm pretty sure you would deliver at St. David's. My friends who delivered there had really positive experiences.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 10:05 pm 
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LisaPunk wrote:
Ok maybe I should talk to my dr now then? Ill be 25 weeks next appt so no time like the present. My hypnobirthing class starts in 2 weeks so that will be the first time im in the maternity area of the hospital. Not sure if I get a tour of the birthing suites at that time or at our “make way for baby!” class or if we have to make an appt on our own. From what I understand it’s supposed to be a fancy pants birthing wing with private rooms and supposedly very mom friendly. Ive had 2 coworkers give birth there recently and said the dr’s and nurses were amazing. These 2 people are also VERY different from me. I don’t know if they had epidurals or anything like that but they are not hippie crunchy like me (not that you have to be hippie crunchy to want a med-free birth).
I would *like* an intervention and med free birth. I say that realizing it may not be my choice. My mom had insanely short labors. My bro was 4 hours and I was 3 hours. Mine would have been shorter but they had to WAIT FOR THE DOC TO SHOW UP. No clue if I will follow in her footsteps but im hoping! She had no epidural (this was the late 70s she made it sound like maybe it wasn’t really an option). They did give her some Demerol at one of the births because she got sick but otherwise was med free. My MIL had 4 midwife attended home births so hopefully I have genetics on both sides helping me. however I think she may have mentioned that she had long labors except 1 of the kids was a shorter labor.
Ill start talking with my dr at my next appt about what I want. I think my “demands” are pretty reasonable. I would like to be able to walk around and move during labor. I do remember early on she said something about eventually formulating a birth plan to go over together and things that I wanted, like labor positions, meds, etc. I do not know if this hospital has a tub but I haven’t thought much about that in particular. The not wanting an IV thing is mainly an “ick” factor for me. I hate having a needle jammed into my arm. It just grosses me out. Part of me thinks it will distract me but the reality is probably I wont even notice it once shiitake really gets real. :-P

My mom had crazy short labors and I did too! There was no time for interventions, when I got to the hospital I was 9cm dilated! I did end up having an if because 1. I couldn't deliver the placenta, so after I gave birth I needed pitocin and then the midwife had to go in and remove it and 2. I had post partum preeclampsia. I had clear birth plans and they were stuck to, wishing you a short labor too! I will warn you, mine was short and incredibly intense! When you hear about people with 14-24 hour labors we get the whole intensity in 4 hours!


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 10:11 pm 
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mandycoot wrote:
mooo wrote:
Mollyjade, some nurse midwife practices will co-manage type 1 diabetics with a maternal-fetal medicine specialist, so if you're interested in midwifery care that could be a great option for you. It would mean extra appointments to check in with MFM along with regular prenatal care by the midwives, so that might be a lot if you have a lot going on. If all goes well in your pregnancy, your labor and birth could be managed by the midwives with the insulin protocol recommended by MFM. You could call up some local practices and ask if that's something they do. Best of luck!


I don't want to offer unwanted advice, but if this is something you're indeed interested in, check out Christina Sebestyen at OB/GYN North. It is a hospital-based midwifery practice headed by MDs and work in conjunction with MFM specialists for high-risk pregnancies. I'm pretty sure you would deliver at St. David's. My friends who delivered there had really positive experiences.

No, this is perfect. I want recommendations, but I'm not really ready to talk to people I know in "real life" about this yet. Thanks!

ETA. Ha! "Gynecological Consultant to the UT Austin Women's Athletic Department."


Last edited by mollyjade on Fri Jan 04, 2013 10:14 pm, edited 1 time in total.

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 10:14 pm 
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MeganMyDear is from Austin too, right? She might have info about local docs & hospitals as well.. but I haven't seen her on the boards for a while.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 10:18 pm 
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annak wrote:
MeganMyDear is from Austin too, right? She might have info about local docs & hospitals as well.. but I haven't seen her on the boards for a while.

That's a good idea. She moved away from Austin, but just recently.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 10:28 pm 
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How exciting Mollyjade! If you start joining local groups or going to some meetings for stuff that calls to you (babywearing, breastfeeding, attachment parenting perhaps?), you'll find that everyone is happy to give you great recommendations. People love talking about their experiences! I would definitely look for doulas, midwife groups that people like.

For example, I wanted to go to the midwife group that Ariann ended up at, but I heard from several friends who had bad experiences with them, so even though a lot of what I heard was great, I felt a bit leery going to them and was really happy I ended up with Tina. Same thing with hospitals - if you hear about people's experiences at local places you quickly suss out what would be good for you and what would not. And visit them too!

When I was going to ATL in my 3rd trimester and worried about going into labor early, I spoke to the amazing Guineapiglet, who hooked me up with the best hospital, midwife to talk to and doula. I spoke to friends down there and heard their recommendations too, but GP and I were about at the same stage and she really knew her stuff!

People have good points about c-section rates. Definitely not the only thing to look at, but it can be a starting point. Here were the stats I looked at: http://www.icanofnj.com/hospitalcsectionrates.htm For example, I saw that Hackensack was one of the highest in NJ. I then spoke to friends who delivered there and they all had stories of being pushed into c-sections. Including a friend who was in her mid-20s and superfit, and felt that they really rushed her and didn't give her a chance to labor. She ended up with a VBAC with no issues elsewhere. One of my friends loved her OB and he was at Hackensack. She really wanted a natural birth but instead felt really forced to have a c-section. And doulas know everything! They see the maternity staff in action, they talk among themselves etc.

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 11:14 pm 
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But if you do look at C-section rates, I think the primary section rate is more important than overall, for the reasons I talked about above - like Hackensack has a 50% overall compared to Morristown's 40 (where Tofulish, JENNA, and I gave birth), but the primary C-section rate is only two points different, so that 10% is coming almost entirely from repeat C-sections because that hospital likely doesn't do VBACs (which is another sign of a not-mother-friendly hospital anyway). *complicated*

And yes, my midwives sucked and can eat me.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Fri Jan 04, 2013 11:23 pm 
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To be fair (sort of), I think the ACOG recommendations are to not allow VBACs unless there's an on-call anesthesiologist 24/7, which almost nowhere has. Most of the natural birth crowd thinks this is stupid (after all, you could need an emergency primary csection as well), but hospitals don't want to be sued while not following accepted practice I guess.

So anyway, it sucks that it can be hard to find a VBAC hospital, but I would not go quite as far as calling it not-mother-friendly for a first time mother.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Sat Jan 05, 2013 7:03 am 
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Annak, you're right, but in our area there are very few hospitals that don't have that anesthesiologist (I'd be surprised if any), so it has more to do with hospital policy and which doctor practices serve there.


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PostPosted: Sat Jan 05, 2013 11:23 am 
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I made a mistake above, I meant to say...in the hospital working? Not just on-call, I think. I don't know enough about hospitals to say how common this is but I had heard that it's a problem in a lot of hospitals.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Sat Jan 05, 2013 11:50 am 
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A friend of mine had a VBAC and said that in her state only a few very large metropolitan hospitals allowed it because you had to have an OR and full surgical team standing by (not just on call) in case the mother's uterus ruptures, because she could bleed out very fast. So she was laboring in one room, across the hall from her OR, so they could wheel her in and get set up in minutes if need be. Smaller hospitals just couldn't accommodate that. I don't know how things are done in other states- maybe Audrey could weigh in.

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Sat Jan 05, 2013 2:12 pm 
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The ACOG recommendations for hospitals to offer VBAC include this vaguely worded recommendation that VBACs should take place in "facilities with staff immediately available to provide emergency care," which malpractice insurance providers have interpreted to this insane extreme that prevents so many hospitals from allowing it. That particular recommendation actually has lower quality evidence to support it than their other recommendation to offer VBAC to appropriate candidates (and the majority of women with one prior c-section are appropriate candidates, according to ACOG). This is a really good article that explains the situation- http://www.scienceandsensibility.org/?p=3512. I think the main issue for obstetric providers with VBAC is that the risk is overwhelmingly to the fetus, whereas the risks of repeat c-section are to the mother. In the U.S., lawsuits for fetal morbidity and mortality are much less likely to be decided in favor of the hospital/provider than lawsuits for maternal morbidity and mortality. Basically, in my opinion our society values the lives of babies over the lives of mothers. I don't want babies to die any more than anyone else, but I think this is forked up.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Sat Jan 05, 2013 10:23 pm 
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Huh, sounds like trying for a vaginal twin birth. I really want to birth my twins vaginally, but so far, baby A (the baby closest to the cervix) is breech and refusing to turn. Assuming he finally does turn and I do get to have a vaginal birth, my hospital (and all the other ones in the area) requires all twin births be in an OR. Doesn't sound nearly as nice as birthing in birthing suite, but at least my OB is pretty supportive of vaginal twin births....


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Sat Jan 05, 2013 10:33 pm 
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Mooo that is so interesting! Thanks for the context.

Helbury, woohoo for having a vaginal twin birth. How very exciting!

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Tue Jan 08, 2013 1:53 pm 
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is Chinese food ok during pregnancy?
ive never paid much attention to the food restrictions since 99.9% of them dont apply to vegans but i feel like their is something about MSG.....????

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Tue Jan 08, 2013 5:40 pm 
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Hm. I didn't see any restrictions on MSG in anything I read. An "everything in moderation" sort of category, I'd think.


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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Wed Jan 09, 2013 4:58 am 
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LisaPunk wrote:
is Chinese food ok during pregnancy?
ive never paid much attention to the food restrictions since 99.9% of them dont apply to vegans but i feel like their is something about MSG.....????

I ate a TON of Chinese food (one of the few things I really craved when I had morning sickness) when I was pregnant with Beetroot (I lived in Glasgow, so there were actual Chinese restaurants around, otherwise I'd still be stuffing my pregnant face with Chinese food). I don't know how MSGful Chinese food really is, but I've never heard to avoid MSG specifically because you're pregnant and nobody seemed to think it was weird that the pregnant lady at William Hill was stuffing her face with Chinese food all the time. ;D

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Wed Jan 09, 2013 7:24 am 
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Leela never likes blankets on her while she sleeps. I will put them on surreptitiously, because its just so freaking cold, and she semi-wakes struggles to get them off, cries and needs to be nursed to sleep. She will tolerate 2 piece jammies but not the footed ones, esp not the fleecy footed ones. She also won't tolerate a sleep sack and she moves so much at night it wouldn't be practical amyway. So I worry about her getting cold? Is this normal? I keep our house at 66F normally (feels cold to me) but now have it at 68F. We cosleep so she does get my warmth.

In Chinese medicine the thought it that you have to keep your kid warm or they won't grow (bc they are using their energy to keep warm).

Thanks for your thoughts!

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 Post subject: Re: dumb questions related to pregnancy and babies and stuff
PostPosted: Wed Jan 09, 2013 8:09 am 
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TheCrabbyCrafter wrote:
LisaPunk wrote:
is Chinese food ok during pregnancy?
ive never paid much attention to the food restrictions since 99.9% of them dont apply to vegans but i feel like their is something about MSG.....????

I ate a TON of Chinese food (one of the few things I really craved when I had morning sickness) when I was pregnant with Beetroot (I lived in Glasgow, so there were actual Chinese restaurants around, otherwise I'd still be stuffing my pregnant face with Chinese food). I don't know how MSGful Chinese food really is, but I've never heard to avoid MSG specifically because you're pregnant and nobody seemed to think it was weird that the pregnant lady at William Hill was stuffing her face with Chinese food all the time. ;D


seems like maybe i made that one up. i couldnt remember if i had read that or not.
everything in moderation! yay! :-)

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