Hemorrhoids are one of those yucky pregnancy side effects that, on the surface, is slightly embarrassing to talk about openly yet they’re soooo common! You get hemorrhoids when the veins around your rectum become varicose, aka swollen and then they get super painful. Sad times. They often make their debut during the third trimester.
The most common reason for getting hemorrhoids is constipation combined with mounting pressure on the area from your growing babe and bod. The plus side to all this heinousness is the fact that the problem should improve once your baby is born. Of course the best way to avoid hemorrhoids is to not get them in the first place. Preventative measures include eating a high fiber diet and drinking plenty of fluids so to ensure smooth moves. If ‘rrhoids got you down, here are a few ways to seek relief:
Take a warm bath with baking soda
Use said baking soda around the area to reduce itching
Depending on where you live, choosing a pediatrician can be super simple (“umm the only one in town”) or it can be a whole thing. If you live in an urban area, for example, you’ll have your pick of various pediatric practices, each one no doubt offering comprehensive preventative and medical care to your wee one. But which one you should choose is slightly more nuanced than that. It comes down to vibe, philosophy, bedside manner and so much more.
At the most basic level, all pediatricians offer similar services, such as evaluating your child’s development, educating you and them on safety and lifestyle, giving vaccines, diagnosing illness (and then prescribing medications) and identifying developmental or behavioral disorders. But pediatricians may differ on approach and they each may have their own opinions on everything from co-sleeping to diet and lifestyle. When seeking out a pediatrician, do your own recon. Start asking friends for referrals and details. Ask them if they ever feel rushed during appointments and whether their kids like going to see them (minus the shots). Ask how emergencies are handled on weekends or late at night and whether they feel respected as decision makers. Then, schedule a few interviews with various doctors.
What's the difference between a doula and a midwife? And do I need one?
These days there’s no end to the friends and neighbors you can have at your side during the birthing experience, but if you’re looking for an advocate or a coach to get you through (often without medical intervention), you’ll usually call upon a doula or midwife. Here are the differences between the two.
According to The American College of Nurse-Midwives (ACNM), a nurse-midwife not only helps you make decisions around birthing, but she’ll also perform regular exams throughout labor. These badass women actually have advanced clinical nursing training with most holding a Master’s Degree in Nursing. Following birth, a midwife can teach you to breastfeed and provide postpartum care to both you and babe.
Like nurse-midwives, doulas have tons of experience in the delivery room, but they specialize in giving you emotional and physical support throughout pregnancy, labor and delivery and creating an ideal birthing experience, according to DONA International. After the delivery, a postpartum doula can provide you with a number of services, from companionship to lactation and infant help, to even cooking for you and assisting you with household tasks. While doulas have received training in the birthing process, they do not perform clinical or medical services. Instead they focus on your emotional and physical needs to create an awesome environment in which to give birth.
On one hand, we’re all about “The More You Know” as a 360-degree philosophy when it comes to pregnancy, parenting and life in general. So should you take a class to educate you on latching, colostrum, feeding schedules and the like? Sure. On the other hand, nursing is one of those things you can’t really figure out until there is a baby attempting to suckle at your teetahs. While breastfeeding is one of the most natural things in the world, it can also be a total mindf*ck. Sometimes it works right away, sometimes it’s a brutal effort that never really materializes.
And in-between the extremes are most mamas who’ve had to work at it, as well as all the experts and lactation consultants who help make the dream of breast-feeding a reality. Totally your call, mama! Just know that whether or not you take a class, you may have to ask for help regardless. So seek out some resources in advance or hit up your hospital’s chosen references just in case.
"They'd say, 'At least you have another uterus to depend on!'" Kenne Dibner shares her story.
By Kenne Dibner
It was never supposed to be me, at least to start. My wife was anxious, past ready to get pregnant, and I was supposed to follow a few years down the road, once our first was ready for a sibling, maybe. I’m both younger than her by a few years and gripped with panic by anything signaling discomfort, so this plan made sense.
As is the usual course of things, my wife Jenny made an appointment with a gynecologist to kick the tires and make sure everything was in good working order – which, it turns out, it wasn’t. A strange kind of ovarian cancer – stage 3c – hit the brakes on our tilt-a-whirl planning, and we skidded and screeched our way through doctors’ offices and hospital rooms. We waited, slept with loud beeps and low buzzing and the ascetic cold of white floors and walls. A few months later, a blessedly clean bill of health, and we tried to make new plans.
It took a while for the dust to settle, to even begin to trust the universe enough to consider planning for a future. I cringed through an unbearable number of well-meaning offerings of “at least you have another uterus to depend on!” as if it somehow was okay that my wife nearly died because at least our lesbianism saved us from being unable to fulfill our responsibilities as women. Sidestepping the chipper commentary so as to avoid my own tsunami of sadness and guilt tinged with just the smallest crests of hope, I spent the following year trying to convince myself that despite the volatility and the risk of being alive in bodies so vulnerable, I wanted to bet on a future. We began to officially try to make a baby.
It was a hall of mirrors: both of us annoyed at our uncooperative bodies, swept away by swells of disappointment, trying to keep the other afloat.
After the violence of Jenny’s illness, it never occurred to us to try an anonymous donor. We figured that in a world so filled with surprise, knowing exactly what we were getting (to the best extent possible) made the most sense, and when it comes to love, more is more. Over a New Year’s Eve weekend summit at a rented farm in upstate New York, we asked Jenny’s best friend and former roommate if he and his husband would consider donating sperm. Alternating between bundled up walks along dirt roads and celebratory champagne, the weekend did not yield an immediate yes – we collectively considered the implications, and we discussed what it would like for the four of us to parent a child. Over time, an agreement grew and developed. We tossed around a series of hypotheticals, navigated some tense terrain through a series of purposeful, careful conversations, and signed some legal paperwork delineating responsibility.
One spring weekend, we started the process of trying to get pregnant the old fashioned way – with a needless syringe, a few bottles of Prosecco, and an obsessive fertility-tracking app on my iPhone. I was so anxious the next day that I made myself sick and then convinced myself I had morning sickness.
At some point in that first month, my best friend (recently pregnant herself) advised me to make an appointment with a fertility doctor – because it would take forever to get an appointment and if I didn’t need it I could cancel. After six months of no luck, it was time to meet with a very nice, very clinical older white man, who told me in the clearest possible terms that I have a Polycystic Ovarian Syndrome, and getting pregnant would be challenging. We began the fertility slog: months of meds to regulate ovulation, blood draws to check hormone levels, shots in my abdomen to trigger egg release, insemination in the doctor’s office with our donor’s frozen sperm, a few heartbreakingly hopeful moments, a D&C to remove a polyp, and the bitter segmentation of our lives into two week blocks of waiting on a moving target.
Kenne and her twins. All photos courtesy of Kenne Dibner
Kenne, Jenny and their family.
I recognize how ridiculous this sounds, but never before in my life had I been unable to just make something happen for myself. I just… worked hard, and all the things I wanted happened. In my whiteness, my economic privilege, and general plucky can-do attitude, I had never before encountered a problem I couldn’t solve by just setting my mind to it. I was unmoored by my lack of success, unhinged, all unfiltered rage at the fact that it wasn’t even supposed to be me getting pregnant in the first place. I had nowhere to go with my frustrations but a wife who was, kindly, generously, trying not to make this moment about her inability to do the thing. It was a hall of mirrors: both of us annoyed at our uncooperative bodies, swept away by swells of disappointment, trying to keep the other afloat. In the end, Jenny led with selflessness, holding my sadness while also keeping us on board, oriented North. One last time, she said, and we’ll talk about a different plan.
Fourteen days later, I woke up, dutifully peed on a mockingly perky pink and white stick, handed it to my wife, and told her since I wasn’t pregnant to wake me up in a half hour. When you wait for months to get pregnant, you spend hours on the internet, stalking random Reddit threads of other desperate TTC women, so exhausted by the process that no one can bear to type out Trying To Conceive any longer. We are all frantically looking for early signs of pregnancy: discharge? Good sign! Tired? Likely pregnant! Dry skin? Could be, who knows, don’t give up hope! That month, I had no such signs. In fact, I had been in San Antonio with my two best friends in between insemination and testing, knowing in my heart that I wasn’t pregnant, and quietly calculating how we would afford IVF.
My wife screamed. A joyful, NO REALLY YOU’RE PREGNANT scream. Annoyed, I told her it wasn’t cute, and then cried, and then peed on another stick. 180 seconds later, more screaming, tears, and frantic phone calls to arrange a blood test. Later that afternoon, oddly high levels of hCG, the hormone indicating pregnancy. It tripled in 24 hours, tripled again 24 hours later. An early ultrasound detecting two distinct embryos, and my dedicated OBGYN sweetly insisted that I say something – anything – before letting me off the exam table. The rest of that day is all streaky adrenaline, the sharp crack when the heat of anticipation is plunged into an icy present. We tried to make new plans.
For a story with a zillion false starts, this would be the first one that stuck. We now have 16-month twins, and I know we should be aggressively and carefully planning for the future. But right now, in the midst of the shrieky chaos of two toddler comets at full blast, I’m just so grateful there’s a future to plan for.
