Having a baby in China: 24-week appointment

We were expecting this to be a quite a big appointment, I had read a bit about the glucose test I would be having and we had another ultrasound which we were very excited about. To make it more enjoyable our new baby friends were there for their appointment as well so we had someone to chat with whilst waiting.

We checked in, my blood pressure and weight were measured. They took my first of three blood samples and I was then given a sugary drink and instructed to drink it all within five minutes. They then let me know that I needed to go for blood again after one hour and then two hours. We had no idea we would be at the hospital for over three hours!

While waiting for the second blood draw we went in for our ultra sound and again the technician was not pleased with the baby’s position and not able to get all of her required measurements. We were sent out to walk and hope the baby would change position.

Blood draw number two, (which I had to remind the nurses it was time) was my first experience with a bad technician. I could feel that the needle was not in the vein though she still attached the tube and acted surprised that no blood came out. On her second go she had to call in for help whilst the needle was sticking out of my arm! Help arrived and blood was drawn.

We went back in the ultrasound room, this time the technician was getting a little more aggressive trying to move the baby who was still not in the right position. We were sent out again and this time I made a bit more of an effort to move around to try and get the baby moving.

Blood draw number three went well on the first try and it was finally time to eat. Hot soymilk and chocolate marble cake was the breakfast provided, it made us think why did we not bring our own snacks?? Next time…

Third time in the ultra sound room and baby was still not cooperating, though with me on my side she was able to get the measurements as well as a picture for us.

By this time it was noon and we then had to wait to see the doctor as she was out for lunch. We heard the heart beat on the Doppler and all of the days test results were normal. The doctor did say that I had gained too much weight since my last visit and I should work to not gain too much weight.

I heard the weight comments but didn’t really listen to them. I have been feeling fantastic and really healthy throughout this whole pregnancy and I am often told I look great. My doula has been really happy with how things have been progressing. Despite knowing all of this the comments did start to get to me. Whilst waiting for our taxi I decided to have a quick chat with the translator.

As kindly as I could I tried to let her know that this subject of weight gain can feel quite sensitive to a (pregnant) woman. I can appreciate some sensitivity may be lost in translation but bluntly saying “You’ve gained too much weight” is not really the best way to give this information. If the doctor has a medical concern about the amount of weight gained that should given to the patient. Additionally I said that she should maybe recognize that western women’s bodies do differ from Chinese women’s bodies. We take on weight and fat a bit differently. This point she quickly argued against and said no we are the same (western and Chinese women). I emphasized to her that I was comfortable with the weight I have gained, as was my doula, however I thought she should know how the doctors comments (given through her) may seem quite negative to the person receiving it.

I think she was very surprised by my comments but I had to do it. 16 weeks to go….

-Mrs T

Having a baby in China: 16-week appointment

After a lovely Christmas holiday in the UK we were off to the hospital the morning after we had flown back. We were a bit jet lagged but as always excited to check on our little baby. What on paper looked to be a fairly boring appointment was far from it and it took a turn of events you would only experience in a country that was not your own.

The appointment consisted of blood tests (which I had been fasting for), urine test, fetal heart Doppler, physical examination and consult with the doctor.

Things got interesting whilst the doctor was looking to find the heart beat with the Doppler. It seemed to take quite awhile, I myself was feeling quite nervous and that didn’t even compare with how Mr T was feeling on the other side of the curtain. Heartbeat found and we all breathed a sigh of relief! Our translator then proceeded to tell me that the doctor was having trouble with the Doppler due to the amount of fat on my stomach. She continued to say that the doctor was surprised, as my face looks quite thin, she would not have expected so much fat on my mid-section!

WOW! This only partially explains how I felt and the expression on my face at the time. Luckily I was able to laugh it off for a few reasons: 1 – I have always carried extra weight in my middle, I have thanked my parents and grandmother many times for this. 2 – I have even experienced strangers and co-workers asking if I was pregnant years and years ago when I wasn’t even close. Finally 3 – I have been abroad and in China long enough to know that things do get lost in translation and sometimes different cultures do not always express the same sensitivity about things that they would back in the US or the UK.

To continue our amusement during the consultation time the doctor showed concern about my weight. Since the last appointment (4 weeks prior) I had gained 4 kg/ 8.8 lbs. In the moment I felt a bit defensive as I had just been on a three week holiday, in which I did spend a lot of time indulging in my favourite English treats as well as being off work which means a lot less time on my feet walking around and chasing five-year olds all day. Even though I knew this and expressed this to the doctor I did take the weight comment to heart and was already thinking about how I need to ramp up my physical activity and be a bit more conscious about what I was eating.

We asked how much weight I should gain over the whole pregnancy and the doctor said 9 kg/ 19.8 lbs. It wasn’t until after the appointment that we were able to calculate and realize that 9 kilos over 9 months is one kilo per month. At the 16-week appointment I was up four kilos from the very start, which is in line with one kilo per month. This did ease our minds a bit but I wouldn’t soon forget the weight and fat criticism from the doctor.

Four weeks until our next appointment…

-Mrs T