Before we knew it, I was 12 weeks into our pregnancy, and it was time for my first big health evaluation with the OBGYN doctors here on base. We went over my blood tests, my diet and nutrition, did a quick physical exam, and - my favorite - took another look at the baby. Thankfully, both of us were healthy and progressing on schedule. I was amazed to see how much the baby had grown in only three weeks! Not only was the little guy/gal squirming and kicking with long legs and tiny feet, but I was amazed to hear that the poor thing had the hiccups! I didn't even know that was possible in utero. Below is our most-recent ultra-sound photo. Check out those legs!

My big item of concern that we discussed at length was how my scoliosis surgery would affect my pregnancy. Thankfully, the doctor said she would not consider me a high-risk pregnancy. However, the titanium rods and spinal fusion will make me a high-risk anesthesia patient. I am fused too low to receive an epidural or spinal block. I also know from experience that I have a very poor tolerance for narcotics thanks to all the drugs I was on while recovering from that operation. So I will likely either need to have the baby 100% naturally (which is my preference), or have them completely put me under while performing a C-section. Both are possible options. It will really just depend on how my body, the baby, and specifically those muscles around the surgical sites, handle the intense labor contractions.
We were presented with a unique challenge due to our PCS timeline. We are not scheduled to arrive in Korea until the start of my third trimester, which is very close to the cut-off date for air travel during pregnancy. Since Osan is considered a remote over-seas assignment, we were not sure what kind of medical care they provide or if they would be able to handle my unique situation. Normally, we would just meet with the doctors once we arrive and have them make a judgement call. But we felt that, if we waited to make a decision about whether it would be safer for me to have the baby in the States, it might be too late for me to leave Korea. So, as inconvenient as this was, we needed to make that decision now. That way, if we knew it was better to have the baby in the States, I could just stay in Colorado after James finished with S.O.S. instead of going to Osan, then having to fly home alone while large with child.
This was a very difficult decision. On the one hand, we wanted to feel confident that the baby and I would get the best care possible, and we knew that would be the case in Colorado. However, if I opted to have the baby in the States, James would miss out on my whole third trimester, and possibly the first several weeks of the baby's life.
We spent a lot of time in intense prayer, and did a lot of research on the subject. First, I talked to my sister-in-law Alison who is a labor and delivery nurse in San Diego, and also has an understanding of the hardware I've got grafted to my spine because she used to work for a company that manufactured them. She helped me come up with a list of specific questions and concerns that would help us determine the best plan. Then I talked to the OB and labor and delivery doctors, in addition to the anesthesiologists here in Misawa. Their opinion was all the same: "If Korean hospitals are anything like Japanese hospitals, we are not comfortable with that option for you and think you should go back to the States." In Japan, they have rigid ways of doing things, and patients don't have much say at all in how they are cared for. Asian doctors also often don't use much in the way of pain medication. If something went wrong and the base hospital wasn't able to care for us, it would be a very uncomfortable and frustrating experience for us due to their cultural and language barriers.
However, after talking to the doctors and other new moms in Korea, we discovered that their health care is much more advanced over there. The situation is the same - in an emergency, I would be sent off-base to a Korean hospital. However, Korean doctors are much more willing to work with you, and women who have been in that situation affirmed that they received fantastic care. So that info, in addition to a strong sense of peace from the Lord, gave us the confidence to decide to have the baby in Osan.
With that decision and the first trimester behind us, we went ahead and announced our pregnancy publicly to friends and extended family via email/facebook. There is a common phrase these days, that when you find out someone is pregnant, you say: "Your eggo is preggo." So we took the photo below as a clever way to let our friends in on the secret. It was gratifying seeing the enthusiasm and excitement.
This whole process has been a growing process in more ways than one. James and I are growing closer than ever in our marriage. We're beginning to "grow up" and prepare for this new responsibility. I'm also slowly outgrowing my pants. But most importantly, we are learning in new and very tangible ways to trust God for everything! Looking forward to reaping the fruit of this bittersweet season of growth!