Sunday, February 26, 2012

Our Prenatal Adventure in China: Part IV


This blog post was actually written awhile ago but we missed posting it.  Just to keep everything in order… here it is now.
This is Part IV of a series.  Click here to read from the beginning.

Mark still has some sick time to use up, so he joined me for the 16 week prenatal visit (10/31/2011).  We took a 12:45PM train to Ningbo for our 2PM appointment.  This time, the English speaking nurse in the VIP clinic was a bit less sure of her English and had a hard time understanding us without context (so no small talk!).  The nurses all wear outfits reminiscent of a 1920s nursing outfit in the U.S. – I assume to elicit respect, since they aren’t very practical.  In contrast, the doctor just wears a lab coat.

This time, the doctor was located in the VIP clinic and not the regular maternal care ward, where we had to go last time.  I was also the only patient with her this time.  Again though, it seemed more like talking to a receptionist.  She looked over all the results from the blood tests from last visit (and the results I brought with me from the Sanmen visit) and said everything looked good.  I then had my closest thing to an exam yet – we went to another room and she measured my belly and used the baby Doppler to listen to the heartbeat.

We then went back to her office, and the nurse asked if I could come back the next day for a blood test I needed to have done before breakfast.  Yes, this is the second time they requested this!  Again, I told her it wasn’t very feasible since we live a couple hours away and buying train tickets is a process here and there was no way I could get one for the next day that evening still.  It turns out they wanted me to return for the AFP test – the one for Down Syndrome and other neural tube issues.  We decided that I might be able to return on Thursday morning depending on the train schedule.  She booked me for a 9AM appt.

While we were still in the office (the doctor entering stuff in the computer), our nurse translator suddenly blurted our “vagina”.  Mark and I had no idea what was going on, but it was pretty funny to see a Chinese nurse in a 1920s outfit randomly blurt out “vagina”.  Maybe she was practicing English female anatomy in her head and that one escaped?

From there we went downstairs to the ultrasound hallway.  Just like last time it was hot and crowded and we were jumping the line to the front since I had VIP status.  We were very disappointed the nurse wouldn’t let Mark in too, though we had expected that.  They just have three tables lined up next to each other so there is no privacy.  Because of that, they don’t let men in.  It seems like an easy thing to fix in my mind… but since they don’t let men in the delivery room still either, they have a long way to go!  (Note: Mark will be present for the delivery of this baby, though most Chinese fathers cannot.)  That did make us decide to do the 20 week visit in Shanghai though, since we know Mark can be present in that hospital – and they’ll tell us the sex of the baby.

While waiting for the ultrasound, the nurse informed me she had gone ahead and scheduled a test for me for a December visit – December 25th.  She seemed surprised when I told her I wouldn’t be there.  1) It was Christmas, and 2) my family was visiting from America.  She then asked if I could just leave my family for it.  My answer, of course, was no.  I am low risk and don’t want any unnecessary tests so I told her she needed to cancel it.  She was very surprised.  I guess I’m a belligerent patient.

The ultrasound was uneventful, though less of an assembly line feeling than last time.  This ultrasound tech asked me (in Chinese) if I was an American, and I told him I was.  He then turned the screen a bit so I could see the baby (they don’t normally do that – in and out as fast as they can is the normal routine).  He also would point to things on the screen and say “heart” or “hand” or “foot” since he knew those words in English.  He seemed quite excited to get to say them to me too.

All was normal with the ultrasound, though they say the baby measures a bit small.  The nurse told me I have to eat a lot of eggs and milk to make the baby grow better, but I need to not eat much my last month of pregnancy so the baby doesn’t get too big.  Yeah, I’m not following that crazy talk.  My baby’s size is fine.  I eat healthy and well and the baby takes what it needs first.  And the last month food abstinence comments? Just pure craziness.  The doctor then told me the baby’s size was probably ok because American babies have smaller heads than Chinese babies and that is probably the difference.  Again, crazy talk.  I have been communicating with a Canadian doula who lives in Ningbo and she chalked up their crazy talk to the need to always find something wrong at prenatal visits.  Apparently it is bad luck for a mom to be told all is well – because that invites something bad to happen.  So if something “bad” is already happening, then you don’t have to worry? 
We had to rush the nurse at the end, because we had booked 3:30PM train tickets home since we didn’t expect this appointment to take very long.  We thought we would never make it, assuming I still had to do a urine sample, etc.  Every woman who has ever had a baby knows the three hallmark features of every prenatal visit is 1) the urine sample, 2) weigh in, and 3) blood pressure.  They took my weight during this visit, so 1/3 isn’t bad, right?  The sad part was I had to pee so bad the whole visit but thought I was saving it for the urine sample.  When we found out the nurse was just talking to us and the visit was actually done, I ran to the bathroom and we sprinted to the road to catch a taxi to the train.  We made it with a few minutes to spare, thankfully.

The next day Mark checked the train schedule to Ningbo and we found out there was no way I could make the Thursday 9AM appointment since the first train out wasn’t even until 9AM.  We decided to drop by the site doctor’s office and ask him to just review all my paperwork (they gave me printouts of all my blood test results) since we had more confidence in his English ability.  We also asked if he could call and cancel my Thursday appointment.  He looked at all my blood test results and said, “It looks like you’ve had enough blood tests already.  I wouldn’t go in either!”  He then called the hospital for us and found out that if I still want to have the AFP test done, I can just go in early the morning of my next prenatal appointment.  WHAT?!  They wanted me to catch the next train back to Ningbo for this and I can just have it done at my next regular visit if I don’t eat breakfast?  I’m not sure if something gets lost in translation… or if there really is that little regard for our schedule.  

What a crazy adventure.

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