Dear NS,
I do hope you had a reasonably restful night after yesterday, and that you've managed to get some sleep? I think what happened with your appointment would have been enough to make sure I had a horrid night if it had been me, so I do hope you've been okay.
Firstly, I know it's easier said than done, but do try not to worry about your glucose levels and the anaemia. They are both so common a condition, especially at this stage of your pregnancy, and can be straightforwardly monitored and treated. The iron, in particular, can be fairly quickly remedied. Have you heard of/tried SpaTone? You can get it from Boots etc - it comes in an organge box, full of the sachets and is quite expensive but worth it, IMO. It's a liquid supplement that you add to a glass of orange juice, and gives you a good dose of iron and is safe to use etc. The trouble with iron tablets from the GP etc is that they can cause constipation and a whole load of other difficulties. Your GP might mention this and suggest the SpaTone, but if he/she suggests the tablet route, you might want to be aware ... Anyway, see what the GP says. I found out yesterday that iron levels within the range of 11.something to 16.something are what they are looking for, so that might help you to gauge how bad the situation is etc.
Well, I do think the midwife making those comments about your anxiety levels most unhelpful and I am still very cross on your behalf. I mean, correct me if I'm wrong, but I thought the midwife's job was mainly the physiological care of you and baby during pregnancy, labour and birth, and that once one starts crossing into psychological territory, unless it's to do with birth-fears etc, then that is probably outside their scope and should be referred straight to the GP. You are being so sensible in raising your concerns with her and the possibilities of counselling/support and/or gentle medical treatment, and I don't think she should make comments like you've "deteriorated" (what sort of diagnosis is that???) - I mean, who is she to say?? It almost sounds as if you're a kid in school whose grades have suffered or something!
What you've been going through recently, with all the domestic upheaval between here and Ireland, being on your own for a while etc, plus the fact that you'll naturaly be anxious with your much-wanted pregnancy because of the IVF and your trauma over two ectopic pregnancies, is enough to be a red-flag for anxiety at some level for ANY woman. When I was pregnant with DS2, we were moving house, from one county to another, and doing it all ourselves (couldn't afford the luxury of a removal comapany) and so did what seemed like a hundred trips with our furniture in a horse box over 70 mile journeys. I was a nervous wreck, and very very anxious about the whole thing and pregnancy seems to make any tendency to anxiety much worse. So try not to be too hard on yourself NS and it's so infuriating that this midwife sounds like she has been unfoundedly unsupportive of you.
What makes me cross about this is that her attitude may make women more reluctant to raise the sorts of issues they most need help with, for fear of being treated in this way. And remember you are a 'mature' (and I mean this in the best possible sense - me being 41 after all!) mother-to-be in her mid-thirties, not some teenage pram-face, so you deserve better! (Sorry - I will get off my soap box now!)
Please do tell the doctor all this today and yes, book your next appointment in with another community midwife - they should be able to offer you an alternative on a different day of the week?
I do hope you get some help today and will be thinking of you - let us know how the doctor's visit goes and take care, love TNPx