June 4th @ 3:00pm, First Apt with OB
OB says no to VBA2C, blood work, pap, u/a &
B/P 120/70 which is great!
HBG was 12.2... normal range
Have been having alot of "16" dreams, calendars, cell phone dates, exc. Feeling great over all, breasts are a lot bigger than pre-pregnancy already, having a lot of "all day" sickness especially when I dont eat frequently enough, drinking lots and lots of water and soda intake has drastically decreased, disgusted with food over all, sleeping A LOT, DH has been great about letting me sleep most of the weekends away. Still averaging about twice weekly gym/zumba time. I'm really guessing girl at this point considering the drastic change in symptoms from the boys.
June 8th @ 11:30am, First U/S
One healthy baby bean, 128bpm which is right where it should be for 6wks, 6dys. A day off what the OB gave me as an EDD, The u/s tech said its measuring to be due 1-26-10 instead of the 25th. Ill keep the OB's date lol... I got to hear the heartbeat briefly too which was wonderful. The little wiggle worm already has visible limb buds and the flickering heart was such a relief to see. The tech did comment on just how "tilted" my uterus was and had a tough time getting a clear pic.
Short video clips, 6wks6dys. You can see the yolk sac at the bottom right of the bean.
June 24, 2010: VBAC risk assessment
I went and met with an OB who sign off on a VBAC after reviewing my history and post opperative reports. Her findings were I have signifigant risk of a VBAC not turning out well... Considering my high number of previous pregnancies, d&c following missed m/c, two previous c-sections, very large babies, complications with my health, exc. She said she would allow a VBAC but I would need to be on an extreme diet and only gain 10lbs to "Grow" a small baby (between 6 and 7lbs) which I dont agree with, some women are meant to have larger babies and others small babies and starving my body of nutrients and "losing" weight during a pregnancy did not sit well with me. It was stated that if I did not follow my diet and baby looked to be over 9lbs she would take him/her via c-section anyway at 39wks. The hospital is far away (30min) and she would expect me to walk in at 7-8cm, laboring at home but the risk of rupture on the way was signifigant over someone who has had only one c-section and no other complications... with that said I called back my origional OB and decided to do an elective repeat c-section, be with a dr who is less stressful for me, a great surgeon, and in a hospital I love... its been a hard road to come to but I'm finally at ease with this choice. I dont look at it as a failure but rather I gave it my best shot and have weighed the risks and benefits fairly.
June 28, 2010 @ 10:30am, Second OB @ 10wks & U/S
B/P 130/72 which is still okay
I was nervous going into this appointment because its the same time frame (10wks) that I found out I had a missed m/c before Ethan.. Well they looked for the heartbeat for awhile over the doppler and of course couldnt find it, so I have an u/s this afternoon at 3:30 to either confirm a m/c or make sure the little bean is snuggled behind my scar tissue/placenta both of which my OB said was possible... I HATE LIMBO... will update with results of U/S
Everything went perfectly! Turns out baby was VERY active, heart rate of 178 which is much higher than either of my boys ever were (hoping for pink) and right on time (9wk6dys) with my OB's edd of Jan 25th. The ultrasound tech was amazing and even let me get videos of our little baby (who actually looks like a baby now) moving all over the place and watched the little heart flicker for a good 20 minutes. It went wonderful.
July 23, 2010 @ 2pm, NT Scan @ 13wks3dys
[wt: 187] LOVE their scale
Baby heart rate was 154
Was very, very brief.. literally a NT Scan & blood work, I was shocked the visit didnt last longer. I requested the tech try to make a gender prediction and she was very reluctant to do so. Said very often at this stage they look very similar but if she had to guess she would say boy. I didnt get to meet with the peri dr and was pretty surprised by that but oh well. Glad to see baby's heart beating (heard it too) legs, arms, hands and feet were accounted for. Baby was even sucking its thumb ..just like big brother Ethan. Baby was measuring 14w1d instead of 13w3d but I would prefer ahead than behind Baby's face was burrowed in my placenta and we didnt get a good look at baby but glad we got to see him/her again.
July 29, 2010 @ 9:30am, Third Ob Apt @ 14wks2dys
[wt: 191] Hate their scale!
Baby Heart rate was 151
B/P: 120/80. The appointment went great. I had a ton of questions and he was able to answer them all. Were gonna try a different pain relief this c-sec because I had so many problems tolerating it last two times, dont have to have my arms tied down, he will allow a mirror and dropping drapes during delivery. He will deliver around 39wks instead of 38wks to allow for more development as long as my B/P stays under control (HURRAY!) He doesnt have any specific day he delivers which is great. Had no problems with my request to not do eye ointment/ Hep B and just basically asked me to remind him of my requests when the times come up. Measuring right on time and I was a happy camper
August 4, 2010 @ 1:00pm, Peri Bloodwork
[wt:190] again, considering i ate on my way, fully clothed & middle of the day, I love their scale
Part two of the integrated tests looking for neural tube defects, trisomy 18 & downs syndrome.. **update** test scores came back negative for Trisomy18, Downs & Neural Tube Defects
August 11, 2010 @9:00am, Peri Genetics Counseling & U/S
[wt:189.4] telling you, i LOVE their scale lol..
EVAN's heartrate 154.
BP:142/79, concerned its elevated and want to do a 24hr urine. Dr believes I may have some chronic hypertension that is never been diagnosed and would be concerned with placenta function if not controlled. Baby looks great over all, weighing a half pound and measuring 16wk5dy instead of 16wk1dy. My fetal hemoglobin is elevated which is evident in certain forms of anemia (sickle cell/thalasemia/exc. and my A hemoglobin was also too low but that is less relevant) and they have ordered extensive blood work as well as a fetal echo. Otherwise baby was sucking HIS thumb and over all looks great, no cleft palate, no club feet, exc. Im excited to have another son!!
August 18, 2010 @ 8:30am Amnio & U/S
Evan's Heartrate: 140.
BP:145/77 Still concerned its elevated, we talked about a very likely chance I will be put on blood pressure medication by my next peri apt. The u/s before the amnio went great, Evan gave me a beautiful thumbs up. The amnio went a lot better than I thought it was going to also.. the needle didnt hurt at all until it penetrated my uterus which as expected caused a contraction. We should expect results in approx 2wks at the most. More of my blood work came back abnormal, my 24hr urine did show protein & I tested positive for ANA (Antinuclear Antibodies: An antinuclear antibody test measures the amount and pattern of antibodies in your blood that work against your own body (autoimmune reaction) which the Dr said doesn't really mean much now but does mean down the road I have a higher chance of developing lupus/rheum. arthritis/exc. I'm still anemic which I'm not surprised about either. The u/s done after amnio showed Evan was still doing well and for SURE still a boy & now I'm resting at home, pretty crampy but i know thats typical.
August 26, 2010 @ 9:45am, Fourth Ob Apt @ 18wks2dys
Evan's Heart rate 156
BP: 152/80 and GAME OVER! Ob put me on Aldomet BID 250mg, hoping I dont have any of the side effects I have read about online! I will start it tonight since its noted to cause drowsiness and hoping it doesnt in my case. He was perfectly okay with my weight, said the vein that has been more obvious in my chest is a varicose vein and hes very supprised by its location. Uterus is growing appropriately and babys heart sounded good. I signed my auth. form for a tubal after Evan's birth and otherwise everything looked normal. Still waiting on Amnio, A & B Thalassemia & Ashken.azim results. I go back in one week to recheck blood pressure and adjust aldomet dose.
September 2, 2010 @ 9:15am, Recheck Blood Pressure/adjust Aldomet dose
Evan would NOT cooperate to get heartrate lol
BP: 140/74, my ob glad it wasnt higher than that but NOT happy at where it is so he upped my Aldomet to three times a day until my next apt, pending what my b/p looks like then he will either keep the same, up to 4xs a day or try new med. I'm extremely swollen despite drinking a TON of water.
Thalassemia A& B results came back NORMAL! I'm not a carrier either
September 16, 2010 @ 10:45am, Called-in reg. persistent headaches/high bp
BP:135/75, OB requested blood work & 24hr urine. Thinks I may be developing HELLP syndrome or pre-eclampsia which is news to me.. i didnt even know you could have chronic hypertension PLUS pre-e. Blood work should be back as early as tomorrow morning. Baby sounded good and measuring right on track. Said Im for sure holding water and swollen.
September 20, 2010 @ 9:15am, Recheck B/P & bloodwork
BP: 120/75, Got a break finally!! OB apt went really well. Liver function, platelets & kidney function are all working the way they are supposed to. No Pre-E or HELLP Syndrome as of now! OB upped my apts to every other week just to watch to be sure. Evan's heartrate sounded nice and strong. I couldnt be happier!
September 22, 2010 @ 9:30am, Peri Apt, U/S
[wt:197 their scale is sooo inaccurate]
BP: 114/62, Fantastic!! Evan looked great, heart rate was 140 & weighing in at 1lb2oz (46% for gestational age) his bone length was measuring 22wks4dys which is great. Every part of him is growing wonderfully and even got some great 4D pictures! My cervix is "a mile long" per the nurse and my placenta is anterior. He was in breech position (which confirms twinkle toes on my bladder ive been feeling!). I will not be discharged from his care like I had hoped and actually my apts are going to be more frequent than before so they can monitor my placenta function and Evan's growth, at 34wks I will have weekly ultrasounds to monitor him more closely. If at anytime from there forward he (or my placenta) runs into problems they will deliver him at that time but for now were shooting for 39wks.
September 29, 2010 @ 3:00pm, Fetal Echo
The echo went really well, the boys got to come along too which they loved (got bored towards the end, only so much they want to see of his heart). They had been begging to see the baby for weeks now and its just been easier for them to not be there.. anyway, Evan looked great! Structurally his heart looks as normal as can be which is fantastic. So much so the Dr. even stated he will send me a copy of his echo to take to the hospital with us when hes born so if in the off chance they hear a murmur or something he has the all clear/all is fine and there will be no need to do a repeat echo (no need to hold him for any length of time either!) which made me pretty happy. Little dude was sitting on his bottom, legs tucked up, hands in his face turned to my right and SUPER active. There is no need for follow-up Happy momma!
October 12, 2010 @ 10:45am: Fifth Ob Apt @ 25wks
BP:122/88 An uneventful appointment!! Measuring right on track. Dont have to go back for 3wks!
November 3, 2010 @ 9:00am: Peri Apt & U/S @ 28wk1dy
BP:129/77 which is good. The appointment went really well for the most part, Evan is HEAD DOWN and super active, cervix is long and closed, Evan looks like he weighs about 2lb12oz (59% & 28w2d measuring which is spot on) arms and legs were nice and long measuring 29wk3dy. He was practicing breathing lots and lots, heart, lungs, cord, exc all look GREAT. Placenta is anterior (which i knew) function is PERFECT, fluid level is great & besides passing out on the u/s table (from pressure of laying flat + her pressing on me) it was a GREAT appointment!
November 4, 2010 @ 9:00am: Sixth OB Apt & Glucose test @ 28wks2dys
BP:125/75, going to try backing off meds to twice daily on a trial basis and see how it goes.. Evan's HR was 150's and still hanging out on my right side. Did the glucose test, fruit punch tastes a lot better than orange I had with the boys. The appointment went really well. DH got to meet the OB too!
Update: Panels all came back normal, no STD's or anything (not that im surprised lol) but I am still fairly anemic and they want to continue to monitor that. I cant start iron supplements like they had wanted me to initially because of the BP med Im currently taking. My glucose was 92, well in the range of acceptable! No Gest. Diabetes!!
November 18, 2010 @ 8:45am: Seventh OB Apt 30wks3dys
B/P 125/77, well BP is doing fantastic on the lower dose of aldomet which is GREAT news! The not so great news is I'm now on Procardia XL once a day for contractions for the remainder of the pregnancy. Last night I had to go to L&D due to "cramping and abdominal pains" which turned out to be very real contractions every 7 minutes. They gave me 0.25mg of Terbutaline/Brethine IM which I will tell you BURNED like a son of a gun going in and gave me the worst shakes in the entire planet! The med causes increased heart rate in us both (normal side effect), Evans HR went from relaxed low 140's to high 180's in a matter of minutes! They also gave me a bag of ringers just to be safe & my first dose of Procardia XL. I didn't get to have my usual OB apt today because he was stuck at the hospital on multiple surgeries but the nurse answered all my questions and after reviewing my records my OB felt comfortable with seeing my physically at my next appointment as long as nothing changes between now and then. Guess that's what I get for just "bragging" to my extended family about how quiet things have been for me this pregnancy.
Update trip #2 to L&D
yet another trip to L&D today :sigh: I had major noticeable decrease in Evan moving and over all felt really crappy... dizzy, headache, stomach ache, exhausted, just totally not myself. I put a call into my OB who asked me to come right down. After seeing him briefly, let him know how i felt, ev' being really quiet, exc he sent me to L&D for a NST which came back unreactive, which is NOT what you want, you want it to be reactive (he had no accelerations in heart rate which is not typical fetal activity per the nurse) with some heart decelerations, my BP was also 95-100/40 and stayed below 50! No wonder I feel like crap! They ordered a biophysical that also showed a "lethargic fetus" (for the first, oh 8 minutes! talk about having a heart attack) until they started poking and prodding at him at which point he woke up and gave us a piece of his mind by going from breech to transverse back to breech position. He was making lots of breathing movements and his fluid looked good. He scored an 8 out of 8 by the time the u/s was over... thank goodness. My OB officially stopped all my fun! No more gym, no mall walking, exc and said it will take a couple weeks but both Evan and I should get used to the procardia after a few weeks of being on it...
December 2, 2010 @ 8:45am: Eight OB Apt @ 32wks2dys
BP 112/80, Evan's HR 156, Measuring 37 WEEKS (first time w/tape measure)! My OB said the fact I have had two previous pregnancies/extra weight could account for measuring so big and he would have ordered an u/s to check his size but I already have one scheduled for Tuesday so we will use those measurements. As for the contractions he said it could be all the adhesions letting go from the previous two causing irritation to my uterus and in turn causing contractions. He said I also have increased fetal movement because hes probably trying to get into proper position (still breech) I may notice decrease movement once he settles head down. I will be on procardia once a day until 36wks, do GBS test at 37wks and the plan is still to deliver at 39wks as long as there are no complications between now and then. ((fingers crossed)) He would "like me to" continue pelvic rest but as long as I know my own limitations and stick to them I'm ok. My labs for UTI came back negative (had a + for bacteria a week ago when i went in for contractions again) and I could stop antibiotics. Over-all a great appointment!
December 7, 2010 @ 2:30pm: Peri Apt/BPP @ 33wks
BP 120/61, Evans HR was 145, he looks to weigh approx 5lb6oz (69% measuring, great increase on the scale from last month and as far as body measurements go, 34wks for abdomen and head & 35wks for arms and legs) He scored an 8/8 for his biophysical, placenta looks GREAT! They dont use the "old number scale of to grade placentas because they have a more sophisticated and accurate test they now do" but if they were grading it on the "old scale" my placenta would have been graded a 1, the best you can get! Evan is also HEAD DOWN! My cervix looks long still and he was very happy with my blood pressure. He has taken me OFF the aldomet completely on a trail basis to see what my blood pressure will do without the extra medication, he wants me to keep a physical log to show him twice daily tests (i have a home monitor) and share it with him at my next appointment. Should my BP go above 130/90 Im to call him immediately. He feels that the daily dose of procardia may be enough to keep my BP under control. As of right now there is NO indication of a need to take him prematurely! He also believes my contracting is just caused by an irritable uterus since I have had no progression otherwise.
Tonight i purchased our first package of diapers for Evan, his official coming home "little brother" outfit, installed the carseat for the final time & packed our hospital bag.
December 17, 2010 @ 9:00am: Ninth OB Apt @ 34wks3dys
BP 112/75, Evan's HR was 150's. Measuring 38wks and not setting a date in the book, he doesnt think Im going to make it there anyway but did tell me he cant legally schedule it a day before 39wks (Jan 18th or later) due to new hospital protocol. He was happy with how we are both doing, it was an uneventful appointment!
December 20, 2010 @ 2:00pm Peri Apt/BPP @ 34wks6dys
BP 123/73, Evan's HR was 145. He looks like hes weighing approx 6lb1oz, (60% Over-all 35wks5dys) He got an 8/8 on his BPP, breathed the entire time & the peri couldnt believe just how low he was in my pelvis (despite me telling him Ev feels like he might fall out!) fluid, placenta, cord flow all look fantastic, Evan has hair! I wasnt able to get a decent profile pic of his face but I did get one showing all his hair! The peri is very happy with my blood pressure and although I will keep up weekly BPP hes not too worried about my BP at this point since its been so stable even without medication.
December 28, 2010 @ 8:00am: BPP w/Peri @ 36wks
BP 112/63, Evan's HR was 140 and he got a perfect 8/8 on his BPP.
December 30, 2010 @ 9:45am: Tenth OB Apt @ 36wk2dys
BP 108/76, Uneventful apt.
January 4, 2011 @ 8:00am: Peri Apt/BPP @ 37wks
BP 106/62, Evan's HR was 155, he got a perfect 8/8 on his BPP and looks like hes weighing in at a whopping 8lbs6oz! His arms and head are measuring 37wks, his legs 38wks & his abdomen 42wks! Were stopping procardia for good & should my BP start to rise he wants me to start the aldomet again. This is our last sizing ultrasound, next week is just a BPP.
January 6, 2011 @ 9:15am: Eleventh OB Apt @ 37wks2dys
BP 130/80, Evans HR was 147, I let him know I contracted all night last night plus yucky nausea so he prescribed me zofran to help with the nausea and said its up to me but I can restart the procardia to relax my uterus. Evan is measuring "big" (duh!) and if I go into full blown labor at any time from here forward they will go ahead and let him be born. I refused an internal (since in the grand scheme of things it doesnt matter anyway) and am GBS- so thats not a concern either. I did ask if hes born "big" will they give him glucose automatically even though I dont have GD and he said the staff "knows what they are doing and if he needs it they will suggest/give it to him, trust the process"... otherwise the apt was uneventful.
January 11, 2011 @ 8:00am: Peri Apt/BPP @ 38wks
BP:105/71 Evans HR: 158, FINAL peri appointment! Fluid level and placenta function was great and he passed his BPP with 8/8.
(Ultrasound tech who did most of my u/s, myself & Peri)
January 13, 2011 @ 9:45am: LAST OB Apt! @ 38.2wks
[wt:210-total pregnancy weight gain 20lbs]
BP:128/80 Evan's HR: 147, FINAL Ob appointment!! Measured 40wks and he guessed Evan will weigh 8lbs4oz! Totally doged Pre-Eclampsia this pregnancy
"See you Tuesday" made things sooo real! Im absolutely ecstatic.
January 18, 2011 @ 7:00am HAPPY BIRTHDAY EVAN! Scheduled C-Section
Evan was born at 7:41am weighing 9lb10oz & 21" long. He had apgar scores of 9/9
February 18, 2011
10lbs 14oz 22 3/4 murmur is GONE!
March 28, 2011
12lbs 11oz 23 3/4" no shots doing well
April 18, 2011
May 18, 2011
June 18, 2011
July 18, 2011
August 18, 2011
September 18, 2011