Sunday, July 12, 2009

2nd Tri, NT scan, Still the happiest

Today I am 15 weeks pregnant with a healthy little peep and securely in my second trimester. While I am well aware that nothing is guaranteed, I'm feeling much more secure and positive and all I want to do is enjoy the last 5.5 months of my pregnancy to the fullest - There isn’t a Momma on Earth more happy than me. (And wow - can we really only have 5.5 months until we welcome this little one?

I know as I approach my 22/23rd week and beyond there is sure to be a little hesitation, watching in the mirror more, checking hands and feet, watching for weight increases and keeping an even closer eye on my BP - 22/23 weeks is when I developed Preeclampsia with Caden and began my 4 month stint on the couch. But I'm feeling good about things - Despite the PCOS and the +ANA and my already sluggish kidneys... I refuse to anticipate the same path. I haven't gained any weight yet (down 2 lbs) and while I'm sure to start gaining now, with Caden I was already packing on the pounds. I remember with my previous pregnancy my feet and lower legs would tingle if I stood too long... I can't remember when it started but so far so good. I do remember that by this point last time I couldn't wear both my engagement ring and wedding band comfortably at the same time, and by the end of the day it was very hard to get any ring I was wearing off. Currently I can wear both rings without issue. I just feel good, very good, and I am hoping that is an indication of the months to come. I do not want to be on bed rest for any length of time - We have so much planned for this fall - Apple picking and the pumpkin patch, Halloween parties and mommy and me classes, and hopefully a trip with Caden up to the Dells. I want to go out in public and show off my big round belly, I want a reason to wear cute maternity clothes and have fun with my son, and most of all I want no reason to sit up at 4am worrying... crying over a tiny sleeper in a soon to be nursery.


Just about 2 weeks ago Steve and I found ourselves at the hospital in the office of our High Risk OBs for our NT scan. Despite the common reason of "I wouldn't abort so I don't get screenings"... We wouldn't abort so we DID get the screening - to prepare, to ensure our child the best possible outcome.... but thats a post for another day. Anyway...

Beyond the test it was nice to sit down and talk with one of my all time favorite Doctors, Dr. K. We saw him every month or so in addition to my regular doctors for the 2nd half of my pregnancy with Caden and he was awesome.

First up was the ultrasound portion and blood prick...
It was amazing to see our baby now, at 13 weeks... His/her tiny little arms and hands, swimming and kicking and flipping around. If it were up to me I would have laid there for hours watching him/her. At the end we did take a look between baby's legs and have an early guess, but it really is much too early to say for sure and we're trying not to get attached to the idea, though we kind of already have.
My risk for Downs Syndrome based on Age alone (I'm 26, 27 in August) was 1/898. After blood and ultrasound, that risk is now 1/2692. Age alone risk for Trisomy 13 & 18 was 1/1741. My risk is 1/34,801 - So, normal results - screen negative.

We sat down with Dr. K afterwards and talked mainly about my previous pregnancy, current diagnosis, and where that leads us now. He started me on Baby Aspirin again and now we just wait and see. We also talked about my baseline 24hr urine being a little high and coupled with the ANA it is something we need to start keeping an eye on. Dr. K gave me the name of a doctor he likes and about 3-4 months after I have the baby I need to start getting regular checkups. He said its nothing to be alarmed about right now, maybe it will develop into something, maybe not... maybe 5 years from now, maybe 10.... but this way we'll catch anything that may develop early and have a plan in place.
We'll also be going back to Dr. K on September 3rd (22 weeks) for a heart study - Nothing to indicated anything wrong with the baby (heart looked great) but my little brother has a heart condition and while I do not believe it is genetic, Dr. K wants to be on the safe side.


Last week was another prenatal appointment with my main OBs. Again everything was normal - baby's HR in the 160s, down 2 lbs, urine and BP looked good, etc. We chatted a bit and set up my next round of appointments - Another routine OB appt on August 4th and the "big" ultrasound on August 18th.

We decided to go ahead and discontinue use of Metformin as we were now in the 2nd trimester. The benefit regarding miscarriage is no longer applicable and any further benefit to continue the drug is still unclear. My dr decided to further research continued use of the drug and I did my own - from the talk on boards I assumed I'd find undisputable evidence to continue the drug and I did not. I found many articles supporting continued use... but then I found many articles that showed no significant results. In the end we decided, and I agree, its best for me to go off the drug.

I'm excited about this... we're weaning off and now I'm down to my last week at 500mg (was at 1500). I'm excited not to have to remember pills, I'm excited at the prospect of being "normal" again, though I know that really isn't true. And I don't want to be putting drugs in my body if there is no reason to.

I was feeling calm and relaxed... Until I was told the story of so and so who stopped met and lost a baby in the 2nd tri which started the anxiety gears in motion. I know that is still a risk regardless, but there is no indication the metformin will prevent it. Even so I didn't want to risk another month of anxiety waiting for my next appt to know the baby is okay so Steve and I decided to rent a doppler. I have had my doppler 3 days now and outside of the urge to lay around listening to my baby all day, I love having it. I want to limit my use of the doppler and I plan on sending it back once I can feel the baby regularly (I figure a month or two)but its nice to know that if the anxiety starts to creep in, I can lay down and know things are okay. I love hearing that perfect sound.


I suppose I really should update more - I doubt anyone has actually read to this point, but then again I want to document as much as possible for my sake (probably should update my organizer!).

I'm feeling great - "morning" sickness is gone which has me pleased as can be. Still have heartburn and still a bit more sleepy than normal, but even my energy is starting to return. I've felt a few flutters, but nothing too strong yet and I'm still very much anticipating that first big kick. We've started doing a little more shopping for the baby and I find myself daydreaming of him/her on a regular basis.

Caden is doing well and is so much fun... the fits still come but even those are less frequent and not quite the same intensity. We start toddler swim lessons tomorrow and Caden is so excited. He is such an amazing little man.


Elizabeth said...

So glad you are doing well in this pregnancy, it sounds like the docs are taking really good care of you too! Lovely pics!

scrapperjen said...

Glad to hear things are going well. I hope you enjoy the rest of your pregnancy!


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