Monday, June 26, 2006

blip-blip-blip

Still here. Still pregnant. Still trying to figure out what to do with this blog. As these things go, I've had a pretty short term as an infertility blogger, going from Public Blog to Pregnant in just over five months. And on my first-ever ovulatory cycle, too. I feel kind of like an IF poseur.

There's still oh so much that can go wrong. On the IF(ish) front, even though we've seen the heartbeats, there's still a chance we could lose one or both babies. Then there are all the complications that go with twin pregnancy in general, including higher rates of preterm labor, incompetent cervix, preeclampsia, and intrauterine growth retardation. (Can you tell we had our first appointment with a maternal-fetal medicine specialist this morning? We did.)

I think I'm going to keep blogging, at least for now. When we hit 10w or so, I will probably change the little blurb in the sidebar to alert newcomers as to my status. I don't think I'll change my blog title, though, or my name. I hope nobody minds.



As I said, we met with an MFM doc today (also commonly referred to as a high-risk OB). I'm not sure I consider myself high-risk, but apparently the other OB in this practice (the one that Dr. Quixotic recommended to us) thought we should meet with this guy. And apparently meet with him first, since Dr. Regular OB (better name to follow when we finally meet her!) is booked up and then on vacation, and we couldn't get in to see her until the middle of my twelfth week, but she wanted us to have the chance to discuss some prenatal testing before the screening windows closed for some procedures. So...maternal-fetal specialist it is.

The appointment was fairly early in the day, but we spent a good half-hour in the waiting room before a nurse called us back into an exam room. A blood-pressure check and mini-medical-interview ensued (Is this your first pregnancy? Yes. So, no miscarriages? Um...no...what part of "first pregnancy" didn't you understand?), followed by another half-hour wait before the doctor walked into the room. With his fly open.

Is Dr. McFly too literal a moniker? I don't think he's engaged in time travel yet, but perhaps if we buy him a DeLorean he can fast-forward us to 38 weeks and a pair of healthy babies. Or at least some properly fastened pants.

Anyway, since (it appears) Dr. McFly will not be my primary doc, we did not engage in any of the usual first- appointment chit-chat beyond: "How are you feeling?" "Tired." "Happens to the best of us." He launched right into selling advising us on the early risk assessment screening, which combines a nuchal translucency ultrasound with bloodwork to give you your adjusted risks for Down Syndrome, other trisomies, and some cardiac issues. After pinning him down on the false "positive" rates, we decided it was probably worth going for.

And then...another ultrasound! Oh joy of joys! We get to see our little ones again! (You'd never believe that, prior to this pregnancy, I was all crunchy-granola-no-prenatal-testing-and-give-birth-in-the-woods, would you?) He left the room so I could strip, I took a quick trip to the loo, and and Ezra and I burst out in giggles as soon as I got back. Because, come on: fly open, kinda funny.

You'd hope that someone else in the office (a nurse or receptionist or something) would have noticed by then and told Dr. McFly (discreetly) to zip up, but no. When he came back into the room, I almost immediately turned my head to face the ultrasound monitor so that there would be no more inexorable pull of my gaze toward the unzipped crotch. Anyway: baby pictures! This time we saw the heartbeats right away, and the embryos resembled slightly more humanoid space aliens (rather than mere blobs). I think Dr. McFly swapped the "A" and "B" labels (as compared to the IF clinic's assignments), but it's really no big deal. One kidlet is clearly attached off to one side, the other is clearly sitting much higher up. They're in separate sacs and have separate placentas, and appear to have some territorial issues to boot. Or maybe they just don't like each other. Too bad: they're going to be sharing a room (and probably a crib) for quite a while.

Baby A (per Dr. McFly) measured at 7w1d, which puts the kid right on target for six days of growth since the 6w2d measurement last Tuesday. Baby B initially measured at 6w5d, which freaked me right the hell out. I insisted on Dr. McFly getting a second measurement, and after some maneuvering and adjusting, he found a clearer angle. The new measurement corresponds to 7w2d: also on track for a 6w3d embryo from last week.

My cervix is long and closed (I forgot to ask how long), and my ovaries appear stimulated (duh). Dr. McFly wants cervical checks every three weeks; I presume each of these involve an ultrasound, but what do I know, really? But I certainly hope all these sound waves are okay for the kidlets, because so far my hippie-dippie prenatal and birth plan is shot to hell.

One more trip to the IF clinic next Thursday for another ultrasound and appointment (with Nurse Patient this time). Then NT screening and cervical check on July 21, and our first real prenatal appointment on the 25th.

Next up: Eating Habits, or, Why These Kids Are Going To Weigh About Three Ounces Each At Birth.

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At 3:49 PM, June 26, 2006, Anonymous Anonymous said...

Congratulations on the pregnancy! And no, you're not a poseur, it's thrilling to see treatments actually work the way they're supposed to, it's not like you were doing them for fun. It's so cool too that the timing you were worried about didn't end up being an issue!

I'm glad to hear you plan to keep blogging, I hope you continue, I'm looking forward to following along.

 
At 3:54 PM, June 26, 2006, Blogger Lut C. said...

Oh no you don't! I want to read the happy ending.

I don't know if you read Kim's blog (Sassy Babe). She expressed trepidation at seeking treatment because of all the pain she sees in the IF blogosphere.
I told her:
"Try to remember that the IF blogging community represents only a fragment of the all IF women. I suppose many women in the earlier phases of treatment (before IVF) don't feel the need to blog. Of those that do, a fair number get PG reasonably soon, thus they have less time to become known in the community.
All I'm trying to say, is that our perception of the odds may be somewhat skewed by reading IF blogs."

So you definitely have a place in the IF blogosphere, to maintain some semblance of balance.

Take care.

 
At 5:29 PM, June 26, 2006, Anonymous Anonymous said...

Yeah, please do keep writing! I'm at 5w1d and I'm so glad to hear there's somone else in the IF-o-sphere that's expecting and in the very early stages. I don't have my first prenatal until 6w5d so love to hear all about what's going on while I'm in the waiting zone.

 
At 6:00 PM, June 26, 2006, Anonymous Anonymous said...

I had the nuchal translucency scan today and although the results may freak me out for the remainder of the pregnancy, the ultrasound was TOTALLY COOL! Much more detailed than at the doc's office and it had AUDIO. I didn't think we'd hear a heartbeat until 14 weeks or so, but we heard it today at 12wks. And the kid put on a show twisting and turning and waving his hands in the air like he just don't care. :) Highly recommended (for the ultrasound alone)!!

 
At 6:44 PM, June 26, 2006, Blogger projgen said...

Ha - Dr. McFly! Oh my. I think I would have begged Hubby to say something in that "nudge, nudge, say no more" guy way, because I would have laughed.

But the poseur held it together ;) Seriously, not a poseur - could you have gotten pregnant without intervention? No? Then you're in the IF camp. You just, thank Gd, didn't have to wait as long as most.

Happy ultrasounding!!

 
At 3:16 PM, June 27, 2006, Blogger Rachel Inbar said...

Sounds so familiar :-) Though they love to tell you the risks, they forget to mention that usually everything goes right. I constantly remind myself that all the people walking around were safely born.

Personally, I'd skip the bloodwork, since with twins you get even more false positives than usual.

Definitely keep blogging :-) So many of us love a happy ending :-)

 
At 3:38 PM, June 27, 2006, Blogger Heather said...

Congratulations on the WONDERFUL ultrasound!! I would say, yes, please keep blogging. We want to continue reading your story!!

From your last comment, I would guess that you either feel ill, or nothing sounds good. In either case I feel your pain and hope you feel much better soon!!

 
At 4:27 PM, June 27, 2006, Blogger Robber Barren said...

Personally, I'd skip the bloodwork, since with twins you get even more false positives than usual.

Rachel, in this particular screening, the bloodwork in question is used to further refine the results from the ultrasound calculations, and so reduces the rate of false positives.

 
At 10:55 PM, June 27, 2006, Blogger projgen said...

ps: Robbie, I tagged you for a meme. No pressure - I know you've got other things to occupy your mind ;)

 
At 6:26 AM, June 29, 2006, Blogger Thalia said...

sounds like everything is going incredibly well, I'm so pleased. Those babies are growing great for now, so I'm sure the oz thing must be off. Sorry if you're feeling crappy, I hope it passes. And please stick around.

 
At 9:13 AM, June 29, 2006, Blogger x said...

Of course you don't have to change your blog title - IF doesn't go away because you are pg, I think it's something that changes you forever. I am so glad to hear that things are going well.

 
At 9:40 AM, June 30, 2006, Blogger EAB said...

I totally hear you on the poseur thing -- I'm also pregnant with twins off my first IUI, and I've often felt the same survivor's guilt. Someone has to hit the jackpot, I guess, and while I'm glad it was me (and you too!), it makes me very aware that this isn't about what any of us *deserve*.

Besides, speaking from experience (my own and that of all the other twin-bloggers I read), twin pregnancy is a scary enough thing that you'll have plenty of angsting to do. Even when it's objectively going well, you'll spend a lot of time on the emotional rollercoaster about it. If you're anything like me, every little could-be-a-bad-sign is cause for complete panic.

I think this is true of most pregnant infertiles, but the twin thing magnifies it, because the chances that something is actually really wrong are higher. It's taken me a long time to relax, and it's only been since about 20 weeks that I've really been able to feel somewhat confident about bringing home babies (and, of course, now I'm in the danger zone for prematurity). I hope you have a serene and uncomplicated pregnancy, but if you don't, you're not alone!

 
At 1:35 PM, July 06, 2006, Blogger moo said...

I am so happy to hear that all is well, Robber! Take care!

 
At 1:48 PM, July 09, 2006, Anonymous Anonymous said...

Hoping you'll give us an update when you have a chance! I've been thinking about you and hoping all is going well with your babies.

 
At 8:06 AM, July 11, 2006, Anonymous Anonymous said...

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At 10:43 AM, July 12, 2006, Anonymous Anonymous said...

I was having the same thoughts as you about where I belong, but someone commented, "once an infertile, always an infertile". We have been there; we know what it is like; we may have been a bit lucky that things seem to have worked the first try, but that doesn't mean that we don't belong. At 10wks3days (but whose counting) I feel a bit out of place on my own blog, but also think that I have a lot to contribute to other people's journeys. For now, I have to limit my internet access because I am obsessed with looking up horrible things that can happen and having been through one loss am convinced that I am destined to lose this one too. Good luck with your pg and I hope that in a few short months we will both be welcoming two little people into our lives! Congratulations.

 
At 9:15 PM, July 12, 2006, Anonymous Anonymous said...

Hi, I'm just delurking to ask if everything is going well??

 

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