Monday, December 29, 2008

The Appointment Went GREAT!

We were at the office for almost 3 hours. Some of that was paperwork and bloodwork. We spent a half hour in the sono room, and there are definitely two heartbeats. The tech said she couldn't be completely sure, but it appeared there were two separate sacks, which makes fraternal twins (DZ) more likely, but identical (MZ) are still possible. Heartbeats were both ideal for 9 weeks. Baby A was measuring 8weeks 5days, baby B 9weeks even, and I'm supposed to be 8w6d, so pretty much dead on for due date.

Then we spent an hour and a half with the midwife. I am SO GLAD we're seeing her. I'm her first set of twins, so I'll be seeing her exclusively until 20 weeks, then see her and the OB together until the end, and both will attend our birth. They weren't planning to send me to MFM (high risk specialist) unless something specific came up. I was very impressed that no one was approaching my care as a disaster waiting to happen, even after they learned my PE history.

We talked at length about PE. I'm starting vitamin D supplements now, which have shown promise in reducing risk. Later on, I may start low-dose aspirin therapy, and I may try dandelion root as well. We'll monitor my BP closely.

The best thing was her position on inductions and c-sections. They don't do elective inductions, only for complications, and they refuse to do "too posh to push" elective c-sections either. When I asked the "what if I refused" questions, she said that even if we strongly suspected a c-section would be likely (and assuming there were no complications requiring immediate delivery) they'd still let me go into labor on my own and deal with the possible surgery if it came up. This was a huge relief to me, as I was scared I'd be pressured into a c-section or induction at 37 weeks just because twins are "supposed" to come early.

So I'm very happy with my provider and care. Now we just need to pray my BP cooperates and both babies stay happy.

6 comments:

Nog Blog said...

I'm glad it went well and you are pleased. I know Sara will be great with you. Now it's one day at a time...

Wendy said...

Who is your ob/midwife? Congrats on twins by the way!

Mama Runner said...

I'm seeing Dr. Nona Fulk and CNM Sara Leeper.

Amber said...

I'm so glad it went well Jen. I thought of you!

It sounds like you have a great setup with your doctor and midwife.

We'll continue to prayerful for you and your little munchkins!!

Marla and Rob said...

So glad all went well and that you feel comfortable. For me, the 37week thing was not because they were "supposed" to come early, but because that's where my OB said twin risks go up, and also where they stop growing as effectively because mommy just can't give them enough. As you'll soon find out, eating much at all in the end is hard because the stomach has no room for food:). I would eat a only a sandwich and feel miserable for about an hour afterwards:(. It made it hard to get enough calories in. This is also why they want twin mommies to gain most of their weight in the 1st and 2nd trimester, unlike singleton mommies, who gain most in the 3rd trimester. With my little B, he didn't gain at all in the last month from the estimated weight by sono 1 month before delivery. They estimated him at 4#11oz then and he was born at 4#10oz!! Baby K did gain about a pound from that last sono, which is what they expected for both. B's placenta had started to calcify, and my OB said if she would have known that he was not growing in there, she would have delivered me earlier (but still at a safe timeframe) for his benefit. He was perfect in every way, just very little. But, alls well that ends well!! Each mommy and pregnancy is different and it's important to trust your doc. Hope this is not too much input, just wanted you to know some of the other possible scenerios that may come up to require a planned delivery, c-section or otherwise.
Again, glad all went well. You will be on VERY close terms with all of the staff in that office by the time this is over:)!! Praying for you all.

Katie said...

glad to hear all went well. Praying for you, much love