Category Archives: Dr

26 week ultrasound

26 week ultrasound

Yesterday I brought my mom with me for my monthly ultrasound to see how the girls were measuring.  They were right on schedule.  Baby A weighed 2 lbs 3 ounces with a heart beat of 141 bpm.  Baby B weighed 1 lb 15 ounces with a heart beat of 144 bpm.  Baby B was being super stubborn and wouldn’t turn so we could get a good look at her face.  So all of the pictures are of Baby A.  Baby A is super flexible.  She had her feet up by her head, just hanging out.  Both of them were breach.  Baby A is on my right side, and Baby B is on my left side.  The technician said that wouldn’t change for the remainder of the pregnancy.  It was fun to take my mom with me to the scan.  We figured she hadn’t been to one since she was pregnant with my sister.  It was a bit frustrating that we had to wait an hour to be seen at the office.  Here are the pictures we got:

BabyAheartrate BabyAProfile BabyAProfile2 babyAprofile3 BabyBheartrate babyAFoot

Hopefully we have another 12 weeks to get these little ladies to turn heads down.

22 week growth scan

22 week growth scan

Today I went into Mercy for my 22 week growth scan for the twins.  I was there a little over an hour.  Everything looked great and…. they are still GIRLS!  🙂

Baby A was measuring 1 lb 5 ounces with a heart beat of 159, and Baby B measured 1 lb 3 ounces with a heart rate of 157 bpm.  My cervix also looked perfect.  The ultra sound tech said everything looked great and didn’t change my due date from September 23rd.

I got to meet Dr. Atlas!  I told the ultrasound tech my story about why I’ve moved around doctors and she chatted with Dr. Atlas to see if he wanted to swing in and say hello.  He was super friendly and came in and introduced himself.  We talked about some of the risks of trying for a VBAC and about my experience at Hopkins with the boys.  It made me feel more relaxed.  I really hope these little ones align themselves correctly!

I got a bunch of pictures which I will scan into the computer and put right here.  Even got to see 3d versions.  I like to look back at the 3d versions of the boys because they look exactly like the 3d scan (of course it was at 32 weeks so a little further along).  Baby B was squished down in the bottom so it was tough to get pictures of her, and Baby A had her hands up covering her face for most of the ultrasound.  If you look closely on the 3d scan of Baby B, you can see her sisters foot up by her face.  Already pretty jammed in there!

18 week anatomy scan

18 week anatomy scan

This morning Steve and I went in for the twins anatomy scan.  They both looked great.  Nothing too exciting to report.  They both seemed a little shy and/or tired with their arms up covering their faces.  They were still positioned almost like they were on bunk beds with Baby B being pushed up to my chest by Baby A from down below.  There seemed to be a lot of kicking and random feet in other baby’s faces during most of the scan.  The ultrasound tech did manage to get a couple good profile pictures though.  Baby A measured 8 oz. with a heart beat of 150 bpm.  Baby B measured 9 oz. with a heartbeat of 155 bpm.  Very close to what the boys measured.  The ultrasound tech let Steve take a video once everything looked okay.

YouTube Preview Image

We had her put their genders in an envelop so we’ll do our little gender reveal today and share the results.  I’m 18w5d (according to the adjusted date) but based on lmp I’m 18w2d.

Here’s a picture of my belly from Saturday:

18wbelly

Tears

Tears

It’s been a couple days since I had a second opinion on having a VBAC with twins at GBMC in Baltimore so the tears have slowly started to dry up.  As I mentioned in an earlier post, when I first saw my first OB/GYN at GBMC (Dr Ginny Merryman), she laughed at me when I told her I wanted to try for a VBAC with this set of twins.  I decided to seek out a second opinion and my neighbor recommended her OB practice to me.  So I setup some time to meet with the new doctor and got a similar response. Dr. Claire Weitz didn’t laugh at me but she told me straight up that she did not do VBACs with twin pregnancies and that if I wanted a VBAC I needed to find another hospital.  She then instructed me to go to the NIH website and read up on their study on VBACs.  I was devastated.  All I wanted was for a doctor to encourage me and say they’d try.  I know there are a million scenarios that could lead to me needing a cesarian and when the time came I’m all about reasonably weighing the pros and cons of each. But this early on I see no reason why someone would flat out deny me the option.

So I took Dr. Weitz’s advice and went to the NIH website.  I found the study she was referring to (from 2010, 5 years out of date) and found NOTHING in that said a twin VBAC was not recommended or that it had an increased risk of any serious conditions.  In fact, I went a step further and reached out to the I-CAN site and got an awesome response from the Maryland chapter with some advice on where to go from here and which doctors might be able to help me.

Specifically she wrote:

“The American Congress of Obstetrics and Gynecologists (ACOG) states that “women with one previous cesarean delivery with a low transverse incision, who are otherwise appropriate candidates for twin vaginal delivery, may be considered candidates for TOLAC [trial of labor after cesarean].”  http://www.acog.org/ Resources-And-Publications/ Practice-Bulletins/Committee- on-Practice-Bulletins- Obstetrics/Vaginal-Birth- After-Previous-Cesarean- Delivery.  There are lots of other scientific studies that also show a twin VBAC is a safe and reasonable option (see links to abstracts below).

Twin VBAC Abstracts

I reached out to a midwife she suggested who also told me no and left a message with another potential lead at Mercy hospital.  So despite feeling very defeated this week there is still some hope depending on how Mercy responds.

I also got a phone call from another ICAN representative who said I can always go into the hospital when I’m in labor and refuse a cesarian.  The hospital will have to treat me if I’m in active labor.  Problem is I doubt a hospital is going to schedule a cesarian for 40 weeks with twins… it will likely be long before I would go into labor on my own.  Plus it’s scary to think how I’d be treated if I was the hostile patient who refused to listen to the doctors.  I don’t want to put my babies or my life in jeopardy.

This whole situation is so frustrating.  I do NOT want another cesarian.  I had a miserable experience and I don’t want to go through that again.  …but it looks like I will have no choice.

12 Week NT Scan

12 Week NT Scan

This morning Steve and I went in for the 12 week ultrasound scan.  The babies both measured healthy and were very active.  Much more active than I remember the boys being during their scans.

The babies looked like they were sleeping on bunk-beds.  Baby A was on the bottom and B was on top.  A measured 12w2d and had a heart beat of 170 bpm with an anterior placenta.  Baby B measured 12w3d and had a heart beat of 166 bpm with posterior placenta.  Here’s the post of the boys at their 12 week scan. Everything looked great  I have an appointment with my Dr tomorrow to talk about the results.  The next big ultrasound should be between 18 and 20 weeks when we should be able to find out the sexes!

ER visit

ER visit

Yesterday was the boys 15 month appointment . We took them to the pediatrician and they had two shots. When we got home they were acting okay but kind of sleepy . At 4:30 pm, Ann called upstairs to let me know Nathan was puking . He looked miserable and kept throwing up every 10 minutes.  It was scary.  We called the doctor for the second time around 7:30 pm and she said to take Nathan to the emergency room because of the worry of dehydration since he wasn’t holding down any liquids. Luckily our nanny is awesome… Ann came back to the house to hang out while Anthony slept and Steve and I headed to the hospital.

erNateMommy

They triaged us and gave Nathan some zofran to stop the vomitting. It really was a magic pill. He was so much better after that.  Within 20 minutes he was no longer puking and was even asking for juice.  He was a whole new person.  We had to wait a bit longer before we could be taken back to see the doctor and she barely looked at him and said that the stomach flu was “going around”.  She gave us a prescription for zofran and sent us on our way.

ERNateDaddy

Maybe he got something at the pediatrician’s office.  There weren’t any other kids there though so it must’ve been handling the blocks and toys.  Nathan did so much better today. It’s sad to see our little guy so miserable.  Despite it all he was his normal happy self when he wasn’t throwing up and even managed to crack a smile and laugh at daddy:

YouTube Preview Image

Case of the Giggles

Case of the Giggles

Anthony has had a rough week.  On Monday the boys had to get vaccines at the pediatrician office for their 6 month checkup.  All day Monday and Tuesday Anthony was in a lot of pain, especially around his thigh.  He was whimpering and needed extra snuggles.  Then on Wednesday he seemed back to his normal self except when it was time for bed.  For the past three nights he’s been inconsolable when it comes to bedtime.  He wales regardless of whether or not we’re holding him.  Steve thought it’d be a good time to take him to the doctor today to see if maybe he had an ear infection.  The doctor was not our normaly doctor, his name was Dr. Sherlock and he was hilarious.  He examined Anthony and when he was touching his belly Anthony started laughing.  He said he was going to write in his chart that he was ticklish and his parents were concerned.  Then when we were leaving he said, “Well, looks like it was just a case of the giggles.”

…maybe we’re over protective new parents.  🙂

Checkup

Checkup

The boys went into the pediatrician on Wednesday because we were worried about what turned out to be dry skin. Going in meant we got to weigh them. Anthony now weighs 14 lbs 6 ounces and Nathan weighs 13 lbs 3 ounces. While we were waiting for the dr to enter the room I fed each boy and then we weighed them again and they each gained 3 ounces. Then we changed their diapers and they each lost 3 ounces. Those are some heavy diapers!

8 weeks old

8 weeks old

We took the boys in for their two month appointment today.

Anthony
8 pounds 8 ounces

Nathan
7 pounds 14 ounces

They also had to get a bunch of vaccines. Two shots to the inner thighs and something they took orally. Anthony screamed through it but Nathan was really good. Anthony’s outfit is soaked in blood.  Six hours later Nathan screams in pain when moved around…poor guys.