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.
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:
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 I found the study she was referring to (from 2010, 5 years out of date) and found NOTHING in that said a twin VBAC was not recommended or that it had an increased risk of any serious conditions.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.
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!
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.
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.
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:
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. 🙂
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!
This is a late post but I took this pictures of Nathan at 4 months old at our last pediatrician appointment. He’s on the scale and weighing in at a large 11.5 lbs.
We took the boys in for their two month appointment today.
8 pounds 8 ounces
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.