March 23, 2016
Off to the doctor today and all looks good. Our little bean is measuring on target and has a good heart beat of 157.
I headed in for the nurse visit a bit early and had to do an automated informational gathering on a computer. It all got interesting when it started asking my history and my husbands. I was trying to explain to the nurse it really had no bearing on the baby. When we got to ethnicity it really got interesting. "Should I put African American?" Blank stare.
"You're white."
"I understand, but the genetic mother was African American and Caucasion, so if you are trying to figure out if you need to run certain genetic markers that are prevalent in the African American community, you do."
The nurse was clueless. "Um, You're white, so put white."
Sure. I put father as African American so it's noted in the file ;)
Next, we took my blood pressure, 103/55. My blood pressure is always a bit low. No surprise there. Weight, 103 lbs...so I lost weight. Honestly, not hugely surprised. I force myself to eat throughout the day, but certainly not feeling it.
My hubby and I strolled into the examination room and they had me undress completely and put the all so glamorous tie in the back robe on. After listening to an obscenely long video on the risks of birth defects and the genetic screenings, the doctor came in.
She asked about setting up my genetic screening, but I told her I didn't think it'd work because of the donor embryo so she set up a genetic counseling. I told her from my research the only test on the market suitable for donor eggs or embryos was Maternit21. Apparently this is covered by my insurance, but I have to call and get the 411 on the price. I called the company myself and they said I could have it done third party and pay them directly, so if that is the cheaper option, I'll go that route. My OB said she couldn't order it outside of Kaiser, but fortunately my RE already agreed to.
Next, she ordered a LOT of blood tests. She also threw in my estradoil and progesterone so I didn't have to drive an hour tomorrow morning and PAY to have those hormones checked. I love my OB. Same one that I had for prenatal care with my son. She also looked over my record and said my thyroid was a bit high last time - very much in normal ranges, but too high for pregnancy, so we are having that checked to head off any issues.
Because of my "advanced maternal age" ahem, 37 at deliver, I am considered high risk. Pair that with a history of infertility and the SCH, I'm firmly in that category. I'm not phased by that though. In my eyes, that equals extra monitoring covered by my insurance. All good by me. I want to make sure all goes well. I had low amniotic fluid last pregnancy, so I want to make sure that is monitored as well.
She then checked my cervix, felt my abdomen and off we go with the ultrasound. And TWO sacs show up. WHAT?!?!? "Whoa whoa whoa" she said, "It's the machine. It's a mirror image. Not twins."
Husband - DEEP SIGH OF RELIEF.
The nurse switched out the probe and apparently, it was a defective probe because we were back to a singleton pregnancy. The baby was noticeably bigger today and we saw that little flicker of a heartbeat. She turned it on so we could hear. That sound never gets old.
At first when she measured the baby looked 7 weeks 3 days, but she found a clearer angle and 7 weeks 6 days, right on target. She also searched for the SCH and there it was. She kind of maneuvered the probe around to get a better angle and the best measurement she could get was 2.43 cm. She told me it'd most likely be reabsorbed into the body eventually.
I asked if there was heightened risk and she pretty much said, if you were going to lose the baby, you'd have lost it. The baby survived the first bleed so chances are VERY slim you'll have any issues going forward. She also mentioned if it was a large SCH she'd be more alarmed, but since it's smaller, she thinks it'll be fine.
Although she didn't have the measurements of the first and second u/s, I did bring in the hard copy for her and she thought it looks noticeably smaller from the first one.
She told me I didn't have to be on bedrest, but that I will be on pelvic rest (sorry hubby, no sex) could not lift more than 20 lbs, should avoid running and exercise and try not to over exert myself. I asked if walking was ok and she kind of paused and said ok, but to limit it to 15-20 min of a casual stroll. No fast walking.
So, my life feels more normal again. I still want to keep reminding myself to take it easy though. I'm kind of an overachiever and I'm well aware this is NOT the time to be so. When I called my mom to update her she kept saying "don't over do it. A messy house is ok. Not cooking dinner every night is ok. Putting your feet up is ok."
So, my next appointment is in two weeks. Typically, it's four weeks, but with the SCH she does want to monitor it carefully, so I'm appreciate of the extra monitoring. AND, best part, that means I can skip the 10 week out of pocket appointment with the RE. My OB also put in a script for progesterone for me. It'll take 1-2 weeks for them to compound, but if I still need it at that point, I can switch to a covered med.
From there off to the lab. I had to do the 1 hr glucose test (which I passed with flying colors) but choking down that horrid orange drink is just disgusting. Especially when you are queasy to start. When I stood up, I almost threw up and the lab tech said "If you throw up you have to drink another one and start over." Deep breaths - out to the sunshine. I laid on the grass for 45 minutes and chatted with my mom on the phone.
Back inside I went. They drew 12 vials of blood and I was done for the day. So now, I wait. I emailed my coordinator at the fertility clinic my u/s photo and the measurement of the SCH and will send her my estradiol and progesterone tomorrow.
I had to go get my son from school. The first time I've stepped out my front door in two weeks and the furthest I've walked. And it was WONDERFUL! Sun was shining, fresh air....ahhhhhh!
The one other thing my doctor stressed was eating. Somehow I've actually lost weight instead of gained any since transfer and am down to 103. Not ideal starting technically "underweight" to begin with. I just have such a hard time eating right now. I feel so ill every time I put something in my mouth. She suggested upping my B6 to 25mg twice a day instead of once and I've a feeling if I don't gain by 10 weeks she will prescribe medication...I really don't want that. I don't like meds to begin and while pregnant, no thanks. As I down all my fertility meds...hmpfh.
So, all in all. Baby looks great. Couch rest is lifted to just taking it easy and I'm just so peaceful tonight after seeing that little bean growing so well in there. It's barely 8:30 and I am EXHAUSTED though so off to take my shot for the night and head to bed.
God bless!
Off to the doctor today and all looks good. Our little bean is measuring on target and has a good heart beat of 157.
I headed in for the nurse visit a bit early and had to do an automated informational gathering on a computer. It all got interesting when it started asking my history and my husbands. I was trying to explain to the nurse it really had no bearing on the baby. When we got to ethnicity it really got interesting. "Should I put African American?" Blank stare.
"You're white."
"I understand, but the genetic mother was African American and Caucasion, so if you are trying to figure out if you need to run certain genetic markers that are prevalent in the African American community, you do."
The nurse was clueless. "Um, You're white, so put white."
Sure. I put father as African American so it's noted in the file ;)
Next, we took my blood pressure, 103/55. My blood pressure is always a bit low. No surprise there. Weight, 103 lbs...so I lost weight. Honestly, not hugely surprised. I force myself to eat throughout the day, but certainly not feeling it.
My hubby and I strolled into the examination room and they had me undress completely and put the all so glamorous tie in the back robe on. After listening to an obscenely long video on the risks of birth defects and the genetic screenings, the doctor came in.
She asked about setting up my genetic screening, but I told her I didn't think it'd work because of the donor embryo so she set up a genetic counseling. I told her from my research the only test on the market suitable for donor eggs or embryos was Maternit21. Apparently this is covered by my insurance, but I have to call and get the 411 on the price. I called the company myself and they said I could have it done third party and pay them directly, so if that is the cheaper option, I'll go that route. My OB said she couldn't order it outside of Kaiser, but fortunately my RE already agreed to.
Next, she ordered a LOT of blood tests. She also threw in my estradoil and progesterone so I didn't have to drive an hour tomorrow morning and PAY to have those hormones checked. I love my OB. Same one that I had for prenatal care with my son. She also looked over my record and said my thyroid was a bit high last time - very much in normal ranges, but too high for pregnancy, so we are having that checked to head off any issues.
Because of my "advanced maternal age" ahem, 37 at deliver, I am considered high risk. Pair that with a history of infertility and the SCH, I'm firmly in that category. I'm not phased by that though. In my eyes, that equals extra monitoring covered by my insurance. All good by me. I want to make sure all goes well. I had low amniotic fluid last pregnancy, so I want to make sure that is monitored as well.
She then checked my cervix, felt my abdomen and off we go with the ultrasound. And TWO sacs show up. WHAT?!?!? "Whoa whoa whoa" she said, "It's the machine. It's a mirror image. Not twins."
Husband - DEEP SIGH OF RELIEF.
The nurse switched out the probe and apparently, it was a defective probe because we were back to a singleton pregnancy. The baby was noticeably bigger today and we saw that little flicker of a heartbeat. She turned it on so we could hear. That sound never gets old.
At first when she measured the baby looked 7 weeks 3 days, but she found a clearer angle and 7 weeks 6 days, right on target. She also searched for the SCH and there it was. She kind of maneuvered the probe around to get a better angle and the best measurement she could get was 2.43 cm. She told me it'd most likely be reabsorbed into the body eventually.
I asked if there was heightened risk and she pretty much said, if you were going to lose the baby, you'd have lost it. The baby survived the first bleed so chances are VERY slim you'll have any issues going forward. She also mentioned if it was a large SCH she'd be more alarmed, but since it's smaller, she thinks it'll be fine.
Although she didn't have the measurements of the first and second u/s, I did bring in the hard copy for her and she thought it looks noticeably smaller from the first one.
She told me I didn't have to be on bedrest, but that I will be on pelvic rest (sorry hubby, no sex) could not lift more than 20 lbs, should avoid running and exercise and try not to over exert myself. I asked if walking was ok and she kind of paused and said ok, but to limit it to 15-20 min of a casual stroll. No fast walking.
So, my life feels more normal again. I still want to keep reminding myself to take it easy though. I'm kind of an overachiever and I'm well aware this is NOT the time to be so. When I called my mom to update her she kept saying "don't over do it. A messy house is ok. Not cooking dinner every night is ok. Putting your feet up is ok."
So, my next appointment is in two weeks. Typically, it's four weeks, but with the SCH she does want to monitor it carefully, so I'm appreciate of the extra monitoring. AND, best part, that means I can skip the 10 week out of pocket appointment with the RE. My OB also put in a script for progesterone for me. It'll take 1-2 weeks for them to compound, but if I still need it at that point, I can switch to a covered med.
From there off to the lab. I had to do the 1 hr glucose test (which I passed with flying colors) but choking down that horrid orange drink is just disgusting. Especially when you are queasy to start. When I stood up, I almost threw up and the lab tech said "If you throw up you have to drink another one and start over." Deep breaths - out to the sunshine. I laid on the grass for 45 minutes and chatted with my mom on the phone.
Back inside I went. They drew 12 vials of blood and I was done for the day. So now, I wait. I emailed my coordinator at the fertility clinic my u/s photo and the measurement of the SCH and will send her my estradiol and progesterone tomorrow.
I had to go get my son from school. The first time I've stepped out my front door in two weeks and the furthest I've walked. And it was WONDERFUL! Sun was shining, fresh air....ahhhhhh!
The one other thing my doctor stressed was eating. Somehow I've actually lost weight instead of gained any since transfer and am down to 103. Not ideal starting technically "underweight" to begin with. I just have such a hard time eating right now. I feel so ill every time I put something in my mouth. She suggested upping my B6 to 25mg twice a day instead of once and I've a feeling if I don't gain by 10 weeks she will prescribe medication...I really don't want that. I don't like meds to begin and while pregnant, no thanks. As I down all my fertility meds...hmpfh.
So, all in all. Baby looks great. Couch rest is lifted to just taking it easy and I'm just so peaceful tonight after seeing that little bean growing so well in there. It's barely 8:30 and I am EXHAUSTED though so off to take my shot for the night and head to bed.
God bless!
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