Thursday, July 30, 2009

Fetal Assessment update

Hey all!
So here's the BIG update from our fetal assessment today. I am being followed very closely by fetal assessment now (every 2 weeks for the next 10 weeks, and then we'll re-assess the frequency) and our scan today went well. Ross was able to get the time off to come with me, so that was fantastic. It's always 100x more fun when he's there. :)
So... going through our issues one by one...
Placenta previa: this has been relatively resolved and will get better with time. As we suspected the placenta is beginning to move as the baby grows, and that growth will naturally pull the placenta upwards. This is beginning to happen and my placenta is now what they'd call "very low lying placenta" but not quite covering the opening. The doctor said that by the time I deliver the baby, my doctor will likely not even give my placenta placement a second thought. So we'll consider that resolved. :)
Incompetent Cervix: My measurement today was fantastic and the doctor asked me a ton of questions about my labour and birth with Faith. After discussing it at length, he is not convinced that I have this and he says it sounds more like I just went into spontaneous premature labour. The surgical procedure that has been postponed many times now, is now off the table. It's not being done. That's a good thing because that would have limited my activity and put me on bedrest for a week post surgery.
Factor V Leiden: My clotting disorder. It seems that this is the most likely culprit for my premature birth with Faith, so my hematologist has doubled my heparin (blood thinners) for the rest of the pregnancy and recommended I stay on them for 6 weeks post pardum. No biggie. I'm getting used to the needles and our summer generally sucks so it's not like the bruises on my stomach from the heparin is hindering my bikini-wearing... which is non-existant... unless I were to swim in the massive puddles on my front street. But that's not likely.
The rest of the story: There is still the risk of premature labour. So, the doctor at fetal assessment has decided that he'd like to do a fetal assessment every 2 weeks until I am generally out of the "danger zone" and closer to 3rd trimester. We will be doing the bi-weekly ones for the next 10 weeks and then re-assess the need based on what those scans show. There are signs that they can look for in fetal assessment that will predict if I am going to go into labour early, and this will be what they are specifically looking for each scan. My Obstetrician (general pregnancy doc) will also be seeing me every 2 weeks (as has been the norm for the entire pregnancy thus far) and my hematologist will see me in 2 months. So I am definitely not being forgotten about. ;) I will be very familiar with this baby by the time it comes. :) We can even get some pictures at fetal assessment so I'll see about getting those scanned or something to post up here. The machine didn't work this time, but she said next time we'd get them. :)
Otherwise everything else is looking good. No signs of placental tears or bleeds, placenta looks great, baby is measuring right on time and looking great. Ross got a tour of the baby's brain (because he asked what she was looking at and I mentioned that he was a Psych major and very interested in brains...) and our tech was fantastic. They were very ready to answer any question we had and were very informative and detailed with us. It was a very good visit overall. :)
So... all is good, we're just keeping an eye on things and watching how they progress. But today, we are doing well. :) Keep praying for us and the baby, our prayers are definitely being heard and they are helping!!!
Until next time!
Jen

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