Quickest appointment yet today. But I guess I’ll be having more like this for the next couple of months.
Took a quick look at the baby, mostly to check the heart rate (160, just like it has been.) Didn’t get a measurement, but the critter obviously bigger than it was two weeks ago! (According to the intertubes, it’s 3-3.5″ or roughly lemon-sized.) It was just kicking back, with it’s arms up, like laying in a hammock. The tech got two pictures, but they’re pretty fuzzy. It was bobbing it’s little head, but not dancing like last time. (This appointment was at 3:00pm, whereas my others have all been before 10:00am… so maybe afternoon is siesta time?)
Dr. Schwartz went over my 1st trimester screening results with me and things are looking great.
Downs Syndrome result is 1:4800 (chances of the baby having DS are one in 4800 similar births.) The baseline chances for someone of my age with my health profile was 1:320, so the actual test results tell a MUCH better story.
Trisomy 18 result is 1:2350, which I guess is very good. Dr. Schwartz says anything over 1:100 is fabulous.
Based on these numbers and the great results on the nuchal fold screening, there’s no need to seek further testing (like a CVS or amnio) at this time.
My a1c is down to 6.3 from 6.5 when I first got pregnant. (The a1c is like a 3 month report card on my blood sugar control. Anything below 6 is non-diabetic territory, so I’m doing fabulous in this regard which basically negates any diabetes-related risks to the baby.) Thyroid is creeping up a little, which is expected. My thyroid meds will prolly get adjusted at my next visit, if for nothing else than to negate the fact that I’ve got 30% more blood volume now. My blood pressure was lower than it has ever been – which means the new med (Methyldopa) that was added to my regimen last time is working. Still on the high side, but Dr. Schwartz was happy to see some movement on that, finally.
I e-mailed Dr. Schwartz yesterday with a couple of questions, so he’d be ready to be interrogated. Got some surprising answers, not what I was expecting from the reading I’d been doing in books and online.
Delivery: Currently Dr. Schwartz is planning on letting me go to 39 weeks – so delivering around 7/10/10. (If I went to 7/11, this would be the 3rd kid in my family with that birthday, which includes my brother!) He wants to avoid a C-section if at all possible. Vaginal delivery has a lot of benefits to the baby, but mostly he doesn’t want me to have to deal with recovery from abdominal surgery. He feels that at my current weight and as a diabetic, recovery would be less than optimal and that I would be in a lot more pain & have a longer recovery than average. He’s totally open to a C-section if it becomes necessary, but has every intention of inducing me first and letting me at least attempt to labor. He said that actually he expects me to do well with a vaginal birth. So YAY for that. I’m not all crunchy granola and ‘needing’ to try to push the kid out – but I’m totally open to the experience. I am also totally open to the epidural as soon as they’ll let me have it. :)
OMG pains: Apparently mostly what I’ve been experiencing in the last two weeks has been “low pelvic pain” as opposed to “round ligament pain” My pelvis is splitting apart and it’s totally normal. Hurts like hell and scares the crap outta me when it takes my breath away or wakes me up in the middle of the night, but it’s normal. So whee and hooray for being pregnant.
Bedrest: Currently not a big concern. Dr. Schwartz says I’m doing fine and that he avoids complete bed rest if at all possible. Apparently high risk pregnant women are at higher risk for DVT (blood clots) when on complete bed rest. He didn’t rule out modified bed rest for the last month or two though – which would mean that if I’m not at work, I’m home with my feet up. (Honestly other than the fact that modified bed rest would mean baby/house prep has to be done sooner, being ordered to go home and put my feet up sounds pretty good actually.)
Next appointment is first thing in the morning on Wednesday the 27th. Dr. Schwartz says we’ll try to figure out the sex at that appointment, but if we don’t get an answer then we will for sure at the next appointment which will be the “big” anatomical ultrasound. So hopefully we’ll know soon!