Thursday, April 24, 2008

Good news and more pictures

Today went great and Jen is feeling pretty good. Below are some pictures from today. Our next appointment will be May 8th and it will be the level 2 ultrasound so we should have some pretty good pictures. Today the gender is still looking the same....Baby A Girl and Baby B Boy.

Cute story of the day: Shawn came and took the kids to McDonalds while we were at the appointment. Jen and I were showing Collin and Lauren the ultrasound pictures from the appointment. I left and headed to my car and my phone started ringing it was Jen. Lauren wanted to know why I kept the ultrasound pictures and Jen explained because they were my babies. Jen said she was the Surro Mom which made Lauren the Surro Sister. Lauren told Jen that sometimes sisters live in different houses and she wanted a picture of her Surro Sister.

This is the picture showing Baby A is a girl. The three little white dots is what they are looking to show the gender.

This picture is showing Baby B is a boy. The little dot at the end of the arrow.

Good picture of Baby A's arm.

Baby A profile
Baby B profile

Monday, April 21, 2008

Here are some pictures finally

Here are some pictures.

Sunday, April 20, 2008

Still having scanner problems

I’m still trying to get my scanner working. I tried to used the scanner on both laptops today and it would not work on either one. I know everyone keeps checking the blog for the ultrasound pictures and I hope to get them on here soon. I’m going to have to find the manual and see if Mike can help me.

Things are going good and Jen is feeling pretty good. We have an appointment on Thursday for the cervix ultrasound. May 8th we are scheduled for our level 2 scan which is a two hour appointment they allow an hour for each baby.

Your pregnancy: 15 weeks

How your baby's growing:Your growing baby now measures about 4 inches long, crown to rump, and weighs in at about 2 1/2 ounces (about the size of an apple). She's busy moving amniotic fluid through her nose and upper respiratory tract, which helps the primitive air sacs in her lungs begin to develop. Her legs are growing longer than her arms now, and she can move all of her joints and limbs. Although her eyelids are still fused shut, she can sense light. If you shine a flashlight at your tummy, for instance, she's likely to move away from the beam. There's not much for your baby to taste at this point, but she is forming taste buds. Finally, if you have an ultrasound this week, you may be able to find out whether your baby's a boy or a girl! (Don't be too disappointed if it remains a mystery, though. Nailing down your baby's sex depends on the clarity of the picture and on your baby's position. He or she may be modestly curled up or turned in such a way as to "hide the goods.")

Thursday, April 10, 2008

High Risk Doc

Today’s appointment went well with the exception of the wait. We had to wait 1 1/2 hours before we got called back. Doc was not happy with that and said it will never happen again. The office manager was called to find out why we waited that long. I guess they had two ultrasound techs out today due to illness.

The placenta is only 1cm over the cervix and he is not that concerned about it. Doc said they usually don’t even say you have placenta previa until you are 20 some weeks because it usually will correct. We have a great chance that the placenta will move upward as things grow. They will keep a close eye on the cervix and measure the placenta to see if it is moving. We will have another ultrasound in two weeks to check the cervix. I think the cervix measurement is to measure the thickness because of the risk of preterm labor. Four weeks from now we will do our level 2 ultrasound so we should know the sex of the babies for sure. We will be 18 weeks when we do the level 2.

The bleeding may continue throughout the pregnancy. Now that we know the bleeding may continue we may not get so stressed out about it. I think it will still make us a little nervous but maybe not quite as bad. I don’t remember the exact percentage (I thought it was kind of high) but there are pregnancies that have bleeding for some reason or another.

I feel really comfortable with the new doctor. We even got his home and pager number today.

I have about 15 ultrasound pictures to scan that I will work on this weekend. I have all my ultrasound pictures in an album and might have to get another one because it sounds like we will have lots of pictures.

Wednesday, April 9, 2008

High Risk Doc Tomorrow

Today we had another scare with a small amount of bleeding. Jen was quick to call the doctor and was told to rest again. We got our appointment with the high risk doc bumped up to tomorrow. I just talked with Jen a while ago and things seem to be going ok tonight. I will update after our appointment tomorrow.

Monday, April 7, 2008

Placenta Previa- OSU here we come

Top of Baby A and Baby B heads- side by side
Baby B Profile

Baby A Profile

Today’s doctor appointment reveals something different than the diagnosis we got last Thursday while in the ER. What we have now been diagnosed with is a marginal placenta previa. From what I understand this can correct itself and we are praying that’s just what it does. We want to keep the bleeding to a minimum for Jen and the babies.

We have now been referred to a high risk doctor at OSU. That means when the babies are born we will get to see Heidi our favorite nurse again. I just can’t wait for that day to come and I’m sure Jen and Shawn are counting down the days and have been for about 13 weeks now. Jen and Shawn have been through so much already and I don’t think any of us expected any of this to happen. It has been one roller coaster ride after another and we just hope and pray that things go well for the remainder of the pregnancy. We will never be able to repay Jen and Shawn for the gift they are giving us.

The babies were perfect today. Their measurements were right where they should be and the heartbeats were good 158 and 161 I think.

For those of you who don’t know the following is an in depth description of Placenta previa:

What is placenta previa? If you have placenta previa, it means that your placenta is lying unusually low in your uterus, next to or covering your cervix. The placenta is the pancake-shaped organ — normally located near the top of the uterus — that supplies your baby with nutrients through the umbilical cord.Placenta previa is not usually a problem early in pregnancy. But if it persists into later pregnancy, it can cause bleeding, which may require you to deliver early and can lead to other complications. If you have placenta previa when it's time to deliver your baby, you'll need to have a c-section.If the placenta covers the cervix completely, it's called a complete or total previa. If it's right on the border of the cervix, it's called a marginal previa. (You may also hear the term "partial previa," which refers to a placenta that covers part of the cervical opening once the cervix starts to dilate.) If the edge of the placenta is within 2 centimeters of the cervix but not bordering it, it's called a low-lying placenta. The location of your placenta will be checked during your midpregnancy ultrasound exam.

Picture of a normal placenta
Picture of a marginal placenta previa
Picture of a complete placenta previa

What happens if I'm diagnosed with placenta previa? It depends on how far along you are in pregnancy. Don't panic if your second trimester ultrasound shows that you have placenta previa. As your pregnancy progresses, your placenta is likely to "migrate" farther from your cervix and no longer be a problem. (Since the placenta is implanted in the uterus, it doesn't actually move, but it can end up farther from your cervix as your uterus expands. Also, as the placenta itself grows, it's likely to grow toward the richer blood supply in the upper part of the uterus.)Only about 10 percent of women who have placenta previa noted on ultrasound at midpregnancy still have it when they deliver their baby. A placenta that completely covers the cervix is more likely to stay that way than one that's bordering it (marginal) or nearby (low-lying).Even if previa is discovered later in pregnancy, the placenta may still move away from the cervix (although the later it's found, the less likely this is to happen). You'll have a follow-up ultrasound early in your third trimester to check on the location of your placenta. If you have any vaginal bleeding in the meantime, an ultrasound will be done then to find out what's going on.

What will happen if my previa persists? If the follow-up ultrasound reveals that your placenta is still covering or too close to your cervix, you'll be monitored carefully, have regular ultrasounds, and need to watch for vaginal bleeding. You'll be put on "pelvic rest," which means no intercourse or vaginal exams for the rest of your pregnancy. And you'll be advised to take it easy and avoid activities that might provoke bleeding, such as strenuous housework or heavy lifting.Bleeding from a placenta previa happens when the cervix begins to thin out or dilate (even a little) and disrupts the blood vessels in that area. It's usually painless, can start without warning, and can range from spotting to extremely heavy bleeding. If your bleeding is severe, you may have to deliver your baby right away, even if he's still premature. You may also need a blood transfusion.It's unusual for bleeding to start before late in the second trimester, and about half the time it doesn't begin until you're nearly full-term (37 weeks). The bleeding will often stop on its own, but it's likely to start again at some point. (If you have bleeding and you're Rh negative, you'll need a shot of Rh immune globulin, unless the baby's father is Rh negative, too.)If you start bleeding or have contractions, you'll need to be hospitalized. What happens then will depend on how far along you are in your pregnancy, how heavy the bleeding is, and how you and your baby are doing. If you're near full-term, your baby will be delivered by c-section right away. If your baby is still premature, he'll be delivered by c-section immediately if his condition warrants it or if you have heavy bleeding that doesn't stop.Otherwise, you'll be watched in the hospital until the bleeding stops. If you're less than 34 weeks, you may be given corticosteriods to speed up your baby's lung development and to prevent other complications in case he ends up being delivered prematurely.If the bleeding stops, and both you and your baby are in good condition, you'll probably be sent home. But you'll need to return to the hospital immediately if the bleeding starts again. If you and your baby continue to do well and you don't need to deliver early, you'll have a scheduled c-section at 37 weeks.No matter when you deliver, if you still have placenta previa, you'll need a c-section. With a complete previa, the placenta blocks the baby's way out. And even if it's only bordering the cervix, you'll still need a c-section in most cases because the placenta could bleed profusely if the cervix dilated.

What other complications can placenta previa cause? Having placenta previa increases your risk of heavy bleeding not only during pregnancy but also during and after delivery. Here's why:After a baby is delivered by c-section, the obstetrician delivers the placenta and the mother is given Pitocin (and possibly other medications). This causes the uterus to contract, which helps stop the bleeding from the area where the placenta was implanted. But when you have previa, the placenta is implanted in the lower part of the uterus, which doesn't contract as well as the upper part — so the contractions are not as effective at stopping the bleeding.Women who have placenta previa are also more likely to have a placenta that's implanted too deeply and doesn't separate easily at delivery (placenta accreta). Placenta accreta occurs in only one out of 2,500 births overall, but your chances of having this problem are one in ten if you have placenta previa when you deliver your baby. Placenta accreta can cause severe bleeding, and a hysterectomy to control the bleeding and a blood transfusion may be required.Finally, women with placenta previa are more likely to have a low-birthweight baby — mostly because they may need to deliver early, but also because of a slightly increased risk of intrauterine growth restriction.

Who's most at risk for placenta previa? Most women who develop placenta previa have no apparent risk factors. But if any of the following apply to you, you're more likely to have this complication:
• You had placenta previa in a previous pregnancy.
• You're pregnant with twins or higher-order multiples.
• You've had c-sections before. (The more c-sections you've had, the higher the risk.)
• You've had some other uterine surgery (such as a D&C or fibroid removal).
• You're a cigarette smoker.
• You use cocaine.Also, the more babies you've had and the older you are, the higher your risk

Friday, April 4, 2008

Another Terrifying Moment

Click on images to enlarge

Yesterday was Mike’s bowling night so I was at Mom & Dad’s and we had started to eat our regular Thursday night Chipotle dinner when the call came around 6:00. Jen called with that scared and nervous voice that said bleeding had started again. I called Mike and we all headed to the hospital again. Yes, this will be the third hospital visit in the last 6 or 7 weeks.

First ..Blood work, exam, heartbeat check

We had two heartbeats and the ranges were the same that we had just heard Monday at our regular doctor’s appointment.

Second…wait for the ultrasound tech to come in from home

The ultrasound tech arrived and we headed to the ultrasound room. Even though we had just heard heartbeats earlier in the evening I was so nervous about this ultrasound. The poor ultrasound tech was home trying to pack for her trip to Florida the next morning. The ultrasound showed two babies full of life. They were moving all around and would not stop for a minute. It is so amazing to see a baby be so tiny yet be so full of life and movement. There were tiny little legs, arms, hands and feet. Mike was so excited to see the babies on the ultrasound. He was so close to the machine watching their every move. There were several measurements and pictures taken for the radiologist who would review the results. We got three pictures to bring home which I have scanned in with this post. There is one picture that shows a tiny little foot. There are two more pictures one for baby A and one for baby B these pictures are the ones we are using to determine the sex of the babies. Although it is very early and this could not be totally correct the pictures seem to reveal…..a perfect miracle.

Baby A – Girl
Baby B – Boy

Our ultrasound tech went strictly by the book and was not able to discuss the result of the ultrasound with us but she did print these two pictures and told us what they look for when they look for the sex of the baby. Baby A’s head was in the downward position which Jen was happy with and wants it to stay that way.

The wait was finally over and the PA (I’m pretty sure that’s what she was -physician assistant) came in to talk to us. She told us the blood work was good ….the urine was good….and the ultrasound showed a subchorionic hemorrhage??? We asked what this was and she told us she knew what it was in her head but had to go figure out how to explain it to us. She was gone forever. Mike made jokes that she had gone to Google it. She came back to explain that something had pulled away from the wall which caused some bleeding. The PA made it seem like it was not a big deal and we should follow up with our OB in the morning. I wish I would have done things differently now. I wish I would have insisted that a doctor come in and explain things to us because now I have so many questions that are not going to be answered until Monday. After researching this condition on the internet I’m wondering…How bad is it??? Where is the tear or what ever it is??? What is the risk to the babies??? You know how it is when you always think of things after the fact. I feel these types of things should have been included in the explanation we received. When you are stressed out and tired like we were you just don’t think of everything. All you hear are that things looked good and we were heading home.

I can say I have never been at a hospital where I thought there we so may people that really cared about you and your situation. The girl that checked us in last night was so sweet. I wish I knew her name because I would like to send a comment to the hospital about her. She reminds me so much of my favorite nurse from OSU Heidi. I believe the other nurse we liked so well might have been the nurse in charge. The only thing that really upset me was the way they explained the bleeding condition to us. I have no idea the risk for losing the babies at this point. A doctor should have been in the room with us when the PA came in to explain things. It just does not look good when they have to leave the room to figure out how to explain thing to you.

Please keep Jen and our babies in your prayers. We have another ultrasound scheduled Monday at our OB office. Jen is on bed rest this weekend. We can not thank her enough because she has had to put up with so much already.

Special thanks to Cheryl again for the keeping the kids and getting no sleep because the boys were up at 5 a.m. after being up late worried about us. Thanks to Mom and Dad for staying with us the entire time in the lobby. We also got to meet Shawn’s cousin and wife which were there for support also.