Tuesday, April 15, 2008

Big Milestone! NT Scan

This day has been a big worry for weeks. Time for the NT scan. And I had to do it all alone. Chris is 700 miles away. We said goodbye last night and I cried like it was going to be a month apart instead of 2 days. I really depend on his support. Chris told me it was in God's hands and we'll be okay. He's been through pretty much every medical fertility related procedure that I've had in the past year. And trust me, that's a lot of sitting up by my head time.

Is the baby going to still be alive? Is the baby still growing? Is the baby going to be healthy? Are we going to be the typical family of my dreams? Will they tell me the NT measurement? Will the measurement be normal? Will I get ultrasound pictures? (Not high on my priority list, but it was high on Christopher's since he couldn't be there.)

My OB sent me to a perinatal specialist for my Integrated Screening. This means that I will get a blood draw and ultrasound between 11-13 weeks. A second blood draw is taken during during weeks 16-18. Then all three results are combined (integrated!) and we get a final result. This screening has a 92% accuracy in detecting down's syndrome. The other trisomy disorders are slightly lower. It has a 5% false positive rate. If the risks come back high, then we may consider an amnio. I worry about the risk of miscarriage so we're going through this screening first.

Everyone at the perinatal office was nice. And of course the waiting room was full of couples. They took my blood first and the nurse explained the testing that I was getting. It's the integrated so I won't get any results until after the second blood draw at 16 weeks. I asked if I would get the NT measurement and she said no, but I would get u/s pictures today. (Chris would get to see too!)
That left me kind of sad that it would be such a long wait for any of the results. I thought maybe I could catch a glimpse of the measurements on the ultrasound monitor or just ask/beg/plead with the tech.

The u/s tech was a very sweet lady. My first external ultrasound. YAY! No dildo cam. AND they didn't make me go with a full bladder. Nice people, I tell ya.

My hope of seeing the measurement on the screen quickly vanished. The monitor for the mother was far away on the wall. Nice flat screen TV but it sucked for my spying efforts. I even wore my glasses instead of my contacts just so I could have a better chance to see the numbers. At that distance I would have needed binoculors.

She changed the views a couple of times. I saw the baby but I didn't see any movement. I was getting ready to ask if the baby was alive. She probably would have thought I was crazy. Then she let me listen to the heartbeat! What a relief. I should have ate some breakfast. Maybe the baby needed some sugar to get moving.

I got to see all the body parts and she told me everything that we were looking at. Little arms and legs, the stomach, the spine. She showed me one of the hands as it was up in the air waving at us!

At the end she told me everything looked great for 12 weeks. She still had the measurement screen up and I asked her what the NT measurement was. She pointed it out and said 1.43 was great. They look for under 3. Whew! I didn't have to beg, cry, or get angry to get the results. I wanted to hug her!


I couldn't even wait until I was out of the office building before calling Chris. As soon as I hit the hallway, I hit speed dial. "Patches is doing great!"


The baby measured 12 weeks 2 days with a 157 HB (heart beat). I should be 12 weeks 3 days so the baby is measuring pretty close. I have a face on skeltor pic and one decent side profile view. It's not as clear as what we saw on the screen though. But it's a baby!

Profile


Heart beat and profile of baby



Skeletor Patches ready for Halloween!

Monday, April 7, 2008

I'm already not a good mommy?

I had my follow up OB appointment after the heavy bleeding two weeks ago. Since then I passed a clot and had some faint spotting that same day. Nothing else to report since that time except for a lot of anxious nervous nelly feelings.

The intake nurse asked me if I had anything new since my last appointment. I told her about passing the clot and spotting. She immediately asked if I went to the emergency room or had an ultrasound. That really threw me and made me feel like I wasn't being a good mommy already! That's just silly, but still, that's what I thought.

I know there's nothing they can do if God forbids something happened to the baby. And there's really no sense in going to the ER for some spotting. I've had a natural miscarriage at 9 weeks. I know the drill.

I told the intake nurse that I had called Lynn, my OB's nurse on the Monday after the spotting. She wasn't too concerned since the bleeding stopped immediately and told me that she would pass on the info to the doctor. I never heard anything more of it so I decided we would just have to wait until this week's appointment.

My OB came in and asked how I was doing. I told him that I was nervous and about the spotting. He immediately said, "Let's do an ultrasound!" Relief. I was concerned about him trying the doppler first. I was afraid that we wouldn't be able to find the heartbeat via the doppler because of my weight and tilted uterus. Plus at 10 weeks 6 days, it's still early yet.

The ultrasound tech was off today so my OB did the scan himself. The baby looks good! The doctor said he wasn't familar with the new machine so he didn't try to take any measurements. But we did get to hear the heartbeat and the baby looks like a baby instead of a shrimp!

My doctor reassured me about work. He asked if I was still traveling and for now I'm going to continue doing it until sometime in May. I'm really ready to transfer to a different position that doesn't involve me working 12 hours a day and being gone 5 days a week.