16w4d ultrasound – so far so good


I’m glad to report that we came back from an ultrasound yesterday afternoon at the MFM clinic and the quick report is that everything looks good.  DrGav wanted to do a full anatomy ultrasound early and then do subsequent ones every 4 weeks to make sure that the growth of the monsters is on track.  If growth does not seem to be progressing normally, then I may get put on lovenox or heparin.  I weighed in and am up about 7 lbs since the start of things, so that is looking fine. 

MrBeep sat at my side, touched my shoulder and kissed my forehead.  A full anatomy ultrasound takes a while as each thing is scrutinized and measured.  For over an hour I got to lay back and watch the monsters jiggle and wiggle. I saw happy squishy brains, thumping hearts and kidneys and stomachs and bladders.  I got to see the profile of each face, accompanied by waving arms and legs, twitchy hands and feet. I counted 5 fingers on a wee hand held out and easy to see.  I got to see eentsy little toes.  I watched so hard my eyes started to water and by the end my vision was blurred.  I couldn’t help it!  I guess I forgot to blink but the perma-grin was wide on my face.  

It’s amazing how reduced the room is in there compared to 5 weeks ago at the NT ultrasound.  No easy turns doing back flips at will.  They’ll just have to practice to be in Cirque du Soleil once they are in normal gravity like the rest of us.  The ultrasound technician got a couple of shots from under each baby’s legs, she asked me to guess, but I had no idea – remember it’s only 16 weeks along.  She is pretty sure the sex on one and the other is an educated guess, it’s legs were held tight together.  The internal ultrasound showed my cervix was long and closed, that is another very good thing.  DrGav warned that with twins, they want internal cervical checks every two weeks as things can change very quickly and a month span is too long between checks.

DrGav also said that the measurements on both babies looked good.  He needs more time to review all of the pictures to look closely at the placentas, etc.  We expressed our interest in amnio before the appointment and he said that it was really up to us, but that the measurements again put the risks for DS and Trisomy 13/18 as really low (1 in 650).  In the end, we still wanted to do the amnio.  The procedure went well.  DrGav explained each step and all the precautions he took for good results.  My belly was swabbed with iodine.  The ultrasound was on and referenced the entire time.  One quick poke for each twin’s sac/fluid. I watched on the ultrasound and all seemed to go fine.  The babies heartbeats were measured right on track after the procedure.  I have had an easy time afterwards so far.  No spotting, no leaking, no high temperature.  I have felt the babies flutter happily all night and day.  I have added a poll to the right column so you can guess what flavor the monsters are.  I get the results in about two weeks.

Why decide to do the amnio?  Folks, I’m 41, MrBeep is 46.  These are my own old eggs, his own sperm.  I’m going to be very honest, if one of these babies has a condition that is incompatible with life and puts the other baby at great risk, I need to know. I have to think of more than myself.  Screening tests are highly educated guesses, they are not diagnostic and they do not have the real genetic answers.  Also, D/S and Tri 13/18 are only 3 things.  Amniocentesis karyotyping tests for over 40 and we are also getting a prenatal CGH microarray that looks at over 100.  The real risks for continuous scan amnio with a highly qualified specialist like DrGav are significantly lower than 1:200.  They are actually more like 1:1,600.  Please believe that I don’t think that my preferences and decisions are right for everyone, but they are right for us.  In two weeks I’ll either have the hardest decision of my life or I’ll get to finally breathe a little easier for the first time in years.  I am happy to answer any questions for those of you who need to know more, just post in the comments or email ifoptimist.at gmail.com.  I would appreciate understanding and not judgment.  If you have strict religious beliefs and ideals, I respect them.  Please my friends, I’m scared and I’m crying. I will meditate.  I will try to instill calm in my heart.  Now again with a wholly new kind of 2 week wait, I will embrace Hope in all its bright sunshine, glowing at the end of a dark cave. 

22 comments on "16w4d ultrasound – so far so good"

One Who Understands on January 13, 2010 at 1:18 PM said...

I'm so glad it all went well. I think doing an amnio is a great idea. I would've made the same choice. I'm sure both will be fine. Oh and my guess is 1 boy and 1 girl!

sprogblogger on January 13, 2010 at 1:18 PM said...

So glad everything's looking great, and have full confidence that it will continue to look great. I will, of course, be waiting for those results, thinking good thoughts & singing little lucky songs until this worst of the 2wws is over.

Kathy and Oli on January 13, 2010 at 1:19 PM said...
This comment has been removed by the author.
Amanda on January 13, 2010 at 1:25 PM said...

Hooray for such a wonderful appointment! I can't wait to see if I voted correctly on your poll (because I have such great faith that your amnio results will be perfect)!!

Kimbosue on January 13, 2010 at 1:37 PM said...

YAHOO for a good appointment. You don't have to explain your reasons behind the tests to me. You're the mama and that's all that matters. You are in charge of you and those monsters. Can't wait to see if they are pink or blue!

Anonymous said...

Having correct/factual information is key to making the right decisions for you and your family. Congrats and Best Wishes!

Pie on January 13, 2010 at 3:01 PM said...

So glad it went well, they sound like active little ones! I can't believe another 2ww is ahead of you, I hope it goes quickly.

k on January 13, 2010 at 3:01 PM said...

Honey this is your life and your decisions are right because you are doing what is best for your family. I know its scary to talk about this because of the judgment you fear but know that I respect you talking about it. It's something I myself had struggled with, the "what would I do?"

I'm thinking of you during this two week wait and I pray that you get good beautiful results.

Sunny on January 13, 2010 at 3:16 PM said...

You know I'll support you no matter what! But I have a good feeling anyway -- it won't even matter because they are healthy. Prayers up that this tww passes quickly and brings you sweet relief at the end.

Clare on January 13, 2010 at 3:29 PM said...

Wow what a day! So glad everything is going well. I hope and pray all goes will with the results you are waiting for, I have a very strong feeling that all will be well. You need to do whatever you feel is right for you and no judgement should be passed on your decisions. This is all so exciting! Hands, toes, hearts everything, i guess some days it must feel like you're dreaming it all. Big massive monster hugs. oooh my guess is one boy, one girl....

Ann on January 13, 2010 at 3:43 PM said...

Wonderful news! I too would do the amnio, no judgement here. It'll all be fine. Sending warm thought your way and to Mr Beep too.

Barefoot on January 13, 2010 at 4:11 PM said...

So glad the scan went well Thinking good thoughtts for you for your amnio results!

meinsideout on January 13, 2010 at 6:34 PM said...

So glad the u/s and amnio went well - and so excited to hear about the results - I think it is boy/girl!

((HUGS))

Kate on January 13, 2010 at 6:42 PM said...

Don't be scared - I'm convinced the monsters are both perfect. Hope you get great results in 2 weeks so you can finally relax entirely. Glad to hear everything went well, and that you had thoroughly reflected on the pros and cons so that you could do the amnio and not be conflicted about it.
Congrats on two healthy babies and a long closed cervix!

tragicoptimist on January 13, 2010 at 7:20 PM said...

Thinking of you. I'm so glad that the ultrasound yesterday looked good. I think that I would probably make the same decision that have, and I'll hold on to hope as well that you'll be breathing so much easier in 2 weeks.

The Steadfast Warrior on January 13, 2010 at 8:52 PM said...

Great news about the appointment. We all have to do what we need to do- I'm sure the amnio results will be fine. Can't wait to see what flavours the monsters turn out to be!

Mrs. Gamgee on January 13, 2010 at 9:42 PM said...

I'm so glad that the appointment went well. I'm firmly in the 'scoop of each' camp.

In regards to the amnio, first, I'm praying that all is well. Second, you have to do what you have to do to ease your mind. You made an informed decision in the best interest of your monsters and yourself.

Rest, meditate, whatever you need... and know that there are a gaggle of us out here supporting you!

butterflyanla on January 13, 2010 at 10:04 PM said...

I think doing an amnio is an excellent idea. Wishing you all the luck.

Photogrl on January 14, 2010 at 12:23 PM said...

Yay for another wonderful appointment full of good news!

I hope your 2ww goes quickly...

((HUGS))

I think it's one of each! ;)

Rotten on January 15, 2010 at 10:02 AM said...

I am contemplating the amnio if we get pregnant again as well. That whole old egg thing scares the poop out of me and I think if there is a test that can put your mind at ease or help make a difficult decision, then it is the best test for you. I'll be thinking of you that day. I know how scary the whole process can be and I am obviously hoping for the best results.

Anonymous said...

I did CVS with my last child because I was 39. I too would have made a hard decision if the results showed incompatible with life. Thank goodness, my baby was fine. My pregnancy was so much more relaxed since I knew he was okay (I was a wreck with the previous preg). There was a result called "FISH" or something for the CVS that came after 2 days with the bigger results coming at 2 weeks. Does amnio have that? Maybe ask.

mekate on January 17, 2010 at 4:27 PM said...

Hi love,
I just wanted to say hello in the midst of your tww-- I cannot believe you are already in week 17, holy crap. Hope EVERYTHING is perfect and that no difficult choices need to be made. YOu are so brave doing the amnio! (I am scared of the big needles, never mind the rest of it) hope that 72 hour window just simply passed and you are able to breathe.

with big love,
Kate

 

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