Simply, amazing.
My OB appointment went well Wednesday. They gave me all of my test results right off the bat. I passed the 1 hour glucose challenge test (phew), but my iron levels are borderline low, and my rubella titer continues to decrease. So while I don't have to worry about the 3 hour glucose tolerance test, I do have to up my iron intake and will most likely receive a rubella booster shot after delivery.
Weight was just up a pound to 158, so 23 pounds gained in 27 weeks. Heartbeat sounded strong and in the usual 140s range. Blood pressure 100/60. Fundal height 27.5...so just right.
He shared with me that he and my peri are very happy with how I am doing and he even went so far as to say I'm doing "fabulous."
Um, "me", "fabulous", and "pregnancy" in the same breath? Seriously?
We also talked about when it would be time to call it game over if things continued to go well. His biggest concern is my uterus and the chance of rupture due to the prior c-section done at only 27 weeks, the c-section scar itself, and the fact my uterus is heart-shaped and cannot expand as completely as it should. In his game plan, we will do an amnio at 36 weeks and possibly deliver...that is, if I haven't delivered by then already. I don't think he really plans for me to go any further than that because the risk of rupture is too great.
My peri appointment went well yesterday as well, but has left me with questions. My cervix is measuring 3.27cm and then with fundal pressure applied (pushing on uterus to mimic a contraction), it goes down to 2.95cm. Now that's not a HUGE change, but it is a change...whereas before there were no changes with fundal pressure. Any measurement above 3cm is considered normal...so do I fret over the 5/100ths?
Of COURSE I do people!!!
I ended up emailing my peri an hour later and asked him to really share with me his thoughts on that change with fundal pressure applied and he hasn't gotten back to me just yet. I told him not to rush, so I'm sure I'll hear from him tomorrow.
From the research I have done, the cervix...well, a normal cervix...should measure between 3 and 4 cm before 28 weeks. After 28 weeks, it will slowly shorten on it's own in preparation for labor. Measurements below 2.5cm are cause for concern and biweekly measurements...which I'm already doing and we're not quite there yet. Measurements below 2.0cm are really worrisome and usually mean bedrest and weekly measurements. Measurements below 1.5cm mean hospital bedrest.
The good thing is that the cerclage acts as a reinforcement to my cervix. The portions of my cervix immediately above and below my cerclage are thicker due to the scarring that the cerclage causes...therefore, it is more difficult for them to change and soften.
Now despite my frets over the .5mm I am below 3cm, my peri assured me things look great and he is very pleased. In his own words, "This looks like a 39 week pregnancy." When I asked him about my uterus and the chance of rupture, he was not nearly as concerned as my OB...which did surprise me quite a bit. I am guessing my OB will be the one that is watching my uterus very carefully and not him.
The last tidbit of info is that my last 17p shot will be at 34wk4d...if we make it that far. I don't have any refills after that and the peri said that's close enough.
There you have it...consider yourself up-to-date on all things Baby Lewis! We do have a website for this little one (finally). I have actually had it since October, but just wasn't ready to take the leap of faith of sharing it at that point.
It is a work in progress...one that will be worked on heavily in the next week as I add scanned ultrasound pictures, ultrasound video clips, and more baby bump shots. The journal entries are the same as the ones here and I plan to continue posting the same entries on both the blog and website.
1 comment:
First, I love that you posted this at midnight! I see that some things haven't changed. Ha! Thanks for the update! You have definitely reached a milestone. I remember talking to you 27 weeks ago and this date seemed SO far away! I hope all continues to go smoothly. I sure miss having you at work, but I'm glad that your being home has helped your pregnancy go so well!
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