Saturday, March 3, 2012

24 weeks: Fasting and Feasting


February 29, 2012

On Monday, we celebrated turning 24 weeks, which also marks viability.  This means if I were to have the babies now, they’d have a chance at surving.  (Although, they still need to bake for quite a ways longer.  For the 24 week appointment I had to see both my MFM and my OB.  We started with the MFM on Friday and did an ultrasound on the girls to check their fluid levels and dopplers (i.e. their blood flow to and from the umbilical cords).  So far, the girls are doing great!  We also learned that their size discordance has decreased.  They are now 9% difference in size which is such an exciting update!   They seem to be sharing the placenta very well.  This was definitely reason to celebrate.  



I’ve been craving yellow cake with chocolate frosting for awhile so I decided I’d make some cupcakes to celebrate. I also knew the gestational diabetes test was coming up so I thought I’d better get my sweets in now, just in case!  They were a delicious snack:

Today, I am sitting in my OB’s office doubling up my appointment with the dreaded gestational diabetes test.  I arrived at 9am and started with a blood draw.  After they took my blood, I was given a lemon lime glucose drink.  I had exactly 5 minutes to finish this delightful drink.  Yes, I’m being very sarcastic.  Even after fasting for 12 hours, this drink was horrendous!  I wish they had coffee flavored or couldn’t they find a way to make us eat a burger and fries to do this test?  I’m starving.  After I finished the drink, I went down the hall to see Dr. Rosenberg.  First we started with a urine sample and I have no idea how pregnant women pee in a cup!  Seriously, I barely got ANY in the cup.  I just can’t see what I’m doing because of my massive belly.  I managed to get enough to dip the stick and gave it to the nurse.  We then took my weight and marveled at how much I’ve gained.  (to be announced at the end of pregnancy).  She took my blood pressure which was OUTSTANDING for twin pregnancy.  Shortly after, Dr. Rosenburg came in and measured my fundal height (i.e. belly).  I’m measuring 32 weeks for a singleton which is where I should be with twins.  We also listened to the babies on the Doppler and discussed my current state. 
We talked a lot about my lack of sleep, hip pain, and how I’m managing with work.  I told him I’m still doing ok.  He raised an eyebrow and said I really need to start thinking about being done with work.  He said being on my feet for a full day should be out of the question at this point.   He still wants me in bed as often as possible and if I can manage to get in bed for a few hours in the middle of the day, he would recommend it.  He told me if I feel ok to work he will allow it but he’d really like me to be done by 28 weeks.  

We also discussed the impending c-section.  I have some concerns about my placenta being in the front and asked how that will affect the surgery.  He told me that its usually high enough that its not affected.  However, if it is too low, he can’t move the placenta.  He will need to cut through it and move fast.  EEK.  I hope that’s not the case. It gives me the heebee jeebies just thinking about it.  I asked when he will schedule the c-section if I don’t go into labor on my own.  We are looking at 38 weeks, the first few days of June.  He said 2 out of 3 women will go into labor before 38 weeks with twins.  If I go into labor before 34 weeks, they will try to stop the labor.  If it happens after 34 weeks, we’ll just go in for the surgery.  I really have a feeling we will make it to 38 weeks.   We finished up and scheduled my next appointment for 2 weeks. 

After my appointment, I walked down the hall and back to the lab.  I had about 30 minutes to kill before my next blood draw.  When they called my name for the 2nd draw, I stood up and saw spots.  I actually felt a little drunk and light headed.  After the second draw, I waited another hour for my 3rd blood draw.  After that, I was able to go home!  Joe picked me up right on time and we grabbed some food on the way home!  BEST PART OF THE DAY!!!


I'm glad the test is over and even more glad to have passed!  The last thing I wanted was to have one more doctor to add to the team.  All in all, things are going great and we couldn't be happier!

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