MFM Appointment Report

Overall, I have mostly good things to report. There are two amniotic sacs, which really decreases our risks. The technician briefly thought there might be 2 placentas (and therefore fraternal) but that ended up not being the case, so they are identical. For the nuchal translucency test (to determine the likelihood of any trisomy or down syndrome) we were hoping for a number less than 2.5mm. Baby A’s was 0.79mm and Baby B’s was 0.91mm. These are PERFECTLY normal results and honestly ideal (I was mentally prepared for a 2). Thrilled about that. He did still offer us a fancy test (maternal T21) that will with 99% certainty tell us if the babies have an issue, which our insurance approved us for (since our last baby had Tri18), so we will be doing that as well just to be sure. We will get the results in 5-10 days.

The only blemish on our report card was a growth discrepancy. Baby A is currently measuring 12w3d where Baby B is measuring 13w3d, so a full week between them. I asked the doctor how concerned we should be at this point about that and he said “not very”. It could be because of a variety of reasons, some normal some abnormal. So we just have to hope that Baby A catches up soon. It is possible that Baby B is just measuring ahead (based on prior ultrasounds, I believe I am around 12w6d) and Baby A is just a little behind.

We did thoroughly enjoy the long ultrasound. It was REALLY incredible to see them both bouncing around in there. Definitely made it feel a bit more real.

I think since this is a “high risk” pregnancy we are just going to have to learn to live with a reasonable amount of uncertainty/fear. I was hoping I’d feel a bit more relief since the big two things were perfect, but now all I can focus on is the growth discrepancy. Anyway, I am definitely grateful for the mostly good report. We go back on August 21 for another ultrasound and hopefully an anatomy scan.


7ish week ultrasound

Today was a big day for us. Today was the day we hoped to see our babies heartbeats! From the studies I’ve read, the heartbeat at 6-7 weeks can tell you a lot about the health of the pregnancy (if you want to read more you can do so here.) Coming off of a miscarriage where the heartbeat was always in the “borderline” group – I felt like today was wildly important.

My biggest fear is that they’d be in the low end of the borderline group and I’d spend the next however many weeks waiting for the end. You’d think I’d be most afraid of no heartbeat at all, and while that would be terrible, I just don’t handle false hope well at this point. So, we went into today’s appointment with a TON of anxiety. They also bumped me up from 2 pm to 9 am (scheduling conflicts on their end) which for some reason caused me a lot of stress (granted I was happy to go in earlier).

At last -I was finally sitting on the table waiting for the doctor to come on in. He came in and said that we were looking for a heartbeat today (yes – singular heartbeat, I got the sense he was skeptical of his partners diagnosis of identical twins). I probably could have puked from my nerves during the 30 seconds between wand insertion and seeing the ultrasound. There they were, two little fluttering hearts. “Huh, sure enough. Identical twins” he said in obvious disbelief. This was a slight relief, but I still waited for the magic heartrate number (I probably should mention – 120 is the magic number for 6.3-7 weeks). We actually got to hear their heartbeats which surprised and delighted me. However they sounded soo slow, I was so sure he was going to say like 60bpm or something awful like that.

So Baby A – measuring in at 7mm…..drum roll please…..a lovely 121 bpm heartrate. Baby B – measuring at 6.2mm (one day smaller than their sibling) and a perfect 120 bpm. Truthfully I still can’t believe it. I think we can officially call this a miracle now.

I hope you all know how humbled we are by the road that got us here and that we don’t take a moment of this for granted. Although we still have a long way to go, this does feel different than our last 3 pregnancies.

We have another ultrasound on 6/30 to make sure each twin has its own amniotic sac (this would greatly lower risks to the babies). Only about 1% of identical twins share the same amniotic sac, but we tend to defy the odds ( .3% of babies born are identical twins ) so that doesn’t give us much comfort. However I have promised myself that I won’t let that little detail spoil my relief from hearing those perfect heartbeats.

I know I keep saying the next post will be my last, but I feel the need to let you all know that things are going alright. So I’m thinking I will post once we find out about the amniotic sac situation and perhaps again at the conclusion of the first and second trimester. Thank you all for your hopes, prayers and finger crossings. We so greatly appreciate all of your support. I have and will continue to follow all of your journeys in the meantime! Good luck to you all!

Well, I didn’t expect THAT

Yesterday was my 6ish week ultrasound. We had mentally been trying to prepare for all possible scenarios. Even though my betas were good, the ultrasound is just so much more important. It was at 4:15 yesterday so I had to spend the ENTIRE day dreaming up every possible scenario. Luckily I had an acupuncture appointment over lunch so that helped calm me a little bit. Regardless around 3pm I started to lose it again. I honestly thought I had prepared for every scenario – 

  • Ectopic Pregnancy 
  • A gestational sac but no yolk or fetal pole (miscarriage)
  • A gestational sac with a yolk (ultrasound was too early)
  • A goofy looking gestational sac with a yolk (eventual miscarriage)
  • A gestational sac, yolk, and fetal pole with no heartbeat (unknown)
  • A gestational sac, yolk, and fetal pole with a crappy heartbeat (eventual miscarriage)
  • A gestational sac, yolk, and fetal pole with so-so heartbeat (very nervous/anxious me)
  • A gestational sac, yolk, and fetal pole with strong heartbeat (possible successful pregnancy)

So I was prepared, right? WRONG, so, so wrong. The doctor comes in with a resident. The resident initially does the ultrasound, seeing a perfectly round gestational sac and a yolk. The doctor thought she could see where the fetal pole might be, but that it was too early and that I was only 5.5 weeks as I suspected. But the doctor wanted to give it a try so she took over for the resident. Here’s how it went

Doctor – Oh, there looks to be a second yolk sac

Me – What does that mean?

Doctor – Twins

Husband – Like….identical twins?

Doctor  – Yes!

Me – Could it mean anything else?

Doctor – Nope!

Ummm yeah….ok! Neither of us have identical twins in our families and if you’ll recall this was a NON MEDICATED CYCLE! WTF! Just when I thought I couldn’t be any more surprised than last week. Besides being even more shocked than we already were, we are overall happy that we could have two babies. I am of course terrified of all the increased risk (preterm labor, preeclampsia, gestational diabetes, etc etc etc). But all of those concerns are a long way off still, we have other things to worry about now (will we see two hearbeats next week?).

So, I think I will update you guys one more time next week after the next ultrasound and then I’ll go into the RPL shadows of pregnancy. Thank you so much for all of your prayers and thoughts, they are clearly working so far!