Second Trimester, Here We Come

Today is the first official day of the second trimester!!!! We have made it out of the danger zone, and I can breathe a bit easier. Here are my bump pictures from the first trimester….

It’s so amazing to see how differently I have carried each baby up to this point. My belly with the boys has a much more dramatic slope and in all honesty was lower than where my belly sits with Lily.

We’ve started planning my baby shower. I am super excited about the decorations and the invitations. We are using tulle from my wedding to make tutus to put on the card stock onsies, and we found some satin Lilies to use as table decorations. My baby shower is going to be kind of early this time (really this is the first actual baby shower I am getting) because 1) my baby shower with Logan was scheduled for pretty late in my pregnancy because my sister wouldn’t be out until Thanksgiving……and he was born early so very few people came, and 2) my mom is having back surgery in September and will be down for a few months.

I also met with the diabetes doctor today. He was livid that the high risk ob insisted that I didn’t have diabetes. He said it is very possible after having dropped 50 pounds and eating right/exercising that it was controlled, but I definitely do have diabetes. He ran a bunch of blood tests, I did a 24 hour urine hold and he did a quick urine dip. I should know the results from all of that in a few days.

13.5 weeks down, 10.5 to viability and 24-26 left to go!

Please note this post was written on July 5th

NT Scan

Today was my NT scan. Lily is doing so well in there! We were sent to a geneticist, who has basically made a career out of first trimester screenings. He has been in his own practice for 45 years! He was old as hell, but boy did he know his stuff.

We had to do the NT scan out of order because Lily was refusing to cooperate. Her heart rate was slightly higher than they normally want to see, but she was jumping around and kicking her little legs so he wasn’t too concerned. She was measuring spot on 12+3, which was my due date based on measurements. He measured my little Lily bean at just over 2 inches crown to rump, and her long legs were measuring about 2 inches as well.

The little sac of fluid that they look at behind the neck was almost non existent. Based on measurement, our odds of Lily having something wrong were 1:845 and >1:10,000. The blood test results drastically dropped both of those numbers.

Overall, Lily is looking perfect in there. She is snug as a bug and growing like a weed! We got a disc of pictures, but I don’t have a computer with a disc drive so I will have to upload them later.

Please note that this post was written on June 28th

New OB

I am a strong advocate for taking charge of your health care. If you don’t feel like you are getting adequate care, find a provider that will actually care for you. I did not feel like the high risk ob that I was sent to was giving me the best care possible. I felt as if they were trying to fit me into a mold of what a pregnancy should be rather than actually listening to me and treating what I was telling them was going on.

The high risk ob insisted that I didn’t have diabetes, refused the PICC line despite knowing that it worked well for me, ignored the fact that I had a SCH and flat out lied when informed of part of the placenta not attached to my uterus (they said that there was no gaps). Needles to say, I looked around and found a new OB clinic that was able to address all of my medical problems.

This OB was AMAZING! He has been an OB since 1979, and took over his fathers practice in 1999. He was a very friendly man and personally called to get me in with an endocrinologist for the diabetes, moved my NT scan up so we could check on baby girl, and even did a scan to make sure she was growing okay.

I have my NT scan tomorrow, and then will go back to see him  at 16 weeks to check in on Lily.

 

Please note, this post was written on June 27th. 

Information Overload

I really need to post more often. Life happens so quickly, and things change constantly! So much has happened since my last post. 

Luke is doing amazing. He’s talking more and more every single day. It’s so amazing watching him learn and grow. He’s such an adventurous little boy. He loves to play outside and explore every nook and cranny. He helped daddy dig out a tree stump, and a broken clothes line pole. 


He went fishing and wanted to be just like Daddy.


He’s outgrowing food allergies left and right. He LOVES his glass of milk at bed time, could eat pasta for breakfast lunch and dinner, has cereal for breakfast almost every day and still can’t get enough peas. 


We did go in for an abdominal ultrasound for Luke, and need a liver function panel done. He has been having very very pale, almost white, poops. At night he wakes up screaming in pain and screeches when his tummy is touched. Our amazing GI thinks that he might have something going on with his liver. We should know more soon, but for now he is a happy, healthy, active little boy, full of love and full of life. 


Logan is doing so great too. Last week was a big week for him! Not only did he start sitting up on his own, but he also started “chewing” and swallowing foods. For a child who refused any kind of tummy time for the better part of 5 months of his life, this kid is really on the move now! He scoots, rolls, army crawls and frog hops with the best of them. 

This week, Logan had surgery to repair some slight issues with his penis. He was born with a slight curve to the left, and some twisting (torsion) of the skin on the shaft. As he grew/grows older, this would have caused some more serious issues in the future. He handled the surgery like a champ! He was such a good guy going in, woke up quickly and happily and even kicked his own IV out so he could go home. 


Logan is such an amazing little boy and I can’t wait to watch him grow. He has such a big heart. His smile lights up a room, and can make even the crankiest of people happy. He worships his big brother and tries so hard to do whatever brother does. 

Pregnancy has been quite complicated. Before I go on, I do have some super exciting news! We (mainly me, but Ronny said it was fine), decided to find out the gender of the baby using the Sneak Peak test. It’s a simple blood test in which you prick your finger using the provided lancets and collect blood in the provided vial. You are to sterilize the environment before even opening the box, and make sure no males are around. Our results came in on Wednesday, and we revealed to family and friends on Thursday:


While there is still a possibility that this baby is a boy, we are thrilled to know that we are welcoming a baby girl to our family. Her name will be Lily Elizabeth Ann. 

So, back to the pregnancy. At first (and second) scan, Lily was measuring almost a week behind. At the last ultrasound, she has picked up 3 days growth and is now only measuring 2 days from where she should be. She has given us quite a fright though. 

I am currently on bedrest until my NT scan.  Last week I started having some pretty major cramps and pressure in my lower abdomen. A few days later I started bleeding very heavily. I went into the OB and they could not find the source of the bleed (we know it’s vaginal, but can’t find where my uterus is bleeding) or the cramping. 

I think that’s about it, so I’ll leave with more pictures of our adventures:

Hospital Admittance

After a hellish week of almost non-stop puking and multiple days in a row not able to keep anything down, my husband brought me to the emergency room for fluids on May 31st. Two bags of fluids, a urine culture and 5 vials of blood later, the on call OB wanted to admit me. My glucose levels were high, I was spilling ketones in my urine at 4+, and the blood tests were starting to show the beginning stages of malnourishment. I politely declined admission because I have 2 boys under 2 to take care of, and a husband who works. While upset, the OB understood and let me go with the promise I would come back if I was still in bad shape.

Friday, June 2nd was my OB appointment. Baby L is growing great! S/he is still measuring a bit behind, but is right on track as far as growth from 2 weeks prior. The OB I saw however, was not thrilled with my HG being uncontrolled and glucose levels topping out in the 150’s fasting and 240’s after meals. She pushed me to head straight to the hospital for admittance. This is a crucial time in the development of the baby, and we don’t want something to happen because of my body being wonky. I asked if it was possible to go in on Sunday instead of Friday, because Saturday was my birthday. She said in the grander scheme of things, 1 day wasn’t going to make a bit of difference and agreed. 

June 3rd, my family and I went fishing at a lake in town for my birthday. My husband and I talked about it and determined we (I) would go in later that day instead of Sunday. The sooner I got in the sooner I got to leave. We had a blast fishing.


After a bowl of stew and a slice of ice cream cake, we headed in. My glucose level was low, so they started fluids with added sugar. I was put on iv meds to get the puking under control and left to my own devices. The machine for the fluids is sensitive and kept going off all night. It sucked. 

Today has been a bit better. I’ve had 24+ hours of round the clock fluids and am feeling pretty okay. I’m still nauseous as all hell but haven’t thrown up in about 6 hours. We’ve switched to oral meds again and are going to see how I do with them. I am supposed to meet with the dietician/endocrinology teams tomorrow to formulate a plan for the diabetes and see where we go from here. Hopefully they’ll let me go on Tuesday. 

I voiced my concerns with staying hydrated and the doctors office has said they will think about home health for fluids once or twice a week. I am also thinking of asking for the zofran pump because iv meds are so much more effective. 

As I sit in the hospital, I am so thankful for health care professionals that are willing to listen to me…..but I don’t want to be here. I want to be home with my babies (who are giving daddy hell). I want a pregnancy that I enjoy and I want to feel good. 

Fingers crossed

Blessed But Stressed

It’s no secret that this baby is a miracle child. After getting through 2 forms of birth control and waiting several days for an egg, this little person was destined to be here. We are incredibly blessed to be expecting our third baby, but this is destined to be my most difficult pregnancy yet. 

My pregnancy with Logan wasn’t easy. I had Hyperemesis the entire time I was pregnant, which ultimately led to a picc line for 24 weeks, I had gestational diabetes which caused an early than planned delivery, he was breech the entire time, I had a subchorionic hemmorage that never resolved, placenta previa until 24 weeks, and had contractions from 21 weeks. 

Yesterday was my first official OB appointment with this baby. It started with an ultrasound, and then moved to the OB visit. My ob came in (the same one I had with Logan) and said that we needed to talk. She said that before the appointment she was thinking about sending me to a specialized high risk clinic to co-manage the pregnancy. I had 3 big things against me- HG, diabetes and short time period between delivery and pregnancy, that put me out of the scope of their care. But since she managed me with Logan it might not have been an issue. She then went on to tell me that the ultrasound found a few more “issues” that completely put me out of their scope and that she needs to refer me to the super high risk clinic. There is a very large subchorionic hemmorage in my uterus right behind the baby. Not a super big deal, had one with Logan that never resolved. There is also a section of the placenta (where it has already formed) that is not attached to my uterus at all. 

This is scary beyond all reason. There is a chance that the baby will not get the nourishment she (or he) needs and will miscarry. There is also a chance that the gap will reattach itself. At this point it’s a waiting game to see what happens. The good thing is my hormone levels are perfect and the baby is measuring alright (5 days off, but still within the realm of normal) with a perfect heart beat. 

The other stressful thing is that hg has already reared its ugly head. I’m down 7 pounds now and I’m only 7 weeks along. I cannot keep anything down and my previous go tos are not working. The lab work when I went in to the er for fluids on Saturday already shows dehydration and the start of malnourishment. 

I have an appointment next Friday with the high risk ob. We will do an ultrasound, and go over the diabetes, hg and make a plan for baby. 

This is scary

When God Has Other Plans

Hello all! Life sure has taken a turn from what it was a few years ago when I could do what I want when I want. I now have VERY little time to do anything I want to do, and even less time to actually do it. While I enjoyed the spontaneity of married life with no children, I also loved to plan things out. Now that I’m a mom of 2 happy, energetic boys, I still love to plan things out. Why, I have no idea….nothing ever works out as planned anyways.

Whenever I make a plan, it usually doesn’t work out the way that I wanted it to. Most of the time I get upset in that moment, but once all is said and done realize that what actually happened was just as okay as what I had planned. It’s funny looking at things now though. I can’t see the big picture of my life. I have no idea what is really going to happen tomorrow, a month from now or even 10 years from now. Looking back at events from my past, it seems as if everything that didn’t work out as planned, has actually worked out perfectly to get me where I am, and who knows what impact it will have on my future (and the futures of my family members).

When we had Logan, the plan was for me to go on birth control to give my body a break and let it heal up. My husband and I were in disagreement on when we would try again, but we were for sure giving it at least a year before we really even talked about it. In the meantime, we planned to buy a house and work on paying off some of our debt.

Well, we did buy a house. It isn’t in the neighborhood I had planned on…. and is way more than I planned on spending for a smaller house than I planned on. BUT, its exactly what we need for right now.

While I was pregnant with Logan, I developed carpal tunnel. We thought it would go away when the baby swelling went down, but it didn’t. As such, I had carpal tunnel release surgery on both wrists. The doctor did my right hand first in March. In addition to carpal tunnel, he found fluid in the cavity and calcification on the tendon. He drained the fluid, removed the calcification’s and released the nerve. He also gave me a huge dose of a super antibiotic just in case. We did the exact same thing to my left hand in April.

While we were packing up and moving, I got (and then gave my husband) the biggest shock of our life. On May 2nd, I was in the bathroom, working on packing the medicine cabinet when I came across a single pregnancy test. I started thinking about it and realized that my period, which normally came a week before my placebo pills started, hadn’t come yet. I was really crampy and nauseous, so I figured my period was on the way. Looking at the calendar, I was about a week and a half late from when my period would normally start, and about 4 days late from when it should have started if the pills were working like they should. Ironically, I already had an appointment with the OB to switch birth control pills because I didn’t think they were working like they should.

I went ahead and took the test, thinking that for sure it would come back negative. Not only was I taking the pill religiously (10:30 am every single morning), but we were also using a spermicidal lubricant (and as parents of 2 under 2, romantic times are few and far between). I was SHOCKED when a second line started appearing on the test. I immediately turned around and threw up, and walked out of the bathroom stark white. My mom asked me what was wrong and I started crying and said, “Ronny’s gonna kill me, I’m pregnant.”

When I called the OB’s office to find out what to do, they asked if I had taken any antibiotics. I didn’t know it at the time, but apparently antibiotics reduce the effectiveness of birth control pills. Ronny was pretty mad that no one told us to be careful, knowing that I was only 5 months postpartum, and knowing that I shouldn’t even be considering another one for at least 8 more months or so. But at the same time, we were using spermicidal lubricant so we should have been okay.

The OB confirmed the pregnancy via quantitative blood test. My first beta was 39, my second 227. By somewhat rudimentary calculations, we are assuming that I’m roughly 6 weeks along today. Looking at the calendar, I ovulated roughly on April 18th and ironically implanted the day we signed the paperwork to purchase the house.

This baby was determined to be here. Not only did he or (hopefully she) make it through 2 different forms of birth, but the sperm also hung around for 4-5 days waiting for an egg to appear.

I am already suffering the effects of HG again. In fact, I’ve lost 4 pounds this week due to the nausea and vomiting. I am on 3 different medications: diclegis, zofran and phenergan to help, but it doesn’t seem to touch it. I am trying my best to stay hydrated and eat when I can so that we can hopefully avoid the PICC line and some of the complications of last time.

We have no idea what is going to happen with this pregnancy, but we do know that this is the last time I will be pregnant. Right now we (my husband, our OB and myself) are thinking that this baby is going to come via c-section, at which time I will have my tubes tied. While I don’t want to permanently close the door on more children, I also know that I cannot through another pregnancy like my last one. For my safety and the safety of my children, this is just something that has to be done.

Only time will tell what is going to happen, but whatever happens, we know that GOD has our best interest at heart.

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