Thursday, 25 December 2014

11 weeks - SCH getting smaller

We went in to the clinic today of all days.  It was a bit scary considering if there was any bad news, we would then have to contend with the rest of the Christmas family events planned for the day (and we have not told our family about the pregnancy).  But the baby was fine at the u/s, and DH even came in this time, along with Joseph (I'm not sure what he thought of that) to watch.  After seeing the flickering heart I felt relief.  At this early stage, you just don't know what is going on in there!  And even better news, the resting and not lifting has had the desired effect, and the SCH has shrunk to under 3 x 3cm.  Until this point it has been growing each week, so I'm glad that there has been a change in the direction of that development.  Next week is the NT scan.  I asked about the NIPT (non-invasive prenatal testing) and she said that the labs are closed now for the holidays until next week, and then we are doing the NT scan anyway so she said not to do it.  If the NT is abnormal we will proceed from there with further testing, but I hope that that will be ok.  If the NT is fine then the regular quad screening bloodwork will take a few weeks after that... (that will just give the odds, not the diagnosis of problems like the NIPT).  She said the NIPT costs $835 out of pocket, and is covered for those over age 40 but not for donor eggs because the age of the donor is considered.  It "should not be needed" because the odds are low of a problem, but I just don't know how I will feel during the pregnancy if I get an ambiguous result in the screening.  Is $800 that much to worry about after the $1000s I have already spent?  Will I go crazy waiting until the baby is born to know for sure that it is normal, or will I go through the worry of more invasive testing (CVS or amnio) if there is a troubling screening result?  I don't know up until what point the NIPT can be done, but maybe I will bring it up again next week to see what my options are.  I just don't know when I will feel like I can relax, especially if I pass on the NIPT like the RE suggests I should, but maybe not until after the 20 week scan I think. 
We are still not ready to tell people yet.  Maybe in a few more weeks, when the results of the NT and screening bloodwork are in.  I really can't wait to be further along, and hopefully more at ease.

I hope you all are having a Merry Christmas today!  After our morning at the clinic we spent the day watching Joseph play with his new presents, and visiting with family.  And food, lots and lots of food!  We are so thankful that our hearts were not shattered this morning at the u/s.  I know some people are not so lucky, and loss and devastation can happen on any day of the year.  I know how hard Christmas and other holidays are for many families.  We have been through many sad years before Joseph, and feel so lucky to be his happy parents this year, and hopefully a healthy sibling on the way too.
Hugs and best wishes to all of you at this time of year! 

Wednesday, 17 December 2014

4th u/s, sub-chorionic hemmorhage

I went for another u/s yesterday and baby is doing fine at 10w1d.  However, the sub-chorionic hemorrhage is not only still there, but is still getting bigger.  She said last time it would not be a concern unless it was over 4cm, and now it is.  So she wants me to come in next week to check on it again, and has told me to stop lifting and exerting myself.  It's hard, because I need to pick Joseph up every day to get him into the car or the stroller, generally.  I'm really trying to rest more, though, because it is kind of freaking me out that the bleeding won't stop, even though I can't see it, it is pooling in there and this could affect the placenta.  I did my final intralipids yesterday, too.  It was a long morning at the clinic.  I am so tired of that place.  Next week they want us to come in either on Christmas Day or Boxing Day to check on the SCH.  She said if it doesn't get smaller by next week she may put me on complete bed rest, so that is kind of scary.  I still haven't told my family or friends about the pregnancy, which is kind of a bummer.

Tuesday, 9 December 2014

3rd u/s

The baby is measuring a little ahead, at 9w1d.  By dates I am 8w5d today.  I have a sub-chorionic hemorrhage that is getting bigger but somewhere around 20mm.  She said it is not a concern unless it is 40mm, but the fact that it is getting bigger, not smaller, is a bit worrisome.  She said to stop the baby aspirin, and to take the Fragmin every other day now, instead of every day.  The baby was moving around and looks something like a gummy bear now.  I still have not said a word to my family and the majority of my friends, so the pregnancy still feels a bit imaginary.  I also feel like I'm waiting for the other shoe to drop.  My NT scan is not until Dec 29th, so I have to go through Christmas not knowing for sure if everything will be ok.  My RE wants me to go in next week for another scan to check on the SCH, and she said also to do another intralipids.  Damn! I thought I was done with the intralipids.  So I'm going back next Tuesday. 
We got our first OB appointment scheduled for January 8th, so we are looking forward to that.

In other news, I am totally unprepared for Christmas.  We have not got the tree up, no decorations, no cards, hardly any gifts bought.  I need to get organized and start doing some stuff.  We have to get Joseph's picture with Santa, too.  I always feel so much pressure at this time of year.  There are so many expectations for Christmas.  At least now with Joseph it is more fun, because it is a holiday that is centred on children-- which made it so hard for us pre-Joseph, as an infertile couple, the holidays are a real nightmare.   

Tuesday, 2 December 2014

Second Ultrasound and Intralipids

Today was my second u/s and it went fine.  I breathed a sigh of relief when I saw the heart beating.  I did not know I had a sub-chorionic hemorrhage, but apparently I did last week too, and it has grown larger.  The RE is not concerned, though.  The heartbeat was 169 this time.  I am 7w5d but am measuring 8w1d, so still a bit ahead.
I had my final intralipids IV this morning.  Last time they had trouble getting the IV in, and stabbed either a nerve or a tendon on my hand, which still hurts-- especially when I use the hand, which is all the time.  So I was not looking forward to today's IV.  She got it in without trouble, though.  I'm a bit concerned that my hand is still painful, but hopefully it will heal.  Looking on google doesn't help, there are people with this type of injury that say that 6 years later it hurts more than ever!  Not exactly what I want to hear.  My RE says she doesn't know, she is not a neurologist so there is no way she can help me with it. 
We still have not told our family or friends about the pregnancy.  We go for another u/s next week, and the RE says if that goes well then the risk of miscarriage drops a lot.
Ok, I only took a half day off work, so I have to get going!!