15 weeks

Today is 15 weeks.  Since 12 weeks we’ve had an appointment with both our MFM and our regular ob. I also graduated from the infertility clinic and have weaned off all those meds.

At ten weeks I started to wean off my infertility meds. The first to go was the oral estrogen. Simultaneously, I started stepping down the estrogen patches. Over the next two weeks, I stopped all the estrogen and progesterone (first the shots and finally the vaginal suppositories). While I was excited to be off the medications and the stringent timeline, it was an anxiety-inducing time. What if something went wrong? What if my body and the placenta weren’t really ready to take over hormone production on their own? Thankfully everything went smoothly even if the injection sites on my backside are still tender.

At 12w6d we went to the MFM (Maternal-Fetal Medicine) specialist in Wichita.  We were referred to him because our pregnancy is high-risk. As I am 36, my pregnancy is considered “geriatric” and brings with it increased risk of complications (like pre-eclampsia, miscarriage, gestational diabetes, etc.).  As an extra layer of precaution, our local ob asked us to see the MFM at least once.  That way if something happens, she can call him for advice or transfer us to his care in Wichita.

At our appointment, we had an ultrasound.  As usual baby Sanger was all wiggles.  He/she looks like a seahorse bobbing around. 

The baby was still measuring several days ahead of gestational age and had a strong, regular heartbeat.  We also had a few additional labs run to test for viral immunities (like parvovirus)–tests most obs don’t routinely run.

We also met with our doctor.  He mostly went over the risks of our pregnancy.  He explained that he is very aggressive as his goal is to minimize miscarriage and stillbirth.  He also gave us a run-down of the protocols should we need to deliver early (at which weeks they give which meds to help prepare the baby for survival).

We decided to go ahead and have our anatomy scan in Wichita (Feb. 28) since they have more advanced equipment and techs who do fetal ultrasounds all day every day.  We also scheduled another appointment for a few weeks later to do a fetal echocardiogram.

My husband’s family has a history of IHSS (idiopathic hypertrophic subaortic stenosis).  His aunt died from the heart defect in her early teens.  Although no one else in his family has been diagnosed with the condition, our doctor is also very aggressive in addressing heart concerns as one in 100 babies is born with a congenital heart defect and 2 in 100 IVF babies will be. 

At the fetal echo appointment, it is unlikely that they will be able to detect a defect; however, it does make us patients of the pediatric cardiologists in Wichita.  So, after the baby is born, we can come back and have another echo done.  He also suggested having an echo every year for our children.

The MFM also requested I have an echo as well since I have had a heart murmur in the past. That appointment is next Wednesday.

While in Wichita, we also made a trip through Buy Buy Baby–my first time looking at any baby paraphernalia. Needless to say the sheet number of car seat, stroller, rocker, crib, etc. options was overwhelming, and I’ve looked at nothing since. I’ve not started a registry (even though my husband asks me almost every day if I have), and I’ve not bought any baby-related items. I did demand we stop at Motherhood Maternity where I purchased three pairs of pants.

Yesterday, at 14w6d, I had an appointment with my ob.  As usual, I had an ultrasound followed by a brief meeting with the doctor.  This time (I’ve never had the same ultrasound tech twice) my tech was an older gentleman who was very experienced and very thorough.

In addition to measuring the baby (which is still a few days ahead of schedule), he showed me all the limbs (including the feet and a big toe and a thumb), the kidneys, all four chambers of the heart, a cornea in an eye, and the stomach.  He also checked out the entire spine and the mouth, chin and palate.  Then he studied the placenta, found the placement of the cord and verified that it was three-part (which is good).  So we learned that, so far, the heart, organs, skeleton, and face all look good even though the baby has reached the creepy “skeleton”-looking stage. The heart rate was 152.

In other news,

  • The nausea has subsided for the most part.  I only really feel bad when I need to eat (which is still about every two or three hours),
  • but I still can’t breathe, so my ob switched me from the lowest dose Advair to the highest.
  • I also sent away blood to be tested for the Alpha-1 antitrypsin deficiency (it’s a pulmonary condition).
  • I gained six pounds in the two weeks between the two appointments (but I maintain that numbers on two different scales can’t be comparable).
  • Maternity pants are way more comfortable than my regular pants, but contrary to what the saleswoman said, that elastic band does not keep them up.
  • My ob measured my belly.  At 14w6d, I’m measuring 20 weeks.