Thursday, October 26, 2017

Normal

I’m happy to report the 12 week appointment went well.  Baby’s heartbeat is 144bmp.  Normal.  Baby is measuring at 11w6d (a day behind as always!).  Normal.  The nuchal fold was 1mm.  Normal.  Baby’s head looks round, so no anencephaly.  The baby’s bones appear to be ossifying.  There are no signs of an omphalocele (or gastrocentesis).  The baby’s brain and spine looks normal (regular, no bulge) so there are no early indications of spina bifida.  There was nothing suspicious at all in the appointment.  Normal, normal, normal.

Of course, it’s too early to diagnose all structural issues.  We’re going to have another appointment at 15.5 weeks to look at the kidneys, the head in more detail, the face in more detail (looking for a cleft), the diaphragm, further signs of spina bifida, normal growth, etc.  But, as the doctor said, we’ll be doing it mostly to give me reassurance.  This was my first time meeting her—she’s at the high risk OB office, and this is my first time seeing a doctor there this time—and she was absolutely lovely.  Like the doctors at my OB’s office, she was like we’ll do anything you want to make you happy/comfortable.  All you have to do to get the four-star treatment from your OB is lose a whole bunch of pregnancies, including two in the second trimester due to catastrophic development issues.  (Not worth it.)

She also said that the 20 week appointment is the BIG one.  There, we can really take a look at the organs, including the heart.  She said if we survive the 20 week appointment without any lethal issues, we should be in the same boat as everyone else—terrible things can happen to anyone, but we would have a very good chance of success. 

Because of my age, she also said I would have weekly monitoring starting at 32 weeks.  (Again, assuming we make it that far.)

She said considering this good appointment, and taking into account on our history and age, she thinks we an 85% chance of having a healthy baby.  (I love a doctor that will actually give odds!)  Let’s see how that matches with my updated odds:

·        5% chance we have spina bifida (diagnosed via 15 week AFP test/ 15.5 week appt.).
·        10% chance we make it all the way to 20 weeks but have catastrophic issues diagnosed then.
·        2% chance something else terrible happens

83% chance I end up with a healthy-ish baby.  Okay, pretty much SPOT ON.  That’s pretty good, right? 

Here’s to hoping my little man continues to be normal!

2 comments:

  1. Those are good odds! Really hoping everything continues to go well :)

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  2. So glad all is going well! Are you taking any medication in this pregnancy?

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