Thursday, January 31, 2013

Don't quote me on this...

But I think I felt the baby flutter around in there.

I thought I felt it a couple of days ago but chalked it up to gas, since I'm still really early and I don't think I felt Chase until closer to 20 weeks (probably about 17 or 18 weeks).

I felt it again today though, just a very light fluttering- almost like bubbles. I definitely don't have gas, but who knows- I read with the anterior placenta feeling movement can be harder earlier on so I won't bet on it. lol

I could be off my rocker, but I did hear sometimes you feel it sooner with a second baby!

Just figured this could be worth documenting if I am, indeed, feeling a tiny bit of movement.

Wednesday, January 30, 2013

Ultrasound: 12 weeks 1 day

Today I had my ultrasound! I've been really looking forward to this one for so many reasons: getting a rate for the heart beat, seeing the baby actually starting to look like a baby (not a gummi bear, lol), and making sure everything is okay (including the placenta).

I am also really happy to say Joey was able to come along! It was scheduled for early this morning, so he got a few hours off from work. :)

We got there at 8:35 or my 8:45 appointment... and pretty much didn't get seen for close to 30 minutes after my appointment time! I was getting a little annoyed because even though he was off for a few hours, Joey did have something he had to get to in time.

We go back, and right off the bat I tell the lady I had a few questions for her:
1. Can she tell me if the placenta is the right size, looks normal, etc?
2. Has she heard of the "nub theory," and can I get a picture of it?
3. Does she have any guesses on gender?

She told me the placenta looked perfect and is anterior (front of my uterus), but that was no concern. (Woohoo!)

She said she hadn't heard of the nub theory and pretty much tried to say she wasn't allowed to touch on gender at this visit because it's so early that anything is just a guess at this point. Understandable. Except she pretty much made it seem like she wouldn't even print the picture out for me! And needless to say, I never bothered to ask about the gender guess because she made it quite clear she wasn't going to guess it.

She started the rest of the ultrasound- we got to see the umbilical cord and that it has 2 arteries and looks good. She looked at the heart, and show us the blood flow even, and that looked good. The brain also looked good.

At some point, I did see the nub on the screen! I figured I wasn't getting a picture, so I studied it while it was up on the screen... I have a thought but I'm not sharing since I don't have an image to back it up.

The baby was moving like crazy! Legs kicking, arms moving and covering its' face, and my personal favorite: ricocheting from one side of the uterus to the other! This baby is just a non-stop mover already at 12 weeks, I'm going to be in trouble in about 20 weeks when it's doing this at 3am! lol

Baby's heart beat was 166, but she didn't turn it on for us to listen to.

I got 5 pictures at the end of the visit... and surprisingly, she said "I got the picture you wanted, even though it's not accurate at this stage. They all look like girls right now." I was really surprised and then I realized she actually got a POTTY SHOT of the baby. It's okay, she tried! But even I know potty shots at 12 weeks are pretty useless, lol. She genuinely didn't know what the nub shot was, but that's alright. Just means in 4 weeks we'll have a nice surprise with no guesses beforehand! lol

Here are the pictures:
4d shot

4d capture of baby- check out those long legs! And an ear! 

Profile shot of baby

This is the "potty shot" - I labeled what it all is. :)

Our little guy's face and belly!

Tuesday, January 29, 2013

Progesterone

I can't do it cold turkey, I just can't. I have about 2 weeks of pills left... so I'm going to wean myself off. There's no harm in doing it this way because the progesterone can't cause any harm.

Right now I take 600mg each day: 1 at breakfast, 1 at lunch, 1 at dinner.

Starting today I will take 400mg a day for a week: 1 at 7am, 1 at 7pm.

The last week I will take 200mg a day: most likely around lunchtime. 

If I somehow have extra, I would like to alternate one day taking 1 pill, the next with none, and so on until they're all gone.

Wish me luck, I'm terrified!!!!!

Monday, January 28, 2013

Prenatal Visit: 12 weeks

Today was my 12 week prenatal visit with my regular ob/gyn (not high risk doctor). I went with high hopes of hearing baby via doppler, and that's pretty much all I was concerned with since otherwise I feel great.

This appointment... well, let's just say it went in another direction in every single aspect.

Doppler: Doctor looked around for quite some time and pretty much only picked up my own heart beat. I wasn't too panicked because I know even at 12 weeks (and me being overweight to begin with) catching the heartrate on ultrasound is iffy. She eventually said to me, "Do you hear that in the background?" I could very faintly hear a second heart beat in the background of my own... She gave up right about then because I guess that was good enough for her. She said that she couldn't pick it up well enough to get a reading, though.

High Risk Doctor: I had to ask her why exactly I was sent to Maternal Fetal Medicine for diabetes when I'm not, in fact, diabetic. Her response? She laughed. She said, "Oh there must have been a miscommunication between offices! We only sent you there for your seizures and the seizure medication!" *grumble* I had a feeling something was strange with this situation. She told me my insulin resistance wasn't big enough of a concern unless I failed my glucose tests later on in the pregnancy, and in that case my regular ob/gyn would still manage me. I told her they had me testing my sugars 4 times per day and on a strict diabetic diet. She basically said that a diet would never hurt so I could feel free to follow it (sure...), and that there was no reason to check my sugars.

Metformin: I was told I could stop tomorrow (when I'll be 12 weeks); fairly happy about this news because those pills choke me every night when I take them!

Progesterone: *le sigh* My progesterone has been my crutch since 5 weeks. My levels tested at 6.4 and I was given an option for the supplements. Of course I took them, and I'm not 100% sure but I think they are responsible for letting me carry this far. I am absolutely terrified to stop them, but know that they are typically stopped between 9-13 weeks along since that's when the placenta is supposed to take over production of the progesterone. But there's no way to know if it HAS taken over- it's pretty much a shot in the dark at this point. Well, she told me to stop them tomorrow. Cold turkey. No weaning, no lab draws like I was told about. I'm fairly annoyed and terrified at the same time.

I've been in a funk since my appointment... at least I have my ultrasound Wednesday. Some ladies on a message board I frequent suggested asking them to check the placenta for me on Wednesday to let me know how it looked.

That's basically the gist of today's appointment.

Saturday, January 26, 2013

11 weeks 4 days

I am excited to almost be 12 weeks!

This upcoming week I have 2 appointments:
1/28/13: Routine Obstetrician check-up. Definitely hoping to hear baby's heartbeat via doppler at this visit! May have to bring Chase with me- if I remember correctly from my other Ob visits, there's nothing "invasive" and he should be fine to come along. Plan to ask the doctor for more details about stopping Progesterone and also about stopping Metformin.
1/30/13: NT scan (nuchal translucency screening). You can read about it here. Praying everything looks as it should, and I am definitely excited to be able to see the baby again. By this point in time, he/she will look a lot more like a real baby! :) This is also the ultrasound where if I'm lucky, I can get a "nub shot." Hopefully the tech will help out! I also have heard that sometimes they can make a pretty good guess at gender, but they won't always try. Happy that Joey may be able to come along to this one!


As for how I'm feeling... pretty much feeling fine now. I have some minor round ligament pain (like a pulling pain around the uterus), my fatigue has lessened into just being tired, bloating, and emotional. A lot of the other symptoms kind of disappeared around week 9... and I have to admit, it really scares me. I am praying everything is okay at Wednesday's ultrasound.

That's about all... I'll update after my appointment Monday. Have a good weekend.


Tuesday, January 22, 2013

Diabetic diet/glucometer update

So... for starters, I found out I have a Vitamin D deficiency so now I take 2 more supplements. That brings my daily pill total to 13:

3 Progesterone supplements 
1 Lamictal (anticonvulsant)
1 Metformin (insulin resistance)
2 Prenatal gummy vitamins
3 Folic Acid supplements
2 Vitamin D supplements
1 Calcium chew

Everything except the Lamictal and Metformin are pregnancy related... but, at this point, the Metformin is also being used as something to help with the baby too.

Diet Update:
I followed the diet for 4 days, perfectly. My blood sugars? PERFECT.
I tested my theory and I ate normally for 1 whole day... my blood sugar? PERFECT!

So I've decided to be non-compliant and not follow the diet or check my sugar anymore. After my 12 week ultrasound next Wednesday, I'm asking to be discharged from their practice because I do not belong in their "Diabetes in Pregnancy" program. I don't have diabetes. I don't run high blood sugars. I don't even have a history of gestational diabetes. And, my insulin resistance was exactly the same during my pregnancy with Chase so clearly it's not that big of a deal if no one bothered with it then.

As far as I'm concerned, this program is a waste of my time and insurance. Even my husband thinks it's crazy and very unfair to put a pregnant woman on a DIET she doesn't need. So, I'm done! :P

Wednesday, January 16, 2013

Maternal Fetal Medicine Appointment

Today I had my first appointment with Maternal Fetal Medicine (ie: Perinatology/High Risk doctor)... I have to admit, I was pretty confused about this whole appointment in general. I was told by my Ob at my first prenatal appointment that I'd be scheduled for "one" appointment with MFM (and also I had the option to do the 12 week NT scan with them as well)... this made sense, since I also had one appointment with them with Chase as well.

Logically, it made sense that it was for my Epilepsy and my anticonvulsant medication.

However, I was shocked with the nurse from my Ob's office called me and scheduled me for FOUR appointments with MFM! I thought that was strange but attributed it to the fact that I had multiple seizures in August and they wanted to be extra cautious.

Imagine my surprise when I showed up to my MFM appointment (after going to the wrong building, might I add, because my Ob's office gave me their old address), and they are bombarding me with questions about my diabetes. Why was I surprised? Maybe because I don't have diabetes. The nurse said, "How long have you been diabetic?" My reply was, "I'm not..." She said, "Oh," but kept asking me diabetes related questions. Now I do have insulin resistance which basically means I'm "borderline diabetic" and run a higher risk of developing diabetes as I get older. This is due to my PCOS, and it's regulated with Metformin.

My "quick appointment" turned into a 2 hour long teaching session about diabetic diets and checking my blood sugars. I left there pretty darn annoyed. I was given a very strict diet to follow (complete with a sample meal plan), and a glucometer with instructions to check my blood sugar four times a day, every day! This new diet includes fish (I don't eat), meats (currently having aversions to), only whole wheat breads... and even worse is what they cut out of my diet. I'm not allowed to eat cereal with milk for breakfast (my favorite thing!), most fruits are cut down and/or limited, no sweets (my cravings!!!!!!)... it's pretty ridiculous.


On the plus side, I did get to see my little Gummi Bear. It was a very quick ultrasound (using a handheld ultrasound machine!), so we didn't get pictures or exact measurements but we saw the heartbeat and were told the baby looks just as it should for 10 weeks.

Thursday, January 10, 2013

Maternity clothes

Joey found my box of maternity clothes up in the garage attic this past weekend! I was so excited to see those things, that'll definitely save some money!
Being that Chase was born in June, I have quite a bit of summer-y items too! Tank tops, tshirts, some shorts, a skirt, dresses. I definitely will be stocking up on more of those though!

We found quite a few pairs of maternity pants too but they're all the full paneled pants and I won't be needing those for awhile.

However, I had a slight dilemma: I'm so bloated that my pants won't zip! :\
We looked everywhere to find a cheap pair of maternity jeans that don't have the panel, but have the elastic waistband. No luck! We found them but they were all like $40+! I don't want to spend that kind of money on one pair of pants because if this pregnancy is anything like Chase's, I won't be able to wear those kinds of pants after a few more months. The waistband bothers me too much when I'm like BIG pregnant.

Old Navy to the rescue! I checked out their website on a whim (after having no luck in the store), and sure enough- found two pairs of pants and the total for both was $38 (and that was with shipping)!

They came in the mail yesterday and fit perfectly! I'm so excited!

I should also note: I don't "look" pregnant yet, but I have such bad bloating that my pants won't zip up anymore! I have one pair of jeans from before I lost all that weight this summer, and while they do technically zip up they do not fit me at all. The legs, butt, stomach area are all way too saggy. It looks like my pants are falling off. So I figured I'll just start wearing the maternity ones with the elastic waist but are actually my size! :)

Friday, January 4, 2013

I feel like I have my own pharmacy

I picked up 3 more prescriptions today! I got a refill of my Progesterone supplements, a folic acid supplement, and prenatal vitamins. Doctor gave me the ok on Wednesday to stick with the gummy vitamins until I can swallow the regular prenatals without throwing them back up... but I have to take folic acid as well since the gummies only have .8mg.

My folic acid came with 30 pills and instructions to take 3 times daily- I was definitely a bit confused and called my doctor's office to see if they meant to only give me 10 days worth. Apparently my prescription got lost in translation somewhere between their office and Rite Aid. New Rx was called in.

Today I'm feeling good at 8 weeks and 3 days! Had some intense nausea this morning and was so tired I could hardly get out of bed. The nausea subsided shortly after I ate breakfast (Lucky Charms again, surprise surprise!). Went food shopping, came home and randomly had the urge to clean the entire house. I think my nap today is well deserved! ;)

Oh and very exciting: I scheduled an appointment at Prenatal Miracles to find out the gender! It's for March 2nd (a Saturday, so we can be sure Joey is able to go!), super early in the morning so I don't have to wait! hehe I will be 16 weeks and 4 days so I'm hoping they'll easily be able to tell the gender! Fingers crossed!!

Thursday, January 3, 2013

Ramzi Theory (& a hello)

Lately I've been consumed with figuring out if this Ramzi Theory is legit. It boasts a 97% accuracy, and somehow I just can't fathom that being right. (Cliff's Notes of the theory: This study claims that you can accurately determine fetal gender based on which side the placenta is on, during 6-8 week gestation ultrasounds. If you'd like to read the entire published study, click here.)

In order to properly use this theory, you first must know which side your baby's placenta is located on. This can be troublesome if all you have is an ultrasound and no tech around to tell you which way is which. Popular rumor is that abdominal ultrasounds are transverse (ie: right is left; left is right), and that vaginal ultrasounds are true to form. However, this isn't true. When researching more into this theory, I saw certified ultrasound techs give plenty of reasons they felt this theory was inaccurate. They explained that many factors could determine which view they decided to use for your ultrasound and 9 times out of 10 there will be no marker on the image itself for you to know. If you're like some of the girls in my due date group, you may be lucky and your tech may have marked off your left or right ovary in the image and then you have the correct orientation.

My ultrasound with this pregnancy has no markers to let me guess which side is which. Yesterday at my first Ob visit, I asked the Obstetrician about the theory and she pretty much laughed. She said there was no way something like that was 97% accurate, because if it was it would be common knowledge in the medical community. (This study was published a few years ago so there would have been plenty of time for it to make it's way around) We were discussing my own ultrasound and she said even their techs don't label left and right for the doctor's to view because they are more interested in the fact that the placenta is developing normally rather than the side it's on. The only thing she said that would be labeled were my ovaries. So no accurate guessing for me!

With every gender theory, there is a legitimate 50/50 shot at being correct... so of course I've been having a ton of fun looking up other people's results. One board in particular that I visited had a poll for members to mark if it had been accurate for them... and the results? Literally split 50/50! No surprise there!

I am very curious to see how it plays out for our little one...
I tried it with Chase first, since I still have a 7 week ultrasound from my pregnancy with him.


Okay, so this one is hard to decipher because to me he looks like he's smack dab in the middle. But then again, we don't actually know the legit orientation of this ultrasound. I would say this is inconclusive.


Here are my ultrasounds from 6 weeks (ultrasound says 10 weeks, but that was incorrectly based off my LMP) and 7 weeks 1 day during this pregnancy:



6 week image is inconclusive because it is a sagittal view (according to the ultrasound tech I asked to interpret the image for me). 
7 week image appears to have the baby on the left (the brighter white), and the light circle towards the center of the sac is the yolk sac. I'm not sure where the placenta is in relation to this, but I would venture to think it's by the baby, yes? If so, and if this is in the correct orientation, this would predict a boy.

I guess we need to wait another 8 weeks to find out for sure!! ;) 

I have another ultrasound in a few weeks at maternal/fetal medicine, and I may try out the "nub theory" as well. 

Toodles! 
Jamie