First OB Appointment

Tuesday was a packed day! I started off with another weekly blood draw. Thankfully I got my favorite phlebotomist (it’s a little funny that I have a favorite)! Hopefully I should only have one or two more weeks of that.

Later in the afternoon was my first OB appointment at Oakwood Women’s Centre-Seton Williamson with Dr. Rebecca Teng. This is my first time having a female OB/GYN so I’m interested to see if there are any differences. The appointment started off with another book of paperwork, for several of the questions I had to write “Gestational Surrogate” next to them without an answer. Standard with most prenatal appointments is leaving a urine sample at the beginning. I’ll just have to remind myself to wait until I get to my appointments instead of before I leave the house.

Dr. Teng had me go in for a super quick ultrasound to check the heart beat as Doppler can be hit or miss at 10 weeks. Baby was wiggling all over the place but we were able to get the strong heart beat of 169 bpm. We tried to get a couple of pictures too but that proved to be a little more tricky.20170620_130505[1]20170620_130518[1]

There were a few chunks of waiting but I tend to forget all of the things covered during a first OB visit so it didn’t bother me too much. The nurse took me back to get my vitals and to fill in my medical history. Dr. Teng gave me a physical exam then had a lengthy discussion with me about some of the things to expect, some questions for me to relay to Amy and Al, and to discuss her maternity leave (she’s 35 weeks pregnant). One of the things I had expected due to my PCOS, is that she will have me do an early glucose screening test to check for gestational diabetes and then I will repeat it again at the normal time (24-28 weeks). Thankfully, I haven’t had it yet, but I do know other moms without PCOS that had three healthy pregnancies only to have a forth or fifth pregnancy with GD. We will see what the Lord sees fit to hand me this time.

Not too long after finishing the OB appointment, my blood results came back along with Dr. Vaughn’s orders for the next week. My Progesterone was 28 and Estradiol was 1,082, which are excellent numbers! Today was my last dose of Estradiol and Saturday I start to decrease my PIO injections from 1cc to .75cc. I have definitely reached the point that I am greatly looking forward to my last intramuscular injection! With the two failed cycles I’ve had quite a lot more injections this time around than I did last time and I’m running out of non-tender real estate. Hopefully next week after my blood draw I will know when that magical final injection will be.

Ultrasound at 9w3d and RE Graduation

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Monday’s visit to Texas Fertility was full of smiles! The ultrasound went really well. Little one was wiggling all over the place and had doubled in size since the last appointment 2 weeks prior. Isn’t the miracle of growth in utero amazing to witness?! Dr. Vaughn did a quick sweep to make sure there was just one happy little one swimming around in there, which there is. I took video of the monitor again for Amy and Al and uploaded it as soon as the appointment was over. I love that they get to save the videos and watch them as many times as they want.

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Dr. Vaughn officially released me from TFC and said to go ahead and schedule my first OB prenatal appointment. He will continue to monitor my hormone levels with weekly blood draws until my progesterone level is around 30, at that time I will get to stop my nightly intramuscular injections. Today I reduced my Estradiol intake down again and Dr. Vaughn anticipates I will get to stop it completely next week.

Today also marks 10 weeks gestation, here is what is going on with the little one:

Your baby’s growth is fast and furious when you are 10 weeks pregnant. She’s nearly an inch-and-a-half long and the size of a prune, but not nearly as shriveled (even with all the time spent in water). In fact, your baby is really taking a human shape now. Bones and cartilage are forming and small indentations on the legs are developing into knees and ankles. The arms, complete with elbows, can flex already (how’s that for magical?), but don’t run to the store for a baseball bat just yet. Though your baby’s arms are taking shape and getting stronger, each one is still teeny-tiny.

Ultrasound at 7w5d and Sick During First Trimester

Hi there! We had the first big ultrasound/sonogram… which leads me to a rabbit hole. The terms ultrasound and sonogram are interchangeable in most prenatal examples. The ultrasound is the actual procedure using high frequency sounds waves, and sonogram refers to the picture of the baby created from that procedure. Which term do you prefer or use? I like ultrasound for some reason. OK, back to my original train of thought. The first big ultrasound was Wednesday, May 31st just over a week ago and right as I was coming down with a behemoth cold. It zapped what was left of my depleted energy, then took my voice for a few days, and finally settled into an ugly sounding “get away from me now” cough for a few more days. Thankfully, today was a good day and looks like the worst is over. Yay! Due to being in my first trimester, I was pretty limited on remedies. So, I drank as much water as I could along with a little vitamin C, Zinc, and plenty of naps/earlier bed times. I’m very thankful my girls were relatively good for my several randomly timed naps and they only made normal messes, nothing lethal.

On to the good parts! The ultrasound went really well. I told Dr. Vaughn that I was going to be taking video for the parents and he said “Go for it! Do whatever you want.” He found the little one (singular) pretty quickly. After taking a few key measurements it was time to get a heart beat confirmation recording. This little one was drumming right along at 163 bpm. After a brief discussion about what to expect next, I was free to dress and start uploading my video so that Amy and Al could get an instant replay and pop the champagne. 20170607_194348[1]20170607_194358[1]

For now, I will continue my weekly blood draws to monitor the two hormones that I am putting into my body, Progesterone (P4) and Estradiol (an estrogen), and to follow-up with a growth ultrasound about two weeks out. If numbers continue to look good and the ultrasound goes well, I will begin to wean off of hormones and “graduate” to my OB/GYN’s office for “normal” prenatal care. It is exciting to get to that point but it will be a bit of an adjustment for Team B as we go from constant detailed monitoring to monthly prenatal appointments. The next big thing won’t be until the anatomy scan around 20 weeks gestation, which would be the second half of August. It sounds so far away but I know it will be here before any of us know it.

In the meantime I am definitely fluffing up. It’ll be fun to see how quickly I go from “fluffy” to “pregnant”. There is a difference! I’d rather look pregnant than look like I ate a whole platter of burritos and have the gas gut to match. With each pregnancy it seems the body pops faster so I have a feeling it won’t be long before I’m sharing weekly comparison pictures.

In the world of baby development, this Friday will mark 9 weeks gestation.

Here are some fun facts about the 9 week mark:
She’s now about one inch long, the size of a medium green olive (but no martinis, please). The head has straightened out and is more fully developed and the ears are continuing to grow, making baby look more human. Plus, toes are visible, and all of baby’s essential organs (heart, brain, kidneys, liver and lungs) have begun to develop.