We had our first perinatal appointment on Tuesday for the first trimester screen and had a good, long "visit" with the babies. The sonographer probably spent about 15 or more minutes getting what she needed and then the doctor repeated the ultrasound for about 10 minutes. It was mesmerizing to watch them floating around, oblivious to gravity. Twin A was lounging on his/her back at one point, either sucking his/her thumb or picking his/her nose with legs crossed -- as if he/she was kicked back in a hammock. A few times the sonographer thumped on my stomach to get Twin A to move and it was surprising to see A react. You think they are in their own little world and that what's happening outside the uterus doesn't have an impact on them -- it was amazing to see Twin A jump, like, "Oh, what was that?" For a split second I thought, "Hey, leave my baby alone!" but A very quickly resumed his/her relaxing, kicked-back pose, so I figured it was okay. Funny how that mother's instict kicks in, isn't it?
We discussed with the doctor (who we like very much) the bleeding episode and he said that one of the placentas is right on top of my cervix, so he isn't surprised. He said no walking for exercise, no intercourse, nothing strenuous. In addition to the ultrasound, they did a finger prick and ran some blood tests. We had a bit of a scare on Thursday when a genetic counselor called to say that Twin A's results came back indicating a slightly higher risk of Down Syndrome. We met in person with the genetic counselor on Friday morning to fully understand this result. The nuchal translucency measurment, which they take on the back of the neck, helps indicate whether there might be problems such as Down's or a heart defect. Twin B's NT was 1.9 mm and Twin A's was 2.1 mm. Amzaing that a two-tenths of a millimeter difference makes that much of a difference in the risk assessment. Twin B's risk of Down Syndrome was reduced to 1 in 430. Twin A's was only reduced to 1 in 281 and they want it to be 1 in 308 or less. That said, a risk of 1 in 281 is still in the normal range and the genetic counselor said she isn't particularly concerned about this, especially since we did the comprehensive chromosone screening on our embryos with CCRM and everything came back normal. She said there are like 10 additional markers they will look for at our next ultrasound (in 4 weeks) and if there are additional concerns then, we can discuss the possibility of doing amniocentisis.
In addition to the perinatal appointment on Tuesday, we had an OB appointment on Friday (yesterday). I thought we'd get another look at them but was disappointed and confused to learn that all of my ultrasounds here on out will be at the perinatologist's office across the street because the OB's machine can't capture what's needed now. (I began to wonder, why do we need you people? And I actually said something to that effect to the genetic counselor, who works for the perinatalogy office, and she said, "Well, they have to deliver the babies." Aha! So we do need the OB!! But I'm thinking, after three years of appointments in fertility clinics, one of which has a waterfall in the entrance... that would be CCRM.... I'm thinking, "What kind of 21st century obstetrician's office doesn't have a decent ultrasound machine??" Anyway, the OB appointment was almost a non-event. They did a urine sample, had me stand on the scale, got out the fetal heart monitor and listened to both heartbeats, and then we talked with the doctor for a few minutes. We cleared our vacation dates with him, I updated him on my plans at work to cut back hours after Labor Day, we discussed the bleeding episode (I'm still spotting some brown gunk but no one seems concerned), and we discussed the results from Tuesday, which he had just received, which he also was unconcerned about. I don't mean to sound critical of this doctor. He seems great and comes very highly recommended. It's just odd to put my care in the hands of someone who refers patients out of his for all ultrasounds. I don't get that. But maybe I've been in IF world for too long and that's the way it is. I know for "normal" pregnancies, women don't get many ultrasounds, anyway, so maybe that's it. It's still odd after having so, so many scans (I should have counted). I didn't know the procedure was so specialized!
Okay, noon is going to be here before I know it and I'm still sitting on my bed in my pajamas. I have got to get up and get away from the computer. I may go to a few consignment shops that sell maternity clothes today because I'm staring to "spread."
Oh, also! We're going to tell people now that we made it through our two doctor's appointments this week. Tomorrow should be interesting at church and next week, I can't wait to tell some of my colleagues at work. Have a good weekend, everyone!