Update: 32 Weeks

32 weeks today!

We had our growth scan on Monday at 31 weeks 5 days.  I was still a tiny bit nervous like usual.  Maybe I won’t be able to breathe more easily until the day our twins are safely in our arms.  Every time there is a scan, I feel mostly confident that things will be fine, but there is still a small part of me that is anxious.  Bob is so funny.  He dons his Batman T-shirt and his red underwear for good luck on every single scan day.

This time I didn’t get to watch the ultrasound.  Annie went by herself and tried to video-conference me, but the connection was so slow that I could barely see anything.  We chatted on the phone instead.  She sporadically reported to me the babies’ stats.  While we were waiting for the technician to check on the babies, we chatted about her boys and her life.  She was telling me that she started feeling sad because in weeks time the babies will be born. Although this pregnancy has been a lot harder for her than her previous singleton pregnancies, she has enjoyed every single minute of it.  She said she would really miss carrying the babies and feeling them move.  I was quite touched by what she said.  I know that the babies are well loved, and it is so important for them to be loved by their carrier as well.  She also told me that her bump is now about two inches away from the steering wheel.  We will probably have to figure out a way to get her to the nonstress test two times a week in the future if her bump is too big for driving.

Back to the twins.  Here are the numbers.  Baby A’s heart rate was 141.  He/She was 4 lbs 3 oz measuring at 32 weeks 1 day.  Baby B had a heart rate of 147 and was 4 lbs 4 oz, which made him/her 32 weeks 2 days.  Annie’s cervix was measuring at 5.1cm.  The babies’ heads were together again.  This time they were like an upside down L.  Baby A’s head was on Annie’s right side and lying across.  Baby B’s head was next to Baby A’s head with his/her feet down.  I find it so cute that every time there is a scan, the babies’ heads are always together.  It seems like they just attract each other.  Apparently since Baby B is in the posterior position of the placenta, it has been very hard to get a good profile photo of him/her.  We again couldn’t get one this time.  I don’t know what is up with that kiddo… he/she is hiding all the time!  I was planning on using their ultrasound photos for the maternity photos this Sunday.  It looks like I’ll have to use Baby A’s profile and Baby B’s alien looking photo.

I didn’t even ask to speak with Dr. OB because there was really nothing for me to ask about.  About 30 minutes later, Annie sent me a text saying that the visit with Dr. OB went well and everything was good with her and the babies.  This weekend Bob and I are going to fly there to spend some time with Annie and her husband.  Maternity photos will be on Sunday.  Bob is going to come home on Sunday.  I will stay for another day to go check out Labor and Delivery at the hospital as well as to attend Annie’s first non-stress test.  She asked Dr. OB if I could sneak a peek at the babies next Monday at the appointment.  He told her that he would definitely look at the babies (and let me look at them) if he is around on Monday.

I joke that Bob now has to figure out a way to keep his Batman T-shirt and red underwear clean because he’ll have to wear them twice a week from next week on for all the nonstress tests.

Third Trimester Starts Tomorrow

The ultrasound scan yesterday marked another milestone for us, although we did it two days before we reach 28 weeks.  Annie’s local hospital has a level 3 neonatal intensive care unit and can take babies that are born at 28 weeks and weigh as little as 2 pounds.  Any time before that, we risk having to go to a hospital with level 4 NICU in the neighboring state an hour away where surrogacy is illegal.  Needless to say, Bob and I have been waiting for this day when we can breathe a sigh of relief.  This day is almost here.

At the ultrasound yesterday, Annie was there with Kenneth and the boys.  It was very unusual for them but they were 15 minutes late.  I was patiently and not so patiently waiting at home for Annie’s video call as my mind was going to bad places, like accident or something.  But I also knew that it was going to be fine.  After a long time, Kenneth finally Facetimed me outside of the building as the reception was so bad in the ultrasound room that he wanted to work his way back into it.  The video was going in and out with a message telling me that the connection was poor and the video would resume.  I could still hear what was going on there but I could barely see the grainy black and white on the screen.

So here are the stats.  Baby A had a heart rate of 141 and weighed 2 lb 10 oz.  He/she was measuring 28 weeks 1 day.  Baby B had a heart rate of 159 and weighed also 2 lb 10 oz.  He/she was measuring 28 weeks 3 days.  Considering that yesterday was 27 weeks 5 days, both of them were measuring ahead.  Apparently since they are so much bigger now, the ultrasound tech had a difficult time measuring their length.  Kenneth said that the babies’ foreheads were touching, with one lying on the side to the right and one lying on the side to the left.  It sounds like there isn’t much room in there for them.  Kenneth said that the babies seem to be resting but he said, “Trust me, they have been very active.”

I still think that Baby A is a girl and Baby B is a boy.  But again, who knows, right?  I could be all wrong.  🙂

After a little while, Annie called me in the exam room with Dr. OB so we could talk about the scan and the delivery date.  Dr. OB is against moving the C-section date any earlier than 38 weeks.  He really wants to give the babies a chance to grow and be mostly fully developed before we take them out.  He told me that we could stick with 38 weeks 2 days like we have planned for all along, or he could call to reschedule for 38 weeks exactly.  He didn’t know if it was a possibility because the hospital only allows three scheduled C-sections a day.  I made a decision to just stick with September 15th since we have all been used to that date.  I just like the sound of September 15th if the babies allow us to wait until that point.

Dr. OB told me that Bob and I need to get the vaccine for whooping cough in the next couple of weeks for it to be effective at the time of the birth.  I’m thinking we should get my mom to do it as well.  

Since I won’t be doing a tour at the labor and delivery at the hospital, I asked Dr. OB if I should call the hospital to speak with someone about the arrangement for me and Bob as intended parents on the day of the birth.  He said that it would be a good idea and gave me the name and phone number of the director of that department.  I will be calling the lady tomorrow to speak with her about the room available for us and the arrangement during the C-section.

In terms of the scan, Dr. OB said both babies are doing well.  They are at 57th percentile, which to me is perfect.  I don’t want them to be too small or too big.  Right about the middle is great for Annie to carry them.  Their breathing score (that’s what I call it) is good too, just like last time.  They are basically very healthy and right on track.

Annie did her glucose test a couple of weeks ago.  She passed this test with flying colors.  She had no anemia, no protein in her urine, and no contractions.  Her blood pressure was great.  Basically, she is rocking this twin pregnancy so far with a clean bill of health.

I am just so grateful.

The next appointment will be two weeks from yesterday where Dr. OB will check on the babies’ heart rates and Annie’s general health.  In four weeks, we’ll have another ultrasound to check on the growth.  Bob and I will be there in 5 weeks to visit, and I will stay on that Monday to attend an appointment.  Dr. OB and I discussed whether to postpone the ultrasound to 5 weeks from now so that I can see the scan, but he feels better to have the scan in four weeks.  When I attend the appointment, he will do the nonstress test and maybe a bit of scan to show me the babies.  He said that from 32 weeks on, Annie will have 2 nonstress tests each week, on Monday and Thursday.  I like the sound of that.  Basically, Annie will be monitored closely and regularly until the babies come to this world.

Tomorrow is 28 weeks when the 3rd trimester starts.  We basically have 10 weeks left.  Can you imagine?  In 2 1/2 months, we’ll have Bunny and Okra in our arms….. It just sounds so crazy and amazing!

Viability

Our 24 weeks scan was today.  My gut feeling told me that everything was going to be fine, but I was still nervous waiting for it to happen.

Last night I was chatting with Annie online about the logistics of today.  We talked about the babies’ movements.  Apparently they move around and kick a lot when she stops doing something.  They are very active in the morning and after dinner, and they start quieting down at bed time.   Her husband could even see the kicks a couple of days ago.  Somehow reading this moved me to tears.  It was mostly happy tears as I was imagining how they were moving inside of her.  Of course I also felt a sense of loss as our distance prevents me from being there and feeling the movements on her belly when I want to.  Maybe we’ll find a time to go there on a weekend and hang out with her, so we can sit next to her and experience the kicks and the movements as well.

Knowing that they are moving around and are active, I felt pretty good going into today’s scan.  But right before the appointment time, my heart was still pounding.  Annie connected me on the video.  She had the boys with her so she had to hold the phone pointing at the big TV on the wall because no one else could hold it close to the screen.  Because of the distance, I couldn’t really make out what we were seeing and had to rely on her to report to me what the ultrasound technician was saying behind her.  The tech measured the spines of the babies first.  She said at the last scan they were still very little so she wanted to take a better look this time.  Plus both babies were on their tummy so it was easier to visualize the spines today.  Then she measured the heads, the tummies, and the hearts. Baby A has a heart rate of 153, is measuring at 24 weeks 1 day, and weighs 1 lb 7 oz.  Baby B has a heart rate of 151, is measuring at 24 weeks 3 days, and weighs 1 lbs 9 oz.  To me, they seemed to be measuring right on time, but I still needed to talk to the doctor before I could feel totally relieved.

Dr. OB made us wait forever.  Annie must have waited over 45 minutes after the scan to see the doc.  She put me on speaker phone so he could talk to me.  He went over everything with me.  Babies are doing well.  They are 48%ile and 55%ile, which is right on target.  He was joking that this is not like grades at school, where 100 is the best.  The percentile for both babies is great.  He mentioned that they also measured the babies’ breathing.  I forgot what the test was called, but he said something about how well they are breathing and muscle tone.  He said the measurement is from zero to eight, with zero being bad.  Our babies both measured at 8 out of 8.

Dr. OB went on to say that Annie is doing well. There was no protein in her urine and her blood pressure was good.  Cervix was normal and placentas looked great.  All in all, everyone is healthy.  He measured her belly.  She is measuring at 33 weeks if she were carrying one baby.  So with twins, her measurement is normal.  Annie is going to repeat the glucose test for gestational diabetes in a couple of weeks to replicate the normal results from 8 weeks ago.  Dr. OB said that in terms of monitoring, there is no set rules.  The guideline is more strict for expectant moms who show complications such as gestational diabetes or preeclampsia.   If Annie continues to do well, maybe we don’t need to follow the strict guidelines.  But he still likes to be cautious.  So from here on, we’d get a scan every four weeks until 32 weeks.  After 32 weeks, he may have Annie return once a week or twice a week for a non-stress test.  We can revisit this when the time gets closer.  I asked him about the signs of preeclampsia mainly for Annie to hear it so she would note anything that is out of the ordinary in the future.  He explained to me a few things.  I asked him about the aspirin that she’s been taking and how long she needs to continue on.  Since he usually talks a mile a minute, I didn’t catch everything he was saying.  He was basically saying that with such a low dose, we’ll just continue on until the week before the birth.

I have to say, I like Dr. OB much much better than our last substitute OB.  I am so glad that we have picked him as our OB.

Saying that I was relieved after the phone call was an understatement.  I was so excited and totally felt like celebrating.  It is a huge milestone and one that is worth jumping up and down for.  Praise the Lord for watching over Annie and the babies!

I was so glad to be able to share good news with my therapist today.  I happened to have scheduled an appointment with her today after work.  I contacted her a few weeks ago when things were very tough.  She didn’t have time for me until today.  I told her about the whole anxiety attack saga and other things, my feelings and Bob’s feelings, and how I’ve been handling all these things.  It was great to get help from her.  My take home today is, I should set aside time on a regular basis to process my feelings, think about my feelings, and name my feelings.  The surrogacy process is complicated and it requires care for me to take good care of myself emotionally and mentally.  The other take home is, go enjoy ourselves as much as we can before the babies come.

Bob and I celebrated by having our usual deep dish pizza.   During dinner, Annie sent me the 24 weeks bump photo.  She was wearing a long dress that my friend Jo gave her and she had a huge smile on her face.  It was so great to see her smile again.  She even posted this picture on FB and was saying how happy she was for us.

Today I feel super good. I am so grateful for getting to viability.  Praise God for growing these lives inside Annie and allowing her to feel better with her anxiety and her ailments.  I just can’t wait to meet our babies face-to-face on the day of the scheduled C-section. Hopefully they stay put until then.  ❤

Being Annoyed and Then Freaking Out

We are 19 weeks today.  (Woohoo!)

So this is what happened today.

I was super happy celebrating 19 weeks.  We are practically half way through since our C-section has been scheduled for 38 weeks 2 days.  Annie’s headaches seem to be under control (Praise the Lord!) as she has not had them constantly and when she has them, essential oils help to get rid of them.  I get to go see the babies next week.  All in all, things are good.

My therapy kid’s Chinese nanny whom I have known for about three years took one look at me and asked, “Are you pregnant?”  I looked at my little tummy in disbelief and said in Chinese that loosely translates to: “Are you calling me fat again?”  Why I said again was because this wasn’t the first time she had done it.  She had said something similar to me before and I thought that she’d learn from her experience.  Nope.  I guess middle-aged Chinese nannies don’t learn when they have the need to be nosy and ask inappropriate questions.

I kid you not.  The following happened within 5 minutes of the conversation with the nanny.  I got back to a person regarding something that he asked me.  This person happens to be my guy best friend’s brother, and the ex-husband of my brother’s ex-girlfriend (who I wrote about here.)  We hadn’t been in touch but he wrote me a couple of days ago out of the blue asking for help with something.  I finally gave him the information that he needed.  Maybe it was a need for small talk?  He went on to type the following: “How are you these days?  Making a baby?”  My first reaction is, what in the world are these people thinking?  How do they feel the need to ask about someone’s private life without a lot of consideration, especially to a person with whom they hadn’t talked to in maybe 10 years?

I was super annoyed with him, probably more so at that moment because I was just mistaken as being pregnant by someone else five minutes ago.  Instead of letting it go like usual, I wrote, “Ha we are doing well.  And I don’t think that’s a very appropriate question to ask.”  He immediately typed “Sorry”.  I thought about saying more things, like “It’s okay” or some other things for more educational purposes.  But I decided to not respond.  Because it is really not okay for someone to just nonchalantly ask such a question to an acquaintance.  It is simply rude.  Maybe my response was rude.  But I feel that it was necessary for me.

Fast forward this afternoon.  I wrote Annie a message wishing her happy 19 weeks.  Did not hear back from her, which was okay.  Then at 3:45pm, I got a post visit reminder email from her OB/GYN practice thanking her for her visit with them today.  Cue immediate freak out.  I had no prior knowledge of this visit that she had today and my mind went wild.  I wrote her a FB message and then a text.  I then decided to give her a call.  When the phone was connected, there was a little voice that sounded very far away.  I said, Hey are you okay?  I got a post visit reminder from the OB office.  That little voice said yes.  I didn’t realize that it was someone other than Annie so I freaked out even more because in my ears this little voice sounded like he/she was crying but he/she kept saying he/she was okay.  I was like, What was going on why did you go see the OB are you really okay?!?!?  Then Annie’s voice came on the phone.  It was her son who picked up!  In my freaking out mind I just assumed that she picked up the phone.  So this is what happened today.  She said that she had been feeling emotional the last few days feeling stressed out.  A few weeks ago, our OB told her that whenever she feels uncomfortable and feels a need to go get checked out, just go and they’ll do an abdominal ultrasound.  She said that she had felt flutters of movements a couple weeks ago but she hardly felt any movements this week.  Since she’d be going away this weekend on a trip, and she was going to be in town today, she just wanted to go check out the babies and make sure that they were okay.  She didn’t want to tell me ahead of time so that I wouldn’t freak out, and she planned on telling me afterwards.  But the post visit reminder got to me first and caused my freakout session.  I’m not gonna lie.  My heart was about to jump out of my chest when I waited for her to pick up the phone.  She said that the nurse picked up one heartbeat and didn’t bother to look for the other one because both babies were moving and were punching each other.  So obviously they would both have a heartbeat if they were doing boxing together.  LOL.

I am very relieved that everything is fine.  But it goes to tell you that I probably won’t be able to relax for a really long time.  I guess that’s just how motherhood goes?  That I’ll worry about everything?  At least I can sleep well tonight knowing that the babies are alive and well and are already showing sibling love to each other.

MicroblogMondays: Ups and Downs of an Early Pregnancy

Remember my friend of whom I was jealous because she got pregnant with her own eggs?  Well, she has been going on an emotional roller coaster ride.

Her second beta doubled nicely.  Her 5-week ultrasound showed a beautiful early pregnancy in her uterus with a gestational sac and a yolk sac.  So this is the kicker.  A famous doctor who treats her autoimmune issues ordered beta for her every other day until the heartbeat ultrasound.  Any normal people would just wait for the 6-week ultrasound after the two early doubling beta and the great 5-week ultrasound.  (And most times they just go straight to the 6-week one and skip the 5-week one.)  But no.  My friend’s autoimmune doctor wanted one every other day.  The beta on the day of her 5-week ultrasound (on a Friday) was around 4200.  Beta three days later (on a Monday) was only around 5000.  The doubling time was 300 hours.  It should be 72 to 96 hours at that level.  My friend panicked.  I mean, I would too.  But did it really mean anything at that point?  Her doctor ordered another beta the next day which turned out to be around 5800.  Doctor was happy with the results but my friend was still panicking.  Her doctor told her to repeat her beta again the next day, two days before the 6 week 2 day ultrasound.  I was adamantly against it.  What is the point of going again and again?  At this point, the best indicator would have been the scan, and not some elusive beta level that doesn’t tell you much.  Why go to the lab and spend 30 to 45 minutes and then torture herself waiting for the results?  It just didn’t make sense to me.

My friend absolutely drove me nuts though.  She and her partner decided together that the beta on Wednesday would not help her situation.  But that whole day she messaged me and wondered if she should have gotten the beta done.  She went back and forth with her decision, regretting not going one minute, and then agreeing that it was wise to wait for the scan.  Her thought was, if it was going to be bad news, she’d want to know.  And if it was good news, then she could feel better going to the scan.  But what if the news was inconclusive?  Where would that leave her?  But I know that she needed the support, so I reassured her repeatedly that it was the right decision for her not to do the beta.  But I have been so mad at her autoimmune doctor.  Does she even care about her patients’ emotional well being?  Does it really help to know the beta level so frequently after confirming an in utero pregnancy?  Because there is really nothing one could do but to wait.

My poor friend was at her scan with her partner last Friday.  She was so nervous that she was crying lying on the table while waiting for the nurse practitioner (who was the one who did all of my scans at my former clinic).  Her heightened nervousness even prevented her from seeing the heartbeat on the ultrasound.  At 6 weeks 2 days, she was measuring 5 weeks 5 days with a heartbeat of 81.  The nurse practitioner wasn’t concerned about it at all and said that at this early point a few days of lag should be okay.  And since she was measuring at 5 weeks 5 days, the heart might have just started beating.  When my friend sent me a text, she didn’t sound very optimistic about it.  And when I saw the heart rate, I didn’t feel very optimistic for her.  But who are we to say that this is not going to turn out to be fine?

That was Friday morning.  We happened to have a citywide power outage in our area that morning.  I was allowed to go home early and have a long weekend by 11:15am.  So instead of going home, I decided to join my friend who was sitting at the clinic waiting room to wait for her work phone call after noon because she had no power at home.  I thought that I could join her for lunch afterwards and she could use some support.

My friend’s emotions were all over the place.  She of course did some google search and it was not looking good.  She consulted with an RE who has supported her in the past couple of years who said that the three-day lag of the pregnancy plus the low heart rate made him a little bit concerned.  Her clinic didn’t say much and just told her to get another ultrasound in a week, and her autoimmune doctor was happy with the results.  But my poor friend was a mess.

(Side note: I visited with my former nurse while I was at my former clinic. It was a bit emotional for me to go back there while expecting twins via surrogacy.  It was so sweet to see my nurse being so happy for us.  I didn’t try to visit with Dr. No Nonsense, my former RE, because he did after all abandon me about a year ago after promising to call me to discuss the next steps but never did.  My nurse admired all the photos I showed her and was just so thrilled.)

At lunch my friend cried twice.  She wanted this so much and just wanted to have good news all around.  But when do we ever get to have a smooth-sailing journey?  From Friday to today, my job has been to remind her NOT to goo.gle because it does her no good.  While there are going to be success stories online, there is bound to be stories that ended sadly.  Their stories are not her story.  Why scare herself?  So every few hours, I write her and make sure that she does not google.  She was feeling angry and asked me why she had to suffer.  These are questions that nobody can answer.  So I told her that it could turn around.  She declared to me, “I think it will go badly” referring to the next scan.  But I told her not to play God and not to give a verdict even before anything happens because it may not happen.  I told her what I read in a book, that we try to make ourselves feel better by declaring things that are negative, that are not true.  But in reality, we don’t know what tomorrow will hold and how things will turn out.  But we jump to conclusion because we want to prepare ourselves for the bad things that may happen.  The truth is, there is no preparing.  If her pregnancy ends in a loss, it would still hurt like hell.  But by declaring the untruth, she is denying herself in that moment the joy of being pregnant.  She is pregnant at this point.  And this is the fact.  The fact is no one knows what will happen but God. So we should not play God and should hold onto the facts.  It is okay to cry.  It is okay to feel sad.  But putting herself in the situation of researching online and declaring that things will end badly is not going to help her a bit.

I did ask Dr. E, my own RE, about my friend’s results.  This is what Dr. E said, “The hCG level stops doubling so you are totally right on monitoring especially when you see a pregnancy in the uterus.  It doesn’t provide any guidance.  I’m glad she had a heartbeat.  I’ve seen patients without heartbeat at that age and then the next day it’s there.  The heartbeat doesn’t help guide me because I like that it is present.  The one thing that bothers me is the CRL (note: crown to rump length).  With IVF you know exactly how far along a patient is…..the three day discrepancy is the only thing that has me worried.  But there is still a chance.”  Of course I am not sharing with my friend what Dr. E says.  It is not helpful to tell her any of this.  And no doctors can predict the outcome, so why share with my friend, right?  But I really hope and pray that my friend’s baby holds on tight so we will see a great scan next week.  But I think my friend will be nervous at every single scan for quite some time.  It is just the trauma that comes with trying for a long time and wanting something so badly.  Our innocence is lost forever.

MicroblogMondays: 16 Weeks Ultrasound and Headaches

Just a warning that this is definitely NOT a micro post (and it’s actually super long)…

Annie does not experience any pregnancy symptoms except for these headaches.  They started about a month ago and sometimes get really bad.  Tylenol does not work for her so once she was in the 2nd trimester, our OB allowed her to use Ibu.profen when the headaches get bad.  Annie doesn’t want to take that all the time so she just endures the headaches.  She looked into the side effects of Love.nox and Syn.throid.  Both of them said headaches.  She was scheduled to stop Love.nox by 14 weeks anyways but I told her to continue until the meds runs out.  Once I learned about the headaches and the side effects, I told her to stop the injections.  But since Syn.throid is helpful with controlling the thyroid thus preventing preterm labor, she would need to be on.  Her dosage is so small that our OB doubts that the headaches have anything to do with that.  Annie did not have headaches during her first three pregnancies, but she does get headaches during her monthly cycle.  So I would imagine the increased blood flow during the second trimester in her body and the pregnancy hormones carrying twins both trigger these headaches.  She said they are constantly on the background and a few times they got really bad.  She uses essential oils.  Last week she had a massage and a chiropractic adjustment of her neck two times.  She does feel better after the adjustments.  This week she’ll have more adjustments and an acupuncture session.  Many asked if she is hydrated and she guarantees me that she is.

Here comes the part that scared me.  Because she was originally prescribed Syn.throid by Dr. E, my reproductive endocrinologist, we kept Dr. E in the loop regarding the headaches to see if Annie could stop the thyroid meds.  Dr. E is an alarmist by nature.  After learning that Annie has had these headaches for a long time, she really wanted Annie to be seen by a neurologist because to her, untreated headaches could be dangerous and headaches could be due to other neurological conditions and not just pregnancy hormones.  Annie wasn’t worried and still isn’t worried about these headaches being neurological based.  But Dr. E wrote me and asked me to convince Annie to go see a neurologist.  That was two days before we flew in for the scan.  I was sitting there at work with  my mind going really far away, having irrational fears about pre-term labor, Annie’s life being in danger, and the babies’ health on the line.  Simply because my doctor was suggesting my gestational carrier to see a neurologist.  Annie did try to call the neurologist office in town and was told that she would never be seen for just headaches unless she gets a referral.

Dr. E also forwarded a meta-analysis study about the effect of vaginal progesterone suppositories to prevent pre-term labor in women with a history of one.  She felt that it would be beneficial to Annie since she is carrying twins and might have the risk of per-term labor.  I said I would run it by our OB.

I was not super worried per se, but I really didn’t/still don’t like this feeling of doom and gloom.  Annie again is not worried because she has no other symptoms.  Her blood pressure is good.  She does not have any localized weakness or pain on any other part of her body.  She only has these freaking headaches that are super annoying.  I am just so thankful that she is my gestational carrier because her calmness is contagious.  She has learned to give it all up to God and I really have to learn to do that as well.  She is not ignoring these headaches.  She actively tries to find a solution to resolve them.  But she is just not worried that any of this was caused by problems in her brain.  She will go see a neurologist if he/she would see her, but she isn’t stressed about it.  I figured we’d see the OB anyways on Friday, so waiting a day or two to talk to him wasn’t going to make the situation worse.  So I prayed repeatedly for my peace and trust in the Lord and just waited.  But there is always something that can cause worries, isn’t there?

It was such a blessing for Bob and me to attend the ultrasound on Friday with Annie when we reached 16 weeks 2 days.  I was a bit nervous before going in because you just don’t know what you’d see on an ultrasound.  I had confident that both babies were still there but a part of me was anxious.  I didn’t really have much time to think about things because once Annie arrived, the ultrasound technician was ready for us.  It was so wonderful to see Annie and her/our bump in person.  Hugging her felt so interesting because inside her bump was our babies.  Annie hopped on the table and off we went with the abdominal ultrasound.  Annie said that she did feel some movements the other day and was quite sure that it was the babies.  This time I didn’t feel sad but felt that it was such an amazing thing for her to feel the babies.

I reminded the tech that Dr. OB said that he would do all the preliminary anatomy stuff during this scan because Bob was able to be present for this one.  The tech was super friendly and said she’d get whatever she could get.  Immediately we saw Baby A waving his/her arm on the screen.  It was quite exciting to see that he/she was so much bigger at this point.    The tech first measured Annie’s cervix, which she said was adequate.  Baby A was moving around.  The tech changed into different views and measured a bunch of different things.  She looked at the heart, which was beating at 151 beats per minute.  We could see the four chambers, the baby’s kidneys, head, brain, arms, legs, stomach, diaphragm, etc. etc. etc.  Everything seemed to be going well.

When it came time to see the sex of the baby, I only wanted to know if we really had a boy and a girl inside, but I don’t want to find out which baby is which.  Bob really wanted to find out.  So when the tech looked, I hid in the bathroom adjacent to the ultrasound room.  Bob was going to stick himself right in front of the screen and find out.  I was adamant about him not finding out because it would mean one day he’d leak out the information and I wouldn’t have my surprise anymore.  He was really torn because he really wanted to know. Eventually he agreed not to and hid in the bathroom with me.  He was half mad because I was denying him the right to know, but he agreed with me later on that he would not be able to keep a secret from me.

Apparently the tech took a very good look and confirmed to herself what she saw.  Baby A was measuring 16 weeks 6 days and his/her leg was very long, measuring at 17 weeks 3 days.

The tech then switched over to Baby B, who also had a great heart rate of 156.  We could clearly see that he/she had a tall nose.  The profile was just very cute (probably only in my eyes as his/her mother).  This baby was measuring 16 weeks 4 days and the tech also confirmed his/her sex.  So we officially know that we are going to have one boy and one girl.  🙂

Both babies weigh about 6oz each and over 4 inches each.

The tech changed the view to 3D for Baby B.  He/she was holding his/her fists up on the cheeks.   We switched again and saw that the babies’ head were together.  Apparently one baby was head down and the other was breech.  So their heads were together but one was up and one was down.  You can click on the page “Ultrasound Photos” on the left to see the babies, the two heads of the babies looking like an infinity sign, and the 3D image of Baby B.

The technician measured the blood flow of the umbilical cords and the placentas and it seemed to be fine for both babies.

We finally got to meet Dr. OB.  I had only talked to him on the phone several times so it was nice to finally meet him in person.  He was a middle-aged man who sounded very passionate about his job. He talked a mile a minute and every single time we asked a question, he gave an example of one of his patients and what happened to her.  So this is basically what we discussed:

  • Dr. OB asked if Annie had any localized pains, slurred speech, or other things.  He felt her head, her forehead, and areas around her nose to check for sinus problems.  After that, he said that it is highly unlikely that her headaches are due to a brain tumor or a blood clot.  The neurologist received Dr. E’s referral and said that he’d need Dr. OB’s notes in order to see if a visit with him is warranted.  But Dr. OB said that the headaches are most likely due to the fluctuation in hormones and he has seen it many many times.  He will write the notes and forward to the neurologist clinic and see what the neurologist would say.
  • The babies are doing well.  They are measuring on time and there is nothing to worry about.  Baby B does have a little white dot on his/her heart shown on the scan, which is called “fetal echogenic intracardiac focus”.  The doctor said that it occurs in 5% of pregnancy and by itself it’s not harmful to the baby at all.  But when it happens with a load of other problems such as short femur, high risk for Down syndrome, or other things, then it may raise some concerns.  As for us, Dr. OB said that it will resolve itself and there is nothing to worry about.  I guess it is his job to inform us of this thing.
  • One baby is currently breech (feet down) and the other one head down.  Baby A is in the front of the uterus with an anterior placenta.  Baby B is in the back with a posterior placenta.  The placentas are in the right place and not covering the cervix in any way whatsoever.  This is a relief.
  • We’ll have the 20-week ultrasound and by then we’ll see more anatomical structures that will be bigger then.
  • Annie will be seen every four weeks until 32 weeks.  At 32 weeks, she’ll come in twice a week for monitoring and non-stress test.
  • She will do her blood sugar test for gestational diabetes in the next week or two.  It’s done early because she’s carrying twins.
  • Annie’s urine is good without protein.  Her blood pressure was 110/70 which was excellent.
  • We will aim at delivery at 38 weeks by Ceasarean section.  I forgot to ask when we determine if we would do a C-section early.
  • I asked how we would be able to tell if there’s preeclampsia. Dr. OB said that she’ll be monitored closely after 32 weeks so she’ll be in good hands.
  • Annie only gained three pounds in the last 4 weeks.  I forgot to ask if this is a good gain or if she needs to gain more weight.  I will write the doctor and ask.
  • Dr. OB said that the vaginal progesterone suppositories are not warranted in Annie’s case because studies show that for those who are at risk for preterm labor would still have a higher chance of having pre-term labor even with extra progesterone.  In our case, Annie never had that problem.  It is not warranted at this point.  Plus Annie joked that she pushed for over 50 hours for both of her last two births and her cervix was shut closed.  Dr. OB was joking that in this case since Annie had a steel of a cervix, we most likely won’t have to worry about this problem.
  • Finally, Dr. OB said that he’d order a vaginal ultrasound next time so we can measure the cervix more accurately.

I think that’s about all the issues that we discussed on that day.  I have to tell you that I was tremendously relieved and happy to see the babies alive and well on the screen.  It is not a given that we have a good scan and I don’t take things for granted.  I didn’t know this until that evening but Annie was very nervous going in this scan.  She is usually the calm and confident one, but something shook her a little.  In her surrogacy group there are these two surrogates who got pregnant with twins at around the same time with her.  One discovered that she lost both babies at 16 weeks and the other one lost one of the two babies at 15 weeks.  Because of this, Annie said she only cared about the heartbeats during our ultrasound.  She just wanted to know that they are both still alive.  It is tremendously sad to learn about these other losses.  This knowledge makes me even more grateful for what we have.

The rest of the visit was great.  We attended a Seder Meal with Annie and Kenneth’s friends.  People there knew who we were and came to tell us that they had been praying for us.  We went to the only breakfast place in town the next morning and the server there was Annie’s close friend so she told us that she had been praying for us.  You’ve gotta love small towns.  They are so warm and friendly and they are so happy for us.  We hung out with Annie and her kids for a little before we left.  I passed on many maternity clothes from my friend to her.  I also got to take her bump photo with her (which you could see on the left side here that says “Gestational Carrier’s Bump Photos”).  It was such a precious time to share with her.

Can’t believe we are almost 17 weeks.  Praise the Lord for the growing and healthy babies.  I pray that Annie’s headaches will go away forever.  Hopefully we will see our babies in 21+ weeks!

Ultrasound at 12 Weeks 5 Days

I didn’t get to fly to Annie’s hometown for our ultrasound today since I will fly out tonight to my grandma’s funeral.  Bob has been home burning with a fever all day, so he got to witness the ultrasound remotely for the first time.  The connection at the clinic was again spotty.  We could see Baby A on the screen, but the screen would freeze.  This happened several times then Kenneth, Annie’s husband, found a good spot for the connection.

Baby A looked a lot like a baby.  I couldn’t hear what the tech was saying because Annie’s youngest son was talking and counting numbers.  Eventually the tech started measuring the heart rate and it was such a sweet sound.  Bob later said that it sounded like a train going uphill (such a nerd!!!).  But he was so delighted to actually hear the heart beat for the first time!  This one’s heart rate was 162.  Baby B appeared on the screen and was moving his/her arms.  The heart rate was 171.  The tech suddenly switched the view to 3D.  All I could see was some fleshy things that I couldn’t recognize.  Kenneth helped by pointing out what was what on the screen.  Basically it was Baby A and Baby B’s heads kind of crammed together.  It didn’t seem like there was a lot of space in there.  Real estate was tight inside Annie’s womb!  It was such an amazing and weird thing to see.  Later, Annie told me that the tech usually doesn’t do ultrasound this early so she just wanted to see what they’d look like.  She said what she had imagined looked better than what they actually looked like, haha.

Baby A was measuring 12 weeks 2 days, and Baby B was measuring 12 weeks 5 days.  I instantly was worried about Baby A.  He/she was measuring 11 weeks 1 day at our last ultrasound.  I don’t know if it’s a good thing to be 3 days off.  Of course while I was waiting to talk to the OB, I consulted Dr. Goo.gle for margin of errors for these ultrasound measurements.  I had to remind myself not to go crazy and just wait for the doctor to tell me.

Finally the doctor came on.  He said that the pregnancy is progressing well and the babies are measuring well with great heart rates.  I asked about the measurement.  He said that they are measuring right on target and there is nothing to worry about.  There is always a discrepancy on the measurement because of the fetal position and stuff like that.  We are measuring well within where they are supposed to be.  So I felt very relieved after talking to him.

Although we weren’t going to do it, the doctor did ask the tech to measure the nuchal folds of the babies.  He said that anything over 3mm would cause some concerns for cardiac development, but our babies both measured at 1mm, which is normal.

In terms of my other questions, he said that they’d like to do an ultrasound every four weeks from now on.  Bob and I are going to go for the 16 weeks ultrasound.  Originally he wasn’t going to do much for that ultrasound in terms of scans.  But since Bob is coming, the OB will allow for a vaginal ultrasound with more measurements and we get extra time to talk to the doctor.  As for the anatomy scan, we originally scheduled for 19 weeks 5 days.  But Annie is going to be out of town.  So we may have to push it back to about 21 weeks, which the OB said it’s okay to do.

Annie has gained 7 pounds since the last weigh in.  The doctor said that the weight gain is good.  He does not recommend any other supplements in addition to the vitamins that she’s been taking.  He said that for a normal pregnancy with a person without any prior prenatal problems, nothing much is needed as long as the carrier is eating healthy.

I asked one final question, about what indicates the need to consult with a high risk OB/maternal-fetal medicine specialist.  He said usually with pregnancies that are associated with birth defects.  And then he went off on a tangent about an emergency delivery at 25 weeks and we would have to fly Annie over across state line to the next state that prohibits commercial surrogacy because that would be the closest trauma hospital and helicopter wouldn’t fly you to a location six-hour driving distance away within the same state.  I mean, the phone connection already wasn’t the best and he said something so scary in response to a question that really didn’t have much to do with his answer.  I was panicking a little with the thought of the legal ramification of delivery in a state that does not allow surrogacy.  Of course the OB was like, this scenario would very highly unlikely to happen to your situation.  I was thinking… why say it???!?  Later on Annie told me that this OB likes to give the worst case scenario and then tell you that it probably won’t happen to you and don’t worry about it.  But it’s hard not to worry about things when we are so far away, isn’t it?

So there it is.  Our babies are still there with good heart rates and measurements.  Although I didn’t get to attend the ultrasound, my heart is filled with joy that the twins continue to grow.  And now I have the newest ultrasound photos to show my paternal grandmother when I share the news with her face-to-face.

Off to the airport now.