At our ultrasound on Wednesday (30 wks 2 days) the boys were both head down again (Yay!). Baby L weighed in at 3 lbs 10 oz (57%) with a hr of 122 and Baby R at 3 lbs 6 oz (50%) with a hr of 127. Our high risk Dr. only wants to see us 2 more times (@ 32 wks & @ 34 wks) then he said we're good to deliver anytime after that (we're hoping to make it to at least 36 wks which is Nov. 1). Today I had an appointment with our regular OB. At exactly 31 wks, I measure 38.5 wks. The nurse had to check my blood pressure 3 times to make sure they were getting it right, not because it was abnormally high, it was the opposite, it was lower than normal (110/60); then again, at one point when I was pregnant with J my blood pressure got to 80/50. I don't remember what their heart rates were this time, I was too busy trying not to pass out. The weight of the babies put so much pressure on my spine while I was laying on the ultrasound table that I got very light headed. The Dr had to finish the ultrasound and Doppler with me on my side. We go see the hematologist on Wednesday and hopefully we'll be able to figure something out with how we're going to handle to blood thinners and delivery. Like I mentioned previously, we'll see the high risk Dr. again at weeks 32 & 34, and we'll see our regular OB again in 2 weeks (at 33 wks) and then we'll start weekly appointments until the end.
(we only got pictures of Baby R this week, the Dr did label one of the pictures Baby L, but it was taken from the same spot (on the right side) and looked exactly the same as the Baby R picture)
*FYI: I'm on a blood thinner called Lovenox for my APS & MTHFR gene mutation. It lasts 24hrs in the body and is not reversible, thus, if I have any of it left in my system when it comes time to deliver I cannot have an epidural (the risk of hemorrhaging is too high) so a vaginal delivery would have to be med free and a c-section would have to be done with general anesthesia (I'd be completely out). With a "regular" pregnancy, many Dr's switch the blood thinner to a drug called Heparin around 36 wks. Heparin only lasts 12 hrs in the body and is reversible (you can be given another drug to reverse it's affects, thus allowing you to have an epidural). The issue that arises with me is when to switch me to Heparin since it's unsure as to when these babies will come. You'd think the logical thing would be to just switch me now, but some Dr's feel that Heparin is not as effective as Lovenox (and some insurances don't cover Heparin). I'll post an update after our appointment on Wednesday. I'm hoping they just switch me, because I really don't want to have these babies without medication!
(we only got pictures of Baby R this week, the Dr did label one of the pictures Baby L, but it was taken from the same spot (on the right side) and looked exactly the same as the Baby R picture)*FYI: I'm on a blood thinner called Lovenox for my APS & MTHFR gene mutation. It lasts 24hrs in the body and is not reversible, thus, if I have any of it left in my system when it comes time to deliver I cannot have an epidural (the risk of hemorrhaging is too high) so a vaginal delivery would have to be med free and a c-section would have to be done with general anesthesia (I'd be completely out). With a "regular" pregnancy, many Dr's switch the blood thinner to a drug called Heparin around 36 wks. Heparin only lasts 12 hrs in the body and is reversible (you can be given another drug to reverse it's affects, thus allowing you to have an epidural). The issue that arises with me is when to switch me to Heparin since it's unsure as to when these babies will come. You'd think the logical thing would be to just switch me now, but some Dr's feel that Heparin is not as effective as Lovenox (and some insurances don't cover Heparin). I'll post an update after our appointment on Wednesday. I'm hoping they just switch me, because I really don't want to have these babies without medication!
(Baby R)
(Baby L) 



