or alternately titled "Why I Am So Damn Paranoid This Time Around..."
I had a question about my last pregnancy in the comments of my last post. I started to address the question there, but it turned out to be a lot longer than I expected! I figured it deserved a post all its own. (plus it gives me something to write about tonight) I hope when I write it all out, it will actually make sense.
Here is the comment from Roccie:
Hey Stacie. I want to ask you some questions that might be painful to relive. Can you help me understand what the challenges were for the twins that started at 20 wks? Was it the level II ultrasound?Are there posts you can direct me to so I can build an understanding?If I am overstepping my bounds, please let me know. I just think we are so alike,that sharing the information might feel like healing. When I can offer my experiences with severe genetic anomalies, it helps.
You are by no means overstepping any bounds here. Actually it is a good question. I am sure there a lot of people who have no idea why I am so freaked out by things this time.
Here is the drama in a nutshell:
I was referred to Dr. Doom, the perinatologist, by my RE because I was on the cusp of AMA and a twin pregnancy. My first scan with Doom was at 12 weeks. At that point, other than thinking the guy was incredibly strange it went okay. (As an aside, Doom had crazy hair. You know the kind--hair that doesn't seem controlled and sticks out all over the place. It's the kind of hair you see on the mass murderers mug shots on television. I told Is.aac that Doom's crazy hair made me worry about him. I should pay attention to those kinds of feelings! I could have saved myself from a bunch of worry.)
At my 16 week scan, Doom found that both boys each had two choroid plexus cysts on their brains, each boy had one in each hemisphere. The cysts were rather large, and let's face it, no one wants to see big black holes in what you know is your babies' brains. He led us to believe that this is a huge marker for Downs (although I have since found that it is a soft marker that is greatly disputed). One of the babies (Ja.son) also had what was believed to be at least one clubbed foot. It wasn't clear because of how he was holding his foot, though. While we went into that appointment with no desire to do any genetic testing outside of the normal screens (which came back normal at first tri), we were scared enough to have amnios done on both babies. Afterward, I started having what I considered to be Braxton Hicks contractions fairly often--nothing regular and they did not hurt, but I had them often enough to make me call Doom. He said it was BH and he'd check me at my next scan in 4 weeks.
Fast forward to 20 weeks, my cervix had shortened from over 4.0+ to 1.2 and had funneled. Sh.awn's foot was kicking at my cervix. With each kick, my cervix moved. That was bad news. Doom contacted my regular OB, scheduled my rescue cerclage for the next day, told me he hoped we'd make it to 24 weeks (but did say that I didn't have great odds at that), and generally traumatized us both. He did give me P17 shots, but said he didn't think it would make much difference to the outcome. The good news was that the cysts were gone, but I felt like all of this started because of an amnio I never really needed... I knew in my heart the boys would be fine, but I allowed myself to be frightened into doing a procedure I didn't really want. (cue guilt)
Had cerclage done by my regular OB and went home to strict bed rest--up only to pee and shower for 10 minutes or less every other day.
Every week we went back to Doom who still predicted dire results...we were just waiting until I delivered any day in his eyes. (at least it felt that way)
26 weeks exactly saw my membranes rupture. I knew what it was immediately. There was no possible way I could have had that much fluid in my bladder. No way at all. When you add in that one side of my abdomen had deflated and I was clearly lopsided when I looked down, it was pretty clear in my mind. I called Is.aac, and we headed off to L&D.
Doom had a tech meet us there to do an ultrasound. Fluid was lower around Baby A, but still on the low end of normal. Doom came in later to check me, but said that I did
not rupture my membranes and I should go home.
My OB, on the other hand, actually did an internal and confirmed that he found ferning (a pattern that can be seen with a microscope when estrogen and amniotic fluid mix together and cause salt crystallization). He's the one who gave me the steroid shots and admitted me into the hospital to make sure I had the entire series. During that first night, I was given shots of terbutaline to stop contractions I never felt.
The contractions stopped so I was sent home with heavy duty antibiotics to ward off infection. I was scheduled for another Doom visit at the end of that week.
At 27 weeks, 3 days, I went back to Doom for another ultrasound. There he found that Baby A indeed had lower fluid (duh) and confirmed that I likely ruptured the last week (duh) and sent me back to the hospital to be admitted.
There I sat...well, lay in bed for another week before I delivered the boys. We all were pretty sick from some sort of infection that had set in after my membranes ruptured.
So that is pretty much the story. I don't trust Doom, as I am sure you can see why. Unfortunately, he is the
ONLY peri within an hour of us.
I don't exactly trust my body either, again I'm sure you can see why.
As for the dates of the posts that refers to all of this stuff, the posts are between August 2007 to October 2007.
**Updated - I made Is.aac read this to make sure I got the details right. He said I pretty much did, but I didn't convey the fear that we lived in constantly during that time. He's right. I didn't. Doom was so, so negative every single time we saw him. It was a really hard time. Blah.
He also reminded me that I left out that Doom asked the tech every single appointment if the boys were genetically normal. We always had the impression that the only reason Doom gave a damn (if you can call it that) was because both of them were genetically normal. Had one or both not been...well, I don't think we would have gotten much help from him at all. Makes me sad to think about that.