Update, 8:15 pm: Photos Added
And here’s our little girlie:
Update, 8:15 pm: Photos Added
And here’s our little girlie:
We had a fairly uneventful series of appointments this morning, the upshot of which is that Peeper seems to be doing very well.
She behaved (more or less) for the non-stress test, with few or no variable decelerations. She did take a little nap for the second half of it, but she was probably exhausted from all her activity over the past few days.
She was pleased with my blood sugar levels, and didn’t even fuss at me for only checking them once or twice daily.
I told her that Dr. Y (whom I saw a couple of weeks ago) had fussed at me, and told me that I “need to be more compliant about testing.”
She said, “Well, Dr. Y just finished her residency, so she’s kind of a stickler for the ‘rules.’ Once you’ve been doing this a while, you know when you can let things slide.”
(Oops, I just thought I was tattling on myself, not on the doc!)
The biggest news of the day is that Dr. B is filling out my Aflac paperwork, saying that I need to cut back on my work hours, which will qualify me for short-term disability benefits. Woo hoo!
She said, “We don’t write a note for just anybody, but (gesturing at my chart) there’s a lot of stuff written here, so this will be fine.”
Update 10:00 pm: Photos added!
I had another non-stress test yesterday and an ultrasound today, and Peeper continues to be a little trouble-maker, worrying us for nothing.
Again, she showed variable decelerations of her heart rate on the NST, but then looked just fine on ultrasound.
Given that we saw the decelerations last week as well, followed by a great ultrasound, and since I was already scheduled for an ultrasound today, my OB didn’t seem to be too worried yesterday.
(At least, not worried enough to make me get naked or to send me to the perinatologist ahead of schedule.)
I am still having Braxton Hicks contractions off and on, and alot more “on” than “off” when I’m being more active.
It’s not like I’m trying to run a marathon or anything; we’re talking about things like carrying baskets of laundry back and forth (trying to get Peeper’s clothes all washed up and in the new dresser), or walking around Target Sunday night (about 5 contractions in the 30 – 45 minutes we were there).
Or driving to the perinatologist’s office this morning (about 5 contractions in the last 20 minutes of the trip).
Basically, they said that when they start up, I should sit down, get some liquids in me and take it easy.
I’ve also been instruction to avoid any, shall we say, oxytocin-producing activities. Which is quite the bummer.
This morning was our ultrasound, with the perinatologist. (Dr. Peri is out this week, too, for more Jewish holidays, so we saw Dr. Not-Peri again.)
We discussed everything that the OB had said yesterday, and he agreed, all around.
He also confirmed that Peeper’s single umbilical artery could be a factor in the variable decelerations, in that a given amount of cord compression could have more of an effect on her than it would if she had two arteries.
Speaking of cord compression – we’re blaming that all on her. If you look closely at that photo of her hands from last week, the cord is running right there between them, so we figure she’s just playing with it.
That was our personal theory, and Dr. Not-Peri agreed that it actually is likely that she’s squeezing it. (He’s seen that before.)
Of course, who could blame her. I’m sure she’s pretty hard up for entertainment in there, and it’s hooked right to her tummy. Hard to resist, I would think.
I’d prefer that she leave it the hell alone while she’s being monitored, though!
He also said that “as active as she is,” there’s lots of opportunity for her to sit on it and squish it as she’s moving around.
It was kind of funny, both the sonographer and Dr. Not-Peri commented several times on how active she was during the scan, and we could certainly see her doing a lot of wiggling around in there, but I was feeling almost none of those movements.
I can’t imagine what’s actually going on when I do feel her rolling around in there like crazy!
They did not do another set of measurements so we don’t have an update on her size (we’ll do that next week), but they did like everything that they saw, including some practice breathing – although we had to wait almost the whole thirty minutes for her to get around to that.
(To “pass” that test, she has to “breathe” for 30 seconds at least once during a 30 minute observation. Like her Mama, she waited til the last minute to get her work done!)
I guess the only other real news from today’s exams is that Peeper has hair!
The sonographer pointed it out to us on one of the 3D views. It doesn’t show up like you’d think, because it’s floating (think about what your hair does when you go underwater in the swimming pool) so it looks like a fringe around her head.
Or kind of spikey. The sonographer said that it looks like she has the same hair style that I do!
She didn’t say if it’s a lot of hair or a little, and of course, we won’t know anything about color til she comes out, but I have to admit that I was glad to hear that she has some!
I know it’s only been five days since my last report, but I had appointments with both the OB and the perinatologist this morning.
Here’s a photo from yesterday’s ultrasound – 28 weeks, 1 day.
Peeper had an ultrasound, including echocardiogram, today and everything seems to be just fine in there!
The cardiologist checked out her heart in great detail and said that it looks great.
She did talk to us a bit about the kinds of cardiac issues that can develop with any baby at delivery, if the plumbing changes required to make the switch from cord breathing to air breathing don’t go smoothly, and said that if there were a tiny defect it might not show up on the ultrasound (her heart is about the size of a penny now) but that’s all just CYA stuff.
One funny thing is that the cardiologist is a very young woman, which kind of surprised us.
Later, Shrike said, “That’s not what a cardiologist is supposed to look like. They’re supposed to look like your dad!”
(I didn’t realize that “pediatric cardiologist” meant that the doctor would be a child!)
Dr. Peri was also very pleased with everything that he saw, including Peeper’s growth.
I forgot to ask about a current estimated weight, or what gestational age her size equates to (I might give them a call tomorrow to ask about that) but the important thing is that her overall size is at about the 26th percentile.
Her femur length is less than 5th percentile, but he’s not worried about that; he’s still saying that she’s just built like Shrike.
He specifically said that he’s reassured by the fact that her abdominal circumference is around 26th percentile, same as her overall measurement.
He said that if that were very low, he “might be worried about a placental problem, rather than just being small like mom, but I’m not.”
The previous measurements weren’t converted to percentiles, so we couldn’t compare that, but he showed us the growth-curve with her measurements plotted on it, and she’s growing at the right rate, just on the small side of average.
In other words, her curve is “parallel” to the theoretical growth curve, just a bit lower on the Y-axis.
He said that he expects her to continue to grow at about the same rate and stay around the 25th percentile or so.
(Although, of course, we’ll be watching closely to make sure.)
I asked what a 25th percentile full-term baby weighs, and he said that he’d expect “around 6 3/4 – 7 pounds.”
Well, hell, that’s a quite respectable-sized baby.
Before we left, I scheduled appointments for more ultrasounds at 28 weeks (3 weeks from now), 31 weeks and 33 weeks. After that, he’ll want to see me every week until I deliver.
That’s going to be a lot of driving, and a lot of schedule adjusting (especially since my OBs office will be seeing me weekly at that point, too!) but we’ll do what we have to do to keep an eye on her and make sure that all continues to go well in there.
No 3D photos today, but a couple of pretty good 2Ds (or what would be considered good ones if we hadn’t been spoiled by that 3D last month!)
We saw “Dr. Peri” (the perinatologist) this morning and, as he said when he first walked in the room after seeing the ultrasound images, “Baby looks like a million bucks!”
(As she damn well ought to. If we’re getting our money’s worth. Or, I should say, if Anonymama and Anonydaddy are getting their money’s worth.)
She’s still small, measuring 19w6d today (about 8 days behind, versus 6 days behind, three weeks ago) but he said, repeatedly, that he’s not concerned about that.
Her brain looked “perfect” and the cerebellum and cisterna magna (the parts that might have looked funky at 17 weeks, but the images weren’t very good, and that he said looked okay at 18 weeks) were both looking exactly as they are supposed to.
Everything else looked good, too. Of course she still has the single umbilical artery (that won’t change) but the cord insertion looks good, and we’ve seen both kidneys (sometimes the SUA can be associated with a missing kidney), so that’s good to know, too.
She wasn’t in the right position for the sonographer to get a good image of her heart, and I was starting to get concerned that maybe the position wasn’t the issue, and that whatever she was looking for just wasn’t there, but she evidently turned around while we were waiting for Dr. Peri and he was able to see what he wanted to see and said her heart looks great.
We’ll get a much more detailed study of it in four weeks, when we see the fetal cardiologist for the echocardiogram. We’ll also do another full ultrasound with all the other measurements at that time, as well.
The best part of the whole morning?
(Other than the “perfect” brain, and “I’m not concerned about her growth” and “she looks like a million bucks” of course.)
After seeing her heart, Dr. Peri was poking around, looking at some other things, when he evidently saw something he liked, clicked some buttons on his magic machine and, with absolutely no warning, up popped this image:
Oh. My. God. That’s a baby!
With skin on it and everything!
He said, “Don’t tell anybody I did this. We usually don’t do 3D at this point, but that was just too cute.”
And, indeed, she is.
If I do say so myself.
And I do.
So, my question for you is – just what is that gesture she’s making?
Leave a comment with your caption for the photo, and we’ll pick the best one.
Sorry we don’t have any fabulous prizes to offer the winner, but isn’t the glory enough?
What with all the unanswered questions and scary possibilities from Wednesday’s ultrasound, I almost forgot that there were also photos!
Waving at Us
Waving at Us