Tuesday, 16 August 2011

31 weeks and 4 days pregnant - growth scan

Well, today I had a growth scan.  It was not at the FMU (fetal medicine unit) but rather where all the other ladies get scanned.  I always wanted to progress to that unit as that would mean my pregnancy was progressing normally.

The doctor that has been seeing me in the FMU is on holiday so thats why I was seen in the other unit.  Anyway, I dont know what to make of it but she measured the femur at 60mm, an increase of 15mm??  That also now plonks the femur on the 50% line - normal.  In fact everything has grown.  Im so untrusting - are these really the correct measurments this time?  Has my baby had a growth spurt?  Is everything gong to be okay?

The estimated weight is now 3lb 9.1 oz.  Previously I was struggling to get to 2lbs. 

She measured everything 9 or 10 times.  Checked and double checked.

I dont trust anyone and thats the truth.

The sonographer is 41 and confided that she is about to try ivf.  She wanted to hear about my story and I shared the things I have learnt along the way.  There are so many of us out there.

It feels liike a good day - but Im scared of being happy and accepting and believing, after all this upset, that everything will be okay.  I pray it will be.  Im going to start my knitting back up today it feels like a baby will be born.

Negatively DH has been made redundant -but thats a worry for another day.  Tomorrow I have another hospital appointment - 1230 they are going to set me up with my own blood pressure machine and take it home, 1600 diabetic clinic and 1900 tour of the maternity facilities.

Thank you for the lovely lady who commented on my blog. I have wondered at times if anyone was reading and if it would be helpful to anyone. 

Symptoms = baby moving, sickness, bleeding gums, wobbly on my feet at times

Tuesday, 2 August 2011

29 weeks 5 days pregnant - short femur

Well, I had my scan yessterday and the femur is now measuring below the range of normal.  The measurements are on a chart which show the lowest 3rd percentile and the highest 90 percentile of normal.  All the way along the doctors have said 'its within normal range' so dont worry and now it is outside the doctor yesterday was still encouraging me to think of it as normal.  I just dont get it.

Of course it could mean many things.  What it definately means is that the femur is not growing at the same rate as the rest of the baby.  The first measurement the doctor took it was about 45mm and sat about a cm below the lowest 3rd percentile.  She measured it lots of times after that until it occupies its current position, just below the line.  She manage to make it 49mm which is at least 3 weeks behind.  Again everything I hear and read says if its one or two weeks behind thats okay.  That is a measurement of approximately a 26 week old baby I am just shy of 30 weeks. 

I have to go to the diabetes clinic today and will work hard to speak to the consultant. 

I have another scan in 2 weeks and then one 2 weeks after that.  What are we waiting for?  Or perhaps they really just dont know? 

Symptoms: stress, baby moving, gums still bleeding but less intense, food still doesnt taste good

Saturday, 23 July 2011

28 weeks 1 day pregnant - third tirmester, insulin

Well Im definately in the third trimester now.  On different sites they say different things as well as my 'pregnancy day by day book'.  (In the book Im in the final section.)  Its funny isnt it, but at the beginning of the journey, I identified certain landmarks that I would love to reach - 'oh I would love to be 12 weeks, will I ever make it?  Can I get to 20 weeks?  Will I ever reach the 2nd/3rd trimester?'  Now those landmarks are beginning to subside into the past- I have 32 weeks (for some reason feels quite prominent in my head) left and then the end - a baby. 

I have spent every Wednesday going to the diabetic clinie.  This week it was decided that I needed medication.  There were 2 choices offered - metformin (spelling) and insulin.  They started the conversation about Metformin by talking about its safety record which pricked up my ears.  Ive never had a conversation like that when doctors are used to prescribing the drug and are confident.  Apparently, like many other drugs, it is not licensed for pregnancy and it is not yet accompanied by years of data.  She said that many other clinics prescribe it but they had only, in the last year or so, been prescribing it at my hospital.  Insulin, on the other hand, is licensed and comes with years of data.  I made the insulin the choice of the day, explaining that I couldnt take any chances.

The worst part about making that option is that I have to let my insurance company know.  I have to test my gloucose before driving and let the DVLA know that Im on this medication.  I have yet to take the drug.  Im supposed to take it with a main meal and the food options I have feel so borning and my taste buds so off, that I have spent the last couple of weeks just snacking.  I have a celary stick here, a couple of crackers there, a peach or a plum an hour or so later.  So although, I wake up and eat breakfast (so I can take my tablets) I have yet to have what I call a main meal.  In addition, there are some foods that I know dont raise my gloucose levels like an omlulet with mushrooms.  So, in a way this has helped me control my diet more.  I have had more salads, olives etc.  Anyway, incase you are wondering, my insurance company was fine.  I hear the DVLA can be harder as they then issue you with a limited 3 year license, despite it being something that wont last for more than 12 weeks in my case.  I shant ring them till I actually use the insulin, in case I dont need to (since snacking my level hasnt been higher than 7.1 (.1 over the maximum level).

Two weeks till my next scan.  I saw the consultant on Monday and he said very little about my child being a  boy and not a girl and his comments about survival rates - 'lets hope he's a good fighter too'.  Classic brush off.  My blood pressure was up again - maybe its that clinic.  So he wants me to up the blood pressure tablets to 3 a day.  Like I said above, that has become tricky as, Im not identifying any particular snack as a main meal so I say to myself, Ill eat properly later and then never do.

Exciting stuff has been around shopping.  We got a buggy.  We went for the Quinny Buzz as DH really liked it and yesterday I bought the carry-cot on line.  Very exciting.  We set up the buggy, explored all the buttons and pushed it around the lounge.  (A negative of the buggy is that it only just fits through the door!!)  Of course it wont fit in my car, a matiz (smaller than a Noddy car) but Im intending to change that.    I cant wait for the carry-cot to arrive so we can push that around too.  DH loves it.  I got it from an ebay shop and rrp is £385 for the buggy, I got mine for £250 and the carry-cot for £59.00 when that rrp is £150.  Both new in the box.  One car seat to go and the bedding situtation solved.  We also need some vests in newborn size and then the lotions and potions, that I think we will wait for a bit to buy. 

You may well be wondering what sprang me into action.  Well, it was the words of the consultant saying, we dont have to hospitalise you YET!  What, I cant be hospitalised, what about Max (my dog).  Can you imagine 12 weeks in hospital.  Well maybe 10 because he said with gestational diabetes we normally induce at 38 weeks - thats 10 weeks away.  I dont think this pregnancy is going fast - day by day sitting at home doing nothing - but 10 weeks.  If I was stuck in hospital I dont know what DH would buy and I want to be part of it anyway, part of the excitment.

Remind you to tell you about my trip to the dentist on my next entry.

Symptoms = baby moving, bleeding gums, sickness (still vomitting occasionally and sick burps a couple of times a week), food tastes unpleasant

Sunday, 10 July 2011

26 weeks 2 days pregnant - gestational diabetes

Can you believe Ive now got gestational diabetes.  On my last consultant scan I had gloucose in my urine.  I had a follow-up blood test which found a level of 9.  My fasting score is in normal range which confirms that it is gestational rather than regular diabetes.  It explains my headaches and total weariness - those 3 hour naps.

Since my diagnosis I have spent 2 days at the hospital.  1 full day, when I arrived at 8.40 after fasting since 10pm the previous night.  My blood was then tested.  I had to drink 2 and half glasses of flat lucazade, wait for 2 hours then my blood was tested again.  The results confirmed it as gestational diabetes.  After which I was told the bad news by the nurse.  I cried.  Its just another thing.  Then I saw the dietican.  She went through my current diet and then advised me of the things I need to cut.

I need to cut out fizzy drinks (I could drink diet drinks but I feel very stongly about the sweetners that are included in diet drinks so I wont), not too much fruit, no fruit juice, reduce carbs, no treats (ice cream, cakes, chocolate etc - I have just developed a taste for these) and sugar and sugary sweets (my saving grace when I feel sick).

Food feels very boring now.  My best response to a meal has been after a three egg omlulet with mushrooms and tomatoes.  Of course because there were no carbs. 

I have to prick my finger 4 times a day.  When I wake in the morning and then 2 hours after every meal. I hate doing it and although I can do the early tests, as the day progresses I lose courage. 

On Tuesday, I have a scan.  Its going to be a tricky meeting as I need to challenge them about the results I got from them and the contradictory second opinion, including the gender! 

Symptoms = baby moving most day (can be quiet on some days, lucky I have my fetal monitor), headaches, tiredness

Wednesday, 29 June 2011

24 weeks 6 days pregnant - second opinon scan re small head/chromosonal problems/gestational diabetes

Well, its been a while.  Where to start.

On the 20th, when I was 23 weeks 3 days pregnant, I went to my scan at the fetal medicine unit.  I was anxious about it and after taking all the measurements the sonographer said that the baby had a small head.  And that the head was below the 10th percentile (about 3).  She booked me in for another scan in three weeks time and told me to see my consultant within 2 weeks. 

The consultant appointment was on Monday, 27th.  Can that be only 3/4 days away (its the middle of the night here).  DH came with me as he said he just didnt understand either.   I had suggested that the head was small to the previous sonographer at my 20 week scan.  The small head cost so many tears as inuterine growth restriction problems are normally associated with a normal head (the baby pumps all the goodness to the head) and the other measurments are compromised.  I could no longer deny, it seems that the baby would have down syndrom/Edwards or cal(something a syndrome that causes the head to be small and intelligence compromised).  The baby also showed a small femur. 

I rang the down syndrom advice centre and they said I could, based on my screening results and these small measurements, ask for a second opionion.  She advised me to contact my doctor and be referred.  This I did.

So on Monday we went to the consultant.  It started, as normal with a blood pressure check - it was 140+ over 100+.  The doctor said it was no longer ignorable and I have been told to stop work.  I have been put on blood pressure tablets, which I am to take 3 times a day.  They make me drowsy.  After a couple of hours after taking them I fall asleep.  I have no idea if they have lowered my blood pressure but I do feel much more relaxed.

They also tested my urine.  There was gloucose in my urine.  The doctor prescribed some blood tests to test my blood for gloucose and function tests of the liver and kidneys I think.  I got a call yesterday from the diabetic clinic to say they needed to make an appointment urgently with me because there was lots of gloucose in my urine.  So I go there next Tuesday to see if I am developing diabetes.

Then dh and I asked the doctor about the scan results.  He asked again if it was a boy or a girl.  I confirmed we were having a girl and he said good.  Apparently girls have a better survival rate.  I asked for an amnio as I said we could not ignore the small head and femur measurements and it now looks to me like it has to be a chromosone problem.  He said 'its too late,' that in his opionion it is fetal growth restriction based on my high blood pressure and flow problems.  He was nice about it, earnest even, but it felt like a hunch.

The consultant provided me with a letter to sign me off but it wasnt sufficient for school so I made an appointment to see my doctor to give me a certificate for school.  I went this afternoon and she wrote the certificate until the 18th July.  She wanted to do it longer but I said I preferred a review to see if I could go back.  I also asked her about my second opionion referral, she said in all honesty it was probably waiting to be typed up.  (I went to the doctors the previous week.)  I asked for a copy as I would hand deliver it.  She typed the letter there and then and I took it away.  I took it directly to the fetal unit at Kings.  It was very quiet there (all the consultants are away apparently on a conference).  The receptionist wasnt sure if I could be seen there so took it away to see a midwife.  She came back with the only remaining consultant who asked me why I wanted to be seen there.  I explained about my down syndrome results, my call, the small head and femur that I wanted an amnio but was told no and that the whole thing was upsetting and I didnt understand and I just wanted to know.

She said she would scan me now!!!!  She did.  She asked do I know the gender.  Yes I said (Ive been told twice its a girl).  She said whats that then?  Its a penis.  My girl has a penis.  My daughter is actually a son.  She said that, to excuse her but she wouldnt rely on the measurements I had if they hadnt got the gender right.  I know it sounds trival but that has been the only thing we have counted on.  There may be no baby born, there may be problems but we ARE having a girl.  We even did names.  Even if the baby isnt born alive we would need a name now. I told people.  I was pleased, dh was pleased.  Now even the things we relied on can no longer be relied upon.

The consultant carefully took the measrements, the ones I was anxious about she took several times.  She spent time explaining the results.  She did not find a small head!!   The head was nearer normal in size.  The femur really is small - right at the edge of the measured line.  Thats worrying but it all makes sense now.  Now I really can believe that it could be restricted growth as it makes much more sense than it did before.  It still could be down syndrome but it might not be. 

Now I need to decide whether I should switch hospitals.  I think I will go to my doctor again and discuss the results.  Ive never been to my doctor so much in my life. 

We bought clothes that were pink.  Not that many but they are pink - we wanted to tell the world she was coming and she was going to be born.  Its a lot to digest.

Symptoms = drowsy, headaches, baby moving

Monday, 20 June 2011

23 weeks 4 days pregnant - small head

It upsets me to even type small head into the computer.  What does this mean?  I had a scan yesterday to check growth and the head was found to be in the bottom 3 percentile.  Apparently, they are not worried as long as it sits between 10 and 90 but anything over or under causes alarm bells.   The fermur was also small.  I think this has been consistently small (DH is 6'2 and Im 5'7 and we both think we have big heads). 

I think the head measurment was small last time but they didnt mention it directly.  I feel so disempowered.  The artery flow isnt great and the right side has got worse.  She also measured for the first time, the cerebral flow - it was off the chart (out of the parameters) as was the placenta flow? reading. 

I had a small vision disturbance yesterday in a meeting after school.  It was tiny but it happened - I was sitting down and the girls face kind of warbled.  I cant describe it better than that.  I see the midwife on Wednesday so I will wait till. then. 

They booked me another scan in 3 weeks and told me to make an appointment to see my concultant within 2 weeks, so Im booked for Monday.  (Apparently, no one else can see me because Im on his list even though he is going on holiday.  What if I need to see him again?) 

I hate going for the scans.  Everytime the news seems to get worse and worse.

I looked up small head and it can be related to a syndrome - very small babies with half a head with compromised intelligence.  Or just with compromised intelligence or restricted growth.  Im very worried and have to wait for 6 days to even discuss it further.  I cant stop crying.  I dont even feel pregnant now...

Symptoms - some movement

Monday, 13 June 2011

22 weeks 3 days pregnant - consultant appointment high blood pressure

I had my consultant appointment today.  It went okay but because of the increased artery pressure into the placenta and the high blood pressure reading (135/91) I now have to go every week to have my blood pressure checked!  Its such a long journey to my midwife - it takes me half a day.  I went to the hospital today (which is the same distance just walking in the opposite direction) and I have come back and slept for 3 hours - totally worn out.  That cant be good.

Anyway, the consultant says I can split visits between the doctors and the midwife if that helps but approaching the doctors for such a simple test makes me nervous.  Anyway, I keep going.  Its upsetting though, every appointment just feels like another problem.

I have also put on over a stone in weight.  On my first visit the consultant said not to put anymore weight.  I was carefully weighing myself and maintaining my weight until about 3 weeks ago.  I weighed myself again in anticipation of going back and a stone had jumped on from nowhere.  Anyway, Im to look out for pain in the diaphram, stars, blurred vision, dizziness.  What do I do if I experience any of these?  Ring him?  He's on holiday for 3 weeks.  I dont understand this system nor the care, nor anything really. 

Symptoms = nausea (still) especially if I miss a meal, shortness of breath, baby girl kicking