Peeper Update: 34 Weeks 6 Days
Update, 8:15 pm: Photos Added
Lather, rinse, repeat, til Peeper shows up.
And here's our little girlie:




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Update, 8:15 pm: Photos Added




Categories Adventures In Baby-Making, Ultrasounds
Categories Adventures In Baby-Making, Ultrasounds
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!
La, la, la, I can't hear you!
Woe is Peep!
Categories Adventures In Baby-Making, Hair Today, Ultrasounds




Categories Adventures In Baby-Making, Ultrasounds
Categories Adventures In Baby-Making, Picture This, Ultrasounds, Wordless Wednesday
Here's a photo from yesterday's ultrasound - 28 weeks, 1 day.

Categories Adventures In Baby-Making, Ultrasounds
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!)

Categories Adventures In Baby-Making, Surgery Saga, Ultrasounds
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.
Whew!
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?
Categories Adventures In Baby-Making, Surgery Saga, Ultrasounds, What Say You?
What with all the unanswered questions and scary possibilities from Wednesday's ultrasound, I almost forgot that there were also photos!
Profile
Waving at Us
Categories Adventures In Baby-Making, Picture This, Ultrasounds
Here are the photos from today's ultrasound.
More info in my next, word-ful, post.


Categories Adventures In Baby-Making, Ultrasounds
I had my first prenatal visit with Dr B this morning, and everything went very well.
At first, they weren't quite sure what to do with me (those were the nurse's exact words), because typically, you have a "confirmation ultrasound" around 6 weeks, then come back for an hour-long appointment with a nurse to get a full history, then start the monthly appointments.
As it turned out, they just did the whole pee / weight / blood pressure thing, then Dr B came in and talked to me really briefly, and said, "We really don't actually need to do anything to you."
I asked, "Can we at least take a listen with the Doppler?"
"Well," she said, "We could, but we might be able to hear anything with it yet. But we could try an ultrasound."
"Yeah, I'll take that!"
So, she rolled in the ultrasound machine and I hopped up on the table and - this was new - I got to keep my pants on!
Well, I did have to unzip them, and pull them down a bit, of course, but she was able to do the ultrasound abdominally, which was kind of milestone, after God only knows how many encounters with the dido-cam.
Her ultrasound machine (and especially the printer) isn't as fancy or high resolution as the one at the fertility clinic, and the photo really doesn't do justice to what we were able to see on the screen, but here it is anyway:
This photo is just kind of a blobby shape that maybe you'll believe has those parts, because they are labeled, but on the screen, what we saw was - get this - a baby.
An honest-to-God, actual, human-shaped (mostly), baby-thing, 4.39 centimeters (1.7 inches) long, with a beating heart (they are conveniently see-through on ultrasound) and two little legs kicking back and forth and very possibly waving an arm at us.
(Shrike said, "S/he's saying, 'Chill out, Mama, I'm fine!'")
This is the first time that we've been able to see actual see Peeper moving in there (other than the beating heart, of course) and that was incredibly cool.
I really wish that there were a way to show what we actually saw, rather than this crappy still photo.
We had been hoping to have video of next week's nuchal translucency scan (we're buying a digital camcorder with our birthday money) but I called to check and they don't allow that - but even with just the stills, I'm expecting much better photos from that, because a> Peeper will be a week older/bigger/more formed and 2> they have the really good machine.
Of course, they'll be posted as soon as we can get them scanned.
In other upcoming-appointment news, I'll go back to the OB on June 2, for the history-taking.
Dr. B said "We'll get a complete family history, and . . . ." so I asked her, "So, do you really need me there for that?
Actually, we'll have to discuss Shrike and Popeye's genetics (I'll bring a print out of his profile - of course, he's been screened for anything important) and my medical history, in terms of things that would affect the pregnancy - my history of kidney disease and hypertension, my gastric bypass, the fact that Anonymama almost certainly had gestational diabetes, although it wasn't diagnosed at the time, etc.
(Anonymama says they should schedule my history appointment for 90 minutes, rather than an hour, since we'll have to discuss three parents instead of two!)
After that, I'll see one of the midwives (I believe) for a check of - well, I'm not sure what all they'll check, but I guess whatever it is that they check each month.
I'm guessing we'll take a listen with the Doppler at that point? Unless I can sweet-talk them into ultrasounds . . . .
I will have appointments with the OB practice (sometimes I'll see Dr. B, sometimes another OB, sometimes a midwife) every four weeks, until I get to 28 weeks. Then I'll go every two weeks until 36 weeks, and then weekly until Peeper is born.
Since (I think) the perinatologist will want to see me every four weeks as well, I'll try to stagger the appointments so that I'm getting some sort of check every couple of weeks, rather than two back-to-back and then nothing for three or four weeks.
That should be often enough keep me relatively calm and reassured. Relatively.
Of course, once I start getting some belly action going on and, later, actually feeling Peeper move, it will be a little easier to believe that there's something going on in there.
I know I'm very lucky that I've felt so good - I'm almost to the end of my first trimester and other than tiredness and ouchy boobs (and that's much better now - if I had bras that fit, they probably wouldn't hurt at all) and that thing about not having had a period since February, I've really experienced almost no pregnancy symptoms at all.
(Ok, I may be a bit more of a cry-baby mush-ball, but that's a tough call, because I always have been.)
I'm certainly not complaining (especially not in front of any woman who's suffered through weeks or months of "morning" sickness) but if it weren't for the ultrasounds (five, so far) I would seriously be wondering if this was real.
Little kicking baby-person on a tv screen, though?
That's pretty fucking real.
Categories Adventures In Baby-Making, Ultrasounds
First, and foremost: Everything is fine.
Peeper is great.
In fact, Peeper is an inch-long package of embryonic (soon-to-be-fetal) perfection, with arms and legs and (if the rumors are to believed) a tongue and a nose - and a butthole (like we didn't already have enough of those in the world!)
And here's the proof:
Now that we've established that, I'll explain that we had another ultrasound this morning, because the little shit darling gave us a bit of a scare earlier in the week.
We hadn't mentioned this to anyone, nor had I blogged about it, because we were 99.99999999% sure that everything was fine, so we saw no need in getting people worried for nothing.
Now that we know that for sure that all is well, I'll go back and tell the whole story.
On Tuesday, I'd taken the day off work to engage in some electorally-related activities that were going on in these parts. I'd planned to be out and about by 7 am, but didn't manage to actually drag my ass out of bed til around 8 am, so I decided I'd make phone calls for a while, then head out around lunch-ish.
About 10:30 am, I took a break from my calls, and went to the bathroom, where I discovered that I was spotting, just the tiniest little bit, but certainly enough to freak me out.
(As you might imagine, at nine weeks pregnant, the amount of spotting required to cause freaking out is pretty fucking minimal.)
Now, I knew, intellectually, that spotting in early pregnancy is quite normal, and nothing to be overly concerned about, provided that it's not heavy or bright red or accompanied by significant cramping, but still. Yeah. Pretty freaked out.
I immediately made calls to both my fertility clinic and my regular OB. By the time I was done leaving voicemails for them, Shrike had consulted Dr. Google, and was quizzing me about cramps and color and amount, and telling me exactly what I said above.
By that point, of course, I had already decided that my activities for the day would not involve standing around outside for hours at a time, talking to strangers.
While I waited for nurses to call me back, I went to lie down, because it seemed like the thing to do.
At this point in the story, I would be remiss if I did not describe just how wonderful Shrike was during this whole episode. I keep telling her this, and she keeps telling me that I'm being silly, but I really mean it.
She handled it just perfectly. She was appropriately concerned, yet very reassuring. She told me that everything would be fine (and mostly convinced me) without ever making me feel like I was overreacting.
When I retreated to the bed, Shrike joined me and snugged me, and petted me, and let me freak out and cry for a bit. Then we both fell asleep.
Because that seemed like the thing to do.
The first call back was from the nurse at my regular OB's office who told me what I already knew (see above) and said that everything should be just fine, but to call back if anything changed.
When I'd not yet heard back from Nurse E at the fertility clinic, I called them again, and this time told the receptionist what was going on (the first time, I just asked for Nurse E's voicemail).
Because Nurse E is technically no longer our nurse, since we moved to IVF, she made me talk to another nurse, part of Nurse D's donor team (Nurse D was not in, as she only works Monday, Wednesday, Friday. Must be nice.).
Note: I really like Nurse D too, but "she's not my real nurse." And, it's kind of a pain in the ass that she's only there every other day. When we were in the middle of the IVF process, it made sense to deal with the nurses who specifically work with donor-egg IVF patients but, at this point, Nurse E knows the answers to my questions just as well as they do, so if I have my choice, I'd rather deal directly with her.
Anyway, that nurse told me the same thing, again, but also that, "if it were me, I'd want to come in for another ultrasound in a few days, just for my peace of mind."
Bingo! That's the answer I was looking for!
Let's see, ultrasound three days from now - or three weeks from now? What ever shall I do?
"Well, if you think I should. Can you transfer me to the scheduler right now?"
I was already feeling much better about everything by that point (from what the nurses had said, and the fact that nothing was changing spotting-wise; it wasn't getting heavier or any different), when Nurse E called to reassure me some more.
She agreed that the ultrasound was a dandy idea, and also assured me that something terrifying happens to every pregnant woman at some point along the way (for her, it was a fall down a flight of stairs!) and told me not to hesitate to call back if I needed to.
The spotting continued to be very, very, very light through Tuesday and Wednesday and had pretty much stopped by yesterday.
I was feeling pretty confident about things at that point, but was of course, still pretty nervous by the time the ultrasound rolled around this morning.
Of course, as soon as the dildo-cam was in position (when do I get to switch to abdominal ultrasounds?) we saw Peeper right away, including his/her little heart beating just as it should be - and a hint of some stubby little legs!
S/he is 24.7 mm long (just shy of an inch), which corresponds to 9 weeks 1 day, with a heart rate of 182 beats per minute (which is, evidently, just right).
There was no sign of any bleeding going on inside my uterus, or anything else to cause any concern.
Dr E (like the nurses) said that there are any number of inconsequential things that can cause a little bit of bleeding during pregnancy, and that, while it's very scary at the time, it's usually nothing to worry about.
She did recommend that I "take it easy" with no heavy lifting or strenuous physical activity for a few days, but other than that, everything is just fine.
So, the upshot is that we got a bonus look at Peeper, which I was happy to have, spotting or not.
My next appointment will be on May 8 with Dr B, my regular OB and then I have another appointment on May 14 with the perinatologist, for the nuchal translucency ultrasound.
I'll try to resist coming up with any other excuses for additional ultrasounds between now and then.
Categories Adventures In Baby-Making, Ultrasounds
Still not a whole lot to see, but here's the photo from today's ultrasound. I wish I had video to show the heartbeat; that was very cool. Just imagine that blob pulsating rhythmically.
Categories Adventures In Baby-Making, Ultrasounds
