Thursday, May 19, 2011

22 weeks 4 days

I had my second visit with the perinatologist two days ago.

I stabilized my weight for two weeks, and actually gained one pound, but I'm really not going to count it, because I'm pretty sure that in two more weeks, it will be gone again LOL

All my lab work that the perinatologist had done, including my 24 hour urine, came back great.

My blood pressure is under observation now. Since the babydaddy has high blood pressure, we have a machine at the house. I will be taking my blood pressures twice a day for the next two weeks, and bringing the results in to the perinatologist when I go back in. When I was there, my BP was in the 140/95 range.  Some of my home tests have been SUBSTANTIALLY higher than that. 180/98 and even 191/101.

Today in the OB's office, it was 133/98 (any first number over 140 is suspect, and any second number 90 and above is suspect according to the standards for pregnancy). So even though my first number had dropped some, my second number was still considered high. I'm also dumping protien in my urine and have the accompanying headaches. Which basically signals pre-eclampsia, but they don't like to actually diagnose it until the third trimester. The third trimester technically begins at 26 weeks. Anything that begins between the 20th and 32nd week is considered 'early onset'. Most likely, they will not try and medicate me for the high blood pressure. They will put me on bedrest, monitor me more closely and make me do 24 hour urine's once a week or so to monitor the protien.

The perinatologists wants me to have another ultrasound in two weeks (June 2nd). I will have my first Non-stress test (NST) at 32 weeks. I also need to have an EKG done on my heart, and have an eye exam done to make sure that having diabetes hasn't damaged my heart or my eyes during my pregnancy.

I was also told that I will be induced some time between my 36th and 38th week, depending on when my cervix is ready. I walked around dialated to 4cms for a month prior to my induction with my last baby at 39 weeks, so most likely they will be taking the baby around my 36th week and he will end up in the NICU for a little while to make sure he's okay. Which means all the stuff that goes along with that. Like steroid injections for the baby to make sure his lungs are developed in utero before they deliver me.

If my blood pressure insists on continuing to be an issue, and I have to be on bedrest, and being on bedrest does not help my blood pressure levels, I could end up on hospital bedrest, or having an even earlier delivery than at 36weeks. Considering the fact that I've had four babies before this one, and as well versed as I am via experience and research, I am aware of most of the consequences this could have on our baby. The only cure for pregnancy related high blood pressure is DELIVERY. The survival rate for girls born premature is much better than for boys born premature, as well as the consequences. They can't quite explain it, but it's the way it is. I won't bore you with any more of the morbid details, it is what it is, but I have every intention on keeping this baby right where he belongs at least until that 36 week mark.

That is what is going on with baby and I right now. We are just taking it one day at a time.

Oh, and we have a name, but we aren't telling. :-p