22 Weeks

Well, 22w4d!

Quite a few things to update, so I am going for the bullet points...

• I had my H1N1 vaccination last Tuesday (12/08/09)... I was ready to take what was available, but fortunately they had the Thimerosal free one available, so I got that. Haven't had any side effects till now... hope it stays that way!
  
  
• Had an OB appointment last Wednesday (12/09/09 - 21W6d)... we discussed c-section again. We tentatively scheduled a c-section date for April 2 (38w1d). My OB does not like to go beyond 38w... and he seems to be highly optimistic :). As much as I want the babies to stay in there for that long, I very well know that that is an absolute best case scenario and things can change like crazy before that! I am trying to stay cautiously optimistic and positive, yet realistic!
  
  
• After the 20w scan, I will be continuing with my cervix check every 2 weeks along with growth scan every 4 weeks (at least as of now)... so the next growth scan will be on 12/24/09 (24w). OB appointments continue to be every 4 weeks as of now (next one will be 01/05/10).
  
  
• Cervix check on last Friday (12/11/09 - 22w1d) went well, I am still measuring around the same... I hope I can hold up the same way for the next several scans!
  
  
• The babies are dancing in there and I can sometimes see the whole tummy move! I might have felt the baby girl hiccup yesterday - it was a continuous rhythmic nudge on the top right side - a little too rhythmic to be kicks... though I am not very confident it was hiccups either... since I have never felt it before!
  
  
• Starting (around) 2 weeks ago, I can hear my left side groin/pelvic area "pop"... it normally happens when I have laid in one position for long. At night when I change positions or get up to pee, it is the most common. It doesn't hurt much, but it definitely makes me want to make any movements slowly. I guess it is Symphysis Pubis Dysfunction (SPD)... I didn't really mention it to my OB, but I will be bringing it up the next time I speak with him. Has anyone experienced this... what did you do to reduce it?
  
  
• I signed up for Marvelous Multiples and the Breastfeeding classes (for January) at the hospital I will be going to. I would like to take the Baby Care class as well, but that seems to be conflicting with the other classes and the next one I can go to is in late February... and I am not sure if I am really going to be super mobile at that time. I would imagine that class is going to be pretty general and the other class contents would overlap with this one to some extent... also, my mom will be with us starting Jan mid, so hopefully even if we can't make it to that class we should be okay.
  

H1N1 Vaccination?

The H1N1 vaccination is finally (kind of) available in our area! I am planning on taking it... but what is making me uncomfortable is that the Thimerosal (mercury preservative) free ones are either unavailable or are available in limited quantity and there is no guarantee that it will be available when I go in to take the shot!

The Thimerosal free ones are supposed to be "safer"... but there is no (super) concrete study as to whether the ones with the preservative truly cause any issues or make you (your offspring) 100% more susceptible to autism etc! Though it is something I definitely would like to avoid... the less crap in my body the better... (honestly, thinking of how many shots I have taken with IUI/IVF... I wonder how many preservatives I have put in to my system already and does 1 extra shot matter!?)

I am not sure what I want to do (as in take the regular shot)! If you have already been vaccinated, which shot did you get?

Pink & Blue!

Yes, it is a boy and a girl! :)

We had the anatomy scan today (Nov 25 @ 19w6d)... and so far everything looks good! I am so very thankful for how far we have reached and this experience that we have been blessed with. Still a long road ahead, but it is reassuring to see them hale and hearty, kicking and punching their Mommy!

The u/s tech we had was not very verbose, so it was hard to follow most of the stuff she was doing. We were in there for around 1.5 hours... the last 15 minutes were with the MFM, who checked the hearts and some other organs. I would say those 15 minutes were the toughest... since I have always heard that you see an MFM if there is a problem; though I guess for an anatomy scan it is a norm (at our hospital) for the MFM to come in and take a peak at the babies!

The heart rates were at 159 and 163 bpm, and they weighed 11 and 13 ounces (boy and girl respectively). At this stage, they do not measure the length since the babies are curled up. My cervix is still holding up at 3.3, which is a relief. I will be back for my next cervical check in approximately 2 weeks (Dec 11).

I feel like I am getting bigger day by day and it is getting tougher to move around, roll around...! The movement in the belly area is pretty distinct. We might have felt it from the outside on occasions, but it is still not super obvious.

My BFF is coming over for Thanksgiving and we are hoping to do some baby shopping on Friday-Saturday! :)

Wishing you all a very Happy Thanksgiving!

Cyclesista Announcement...

Since some of you asked...

There are a few technical changes happening over at Cyclesista, so the site may be unavailable at times. We hope to get it back to normal as soon as possible, and will keep you updated. In the meantime, feel free to submit your details to mybabytobe at gmail dot com (myself), shansterbaby at gmail dot com, babydustdiaries at gmail dot com, or beaxiaojie at gmail dot com and we'll queue them all up for when the site is running smoothly (and hopefully improvedly!) again.

This announcement has also been posted at LFCA.

18 Weeks

Well, actually 18w4d!!!

Had an OB appointment last week... we did the AFP testing, which came out normal. We also tested for my TSH (it has been 4 weeks since I stopped my TSH medication)... and fortunately it seems to be stable. It just went up from 0.9 to 1.3 (and not the 3+ that it was at my RE's office).

My 2nd cervix check was Friday and things seem to be stable (so far)... my cervix was measuring 3.4 (like last time)... hopefully it stays the same for weeks to come!

And then... we are barely a week away from our 20w u/s!!! I am nervous, excited and anxious at the same time! It will be one of the big u/s, and if the babies cooperate we will know the genders too! It is scheduled for Nov 25 (a day before Thanksgiving)!

MOD - Prematurity Awareness Month

Every year, 20 million babies are born too soon, too small and very sick ― half a million of them in the United States. November 17 is when we fight!

To support and learn more... March of Dimes - Prematurity Awareness Month!

Cord Blood Cell Banking

Few of our friends have opted to preserve the Cord Blood Cell (CBC) of their babies and this thing has always been on the back of my mind. I spent some time looking up information about CBC banking... mainly, the pros and cons, realistic future usage and the cost associated with it. Below is some of the information I gathered...


This is a comprehensive website about most of the information available on the internet... has references to CBC banking world wide: Parents Guide Cord Blood.


Motivation for banking Cord Blood Cell (CBC).


CBC info on Wiki.


Facts (pros and cons) (mostly WebMD)...
-Cord blood Cells may be used to treat nearly 80 serious diseases (as of now... probably many more treatments possible in the next several years).
-The odds that a child will use his/her own CBC are anywhere between 1 in 27 to 1 in 200,000 (depending upon the source you look at).
-According to the National Marrow Donor Program, properly stored CBC should be good for up to 10-15 years, after that point, the researchers aren't sure how long the cells will last (NOTE: Some banks give you an option to pay straight up for 25 years storage for a discounted price - may be that is not a very wise step).
-Cells from CBC are less mature than a bone marrow, so there are less chances of the cells being rejected during a transplant.
-Saving CBC is painless as compared to a bone marrow donation (plus you have to find a matching donor).
-It is not always possible to use ones own CBC (depending upon the disease), if it can be used for a sibling, there are still just 25% chances that the CBC will be a match.
-CBC's are generally used only for children (as of now), since they are not known to be enough for treatment in adults.
-There is a lot of research going on in this field, and in the future techniques (besides CBC) using embryonic stem cells or stem cells derived from adult tissues might be the way to go!


Here is a table of private bank features and pricing of banks in the US (as of Oct 2009... other countries listed too). As per the list and general listing on the internet, Cord Blood Registry, Cryobank International, Cryo-Cell International and Viacord seem to be some of the older banks (early-mid 1990's), registered with the FDA (AABB accreditation) and reasonably priced.


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Some more reference articles:

How CBC is collected - video

Donating vs privately banking CBC

Article against CBC banking by American Academy of Pediatrics.

Information about donating CBC


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Most of the people we have spoken to emphasize on (things to look for) reliability of the bank (longer they have been in the business, more likely that they have their act together and probably will survive in the future), price (in our case - twin discount?), location (stable - away from natural and/or man made calamities), management and correspondence.


This is a very controversial subject and I am not trying to make an argument here, but with IVF treatment, some IFs have frozen embryos. So, I also tried to look for the benefits of preserving embryonic cells (embryos from IVF) "versus" CBC, and there is not much information available. But from general reading it occurs to me that... there has been a lot more research done with CBC and there have been several successful CBC transfers in real life... so even if embryonic cells might become prominent in the future (beyond all the ethical controversies), currently they are not very distinctly used. Hence, there aren't any specific storage facilities for embryonic cells like CBC, other than the fertility clinic storage (which is super expensive).


To me the bottom line is... if I am willing to spend $2,000 on a vacation or go buy some new furniture for my house (materialistic things)... I can also spend the same amount to save the CBC! It may or may not come to use, but you know it is there and it may save a life!


NOTE: All the information I have gathered is just by surfing the web, there is probably a lot more information out there (which I am sure I have missed). Finally, saving (or not saving) CBC is a personal choice! If any body else has any more information about CBC or would like to share their personal experience, please leave me a comment!

17 week Update

Sorry, have been MIA! Things are okay here. I did go see the dietitian last week... it was helpful to confirm what all we already knew about eating well, along with some advice about how many calories (and carbs) I need. Monitoring wise, I think I am doing well... there are occasional spikes in the reading, but I am figuring out what is spiking up the readings... so I know better what to control next time.

We had our first cervix check on Friday too! The heartbeats were at 145 and 151 bpm! Both the babies have grown so much! Cervix looked good too (3.4... they like to see above 3 and anything below 2.5'ish is a concern)! I have my OB appointment on next Tuesday (Nov 10) followed by the next cervix check on Friday (Nov 13).

I think I have felt the babies move in the last couple of weeks (starting @ end of 14w)... it's more and more convincing, since it has repeated so many times and is at the exact same locations. As per the u/s technician, the baby on the left is more superficially located... and that is the baby I have felt move more! :)

GD - Appointment with the Nurse!

Met with the nurse today at the Diabetic Center (I typed "fertility" instead of diabetic and had to correct myself - haha... once an IF, always an IF!)

Before getting to the discussion of how it went... I feel overwhelmed! I have cried my eyes out at least 4 times in the last whole week. I don't know what I am crying for (I am crying for anything and everything)! I know GD is not a super life threatening issue, but I feel like I have lost control over one thing I knew well - how to eat! I am scared to eat any carbs, and that's not how it should be... I need to eat carbs to keep functioning and for the babies to grow well, but I just feel like I don't know how much I need and how much I don't! On a general basis, I would have been able to control what I eat... but in this case, I just don't seem to figure out how much is enough!

Anyways, the appointment went well! It was pretty informative. We went over a few technicalities (the info that is generally found on the web)! I was given a diabetes monitoring kit (Accu-Check Aviva - yay for more poking)... I have to monitor: before breakfast and then 2 hours after breakfast, lunch and dinner (total 4 times a day) and then I have to check for "Ketones" in my morning urine sample! This was the one which startled me a little bit. In the last whole week of not knowing what to eat, I have probably been eating less carbs! When one is deprived of carbs/glucose (instant energy supply), the body acquires the required energy from your fat reserves... fat is broken down, energy is released and the by-product is Ketones. This spills in to the urine... it can also pass through your placenta and reach the baby. It is suspected that excessive Ketones can lead to learning disabilities in babies (though this has not been completely proven either ways)... so they prefer not to feed the babies with Ketones. Typically, if one has not consumed enough Carbs (and does not have a sufficient glucose supply) during dinner... during the long fasting night period, the body will try to access the fat reserve and Ketones will be found in urine the next day (One could be gaining weight, while not consuming enough carbs... and then loosing some of the weight (fat reserve) and releasing Ketones in the system)! When we checked for Ketones at the center... it was detected in my urine sample (almost 1.5 hours after a cheese sandwich breakfast)!

With the whole insurance issue, we have decided that we are seeing a dietitian outside the diabetic center I went to today. This person works at another diabetic center (catering towards pregnant women, infants and children), but also runs her private practice/service and will cost us almost 1/4th of what we would be paying at the diabetic center I went to today. She seems experienced, knowledgeable and approachable... so hopefully we will be satisfied... and if we are not we can always pay 4 times more and go back to the diabetic center. So the appointment is on Thursday, October 29th! Hopefully this will ease my mind. My DH is accompanying me and hopefully he will grasp everything that I loose by being overwhelmed! Hopefully with all the monitoring and diet control... we should be okay in the long run!

Also, October 30th is my first Cervix check! Hoping and praying that everything looks okay! I will also get to have a quick peak at my babies! :)