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July Multiples Mamas - Page 2

post #21 of 163
worcma - Welcome!! Looking forward to getting to know you over these exciting next few months! Glad you're feeling well.

MollyKenzie - Glad everything went well at the ultrasound. Two girls - yay!! Beautiful names too. I'm hoping to find out the gender so we can settle on some names. Right now we have 4-5 names floating around and go back and forth deciding which ones go the best together and with ou other dc's.

AmyC - OK, I grabbed my Dr. Luke book and this is what I can interpret and is my totally non-medical opinion. Were you average weight before? Underweight? Overweight? In Dr. Luke's book she says that if you were underweight or lost a lot of weight due to sickness you should make up that weight as soon as possible. This is more critical if you were underweight before. So, I would assume that if you were underweight you should calculate your weight gain from your lowest number (after being sick and before gaining weight). I am actually slightly "underweight" according to many sources but I've always been that way so even though I lost 2-3lbs due to sickness I just calculate based on my pre-pregnancy weight before i got sick. I was 134lbs, went down to 132lbs and now weigh 153lbs which is a total gain of 19lbs. She recommends 25lbs by 20 weeks, 38lbs by 28 weeks and a total of 40-56lbs overall by the end of pregnancy.

She also uses BMI to calculate how much you should be gaining per week. If you were comfortable giving me your height (inches) and weight (lbs) I could tell you what she says based on your BMI. I think I'm supposed to be gaining about 2lbs/week.

Now, all that said, it seems very formal and set up so that you can't necessarily succeed. I mean everyone's body is different right? Keep in mind too, that if you are feeling better and eating more now you might gain faster than you expect. I thought for sure I wouldn't make 25lbs by 20 weeks but over the past 4 days I gained 5lbs!!
post #22 of 163
Hi ladies,

I hope you are all well. I am keeping busy here. Still very tired and nauseous and starting to feel big and uncomfortable already. And I'm only 20 weeks! I have my 20 week ultrasound and meeting with the OB tomorrow which I am looking forward to. I am a little nervous about the ultrasound and hope everything looks OK. I'm not sure how much I'll be able to find out in terms of babies health, size, position, gender, etc.... through the ultrasound technician. She/he may not say anything and I will have to wait to discuss with the OB but he probably won't get the report until after my appointment with him. I really don't want to wait 2 weeks to make sure everything is OK. After tomorrows appointment I will have appointments and ultrasounds every 2 weeks! It seems so excessive and I know many MDC members would refuse so many ultrasounds but honestly, while I trust my body in many ways, I don't think I would be comfortable refusing "normal protocol". I don't know. I will see how tomorrow goes and see what the OB says. If nothing else, it should make the rest of this pregnancy fly by.

Not much else going on. One baby is quite active but the other one only makes him/herself known every few days it seems. Sometimes I forget there are two in there .
post #23 of 163
Hi there! I forgot to thank you for your response to my weight gain questions, before. I have had such trouble with pages loading in (or not) that posting is sometimes too much trouble...

I hope you get a chatty tour guide for your ultrasound! Even though you don't get "meaningful" information from them, the whole experience is nicer. I remember in our 14 week u/s (that was supposed to be dating things for us and actually discovered the surprise--Twins!), the tech really was kind and patient and narrated what was onscreen. Case in point: she remarked about the placenta and that they were in one sac and that she could not detect a membrane between them. There was no slant or spin on that detail, no commentary about it (I didn't even know that was an "issue" until I got home and read a brief little blurb about twins in a general pregnancy book), but the info was there. Granted, after I read what it meant I ended up worrying about that until we went to a different hospital for a higher level scan 3 days later, but hearing from the tech is just nicer overall than watching in relative silence. And that first tech was reassuringly chatty while not really telling us anything or interpreting anything.

Update on me: I am 18 weeks and we had an ultrasound & perinatologist consult scheduled for next Thursday, but now that I've switched OB's she recommended that I go to a different medical center for the same services (since it's the transfer hospital in case of emergency, anyway, and it's a 1 hour drive rather than 3 hours.) All of which is fine with me, and makes sense, because this consult will be the basis of setting up our protocol for monitoring for TTTS, etc. and this is the hospital that will be working with us through that, and especially if any big risks materialize. So, it's all good. Except the second hospital still hasn't called to set up the appointment. My husband is stressing about this more than I am, because his schedule at work is filling up and he wants to know what block of time he needs to keep clear. Plus, we're assuming this has to be done between 18 and 20 weeks, so that's kind of now! And we're both reluctant to cancel the other appointment until we have something down to replace it, though I really don't want to drive up there and invest further in a place that won't be working with us throughout the pregnancy.

It always feels like something is up in the air with us!

I also don't know what to think as far as timing because up until this week, I was interpreting my weeks as starting on Tuesdays (I'd have been 18 weeks on Tuesday of this week.) But that was based on an earlier due date and it's probable that my 40 weeks really is up on July 25 instead, which means I'm 18 weeks today. So maybe there's a little more leeway with the 18-20 week thing, but I'm still not sure what to think. And maybe the ultrasound doesn't HAVE to be in that exact window....I dunno!

Joe has asked me to call the medical center and start asking about how soon we can expect to be scheduled (we were told our office faxed my info on Tuesday) and I looked online but their directory didn't include a phone number for Maternal-Fetal Medicine. Or even Obstetrics. I guess I can call the general number....I've just been dragging my feet thinking someone's going to call to set up the appointment and then preregister me, but so far no go.

We did, however, get an almost immediate call-back this morning for scheduling a service appointment after calling about a malfunction on the water-dispenser on our new fridge. Go figure! Better service on an appliance!

I actually have had a depressing amount of vomiting in the last week (not nearly anything approaching the hyperemisis, but still frustrating.) I think it has been a result of not getting enough calories, or maybe enough protein, frequently enough on those days. I am not dealing with constant nausea, I mean. But it's been really sketchy. And I had to be at an appointment with my mom (related to her) that lasted 3 hours and all I had was peanut butter crackers and some herbal tea and it just wasn't enough. It took me the rest of the day to normalize, and I actually had to take one Zofran to break the cycle because by that time I was puking up anything/everything. I spent the day in bed, then ate lots of chicken stir fry with veggies and brown rice (which is my standard breakfast, too, these days) and finally felt okay.

The next two days have been okay.

I need to get some miso so I can make soup at lunchtime....that sounds good to me. We had some in the fridge, but I think we threw it out when our last fridge died. I need some more variety in what I eat, and there still are so many things that just don't appeal to me, at least not yet. (Maybe we multiple moms can post some menu and snack ideas, here!) I also need better afternoon snack ideas so I have a chance of feeling better by dinnertime. I'm sure napping would help that, too. Heh!
post #24 of 163
I meant to add that my twins don't seem too terribly active. I have "heard" from both of them, and the one on my right is more active (in comparison) while the one on the left seems to go every couple of days or so. But I'm not getting lots of activity from either. It might be a result of an anterior placenta, or generally mellow babies? Or maybe it's early yet (but I've been able to feel movement for a long time, it's just not frequent and it tends to be short-lived, even when startlingly strong.)
post #25 of 163
I thought I would post to try to keep this thread active.

Since I last posted we found out we are having boy/girl twins and everything looks/sounds good. Very exciting!

Anyone else a little worried about how big they're getting? It's not just about weight gain, although I've already gained about 22-23lbs. I just feel so big and uncomfortable. I can't even begin to imagine how I'm going to be feeling over the next 3-4 months. What the heck am I going to wear? I only gained 29lbs with ds and 32lbs with dd. I pee all the time. Sometimes I pee and two seconds after I go I'll move a weird way or crouch down and more leaks out (sorry, TMI). I honestly worry about how I'm going to deal with that issue as I get even bigger.

Other than that, I bought a used double stroller last week so we have that put away for now. It locks both infant seats in it so I think that will be handy when I'm out and about on my own with the dc's. All 4 of them! Yikes!!! I still want to get a diaper backpack as well as a good nursing pillow.

AmyC - any luck getting an appointment yet?
post #26 of 163
Hello. Tomorow will be 19 weeks for me. I'm due with twins July 23rd. We've gotten the negative reactions, but more for a different reason. We're actually planning a homebirth, and that seems to shock people WAY more than the fact that there's two... We've gotten the "double trouble" remarks, etc, but when they ask "what hospital" and i say i'm having them at home, they treat me like i'm stupid! It really iks me!

I STILL have the morning sickness, though not nearly as bad as it was the first 4 1/2 months. We're pretty sure they're DZ, as we did IVF, but apparently there's a slim chance that they are MZ. We know that one of them is a boy, and the other had the cord between it's legs, so we've heard both boy and girl for that one. We're naming the boy Lucius and if we have a girl (like i'm hoping we are) then she'll be named Jezebel. If we have a second boy, we're thinking about Tesla for him... but it's still undecided. We've been having girl feeling since before we knew we were having twins.

I'm DEFINITELY feeling kicks! lol. I've been feeling movement since about 9 weeks, but now they are definitely kicking. Our ? baby (a) moves and kicks the most. Lucius kicks a lot less, unless dh is touching my belly... he's gonna be a daddy's boy, i can tell! .

Any one else concerned they're not gaining enough weight? The twins are both growing right where they should be, and i'm 19 weeks but measuring 26 1/2 weeks, but i've only gained 10, maybe 15 pounds. I'm gaining inches (can't see my toes anymore) but not pounds... Any one else in this same boat? It just seems like at almost 6 months i should have gained more weight... Of course, it doesn't help with everyone saying "oh, you're so small, especially for twins!":

Anyways, just saying hey. It's good to see other people preggy with multiples.
post #27 of 163
Quote:
Originally Posted by devilish_fetish View Post
Any one else concerned they're not gaining enough weight? The twins are both growing right where they should be, and i'm 19 weeks but measuring 26 1/2 weeks, but i've only gained 10, maybe 15 pounds. I'm gaining inches (can't see my toes anymore) but not pounds... Any one else in this same boat? It just seems like at almost 6 months i should have gained more weight... Of course, it doesn't help with everyone saying "oh, you're so small, especially for twins!":

Anyways, just saying hey. It's good to see other people preggy with multiples.
I've had people tell me that I don't look big enough to be carrying twins. I remind them that I'm only halfway there and many people carrying their first babies are just beginning to show. I don't know, I feel huge. I have gained weight but it's all right in my belly and I can't see my toes anymore. I also can't reach straight down to put on my socks/shoes. You're really only about 4-1/2 to 5 months along though right? And I think the larger weight gain usually happens in the 20-something weeks.

I feel your pain on the morning sickness. It's just so tiring.

We're still tossing names around but we're narrowing it down to a couple. Not ready for sharing yet though .
post #28 of 163
Quote:
Originally Posted by Mama to one View Post
I've had people tell me that I don't look big enough to be carrying twins. I remind them that I'm only halfway there and many people carrying their first babies are just beginning to show. I don't know, I feel huge. I have gained weight but it's all right in my belly and I can't see my toes anymore. I also can't reach straight down to put on my socks/shoes. You're really only about 4-1/2 to 5 months along though right? And I think the larger weight gain usually happens in the 20-something weeks.

I feel your pain on the morning sickness. It's just so tiring.

We're still tossing names around but we're narrowing it down to a couple. Not ready for sharing yet though .

Next week will be the last week of 5 months for us. So when i hit 21 weeks, 5 months will have passed, but i'll be in my 6th month. It's always really weird figuring out how far along people are, because we think of pregnancy as "9 months", but it's 40 weeks, which is 10 months. : I know, uber confusing.

The morning sickness was AWFUL. I was literally vomiting everyday, 2-12+ times a day. i know i lost alot of weight. I started to get BONY! The zofran helped some at first, but then it didnt really. Now i'm only vomiting a few times a week. Not the same as having no morning sickness, but i'll take it!

Yeah, we had names picked out WAY before we ever got pregnant. We only have 1 boys name and 1 girl's name picked out though. We were CONVINCED we were having a singleton, even after we did IVF. All of our friends thought we were having twins, but we were like, "no way". OOPS!

All the weight i've gained has been in my belly and boobs! before 3 or so weeks ago, it was 90% boobs. Now my belly's catching up. The boob thing i was so unprepared for! i didn't realize that i'd need a 34-36 F before 20 weeks! Anyone else have the massive boob explosion? My belly's "exploded" in the last few weeks. I had to take out all three of my belly button piercings (one on top, two on the bottom at an angle... like a triangle). I can put a rubber retainer in the two bottom ones, but not on the top. The top of my belly button is completely flat, instead of concave! It's flat, then dips in some at the bottom. It's like i've got a partial outie!

Lots of stuff going on that i had no clue would happen during pregnancy. Probably tmi, but has anyone who can't see their toes anymore noticed they their crotch now looks weird/different?
post #29 of 163
Hey ladies! Hope you are all doing well.

I had a midwife appointment this afternoon so thought I would share an update. I had my ultrasound about 1-1/2 weeks ago and while the technician at the time said everything looks alright it was nice to see the written report to the OB and midwife showing both babies measuring well and looking totally healthy . 98% sure there's one boy and one girl so I guess we'll go with that.

I'm measuring 25 weeks (I'm 22 weeks), up 23lbs, blood pressure very low and babes heartbeats were in the 150's and 160's. I did pee on the stick and hd a +2 measurement on glucose but the midwife said she wasn't concerned after I told her I had a huge mango smoothie for breakfast. She said they're not terribly accurate but that we would check next time and I will be going for the GD test soon anyways.

I did have a mini breakdown after she asked me how the nausea was. I think I've just been dealing with it so long and the last week or so has been pretty rough. It just kind of all came out . She was very understanding. I've had a lot on my mind after meeting the OB and not seeing him again for 8 weeks when I have some concerns just gives me too much time to wonder and worry. Thoughts of preterm labour, epidural, c-section, breastfeeding, etc.... Seems like so much sometimes. But I am doing well now, especially after seeing the ultrasound report and hearing the babies again. Kind of gives me motivation for the next 3 weeks until my next midwife appointment.
post #30 of 163
Hi you guys! Why do I always miss noticing this thread when it "gets active" again? Life, I guess.

Karen, I'm so glad you had a good appointment. I am so in limbo with appointments....they made the OB appt. for 2 weeks after the u/s and peri consult that was on the books at the time, so I'd have an appointment in two weeks, then see the OB (for the first time!) in 2 weeks. It seemed perfect, nice and stair-stepped. Then we canceled that first u/s appt and time has marched on without the new hospital getting me scheduled for the replacement appointment, so I haven't seen anybody and it just feels, well, limbo-y. Especially after the "original" date (2/29) passed me by. "We could know by now--we could know gender, how they're growing, if my due date looks right...." It has been hard to wait in limbo.

I am assuming all is well, of course. But then I wonder, "Am I naive to assume?" Ironic that that instinct, keeping yourself from completely assuming the best, is supposed to be "self-protective."


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Hey, this is probably a "duh" type question, but when you all say you can't see your toes, do you just mean standing straight and looking down, your belly blocks your view? For some reason, when I read that from both of you, my mind flashed to very late pregnancy (last time) when at 41 weeks I was pretty huge (lots of belly all out in front) and I couldn't see my feet and couldn't even really negotiate with anything leg/foot oriented. Like, washing in the shower. It was winter and I wasn't concerned at all about shaving (actually, I'm generally pretty lazy about shaving year-round) but if I HAD been concerned, it would have been a lost cause. That kind of thing. Like, my feet were another country at that point.

Is that where you guys are? Or is it just that you're saying you have enough belly to hide your toes from view? If it's the latter, then I'm there with you. If I'm standing, my belly hides my feet completely. But all I have to do is tip forward a bit and I can see them again quite easily!

I think, looking down, that I have a tidy belly and it doesn't seem "all that" big. But if I compare to what maternity clothes did/didn't fit at this time last pregnancy (I've sized out of some shirts already and definitely a couple of the first pants I wore last time), I see that there's a big difference. And I have pregnant friends who are more than a month further along than I am, and I'm bigger.

Still, looking down, it looks like a tidy round belly. Not "mammoth hugeness." But if I see my reflection, it looks much bigger. From the side, I look stretched and big, especially in the evenings. Two nights in the last week I definitely felt (or so it seemed) the pulling of my skin and it was like I was growing or stretching right then. I did look bigger afterward (according to my & my husband's estimates.)


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devilish fetish, I am a tad concerned about whether I'm gaining "enough." I mean, I'm concerned because as I fast approach 20 weeks the scale is not telling me what I'd like it to, but I'm trying not to focus on the issue or on the concern. Honestly, I'm not sure how I'm doing with the foods/amounts I eat. (I was thinking about posting a list of foods here and getting some feedback. I mean, I've seen the protein threads in the Parenting Multiples forum and maybe that's the better place to post, but here I can just post in this thread and at least start the conversation, then create a thread over there if I feel the need. I don't know....)

I also have a big disparity between weight at the beginning and the end of the day. The other night, one of those "stretching" nights, I was at 160 at the end of the night. Which was amazing. But the next morning, I was back down to the low 150s and just climbed slowly during the day. (Not that I weigh constantly through the day, but I checked morning and then again at night.) The last couple of nights, I am at about 158 before bed. I wish I could just bump up and keep building, but it seems like I have this daily pattern that I just repeat.

I haven't had an ultrasound since the initial twin diagnosis at 14 weeks, and I've had the one appointment with the midwife at my new OB office (she measured me but didn't tell me how I was measuring, just that it seemed "on target" for twins) so I can only assume that they are growing appropriately and that I'm gaining inches appropriately....but whereas you got confirmation of that I haven't had u/s or appointment yet so I'm just assuming!

I guess I'm babbling.


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Here's something that happened last night that kind of illustrates the general uneasiness I have surrounding nutrition & "enough", which is such a contrast to my first pregnancy. I was all set to fix a vegetable stir fry with udon noodles (a switch from my usual brown rice) for dinner, and I got out the chicken breasts. I was going to cut up a pound and a half of chicken and saute that first, then stir fry the veggies, and stir it all together with a simple quick sauce. But the chicken had just a touch of an "off" smell. It was a day from the sell-by date (I had bought 3 packages and worked my way through them; this was the last) but I guess I didn't have them in the coldest part of the fridge. (It's a brand-new fridge....the meat drawer in our old refrigerator was frigid but I guess this one has a "snack/deli drawer" that isn't as cold, or something.) Grrrrr. Anyway, I was afraid to try it and cast about for something else to add at the last minute. No meat options....everything is in the freezer and this was actual dinner time.

So I made a curry coconut peanut sauce to coat the noodles and also to toss with the veggies. (It actually came out good.) I had a 13.5 oz can of whole coconut milk (not "light" coconut milk--lots of cream) and put 6 tbsp of peanut butter in, plus the rest of the "flavor" ingredients. (Lime juice, tamari, cilantro, honey, a little maple sugar, ginger, garlic, minced onion, curry....)

I know coconut milk is not particularly high in protein but it's high in calories and fat. Plus the pb. I was hoping this could compensate some for not having the quantity of chicken in the dish.

I don't know if that was "good enough" or not. The noodles were whole grain and there were lots of veggies, which offer some protein too in addition to the fiber and calories from the complex carbohydrates. (Broccoli, onion, carrots, red pepper, yellow pepper, 2 stalks of sliced bok choy.) Anyway, I had this kind of muted feeling of "In my last pregnancy, I would not have been wondering if this was 'good enough' or if I should be anxious....I would have been relaxed and comfortable about the fact that I was eating good food."

Anyway, just wanted to note that I am getting along and doing okay, but that's the general contrast to last time. I always have this vague "is this okay, am I doing right by myself and the twins, should I be more vigilant and what needs to change?" thing going on. Maybe if I count calories, grams of protein, oz. of water, etc. I will lose that vague nagging question. But then I end up eating leftovers (much of the time) and I don't KNOW how many ounces of chicken were in that casserole serving, etc. How do I quantify my grams?

I did eat two large---a decent round pile covering about 7" of the dinner plate---servings of the noodles/stir fry as the night went on, and then I went in and made myself a large (12+ inch tortilla) cheddar and avocado quesadilla and ate it with salsa and sour cream before bed. (Using just shy of half a ripe avocado.)

I would have tried to drink some milk with whey protein powder mixed in before turning in, just as a decent protein boost, but I threw up once yesterday (I'm down to about once a week or so, I guess) to my shock, and milk/kefir still leave me with a feeling/aftertaste that are hard for me to handle and I didn't want to flirt with disaster. So I left well-enough alone and just drank water.
post #31 of 163
Quote:
Originally Posted by devilish_fetish View Post
Next week will be the last week of 5 months for us. So when i hit 21 weeks, 5 months will have passed, but i'll be in my 6th month. It's always really weird figuring out how far along people are, because we think of pregnancy as "9 months", but it's 40 weeks, which is 10 months. : I know, uber confusing.
I'm going to step in and offer my rationale for the 40 weeks/9 month issue. I think you and I have similar due dates (I've heard 7/21, 7/23, and 7/25 for us, and when we switched to this OB, the midwife seemed to want to go with the 7/25 date. So, I'm pretty close to yours!)

By that date, I'll be 20 weeks this Friday.

In the end, my understanding is that pregnancy (true gestation) is nine months. It's counted (in medical terms or whatever) as 40 weeks, but those 40 weeks are traditionally counted from the first date of the last menstrual period, so nobody is pregnant in actuality for the first 2 weeks of the 40. (Then, depending on whether or not you fit the textbook ovulation cycle, basing dates on the LMP may be inherently inaccurate anyway. But most of that is ironed out if you know when you ovulated or if you had fairly accurate dates from an early ultrasound--they won't typically cling to LMP dates over the crown-rump measurements.) But anyway....

Aside from all that, the key thing is that 40 weeks is not really ten months, because most months are not an even 4 weeks long. (If you really had four weeks "left over" after going through 9 months, that would be 9 months of 28 days each, which doesn't happen on our calendar.) Plus, when roughly two of those "extra" weeks are non-pregnant, you're really left with roughly 14 "extra" days which fill in the extra 2 or 3 days for every 30/31 day month of your pregnancy.

So resist the temptation to tick off another "month" every four weeks! The two don't correspond that neatly.

I personally just go by weeks until about this point in pregnancy, when I can more accurately deal with months if people really want to know "how many months are you?" (Before, I just say first or second trimester, I guess.) And for my own use I definitely go by weeks.

When I do figure out the months, I go from my due date (9 months) and count back, in literal months (to that date on the previous month.)

Put it this way, if you continue counting the way you have (that each 4 week block of pregnancy, including the first two non-pregnant weeks, equals an actual month), then you are going to be telling people you are ten months along (in a twin pregnancy, no less) in July! Or when the end of June/beginning of July rolls around, you've finished 9 months. (Rather than starting the ninth month in that last week of June.) Or that you're almost 5 months along right now, when in reality you and I still are working through our fourth month. (I think!)

That's my take on it, FWIW!
post #32 of 163
Update:

I got the call this afternoon and my ultrasound is scheduled. It'll be next Tuesday. The call came from my doctor's office (it seems they got a fax from the medical center) and when she said ultrasound, I asked if this was going to be a perinatologist consult as well, the same day. She said the paper said I need the consult, but that they are booking really far out and so they didn't schedule me. (???) That makes little sense to me--why not get me scheduled in that case if the schedule is full and constantly getting more full--unless they're saying they have no openings for more than a month or two, which might be too far out to schedule me if we're going to come up with a meaningful recommendation of care plan, and so the plan is to squeeze me in somewhere or wait for a cancellation or deal directly with me in some other way. Maybe they have some kind of waiting list thing in the office and they'll schedule me soon....I imagine there must be some protocol that makes sense for leaving me "unscheduled."

Anyway, we will have the scan soon, and I'll be about midway through my 20th week, afterall.

I'm assuming someone will come and talk to us ASAP right at the time of the scan if the ultrasound indicates that TTTS is a concern, or if there's some "structural" problem with one/both of the babies. Or they might be waiting to consult the info from the u/s to determine if they "can" wait to meet with us....

Those are my best guesses.

Assuming all looks good, I guess I'm most of all hoping for "cooperative" babies so we can get a good idea of the gender of our identical duo! I have gone from wanting them desperately to be boys (or rather, wanting desperately for them not to be girls ) to feeling like I'll be happy & a little disappointed with either outcome. So thrilled to have identical boys, but sad not to have the girls. Or vice versa. I think I finally have settled into the reality of it and have stopped "bargaining" or whatever. (That weird, "Okay, I accept this AS LONG as it's not a pair of girl twins" phase. Which came after the "But I don't WANT two babies!" phase.)

Anyway, happy to have the ultrasound scheduled after all that!
post #33 of 163
I have not posted anywhere because things are in limbo. I am due 7/18 but I always go 42+. This is my 5th pregnancy and at 18 weeks I measured 25, no weight gain (severe MS), and my mw said she thought she heard 2 distinct heartbeats. My next appt is 3/17 and I have u/s scheduled for 3/20. I am definitely bigger than ever but how much can we chalk up to #5!!

Who has not "confirmed" and has anyone decided not to find out the genders? I can't decide. I don't "need" anything...
post #34 of 163
Jumping in late but loved reading your posts. I am 21 weeks with boy/girl twins courtesy of a few stiff shots of fertility drugs. Dd is 7/20.
This is my first pregnancy so I have no frame of reference for how big i am. My sisters are both moms and every time I see them they comment on how huge I am, but co-workers who are pregnant say I am small for carrying twins.
I'm not so much concerned about my weight as I am about my diet. I worry about getting enough calcium, and my blood count is low so my ob recommended iron supplements. fantastic. : I am just getting over the constipation I had from taking zofran for ms!
Being a pregnancy newbie the biggest surprise for me was being able to have a detailed personal conversation with complete stranges or co-workers I otherwise wouldn't have gotten to know. I am kind of an anti-social person so this instant bonding with pregnant women and mothers took me by surprise and I am loving it!
I hope you all are doing/feeling well!
post #35 of 163
Quote:
Originally Posted by ketilave View Post
I have not posted anywhere because things are in limbo. I am due 7/18 but I always go 42+. This is my 5th pregnancy and at 18 weeks I measured 25, no weight gain (severe MS), and my mw said she thought she heard 2 distinct heartbeats. My next appt is 3/17 and I have u/s scheduled for 3/20. I am definitely bigger than ever but how much can we chalk up to #5!!

Who has not "confirmed" and has anyone decided not to find out the genders? I can't decide. I don't "need" anything...
Congratulations! Do you think she was right about the heartbeats? How do you feel about the possibility of twins???

I was pretty much to the point that I felt okay enough not to find out the gender (we knew they were identical, so only one gender!) Let's say I was flirting with not finding out. But in the end it made so much sense to find out, plus my newly 4-year-old daughter was CONVINCED they were girls so it seemed prudent to give her time to adjust if it turned out they were NOT girls! And emotionally, it felt like we needed to know after all. So our ultrasound was yesterday and we did go ahead and ask to know.

It sounds like it's not that you are trying to decide about having an ultrasound or not...just whether to try to know the gender.

What is your gut feeling--twins or no? I guess you'll know in just over a week, regardless!
post #36 of 163
Quote:
Originally Posted by bliznetsi74 View Post
Jumping in late but loved reading your posts. I am 21 weeks with boy/girl twins courtesy of a few stiff shots of fertility drugs. Dd is 7/20.

Congratulations and welcome! I am due a little after you. I think the boy/girl combination is pretty ideal. I am pretty into the idea of identicals, now (which is good because mine are identical!) but when I first found out about the twins I wanted SO BADLY for them to be a boy/girl pair!

You might want to visit the Parenting Multiples forum here at Mothering.com, too. (It took me awhile to look around for it and discover that one existed, so I'm just mentioning it as a resource.)
post #37 of 163
Just thought I'd post my update in the multiples thread even though I had updated elsewhere in the general threads. We went for the ultrasound on Tuesday and I think things looked good. Fluid levels were nearly identical (the portions they measured, at least) and the perinatologist who came in at the end mentioned that the fluttering membrane between the twins was exactly what they want to see. (At first I didn't understand the distinction, what point he was making with the "gently and easily fluttering" bit, but then he remarked that if it billowed out like a sail in one direction, that would indicate significantly more fluid & tension on one side than the other, and it made sense to me.)

I also noted that both babies have 3 vessel cords, which, while it doesn't put us out of the woods for TTTS, it still is a good thing!

The tech mentioned that twin A was measuring 13 oz and twin B was 1 lb, 1 oz (I think.)

Both are boys!

When the perinatologist came into the room, the first thing he wanted to know was how big my daughter had been at birth. (She was at the appointment with us.) I told him 8 lbs, 12.5 oz and he turned to look at the tech and said something along the lines of, "90th percentile, that explains the big baby right there."

He told me that there is an 18% difference between the twins. He said (what sounded like) we don't worry at this stage of pregnancy unless there's a 15% or greater difference. This tweaked me right off the bat, but he reiterated that 18% is not worrisome at this stage, and I realized he'd said FIFTY percent, not fifteen percent. That seems like a frighteningly huge difference to allow, but maybe at this stage (when they're so small, anyway) the percentage "allowed" is bigger.

They will start monitoring for signs of TTTS in earnest a little later and they do want me to come in more regularly starting at 24 weeks, I think, and perhaps as you go further along, less difference is "allowed" before concerns are raised. (I didn't ask this; I didn't think of it until later.) Still, they don't want to do the ultrasounds closer than 4 weeks apart at that point (unless something seems amiss) because of the rate of growth. So maybe it depends on how the two are growing, and it's not constant. Maybe two or three weeks later, twin B will have grown a tad but twin A will have spurted up a bit and they'll be closer. That seemed the gist of what he was saying, but we weren't sure.

I see my new OB for the first time tomorrow. We have questions and just a lot to cover, since I haven't met her. I have heard from all accounts that she is calm, mellow, very hands-off in general, supportive, and respectful. One of her patients (an older woman, a gyn patient) who works with my husband described her as an "earth mother" and said I will love her.

Still, this does not tell me what protocols she will feel obligated to recommend or insist on, or how the monochorionic status will influence all of this. She's pro-vaginal delivery and she will deliver 2nd twin breech, but will she insist that an epidural is important? Will she be comfortable with me laboring in water? What about birthing in water? (Might as well ask, right? The rooms at this hospital have tubs, now...)

And I would like to get a sense from her about how the care works at the larger hospital (where we went yesterday.) This perinatologist who saw us...is he "our" peri? Is there going to be one who manages our care and will be our doctor if I'm transferred there for pre-term labor or some other complication? Or are we working with a panel, and end up with whoever is on call? (This guy was professional and fine, but very much seemed to be a "manager" and talked about getting further along in the pregnancy and "deciding" when it's time to get these babies out. It wasn't even clear if that was WITH complications such as TTTS or even IN SPITE OF having no complications! I thought of the Beatles line, "Let me tell you how it will be...." I really want to be more proactive about selecting the practitioners who are likely to be anywhere near me at delivery time, so I guess I need to figure out how this transfer thing works.)

Well, enough blathering!

The upshot of the appointment is that we're having two boys, they seem healthy, one is average and one is on the big side at present, both were vertex (but twin B had turned around and was getting kicked in the head at the end of the appointment when they turned the machine on again and the peri demonstrated various things to us, such as the "fluttering" membrane), and my cervix (they did a transvaginal u/s at the very end just to check length) looked excellent. He mentioned the score they like to see, and I was well above the "minimum" and also above the zone they consider "really good." Between that and the fact that I carried my first pregnancy to 41 weeks, he said it seems likely that I'll be fine. (But of course, he pointed out, anything can happen and the cervix will respond if the uterus starts acting ready to deliver. So no guarantees.)

We are thinking that we'll name them Noel and Linus. I told Joe tonight that I think of twin A as Noel and twin B as Linus, and his eyes got big and he said he's been thinking the same thing!

We are very happy.
post #38 of 163
Quote:
Originally Posted by AmyC View Post
They will start monitoring for signs of TTTS in earnest a little later and they do want me to come in more regularly starting at 24 weeks, I think, and perhaps as you go further along, less difference is "allowed" before concerns are raised. (I didn't ask this; I didn't think of it until later.) Still, they don't want to do the ultrasounds closer than 4 weeks apart at that point (unless something seems amiss) because of the rate of growth. So maybe it depends on how the two are growing, and it's not constant. Maybe two or three weeks later, twin B will have grown a tad but twin A will have spurted up a bit and they'll be closer. That seemed the gist of what he was saying, but we weren't sure.

I feel like a big cheeseball for posting YET AGAIN in this thread, but I'm going to go ahead. I was talking to Joe in bed this morning, and he clarified the sense of what happened in the above exchange.

Evidently, the peri said that the monitoring is all about comparison....comparing changes in growth patterns to previous recorded measurements. Because of the time it takes for growth, or the time it takes to be able to register meaningful differences, they usually see no point in monitoring (for this particular thing) closer than 2 weeks. (You might have an ultrasound or some other kind of monitoring in the week between, but it would be for something else, not for growth measurements and comparisons.)

And because at 20 weeks an 18% difference in size is not considered unusual or concerning, they felt comfortable scheduling me for my next appointment in 4 weeks. (Rather than in two or three.) I think a couple of things weighed in on that decision, including the fact that we come from a distance so they don't want to make us make this trip excessively frequently. But a more significant size difference between the twins would have trumped that criteria, of course.

I still wonder if maybe Twin A is doing a little bit of catch-up growing over the last day or two, and we just caught them a little further apart at that point in time but they really are fairly close in size, just not growing at exactly the same time. Dunno.

I am drawing a blank about whether there are any other monochorionic pairs in here. Is anyone else going through this, or interested in , the implications of size/fluid imbalances? I thought I would put that stuff in this thread, being multiple-specific, but couldn't remember if watching this is something I have in common with anyone else here. (I know there are some mono/di pregnancies with varying due dates over on the Parenting Multiples forum.)
post #39 of 163
AmyC have you been to the TTTS Foundation site They have some really good information as well as a condensed Top 10 Questions (and why you are asking them) http://www.tttsfoundation.org/

I have read so much on twins, probably to my detriment, so if I am carrying two I know what is being said to me. But one of the things I have to keep reminding myself is that twin pregnancies have such a wide range and like the rest of birth need to be handled case by case. I think the key to knowing you are with the right are provider is if they treat you and each child as an individual and not pregnant multiples protocol.
post #40 of 163
I've been reading a lot lately but not really posting. Not sure why . It's March Break right now so ds has been home this week as well as all of last week due to snow days and bus cancellations. So, we're all a little stircrazy!

Things with me are fine. 23 weeks now. Babies are moving like crazy. Dh and ds have been able to feel them move but dd doesn't have the patience to wait for the thumps. I am not eating great and that's bothering me. I think the iron supplements are making me even more nauseous than usual. Luckily, I haven't had a constipation issue yet. We're off on a little holiday tomorrow to shop for a van and go to a science centre where the kids will hopefully have a blast.

ketilave - I'll be interested to hear your ultrasound results next week. I've heard it can be difficult to hear two heartbeats if you're looking for a second one but if your midwife is already hearing two heartbeats that's a different story. I was measuring bigger (4cm) during this pregnancy and everyone kept saying it was just because it was my third pregnancy. But I couldn't ignore that inner voice telling me that it wasn't just that - kwim? We did decide to find out the gender. We were surprised with both ds and dd but we just figured we couldn't get more surprised with these two showing up together and even a tiny bit of mental preparation couldn't hurt . Keep us posted!

bliznetsi74 - Congratulations and welcome! I'm 23 weeks pregnant with b/g twins as well. Hope you continue to feel well!

AmyC - Glad to hear all went well at your appointment. Two boys - yay! Very exciting. Love the names too. I am not too familiar with all the ins and outs of mono/di twins and only read the small parts of TTTS in the twin books I have so I'm sure you have way more information than me. My only advice is to just make sure you feel comfortable with your providers and knowing that they will be able to advise you well and you will trust their advice. I know how difficult that can be as I am still absorbing so much from my own pregnancy and discovering my providers recommendations. Just to give you a reference I had an ultrasound at 20 weeks. I will have another one at 28 weeks and then every 2 weeks after that until birth.
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