11wks 3days update

11wks 3days update

Joined: May 18th, 2006, 3:27 pm

March 25th, 2009, 4:10 pm #1

Well, I had my appt at the high risk yesterday. They did the nuchal fold test - it was .7 and I guess anything under 3mm is good, so they said that was excellent. They'll have the bloodwork portion of it back in 4-5 days, so fingers crossed.

Last week I did bloodwork and the 'quicky' glucose test. I sailed through all of it. I did so well on the glucose, that I don't need to do the long 4 hr one later, only the same 1 hour test at 28 wks I think. Everything else is fine - BP, etc, and no risk factors, so I don't go in for 6 wks when they will do my Level II U/S, which sounds neat. Phil will be home for that, so he'll enjoy seeing the baby. He looked like an alien in the U/S & it looked like you could see his spine & teeth! Real difference from 2 wks ago!

Anyway, so far so good - I've only gained a pound, but my waistlines are getting tight. I've been very careful to eat healthily as I have a fat complex and don't want to gain any more weight than necessary. I have not had MS, just occasional slots of time where I feel a bit nauseous. So far so good - I know I'm not out of the woods yet, and the hardest parts are to come, but I'm encouraged that maybe this will stick & we will bring home a baby in October!
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Joined: March 15th, 2009, 11:30 pm

March 25th, 2009, 9:40 pm #2

Kathleen,
I am very glad to have good news from you and your baby.
We keep crossing our fingers and hope everything will go on this way.
I wish you a soft and wonderful pregnancy.
I look forward to hearing from you very soon.
Don't forget : a lot of rest and no stress !
Regards,
Manola
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Joined: May 6th, 2003, 12:18 am

March 25th, 2009, 11:56 pm #3

Well, I had my appt at the high risk yesterday. They did the nuchal fold test - it was .7 and I guess anything under 3mm is good, so they said that was excellent. They'll have the bloodwork portion of it back in 4-5 days, so fingers crossed.

Last week I did bloodwork and the 'quicky' glucose test. I sailed through all of it. I did so well on the glucose, that I don't need to do the long 4 hr one later, only the same 1 hour test at 28 wks I think. Everything else is fine - BP, etc, and no risk factors, so I don't go in for 6 wks when they will do my Level II U/S, which sounds neat. Phil will be home for that, so he'll enjoy seeing the baby. He looked like an alien in the U/S & it looked like you could see his spine & teeth! Real difference from 2 wks ago!

Anyway, so far so good - I've only gained a pound, but my waistlines are getting tight. I've been very careful to eat healthily as I have a fat complex and don't want to gain any more weight than necessary. I have not had MS, just occasional slots of time where I feel a bit nauseous. So far so good - I know I'm not out of the woods yet, and the hardest parts are to come, but I'm encouraged that maybe this will stick & we will bring home a baby in October!
You're almost out of that first trimester girl.  I'm so happy that your husband will be home for the level II u/s.  I remember my DH nearly climbed over me to see it.


Annie
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Joined: May 18th, 2006, 3:27 pm

March 26th, 2009, 3:47 pm #4

Annie, me too. It really starts to become real at this stage and when you see the heartbeat!! This U/S was much more real than all the rest. The baby actually looks like an alien, and you can see the spine and the teeth!!

You know what confuses me is the high risk said the 1st trimester is 14 wks; that term is 42 weeks. I've never heard anyone say term is anything other than 40 weeks. We haven't told a soul, and will wait until after the 1st trimester is over, so it's nice to have you guys to talk to! But when is it over? I've now heard 12, 13 and 14 weeks!
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Joined: August 22nd, 2008, 3:29 pm

March 26th, 2009, 5:16 pm #5

Well, I had my appt at the high risk yesterday. They did the nuchal fold test - it was .7 and I guess anything under 3mm is good, so they said that was excellent. They'll have the bloodwork portion of it back in 4-5 days, so fingers crossed.

Last week I did bloodwork and the 'quicky' glucose test. I sailed through all of it. I did so well on the glucose, that I don't need to do the long 4 hr one later, only the same 1 hour test at 28 wks I think. Everything else is fine - BP, etc, and no risk factors, so I don't go in for 6 wks when they will do my Level II U/S, which sounds neat. Phil will be home for that, so he'll enjoy seeing the baby. He looked like an alien in the U/S & it looked like you could see his spine & teeth! Real difference from 2 wks ago!

Anyway, so far so good - I've only gained a pound, but my waistlines are getting tight. I've been very careful to eat healthily as I have a fat complex and don't want to gain any more weight than necessary. I have not had MS, just occasional slots of time where I feel a bit nauseous. So far so good - I know I'm not out of the woods yet, and the hardest parts are to come, but I'm encouraged that maybe this will stick & we will bring home a baby in October!
or lack of and also your lack of MS. I was so sick from week 6 to week 12 that I had to eat...and usually carbs to keep from throwing up. I gained 10 pounds in just the first 12 wks..I think it is amazing that you have gained so little. I too have issues with gaining but I have had to let it go and know that I will be so busy after the baby arrives in the summer that I will loose it all. Plus I will want to get into the pool and that means a bathing suit so it will propel me to loose the baby weight quickly.

I'm just wondering why you are going to a high risk Dr.? Curious? I'm not even going to an OB-GYN...just a G.P. so I'm wondering if there is a condition that requires a specialist? Lately as I'm getting closer to the due date as well I'm thinking of contacting the one and only mid wife in our area to enquire about delivery. I've had all our babies quite easily without meds (except our first who was induced a month early due to a brain issue) but this pgcy is going so great that I would love to labour at home and in the bath. I'm wondering how many women at our age actually do this...and is this too crazy and risky?

Anyway, I'm really happy to hear that you are almost out of the first trimester...does it feel real now? I can't wait to hear all about your next u/s. Will you find out the gender?

Blessings from Hope


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Joined: May 18th, 2006, 3:27 pm

March 26th, 2009, 7:40 pm #6

Hope,

Our next appt, in 6 wks is the Level II U/S. I'm not sure you get the gender that early - it'll be 17wks+. I always thought I wouldn't want to know, but after all these years and $$$s, I do now! I keep calling it a 'he,' so we'll see if my intuition is correct.

I have worked VERY hard to not gain weight. I had gained 25 pounds when I quit smoking 6-7 yrs ago, and gotten about 1/2 of that off, and then gained another 5 pounds or so with all the hormone cocktails from our years of ivf. I also have diabetes on both sides of my family and take that threat very seriously, so was really happy I did so well on the glucose tolerance test!

Living in FL, we pretty much live in bathing suits, so this will be interesting. I'll have to see if I can find an 'ok' maternity one...

Oh, I went to the high risk due to my age. It's still somewhat of an oddity in this area to have babies at this age! But, amazingly, the high risk's attitude was 'Is that your only risk factor? Age?' Since I've been there twice, it's amazing the shape most of these pg women are in. They are HUGE. It's a wonder they even got pg. I really think the nurses and doctor like the 'more mature' ones, as they always compliment me on things that I think are totally common sense.
Last edited by FLGal on March 26th, 2009, 7:42 pm, edited 1 time in total.
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Joined: May 6th, 2003, 12:18 am

March 28th, 2009, 6:13 pm #7

Annie, me too. It really starts to become real at this stage and when you see the heartbeat!! This U/S was much more real than all the rest. The baby actually looks like an alien, and you can see the spine and the teeth!!

You know what confuses me is the high risk said the 1st trimester is 14 wks; that term is 42 weeks. I've never heard anyone say term is anything other than 40 weeks. We haven't told a soul, and will wait until after the 1st trimester is over, so it's nice to have you guys to talk to! But when is it over? I've now heard 12, 13 and 14 weeks!
The first trimester starts from the first day of the last menstrual period through 12 weeks of development. The second trimester ranges from 13 -27 weeks. The third trimester runs from approximately the twenty eighth week until labour and delivery.



Annie
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Joined: May 6th, 2003, 12:18 am

March 28th, 2009, 6:20 pm #8

or lack of and also your lack of MS. I was so sick from week 6 to week 12 that I had to eat...and usually carbs to keep from throwing up. I gained 10 pounds in just the first 12 wks..I think it is amazing that you have gained so little. I too have issues with gaining but I have had to let it go and know that I will be so busy after the baby arrives in the summer that I will loose it all. Plus I will want to get into the pool and that means a bathing suit so it will propel me to loose the baby weight quickly.

I'm just wondering why you are going to a high risk Dr.? Curious? I'm not even going to an OB-GYN...just a G.P. so I'm wondering if there is a condition that requires a specialist? Lately as I'm getting closer to the due date as well I'm thinking of contacting the one and only mid wife in our area to enquire about delivery. I've had all our babies quite easily without meds (except our first who was induced a month early due to a brain issue) but this pgcy is going so great that I would love to labour at home and in the bath. I'm wondering how many women at our age actually do this...and is this too crazy and risky?

Anyway, I'm really happy to hear that you are almost out of the first trimester...does it feel real now? I can't wait to hear all about your next u/s. Will you find out the gender?

Blessings from Hope


A pregnancy at risk for serious complications is considered to be a high risk pregnancy.  A high risk pregnancy may be identified by using a scoring system such as the system developed by Hobel et al . [1]  Risk factors are assigned a score corresponding to the degree of risk. A score of 10 or more indicates a high risk pregnancy that should receive more than routine prenatal care. The table below is a modification of Hobel et al's scoring system. 

<strong>PREGNANCY RISK ASSESSMENT</strong> [1]
<table style="border-collapse:collapse;" width="95%" border="1" cellspacing="0" cellpadding="3"><tr><td width="30%" height="18" bgcolor="#e6e6e6">OB History Risk Factor</td><td width="16%" height="18" bgcolor="#e6e6e6">Points</td></tr><tr><td width="46%" height="27" bgcolor="#ffffff">Previous stillbirth</td><td width="15%" height="27" bgcolor="#ffffff">10</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">Previous neonatal death</td><td width="15%" height="28" bgcolor="#ffffff">10</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">Previous premature infant</td><td width="15%" height="28" bgcolor="#ffffff">10</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">Post-term > 42 weeks</td><td width="15%" height="28" bgcolor="#ffffff">10</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">Fetal blood transfusion for hemolytic disease</td><td width="15%" height="28" bgcolor="#ffffff">10</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">Repeated miscarriages</td><td width="15%" height="28" bgcolor="#ffffff">5</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">Previous infant > 10 pounds</td><td width="15%" height="28" bgcolor="#ffffff">5</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">Six or more completed pregnancies</td><td width="15%" height="28" bgcolor="#ffffff">5</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">History of eclampsia</td><td width="15%" height="28" bgcolor="#ffffff">5</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">Previous cesarean section</td><td width="15%" height="28" bgcolor="#ffffff">5</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">History of preeclampsia</td><td width="15%" height="28" bgcolor="#ffffff">1</td></tr><tr><td width="46%" height="28" bgcolor="#ffffff">History of fetus with anomalies</td><td width="15%" height="28" bgcolor="#ffffff">1</td></tr><tr><td width="46%" height="32" bgcolor="#e6e6e6">Medical History Risk Factor</td><td width="15%" height="32" bgcolor="#e6e6e6">Points</td></tr><tr><td width="46%" height="27">Abnormal PAP test</td><td width="15%" height="27">10</td></tr><tr><td width="46%" height="27">Chronic hypertension</td><td width="15%" height="27">10</td></tr><tr><td width="46%" height="27">Heart disease  NYHA Class II-IV (symptomatic)</td><td width="15%" height="27">10</td></tr><tr><td width="46%" height="27">Insulin dependent  diabetes (> A2)</td><td width="15%" height="27">10</td></tr><tr><td width="46%" height="28">Moderate to severe renal disease</td><td width="15%" height="28">10</td></tr><tr><td width="46%" height="28">Previous endocrine ablation</td><td width="15%" height="28">10</td></tr><tr><td width="46%" height="28">Sickle cell disease</td><td width="15%" height="28">10</td></tr><tr><td width="46%" height="28">Epilepsy</td><td width="15%" height="28">5</td></tr><tr><td width="46%" height="28">Heart disease  NYHA  Class I  (no symptoms)</td><td width="15%" height="28">5</td></tr><tr><td width="46%" height="28">History of TB or PPD >= 10 mm</td><td width="15%" height="28">5</td></tr><tr><td width="46%" height="28">Positive serology (for syphilis)</td><td width="15%" height="28">5</td></tr><tr><td width="46%" height="28">Pulmonary disease</td><td width="15%" height="28">5</td></tr><tr><td width="46%" height="28">Thyroid disease</td><td width="15%" height="28">5</td></tr><tr><td width="46%" height="18">Family History</td><td width="15%" height="18">Points</td></tr><tr><td width="46%" height="18">Family history of diabetes</td><td width="15%" height="18">1</td></tr><tr><td width="76%" height="18" bgcolor="#e6e6e6">Physical Risk Factor Risk Factor</td><td width="63%" height="18" bgcolor="#e6e6e6">Points</td></tr><tr><td width="79%" height="29" bgcolor="#ffffff">Incompetent cervix</td><td width="60%" height="29" bgcolor="#ffffff">10</td></tr><tr><td width="79%" height="29" bgcolor="#ffffff">Uterine malformations</td><td width="60%" height="29" bgcolor="#ffffff">10</td></tr><tr><td width="79%" height="29" bgcolor="#ffffff">Maternal age 35 and over or 15 and under</td><td width="60%" height="29" bgcolor="#ffffff">5</td></tr><tr><td width="79%" height="29" bgcolor="#ffffff">Maternal weight < 100 pounds or > 200 pounds</td><td width="60%" height="29" bgcolor="#ffffff">5</td></tr><tr><td width="79%" height="30" bgcolor="#ffffff">Small pelvis</td><td width="60%" height="30" bgcolor="#ffffff">5</td></tr><tr><td width="79%" height="18" bgcolor="#e6e6e6">Current Pregnancy Risk Factor</td><td width="60%" height="18" bgcolor="#e6e6e6">Points</td></tr><tr><td width="79%" height="27">Abnormal fetal position</td><td width="60%" height="27">10</td></tr><tr><td width="79%" height="27">Moderate to severe preeclampsia</td><td width="60%" height="27">10</td></tr><tr><td width="79%" height="27">Multiple pregnancy</td><td width="60%" height="27">10</td></tr><tr><td width="79%" height="27">Placenta abruptio</td><td width="60%" height="27">10</td></tr><tr><td width="79%" height="27">Placenta previa</td><td width="60%" height="27">10</td></tr><tr><td width="79%" height="27">Polyhydramnios or oligohydramnios</td><td width="60%" height="27">10</td></tr><tr><td width="79%" height="27">Excessive use of drugs/alcohol</td><td width="60%" height="27">5</td></tr><tr><td width="79%" height="27">Gestational diabetes (A1)</td><td width="60%" height="27">5</td></tr><tr><td width="79%" height="27">Kidney infection</td><td width="60%" height="27">5</td></tr><tr><td width="79%" height="27">Mild preeclampsia</td><td width="60%" height="27">5</td></tr><tr><td width="79%" height="27">Rh sensitization only</td><td width="60%" height="27">5</td></tr><tr><td width="79%" height="27">Severe anemia < 9 g/dL hemoglobin</td><td width="60%" height="27">5</td></tr><tr><td width="79%" height="27">Severe flu syndrome or viral disease</td><td width="60%" height="27">5</td></tr><tr><td width="79%" height="27">Vaginal spotting</td><td width="60%" height="27">5</td></tr><tr><td width="79%" height="27">Bladder infection</td><td width="60%" height="27">1</td></tr><tr><td width="79%" height="28">Emotional problems</td><td width="60%" height="28">1</td></tr><tr><td width="79%" height="28">Mild anemia 9 g/dL hemoglobin</td><td width="60%" height="28">1</td></tr><tr><td width="79%" height="28">Moderate alcohol use</td><td width="60%" height="28">1</td></tr><tr><td width="79%" height="28">Smoking >= 1 pack per day</td><td width="60%" height="28">1</td></tr></table>
<font size="2">  </font>

REFERENCE
 
1. Hobel CJ, Hyvarinen MA et al. Prenatal and intrapartum high-risk screening. Am J Obstet Gynecol. 1973; 117: 1-9. PMID: 4722373



Annie
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Joined: August 22nd, 2008, 3:29 pm

March 29th, 2009, 2:15 am #9

however in my small town where we only have a few OB-GYN's I doubt very much that even if I were to score a 10 or more I'd see a specialist. We have G.P.'s for all our medical needs and they screen and only will refer if there are immediate problems. I'm always so amazed at the difference in health care from my country (Canada) and the States. So many of my board buds see an OB-GYN when they are pg and their babies have peds for their Dr.'s...our G.P.'s do it all. But then we have a very socialist health care system as well.

Still I'm really glad to read that my risk factor is only a 5....when my current G.P. read that I was on heparin for a blood clotting disorder he "thought" I may want to see a OB-GYN but then I reminded him that I've had 5 children before and never knew about testing positive for Factor V Leiden until our DE cycle. If anything it means I clot really well and isn't that what you want when you are delivering?

Anyway, thanks for sharing the high risk chart. You're so great!

Blessings from Hope





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