37week, 5 day appointment

37 weeks, 2 days

Weight Gain: +15 lbs per MD
B/P: 128/80
FHR: 137
Fundal Height: not measured

I had two appointments today, and they were pretty uneventful, so I will lump them together in this one update. Nathan is continuing to do well. At the perinatologist, I had an ultrasound (number 10), and he is continuing to grow well. No signs of pre-eclampsia which is wonderful! I am really glad to have made it this far without any serious complications or risks to Nathan. The tech had a difficult time obtaining his measurements because he is out of room! He is head down, very much engaged, and curled up in a ball. They estimate that he weighs 7 lbs 1 oz, which would place him in the 43rd percentile. Dr. R discharged me from his care, and wished me well.

I headed over to see my OB next, which was also pretty uneventful. She was going to do an ultrasound, but I gave her all the documents from the perinatologist, and we just talked about those instead. I have been so uncomfortable the past couple of days, so Dr. A checked me again. I am still 3cm and 50% effaced, although she says he is "much lower this time." Basically, that means nothing to me. Katie was "high" when I started pushing and I didn't have to push that long with her. We confirmed my induction for December 1st, and I scheduled my last follow up with her for November 29th. I can't believe we are so close to meeting Nathan!!

34 week Appointment

34 weeks, 1 day

Weight Gain: +14.4lbs per MD Scale, +12lbs at home
B/P: 122/72
FHR: 139

My appointment this afternoon went fairly well, with the exception of having to wait in the hall while their lunch ran over. They had three unhappy pregnant girls waiting in the hallway when they got back. Nathan is still head down and was shadowing my cervix, so they couldn't see anything there. All the fluid looks good (was around 20), so that means his kidneys are working well. His head is measuring on the high side of normal and his femur on the low side of normal, with his belly right in the middle. He has been measuring like that for at least a couple of appointments. All together they estimate his Gestational Age at 34w6d and I am 34w5d today. He weighs 5 lbs 8 oz and is in the 36 percentile.

I about fell over when they said he weighs 5 1/2 lbs!!! That seems so large, and Katie was only 6 lbs 5oz when she was born, 5lbs 5oz in the NICU. And Nathan has possibly 5 more weeks to grow! When I got home, I looked up Katie's measurements for the same time in my pregnancy and they actually estimated her to be 5lbs 13oz and in the 53% for 34w6d. She was bigger than Nathan, although it sure doesn't feel like it! I can't believe we are getting so close to meeting Nathan already!

31 week ultrasound

Weight: +12 lbs
B/P: 112/50 (It's always lower at the specialist for some reason)
Fundal Height: We don't measure
FHR: 142

I had a growth ultrasound today to check on Nathan with my perinatologist. He is doing really well and measures at 31w3d (I am 31w1d). They estimate his weight at 3 lbs 13 oz, which is in the 45 percentile. His head is all the way down right next to my cervix and the technician had to measure his thigh bone up by my bra strap...I am thinking Nathan is going to be a long fellow. :) 

I have been having a lot of contractions and cervical pressure, as I mentioned, but my cervix is CLOSED! Yay! I am really excited to meet Nathan, but not for at least six more weeks. He needs time to bake.

26 weeks!! (and one day)

26 weeks, 1 day

Weight Gain: +8.2 lbs per MD
B/P: 112/62
FHR: 141

Had an appointment today for a follow up ultrasound with my specialist. Everything is looking good. Nathan is measuring right on track according to the measurements they took today. He is 1 lb 15oz and in the 46th percentile. I have been feeling pretty good lately, compared to how I felt my first pregnancy. I have been fighting off allergies for the last couple of weeks, and I got sick this morning before my appointment, but I haven't had any more migraines (knock on wood), and I am able to function at least 75% of what is normal.

I moved Katie into her "Big Girl Bed" this week, so Nathan's crib is all set up with his bedding, mom bought him a few new outfits, and I cleaned out Katie's closet so he now has a "section" just for his stuff. I need to clear out a drawer for him and figure out what to do with his cloth diapers, but I am feeling much more prepared mentally now that Katie is out of the crib. Not sure why that is, Nathan is going to sleep in our room for the first few months anyway, but I feel more confident in myself at least! =)

Level II Ultrasound and Gender Reveal

Weight Gain: Something completely ridiculous by their scale....+3.8 lbs at home
Blood Pressure: 98/62
Fetal Heart Rate: 150's

We had the Level II U/S on July 5th (17w5d) with the Perinatologist. While Dr. A didn't think that anything was concerning with the pregnancy, she thought it would be "safe" to have Dr. R check me out again. (At this point in my pregnancy with Katie, my blood pressure was already creeping up.)  Our little baby cooperated very well for the technician and we got all of the pictures they were looking for. 

Our baby BOY was measuring in at 8 oz and was moving all around. He had his hands up by his face just like his big sister, and we got to see him opening and closing his mouth and even all of his fingers and toes. He is currently transverse, with his head on the left side of my abdomen and his bottom on the right. I know it is still plenty early, so he has lots of time to flip to a new position, but I can definitely tell he isn't sitting like Kaitlyn was because it feels so much different.

We talked more about my heart palpitations and my ER visit. Dr. R said that he expects me to continue to have palpitations, which unfortunately has happened, and in fact increase as I get further along. He suspects it is the baby that is causing the arrhythmia as I had never had this problem before and there was not a mechanical/structural abnormality within my heart.  So, I am now up to TWO doctors for this pregnancy as Dr. R will be following us monthly...

36 week (and last) Appointment

Weight: +14.8 lbs pre-pregnancy
B/P: 110/80
FHR: 140's
Position: Head DOWN! :o)

My 36 week appointment was this afternoon at the specialist's. Things went really well. My weight is right on track, my blood pressure was okay, and most importantly Kaitlyn is lookin' good! I still don't agree with the B/P that they recorded, but there is no protein in my urine and my labs have been fine so far, so I am happy.

They did a non-stress test, and Katie had the hiccups for a good ten minutes. Then she took a nice nap. Lol! The nurse practitioner came in to speak with me and said the baby was doing well, and we were just waiting for another room. I wasn't quite sure what room I was waiting for, so when she told me to go to the ultrasound room for a biophysical profile, I was pleasantly surprised. I had a different technician today and she even showed me pictures of Katie in 3D (and printed them out for me)! :o) She looks so beautiful and snug in there. She has big cheeks and looks just like her daddy. I can't wait for her to be here.

No other complications here at home. I had some really tight pains in my abdomen yesterday night. My whole stomach was hard and firm like my forehead. It was constant pain and did not come and go at all. Contractions? Who knows...

Last stop is December 24, 2009 for a blood pressure check and NST at Labor and Delivery....almost there!

35 week Appointment

B/P: 110/70 (I don't buy that...)
Weight: +14.4 lbs pre-pregnancy
FHR: 138

Today, Jonathan and I went to see the specialist for a growth ultrasound (number 7). My blood pressure was really good this morning, but I am not too sure that the medical assistance got an accurate reading. I am more inclined to think it was in the 120/80's, but either way, it is better than it had been at work. My weight gain is appropriate and the baby is looking good.

The amniotic fluid levels were fine, which indicates that her kidneys are functioning and producing urine as they should be. She decided to take a nap while they scanned, and they were able to measure her head (a couple days behind) and abdominal circumference (a little ahead), see her kidneys and heart chambers and take a look at her spine. She didn't want to look at the ultrasound wand, so the only picture we got as her "girly bits." She is still a girl. :)

Today marks the start of the 5th week of bedrest for me. As nervous as I am about Katie coming out, I am ready for her to be an outside baby. We have an appointment with my OB on Thursday, so hopefully we can talk more about the induction and when she would like to schedule it. In the meantime, make your guesses on her birth weight/height! :)

**Edited on the 17th:

B/P: 132/88
Fundal Height: 35 cm
FHR: 130's

Pretty standard appointment in the beginning. Got my vitals, did a non-stress test (which went great) and went to see the doc. She swabbed me for GBS (group B strep) and talked about how I was feeling. I mentioned to her that last night I had A LOT of cervical pressure, and she told me to keep a closer eye on those as they sound kind of like contractions. Then she decided to check me anyway since I was already undressed. She said my cervix is anterior and 1cm dilated. No protein in my urine at this spot check. My labs came back from last week and my 24-hr urine had protein levels of 243. (It has been 163 and 170. Pre-eclampsia is 300...) So....

Here is the game plan:
Monday, 12/21: Go see specialist and have NST
Thursday, 12/24: Go to L&D for NST and urine check

Monday, 12/28.....

GO TO L&D FOR INDUCTION.......

(Trying to change that to Tuesday, 12/29....but it's here, none-the-less).

Perinatologist Appointment and Level II Ultrasound

17 weeks, 6 days

Weight: -3 lbs
BP: 120/60
Fetal Heart Rate: 148

We had our appointment with the Perinatologist this morning. We were scheduled at 10am, so we got there a few minutes early to fill out the paperwork. They had a sign by the window that said to pay $5 if you wanted your ultrasound on a disc, so of course we had to do that. What a pleasant surprise!

I did the standard: pee in a cup, weight and blood pressure before being seen. My blood pressure was actually good this time - YAY! The technician that did the U/S was very nice. She took lots of measurements of the baby, starting with the head. She got the spine, abdomen, kidneys and legs. The femur and the head are measuring 18weeks and 2 days. All the other measurements were right on track or a day within the due date. She was having a difficult time getting a few shots of the heart, the tailbone and the lips. The baby was being stubborn....wonder where that comes from? lol.

When the doctor came in, she was able to collect the other measurements, and we got a good profile picture. She said the baby looked great, she was happy with my blood pressure and she said that she didn't see any markers for chromosomal defects or abnormalities. We haven't gotten the results from the triple screen back, but based on what she said/saw, I am assuming that it will be just fine. Also, the doctor said that pending no further complications, she won't have to see me again unless my OB wants more ultrasounds.

We did find out the sex, but Paulie is waiting to tell his momma in person tonight, so I will post a separate post with the sex after 5 pm. We are both over the moon excited!!! Here is a profile shot of the baby for now.

15 Week Appointment

15 weeks, 3 days

Weight: -4 lbs
B/P: 132/80
HR: 80's
Baby's HR: 145

We went to the OB again this morning. My blood pressure is still high, unfortunately. We had some labs taken for the triple screen. This will help us determine the baby's risk for down syndrome and trisomy 18. While reading up about this test, it looks like there is roughly an 80% detection rate and there are lots of false positives. Meaning, some babies pass this test and have problems and some don't pass and end up fine upon further testing. So we shall see. I am taking it with a grain of salt.

My doctor is referring me to a perinatologist for my blood pressure issues. This doctor is a high-risk OB, to put it simply. I will see this doctor and my normal OB for the time being. She said he will take measurements via ultrasound of the baby to make sure the baby is growing well and will monitor my labs. At some point, I may have to take medication for my blood pressure. I am completely expecting it to get higher as I progress to the 3rd trimester...and I have roughly 25 weeks to go! We will see the specialist in about 2 weeks. We see Dr. A again in 4wks, so a minor change in plan from before.

I am still planning to take it easy and relax as much as possible. Hopefully we can sneak a peak at the baby's gender at the appointment with the specialist.