Pregnancy Update: The First 18 Weeks

Dan and I found out we were expecting Baby 3 while we were still camping out in the basement of some generous church friends. As God’s timing would have it, we found out we were pregnant only a few weeks after first hearing about the house that is now our home. It’s a good thing too, because I would have given up the house hunt if we had found out about Baby first! The timing was perfect, so, while the house buying process was going on, we began out hunt for a new doctor.

My last doctor was great, but she retired this summer. We called a couple of different offices and eventually chose a doctor who has turned out to be terrific. He has years of experience working with high risk and unique pregnancies, so mine was no surprise to him. At our first appointment we got our first glimpse of Baby 3 and a guess on the due date: April 20.

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The first trimester wasn’t too bad for me, apart from the stress of trying to get settled on the house. I was sick for three weeks in a row with various viruses. Maybe I was feeling sick from the pregnancy too, but if so, those symptoms were masked by the other illnesses. My most obvious pregnancy symptoms were the cravings and aversions. Cheese and pickles were favorites, with random weird and short lived cravings like rice with soy sauce and tomatoes or chicken salad. As usual during my first trimesters, I couldn’t stand lentils or broccoli.

A couple of weeks after the first appointment we were back at the office again to check on Baby and start working on a game plan. Here is Baby at 12 weeks:

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(That’s his/her head on the right side.)

There are a few things we’re going to try this time that may or may not help keep Baby from coming as early as Lydia and Abigail. Sometimes they work and sometimes they don’t. One of those precautions is limited activity for me from 20 to 28 weeks.

Now, when you’re moving into a new house, preparing for Christmas, and anticipating another possible long NICU stay, there’s a lot to do. That’s part of what has kept us so busy lately. I’ve been working away at making some Christmas gifts a little every day. I’m happily making progress on unpacking and our goal is to be completely settled by next Tuesday. Of course Thanksgiving is coming and we’ll be hosting Dan’s family this year, but we’re keeping things simple and those present will all be pitching in to help with the meal. 🙂

The bulk of my extra time has been spent cooking and freezing meals for the time after Baby is born. If Baby spends as much time in the NICU as Lydia or Abigail, we hope to have enough meals to get us through most dinners and lunches without having to take the time to cook. We have three freezers right now (our chest freezer, the one on top of our refrigerator, and an upright some friends brought over a couple of nights ago). Two are packed full and I have two weeks left to finish my cooking!

Once twenty weeks hits, everything is going to stop. No more unpacking. No more cooking and freezing meals. No more running around like crazy buying things we need for the house. I have ten days left.

Our next Baby appointment was at 14 1/2 weeks, and here’s Baby:

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S/he is bent over like someone who fell asleep in school, and his/her arms are up behind his/her head.

So that leads me to another new decision for us. We’re hoping to be surprised with this baby, instead of finding out early if it’s a boy or girl. With ultrasounds every two or three weeks, it’s likely we might unintentionally find out, but the goal is to be surprised. That said, I will be referring to Baby as “he” from now on, even though we don’t know if he is a boy or girl yet.

During November I had a small surgery done that was another one of our attempts to keep Baby from coming as early. Afterwards, I had an appointment where we confirmed that everything was well and Baby was happily staying put.

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Here’s Baby at seventeen and a half weeks:

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That’s a head-on picture with the head on the left. You can see the eyes and brain (kinda weird!), and everything looked good.
That brings us up to today. During the past few weeks I’ve felt the first little kicks and Baby is starting to take up my stomach and lung room. I have had a lot of energy, which has been great for getting all my preparations taken care of. But more recently I’ve been getting tired out more easily, so I’ve been having to take more breaks to rest, nap, or just prop my feet up.

Our next appointments are on December 5 (two weeks from tomorrow). The first will be the big 20-week ultrasound screening, and right afterwards we’ll be heading back to our doctor for another check up.

Whew! That felt like a lot. From here on our I’ll be able to update more frequently with any Baby news, pregnancy changes, and more pictures of our little Pumpkin.

Three Little Pumpkins

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The very weekend we moved into our new house, Dan bought Lydia a little pumpkin. As soon as fall hit and all of the stores had started putting out pumpkins, gourds, corn, and hay stalks, Lydia was fascinated. We thought it would be a fun treat to get her a little pumpkin of her own. We brought it home and put it on our fireplace mantle.

The Saturday when we moved all of our boxes into the garage, some sweet friends from church (who now live just around the corner from us) invited us over for dinner. As an extra treat, they gave us two pumpkins, one for each of the girls. Now we had three pumpkins. But do you know what? That’s ok.

Because…

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We’re having a baby!

No, we are not having multiple babies. Due to the nature of my pregnancies, we just get lots and lots of pictures of Baby 3.

Baby’s official due date is April 20.

(More details soon to come.)

Abby Update: 68 Days Old

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Gestation: 38 weeks, 2 days
Weight: 4 pounds, 11 ounces
Feedings: Only an IV (TPN)

It has been a whirlwind weekend. We have gone back and forth with the ups and downs of transferring to Motts, thinking we had a diagnosis, then going back to not knowing what the problem is.

Friday night was Abby’s worst night yet, as far as spit up goes. During the night they decided to give her an IV so she wouldn’t get dehydrated, and it turned out to be a good thing they did.

Saturday morning Abby got an ultrasound while she was eating, which seemed to indicate a diagnosis: pyloric stenosis. The pylorus is the opening between the stomach and the small intestine. The esophageal sphincter is the opening between the esophagus and the stomach. In a properly functioning body the esophageal sphincter opens when food comes down the esophagus and then closes. After an amount of time, the pylorus opens and allows the broken down food to move into the intestines. Pyloric stenosis is a problem where the pylorus is shut and never opens, so no food can make it past the stomach. Symptoms include constipation or infrequent stools and frequent, even projectile, vomiting.

During an “Upper GI series” a while ago, it was observed that Abby’s esophageal sphincter was “wide open” and very floppy, contributing to her severe reflux. During that test, however, the pylorus was spasming open and closed.

Abby’s ultrasound on Saturday morning showed, what looked like, pyloric stenosis. Because of the conflicting results of the previous upper GI and the more recent ultrasound, the doctors decided to wait a day and repeat the test. If two more tests (another GI and another ultrasound) agreed that Abby had pyloric stenosis, surgery would be scheduled immediately to fix the problem. In the meantime, they kept Abby on an IV, then added lipids (fats) and TPN (total parenteral nutrition – a prescription of fluids providing the nutrition Abby needs). Because it can be dangerous for young babies to throw up so often, those with suspected pylorus stenosis aren’t allowed to eat by mouth. However, much to our dismay, TPNs don’t come until 9 PM at Motts and Abby stopped eating at 8 AM. So it was a long stretch for Abby without “food”. Even after she got the TPN, it was given through the IV so Abby still felt hungry.

Sunday we arrived only to find out that the ultrasound showed (again) a spasming pylorus. In true pyloric stenosis the pylorus will never open, therefore Abby doesn’t have it. So Sunday we spent the day with our poor little girl, holding her as much as possible. She still felt hungry so she would often suck on our fingers. She even found her own fingers and, once or twice, we caught her sucking her thumb.

This morning Abby looked swollen to us, probably from retaining fluid from the IV. Her electrolytes were way out of balance from throwing up so much and they still hadn’t stabilized. According to the Motts scales, Abby now weighs 4 pounds and 11 ounces. However, Friday the scales said she weighed 4 pounds, 7 ounces (up two ounces from her pre-ambulance ride weight). So somehow there’s a discrepancy between hospital weights, but no matter, Abby is gaining.

At rounds we heard the game plan (for today). Since Abby’s electrolytes still weren’t corrected, it would be silly to start feeding her by mouth again and have her throw up and mess them up more. In the meantime she will stay on the IV and be fed through a post pyloric feeding tube, that is, a feeding tube fed down through her stomach and the pylorus into the intestines. That way Abby can “eat” milk without the continuous spit up. For now, she is being fed unfortified breast milk to see how she tolerates it. Later, we’ll figure out details with fortification.

When we left the hospital this afternoon our nurse was working to get a feeding tube in. The first attempt coiled up in Abby’s stomach and they placed her on her side for an hour to see if it would work its way down past the pylorus. As soon as the feeding tube is in place, Abby will start receiving a continuous stream of milk into her intestines. (And she won’t feel hungry anymore!)

That’s really all we know for now. There won’t be any more changes until either her electrolytes are corrected or she demonstrates that she can tolerate the milk through the post pyloric feeding tube. The neonatologist was planning to talk with the surgery team about Abby’s pylorus, as he seems to think she’s just going to end up having surgery anyway.

Praise the Lord
We are thanking God for:
-that Abby will get to have milk again soon
-that while we don’t have a diagnosis, we are moving in the right direction

Please Pray:
-that Abby’s electrolytes will be balanced soon
-wisdom for the doctors as we decide what our next steps should be
-for our continuing to adjust to our new hospital

Baby Update: 26 Weeks

Since I have not given any real pregnancy update on the blog yet, I decided to update you all from the beginning of the pregnancy up to the present.

In April, we announced to our family and friends, and then everyone else, that we are happily expecting Baby Number Two. May 1st was our first prenatal appointment and our first view of this little one. According to her size during that ultrasound, she is due on November 30th, although Dan and I suspect her actual due date may be a little earlier in November. I guess we’ll just have to wait and see. Here she is measuring less than 3 cm (just over an inch) at 9 ½ weeks gestation:

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As Dan finished his last semester at Eastern, I was fighting more nausea than I ever had with Lydia. And I became an extremely picky eater. Of course, pickles and ice cream were my biggest cravings, but also macaroni and cheese (actually any sort of cheese), cinnamon rolls, and brownies. Lentils, broccoli, and salsa were absolutely revolting for those first few months.

Because Lydia had been born nine weeks early, I have an increased probability of having another preemie. And because Lydia had to spend her first six weeks in the hospital, and because that was one of the most difficult situations Dan and I have ever experienced, we were eager to do everything possible to prevent another early delivery. What can be done? Well, not much, to be honest. The doctors have been eager to keep an extra close eye on us, take lots of ultrasounds, and require extra visits. We have been prayerfully making our decisions as they come, and so far have found a pleasant balance of extra care and reasonability.

When I was twelve and a half weeks along, we went in for an intense ultrasound that was supposed to help determine our course of preventative treatment. Since things looked normal (as they always did with Lydia) we didn’t learn a whole lot from this one, but it was fun to see Baby again. Here she is, now just over 11 cm long (that’s almost 4 ½ inches):

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One slight complication the ultrasound identified was that Baby’s umbilical cord is attached to the edge of the placenta, instead of being centered. From our best understanding, this usually doesn’t affect Baby, but there’s a “possibility”, say the doctors, that Baby could not get everything she needs through the cord to grow properly. The solution is to do lots of extra ultrasounds to see if she’s growing, and if not, deliver early. We’d rather not deliver early and certainly don’t plan on delivering so early that she couldn’t survive, so we have delayed these extra ultrasounds for the moment.

In July we had our big ultrasound, the one where we found out that Baby is a girl. For most of this one, she was all curled up, making the tech’s job pretty difficult. Here’s Lydia’s little sister when she was almost 20 weeks:

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According to this ultrasound, Baby is big for her age, which is good considering the umbilical cord situation. It also supports Dan and my theory that the due date may be a little off. Most people expect their baby quite close to the due date, but with our suspicions combined with my history, we have no idea when Baby might surprise us!

The good news is that tomorrow I will be 26 weeks along, and 80% of babies born at 26 weeks survive. The rate goes up to 90% at 27 weeks and hits 95% by 28 weeks. Needless to say, we are thankful to be where we are! For those who are interested, September 27 would be the date when baby is as old as Lydia, when Lydia was born. So that’s the next big milestone. My personal goal is to make it to November 2, 36 weeks, which is when most babies can go home without time in the NICU and without developmental complications.

So, there’s a breakdown of our past 6 months as far as baby is concerned. Thanks to all who have prayerfully supported us through the pregnancy so far. We trust that this little one is in God’s hands, and will be born when He wants her to be. I’ve also had my moments of anxiety, convinced that Baby would “certainly be born any minute!”, but many praying ladies from church have lifted us up and those fears have been replaced with the peace that passes all understanding.

Baby Two, we love you and are so excited for when God does bring you into this world, though we hope it’s not too soon!

Baby #2: 21 Weeks

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I am now 21 (and a half) weeks along with Baby #2. That means I am…

10 Weeks to the age when Lydia was born
15 Weeks to my personal goal
19 Weeks to term

And

Potty training!

We were advised that if we wanted Lydia to be successfully potty trained before Baby is born, and to stay potty trained after Baby is born, it’d be best to attempt it sometime in July. So I am attempting to potty train her in three days.

If you have never heard of the three-day method, it goes something like this: for three days parent and toddler hang out in the bathroom while Toddler is diaper-less. The first day is supposedly going to be full of accidents (we’ve had 2 so far and we’re about halfway through), but by day 2 and 3 both parent and toddler are learning how to recognize and respond to the need to “go”.

Will it work?

Dan is pretty skeptical, I’m a little more hopeful, and only time will tell.