3D 4D at 16 Weeks - 12/29/2016

As promised, I wanted to share the 3D 4D Ultrasound Pics from 16 weeks with you all ;)
We know the babies sex, but are keeping it a secret until we do our photo reveal :)








How cool is that? You can see babies face, smile, little arms and legs
Ahh it makes me so happy :)
Still so hard to believe this is really real and I am not dreaming :)

12/29/17 - Emergency OB Appt

So... I couldn't pee... like, at all in the last 24 hours...So I found myself in my regular OB office where I met with my OB, Dr. Yoder-Katsuki, for a routine visit, and my inability to pee. I thought I either had a bad UTI, or was badly dehydrated. I ended up having to get cathed at this appointment, which was so much fun *rolls eyes* and they still only could get 100cc of urine, amber color, which meant I had to be dehydrated. They dipped the urine, and there was glucose (no surprise, I am a diabetic) and protein in my urine, and ketones, and so they said I was dehydrated, to go home, drink water, and if it didn't resolve within 24 hours to go to the ER. Thankfully, it resolved, and all was well.

Today, I also had a 3D 4D Ultrasound through 4D Sneak Peak of Cleveland, at 16 weeks. We re-confirmed the gender of the baby, though everyone has to wait to find out what it is until 20-24 weeks when we do the photo reveal. 

Baby was stubborn, as it has been in every imaging thus far. I also got re-assurance that baby was growing just fine, and doing well. We will be going back for 1 or 2 more 3D 4D Sessions, around 32 weeks-36 weeks.

See my next post for those photos ;)

NT Scan / MaterniT21 Test / Second Trimester Here We Come!


So, as you can see, I've made it successfully to 12 weeks of pregnancy.
No... that is not a nipple, that is actually a bruise from my Lovonox injections that I am on. I don't know why I have to explain that I wouldn't post nipples on the internet, but thats besides the point.
I am excitedly awaiting enterence of second trimester! Woohoo! The risk goes down a bit, because most of my losses have been first trimester, but I will still walk on eggshells until after 24 weeks and the fetal echo is done.

I'm still very sick, and have been struggling with all day sickness, but preggo pops help! They really are the only thing that helps! I don't know what is in them, but they are miracles! 

As you know, I'm insistent. I fought with the doctor on MaterniT21, and ended up getting the test, because its a blood test, and the risks were warranting the test.

So, today, I had the NT Scan which is the test that looks for down syndrome in the baby. Hopefully everything with that, and the MaterniT21 comes back normal.

Anyway, here are the photos from the NT Scan...




As far as the ultrasound goes, the baby wasn't really being cooperative. 
He/She was laying face down, spine upward, and was sleeping because he/she wouldn't move at all. The ultrasound tech said baby was being lazy. We poked and prodded and I laughed and coughed and baby wouldn't move. 
Heart rate was 156bpm and baby measured 12 weeks 3 days even though I am 13 weeks here. 
NT scan showed nuchal fold of 2mm, which is negative for downs per ultrasound, but we got the NIPT MaterniT21 just to be 100% sure.

My next appointment is on 1/19, but I will have a surprise 3D 4D Ultrasound Reveal for my sister Felicia, when she comes up for Christmas, which will be on 12/29 :) I will update/post photos from that visit!

Also, here is my 13 week photo, since I am so close ;) Can you tell I'm excited?




MFM Consult


So... today, I saw one of the MFM Docs at Hillcrest. The guy I saw is Dr. Rajabi. It was my initial MFM consult; This doctor I didn't really like/agree with, but I tolerated. He tried to fight me on getting a MaterniT21 Plus test, and said it was for 35 and older, and I quickly told him he was wrong, and I would gladly pay out of pocket for the test that tests for trisomies, as well as the sex chromosomes due to my high risk. He scheduled my nuchal translucency scan, and he put a referral into genetics. I will ask again at my next appointment for the MaterniT21 test, because I feel it is better to be safe than sorry with my medical history. Here is the plan thus far for management of my high risk pregnancy. Keeping in mind, this can change as I progress and if other complications come up (which hopefully none do).





Announcing the News To My Mother, Nana and Stepfather

When one becomes pregnant after everything I've gone through, you often think of creative ways to announce you're pregnant to everyone. I figured I was going down to Florida for Thanksgiving, and that if I had shown up with a baby the following year, that my mother and grandmother would be very confused, so I had to think of a creative way to tell her.

I knew my mother liked crossword puzzles, and so I created a crossword puzzle for her to fill in, and then got her a box with baby shoes in it. Here is a photo of both:



SURPRISE!!


Grandma and Grandpa:
Please keep these booties safe
I will need them back in June!


What?? You're really pregnant? I'm gonna be a grandmother again?


Ma Look...
Franky Guess what? you're gonna be a papa again!

(Side Note: I wish I would have video taped her reaction but photos are just as awesome)

Dating Ultrasound

Today, I had my dating ultrasound which, surprise surprise, a woman with my issues DOES actually know their conception date, even though the doctors thought I was crazy, and it matched my date of conception. 

They said because of my history and having PCOS, that they just needed one on file to be 100% sure that my due date was June 15th, especially with needing to be induced. I thought "OK, that makes sense" and went along with it, because I wanted to see my baby again.

It turns out, when you only see your boyfriend once or twice a month, and know EXACTLY when you did the deed as a result, that even doctors don't believe you, so they have to confirm the dates matched. 

Of course, the dates did match, and I was given the due date of June 15th 2017, but there was talk of induction at 38 or 39 weeks pregnancy, and will see how things continue to progress before we get there.

Anyway, here is photos from today's ultrasound :)



Not the best photos, I'll admit, but it was my baby developing nonetheless, at 8 weeks 6 days.


The ultrasound report; I admit, I was very giddy to see the word "viable" put there :)

My next appt is on 11/22 to see MFM, a doctor named Dr. Rajabi. I'll be sure to update :)

First OB Appt

Today, I had my very first prenatal appointment with a wonderful OB named Dr. Yoder Katsuki. She was the OB my high risk GYN recommended. She went down my list of health conditions, and my medications and told me what to start taking and what to not stop taking. She than scheduled the dating ultrasound, and referred to MFM. She and MFM would co-manage me. We also got to see baby peanut today for the first time. I cried! Cannot wait for my dating ultrasound!

Image may contain: ultrasound, screen and text

A closer look at baby, at 6 weeks; This ultrasound photo was very emotional for me to take, because last year on 11/4/2015; we were told we were miscarrying our son, Avery Matthew, and there were no fetal poles, and the sac hadn't increased and there was no heartbeat. This ultrasound overjoyed me, but filled me with emotions, because not only was there a teeny tiny baby there, but you could see electrical activity, which would develop into a forming heartbeat in the coming weeks. It was re-assuring, that baby was here to stay. It was also discouraging slightly, because babies CRL measured 6 weeks and 1 day, when baby should have been 7 weeks and 4 days, but my OB told me that at this early, its hard to tell, and they would order another ultrasound for proper dating.

Lovonox Injections....


Today... I started my Lovonox Injections, of 40mg in the AM and 40mg in the PM; These prevent me from clotting early on, and keep the baby in utero, and prevent early losses. I also was started on Progesterone in Oil Injections again, which would do the job of the placenta until it could take over. Many woman with PCOS have low progesterone levels, and so when they become pregnant, their body cannot hold the baby and continue to have it develop, so they have early miscarriages; This is one of the pieces of what kept happening to me.

No automatic alt text available.



We're Having A Baby!

I know... shocked? I know I was...

Most of you know, but for those who don't and may just be following this blog, it has been a rough journey and a rough road of infertility. 

In five years of wanting a second child, and having gone through a few relationships, one which ended after seeking a fertility specialist out to have children, I pretty much gave up.
In that five years; I've had: Multiple Recurrent Pregnancy Losses which include 7 first trimester losses, and 2 second trimester losses at 14 weeks which required D&Cs, and a stillborn at 20 weeks who had HLHS and was the result of a placental abruption and clots in the cord. I also had 1 chemical pregnancy. This pregnancy makes pregnancy 13.

I've gone through multiple ultrasounds, 2 Saline Infusion Sonograms, 2 Hysterosalpinograms to clear my tubes and check for uterine abnormalities, 2 Endometriosis Surgeries, 1 of which was out of state in Atlanta, GA by the worldwide renowned surgeon Dr. Sinervo (See previous blog posts from 2015)

I've gone through 3 cycles of Clomid and 3 cycles of Femara (which I never want to go through again; they made me into a crazy raving bitch and I didn't ovulate at all on them) 2 Cycles of Gonal-F (Injectibles of FSH; Basically, this is to help healthy ovaries develop (mature) and release an egg or
cause your ovaries to make multiple (more than 1) eggs) 

I've gone through Genetic Thrombophilia Testing and Genetic Karyotype Testing, I've gone through removal of pre-cancer cells and uterine fibroids, and gone through inducing my cycles every 90 days with Provera AND I've been told that I needed IVF and it would never happen naturally. 



The original plan was as follows: Become a patient of Dr. Bravermans in NYC (who is a worldwide renowned reproductive immunologist, there are only 3 in the US, one in California, one in Chicago, which is Dr. KK and then Braverman) 

So I would become a patient under his immune protocol. Pay 3,000 out of pocket for a full immune panel to be ran, of which insurance would give me back 1350, and that could go towards my treatments which would likely include Nupogen, IVIG or some other immune protocol that he places his patients on, with an understanding of their complex immune system and he would monitor and treat me with the help of my OBGYN/REI. 

I would go through immune treatment recommended by Braverman, complete the requirements for Bariatric Weight Loss Surgery, go through getting the Gastric Sleeve, get the Mirena IUD for 18mos, and than in 18mos, when Matt and I wanted to try for a child, we would go through IVF once my immune system is optimized through Bravermans Protocol for Immunity Related Issues...


After talking about it with a few friends, I had basically agreed that after severe pain during each cycle, likely caused from Adenomyosis and Possible Regrowth of Endometriosis (though the first is more likely than the latter) that I would go through the process to get approved for a Mirena IUD to allow my system to cool down for a few years until I was in a stable relationship and ready to actively try. 

I also agreed that the IUD was the best option for me, because I was also a patient with Cleveland Clinic's bariatric weight loss program, and the requirement post surgery is that you do not get pregnant for 18 months post-op.

I know... I know... me and birth control don't get along... but this was something well thought out... I promise... 


So... I went to my hematology consult, and they approved the Mirena IUD; I went to my consult with OBGYN to talk about birth control/IUD and they approved me as a candidate for the Mirena IUD (it was the Mirena or Skyla, but Mirena shows more potential in Endo/Adeno cases) and I had that Mirena IUD insertion scheduled to be inserted;

Fortunately/Unfortunately, that did not happen, and God had other plans in mind for us, and intended on providing me with a miracle child, I just didn't know it yet.
---------------------------------------------------------------------------------------------------------------

I had sex on my birthday on 9/26/2016 with Matt; I was day 65 into my provera cycle and knew that it was highly unlikely to ovulate that far into a cycle, so I had unprotected sex. Even though OB has my last period date of 9/8 this is not accurate; I was spotting on 9/8, and never had a full bleed; I constantly spot in between cycles for no known reason.

On 9/28/2016, because I was still having bleeding and spotting all month long, in between cycles, they decided they wanted to do a routine ultrasound on me. The technician wrote in her notes "one dominant follicle from right ovary" which meant that I likely ovulated that month, though they were not 100% sure and couldn't confirm this. She also noted in her notes on the ultrasound that I had a "hyperechoic nodule" and a "dermoid cyst" that remained unchanged from previous imaging. 
I didn't think anything of it at this point, and my OBGYN, Dr. Raymond continued to push me to consider hormonal treatment of some kind, preferably the Mirena IUD to manage my symptoms for a bit. I told her I would have to think about this.

About two to three weeks later, my period was late (again) and I was having severe heartburn and nausea which I had seen the doctor on October 4th for, and she told me that it was simply my GERD acting up and to get plywood and elevate my head while I sleep, but this heartburn and nausea was not going away; 

Because my cycle was late and I was right at the 90 day mark, I knew this meant I needed to go get a test and take it and because I was having severe nausea and heartburn already, I decided I'd better be safe than sorry and before I take provera to induce a cycle, test. 

The reason behind this is because if you take provera when you are pregnant, it will induce a bleed, and essentially, you'll have a very early miscarriage, so they ALWAYS tell you to use best judgement and test before picking up the medication
-----------------------------------------

To my surprise, I tested Positive on 10/26/2016 with a blue dye test. At first I thought, OMG, this cannot be positive; Perhaps its an evap line, or a faulty test, because I had read previously that blue dye tests were inaccurate, and often yielded false positives. 



I texted Matt, and was like "um...." and he knew what I was going to say but was at dinner with his father at that moment in time for his upcoming birthday, and he was as shocked as I was. I wanted to be 100% sure that I was not seeing things. I couldn't believe it, and didn't want to believe it. So right away, I messaged a few friends I could trust.

Two of my friends, that I could trust not to spread the information, Jennifer Harmon and Nicole Fazio were the two I messaged, freaking out, asking if the test was positive and sending different angles. I was freaking out, because I was on medications that could, at the time seriously affect outcome of pregnancy; 

So right away, I stopped ALL my medications. Some of these included Methotrexate and Depakote, which treated my migraines and my lupus. (Never ever do this; This is NOT advisable. I got very sick, very fast, and the withdrawals were the worse) 

They both confirmed that it was indeed positive, from all angles; I than told Jessica Fuller next; and finally after some time, told Maryjo Hays (My daughters Coach), My best friend Tina (who I met at Cheerleading) and my photographer friend, Bobbi Frohman.

So right away, I contacted my OB who scheduled the Mirena to be put in, and asked her to please put an order in for a Beta HCG. I was seeing a woman named Danielle Whein who took over for my OBGYN, Dr Raymond, because Dr. Raymond moved to Twinsburg office.

On 10/27/2016, A Thursday, I went in and had my Beta HCG Drawn. On the morning of 10/28/2016, It was confirmed. I was definitely pregnant, and was approx. 6 weeks along. I was still very early, but she scheduled an ultrasound anyway, to confirm that there was a sac and a baby developing there.
Definitely Pregnant!


So next, we have the viability ultrasound. I'll update from there!