Wednesday, July 3, 2013

20 week appointments

Two appointments today.

11:30 with Dr. Uribe was short and sweet.  Peed in a cup, weighed in, and showed the nurse where to find the babies' heartbeats with the Doppler (and I was right on-- go me).  I did not schedule another appointment with Dr. Uribe since I see Dr. Dryden in 2 weeks and will hopefully just switch my care over to her.  If there are any bumps in the road or if Dr. Dryden thinks I should hold off on switching to her, I'll reconnect with Dr. Uribe.  So yay-- one doctor down!

1:30 with Dr. Haeri.  I had the same sonographer as last time, who is maybe not my total favorite, but he's ok.  It took him a little while to get oriented-- at one point, he had C labeled as A and vice versa.  And to be fair, it's like baby soup in there now.  Gone are the days when you could say, "Look, there's one baby there, one over there, and the third up there." Now it's a jumble of body parts and they are all always moving: twisting and turning and flipping.  He only gave me pictures of Baby A this time, but here are pics and the growth scan results (click to see larger):


Dr. Haeri came in to discuss the results.  All the babies look great.  Baby B had an echocardiogram and passed it-- her heart looks great.  She got chosen because she was easiest to see today-- A and C will have their turns in upcoming appointments.

The growth percentiles/estimated weights were:

Baby A - 76.7% - 12 ounces
Baby B - 68.0% - 12 ounces
Baby C - 38.3% - 11 ounces

He said NOT to freak out about Baby C being so much smaller in the percentages, and that if you look to their weights, C really is about the same size as the other two.  To be honest, I felt the least sure of C's measurements as we were going through-- he's just in a more awkward position than the other two and I felt like he was being shortchanged.  Like, if the circumference was interpreted and drawn just slightly differently, it would have made a big difference (when we're talking about such tiny weights).  The one I thought looked the most... imprecise?... on C was abdominal circumference, which carries the greatest weight on the size estimations.  If you look at the measurement details on the pics above, you'll see that C was above average on every measurement but that one.

Not that I'm an expert.  :)

Out of curiosity, here the averages I got when I weighted each measurement equally (just totaled up the 5 measurement percentages and divided by 5):

A - 73.48%
B - 62.80%
C - 54.12%

That "feels" more right to me.  Again, I know it's not the official way to calculate.

Here's another comparison-- using A's weight in grams as 100% and comparing B and C to him to see relative size:

A - 345g - 100%
B - 334g - 96.8%
C - 302g - 87.5%

So even relying on the size estimate for C (which, like I said, I think may be off), C is well within 20% of A's size.  C would have had to be 9.7 ounces to be discordant with A, so we still have a lot of room there.  No worries.

Ok, now that I've over-explained everything...

Two other exciting news items:

1) The babies' family is coming up to visit RIGHT THIS VERY MINUTE.  They'll get here tonight and leave Friday.  Woohoo!  Can't wait to see them.

2)  Yesterday, the big brown truck dropped off this very exciting surprise.  Enormous pillow!  I love, love, love it-- it was more awesome to sleep with last night than I even dared to imagine.  A gift from M and N.  Thank you, thank you!

 
And yes, I'm suddenly enormous.  Oof!

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