19-Week Sonogram: The Bean is Jumping (Fri Jan 19)

We went for the 19-week ultrasound today at 1:30 pm. This is a standard test prescribed for all pregnancies to measure the development of the internal organs and bone structure of the baby.

We saw the spinal cord, bones in the arms, legs, hands and feet (10 toes), the four chambers of the heart (!), etc. The baby's arms were bent and hands were in front of its face a lot during the screening, so it was difficult to see the face. This is the second sonogram at which the radiologists commented that the baby is very active and so was difficult to measure! She asked if I had eaten just before the appointment (I hadn't). She also mentioned she felt a hardness on my left side and asked if I have a cyst or have had one in the past (I said no). She said it was nothing to worry about. I will investigate after the baby is born.

An ultrasound technician looked at the Bean from all angles, took measurements and said everything looked normal. The Chief Radiologist on staff followed up to check measurements and agreed that everything looks good. In total, we spent an hour in the ultrasound getting screened. The radiologist said the baby is still on track for a delivery date of June 15th (size-wise).

From the radiologist's point of view, everything is developing normally so they are not recommending the need for any follow-up. Since we elected not to find out the sex of the baby, the radiologists hid the screen for part of the examination.

Now that the baby is getting bigger and I've seen it moving, I'm more aware of having a baby inside (vs what had felt mostly like an unpredictable medical condition). Things have progressed smoothly so far, my bump is noticeable, and I'm more conscious now that everything I eat is feeding two of us.

4-Month Check-up (Wednesday, January 3, 2007)

16-week checkup: weight 148 pounds; blood pressure 117/70.

Today was our 4-month visit. My weight has gone up 10 pounds (what?!). Blood pressure remains low. My trousers fit the same so hope the extra weight is due mostly to bigger breasts, the bump and the clothes I was wearing. The results of the blood tests from the last visit were all negative (HIV, anemia, STDs, etc).

It took awhile for the nurse to find the Bean’s heartbeat but she found it low in my abdomen. The heartbeat would fade as the baby moved away from the monitor, but the nurse tracked its movement and charted the heart rate between 145 – 152 beats per minute, which she said was good.

The fetal heartbeat sounds ike a "sh sh sh sh" sound (vs. thump thump thump). The nurse said it's fetal bowels we're hearing.

Dr. Holden told us there was a mix-up with our final CVS test results (!). The preliminary lab results that were given to us were accurate. The first set of final results that the geneticist gave me via a phone message were actually for a different ‘Melissa’. However, during the follow-up phone call to discuss final results in person, the results she shared were ours, and were normal as well. Although there was a mix-up, there has been no harm done.

Mentioned to Dr. Holden that it is easy to wonder about the health of the baby since I can’t feel anything yet. He said this is a common concern for women in the early part of the second trimester -- ‘no mans land’ -- since there are no direct signs of progress other than the bump getting bigger.

We can expect to start feeling the Bean move in the 5^th month (February). At the next visit, he will teach me tactics to feel the baby and look for signs that things are ok.

We are scheduled for an ultrasound on January 19^th and the next monthly visit on February 1^st.

They took blood before I left the office to test spinal cord development in the baby. This time I laid on a table during the test and had no problems.

I noticed that another woman who had gone in for an appointment ahead of mine was laying on the floor with her feet propped up on the wall after having just given blood. Happy to see I'm not the only one who struggles to stay upright for blood tests.

On to more interesting news: an article published by Finnish scientists in New Science Magazine reported that women who eat chocolate regularly during their pregnancies are more likely to have placid babies. Big thanks to Carey -- a friend in Australia and new mom for the 2nd time -- for mentioning this study! www.newscientist.com/article.ns?id=dn4854

"Six months after birth, the researchers asked mothers to rate their infants' behaviour in various categories, including fear, soothability, smiling and laughter.

The babies born to women who had been eating chocolate daily during pregnancy were more active and "positively reactive" - a measure that encompasses traits such as smiling and laughter. And the babies of stressed women who had regularly consumed chocolate showed less fear of new situations than babies of stressed women who abstained.

The researchers point out that they cannot rule out the possibility that chocolate consumption and baby behaviour are both linked with some other factor. But they speculate that the effects they observed could result from chemicals in chocolate associated with positive mood being passed on to the baby in the womb."

Journal reference: Early Human Development (vol 76, p 139)

Ate some Hersheys Dark Chocolate tonight in support of the research. :-)

Good news confirmed (Friday, 15 December 2006)

Jennifer and I spoke by phone and she confirmed the good news. All is well genetically speaking.

We elected not to find out the sex of the baby, though it is very tempting. She and Dr. Holden have copies of the results, so if we change our mind, we can ask either of them and they’ll tell us.

I find myself referring to the Bean as 'him' but hope that we'll have a girl, though we'll be thrilled with a healthy baby, period.

CVS Test (Thursday, 7 December 2006)

I returned to the Columbia-Presbyterian offices to get the CVS test. The first step was a level II sonogram. The radiologist was a woman who has worked with Dr. Wapner for years and was very easy-going. Because she was upbeat and calm, it helped me relax. She showed me the baby on-screen, and we saw legs and arms moving! She took measurements, confirmed we were at 12 weeks and 5 days, and performed Nuchal Fold measurements http://www.babycenter.com/refcap/pregnancy/prenatalhealth/118.html saying the baby looked normal and there were no indications of Down Syndrome. She gave me two copies of sonogram pictures.

The Bean still looks like ET.

After approximately 20 minutes, Dr. Wapner came in, and they agreed that the transabdominal version of CVS would be safest in my case, based on where the baby was located within my uterus (the alternative is trans-vaginal). Dr. Wapner looks like Dr. Who – tall with a lot of curly hair. He used a transducer to insert the needle, and in less than 60 seconds, was finished withdrawing material. We talked movies while he performed the test, and he recommended I see “The Queen” starring Helen Mirren, because of the years I lived in Windsor, England, near the castle.

The use of a topical anesthesia is not used for this procedure. At least half of women who have undergone CVS in the past indicated the pain caused by an anesthesia shot was not worth mitigating the pain of the second bigger needle used for the procedure. With my general phobia of needles, I was onboard with using as few needles as possible and willing to have more pain if it meant getting through the procedure as quickly as possible.

When the test was done, Dr. Wapner said the procedure could not have gone more smoothly and indicated I'd have no problems as a result of getting the test. Preliminary results will be available early next week, and final results within 10 days.

Because my blood type (Rh) is A negative and Michael may have a positive blood type (we don't know his), I was given a shot of Rhogam (1) in the rear end before leaving the office, and will now get a Rhogam shot around week 26 and once more after delivery. In this case, I received Rhogam during pregnancy because the CVS procedure (like Amniocentesis) introduces the slight risk that the baby's blood or DNA could interact with mine, and cause my blood to create antibodies against the baby's blood (if the baby has a positive blood type).

I got dressed and felt surprisingly steady on my feet. Took the subway home, laid on the couch, ordered pizza for dinner and watched TV. Slept soundly for the first time this week!

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(1) Rhogam: Rh0 immunoglobulin, also called anti-Rh or anti-D immunoglobulin. An injectable blood product used to protect an Rh-positive fetus from antibodies by its Rh-negative mother. The idea underlying Rhogam is if anti-Rh antibody is given soon after delivery, it blocks the sensitization of the mother and prevents Rh disease from occurring in the woman's next Rh-positive child. Rhogam is now given routinely to Rh-negative women after pregnancies in which they carried Rh-positive fetuses to prevent the mother's immune system from reacting to the Rh-positive blood of any subsequent fetus. Rhogam was developed in the 1960s by Dr. Vincent J. Freda (1927-2003), professor of obstetrics and gynecology at Columbia University.

Source: MedicalNet.com http://www.medterms.com/script/main/art.asp?articlekey=11961