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

A Due Date and Nickname for Baby! (Friday, 17 November 2006)

Today we visited a radiologist to get the trans-vaginal ultrasound. Trans-vaginal scans are usually prescribed for early pregnancies or to diagnose ectopic pregnancies, tumors or cysts.

After inserting a large probe (easier than expected), we all watched the screen. The screen looked like a TV with bad reception -- a lot of snow. At least one or two minutes ticked by and neither the Doctor nor nurse showed any expression or said anything as they watched, so I started to worry.

Me: "Is it ectopic?"

Dr. S: “Are we LOOKING for an ectopic pregnancy??”

Me: "I don't think so..."

Dr. S: “Women these days! They get pregnant, read books and horror stories on the internet, and before they’ve had their first formal doctor visit, they’ve prepared themselves for every disaster! Millions of women get pregnant every year. It’s a perfectly normal process and there is no reason to assume the worst!”

Moments later a picture came into view and we were surprised to see what looked a black bubble with a 'bean' inside that had a large head and four appendages – little arms and legs! Dr. S said “There is the baby, and there is the heart beating!”. I felt such overwhelming relief that there was really a baby there, I started to cry and found it difficult to continue looking at the screen. This was the first time since we discovered I'm pregnant that we could see the baby and hear it, so it is starting to feel real.

Dr. Subramanyam activated a ruler on the screen to take measurements of the fetus, and indicated we were 10 weeks along. The due date is listed as June 15, 2007.

This surprise ranks second only to discovering the pregnancy last week. Within a few seconds of receiving this news, we realize I have been pregnant since slightly before our wedding in September. Immediately, I started reeling through the things I'd done since September and October that I wouldn't have done if I'd known I was pregnant: drank at the wedding, drank a bit over the honeymoon, took a fair amount of flu medicine/decongestant in Sydney in order to clear my ears for the flights back to the U.S....etc. These got filed in my head as things to raise with a doctor as soon as we find one.

The doctor gave us a print of the sonogram. Our first baby picture!
Nickname for baby is ‘Bean’ (aka 'the bean'), and 'it' looks like E.T.

Pictures: me at 10 weeks; sonogram of the Bean at 10 weeks