We had our second prenatal appointment today and our second ultrasound!
First they did all the basic tests: pap, chlamydia, gonorrhea. Then they filled me in out what to expect out of a twin pregnancy. They said it will probably be pretty difficult because I am so small in stature (aka... I'm nearly a midget.) They also said that reaching 38 weeks gestation is ideal and that's what we will really really try to shoot for. I run an increased risk of pre-eclampsia and gestational diabetes with twins. I will begin seeing a high risk doctor at 20 weeks. I will go in every 3 weeks after that for growth scans to make sure that the babies are progressing and growing properly. If both babies are head down I will be able to deliver vaginally, but if one or both are breech I will have to have a C-section.
Then they tried to do a transvaginal ultrasound. They were not able to do the ultrasound in the office because I have a giant cyst from my left ovary blocking the view of my uterus thanks to PCOS. (It's like 8cm in diameter.) So they set us up with the state of the art ultrasound machines downstairs in the high risk doctor's office. They were able to get great pictures with the abdominal ultrasound because their machines are so good! One thing they were checking on in this ultrasound was to see if there was a membrane between the two babies. If there isn't, there are more risks of certain twin related complications such as one twin stealing the blood supply of the other twin. They were not able to detect a membrane today, but they said it may just be too early. The tech said it is easier to see as the babies get bigger. So, with that being said, I have another ultrasound appointment in 4 weeks, which is the same day as my next prenatal appointment. They are both on my birthday, January 29th and I will be at the beginning of my 2nd trimester. They are doing this ultrasound to 1. check on the membrane and 2. to check growth.
On a good note, I think I've finally stopped losing weight. During the pregnancy I'm supposed to try to put on about 30lbs. Not sure how that's going to work out with the gastric bypass, but my ob/gyn said the most important thing for me right now is getting enough calories. So if the only thing I can eat is ice cream, then so be it because my prenatal vitamins will help with the nutrients my food is lacking at least until the 2nd and 3rd trimesters.
Baby A - This baby is measuring 8w5d with a heart rate of 154bpm. It is already a little mover and shaker. It gave the ultrasound tech a hard time getting it's heart rate because every time he would get locked on and start scanning it the kiddo would wiggle. The baby's rump is on the left and head is on the right.
Baby B - This baby is measuring 8w6d with a heart tate of 173bpm. So far it seems to be the more mellow of the two. This baby's rump is on the left and head is on the right as well.