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Kaye's Twin Pregnancy Journal


Week 20
~ Not-So-Happy New Year's News

Kaye at 20 weeksOn New Year's Eve I had yet another ultrasound (I get one every two weeks because of the twins). At my last ultrasound the doctor had said that everything they could see looked ok, but that the ultrasound was incomplete. He also said that one twin was measuring an ounce larger than the other and it had to be watched. Needless to say I was a little apprehensive going into the ultrasound on Friday, but not nervous enough to ask Aaron to come with me (he took Ella to his mom's for a visit). During the ultrasound I noticed that the tech was measuring something in the boys' brains - something I didn't remember happening with Ella, but as the tech wasn't explaining anything this time around I had no idea what was going on. She also asked if I had had an IPS ultrasound, which, since I got it through another clinic (before I was deemed High Risk), I just assumed meant it was missing from my file. I was on the table for more than an hour while the tech got all the measurements, and then I had to see the OB.

First the nurse took me and weighed me - I gained 5 lbs in the last two weeks, but the nurse wasn't concerned. That puts my total at 17 lbs so far this pregnancy. Crazy. I guess so long as I keep at this rate I'll only end up gaining 35 lbs overall, since I'm more than halfway there, but I think it's more likely I'll gain more in the coming weeks. Sigh. Hopefully I'll manage to breastfeed them for at least a little while and lose some of it. Anyway, by this time I was getting anxious to see the doctor and find out what the ultrasound showed.

Unfortunately my usual OB was on holidays, so I got one of the other doctors. I did not like him, and you'll soon discover why. He was in a big hurry, and he talked so fast it was almost hard to follow him, but he said that everything was fine. The boys were both measuring 11 ounces and their amniotic sacs were the same size, which is great. He went over a few more things in my chart and kept saying it all looked good, and I started to relax. He even wished me "Happy New Year," and I figured that I must have been worrying about nothing. I was even getting up to leave, when he pulled a Columbo on me - "Just one more thing: did the tech happen to mention that she found cysts in the boys' brains?" WHAT? No!

He went on to explain that the cysts are called Choroid Plexus Cysts and that they cause no problems in and of themselves, however, there are correlations between babies having the cysts and babies having chromosomal problems. The strongest correlation is with Trisomy 18 (which is what they think we lost our first pregnancy to), however the doctor believes that we would have seen evidence of this on an ultrasound by now. There is also a small correlation between the cysts and Down Syndrome, of which one in three cases does not show on an ultrasound. My IPS did come back negative for both of these conditions, but it's only a screen and there can be false negatives. The only way to know for certain is with an amnio. Now, he wasn't recommending an amnio. He said I could have one if I wanted, but that the negative IPS was enough for him. He also said that I was getting close to not being able to do anything about it anyway, and that I could wait and discuss it with my OB at my next appointment in two weeks. As soon as he left the room, the nurse looked at me and said, "So, would you like me to book that amnio now?" And I said yes.

Kaye and EllaNow, you may think it was a big decision for me to make without consulting Aaron, but there were a few things to consider. First, we had discussed this before with all three pregnancies and each time decided that we would take an amnio if needed (the first pregnancy ended two days before our scheduled amnio, and Ella never required one). Second was the time crunch, because we would like to try and keep all of our options open, or at the very least, have as much time as possible to plan for having two sick babies. And third, where we live you have to have a meeting with a genetic counsellor before they even book the amnio, so I knew if Aaron had objections we could always cancel then. But when I told Aaron about it he agreed with my decision to book the amnio. The odds the doctor gave me were 1 in 300 of the babies having DS and 1 in 400 of the amnio resulting in premature labour, and to us the math was clear. Fortunately because the twins are identical they only have to do the amnio on one of them, which at least makes things a bit better.

So here it is Tuesday afternoon at 3pm and I'm still waiting for the genetic counsellor to call and book an appointment. The OB's office told me to call them Wednesday morning if I hadn't heard from the counsellor - and it looks like that's what I'm going to have to do. Hopefully they can get us in quickly and get the amnio booked ASAP. I should have more news to report next week.

As for the rest of the week, it went ok. We had a few visits with friends and family and I made the birthday cake for my friend's daughter. We also managed to finally finish the kitchen and the twins' room has been almost completely emptied and the basement converted into a storage room/craft room/library/spare bedroom. We had a nice New Year's Eve with our next door neighbours, ordering in Chinese food and gorging on chocolate fondue and then playing board games. I was in bed by 10pm, but it was still fun, even if I was still reeling from the ultrasound news that afternoon.

Ella is sleeping well again, finally adjusting to her big girl bed/crib combination. And she managed to use the potty twice this week on her own (we're not pushing it, but we have one in the room just in case she wanted to try it, since she's fascinated by her BFF's.)

I've attached a few belly photos from this week. They're actually the first ones we've taken this pregnancy. You can see how big I am already. I can't believe there's still 17 - 20 more weeks to go. I'm going to be huge.

Well, I guess that's it for this week. Hope you all had a better New Year's than I did. Keep your fingers crossed for me that I can get my counselling session and amnio booked soon.

Until next week,
Kaye

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