Friday, October 16, 2009

Perinatalogist Appointment #4 - 23 weeks

Today has been a day of mixed emotions. I had a doctors appointment this morning which included an ultrasound and consult with the perinatalogist. The ultrasound went well. The babies were very active again and grew quite a bit both measuring at 23 weeks and 5 days. Baby A weighed in at 1 pound 6 ounces and had a heart rate of 148. Baby B weighed in at 1 pound 5 ounces and had a heart rate of 142. On the previous ultrasound we were told that one of the babies had only one kidney. But, today they may have seen the other kidney. So, at this point we are not sure if the baby has one or two kidneys. Hopefully as the baby gets a little bigger we will be able to see more and confirm if the child will have one or two kidneys.

The big question to be answered today was at what point I would be going inpatient. After one look at the babies cords we knew the answer. The cords are very tangled, even we could see that and we're not doctors or ultrasound techs. The good thing is that the tangles are not pulled tight at this point and the blood flow remains good. The doctor did not sugar coat anything. He reminded us of the 50% survival rate of monoamniotic twins and the harsh reality that we are facing. We also asked about a delivery date. The doctor's answer was "IF you make it to 32 weeks we will deliver them on that date."
Due to the cord entanglement, I will be admitted to the hospital at 24 weeks which is Thursday, October 22. I know that this is what is best for the babies and that they will get the best care possible there giving them the best chance at life. At this point I believe that the reality of this situation is hitting home. Thank you for all of the thoughts and prayers.

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