Today I had a check-up with my OB. I haven't looked at my appointment schedule print-out yet, but I believe I'll be going to the doc every two weeks now. It's either because I am pregnant with twins, or because she wants to be my new BFF. She seems pretty cool, I'd consider it.
The first surprise was that I've lost 3 pounds since my appointment last month. And this time I was even wearing my gold-plated Nikes. The nurse told me not to worry, that I would gain it back very quickly. I was thinking, WORRIED? WHO'S WORRIED? I haven't lost weight since June 2008, I'm frickin' ECSTATIC!! I've seen that the babies are huge, there's no issue with them getting nourishment. I'm just enjoying that my arms look a little less like hambones.
Blood pressure was perfect. We discussed my due date, which is still a bit up-in-the-air. If it was a singleton, it wouldn't matter so much, because I'd just wait until he let me know he was done baking by causing excruciating pain in my abdomen. But with two, our timing is a little more critical for several reasons. One being that my doc wants the kiddos out around 38 weeks, and I am on board with this. (The placentas of twins tend to age faster, so there can be an increased risk of stillbirth if you go past 38 weeks gestation. Some women can still go to 40 weeks without a problem, but we are going to evict them sooner if it comes to that. Since 60% of twins are born before 38 weeks anyway, it may not even matter what our plans are. HA! Haven't been in that situation before.)
Immediately after seeing two pink lines on a stick, the first due date that I was given was April 22, based on last menstrual period. But my cycle was accelerated a fair bit because of the hormones I was taking, and at that first early ultrasound with the RE, the kiddos were measuring 2-3 days ahead. The OB would like to change my due date to whatever was indicated by that original ultrasound, because those are usually the most reliable as far as gestational age (which was certainly true for Bean -- our previous RE gave us a due date of March 5 based on our initial peak at him, and that's the exact day we became a family of three). But I've been having trouble getting the records sent from this RE. *grrrr* Looking at the second ultrasound, which was taken by the OB, the due date would be April 16. However we are both hesitant to really commit to that date out of fear that we would evict the babies too early. To make a long story short (say it with me: TOO LATE!), we decided to revert to the first due date of April 22. We'll plan delivery at 38 weeks around that, barring any additional information from that first u/s, or the whims of two little boys.
So for those of you keeping track at home, that means I am 13 weeks 5 days pregnant today. The boys are measuring 5-6 days ahead, and my uterus is measuring 18-19 weeks along (compared to a singleton pregnancy).
I brought up the VBAC topic again. I haven't done any research yet -- I find simply fretting about the decision to be much more satisfying -- but I wanted to talk with her more anyway. Apparently she brought up my potential VBAC to her partners at a consultation meeting. Many of them said they would not even consider it in a multiple pregnancy, due to the danger of uterine rupture. However, my doc then did some research on her own and found that risk to be no higher for VBACs with twins versus VBACs with singletons. She said she would still be on board if I was interested, but warned me that if certain partners in the practice were on duty when I went into labor, they may outright refuse to let me try. Our next steps: She is going to put in a call to MFM (maternal fetal medicine) and see what they advise. And I am going to continue fretting.
My next appointment is in two weeks -- we'll be getting another ultrasound, having more fascinating discussions about due dates and VBACS, and I'll be getting the H1N1 vaccine. Those details to come on November 5, in case you really care about the minutiea of this pregnancy (i.e. you are my parents) or you need something to boring read to help you fall asleep.