Wednesday, September 26, 2012

Our Journey from the beginnng...


Bear with me… I am not a writer by any means. Josh’s entries will most likely sound much more eloquent than mine, but I think this will be a means for us to share our story and relieve some bottled emotions.

Our journey started back in April of 2012. As many know Josh posted an April fool’s joke saying we were expecting twins. I’m not entirely sure how many comments there were about karma. At the end of April we found out we were expecting again. We knew we wanted another baby and were excited that it happened so easily. At 6 weeks pregnant I started having severe left lower quadrant pain. Being a doctor and always expecting the worst I assumed I must have an ectopic pregnancy. I made a couple of phone calls, called in a favor and had an appointment to have a quick ultrasound that afternoon (instead of going to the ED… which I avoid at all costs.) I happened to be seen by the chair of the department for OB/GYN at the hospital, who is amazing I must add, and as she was doing the ultrasound she had the screen pointed towards her. All she said was… huh, that’s not what I expected. That of course freaked me out and she spun the screen around for me to see. She asked me what I saw… All I could think then was seriously I am in this position, afraid of the worst and you are pimping me? Really? Then I looked and it was grossly obvious that there were two sacs… both intrauterine. We found a heartbeat on one and a good looking yolk sac on the second. She was very optimistic at that time and had us follow up for another visit in two week with an in office ultrasound at that time as well.

Our appointment two weeks later was with another of my favorite physicians, Dr. Jaimey Pauli. She was an MFM fellow and delivered Emma. She was just finishing her fellowship at the time of our appointment and was staying on as an MFM attending. She did the usual workup for our first visit and did a quick ultrasound. We saw both babies heartbeats at that appointment but one was measuring significantly smaller than the other so we were sent for a higher level ultrasound at the MFM office the next week.

The next ultrasound was much more reassuring. Everything looked good at that time. Babies were measuring just a couple days apart which is totally normal and they looked like di-di twins (diamniotic, dichorionic) or fraternal. This was a huge relief for me as I knew we would not need to worry about twin to twin transfusion syndrome. At that point because of my history of preterm delivery of both Allison and Emma we transferred care to maternal fetal medicine and started seeing them every 3 weeks.

The next several weeks were pretty similar to my previous pregnancies. Horrible nausea and vomiting, feeling ridiculously tired and still trying my best to get through the last couple months of residency. I do feel like I started showing earlier with this pregnancy (I blame it on the fact that there were 2, it may have just been bloating.) I also got over my nausea at about 16 weeks which was completely new for me. My pregnancies with both the girls I was puking until the day I delivered so I felt very blessed and had this gut feeling that at least one of these kiddos was a boy.

We introduced the idea of new brothers or sisters to the girls. Emma wasn’t terribly interested at that point but Allison was so excited. She told me we were going to have a girl and a boy and was completely set on this from the beginning.

After several reassuring ultrasounds we felt safe to start telling people of our amazing news. I knew twins would be difficult but knew we could always have family and friends we could turn to and could not help but be excited about the thought of having two babies.

We had our standard anatomy screening ultrasound at 20 weeks to the day. It was a great day. Both babies looked perfect. They both weighed in well and were growing right on track. We found out that we were expecting our first boy (baby A) and another little girl (baby B). I left that appointment feeling great and went out and bought our first little boy outfit that week. Because of my history of preterm labor and difficulty with Emma’s delivery they wanted to monitor me closely so we were brought back in 3 weeks for another ultrasound to monitor growth and for a follow up appointment. That appointment was 9/7/12 and probably ranked as one of the worst days of my life.

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