Thursday, August 16, 2012

20 weeks & It's A...

8/16/12 is 20 weeks!
   Well, we're halfway there!   Tomorrow I'll be 20 weeks pregnant!!!

Yesterday, Lily and I went to the 20 week anatomy ultrasound - that's the big one where they measure all the bones and organs to make sure everything is developing as it should be.  It's also the super exciting one where they can tell you the sex if you so choose!   And we all know I'm not very good at waiting for anything... and I'm a planner, so of COURSE we wanted to know!

She started by showing us the profile/face and then she went on to measure the crown of the head.  Lily was kind of amused/fascinated to see the face/profile, but as soon as the tech said she was measuring the "brain"... Lily said "GROSS!" and zoned out at that point, playing with the toys she brought.  So the tech was going through all the parts... here's the hand, foot.... she measured the leg bones, arm bones, etc.   Then she showed me a black circle on "static" and said here's the bladder, and then the kidneys, etc.  At this point I started zoning out too... it didn't look like much, and if anything looked as it shouldn't, I wouldn't know anyway.  So I was listening to Lily sing (she often narrates her "play" in a singsong voice), and the tech said "see these lines here"... "this means you're having a baby girl."  And I was like... "Woah, wait!  What did you say?  A girl!"   She didn't give me any warning like... "we're gonna look at the privates now" or some sort of lead up... she just sprung it on me when I was zoning out!  I repeated to Lily "did you hear what she said?  The baby is a girl!"  And Lily said "just like me."  She had expressed a preference for a girl over the past week, so she was happy.  I actually wanted both (not either... but both, LOL) so I was going to be happy either way.  Truth is, I felt a little relief hearing girl - since I already KNOW little girl stuff, and we have clothes, etc.

Hopefully the only/last photo of either daughter's hooha to be on the internet!

Next... we had to look at the placenta.  There have been issues this whole pregnancy with the placement of the embryo... which became baby & placenta.  I wrote about it here.  They were concerned that I was going to develop either placenta previa, where the placenta covers the cervical opening (making a vaginal delivery dangerous and/or impossible) or placenta accreta, where the placenta grows into my c-section scar and attaches to the uterine muscle wall - which will not remove at birth, so this requires a c-section and probably a hysterectomy at birth to prevent bleeding out.   (NOT cool!)   At my 13 week ultrasound, the placenta was just "low lying" and anterior (on the front), so both of these things were a risk.
So when the u/s tech told me about the placenta - I was surprised to hear that the complications have gotten even more complicated!  The placenta has become bilobate, or placenta succenturiate - which means there are actually TWO separate placentas now, attached by a "bridge" of placenta blood vessels.  The main/large part of the placenta is on the anterior (front) wall and has moved upwards in my uterus (which is a good thing) but still has the risk of accreta (growing into the scar).  The small lobe placenta is previa, sitting down at the bottom on my cervix. The icky part is that the vessels run over the uterine opening, called vasa previa, a condition that can cause fetal death if undetected... but with early detection shouldn't be a big deal, so long as a c-section is performed BEFORE the baby starts to efface/descend, so the baby's head doesn't rupture them and cause a bleed-out.  All pretty scary stuff if you google it.... but apparently early detection is key!

So, I got a doctor to call me on the phone today (there are 3 in the practice... a few weeks ago, I decided to switch to the practice that delivered Lily... they seem to be very proactive about watching for these things, and they did an excellent job on her delivery.)  The doctor basically said that at this point, he has little concern.  The ultrasound showed that the baby is perfectly HEALTHY and normal.  (She weighs 11 ounces).  As for the placenta, he says it's still early and lots can happen and move around.  At this point, it's not causing complications, and there is no sign of accreta so far.  As far as the lower lobe, he said that can still move.  A vaginal delivery is out of the question, but a normal c-section at the normal time is definitely possible.  My next appointment is in 3 weeks, and so he scheduled a follow up sonogram for immediately before the appointment to see if anything has moved and to keep an eye on everything.  But his "no big deal, we'll see how it goes" attitude did really make me feel better.

This OB practice has my due date as January 3 (which is correct, based on my ovulation) and so an "on time" c-section will probably be a few days after Christmas.  And if there are still placenta complications, I expect this little one will arrive anytime between Dec 4-27.

Here are a few more ultrasound photos... and a side by side comparison with Lily and New Baby - I think they look a LOT alike (but maybe all ultrasounds look alike, who knows).

The next question everyone is asking is... do we have names picked out?!?!  The answer is... NO!   We actually had about 3-4 boys names that we liked and agreed on, but well, we don't get to use those.  But picking a girl's name is harder for me, because not only do we have to like/agree on a name, but I also feel like it has to "go with" Lily in some ways.  But we have a few short lists, and I think we have 2 front runners at this point.  But we've also decided to keep her name secret until the birth.  Since we know the sex and the date of the birth will also be predetermined, it seems more exciting to keep the name to ourselves, and announce to our family and friends with the happy news of her birth.  Maybe we'll change our minds or be unable to keep a secret, but that's the plan for now.  Once we decide of course...

As for me, I'm feeling fine.  Mostly just fatigue!  At 20 weeks, I still haven't gained any weight, which is an awesome thing.  At this point in Lily's pregnancy, I was up 5 pounds (and gained 18 total for the whole pregnancy).  Since I started this one a little heavier (ugh), I was hoping to keep the weight gain more around 15 pounds total, so getting to 20 weeks with still no gain is a good start.

Sadly, I can't feel her moving around yet.  There have been a few "flops" in there that have made me say "is that?..." but then it doesn't happen again, so I don't know.  I'm not "counting" it.  But with Lily, I didn't feel movement until 22.5 weeks and it took until 27 weeks to feel it from the outside.  And this time around with the anterior placenta, I'm expecting it could be even later than 22 weeks!  Which is totally sad... because feeling baby kicks is definitely one of the best parts of pregnancy.

I started a baby journal for New Baby, and now that I know she's a she, I definitely owe her a journal entry!  

August is halfway over... then Sept/Oct/Nov... then Baby Month!  

Lilian turned 4 this week.  She had 3 days of celebrations.  But of course, this is all for another entry - with photos!  Tomorrow!


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  2. Congrats. You've long ago had your baby, but I love detailed progress posts. Helpful for other moms and such a great way to journal your memories. I've read some week by week books and looked up blogs because I love the baby bonding/developmental information. I just started reading a book I think blows all the others away, and great for every pregnancy, not just the first. It says at 20 weeks that some of baby's teeth are forming in the jawbone. Very cool. It's called “The Wonder Within You: celebrating your baby’s journey from conception to birth” by Carey Wickersham. It’s an awesome combination of week-to-week pregnancy information, what’s going on with the baby, “Did you know?” plus health advice about what to eat, cravings, nutrition, etc, BUT also with awesome 3D/4D pictures and videos you can link or QR with your phone to and see what your baby looks like at each week stage. Even better than the typical week-to-week books, and so personal! It’s got mom stories and even a journal/note section to write your personal memories and letters to your baby. The pregnancy information is as up-to-date as it gets and it’s such a great keepsake. I want to get one for everybody I know who is expecting! I highly recommend it!


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