February 2018 Moms
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High Risk CheckIn 7/24

How are things progressing?  Any new info, concerns, questions, rants?

Re: High Risk CheckIn 7/24

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    I had an appointment this morning. I was informed that starting at 28 weeks I have to have NSTs twice a week. TWICE A WEEK! Are they freaking nuts?

    Also was scheduled for an EKG for this Friday.

    And I got the "you blood pressure needs to come down" talk. Yea. Thanks. I know. I workout 4-6 days a week, eat healthy and what not it's not going to come down without a pill.
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    @smorzandoj NSTs twice a week! Holy crap! I only had a handful my last pregnancy and I thought it was a lot. 

    I have my next appointment in one week. I can't wait to see the little buggers again. I think I will be getting scans every two weeks to monitor even growth between the two, monthly blood draws for hypothyroidism, and cervical length checks. I hope my next appointment goes well, I love walking out with reassurance. 
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    @meatball37 I did some research last night bc I felt like it was just bc I have reallygood insurance and they want to milk it. But. Apparently with blood pressure issues it is the recommendation which I still this is overkill and absurd. 

    Good luck next week!!  
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    I think my NP will go over more at my next appt. in two weeks. The OB I saw a few weeks ago said they'd have me start low-dose aspirin for my chronic hypertension in the second trimester. I know it reduces the risks of pre-e, but there's still the concern of bleeding. I had really bad anxiety about the risks of suddenly developing superimposed pre-e later in pregnancy. I know the chances of developing pre-e range from 5-35% depending on the criteria used. I plan to monitor for proteinuria as I approach the third trimester and monitor my BP at home. Hopefully it doesn't turn into anything more than elevated BP. I know regular NSTs and BPPs are standard practice in the third trimester, but twice a week. Holy crap. 

    The OB did say they will induce no later than 39 weeks, though I've read 37-38 is best for those at risk for developing pre-e, especially superimposed since it can be sudden onset. Yikes.

    I have a visit with the MFM specialist tomorrow for the cfDNA screening. They will also preform my ultrasounds later in pregnancy. My OB was worried about my having sub-clinical hypothyroidism, which I know I've had for two years. She wanted to test for Sheehan syndrome, but will have to wait until after I give birth due to the pregnancy hormones affecting the test results. My ft4 and ft3 were low back in the spring, and I've been experiencing a dozen+ symptoms for the past two years. The functional medicine doctor I had a consult with a little while ago suggested NDT, and roughly two weeks after titrating up to my resting dose, the debilitating fatigue, mental fog and joint pain started to improve, only to have pregnancy symptoms kick in. *sigh*
    G 12.04 | E 11.06 | D 11.08  | H 12.09 | R 11.14 | Expecting #6 2.16.18.



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    @soulcupcake I was also just started on a baby aspirin a day. Again something that didn't happen six years ago. Crazy how things change. 
    I think I'm looking at a repeat csection but I meet with the anesthesiologist on the 14th to determine if they can even place an epidural given my spinal fusion. So much drama this time around!
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    Count me in with the take a baby aspirin a day ladies. I felt dumb when I had to have him explain what baby aspirin was. I asked if he meant the children's dose. With everything they threw at us, I honestly don't know why I have to take it. 

    Just had our first visit with the MFM specialist this morning. Basically we don't know anything more than we did before. We just know more details. My positive SSA antibody can cross the placenta and cause fetal heart block. This most likely happens between week 16-26. Weekly US during this time and listening to heartbeat on a Doppler every 12 hours. I have to go twice a week for checkups during the 3rd tri. I didn't catch what that was for. I was still processing everything for 2nd tri. 

    My husband didn't really want to go to the appointment with me. I'm not sure if he wanted to hear what could happen. He told me he was nauseous the whole time the doctor was talking. I think seeing our little nugget kicking away during the ultrasound put him at ease a little. DH kept calling the baby he and him. Not hiding what he's hoping for at all ;)
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    Thank smorzandoj said:
    I had an appointment this morning. I was informed that starting at 28 weeks I have to have NSTs twice a week. TWICE A WEEK! Are they freaking nuts?

    Also was scheduled for an EKG for this Friday.

    And I got the "you blood pressure needs to come down" talk. Yea. Thanks. I know. I workout 4-6 days a week, eat healthy and what not it's not going to come down without a pill.
    I had the same done with DS and it sucked only because it was super time consuming and not covered by insurance. Cost me $20 per visit and came close to $600 total! I believe it was due to elevated AST, but it wasn't explained in detail so I don't recall. I will say that it was nice seeing him so often, they did U/S once a week to check growth as well. Toward the end it was neat seeing the contractions on the monitor!
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