September 2018 Moms
Options

sIUGR Journey - Trigger Warning

xxkberxxxxkberxx member
edited March 2018 in September 2018 Moms
Hey everyone, 

Sorry this is long and has some tough topics. 

Today’s appointment wasn’t necessarily good. They confirmed all the findings that were discovered on Tuesday at my MFM. I was hoping we would know if baby A is growing on their own growth curve but apparently we need close to two weeks time to determine growth rather than a few days. Baby A is 37-40% discordance to baby B, who is on track. Baby As cord is velamentous which is also not the greatest. This biggest concern is that there is some reverse flow in the baby’s umbilical cord. The doctor didnan educated guessing that baby A only has 10-20% placenta share. 

We now have an appointment on Monday and after they do the same exam (by different staff for a non biased view) we will have two options depending on findings. 1: expectant management - go in twice a week (I might push for 3 times) and as long as things don’t become worse, continue on to see if baby A is growing on their own growth curve and see if things improve. Risks associated with this option. Baby A could die in between monitoring cashing a 50% risk in baby B of either dying or getting brain damage. I have seen many success stories with this approach but I’m not sure how many were in my same combination of situations or this early on in pregnancy (currently 16+5).  2: surgery to separate the placenta from the two babies. Risks associated: its giving baby A a very low chance of survival (maybe 10%) but almost garuntees the safety of baby B although there is a small risk baby B can die too (5%). 

What makes my case more more interesting is how early I am, making the decisions harder to make, whereas expectant management would probably be the quick choice if nearing viability which seems so far away at the moment (approx. 26 weeks).

What I am hoping for and would love prayer/good vibes from all who are willing is that at the very least baby A doesn’t show any reverse flow in the umbilical cord come our Monday appointment. BabyA is proportionate for their size currently, seems fairly active in utero (we saw him sucking his fingers) and had a good heartbeat (135)- all these things make it very hard for me to choose the second option. Obviously if the doctor strongly urged the surgery on Monday, that may be different, but at this point he was willing to do either option. 

This journey will be long and extremely emotional. I feel guilty telling you guys this and getting all your support when I feel I haven’t been very active in the community like I should be. 

For those that that want to follow the journey, I’ll continue to update this thread so it doesn’t take over other threads. Again, thank you everyone for such kind words and prayers! You all are amazing. 

One thing we want to do is have a name for baby A by Monday so that if things go badly at least he has a name and it would then become the middle name of baby B in honor of him. If anyone has suggestions my husband would like the name to have meaning relative to warrior, fighter, strong, etc. Feel free to share suggestions. 

And for those that want to pray for us by name, I’m Katie and my husband is Evan.
Anniversary
Me (29) + DH (30) | Dating 2003 | Married 2008
DS - 02/21/2016

«1345

Re: sIUGR Journey - Trigger Warning

  • Options
    Sorry for the double thread. We will keep this one as the real one and hopefully the other one will be deleted soon since I tagged an admin. 
    Anniversary
    Me (29) + DH (30) | Dating 2003 | Married 2008
    DS - 02/21/2016

  • Options
    Hi love, thank you for the update. I’m sorry you weren’t able to learn more. Does this mean you’ll be going back to the specialist in two weeks? What is a venra cord? I tried googling it but couldn’t find anything. *hugs* to you lady! 
  • Loading the player...
  • Options
    xxkberxxxxkberxx member
    edited March 2018
    @SkilledSailor I’ll be going this coming Monday and if we choose expectant management would be seen 2-3 times a week - ongoing till either having to choose surgery, making it to viability where I will then be continuously monitored in a hospital, or worst case death. The placement of the cord is slightly hard to explain. If the placenta is the ceiling, baby As umbilical cord meets at the wall and then smaller connections make their way to the ceiling (aka placentia) if that makes any sort of sense. That’s how they explained it to me. 
    Anniversary
    Me (29) + DH (30) | Dating 2003 | Married 2008
    DS - 02/21/2016

  • Options
    @xxkberxx I think I get it. Baby As umbilical cord grew in a way that’s making it need to work harder? How’s your support system? Please tell me to shut up if you’re tired of questions! 
  • Options
    @xxkberxx thank you for updating us and please keep us updated as you few up to it and want to share. I am sorry this wasn’t clearer news, but it sounds the provider you met today is open to whatever you feel is best at this point. I will keep you, your husband and those sweet boys in my prayers. 
  • Options
    Thank you for updating ❤ You and your family will be in my thoughts. We are here for you and your boys.
  • Options
    @xxkberxx I will certainly be keeping you and your family in my prayers. I am so sorry you are going through this! Sending big virtual hugs. 

    Baby Birthday Ticker Ticker

    bfp#1-10/29/12,EDD: 7/3/13. nothing found @ 1st u/s, natural mc 12/10/12. "Bean"

    bfp#2-5/10/13! EDD: 1/18/14. "Peanut" Arrived 1/13/14. Diagnosed with Cystic Fibrosis

    bfp#3- 9/26/14. EDD: 5/7/15. no heartbeat found @ 1st u/s, natural mc 10/23/14. "Little Bug"

    **Psalm 139:16**

  • Options
    Just reading about your journey. You and your family are definitely in my prayers. 
    Me: 33 DH: 31 Baby: 9/2/2018 BabyFruit Ticker


  • Options
    I am so sorry you are going through this. Both are tough options. I hope the blood flow improves on Monday and you hopefully get a clearer answer. My thoughts are with you and your boys.
  • Options
    Thanks for the update, I'm sorry it wasn't happier news. Hoping Monday gives more clarity, but I know your options just aren't awesome at the moment. Sending best wishes and good thoughts for all of you in this hard time. 
    _______________________________________________
    Me: 33
    DH: 32
    Married 7/18/15
    1st born at 35+4 on 6/6/16
    Team green turned BLUE!
    2nd born at 38+6 on 8/30/18 
    Team green turned PINK!
    Due with #3 on 6/6/20 Team Green

    Baby Birthday Ticker Ticker

    Pregnancy Ticker
  • Options
     I have a friend who was faced with similar choices for her twins (different diagnosis.) These are such tough decisions, I will definitely be thinking of you and Evan and hoping for Baby A to hang tough! Thank you for sharing, I hope you find this to be a safe, supportive place to turn when you need advice or just to vent or whatever. Big creepy internet hugs!
    <a href="http://www.thebump.com/?utm_source=ticker&utm_medium=HTML&utm_campaign=tickers" title="Parenting Tips"><img src="http://global.thebump.com/tickers/tt1cdfa8" alt=" IAmPregnant Ticker" border="0"  /></a>

  • Options
    Thank you for the update. I'm sending lots of positive thoughts to you and your family. Please lean on us as much as you need. We'd love to be able to offer any comfort that we can. Hugs to you and yours <3
  • Options
    Thank you for the update - I’ve been thinking of you, and I’ll continue thinking of you. Wishing you positivity and strength to get through the road ahead and these tough decisions <3 
  • Options
    I’m wishing for health and strength for you and your husband and the boys. It sounds like there is hope and your Baby A does sound like a warrior. ❤️
  • Options
    Thank you for the update, I'm sure this is a very vulnerable and difficult spot for you and your husband to be in right now. I'll keep you and your husband and both babies in my thoughts and prayers. Please continue to lean on us as much as you need.

    ****TW- one of my cousins had a stillbirth and named the baby boy Wyatt, so although I'm biased, I love the idea of using that name in some capacity. End TW.****
  • Options
    Oh honey. That is such a hard appointment and so much to take in. My love tits are huge hugs. Thanks for the update. I’ll look forward to hearing more on Monday. Sending love to you and your family. 
  • Options
    Thank you for the update. Im sorry you didn’t get better news, but I’m praying for you, your DH, those two sweet boys, and all of the doctors guiding your care. I hope that Baby A lives up to whatever name you choose, and that you have peace in whatever path you eventually choose. I hope your next exams show improvement for Baby A. 
  • Options
    ready44ready44 member
    edited March 2018
    Thanks so much for the update.  I am sorry that you didn't receive better news yesterday, and I very much hope that the flow in Baby A's umbilical cord improves by Monday.  I will be keeping Baby A (and baby B ), you, and your husband in my prayers.

    Some of my favorite warrior/fighter names are Owen, Sloan(e), Keane, and Alec.

    ETA: text that created an emoji
  • Options
    I'm so sorry for the tough news and difficult decisions you may need to make. I will be praying for you and your babies!
  • Options
    Lcardinal04Lcardinal04 member
    edited March 2018
    Oh I’m so sorry the news wasn’t better. Thank you for taking the time to update us all, and please lean on us as much or as little as is healthy and helpful for you. We’re all here! I will Certainly praying for you and the little ones. 
  • Options
    I am so sorry you’re faced with this difficult decision. You and your family will be in my thoughts - hang in there babies! 
  • Options
    Thank you for updating us. Praying for your family and your boys and for good news on Monday. 
    Me: 32   DH: 32
    BFP #1: 1/23/2012  DD: Born 9/20/2012  <3
    BFP #2: 12/30/2017  DS: Due 9/10/2018  <3


  • Options
    Thank you for the update and I am sorry the news was not better. I will be keeping you all in my thoughts.
  • Options
    Sending you all the strong thoughts!
  • Options
    I will keep you and your family in my prayers! I also am carrying twins and I can not imagine the decisions that you are facing and you may have to deal with. I hope and pray baby A's cord improves and things shift toward the better. We had a rough journey conceiving and during my pregnancy with our son and named him Owen at the last minute because it meant little warrior. 
  • Options
    I happened to be lurking and wanted to offer my prayers. What an extremely difficult situation to be put in! I hope Monday has good news and will definitely be praying. As far as names go: Thomas means "twin" I think it would be a nice nod to what they are. Also if baby A doesn't make it, it will always be a reminder to baby B that he was in fact a twin. 

    prayers and i will be thinking of you! 
    DS  12-1-2014
    DD 10-29-2016
    #3 due 10-13-2018
  • Options
    I’m so sorry to read this update. I can imagine the stress and uncertainty is weighing heavily on you. Sending prayers to your family and the babies. I hope your next appointment shows baby A to be on his own growth curve. (Hugs)
  • Options
    Please keep us updated. Sending you strength and all the good thoughts and vibes for you and your LOs. I hope the next scan shows good growth with Baby A.
    _______________________________________________________________________________________________
    MMC 8/5/15 at 8 weeks
    DS born 9/13/16
    BFP 1/13/18 - EDD 9/20/18 - It's a boy!
  • Options
    Praying for wisdom and strength in the decisions you have to make !!  So sorry you are going through this 
               5 years IF & 2 losses

            ~~ DS Born 2/28/2013 ~~
                8lb 13 oz 22 inches 
    Happily expecting another miracle !
     EDD 11/20



  • Options
    I dont have really any words of comfort.  Im so sorry you are going through this.  Praying for the best possible outcome. 
    Me: 29  DH: 31, married 6/21/14, TTC since 7/14
    BFP #1 EDD 7/17/15, MMC 1/9/15 @8w
    BFP #2 4/3/15= ectopic treated with methotrexate 5/1, YET ruptured 5/18/15= One Tube Wonder!
    2 Cycles of Femara, Ovidrel, & Progesterone= BFP #3 DS born 5/17/16
    TTC #2 March 2017 (initially med free) 
    BFP #4 8/14/17 *natural cycle* EDD= 4/25/18, MC @5-6w D&C 9/22/17
    BFP #5 12/29/17 w/ Femara/Ovidrel/Progesterone/Synthroid, EDD= 9/11/18 found out 1/18 ITS di/di TWINS!!!
    DS and DD born 8/21/18 
  • Options
    I just want to say that I have prayed for you today - for peace, for wisdom, for healing and great news.  XO
  • Options
    Sending lots of prayers for your family. 

    Started TTC Nov. 2011 

    1st clomid cycle June 2012- No response :: HSG August 2012- Left tube blocked, right tube clear :: 2nd clomid cycle Aug. 2012 BFN :: 3rd clomid cycle Sept. 2012 :: BFP Sept 30th :: DS born 6/15/13 :: BFP #2 7/29/14 M/C 8/5/14 :: BFP#3 10/20/14 DD born 7/1/2015 :: Applied to be surrogate April '17 :: Transferred 1 Embryo for IFs Dec. '17 :: Surro Babe born 9/11/18 :: Started 2nd Journey May '19 :: Transferred 1 Embryo for new IFs 9/24/19 :: HB 138 at 6w6d


  • Options
    So glad that it was OK news so far, crossing fingers that baby A will continue to get enough blood flow to hold off on surgery.
    _______________________________________________
    Me: 33
    DH: 32
    Married 7/18/15
    1st born at 35+4 on 6/6/16
    Team green turned BLUE!
    2nd born at 38+6 on 8/30/18 
    Team green turned PINK!
    Due with #3 on 6/6/20 Team Green

    Baby Birthday Ticker Ticker

    Pregnancy Ticker
Sign In or Register to comment.
Choose Another Board
Search Boards
"
"