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High-Risk Pregnancy
Manada
member
A tentative intro - I think we will be classified as HR... (SSA/RO antibodies, obesity.....)
Manada
member
Hello,
I'm a cautious intro from PAIF world, and I am pretty sure that we are going to end up straddling the world between wanting a midwife-led experience and more than a handful of consults with high risk OBs if this pregnancy sticks.
We are just now 5w2d, so it's early yet -- but everything has slipped my mind from our pre-pregnancy consults so I feel like I'm learning all over again.
I'm currently pregnant with my partner's genetic embryo. That said - I also am a carrier of the SSA/RO autoantibodies, have had a LEEP about 2.5 years ago, and am considered "obese" in the world. Awesome. So my biggest concerns right now are monitoring for fetal heart block, cervical length and competence, and type 2 GD.
In normal circumstances I think we'd be headed straight to the OBs office, but because I am good friends with a midwife, and - if all goes well - would ideally want a home birth --- we're going to be navigating a shared care relationship between an Midwife and her referrals to an OB for consults/monitoring, etc... We are also still under the care of our RE until about 10 weeks.
Has anyone here been monitored for fetal heart block? I know many of you are and have been monitored for cervical length --- I'm just wondering if you might be able to give me a sense of what the monitoring is like for both, and what I should ensure is done.
Thanks so much!
I'm a cautious intro from PAIF world, and I am pretty sure that we are going to end up straddling the world between wanting a midwife-led experience and more than a handful of consults with high risk OBs if this pregnancy sticks.
We are just now 5w2d, so it's early yet -- but everything has slipped my mind from our pre-pregnancy consults so I feel like I'm learning all over again.
I'm currently pregnant with my partner's genetic embryo. That said - I also am a carrier of the SSA/RO autoantibodies, have had a LEEP about 2.5 years ago, and am considered "obese" in the world. Awesome. So my biggest concerns right now are monitoring for fetal heart block, cervical length and competence, and type 2 GD.
In normal circumstances I think we'd be headed straight to the OBs office, but because I am good friends with a midwife, and - if all goes well - would ideally want a home birth --- we're going to be navigating a shared care relationship between an Midwife and her referrals to an OB for consults/monitoring, etc... We are also still under the care of our RE until about 10 weeks.
Has anyone here been monitored for fetal heart block? I know many of you are and have been monitored for cervical length --- I'm just wondering if you might be able to give me a sense of what the monitoring is like for both, and what I should ensure is done.
Thanks so much!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
queer couple - 32 (me) & 33 (my love) years old - donor sperm,
Our IF/TTC journey since Nov 2012.
Me: dx of DOR in Nov. 2012. Low AMH, AFC - 6, Normal FSH, SS-A (RO) Antibodies (Autoimmune issues), tubes clear, Sono (November 2013) NORMAL! <p>
7 IUI's - December 2012-September 2013. Medicated, Injected, Triggered.... all BFN.
My Love: (the amazing @Healz413)
Normal AMH & FSH, AFC ~27, blocked tube dx'd via HSG in 2012. Hydrosalpinx & ovarian cyst dx'd in May 2013.
dx of Stage IV Endo & bilateral salpinectomy in June 2013.
Partner IVF#1a- December 2013 - H's eggs, my Ute - CANCELLED due to low response
Partner IVF #1b - February 2014 - H's eggs, my Ute - ER February 4 (10 retrieved, 3 fertilized), Transfer Feb 7 of one Grade 1 and one Grade 2 day 3 embryos. 1 - Day 3, Grade 1 frosty saved. BFP - 6dp3dt via FRER, Beta #1 - 110, Beta #2 175, Beta #3 - 348, Beta #4 - 2222!, Beta #5 - 4255. Ultrasound (6w1d) - 2 heartbearts!
We lost our beautiful Twin baby girls on June 18, 2014. Tavin Sara and Casey Elizabeth were born at 21 weeks gestation and were absolutely beautiful, precious, amazing babies. We miss our daughters every day and love them with all our hearts.
queer couple - 32 (me) & 33 (my love) years old - donor sperm,
Our IF/TTC journey since Nov 2012.
Me: dx of DOR in Nov. 2012. Low AMH, AFC - 6, Normal FSH, SS-A (RO) Antibodies (Autoimmune issues), tubes clear, Sono (November 2013) NORMAL! <p>
7 IUI's - December 2012-September 2013. Medicated, Injected, Triggered.... all BFN.
My Love: (the amazing @Healz413)
Normal AMH & FSH, AFC ~27, blocked tube dx'd via HSG in 2012. Hydrosalpinx & ovarian cyst dx'd in May 2013.
dx of Stage IV Endo & bilateral salpinectomy in June 2013.
Partner IVF#1a- December 2013 - H's eggs, my Ute - CANCELLED due to low response
Partner IVF #1b - February 2014 - H's eggs, my Ute - ER February 4 (10 retrieved, 3 fertilized), Transfer Feb 7 of one Grade 1 and one Grade 2 day 3 embryos. 1 - Day 3, Grade 1 frosty saved. BFP - 6dp3dt via FRER, Beta #1 - 110, Beta #2 175, Beta #3 - 348, Beta #4 - 2222!, Beta #5 - 4255. Ultrasound (6w1d) - 2 heartbearts!
We lost our beautiful Twin baby girls on June 18, 2014. Tavin Sara and Casey Elizabeth were born at 21 weeks gestation and were absolutely beautiful, precious, amazing babies. We miss our daughters every day and love them with all our hearts.
This discussion has been closed.
Re: A tentative intro - I think we will be classified as HR... (SSA/RO antibodies, obesity.....)
My BLOG: www.ivfbabyquest.wordpress.com -Update - old blog.
PAIF/SAIF Welcome!
Me: 42, Hubby: 35, TTC since Jan 2010. Dx: DOR due to advanced maternal age. Also: Hypothyroidism (100mcg Levothyroxin). Positive for MTHFR (hetero-C677T), Factor V Leiden, and Fragile X (on DH side). Taking pre-natal vitamins.
First natural PG 9/27/11; mc: 1/20/12
First RE visit: 8/8/12, Saline Sonogram: 8/28/12, IVF injection class: 10/11/12, add FaBB Tab for FVL, +Vitamin D.
IVF #1: 10/17/12 Baseline: FSH- 9.4, E2- 24, LH- 3.7, Prog- 0.3 The u/s showed 6 follicles in my right & 9 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 10/21/12: Add Ganirelix SQ every morning.
ER 10/28/12: 13 Retreived. 7 Mature. 6 Fertilized. 5 Made it to PGS. ET 11/2/12: CANCELED. All 5 came back from PGS as having "severe abnormalities."
IVF #2: 1/7/13 Baseline: FSH- 8.8, 4 follicles in my right & 6 in my left. Rx: 150 Bravelle & 150 Menopur SQ nightly. 1/11/13: Add Ganirelix SQ every morning. hCG Trigger 1/16/13
ER 1/18/13: 9 Retrieved. 5 Mature. 5 Fertilized. 2 Made it to PGS. ET 1/23/13: CANCELED. All embryos (he even sent the ones not growing) came back from PGS as having "multiple severe abnormalities."
IVF #3: NEW RE! 3/1/13 Baseline: FSH- 9.6, E2- 61, Prog- 0.94, 3 follicles in my right & 4 in my left. Rx: 150 Bravelle& 150 Menopur SQ in PM. 3/7/13: Add Ganirelix SQ in AM. hCG Trigger 3/9/13 SQ.
ER 3/11/13: 6R, 2M, 2F. Day 3: one 8 cell, grade 0. Five day ET 3/16/13: one early blast, grade Fair. 3/24/13 AF came a day before beta. BFN
IVF #4: (Added acupuncture to this cycle.) 3/25/13 WTF & Baseline: FSH-11.8, E2- 56, Prog- 0.84 3/26/13 Start stims. 3/30/13 u/s: 5 follicles in my right & 4 in my left. Rx: 225 Bravelle& 225 Menopur SQ in PM. 3/31/13 Add Ganirelix SQ in AM.hCG Trigger 4/3/13 SQ.
ER 4/5/13: 5R, 3M, 3F naturally. Day 3: two 8 cell, grade 0, one 8 cell, grade 2 (Scale 0-best to 3-worst). Five day ET 4/10/13: two blastocysts (the 3rd stopped growing.) Beta 4/18/13: 2.5 BFFN. RE recommends we stop trying and focus on living childless, due to the extremely poor quality of my eggs.
***Decided to stop trying and live CFNBC. I couldn't adjust. So, six months later...
IVF #5: Changed RE. Going to one of the big name clinics now. OWDU: 10/29/13. Update: HORRIBLE experience. Disgusted and distraught at their complete unprofessionalism and how much money and precious time they cost us. Sickening. Have now changed RE again. New Patient appt. 1/30/14.
BFP! Out of nowhere, I got KU the old fashioned way! POAS 1/26/14 - Positive! FDLM 12/30/13. Beta #1 16dpo= 373. Beta #2 18dpo= 801. EDD 10/6/14
2/4/14 1st U/S revealed a 5wk2day sac but no fetal pole. Started 200mgs of progesterone suppositories daily
2/11/14 2nd U/S revealed a perfect 6wk1day "diamond ring" embryo with a beating heart! 138bpm! Add 1mg folic acid and 40mg Lovenox
2/25/14 3rd U/S: perfect 8w1d embryo, 178bpm. 3/6 start spotting. 3/11 10w1d U/S shows no heartbeat. Scheduling D&C. The Stork has forsaken me again.
IVF #5.2: New in-state RE. Supplement priming for 1.5 cycles prior to start of cycle, including DHEA 50mg (stopped 5/15), CoQ10 200mg 2x/day, L-Arginine- 1000mg 2x/day (stopped 6/5 due to cold sore!), myo-inositol- 2g 2x/day, melatonin- 3mg, and Neevo (prenatal for MTHFR).
5/16/14 Day 2 bw cycle prior: FSH- 12.22, E2- 38.37, Prog- 1.35, LH- 9.46. 6/2/14 Day 19 bw: Prog- 23
6/12/14 Baseline: E2- 122.7, Prog- 0.4. 5 follicles in left, 4 follicles in right. Start stims: 375IU Follistim & 150IU Menopur. 6/19 Increase Follistim to 425IU, Menopur still 150IU. 6/18 add Ganirelix. 6/23 Ovidrel trigger SQ. 6/25 ER: 8R, 8M, 5F naturally. Start Medrol & Doxy. 6/26 Start Endometrin. 7/2 Start Lovenox.
7/8/14 Beta= 137.4 BFP!!! (My first from IVF!) E2- 1109, Prog- >60. Stop CoQ10, myo-inositol, and melatonin. 7/9 2nd Beta= 281.4. TSH- 2.70. Increasing Synthroid to 100mcg daily. 7/24 6w3d u/s measured 6w3d, hb: 121bmp! 8/5 8w1d u/s measured 8w3d, hb: 164bpm! Graduated from RE to OB. Now I just need to find an OB!
EDD 3/18/15!