August 2019 Moms
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VBAC or Repeat C-Section??

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Re: VBAC or Repeat C-Section??

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    @winchestergirl hugs. ugg its so hard not to worry one way or the other. I try to focus on the fact that even though there is risk I am undertaking the VBAC in the safest location possible so that if things don't go as planned they can handle it and we will still have a good outcome.
    *TW*
    TTC 1/2012
    Diagnosed : unexplained infertility
    6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
    TTC #3 5/2016
    Restarted Fertility tx
    IUI 2 rounds, baby girl 12/17

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    @winchesterGirl I think I am in the exact same place as you.  My doc gave me that paper work but told me I didn't have to sign it yet until we were closer to the due date.  And I feel like I'm in the middle of the road not sure what to do.  But I also am trying to remember, it's not like these risks didn't exist with  my first - even though they were different risks, no matter what, having a child is risky.  I just have to trust that my doctor is looking out for me.  

    I just found out yesterday though that she is on vacation the week of my due date... sooo that is a little nerve wracking. I don't want to go into labor and NOT have her there.. so it may sway  my choice just to do a cs -- and then I probably would go in July. 

    Me 32 <3 H 33
    TTC#1 January 2016  BFP 5/16/2016  DD Born 1/27/17

    TFAS: BFP 11/26/2018 Estimated due date: 8/2/2019


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    @moon1417 - I totally get that, I'm planning my date to ensure I get the doctor of my choice. 
    BabyFruit Ticker

    Baby Birthday Ticker Ticker 
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    @peachy0709 & @moon1417 - I'm right there with you. I'm going to be picking my RCS date at 30 weeks (I'm shooting for -7 or -2 from EDD since my date is on a Friday and you don't schedule sections on the weekend), but definitely taking his availability in mind. He did a marvelous job on my section (from stalled labor, not emergency) with DD1 and he's super particular, so I'm doing all I can to make sure he's the one to do it.

    I was reading up in the VBAC FB group that was provided earlier in the thread (super AWESOME resource, btw) about the risks and it's got me nervous, though I do feel 1000x better about this birth than my previous since I am slightly more aware of what it will be like and what recovery looks like. I had a dreary outlook with DD1 because my family history told me it would be grueling and awful ... and it was. I'm trying to look at this time as being more positive and less stressful, given the planning that will go into it. FX.
    **History in Spoiler**
    Me-35, DH-36 - TTC since 08/10
    Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
       IUI#1   - 02/15 - Cancelled due to scrubbed sperm count <1MM
       IVF#1  - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
       FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
       FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
    ERA Testing - 12/17 - window moved (-1 day)
       FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
    Karyotype Testing - 04/18 - Negative (we're ok)
       FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)


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    @wabash15 You are totally right! Whatever happens we will be in the best possible place for the best outcome. I'm not day-to-day worrying about it, it was just a sober moment. 

    @moon1417 You are so right that there are risks to every labor, even first babies. I guess the first time it was all just a big unknown, and you didn't know one particular thing to stress about, if that makes sense? As far as the week of your due date, try not to stress! Who else in the practice would be delivering? And/or you can always ask to meet her backup!
    Rainbow baby Dean is due 2/17/17!
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    @winchestergirl   I def will have to ask my doctor who she suggests I lean on in her absence. But the initial shock of it has me wanting an early cs around 39 weeks.  I would be exactly 39 weeks the Friday before her week off so I'm not sure if that would even work out or not.  I may be OK waiting until the Monday after, my CS for my breech baby was 40+2 so it would be 40+3 if she is even working at the hospital that day. 

    Me 32 <3 H 33
    TTC#1 January 2016  BFP 5/16/2016  DD Born 1/27/17

    TFAS: BFP 11/26/2018 Estimated due date: 8/2/2019


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    @moon1417 - DEFINITELY ask if you can schedule on a Friday - I was strongly discouraged with my last delivery and so DD2 came on a Tuesday. 
    BabyFruit Ticker

    Baby Birthday Ticker Ticker 
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    @peachy0709 - I've been debating between a Fri (39+0) & Wed (39+5) date, are you saying that Fri is the better option (as far as care, etc.)? Just curious.

    FYI - I asked my OB at my appt today about the feasibility of doing a partial hysterectomy (just the uterus) "while you're in the there." He said only in very, very special circumstances will doctors do that, given the amount of blood you're dealing with - even in a healthy, planned section - and how swollen/large the uterus is at that point. Even in the smoothest situations, you're already looking at losing 1L of blood and your uterus (and the arteries leading to it) are so enlarged that it only increases the risk of bleeding exponentially. However, he did say you can easily (his words were "it only takes 2.5 minutes") have the Fallopian tubes removed and it actually reduces your chances of risk of ovarian cancer by 30-60%. I stated my main concern was that of the routine presence of uterine polyps (and subsequent hysteroscopy required) due to my PCOS, that I didn't want to "deal" with that and worry about those having the possibility of turning cancerous (though we don't have family history) in the future. He then suggested I could have that done in the future, and that it can be done laparoscopically or I have the option of doing an ablation which requires no "downtime" and would have an 80% chance of reducing my cycle flow ... and a 50% chance of eliminating my period all together.

    Lots of info to think about, but thought I'd share with you ladies, in case you were also curious.
    **History in Spoiler**
    Me-35, DH-36 - TTC since 08/10
    Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
       IUI#1   - 02/15 - Cancelled due to scrubbed sperm count <1MM
       IVF#1  - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
       FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
       FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
    ERA Testing - 12/17 - window moved (-1 day)
       FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
    Karyotype Testing - 04/18 - Negative (we're ok)
       FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)


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    aecmaecm member
    @MamaK225 - I ended up delivering on a Friday with my first and generally I really enjoyed it. In our case, DH waited a bit to take paternity leave (after my mom went home) so he got to enjoy our first couple days in the hospital without worrying about heading into work. Also, the recovery ward was pretty empty (hospitals usually discharge as many people as possible on Fridays) so we got to spend a lot of time with the lactation consultant. 

    The only potential “downside” for us was that we had to wait until Monday for our ENT consult. So if you end up needing non-emergency specialist care it might not be available as fast as it would during the week.
    BabyFetus Ticker
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    @MamaK225 - Sorry for not being clear.  My provider basically wouldn't schedule me for a Friday, they really shy away from it as a practice.  So I meant more make sure you have that as an option because I was hoping to maximize DH's paternity leave and instead delivered on a Tuesday.  Does that make sense? 
    BabyFruit Ticker

    Baby Birthday Ticker Ticker 
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    @peachy0709 - That makes sense.

    I delivered DD1 (reallllllllllllllllllly late) on a Friday and ended up with some complications post-delivery AND it was a holiday weekend, so the bare-bones staff was kind of meh ... but it meant a lot of quiet/alone time since there were no other deliveries going on and the other moms without complications mostly left on Saturday. Now that I think of it, there wasn't an "official" LC there, but there were a few nurses who knew enough (and had BF, themselves) to help me through until Tuesday when the LC returned.
    **History in Spoiler**
    Me-35, DH-36 - TTC since 08/10
    Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
       IUI#1   - 02/15 - Cancelled due to scrubbed sperm count <1MM
       IVF#1  - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
       FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
       FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
    ERA Testing - 12/17 - window moved (-1 day)
       FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
    Karyotype Testing - 04/18 - Negative (we're ok)
       FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)


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    @mamak225 well at least he gave you some food for thought and some interesting options.
    *TW*
    TTC 1/2012
    Diagnosed : unexplained infertility
    6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
    TTC #3 5/2016
    Restarted Fertility tx
    IUI 2 rounds, baby girl 12/17

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    @wabash15 - I agree. I knew it was really early to bring it up, but what I really wanted was more time to digest the options/process whatever info he gave me.

    I would love to have a third, but given my fertility situation and history, it's unlikely to happen spontaneously/naturally. Since we've exhausted our embryonic "stash," I've just really got to come to terms with it all ... I have approx 19 weeks to do so, I think that's plenty :) 
    **History in Spoiler**
    Me-35, DH-36 - TTC since 08/10
    Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
       IUI#1   - 02/15 - Cancelled due to scrubbed sperm count <1MM
       IVF#1  - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
       FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
       FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
    ERA Testing - 12/17 - window moved (-1 day)
       FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
    Karyotype Testing - 04/18 - Negative (we're ok)
       FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)


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    @mamak225 I just found out about the tubal removal/ reduced cancer risk at my last appointment. OB said sometimes the blood vessels are so engorged they cannot safely remove the whole tube without risk of excessive bleeding. I’m going to leave it up to her judgement when she gets in there to remove if possible, but tie them off at a minimum. 

    To all y’all planning these c-sections on certain days with certain doctors... just remember baby’s going to come when baby wants to come 🤣 (and most doctors won’t schedule non emergency surgery on a Friday). I’m just hoping to avoid anyone else in the family's birthday, we have a few really close in late July/ early August. 
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    @thirdtimesacharm2019 - That's what I'm going to do, as well. Leave the removal up to him "when he's in there."

    I feel pretty confident about making it to 39w (my preferred section date); I was barely 1cm at my induction at 40+1 (and that was only after my membranes were swept, three days prior) and we have a strong family history of late-term deliveries. Both of my sister's kids were born at the max date her doc would allow (40+9) and while I know the 80s were off as far as EDD, my mom was 2.5wks late with me and 2wks late with my sister And all 4 of those were inductions with 16-36 hours of labor. But if she wants to show up earlier than that (at a "safe" date), I'm ok with that, too ... we'll just have to wait and see!
    **History in Spoiler**
    Me-35, DH-36 - TTC since 08/10
    Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
       IUI#1   - 02/15 - Cancelled due to scrubbed sperm count <1MM
       IVF#1  - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
       FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
       FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
    ERA Testing - 12/17 - window moved (-1 day)
       FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
    Karyotype Testing - 04/18 - Negative (we're ok)
       FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)


  • Options
    Was searching this old thread out to bring it back, since we're getting closer to making these choices. Has any scheduled their RCS or induction for a VBAC?
    **History in Spoiler**
    Me-35, DH-36 - TTC since 08/10
    Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
       IUI#1   - 02/15 - Cancelled due to scrubbed sperm count <1MM
       IVF#1  - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
       FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
       FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
    ERA Testing - 12/17 - window moved (-1 day)
       FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
    Karyotype Testing - 04/18 - Negative (we're ok)
       FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)


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    @mamak225 I was really close to scheduling it on Wed but my OBs schedule was not ready for August so she couldn't.  She's on vacation the week I am due (aug 2 is a Friday) and so we agreed to wait until She's back to do the CS, but if I go into labor before that we will make a game day decision on it. 

    Me 32 <3 H 33
    TTC#1 January 2016  BFP 5/16/2016  DD Born 1/27/17

    TFAS: BFP 11/26/2018 Estimated due date: 8/2/2019


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    @mamak225 I can’t schedule until the doctor’s hospital schedule is finalized, which will be 35-36 weeks... but I’m only 50% on having babies as scheduled, so although I really want a day scheduled it doesn’t mean much. I’m using the first day of my 39th week for countdown purposes 😉. 
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    peachy0709peachy0709 member
    edited May 2019
    @mamak225 - I'm scheduled - RCS on 8/20 at 12:45 pm.  Now the current debate is if I should tie my tubes or not. 
    BabyFruit Ticker

    Baby Birthday Ticker Ticker 
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    @mamak225 since i'm hoping for a VBAC they are trying to avoid induction unless I go to 41 weeks. (induction options are less for a VBAC) so for now its a waiting game and once I go past my EDD then we start having conversations. I have been approved and signed all the paperwork for the VBAC
    *TW*
    TTC 1/2012
    Diagnosed : unexplained infertility
    6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
    TTC #3 5/2016
    Restarted Fertility tx
    IUI 2 rounds, baby girl 12/17

  • Options
    Wow,  I'm always amazed at how far ahead c/s are booked there. We found out I'd need a cs for breech at 37+ weeks last time,  so they scheduled me a "day" (ended up being 38+5) about a week in advance and said it would be in the morning between 6am and noon. But they didn't tell me the time (8am) until the night before at like 8pm or later. 

    This time it will also be an "as you go" last minute decision, im assuming, as we continue to monitor and make sure I stay a vbac candidate, etc.

    TTGP history (*TW*):

    Started TTC Oct 2015
    BFP #1 June 2016: EDD 16 March 2017, MC July 2016
    Re-started TTC Aug 2016
    Started IF testing Nov 2016
    Spontaneous BFP #2 January 2017: Rainbow Baby Boy September 2017
    BFP #3 November 2018: Baby #2 expected August 2019


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    @peachy0709 - Yay! Congrats on a date. I'm also in the debate, but to have my tubes removed. We struggled so long with IF that I'm debating not doing anything and just *whatever happens* for 2 years since I planned on getting a partial hysterectomy anyway (uterine fibroids) at which point they could pull the tubes then if I wanted. Just so much to think about :# 
    **History in Spoiler**
    Me-35, DH-36 - TTC since 08/10
    Me - anovulatory, non-Insulin PCOS, DH - low end of "normal" sperm count
       IUI#1   - 02/15 - Cancelled due to scrubbed sperm count <1MM
       IVF#1  - 08/15 - 13x5-day blastocysts (ranging from AA-BB, most are 5 or 6), not PGS, on ice
       FET#1 - 10/15 - 1 emb - BFP (DD 07/16) (estrace + PIO sesame oil + prometrium)
       FET#2 - 07/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#3 - 08/17 - 1 emb - BFN (estrace + PIO sesame oil + prometrium)
       FET#4 - 10/17 - 2 emb - BFN (changed to estrace + prometrium because of allergic reaction to PIO sesame oil)
    ERA Testing - 12/17 - window moved (-1 day)
       FET#5 - 03/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
    Karyotype Testing - 04/18 - Negative (we're ok)
       FET#6 - 06/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#7 - 10/18 - 2 emb - BFN (estrace + prometrium, ERA-timing used)
       FET#8 - 11/18 - 2 emb - BFP; looks like one baby is going to make it, DD is due 8/16 (though likely to be 8/9)


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    So I just got my maternity leave benefit calculations from work.  I feel really guilty/upset that I was immediately drawn to having a repeat csection simply because my benefits last longer (all I have is short term disability).  This makes me so sad. I will also be able to use PFL at 50% pay to extend but that I can use for the entire first year, so Id rather have STDBL last longer so I can get more time with the baby.  Why is it like this?? It just makes me want to cry. 

    Me 32 <3 H 33
    TTC#1 January 2016  BFP 5/16/2016  DD Born 1/27/17

    TFAS: BFP 11/26/2018 Estimated due date: 8/2/2019


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    @moon1417 ugg that sucks... its just not fair. How do people think its good for the worker or the baby to have to come back so soon. also fathers should be able to stay home too... we are not in the 50's, parenting is an equal opportunity business. 
    *TW*
    TTC 1/2012
    Diagnosed : unexplained infertility
    6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
    TTC #3 5/2016
    Restarted Fertility tx
    IUI 2 rounds, baby girl 12/17

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    @wabash15 It does suck and makes zero sense.   I believe my husband can do Paid Family Leave here in NYS and can get the same 10wks at 50% pay. but it's not like we can survive on that. 

    Me 32 <3 H 33
    TTC#1 January 2016  BFP 5/16/2016  DD Born 1/27/17

    TFAS: BFP 11/26/2018 Estimated due date: 8/2/2019


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    @moon1417 I hear you. I have been saving every PTO day I have because there is no maternity leave policy where I live... I think I will be lucky and have 7 weeks... but I would love to take the full FMLA 12 since this is our last (plus 4 in daycare...) but I also have to use PTO and FMLA concurrently which I think is total BS... I am still not totally sure we can afford me not being paid for 5 weeks since I'm the primary bread winner.
    *TW*
    TTC 1/2012
    Diagnosed : unexplained infertility
    6 rounds of IUI and a MC 2/2014, rainbow twins 4/2015
    TTC #3 5/2016
    Restarted Fertility tx
    IUI 2 rounds, baby girl 12/17

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