Sunday, September 27, 2009

28w6d - GD test & biophysical profiles

This week brought yet another marathon 4-hour appointment at the perinatologist. It was probably the last appointment I could drive myself to, given that we live more than an hour away from the doc and the appointments will become a weekly trek from this point onwards.

The perinatologist is nothing if not thorough, which I appreciate tremendously.

The glucose drink for the gestational diabetes test wasn't bad at all. A Dixie cup filled with a sweet, fizzy orange drink, which kind of tasted like Fan.ta Orange. An hourlong wait during which you're not allowed to drink water, eat anything, chew gum, or smoke, as the nurse practitioner kindly reminded me. I've never smoked, so I thought that was pretty funny. They had to draw blood to check my thyroid function and other things anyway, so it was no big deal. What's a few more vials?

I've had some edema, spilling of protein (just +1), and headaches, so they're watching me carefully for pre-eclampsia. My blood pressure is still fine, 124/70, but given that I'm usually around 106/60, it is slowly creeping up.

The girls aced their biophysical profiles, each scoring 8/8. (We're so proud.) The BPP ultrasound for triplets can take up to an hour and a half as the babies each need to make a certain number of breathing and other movements in a 30-minute period. Thankfully the babies cooperated beautifully and it went much faster. The sonographer let me sit up in between to prevent that awful woozy feeling.

My fundal height is now at 40 cm = full term. I keep thinking that if I was pregnant with one baby, this would be about as big as I'd get. A walk in the park compared to what awaits! (Seriously - no offence intended to moms who have one baby at a time. I know pregnancy is hard whichever way you slice it.)

The belly bump circumference is a whopping 45 and a half inches, and I've gained 33 lbs total. I've read of other triplet moms who have circumferences of 52 inches towards the end. I've read much pain and suffering lies ahead...

Saturday, September 19, 2009

27w5d - Girl Girl Girl Gear galore

We have had not one, not two, but THREE baby showers! The girls, my husband and I are so incredibly spoiled by our friends and colleagues. Not just with the unbelievable baby showers, but with the most amazingly thoughtful 2nd hand clothes, blankets and other gear like high chairs, playmats and swings we have received from our generous friends.

In the words of a colleague, "Baby shower? Gmph! It's more like a baby thunderstorm!"

We started gearing up pretty early, knowing that I might be on bed rest towards the safer part of the pregnancy. After IVF, it required a huge leap of faith to start acquiring baby stuff. On the other hand, since this will most probably be my one and only pregnancy ever, I didn't want to miss out on a single moment of the experience.

Dh and I started boldly: by buying a 2nd hand triplet stroller and a previously owned minivan - all in one morning - when I was barely out of the first trimester! I was researching strollers online, reading advice from other triplet parents, when I came across a Triple Decker on eBay.


The wonderful family with triplets we bought it from had 3 Graco Snugride seats, six bases, and threw in 3 car seat sleeping bags, a must for our infants arriving in the fall.

We kept in touch with the triplet family, and they sold us their 3 bouncy seats, 3 exersaucers, 3 Bumbo seats, Podee bottles, and threw in lots of extras.

We had toyed with the idea of getting a minivan, but we weren't planning on purchasing it so soon. Then an incredible deal on a previously owned 2009 model turned up. The minivan was practically brand new, just owned for a month.

Craigslist proved very useful: we purchased two changing tables (still boxed and new) and things we won't need for a while, like the North States Super Yard XT.


Gift cards and gifts of cash from the baby showers enabled us to buy three Graco Lauren 4-in-1 convertible cribs. Target had a huge Labor Day baby gear sale where you could get the mattresses for free if we bought the cribs there. Not only were their cribs the most affordable (beating out any price I could find online - and even Wal*Mart), but getting the mattresses for free saved us $240.00.

It was quite the spectacle when my husband and I walked out alongside the Target employee with the rolling cart loaded to capacity with three humongous boxes and three mattresses.

There was a guy sitting on a bench near the loading zone waiting for his wife and he looked on in amazement. "TRIPLETS?!" I was so exhausted I almost responded with, "Nah, we're just getting a few extra because it's such a good deal." But I bit my lip.

My gracious husband responded with a proud father chuckle and said, "Yeah" as they started loading up our new minivan. The conversation continued with funny banter as the guy's wife and kids arrived and he went over the details of the unfolding spectacle again. They seemed very happy for us, and not at all intrusive, so it was fine by me. Better get used to it, eh? Once that Triple Decker starts going places with us and the trio, I'm sure it will be an attention-grabber.

All I really keyed into was how unflustered my hubby was with all the attention. That's a good sign.

In terms of other baby gear: we received a Boppy pillow, and bought two more, and purchased three matching covers. We have bought a few things new, including 3 Kiddopotamus cotton swaddle blankets and a Dr Brown's formula pitcher, which so many triplet moms recommended.

I think we're as ready as we'll ever be with baby gear, so if I have to go on strict bed rest at home, or heaven forbid, hospital, I can relax knowing we have tons of diapers, wipes, and all the gear in the world. :D

We're already looking forward to a humongous garage sale!

Sunday, September 13, 2009

26w6d - U/s growth scan update & NICU tour

Our baby girls continue to amaze the perinatologists and sonographers with how well they're growing (not just compared to triplets, but compared to singletons!) My peri is ecstatic with their progress - she gave them a thumbs up for sharing their "real estate" equally, and growing consistently:

Baby A: 2lb5oz, 142 BPM
Baby B: 2lb2oz, 142 BPM
Baby C: 2lb4oz, 134 BPM

That's almost 7 pounds of babies! When asked at what point they might schedule the C-section, the peri said if everything continues to go this well, and I'm still feeling good, they may even let me go to 36 weeks and a few days. (One can dream! First, I need to get to 28 weeks.)

A very good sign is that all of the girls are measuring pretty close, which bodes well for the next two months or so. I've only gained 0.4 lbs the past two weeks, but given how well the girls are doing and my overall weight gain, my peri wasn't concerned. Phew. The heartburn has been making it challenging to eat. My cervix is still as short as ever (a scary 2.4 cm), but still no funneling or dilation.

My Dh and I went on a tour of the level III NICU. They can admit almost 60 preemies, and they approximately 280 people on staff. The wonderful charge nurse spent 45 minutes with us going over their protocols, and describing different treatment scenarios.

Seeing so many babies fight for their lives is extremely disturbing and frightening. I just wasn't prepared for that. The upside is that it is also an immense motivator to see exactly how fragile the preemies are, because it makes me want to do everything in my power to grow our girls for as long as possible.

Having visuals of the space, equipment and people has alleviated a lot of anxiety.
The nurse said my Dh will be able to see our babies in the NICU within 30-45 minutes of their birth. If all of the girls are admitted to the NICU, they will be split up into different areas to help ensure that they don't get mixed up.

Up to four people, including the parents, can visit at any given time. They welcome parents calling in to check on their babies when they can't be physically present. Parents are welcome to visit any time, except for the half hour or so when shifts change (and the neonatologists and nurses share confidential information about all of the babies).

Visitors are only allowed when accompanied by one of the parents, which is very comforting from a security standpoint. (Also: I read about a triplet mom whose inlaws gained access to the NICU and they bathed her babies. When the mom arrived, not only had she missed out on giving them their first bath, but she couldn't touch her babies because they had already received so much stimulation that day.) I'd be livid, especially given how little opportunity for "parenting" exists in the NICU and how precious every one of those moments are.

I think the sweetest thing the nurse said to us at the end of the tour was, "I hope we don't have to see you or your triplet girls here!" Amen.

Tuesday, September 08, 2009

26w1d - Random thoughts - pregnancy, NICU & childbirth classes

Before we get to the update, I wanted to let you know how much your comments mean to me. Every single comment lifts me up, and gives me the strength and encouragement needed to stay positive. So thank you!

Today the belly circumference measures a whopping 44 and a half inches. It's feeling heavier, to the point where I want to lift the belly with my arms to reverse the forces of gravity. An amazing triplet mom gave me her maternity support brace, and I believe the time has come to forget about vanity and to start wearing it religiously.

I've gained 26 pounds so far. Gaining weight definitely became easier from 20 weeks onwards, just as the nutritionist said it would. (Yes, I was skeptical.) I can suddenly tolerate coffee and chocolate again (hooray! life is good!), but I have been careful to limit my overall caffeine intake.

Remarkably, there have been no pregnancy cravings yet. And this from a woman who has always had regular, intense cravings during PMS (for super sweet and super salty foods, often combined, that I had to have RIGHT NOW. Like sushi with tons of soy sauce, and then some chocolate.) The absence of cravings is truly weird. I thought for sure I'd have to send Dh on a few wild goose chases after midnight, but so far he has dodged that entirely.

Interestingly, during the first trimester, I would get nauseous if my stomach was empty. Now, I get heartburn whenever I go too long without eating. I've been alternating between papaya enzyme chew tablets and T.ums, and only taking something when it gets REALLY bad. My definition of "REALLY bad" is definitely changing as the heartburn becomes a constant companion. I guess one learns how to cope, which includes cutting out tomatoes and only eating fruit with other food (not on an empty stomach). Milk has helped too.

The contractions come and go, but fortunately they've never reached the frequency (more than 4/hour) where I feel I need to call the peri. May this last, as I want to avoid terb and the other awful meds as long as possible.

Rolling over in bed is a production. I often joke that it's the equivalent of an unsuccessful 3-point turn in a narrow road. Our king size bed is not big enough for me and all the pillows. The pregnancy pillow is too cumbersome, so I'm back to using an assortment of loose pillows. Despite the nest I build and rebuild for myself all night long, I'm still waking up with the most intense hip pain every morning. 4 a.m. is my limit. That's when I can't take the tossing and turning anymore and simply call it a day, or a night, or whatever. Watching the sunrise every morning and hearing the birds wake up have been unexpected, rediscovered pleasures. This ritual is usually accompanied by breakfast at 4:10 a.m. (I'm a night owl, hate getting up in the morning, and don't do breakfast. Oh how things change.)

The girls are kicking often, but I haven't felt a hiccup yet. I've noticed that Dh touching my abdomen always gets them going. Usually, they go from being completely quiet to kicking right where his hand is, which is pretty special. If I touch my belly, or someone else touches my belly, nothing happens. Whether the babies can sense their dad, or whether there are physiological changes in my body when he touches me, I don't know. I just know that it's no coincidence as we've tested this in various circumstances and at different times, mostly without him making even a sound. I love that he can communicate with his children already.

We're looking forward to the girl's growth scan on Friday. I've made special arrangements for my husband and I to tour the NICU beforehand, which will hopefully alleviate some anxiety. This is like the insurance of carrying an umbrella - it will only rain if you forgot your umbrella at home.

We'll be part of a larger group to tour the L&D unit later this month, and we also hope to make it to a 3-hour Multiples Class in October. I was so happy to see that our hospital offered something for multiples as I didn't want to sit through hours of information on natural birth when that will clearly not be an option for us.

Monday, September 07, 2009

26w0d - Letting go

My friend Carrie is expecting 3 boys - the perfect complement to our 3 girls. Her efforts to keep growing her boys through multiple scares, while on hospital and now home bed rest, and caring for her young daughter has been nothing short of heroic.

Since Carrie asked for more frequent updates, and she has been my inspiration, I simply can't refuse. So here goes:

As we're gearing up for the girls, I'm also trying to let go and have faith that everything will work out with this high-risk pregnancy. Surely everyone in the IF community can identify with this apprehension.

As much as I've been bonding with the girls, feeling them kick and watching their progress on the ultrasounds, there is a part of me that is still super cautious. I thought that would lessen with each milestone: seeing the fetal poles, the first heartbeat check, receiving the CVS results, passing the first trimester... Now that we're just two weeks away from the major 28-week milestone, I know I won't begin to believe it will work out until they're home with us, and then a new phase of caution and fear will start.

Reading about NICU experiences and triplet losses have helped me understand that my optimism won't protect me from things going wrong. Will simply believing that everything will be okay, make it so? Or is that living in denial?

I guess I'm living somewhere on the fence between optimism and realism. I like to be informed: prepared for the worst, but hoping for the best outcome.

As a result, I've been holding onto my leftover IVF meds: a flare protocol cycle's worth of Lupron, Gonal-F pens, Ovidrel and prometrium. Although we paid out of pocket for our IVF cycles, the insurance miraculously covered our meds. After our failed cycle, I ordered a new round of meds, and then found out that our clinic would give us some meds through a grant program. After we signed on to the grant program, I found out the pharmacy wouldn't take the meds back. Since I didn't have any hope that cycle #2 would work, I kept the meds for cycle #3, knowing I would donate it back to the clinic if I didn't need it.

It's been like a mental safety net to open the fridge and see the Rx stockpile. I realize now that it is also preventing me from truly believing that my babies will be okay. So this week, I'll stop by my IVF clinic, drop off the meds and try to let go of some of the fears that have been holding me back.

I'm worried about walking into the clinic with my pregnant belly, and upsetting the other women. I'll attempt to go in the back way. I remember vividly how crushing it was to see a pregnant woman in that waiting room, regardless of whether she was a "success story" or there to support a friend. It made me jealous, weepy, angry and frustrated and I'd hate to do that to anyone else going through the life crisis that is IF.

Sunday, September 06, 2009

25w6d - Funny triplet comments

Some days, I feel like I'm going through an initiation process. Every funny look or strange comment about our triplet pregnancy is preparing me for what lies ahead.

CONVERSATION #1:
This one is the prize-winning conversation of the week:

Neighbor: I heard you are having triplicates.

Me (having a hard time keeping a straight face): Yes, we sure are.

Vocabulary-challenged neighbor: Now, will they all be the same?

Me: We're expecting three girls - they're fraternal.

Neighbor: So, will they look the same?

Me: No, they're not identical.

Neighbor (still confused): So they'll just look like sisters and not like triplets?

Me (at a loss, but trying to escape the Spanish Inquisition): Yes.


CONVERSATION #2:
Someone who hadn't seen me in five months and who didn't know I was pregnant, did the best double-take I've ever witnessed.

She (smiling knowingly): "Whoa! What happened to you?!"

Me (straight face): "I got knocked up."

She: Apparently! (laughing) Congratulations!

Me: Thanks!

She: When are you due?

A male friend of mine who has a wicked sense of humor, was witnessing this exchange, and piped up, "Oh, she's about 2 weeks along." That cracked me up, because I'm 6 months pregnant and feel as big as a house.

She: (confused) ?

Me (laughing): I'm about six months pregnant.

She: ? (even more confused because the size of my belly and what I'm telling her doesn't add up)

Me: It's triplets.

She: ???!!! Whaaaatt??? Seriously???! Wow! That's wonderful!

It was totally worth dragging it out for that response.

Saturday, August 29, 2009

24w5d - Time to go slow

I've been having contractions more frequently, and mostly in the late afternoon and evening after a day at the office. "It's time to stop working," the perinatologist said. For once, even the workaholic in me knows she's right. I've been expecting those words and didn't fight them, but it still came as a shock since I've been doing pretty great.

She wants me to lie down (hard to do when you're at the office) and drink plenty of water whenever I feel a contraction. If I'm having more than four an hour, feel "different" or if the contractions are becoming more painful, I should call and go to L&D. "I have a very low threshold for admitting high risk patients." (Read: you've been warned.)

We discussed meds to control contractions, preterm labor, and other concerns. Basically, the next few weeks (through 28 weeks) are critical. I already knew that, but it was important for my peri to reinforce that while reassuring me that things are still looking good.

My cervix is now at 2.3 cm, but still stable despite the more frequent contractions. Phew.

My wonderful boss will allow me to work from home for as long as I want or can keep up, and then I can start scaling back my hours over the course of the next month or so. This works great, because I need to wrap up a few projects to make things easier for everyone at work, I need the mental stimulation, and it will definitely make the time pass faster than staring at the walls and feeling caged in. Besides, disability benefits suck and with triplets on the way, we need the money.

Our baby girls are doing great. Their next measurements will be in two weeks' time, but we did get a quick heartbeat check:

Baby A: 138 bpm
Baby B: 142 bpm
Baby C: 143 bpm

My fundal height is now at 36 cm, the equivalent of 36 weeks gestation with a singleton. The nurse practitioner measured me three times, because she couldn't believe it had increased 6 cm since she measured me two weeks ago. The girls are indeed growing, which makes us really happy.

Baby C is pressing on my lungs, so that would explain why I've been struggling to breathe. I'm at the point now where I pant just from walking a few feet, I can't stand more than a few minutes at a time and it feels like I'm constantly gasping for air as I'm trying to catch a good, deep breath. Having a conversation leaves me breathless and exhausted. It's pretty funny, actually, and I keep reminding myself that this is only the beginning of the "uncomfortable" phase. It will get a whole lot worse before it gets better, and that's okay. I know it's temporary.

It only takes one baby kick to remind me that this pregnancy is still the most miraculous event in my life. Ever.

Thursday, August 20, 2009

23w3d - The viability countdown has begun

On Monday I'll be 24 weeks along and celebrating the first of many survival milestones. Viability is generally believed to begin around 24-25 weeks. Although micropreemies born at this stage often face lifelong challenges, they do have a shot at survival with prolonged intensive care. Since babies born before 23 weeks often don't survive, I'm looking forward to crossing the 24-week threshold.

I'm obviously aiming for 28... 32... and ultimately 35 weeks gestation to give our girls the best possible start in life, but I also realize that much of this is beyond my control.

At most, I have about 11-12 weeks or 85 days to go.

Sunday, August 16, 2009

22w4d - Triplet measurement scan & updates

Our baby girls are all doing well and already weighing in at more than a pound each! The great news is that they're on target in terms of length and weight. This is even more terrific given that they are triplets. The average for singletons at 22 weeks is 15.17 ounces and at 23 weeks is 1.10 pounds.

Baby A: 1 lb 4 oz
Baby B: 1 lb 5 oz
Baby C: 1 lb 4 oz

For those of you not interested in doing the math, that's 3 lb 13 oz of baby!

The mothership is doing well too, despite a few issues. I've been diagnosed with ta.chycardia, which is a rapid heart rate. Mine is often above 120, and it obviously makes me feel even more short of breath and exhausted (if that's possible.) When the heart palpitations start, I feel wired and out of it. It's awful, and often wakes me up in the middle of the night, but it's not uncommon in pregnancy. Just another joy of having triplets, I guess. Everything is in overdrive.

My thyroid also can't make up its mind on whether it's hyper- or hypo-. I'm taking Syn.throid at the moment and given the see saw thyroid hormone levels, it's probably no wonder that I'm feeling hyper one second and sleepy the next. Going with the flow is my motto right now. At the moment, I can still tolerate it and work full time, but who knows for how long. I'm thankful for every day that I'm pregnant, every day that I'm not on bed rest, and every day that I'm able to keep them safely inside.

My cervix is still at 2.5 cm which is alarmingly short, but fortunately stable. (Trying hard not to freak out about it, can you tell?)

In terms of the bump: my fundal height is 29 cm! Yikes. At five and a half months, I'm measuring at the equivalent of 7 months. That's a point of pride, actually. ;-) So far I've gained 22 lbs and the belly circumference is a whopping 43 inches. Go belly go.

Wednesday, August 05, 2009

21w3d - Kicking up a storm

The trio's movements have been much more noticeable this week. After months of anticipation, I finally know what a true baby kick feels like!

Baby A has been practicing karate kicks this week and it's the most miraculous feeling in the world. No longer do I just feel the occasional flutter or squirm when I lie down at night, but I'm feeling true, discernable kicks.

On Sunday night, I was lying on my left side in bed when Baby A gave me a strong kick that made me jump. Holy moly! That was cool and unexpected and ticklish and bizarre. I lay still to see if she'd do it again and just as I got distracted she obliged.

Since then, I've felt all three of them kicking me in different spots at different times. Sometimes they'd do it in the middle of a serious work meeting, or in the middle of the night, or after I've eaten. Last night, I had my hand on my stomach and could feel it from the inside and outside. Weird! When I removed my hand, I could see my stomach moving as the babies kicked. BabyBump-TV is absolutely mesmerizing.

We haven't been able to time it so hubby can feel one of the really hard kicks, but he has felt the lighter ones, which amazes me. With six little hands and feet in utero, I'm sure we'll have ample opportunity to watch interactive BabyBump-TV in the weeks to come. I can't wait to feel their hiccups!

21w3d - Bigger is better

I've gained 21 lbs so far and couldn't be happier. As someone who loves to eat and who usually gains weight by just looking at food, I could never have imagined that it would be a struggle to add pounds to my frame.

With triplets, it's important to add the weight early as it will be hard to find room to eat larger meals later in the pregnancy. Higher birth weight will also help to give the babies a fighting chance in case they arrive early.

It's interesting how my body image is changing, because despite the discomfort, I'm loving the bump. I'm proud of the bump. It symbolizes everything I've always wanted and dreamed about, and the long road to get to this point. The bump reminds me of all of my friends who are still struggling to conceive, or who have conceived but suffered devastating losses.

But sometimes, despite all that, I can't help but feel fat and sluggish. I have to remind myself that I'm incubating three little munchkins. When I feel especially huge, it helps that my husband tells me I look sexy, and that he puts his hands on my belly and talks to our baby girls.

I've always been kind of average height, average weight, average shoe size. Suddenly, I'm carrying around a 42.5" waist on plump feet that refuse to fit into my usually comfy shoes. I was also amazed to discover that my bump is about the same size as a friend of mine's who is seven months pregnant with a singleton. I'll have to remember to ask the midwife to measure my fundal height at the next appointment.

Tuesday, August 04, 2009

21w0d - Peri visit update

The sonographer did a quick heartbeat check and all three of our baby girls are doing great. We have to wait another two weeks to see them again in detail and for the next set of measurements to be taken.

My cervix is still holding at a short but stable 2.6 cm - it's even 0.1 cm longer than the previous measurement two weeks ago. That's not much, but I'll take it. At least it's not shortening, funneling or dilating!

I've finally started to gain weight. For the first time ever gaining 24 lbs by 24 weeks seems doable. Hooray for the food aversions and nausea starting to let up. The heartburn is pretty intense, but papaya enzyme chew tablets have helped.

My blood pressure is beautifully low, but my heart rate is constantly elevated and there may be some irregularity so an echo.cardiogram will be performed to check for issues. It may be something, or it may be just the normal additional blood volume and stress on my heart of carrying triplets. Either way, I'd rather be proactive and know what's going on.

I've also been diagnosed with hypo.thyroidism and will be taking Syn.throid, so we'll see how that goes. For now, everything is still good, I'm still working full time, and although I'm physically more exhausted, I'm still feeling strong.

Saturday, July 25, 2009

19w5d: It's a numbers game

Every time I see a reflection of myself it makes me smile. On some level, I guess I keep forgetting that I'm actually quite pregnant. Then I see a photo of myself, or I accidentally brush a door against my belly and realize, "Hey, wait a minute, there's another inch there that wasn't there yesterday."

My body's perimeter is changing rapidly. The belly is growing by the day, prompting mirror double takes and many moments of baby bump awe. At last week's peri appointment (18w4d), the fundal height was 25 cm, the equivalent of a mom 25 weeks pregnant with a singleton.

Since then, my belly circumference has increased at least one more inch, from 40" to 41" earlier this week. When I measured last night, it was almost 42". So I'm not imagining it. When I said to my husband the girls must be going through a growth spurt, he concurred, saying empathetically, "Yes, I can definitely see that!" It's very reassuring to know that they're growing.

In terms of weight gain, it has finally started to pick up. I've gained 18 pounds so far. The nutritionist said last week that I was doing great, and that I should aim for 24 pounds by 24 weeks, which finally seems like a reachable goal. It's much less than Dr. Barbara Luke's recommendation, but I feel like I'm eating as much as I can, eating whenever I'm hungry (and trying to squeeze in as much protein and nutritious food as one human being can handle, even when I'm not all that hungry).

On Monday, I will be 20 weeks along. Wow, five months. Although not the halfway mark as in a singleton pregnancy, it gets me that much closer to my first of many milestones: 24 weeks. Thereafter the goal is 28 weeks, 32 weeks, and then 36. For now, it's one week at a time. I'm sure the day will come where it will be one day, and one hour at a time, but I can't think about that yet.

Saturday, July 18, 2009

18w5d - Naming our girls

After years of name picking, digging into 12+ generations of genealogy, wanting our babies to have names that have a family connection and are meaningful to us, sound good together, and are easy to pronounce and spell in our country of origin and the US, we've finally settled on names both my husband and I love.

Contrary to what many people think, picking 6 names is MUCH harder than picking 2. At least we've narrowed it down to one gender!

We didn't want our babies to have names that rhyme or have the same initial (SSN nightmare!) or sound too "match-y," yet we wanted them to "belong" together (both the combination of first, middle and last names, and when called with their siblings' names.)

A.da Is.abella
Ju.lia El.izabeth
E.mma Cha.rlotte

I'm writing the names with periods just to make it a little more challenging for it to be searched and indexed online, since very few people who know me IRL have read my blog (or at least acknowledged that they've found this blog.)

Do let us know what you think of the names.

18w4d - Level II anatomy scan results

Oh boy! It's confirmed: we are expecting three girls! I'll post the u/s images as soon as we've scanned them in. All of your comments eased my mind as we headed into a day of unknowns and revelations. Thank you for being there, and for your caring comments.

Oh, how we loved every second of peeking in on them.

Our elusive little baby girl C very clearly has my profile and lips! Baby B was lying like I always do, on my side, with my knee pulled all the way up. Weird and amazing to see their body language, even at this early stage.

Hubby squeezed my hand throughout the (very long!) u/s - he is simply smitten with his little girls. The sonographer showed us silicone, anatomically correct, appropriately weighted models of a fetus at 8 weeks, 12 weeks, 20 weeks and 40 weeks. We couldn't stop staring and holding the 20 week "baby." The 20 weeker is surprisingly heavy, and about the size of my hand from wrist to the tip of my middle finger (when its legs are curled up).

All three of our babies cooperated beautifully and are measuring beautifully for their gestational age. The sonographer said it was the first time in her 18 years of work that she was able to get all of the measurements for all 3 babies in one appointment! (I doubt they'll remain this cooperative until they reach adulthood, but I do hope it's a good sign. Dh laughed and said they're lulling us into a false sense of calm!) They weigh 9/10oz each, with heartbeats between 139 and 150.

Baby A: Weight - 254g, 0lb 9oz, HB - 139 bpm
Baby B: Weight - 262g, 0lb 9oz, HB - 146 bpm
Baby C: Weight - 276g, 0lb10oz, HB - 150 bpm

My cervix is still measuring the same, thank goodness. It's not great, but at least it's stable. No funneling, cramps, contractions or other changes. I asked about reducing activity levels, and the doctor said it's up to me. Although I agree that I know my body best, it's frustrating that there's no real consensus in the medical community about modified bedrest and bedrest. I'm taking it easy regardless and we'll re-evaluate the situation every two weeks. At least there's a measure of comfort in that.

Alyssa asked how I know which baby is kicking me: Baby A is lying at the bottom, closest to my cervix with an anterior placenta, meaning her placenta is cushioning her kicks, and although I do feel her move from time to time, it's not as strong as Baby C.

Baby B is higher up, on my right side, also with an anterior placenta and I feel her a little stronger and more often than Baby A, but not by much.

Baby C is higher up, on my left side, with a posterior placenta, so there's not much cushioning between her limbs and my belly. She is the most active, tallest (not by much) and I feel her more consistently and distinctly than I do the others. It was Baby C that my husband could feel moving the other night. I could feel her kicks while seeing her kick me on the ultrasound. Completely surreal!

Even though they turn within their amniotic sacs, they don't switch places, which makes it easier for me to keep them straight and to know which baby is up to what.

Thursday, July 16, 2009

18w3d - The night before the anatomy scan

This is the most exciting, petrifying journey of my life. I'm sure the emotions will only intensify as the weeks progress and after the babies arrive.

Tomorrow, we find out if my cervix is still at 2.5 cm or whether it is shortening. Very scary. We also hope to see our babies in more detail. So exciting. We have only had heartbeat checks since the 12 week mark, and a quick scan to guess at genders two weeks ago, but no other measurements or details. With tomorrow's level II scan, we hope to get confirmation of Baby C's gender, and to take a look at how their lengths have increased and how their organs have formed. I can't wait to see our babies again.

Since triplets are considered full term around 36 weeks, we're pretty much halfway now. Wow, the time is flying by. The babies have had several growth spurts recently as evidenced by my belly growing by the day. Several of my colleagues have commented in recent days, some more tactfully than others.

"Jeez, you're getting big." Why, thank you.

"Your ankles are already starting to change." Ahem, so glad you noticed.

"I can't imagine how huge you'll be when I get back from my 2-week vacation." Yeah, well.

I've also had the sweetest comments about my maternity clothes, how great I look despite how exhausted I must be, how beautiful the belly is, how I'm surprisingly small for someone who is expecting triplets (keep lying to me, I love it), and so on. My colleagues keep bringing me food, too. Their concern is genuine, and even though some of the comments are less tactful than others, I know they are excited for me, and mean well.

I've started feeling the babies move much more frequently over the past week or two. Two nights ago, Baby C was having a party in my uterus, and Dh could feel the movement for the very first time. It was magical. No real kicks yet, but the twitches are definitely all baby. Dh hasn't felt the other two babies yet.

I can't imagine 6 little feet kicking me a few weeks from now! Last night brought another vivid dream of Baby C. This time one little foot was making a very visible, protruding "footprint" underneath my skin. The little munchkin showed his beautiful face to me in my dream again. I keep dreaming that Baby C is a boy, despite what the u/s tech said two weeks ago. It's weird. It's freaking me out a little more than it should, since I've often had predictive dreams. We'd be delighted with whatever the confirmed gender of Baby C is, but I guess my subconscious won't believe it until I see distinct boy/girl parts on the ultrasound myself.

When I was four, I dreamed my mother was pregnant with a little boy (before she told me I would have a kid brother.) My mom was pretty flabbergasted that I knew about her accidental pregnancy (at age 38 despite all sorts of contraception!) before she told me.

Yes, the irony of my mom's fertility compared to mine, does not escape me. I had always hoped to get pregnant in my thirties like my mom, and was scared that I had waited too long and wouldn't be able to conceive with Stage 4 Endo, even with IVF. Apparently the joke's on me.

Sunday, July 12, 2009

17w6d - World's best husband

So, it's 3 am and I'm wide awake. I'm feeling cranky, tossing and turning, rolling over a million times in bed without being able to find a comfortable position. I adjust the pregnancy body pillow, sigh, and try again.

My husband wakes up from the commotion, gently strokes my back, and asks if I'm okay. I whine about my swollen hands and feet, the heartburn, the uterine pain and how restless I'm feeling. He says, "I wish I could do something to help you. I'll call NASA first thing in the morning and we can go live on the International Space Station." Aaah, weightlessness.

He cracks me up and always seems to know just what to say or do to make me feel better in an instant. I love him. His comment makes me think of the selfless, considerate man that I married. So I get up to write it down instead of staring at the wall. Someday, when the triplets are old enough to understand, I hope I can remember all of this:

I came home from work one day - during the first few weeks of the pregnancy - to find that he had spent his day off redesigning and raising our low platform bed to make it easier for me to get in and out as the pregnancy progresses. At the time, it didn't seem necessary, but now I'm incredibly thankful that I can just swing my feet over the edge of the bed to get up and not have to lift myself and three babies off the floor three times a night as I head to the bathroom.

Without any prompting from me, he replaced our missing stair railing to ensure that I could get down to the basement and back safely.

My husband bought a night light so I wouldn't bump into our bedroom furniture (or the wall!) during my nightly bathroom escapades.

He installed a new threshold over an uneven part where our hallway meets our bathroom floor, "because soon you won't be able to see your feet anymore and I don't want you stubbing your toes."

He is frantically working to finish renovating our 2nd bathroom, nursery, and guest room before the triplets arrive.

Ever since we heard that I'm pregnant and expecting triplets, he has taken over all of the cleaning duties in the house. Vacuuming, cleaning with chemicals, and basically anything I don't feel up to doing. He has never made me feel guilty, and although I often feel like I'm not contributing, he'd just say, "No, you're doing the most important thing. Growing our babies."

He helps to make dinner when I'm wiped out. When I was so nauseous somewhere between week 7 and 10 that I suddenly couldn't stand the smell of the dinner we were preparing, he retrieved a fan from our basement, opened the windows, and solved the problem.

There's much much more, but suffice it to say that he gets it. All of it. And more importantly, he gets me. Our kids are so fortunate to have him as a father.

Monday, July 06, 2009

17w0d - Preliminary news about Baby C

The anatomy scan is next Friday at 18w4d, but we practically begged the sonographer to take a peek at all three babies today. Fortunately, she wasn't too busy, and she checked heartbeats (all good) before proceeding to look for girl or boy parts (at our request). It's been 5 long weeks since the CVS procedure, so we're chomping at the bit to know more about our 3rd little munchkin.

It seems my Dh will need an addition on the shed or a man cave, because our elusive Baby C "also looks like a girl!" So, if you haven't been following closely, let's recap: Baby A is a girl! Baby B is a girl! Baby C is possibly a girl! We'll know for sure after the anatomy scan, but in the meantime, we're delighted either way.

The maternal fetal cell contamination study on Baby B came back negative, meaning they didn't accidentally run the chromosomal tests on my DNA. So we know for sure that Baby A and Baby B are chromosomally normal girls.

We have decided not to pursue an amnio for Baby C, and I thank each and every one of you for weighing in on what you would have done in my shoes. It's really been comforting to read your thoughts on the matter.

The rest of the news is that my fundal height is now 21 cm, the equivalent of a 22 week pregnancy if I was carrying a singleton. Unfortunately, my cervix is measuring only 2.5, which is "at the lower end of normal" according to the peri. The good news is that there's no funneling or dilation. They'll measure it again next week to be sure it's not shortening.

Monday, June 22, 2009

15w0d - Whirlwind peri appointment

Nothing like doing the following in 30 minutes. It was like Grand Central:

- Blood pressure, weight check (nurse)

- Discussion about how I'm doing in general (another nurse)

- Cervical check (midwife with 3rd nurse assisting)

- Providing u.rine sample (it's all me. haha.)

- Fast ultrasound check on heartbeats only (ultrasound technician)

- Consent forms and discussion about ruling out maternal cell contamination on CVS test results for Baby girl B (genetic counselor)

- Blood draw to double check CVS results (4th nurse)

- Discussion about no result on Baby C and next steps (new perinatologist)

Good news: everything is normal so far. My cervix is long and closed, which I'm utterly relieved about. It's the first-ever check after becoming pregnant, so I had no idea what to expect. Let's hope my cervix of steel holds out as this pregnancy progresses, because I'm determined to try and carry them to 32+ weeks. Maybe coming right out and saying that my goal is to carry them to 35-36 weeks is just way too ambitious, but a girl can hope.

After meeting a woman in person who is more slender than I am, about the same height, and who reached 36 weeks with her trio of 5 lb babies (who went home with her within a week!), I'm convinced it can be done.

The baby's heartbeats are 149, 153, and 142 bpm, so they're doing great too.

On the weight gain front, their records show I've only gained 7 lbs, but the midwife, who often sees triplet moms, says it will shoot up after week 20 and not to worry. She is not concerned and said as long as I'm eating healthy, eating whenever I'm hungry, and drinking enough water, I can relax!

This is such a relief, because I've been beating myself up about reaching Dr. Barbara Luke's 35lb weight gain goal by 20 weeks. It just seems impossible, regardless of how hard I try. I've been eating MUCH more than usual, and much more frequently, and some days I'm a pound or two heavier on the scale, only to get on the next morning and realize I've lost it all again. The kiddos are munching! I'm seeing the nutritionist in two weeks, and hopefully she'll help me with some additional tips too.

I've started drinking smoothies and protein shakes, but can't stand the syrupy sweet taste of the shakes. It makes me gag, but I've persisted. What have you tried and what do you recommend? I've tried Ensure, and Special K's shakes.

Our level 2 anatomy scan is scheduled for around 19 weeks, and we're hoping to find out more about our elusive Baby C then. Incidentally, I've been feeling Baby C more than the other two, and I'm just convinced he's a boy. Maybe it's just because we want a little boy in our "mix" so badly. It's as if he keeps telling me he's okay in there.

We've decided not do an amnio on Baby C between 16 to 18 weeks. With two healthy girls, a normal nuchal fold measurement on Baby C, no other risk factors aside from my age, and no family history, we don't want to risk all of their lives for yet another invasive test. It was an excruciating decision, but since an amnio and selective reduction would place all of our babies at risk (and we just can't imagine going through with a SR in the first place), there really is no point.

What would you have done if you were in my shoes?

Thursday, June 18, 2009

14w3d - The second trimester

Making it past the first trimester feels so unreal. The days and weeks have inched by more slowly than I could ever have imagined, but I am so thankful to be here, past the 100 day mark.

My next MFM appointment isn't until Monday, but remarkably, I'm feeling calm about the babies and know they're all doing fine. This is the first week that I've felt truly pregnant and not just fat and barfy, with an unwelcome bloodhound's sense of smell.

I'm sure I felt all three babies move earlier this week. A few weeks ago, I felt Baby A (closest to my cervix). It felt like teeny tiny little carbonated bubbles, and I wasn't sure it was real. It disappeared as soon as I felt it, but it was unlike anything I've ever felt before and I knew something was up. Ever since then, I've been more intently tuning into my body.

A week later, I felt a faint flutter, but it was distinct enough that it stopped me in my tracks. Hey, what was that?! I couldn't be sure. Then a few days later, it literally felt like my heart was beating in my stomach. And this week, at different times, and in different spots, I've felt flutters and movements. It's usually most noticeable when I'm lying down on my side. I guess they must be reacting to me squishing them.

Baby C was playing the banjo with his/her umbilical cord or something, because it felt like something was flicking me from the inside. Perhaps it was a foot kicking. I've never been pregnant before, and I'm not quite sure what I'm supposed to feel or not feel, but my 6th sense has taken over and I just know when it's my babies.

They must be pretty cramped in there, because I know it's way early to be feeling anything at all.