Nine-week update

by DaniGirl on October 4, 2006 · 36 comments

in Uncategorized

I had my first OB appointment this week. I’ll have the same obstetrician I had with my other pregnancies, and I really like her. She’s warm but not touchy-feely, and while she’s very kind and empathetic, she doesn’t let me get away with anything. It’s a nice mix!

Frankly, I could have practically phoned this appointment in. I’m only at nine weeks, so it’s too early to hear the baby’s heartbeat with the doppler. There isn’t too much that she could tell me that I don’t remember from my last two pregnancies, either. (I always stumble over the number of pregnancies. This is in fact my fourth pregnancy, since we lost the first one, but I don’t want to keep dragging that into the conversation. Anyway, I digress…)

She listened to my heart and lungs, and took my blood pressure, which always tends to the low side. The only part I didn’t like was the weigh-in, mostly because her scale is a full five pounds heavier than the scale I’ve been using at the gym to monitor my weight weekly. Ugh. I’m more paranoid about my weight this time around than I ever was before.

The one conversation that I meant to have and that I forgot about was the “advanced maternal age” issue. I’m 37, which while not exactly ancient still puts me into the risk category. I’ll be having the Integrated Prenatal Screening (IPS) test that’s available to all pregnant women in Ontario (can I get a hallelujah for socialized medicine? Throughout my entire pregnancy, the only cost I am likely to incur is in the hospital when I give birth, because I will upgrade from a ward to a private room at $100 a night.) IPS consists of an ultrasound at 12 weeks, plus two blood tests, and screens for increased likelihood of Down Syndrome, Trisomy 18 and neural tube defects.

What I can’t quite bring myself to do is an amniocentisis. Because I know my OB fairly well by now, I don’t think she’ll push one on me, despite the ‘advanced maternal age’ issue. When I was pregnant with Tristan, the 18 week ultrasound showed an echogenic cardiac focus, a bright spot of calcification on the heart that was at the time considered to be a ‘soft marker’ for Down Syndrome. We went for genetic counselling, but facing a 1 in 200 chance of Downs, I couldn’t bear the risk of the 1 in 200 chance of miscarriage with an amnio.

Although, it sure would be nice to know whether this baby’s plumbing is of the indoor or outdoor variety – and the amnio can confirm that. Waiting another nine weeks for the ultrasound that shows gender is going to be excruciating!

The one thing I love about my OB’s office is the chart on the wall with the actual-size representation of what your baby looks like right now. I’m thrilled to see that the little munchkin has developed fingers and toes already, and is roughly the size of my thumb. Nine weeks down, 31 to go!


{ 36 comments… read them below or add one }

1 Miche October 4, 2006 at 1:34 pm

I had an amnio. Drop me a line if you ever want to talk about it!

2 Miche October 4, 2006 at 1:34 pm

I had an amnio. Drop me a line if you ever want to talk about it!

3 dean dad October 4, 2006 at 1:48 pm

a hundred bucks?
Show-off.

4 dean dad October 4, 2006 at 1:48 pm

a hundred bucks?
Show-off.

5 Casey October 4, 2006 at 2:04 pm

I never had an amnio, so I have nothing to say about that except good gravy that needle is humongus!
Do you know what the 12 week ultrasound is looking for? I had them at that time, too, but I thought they were just checking for twins.

6 Casey October 4, 2006 at 2:04 pm

I never had an amnio, so I have nothing to say about that except good gravy that needle is humongus!
Do you know what the 12 week ultrasound is looking for? I had them at that time, too, but I thought they were just checking for twins.

7 DaniGirl October 4, 2006 at 2:21 pm

Casey, ya, I’m not particularly afraid of needles, but eek, that one is massive!
At 12 weeks, they look for something called nuchal fold translucency, or how thick the skin is as the top of the spinal column/back of the neck. Apparently if the skin is of a certain thickness, it’s an indicator of an elevated risk of chromosomal problems (like, I think, Down’s.)
Dean Dad – ya, I’ll take just about any reason to brag about socialized medicine. It’s not perfect, but it’s better than the alternative!
Miche, thanks! If it comes up and I need a personal perspective, I just may take you up on that!

8 DaniGirl October 4, 2006 at 2:21 pm

Casey, ya, I’m not particularly afraid of needles, but eek, that one is massive!
At 12 weeks, they look for something called nuchal fold translucency, or how thick the skin is as the top of the spinal column/back of the neck. Apparently if the skin is of a certain thickness, it’s an indicator of an elevated risk of chromosomal problems (like, I think, Down’s.)
Dean Dad – ya, I’ll take just about any reason to brag about socialized medicine. It’s not perfect, but it’s better than the alternative!
Miche, thanks! If it comes up and I need a personal perspective, I just may take you up on that!

9 Marla October 4, 2006 at 2:40 pm

Yeah, I asked for the private room and was willing to shell out – but there wasn’t one for me. 10 babies born that night, including twins. The inn was full, so I got the barely-curtained cubicle by the bathroom next to a moaner with visitors who never left.
So. giggly. about updates!

10 Marla October 4, 2006 at 2:40 pm

Yeah, I asked for the private room and was willing to shell out – but there wasn’t one for me. 10 babies born that night, including twins. The inn was full, so I got the barely-curtained cubicle by the bathroom next to a moaner with visitors who never left.
So. giggly. about updates!

11 Emmie (Better Make It A Double October 4, 2006 at 4:41 pm

Wow, congratulations! I haven’t been by in awhile. I loved that chart too. It was about the only thing I loved about being pregnant, but, oh well. Except the end result, of course. Wishing you a smooth and comfortable pregnancy.

12 Emmie (Better Make It A Double October 4, 2006 at 4:41 pm

Wow, congratulations! I haven’t been by in awhile. I loved that chart too. It was about the only thing I loved about being pregnant, but, oh well. Except the end result, of course. Wishing you a smooth and comfortable pregnancy.

13 nancy October 4, 2006 at 5:07 pm

No amnio experience here, but from what I have heard, I do believe the IPS screening they have now (which they didn’t in 2001) is a great improvement on early detection.
Just be patient lady on the gender thing, you don’t have to worry about shopping cause you are SO having another boy. And yes, I will laugh AT you.
xo

14 nancy October 4, 2006 at 5:07 pm

No amnio experience here, but from what I have heard, I do believe the IPS screening they have now (which they didn’t in 2001) is a great improvement on early detection.
Just be patient lady on the gender thing, you don’t have to worry about shopping cause you are SO having another boy. And yes, I will laugh AT you.
xo

15 BubandPie October 4, 2006 at 6:38 pm

I had the IPS with my last pregnancy as well (didn’t come up the first time around – because I wasn’t old enough? it hadn’t been invented yet? no family doctor? – not sure why). It’s a strange thing, that test – on the one hand, it’s the Potentially-Mess-With-Your-Head-For-No-Good-Reason test, but on the other hand, it’s the Get-To-See-Your-Baby-Now-Instead-Of-Eight-Weeks-From-Now test. The latter reason was persuasive enough for me to overcome my concerns about the former.

16 BubandPie October 4, 2006 at 6:38 pm

I had the IPS with my last pregnancy as well (didn’t come up the first time around – because I wasn’t old enough? it hadn’t been invented yet? no family doctor? – not sure why). It’s a strange thing, that test – on the one hand, it’s the Potentially-Mess-With-Your-Head-For-No-Good-Reason test, but on the other hand, it’s the Get-To-See-Your-Baby-Now-Instead-Of-Eight-Weeks-From-Now test. The latter reason was persuasive enough for me to overcome my concerns about the former.

17 Sharon October 4, 2006 at 7:31 pm

i did the same thing Dani. I avoid Amnio for fear of M/C. And look what I have now. ONE BUSY BIRGHT BOY. Who we love to death.

18 Sharon October 4, 2006 at 7:31 pm

i did the same thing Dani. I avoid Amnio for fear of M/C. And look what I have now. ONE BUSY BIRGHT BOY. Who we love to death.

19 BeachMama October 4, 2006 at 8:42 pm

I too did not have the amnio for fear of m/c. I also didn’t do the IPS, I opted to wait for the 18 week u/s and see if all was well. Which it was and we left it at that. Besides, you are so young at heart, you should be able to shave a few years off for that alone :).

20 BeachMama October 4, 2006 at 8:42 pm

I too did not have the amnio for fear of m/c. I also didn’t do the IPS, I opted to wait for the 18 week u/s and see if all was well. Which it was and we left it at that. Besides, you are so young at heart, you should be able to shave a few years off for that alone :).

21 Guinevere Meadow October 4, 2006 at 9:00 pm

I hope you have a fabulous pregnancy! I’m at the other end- 31 weeks down, 9 to go– I’m very anxious for this baby to arrive! ๐Ÿ™‚

22 Guinevere Meadow October 4, 2006 at 9:00 pm

I hope you have a fabulous pregnancy! I’m at the other end- 31 weeks down, 9 to go– I’m very anxious for this baby to arrive! ๐Ÿ™‚

23 Circe October 4, 2006 at 9:44 pm

Hi! Congrats on the new pregnancy. I am currently 27 weeks pregnant with my second. Just wanted to let you know that I just pre-registered at the General and the cost for a private room is $220 a night. Thought you might like to know ๐Ÿ™‚
Good luck and I look forward to hearing all about this new member of your family!

24 Circe October 4, 2006 at 9:44 pm

Hi! Congrats on the new pregnancy. I am currently 27 weeks pregnant with my second. Just wanted to let you know that I just pre-registered at the General and the cost for a private room is $220 a night. Thought you might like to know ๐Ÿ™‚
Good luck and I look forward to hearing all about this new member of your family!

25 Rev. Dr. Mom October 4, 2006 at 11:31 pm

I was 38 when the Kid was born, and I had amnio. At 35, the risk of genetic defect becomes greater than the risk of miscarriage, fwiw. That was almost 15 years ago, and they didn’t do as much other screening then, so you do have that advantage.
I SO wish we had socialized medicine here!

26 Rev. Dr. Mom October 4, 2006 at 11:31 pm

I was 38 when the Kid was born, and I had amnio. At 35, the risk of genetic defect becomes greater than the risk of miscarriage, fwiw. That was almost 15 years ago, and they didn’t do as much other screening then, so you do have that advantage.
I SO wish we had socialized medicine here!

27 kris October 5, 2006 at 1:49 am

I did that IPS thing with my 2nd child. They really had a hard time understanding that although I was 34, the fetus’ odds should be calculated for a 32 year old as he had been a frozen embryo. They never did get it right.
I never had results on any tests that warrented an amnio, but I’ve always assumed that I’d go through with it despite the risks because I don’t deal well with uncertainty. But luckily you don’t seem to be a neurotic freak like me.

28 kris October 5, 2006 at 1:49 am

I did that IPS thing with my 2nd child. They really had a hard time understanding that although I was 34, the fetus’ odds should be calculated for a 32 year old as he had been a frozen embryo. They never did get it right.
I never had results on any tests that warrented an amnio, but I’ve always assumed that I’d go through with it despite the risks because I don’t deal well with uncertainty. But luckily you don’t seem to be a neurotic freak like me.

29 nancy October 5, 2006 at 5:12 am

Dani? NOT neurotic??
BWAH HA HA HA HA HA HA HA

30 nancy October 5, 2006 at 5:12 am

Dani? NOT neurotic??
BWAH HA HA HA HA HA HA HA

31 Sue October 5, 2006 at 1:50 pm

Yay and Hooray for universal health care!!!

32 Sue October 5, 2006 at 1:50 pm

Yay and Hooray for universal health care!!!

33 alison October 5, 2006 at 3:39 pm

Like Miche, I had amnio. Twice actually, with both my girls (I was 36 with #1 and 38 with #2) at the Civic campus. Not nearly as scary as you’d think, and didn’t hurt much either. And I got to see the little squirmies early. I don’t think they had the IPS tests then (#2 will be 4 yrs old next week) and I was afraid a false positive on whatever the test was then would result in an amnio for peace of mind anyway, so I went ahead anyway. The peace of mind knowing that they were chromosomally OK was indescribably comforting.

34 alison October 5, 2006 at 3:39 pm

Like Miche, I had amnio. Twice actually, with both my girls (I was 36 with #1 and 38 with #2) at the Civic campus. Not nearly as scary as you’d think, and didn’t hurt much either. And I got to see the little squirmies early. I don’t think they had the IPS tests then (#2 will be 4 yrs old next week) and I was afraid a false positive on whatever the test was then would result in an amnio for peace of mind anyway, so I went ahead anyway. The peace of mind knowing that they were chromosomally OK was indescribably comforting.

35 Sayre October 6, 2006 at 9:58 pm

I was 37 when I was pregnant with my son. We did the amnio. He was my first pregnancy that made it past 6 weeks. It was not a big deal. My husband was 46 at the time and while we wouldn’t have aborted if the baby had Downs, we did want to be prepared to deal with it if he did.
No worries, as it turned out. He’s a very bright and active 7 year old now!

36 Sayre October 6, 2006 at 9:58 pm

I was 37 when I was pregnant with my son. We did the amnio. He was my first pregnancy that made it past 6 weeks. It was not a big deal. My husband was 46 at the time and while we wouldn’t have aborted if the baby had Downs, we did want to be prepared to deal with it if he did.
No worries, as it turned out. He’s a very bright and active 7 year old now!

Leave a Comment

Previous post:

Next post: