We got the go ahead!

pt8214

New member
My first post was in a daily-chat thread link here, but I decided to give an update in post form.

Bacground: My last pregnancy was completely unplanned. I got pregnant while on cerazette because of medicine cross effects from an anti-biotic I got for an infection. I lost one twin early on, the remaining one was a macrosome, born after induction at 36 weeks at 4,75 kg (or 10 lbs 8 oz) because of pre-eclampsia. First-born is turning 4 soon :)

After the birth the staff forgot to give me any anti RhD until I mentioned not having received it a week after birth. This increases the chance of our next children getting rhesus-disease since First-born has O+ blood and we don't know the blood group of the lost twin.

I'm also diabetic (type 1) which increases the danger of heart, brain and spine defects in the first eight weeks (this is presumably what happened to the lost twin).

What we can expect this time around and how the hospital staff will react:

We're waiting on the antigen count from today's blood-tests but even if they are high the docs are giving us the go ahead. The diabetes team would feel better if I got my hba1c under 6 but they also realize that that has only happened once in my 21 years of being diabetic. They'll want to have me be extra vigorous with my blood glucose control for the first 8 weeks of pregnancy to diminish the likelihood of brain and/or spine defects. If these do form Husband and I agree that terminating and trying again is what we'd like to do.

If the antigens for the rhesus factor turn out to be high there is a 50/50 chance that the fetus/baby will have rhesus disease. Untreated this causes the antigens in my blood to destroy the bloodcells of the baby. In that case I will have weekly-biweekly ultrasounds throughout my pregnancy and if there are any signs of there not being enough blood I will be flown out of country to the nearest specialist team who will perform intra-uterine blood transfusion for the baby.

We have a high chance of having twins the next time round too. Standard twin-pregnancy followups will follow.

We can also, after reviewing family history, be 99% sure that the next baby/fetus will be a macrosome. We have the go-ahaed for a voluntary c-section if there are more than 1 baby or if the baby is weighed in at 4 kg or above on ultrasound.

I'll be monitored closely for any signs of pre-eclampsia and I have the most hard-ass diabetic maternity doctor on my case so she'll probably want to watch me like a hawk too.

But, we can go fuck off with purpose now! Send all the baby jitters our way ;)
 
Test results came back. They found no antigens for the rhesus, which is good! One major thing off my back.
 
@pt8214 Good luck with everything! I have to wait until closer to the end of the month to get the go ahead from my doc, but hopefully all will go well too.

What's a macrosome?
 
@motherofone The medical term for a big baby. There are certain risks when the baby is too big, they often have too big heads and extra wide shoulders so are more likely to get stuck during birth along with having more strain on their circulatory system and lungs than a standard size baby does just after birth. These are all things that raise the chances of death during birth and in the first days just after birth.
 

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