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More News About Baby Girl

on May 23, 2013

We’ve had a busy day today. We started with a early morning fetal MRI for good pictures of baby’s brain. The findings are encouraging: all the baby’s brain structures are present and accounted for! The only finding was the swelling in her ventricles. So that’s good.

We also had another ultrasound. Baby passed her bio-physical profile (breathing, heart rate, amniotic fluid, etc). They did confirm there is an elevated “S/D ratio” which pretty much means that the placenta has to work harder to get oxygenated blood and nutrients across the umbilical cord and into the baby. At today’s test, the ratio measured in the 95th percentile, so still technically normal but definitely something to keep an eye on. This is the lowest level of severity for S/D ratio. The umbilical cord should normally be very low resistance to allow ample oxygen and nutrition to the baby. When the resistance is elevated, it’s something to watch. When the resistance nets about zero, that means the blood flow is more or less stationary in the cord which is bad. If the resistance is reverse, that means the oxygenated blood is actually flowing away from the baby, which is really terribly horribly awful. Luckily, our baby girl is not in that category.

We also had another NST. Remember this is what led to my overnight hospitalization earlier this week. I was pretty nervous, especially when baby girl just seemed content to hang out with a very steady hear rate for the duration of the test. Apparently, a steady heart rate is not desirable because it fails to demonstrate a normal connection between the central nervous system and the cardiovascular system. When people move around, the brain should send signals to the heart to pump faster in order to supply more oxygen to the body. When a fetus kicks in the womb, the same reaction should occur. When the baby kicks, the docs want to see her heart rate increase by about 15 beats per minute compared to where her baseline is. If the rate stays too close to the baseline, it doesn’t necessarily mean she isn’t getting enough oxygen, but without the evidence no one can say for sure. Since baby has growth restriction and increased resistance across the placenta and umbilical cord, a nonreactive NST is very worrisome, which is why they sent me to the hospital on Tuesday. Today’s test was nearly alarming, but baby finally pumped up the jam after a few pokes with a buzzer. Luckily, otherwise I could have ended up back in OB Triage at the hospital.

I also had a visit with my OB. We chatted about what all the findings could mean, and he seems to think there is an underlying genetic abnormality since all the pieces of the puzzle don’t quite add up. He also warned me to be realistic about the chances I’ll need an emergency delivery, especially since baby’s NST’s are starting to come up a bit wonky. He said the NST is the first test that starts to hint at increasing fetal distress. There is still a chance I’ll be able to have a natural delivery, but if baby can’t even handle a non-stress situation (NST = non-stress test), there is no way she’ll be able to handle the stress of labor. So the docs are going to be keeping a super-close eye on us for the next few weeks–if it even takes that long.

I’m going to pack my labor and delivery suitcase this weekend and keep it ready.

I have another NST scheduled for Monday morning, with NST’s twice weekly in addition to bio-physical profile ultrasounds twice weekly. I also have once-weekly OB visits so I can meet with all the docs at the practice so they each get a chance to meet me before they potentially have to deliver my baby. I hope I get through the whole bunch before the time comes. Although I guess it won’t matter to me when it’s time for delivery; just so long as there is a doctor down there to catch baby girl when she arrives.

I really hope and pray she stays unborn for at least two more weeks. 35 weeks gestation would be way better. 37 weeks gestation would be ideal. In any case, we had better start preparing our lives for a newborn to arrive within the next few weeks.

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One response to “More News About Baby Girl

  1. […] Part Six: More News About Baby Girl […]

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