Friday, February 3, 2012
OB Appointment (10 weeks 3 days)
First thing this morning I had my intake with the OB. I was so nervous about the whole thing as I wasn't sure what to expect. I was fearful that my history was going to get overlooked and that I would spend more time worrying about what "could" be wrong and what they missed. Dr. L. came in the room and I could tell that he was going to be taking his time. He was a very soft spoken doctor and moved as if he had all the time in world. I brought with me a two page synopsis of everything that has happened in the past including my entire surgical history and all of my medications. He went over every single detail with me asking me many questions. After we worked through my history I had a Pap smear and an internal exam. He said that he was a bit concerned with how my cervix felt but wanted to continue with the exam before we discussed anything. He then proceeded to find the heartbeat with the doppler but was unable to do so. He was moving the probe rather quickly so I knew he wasn't going to get it as I have to precisely hit the spot when I use my doppler at home and if I move or even breathe, I lose it. After a few minutes he asked if I would like an ultrasound and of course I was agreeable. A few minutes later he came in the room with the ultrasound machine. Immediately we saw the baby's facial profile and two little legs kicking around. He pressed a little harder and the baby turned its head right towards the ultrasound and starting flailing its arms and legs. He commented how active the baby was and was quite pleased with all of the movement. If you look closely at the picture above, you can see the baby staring straight at you with its two little tiny eyes (the head is to the left and the two block spots are the eyes). I measured in at 10w1d which is two days behind...still. The doctor said this is great as I am growing perfectly between appointments as I have consistently measured a couple days behind since my first ultrasound at 5 weeks.
After I got cleaned up from the ultrasound goop, the doctor came back in and talked to me about how he would like to proceed. He said that he pulled my ultrasound from last Thursday and my cervix was measuring 3.0cm at that time. He said that this is the minimum that they like it at. Given this and my extensive history he said that I will now be followed by Maternal Fetal Medicine here on out as I have been officially deemed high risk...but I knew that was coming. He said that he wants me to see MFM within the next two weeks as cerclage placement needs to be determined and scheduled. He said that they tend to do them a bit later than most practices as they schedule them for around 14 weeks, not 13 weeks. I asked about how the cerclage and my diagnosis of a borderline cervical length would be handled with activity but he said that would ultimately be determined by the MFM. He said he doubts that I will be allowed to travel long distances but we won't know the exact details until I see the MFM. My NT scan was scheduled for the 16th but now that has all changed. They are bringing me in on the 14th for my NT scan, genetic counseling, and my first appointment with the MFM. I am actually being sent directly to the Chief of Maternal Fetal Medicine so I am happy as I will be in the best hands possible. Looks like things are progressing nicely!