A “Slight Change”

Tuesday began with a visit to the pediatric cardiologist for an echocardiogram on the twins. (Zeke’s heart rate was 141 and Gabriel’s was 154.) The doc says everything looks great, stable and healthy! The walls of Gabriel’s heart are no longer showing signs of thickening, as they had been previously, and heart pumps, heart flow, aorta, septum and other heart parts and activities all measure perfect for the gestational age of both twins. I have another echo scheduled for a month out, but it is just as a precaution. 

Gabriel at 28 weeks. Gabriel

It was a busy day because I also had my weekly ultrasound on 9/2. There was welcome news on every front, except that the Doppler readings showed a “slight change” in the blood flow in Zeke’s umbilical cord. So, Dr. Smith decided to give Zeke a biophysical profile (the test we were supposed to start at 30 weeks).

Zeke at 28 weeks. Zeke

Through a special ultrasound method, a BPP measures five physical attributes: 

  1. heart rate;
  2. muscle tone;
  3. movement;
  4. breathing;
  5. and the amount amniotic fluid around a baby.

Zeke had a perfect score on all five items, so Dr. Smith said we shouldn’t be too concerned about the Doppler as of yet. However, since “slight” things can very quickly morph into “dramatic” things during a high-risk twin pregnancy such as mine, she asked that we come back in tomorrow for another round of Doppler readings, as well as to go ahead and get started on our weekly BPPs for both babies.

Zeke at 28 weeks. Zeke

Please keep up the prayers for me and the boys. We have come so far already, but your continued thoughts and goodwill are greatly appreciated with each new challenge we face. Thanks!

My Birthday Wish

I turned 37 years young on Saturday, August 30, and my birthday wish has come true: Gabriel and Zeke are alive, healthy and continuing to grow big and strong inside of me! There were times I thought my pregnancy would never make it this far, and as of tomorrow, I will be 28 weeks and counting. Our sweet boys are truly a miracle of God and modern medicine!

Gabriel in utero at 26 weeks.

These 4D images were done at my last ultrasound on August 25. There are a few more choice in-uterine photos available for your viewing pleasure; click the photo of Gabriel above and the photo of Zeke below to check ’em out.

Zeke in utero at 26 weeks.

At that ultrasound, Gabriel’s heart rate was 164 and he weighed 1 pound, 11 ounces, and Zeke’s heart rate was 158 and he weighed 1 pound, 13 ounces. The doc says everything is still looking “stable,” including Zeke’s CCAM, which remains unchanged. Dr. Smith, a new specialist to the practice, also pointed out that she has had two previous TTTS patients, both of whom had fetoscopic surgery like me and made it to 37 weeks (note: 35 weeks gestation is regarded as full-term for a “normal” twin pregnancy). In her medical opinion, it is not a sure thing that Gabriel and Zeke will preemies after all. So, if by the grace of God we can make it another seven weeks, the boys will be coming home from the hospital with me. Let’s keep our fingers crossed!

Watering plants in August 2008.

I had a prenatal appointment with my OB on August 27 (heart rates were 160 for Gabriel and 152 for Zeke). Dr. Stringer says he wants to start doing a once-weekly biophysical profile beginning at 30 weeks, instead of a twice-weekly non-stress EKG test beginning at 32 weeks, which is another option for twin pregnancies. The biophysical test is just a fancy ultrasound, testing for the same thing as would the EKG: making sure that my placenta is providing Gabriel and Zeke everything they need for good health and that the boys are adjusting well to their in-uterine environment. This includes doing detailed analysis of heart tone, amniotic fluid, flexion of extremities, and diaphragm and fetal breathing.

Houston plays at the park after his 1st haircut in August 2008.

Houston had his first real haircut on August 28. I knew he wouldn’t love the experience, but I was surprised how much he actually hated it. Thank goodness it was a quickie cut because he wailed the entire time. To make up for any trauma we unintentionally induced, Gramsey and I decided to get him an ice cream treat and then have some outdoor fun at a nearby park. Needless to say, he got over the haircut pretty quickly.

Click on the photo of Houston and Gramsey on the slide to view the haircut and park pictures. And click on the watering-can photo to see how Houston likes to cool off in the summer heat, as well as a few pics of his latest play date with his buddy, Mason.