On Thursday, I had my first appointment with the new perinatologist. Things started as usual, going over medical history with the nurse, and then an ultrasound.
All but one picture I was given are 3-D, so if you find it creepy, sorry. The ultrasound tech guessed the gender of one of the babies, though it’s still really early, and honestly, after a comment we received when we shared Kate’s gender, I’m not sure if we’re going to tell this time, or not.
Babies: both are measuring well, within 2 days of each other (very important) and their heartbeats are great.
The perinatologist was impressive. We covered a lot (most of it was him asking questions and going over the game plan, though he continuously asked me if I had questions, too). Basically every risk with a singleton pregnancy is multiplied 4-5 times with twins. So while there was a great risk of fetal demise with Kate, it’s even worse this time. He wants the twins out by 38 weeks (he said especially because they are IVF twins, which I need to get more clarification on, since I’ve never heard of that before). Though he doesn’t expect me to make it to 38 weeks, anyway. He’ll do the anatomy scan and look for chromosomal issues at my next appointment (17 weeks) and at the 21 week appointment, he’s going to do a fetal echocardiogram. Apparently IVF babies have a slightly increased risk of cardiac issues, again, multiplied risk with twins.
At 32 weeks, if not before, I’ll start BioPhysical Profiles (non stress tests and ultrasounds) once or twice a week. I had them with Kate, and actually found it somewhat comforting to be monitored so closely.
As for travel, the short answer is no. He said that while he doesn’t know what kind of care is offered in Slovakia, he does know what’s offered in the U.S., and it would be too risky for me to travel. We talked about it in detail, but yeah, short answer, I’m not going to Slovakia. He said he “highly recommends against it.” So that’s that.
Tomorrow I see the high risk OB again, and I’m interested to hear her opinion after reading the perinatologist’s report.