Sunday, 19 June 2016

As the days go by

Every day is a new experience, we have never been this far in a pregnancy before. As exciting as you might think this is, for me it just increases my anxiety around how I will cope if things don't turn out.

The past Wednesday was a challenge, as I had to return to the same hospital and clinic as our last pregnancy, something I had vowed not to do - but hospital admin will have it's way.

I thought I was in the clear as I was scheduled to see a completely different team, until the high risk registrar showed me through to her office and that very doctor was sitting at her desk! I just froze and couldn't go in, tears coming out of nowhere. I managed to explain and she ushered him out, explaining to me she wasn't even sure why he was there in the first place.

The appointment was quite positive, after this initial appointment, and one more, they are confident that I can switch to the other hospital, if everything continues to go smoothly with the pregnancy. I explained my fears about the progesterone levels and they did a quick scan for me - baby measuring a couple of days ahead (give or take) and that gorgeous little heart beating away.

The scan in itself was quite surreal as I was back in the same room as our scans for the previous pregnancy and I was sure that there would be no heartbeat - I was already thinking that so the room just added to the fear. The lovely doctor even held my hand as the tech did the scan.

She also measured my blood pressure and was surprised at the high reading, but was more than willing to put it down to my worry over the baby and the distress at seeing the other doctor. She asked me to have it monitored whenever I visit my GP.

Since then I have had my weekly follow up on my progesterone levels. My last check was 39 (12 in adjusted terms) and this time was 55 (17). I had been told that my levels would go up quite quickly, I was expecting something more than this although if I compare the results, it has gone up more in the last week than in the previous 3, so that's something.

My GP also tested my hcg to pass on to the genetic counselor, the result was only 108,000. They all think that this is fine, as levels slow after 6 weeks and also after reaching such high numbers. Still, this is a doubling time of 10 days based on my previous result, which was 3 weeks ago, so not really useful for comparison.

I have to have progesterone and hcg monitored weekly until at least 14 weeks, so we shall see what happens next.

My daily medication regimen is now 200mg progesterone twice a day, 5mg folate, 100mg aspirin, 850mg metformin and my prenatal vitamin. By far the most disruptive is the progesterone. The night dose is not too bad, but as I have to lay flat for at least 30 mins after, the morning dose is a pain on work days - but so far seems to be worth it!

I was supposed to be having my combined first trimester screen blood test this week, and 12 week scan and harmony test two weeks after that. Now I am having my weekly bloods this week, screening bloods, harmony and scan the following week at 11 weeks, and my 12 week scan a week later at 13 weeks.

It still seems surreal to think about making it that far, and as yet I haven't booked our appointments. That's my job for tomorrow, if I can summon the courage.

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