24 Week Appointment and Ultrasound
Today was my 24 week appointment.
First I had my monthly growth ultrasound. Again, baby girl was kicking right before the ultrasound so I wasn’t too concerned – and my belly has been getting very obviously bigger. But still, I wasn’t thrilled with getting led into Ultrasound Room 2. (It was the last one I was in with Devin, when I found out he had died.) But… not as bad as I had expected. Just a brief twinge. But I hopped up on the bed/table and she started the scan. It surprized me that this time they didn’t check the heartrate right away, she just started measuring the head circumference. I don’t concentrate too well until I see that heart beating. And she wasn’t moving too much. But then she moved down to the abdomen and there was the heart beating away. 131bpm, I think she said – which is low for this little one.
But then, after she’d measured the abdomen and femur and confirmed that it is still indeed a girl, we found out why the heartrate was on the lower side: she was sleeping. Not only was she sleeping, but she was nestled face-down, head on my right side, and she would not roll over, not for anything. The tech jiggled her – she waved her hand dismissively at the ultrasound wand. I sat up, layed down, rolled side to side. Nope. She was sleeping, and apparently she has about the same sunny disposition when asleep as her mommy does.
So, despite the tech pulling out the 3d wand and trying for quite some time, we have only two somewhat random pictures. Hell we couldn’t even get a 2d pic of her profile. This is the best one, her arm is over the side of her head as if to say “go away!!”
After that was my midwife appointment. I was given the u/s report to bring to the midwife so we actually got to see it all. She is estimated to weigh 1lb 6oz, which is 48th percentile. Her measurements are all pretty much on track, though again her head circumference measures 25th percentile – looks like she’s going to have a petite head, like me. Femur is measuring 25th percentile as well, which surprized me. But all in all it’s all very good, fluid level is normal, she’s growing well, and she definitely has an attitude.
This time my appointment was with a different midwife in the group. I remembered her from when I was pregnant with Devin. Fundal height is measuring at 24 weeks, right on track. She used the doppler even though I’d just had an ultrasound. Since baby girl was laying transverse she tried to find the heartbeat around my belly button. First thing we heard was a very loud, slow WOMP WOMP. “Uhhh, that’s you,” she said in response to my very startled expression. “You apparently have a very good placental artery there.” I mentioned being able to see and feel my heartbeat very strongly in the center of my belly and she pointed out that it’s probably because of my anterior placenta – all that blood flow right smack dab in the center of my belly. Big “duh” moment, not sure why I didn’t think of that. She moved the doppler a little bit and there was baby’s heartbeat, now measuring around 140.
I asked some quick questions of the midwife – I actually brought a list this time.
– I drink a lot of milk. How much water do I need to drink in addition to that to stay hydrated? (2-4 glasses should be fine.)
– Leg aches and cramps, any suggestions to help? (They really have no idea what causes them. Stretch out the muscles. Warm baths before bed may help.)
– Anything I should know or do about traveling on a plane? (Make sure to do leg stretches and get up and walk around the cabin once an hour. Stay hydrated. Compression stockings wouldn’t be a bad idea.)
She also said that while I’m traveling if I have any medical questions or problems there’s always a midwife on call 24 hours a day, and they can fax my records anywhere immediately, if need be – though of course they wouldn’t anticipate me having any problems at all at this stage in pregnancy.
When we were talking about food/milk intake she mentioned how I’ve gained 13 pounds in the past month. Den’s and my heads snapped up and I very bluntly said, “No I haven’t.” Apparently the nurse wrote down my weight as 148 – it was actually 143 (and even that sounded a little high for what I was expecting). A re-visit to the scale supported my memory, not the written one! Sheesh. Even 8 lbs in a month sounds like a lot. I’m going to have to back off the milk again. And stop eating fast food.
I changed my next appointment from a morning to an afternoon and then we were finally on our way, holding our little ultrasound pictures and shaking our head and sighing at our stubborn, stubborn little girl. Den just groans, “Oh she’s going to be just like you, isn’t she.”