Friday Follow Up

We had our follow up appointment this morning and it went really well! The twins are still doing great with good heart rates and appropriately sized bladders. The test that we will be having done regularly, and that was completed this morning, is called an Amniotic Fluid Index (AFI). It does exactly what it sounds like, measures the deepest vertical pocket of amniotic fluid. The results today were very consistent with what we saw on Tuesday. Still just within the ranges of "normal", but stable. They also performed dopplers on the umbilical cords to track the blood flow in and out of the babies. These tests are giving us a good baseline to with which to compare future tests in order to determine if intervention is necessary. Because the AFI was favorable, I will not need to continue appointments every three days, but can stick with once a week appointments at the perinatal center. Dr. R. was very pleased to see no change and mentioned that it had been a very rough week, so this bit of good news went a long way for her too. She also let us know that she spoke to the doctor down at University of Maryland Medical (UMM) about our case so they are aware of us and ready to step in should we need that extra care, but for now we can stick to being monitored at SJMC,which is great since it is so incredibly close by and I am familiar/comfortable with the campus.

We are so thankful for your thoughts and prayers. Please continue to pray that AF levels remain adequate and that Baby B is getting enough nutrients to develop properly. Survivors of TTTS do have an increased risk for neurological problems. Also pray that when they check the babies' growth in a few weeks that Baby B will have had some gains and that Baby A continues to grow on track. For now, we have so much to be thankful for - like, no bed rest yet! The thought of being on bed rest, especially for an extended period of time is extremely daunting to me as we try to prepare for these little guys. I am also trying to shower Audra with lots of physical attention when I can as it is already very difficult for me to pick her up or have her as close to me as she'd like when she requests a cuddle.  She is definitely aware that this is a change and it frustrates her.  I am hoping that we can continue to enjoy this summer time with friends and outdoor activities since it is inevitable that she will have quite a shock whenever the babies arrive whether it is in September (crazily a possibility at this point!) or November.