One of the non-parenting books sitting on my night stand is called
God Winks. It is a great book that shares personal stories of such amazing coincidence and chance that people can't help but wonder, "God, was that you winking at me, telling me everything is going to be okay?" I've had it on my night stand for the last several years and I often go back to reading it when I'm looking for inspiration, hope and a reminder that God is always there.
Yesterday was my follow up appointment from last week's scary appointment with the low amniotic fluid. My appointment was scheduled for 9:30, an ultrasound, followed by a 9:50 appointment with the doctor. As I was driving to my appointment, talking with my mom on the phone about how hopeful we were that things were improving, I received an incoming call. I looked at the number, realized it was my doctors office and said, "Hold on Mom, my doctors office is calling." I clicked over and said, "Hello?" The lady on the other end of the line said good morning and jumped right into the purpose of her call, "Angela, I was calling to inform you that our ultrasound technition called in sick today and we do not have anyone else here to perform ultrasounds, therefore we are going to have to cancel your ultrasound for today. We still have your other appointment so plan to come at that time to meet with your doctor." Hearing my ultrasound was canceled and knowing that was the only real way to check the fluid level, my heart sank into my stomach. I tried my best to hide my disappointment, I said, okay, thank you and good bye. I clicked back over to my mom and let my true emotions flow... I said, "Mom, they had to cancel my ultrasound because the lady is sick. I was so looking forward to knowing if the levels have improved and the baby is okay." Mom provided me some reassurance and then I told her I'd call her later with an update.
I arrived at the office early (as I was already on my way for the ultrasound anyway), they checked me in and actually took me back early to see the doctor. Within a few minutes Dr. L arrived, and introduced herself. She went through my entire history, talked with me about the complications and gave me additional information about my oligohydramnios (low levels of amniotic fluid). Dr. L said that at this point in my pregnancy they want the baby's fluid levels to be at least at 15 centimeters but no less than 10 centimeters. She then went on to tell me that last week my levels were at a 4.3 so that is why they are so concerned. She then went onto tell me that she was sorry they had to cancel my ultrasound this morning but that she felt it was really important that I get an ultrasound still today to make sure things were getting better. She also said, given that I am still having pretty consistent contractions (ones that kept me up the entire night on Sunday night), that she felt it was time to refer me to a high risk perinatologist ( a team of obsstetric specialists concerned with the care of the fetus and complication, high-risk pregnancies). I was thankful to hear she was still going to get me into have an ultrasound I asked, "Will you call me later today with the results?" She said, "We probably won't get the results until early next week since we are referring you." I just hoped secretly with my new gained experience in looking at weekly ultrasounds, I'd be able to tell in with a novice eye, if the fluid levels looked better than last week.
Dr. L went onto measure my stomach, she said it measured at 23 weeks (I'm 2 days shy of 23 weeks) so I was happy to hear at least that seemed to be positive news, and then she listened to the baby's heartbeat on the doppler. 150 bpm, she said, "that's good!' She gave me strict orders to continue to take things VERY easy, resting as much as possible, lying down and to continue to drinking the 200 ounces plus of water a day. She then said, make sure you set up next week's ultrasound today so we can continue to monitor you. And she said, "If you have 6 or more contractions in an hour, call us immediately or go straight to the OB emergency room. She then left the room having her assistant return a few minutes later with my order to go get an ultrasound. The ultrasound tech returned and said, the office we are referring you to has five offices, I know the Chandler office is closest to you but we got you in at Mesa."
I left the office continued on with my day, counting down the hours until I could go to my next appointment. When the time came, I arrived at the office 30 minutes early, hoping maybe I could get in early. I filled out the paperwork, paid my copay and had a seat. Just a few minutes later the door opened and I heard my name called. I looked up to see a familiar face. It was Gabriel's friend's mom, Marybeth standing at the door. I smiled and she said, "I was hoping it was you! I only know one Angela Haskovec." Immediately I was at ease and thought, "What are the chances?"
We walked back to the ultrasound room and spent a few minutes catching up. She then asked me all about the history of my pregnancy thus far and the complications I've experienced. I told her about all the concerns I've had from the bleeding to the anatomy scan and the fact that they weren't able to see the baby's face (he was not cooperating that day-maybe being shy) and that the results of the scan came back saying there was a spot on the baby's bowel they needed to investigate further. I'm not sure if it was the overwhelmed and anxiety filled look on my face, but she smiled and said, "Well were going to check everything today!"
And boy did she. She walked me through every aspect of the baby's development, showing me every aspect of the baby's anatomy while providing constant reassurance that everything she saw looked perfect. Baby was cooperating today and was facing the scan. She then went onto check the lips, verify there baby's structural bone development is perfect, ruling out clef lip or clef pallet. As she explained everything we were seeing, she was extremely supportive, going into depth about the medical background and reasoning why the baby's development in one area is critical to the development of the next area. While everything she was saying about the baby's development was so encouraging, I couldn't help but wonder about the fluid levels. I could see there was a pocket of fluid in front of the baby's face but didn't see much other fluid around the baby.
See that little pocket of darkness in front of the face. In addition to a hand and the umbilical cord, there is a tiny bit of fluid to drink.
MaryBeth must have read my mind because she said, "Okay, let's go look at the fluid levels. I'll find all the fluid I can, add it up three different times, and then average it." She explained to me all about the amniotic fluid and why it is so critical for the baby. She said from week 22 to 25 weeks the baby needs to have plenty of fluid to swallow in order for the lungs to develop so that when the baby is born they are able to take a breath. If there isn't enough fluid the lungs will not develop correctly. She said since you are almost 23 weeks we really need to get the fluid levels up so we make sure the lungs are okay. She then started adding up the pockets of fluid to see the total. She said, I'd like to see your levels in between 15-20 cm.

As she went around baby's womb it was clear there was NO room. Baby not only had both hand in front of the face but also both feet and the umbilical cord. She said, "think of your womb like a house, baby is currently living in one tiny room within the house without very much fluid. We want to expand the size of that room so the baby can stretch out and grow." I felt bad, looking at how squished up the baby was, I don't care if the baby likes to be curled up in a ball, there is NO way the position the baby was in was comfortable. After adding up the fluid she said, "there is a total of 8,7 cm of fluid. While it is still very low, I am encouraged that your fluid levels doubled in a week." She continued, "Keep drinking all that water and she said, we want you to start hydrotherapy" She explained, in addition to needing to drink all that water, hydrotheraphy (being submerged in water up to your neck) for 2 hours a day has shown great benefits as well. I'd like you to try and find 2 hours a day, whether in your pool or in a tub, to sit and let the water absorb into your body. My hope would be that by next week, your levels are up above 10 and closer to 15. Keep drinking all that water.
She then went onto to ask me about the contractions I've been having. She said, it is VERY important you do everything and anything you can to avoid going into labor. That means if you need to stay in bed for several days at a time, you need to do that. She said, "prior to 25 weeks, if you go into labor the doctors won't intervene to do anything to save the baby, but after 25 weeks, they will do everything medically they can. We need to get you to 25 weeks. That's only 16 days. And my hope would be that when you get to 25 weeks, then you focus on making it to 26 weeks.
While hearing the reality of the practitioners goal in trying to get me to 25 weeks, it was the first time anyone had been so honest and upfront with me about what their goal is. While hard to hear we are still in a scary place, I really did appreciate the information and to know what we are trying to get to. I am really clueless about pregnancy and while I worry a lot, having knowledge is helpful. We pray the next 16 days go quickly and that baby rests comfortably inside.
Finally MaryBeth said, let's look at the baby one more time. She then went to show me some 3D and 4D images of the baby. She said, "now you're going to have to use your imagination. Usually baby has enough room to move around and we can get a really good shot of the face. Because baby doesn't have a lot of room and has every limb infront of the body, we're not going to see as much but still. it lets look.
She then went to show me and it was so amazing to see the baby in 3D. It was really neat and I'm so thankful she showed them to me as it will probably be the only time I'll get to have a 3D and 4D image.
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| While kind of hard to see, what you can see is baby has a foot and an arm in front of the face. |
Here's another shot of the baby's feet and two hands in front of the face. Not much room to move.
Here's a shot of the baby putting both hands on his forehead and a foot right in front of the mouth. I think it is amazing to see all the fingers. To the outside of the foot you can see the baby's eyes closed.
As we left MaryBeth's room she wished me the best with the baby, gave me a big hug and said, "Just 16 more days, let's work toward that goal." I hugged her back, feeling so much gratitude for all the extra time she took with me and for all the extra pictures and reassurance.
I walked out to my car, got in, closed the door and starting crying. In the last 30 minutes I had spent with her, staring at our baby, I feel so much emotion. While still scared that we are still in a scary place, bad that poor baby has no room to move, I felt also encouraged, informed and hopeful... baby is still fighting hard in there even though there is little fluid and not much room to move.
I dialed Jarrett and tried to gather my composure. I said, I'm just leaving the specialists office, guess who did my ultrasound? He thought for a moment and said, "MaryBeth?" I started crying again. I can't help but wonder, if it wouldn't have been for the lady at my normal doctor being sick and then for the other techs at my OB's office to be fully booked, they would probably had held off on referring me to the specialist. But because she was sick, because my other OB's office's were booked, and because my doctor decided to send me to the Mesa specialty office instead of Chandler,I got set up with her. And even on top of that, out of 4 ultrasound techs at their clinic, I just happened to get scheduled on a friend's calendar. What are the chances? I said to Jarrett, 'I think God just winked at me."
I continue to pray that baby thrives and overcomes these complications. I pray we can keep the contractions at bay so I don't go into early labor and I pray for the day I can hold our healthy, full-term baby in my arms. That continues to be my greatest prayer.
Until then, God, I appreciate the winks... I know your here.
Angie