Two days to go

I did not cry last night, but I kept on thinking what if I move the delivery date, I have my c-section in another hospital or I change my obgyne?

Can I still move the delivery date? My blood is getting thicker. I afraid the babies may die. I have stopped aspirin  8 days ago.

I have not find my anesthesiologist yet. The first prospect is going abroad. The second prospect had a prior engagement. Who shall I end up with? I hope I will not end up with Dr. Billy Ong. Where in the world have you seen an anesthesiologist who never ask for patient's allergies. I cannot forgot his infamous remarks: " no patient gets allergy from anesthesia, perhaps they Are only allergic to preservatives. I will not risk my career on you." Ouch ouch.... What is propofol? Is it a soy based anesthetics? If somebody is allergic to soy, will he not be allergic to Preservative-free Propofol?

I am allergic to dyes. Most of the dyes are aniline and azo based. Ai... I think i will be allergic to ester anesthestics. Because its hydrolysis produce P-aminobenzoic acid. Ouch... It has NH2 attached to be zene ring- its an aniline! I guess aniline allergy patients will be have allergic reaction to PABA, because its chemical structure are very similar.

My first born son is still young! ... Amen! I am freaking out.

I have another issue. I dont like morphine. I wish to propose fentanyl. Am I too nosy? I feels its my body and Its my life. 

placental antigen

Holy cow. What are the components of placental antigen? will it kill me? Is it true?
If placental antigen could leak into my blood stream, could it contain ABO antigen? I bet one of my baby is type O blood. Ehem... My blood type is O, while husband blood type is A. Hmmm... This led me to think his blood type is AO. Hahha... Dont want to think too much. I am still healthy and I dont seem like dying from hemolysis yet.

Target delivery date set

My target delivery date is set to June 30. 36w2d. Can I make it? I have dexamethasone shot starting yesterday. 4 doses 12 hours apart. Ouch... I forgot and missed the injection time today. I dont want to wake up in the middle of the night o have my final shot. I will just have it tomorrow morning. Hey, it feel I had contractions yah... But it is not as frequent as betamethasone. My babies are awake I guess. I will stop my aspirin on Monday. Wow! No blood transfusion if I can survive 10 days without contraction. My Blood test were perfect. Two weeks ago my KCT was 70, last week it was just 80.

Am I dreaming? I went to my immunologist tonight. I was shocked KCT went up to 100, drvvt 40. I need a smoflipid infusion. If I am going to give birth next week, no need for infusion. If I wish to deliver in two weeks I need Smoflipid. I cannot stop aspirin. My placenta is degradating, some of its antigen may have leaked to my blood stream causing my antibodies to be active once again.

1 to 2 weeks to go

When my obgyn comes back from her vacation, she will give me dexamethasone.  Is dexamethasone better than betamethasone? I guess both of them are the same. They can stimulate alpha receptors. I am anticipating for another episode of contraction. Will dexamethasone cause more water retention than betamethasone?

Whatever, This wednesday will mark my 34 th week of pregnancy. I guess my twins will be doing fine  when they come out of my womb. Nothing to worry about.

The operating table anxiety... Ehem. I dont want to think to much. I just hope my obgyn will be true to her promise： new anesthesiologist and neonatologist.

Levobupivacaine + fentayl...?

32w4d- no more contraction

Today marks my 32w4d. I was discharged from hospital yesterday. Whew! I survived bricanyl and magnesium sulfate this time. What strategy will my obgyne use for my next contraction? She said: I have one round of steroid to speed up my fetus lungs maturation. I doubt dexamethasone will not cause contraction. Ai... Life is... Ai... Why should I submit myself as a guinea pig to my obgyne? Btw, is my obgyne intelligent?

DFE predicts the lungs maturity of the fetus. If we can see the dfe on my 34th week ultrasound , is there a need for another round of steroid injection?