Saturday, August 15, 2015

Confused - fetal weight, AC and uterine growth restriction

Three weeks ago, my fairy godfather was suspecting an intrauterine growth restriction. He said in the span of 17 days, AC has just increased by two days wide. FL has just increased by 10 days, while bpd was on track. I was given Heraclene and my amino acids were increased to 42 tablets per day. The estimated fetal weight was 1.8kg.

A week after (two weeks ago), the estimated fetal weight was still 1.8 kg. Obgyne told me not to limit my food intake. I should take insulin shots instead. She said my immunologist was exaggerating. She considers iugr only when there is two weeks lag in the development.

Last week, the fetal weight was 2.5kg. How come the weight gain was above 700g in the span of 7 days? The estimated fetal age based on AC is 36weeks. Perhaps her previous measurement was wrong. It was supposed to weigh more. How to measure the abdominal circumference? Is the baby in slant view? How to estimate the fetal weight? Obgyne told me I need insulin! I became guilty on the food i ate. Maybe I have eaten high protein but too much calorie. My blood sugar was normal most of the time. I admit, sometimes my blood sugar tends to spike. Should I really take insulin? I handed my obgyne my home blood sugar monitoring record. Wow! Nice!

Is there abnormality with my baby? Why the baby gained too much? This week the fetus estimated age is just 32 weeks based on AC. Its weight has dropped by 300g. Now, it weighs just 2.2 kg. Why? Did i eat too few? Will the abdominal circumference measurement be affected by baby's movement or breathing?

I went to see my endocrinologist this week, I complained my blood sugar  why sometimes my blood sugar drops to 65 and 70?  Why sometimes my insulin resistance was high? I am still under observation til now. This means I have been pricking 4x60 for days= 240 times already.

I miss my immunologist. He is missing. What has happened to him? Thank god, my crp became negative on its own. Oopps, lab error last time?

Wednesday, July 29, 2015

Cocaine

I am allergic to lidocaine, benzocaine and tetracaine.  Unfortunately, my obgyne usually use those anesthetics. Hmmm... I never tried cocaine in my entire life. I am curious on what is the feeling in Cloud 9? Hello anesthesiologist, can I try cocaine? If I love it, I might get motivated to make a second baby!

Hemolytic disease of newborn and breastmilk

Aside from prematurity, ABO blood incompatibilty may also cause jaundice. My younger sister was born with orange color skin. She had exchange transfusion few days after she was born. My mom's blood type is O+, while my sister's blood type is B+. Oops, I forgot to tell this to my fairy godfather.

My blood type is O+,  my husband's is A+.  Then, what? I wish to have a very good neonatologist. Can I perform a Coomb's test from the cord blood? Will there be enough blood left for the cord blood banking?

Antibodies do not cross placenta, but how did my sister get HDN ? My mom did not breastfeed us. Btw, i always hear colostrum is very good for the babies. It contains antibodies for immune protection. Ei, does it contain antibodies to blood type a antigen?  I am afraid of antibodies.

Oops, Im just guessing about the reason for my sister's severe jaundice. Btw, my younger brothers is also blood tupe B+.

Who believes in ghosts' month?

Who believes in ghost month? Should I schedule c-section on week 33 or week 37? My immunologist does not want me to have c-section later than week 36. My obgyne asked me thrice already to sched for an auspicious date for the c-section.

I am stucked. I feel there is no harm in believing that ghosts' month brings bad luck. But, I feel the baby will end up in incubator if he gets out to early. My womb is still the best incubator. Its free from nosocomial microbes. I dont want to decide as I am fearful of  surgery. I leave the decision to my fairy godfather. He requested for a distal femoral ephisys scan.

What are the risks of prematurity? Jaundice... Whatelse?

Saturday, July 18, 2015

So near yet so far

Only 4 or 6 weeks to go to my scheduled c-section. Why I am still reluctant to shop for baby's stuffs? This is not going to be a good news. I have intrauretine growth restriction. I am taking 24 tablets of amino acids already! I need to adjust to 42 tablets. Oh my, I will look like a drug addict! Will see what my obgyne will say after she receives the letter from my fairy godfather. I need my second cycle of betamethasone. Tsk tsk tsk... What would that mean? Ai! So near, yet, I am still far from our target weight.

I am a still afraid. But, I know my friend's son, who was born at week30, has successfully discharged after his five week incubator stay.

Cant sleep tonight

I am still contemplating the arterial blood gases report of my father-in-law. Unfortunately, it is late. His interment is set tomorrow. Ai... We can't bring back the hands of time. Fairy godfather said he does not recommend increasing oxygen to patients with severe hypoxemia and pneumonia. Ouch... He feels tracheostomy is the best solution.

I really can't sleep. I am itching all over. My liver enzymes are good. Why I just had the itch after I returned home from my fairy godfather's clinic. I just took Benadryl 10 minutes ago. I hope It can help me sleep as well.


Wednesday, July 8, 2015

I am a vampire

I need the following as per my immunologist request:
8 units of platelet
4 units of plasma
2 units of whole blood

Ouch... I feel like a vampire! Yay! Where can I get my donors?