Thursday, May 5, 2011

first prenatal appointment

I had my first prenatal appointment with my family physician today. I had not seen my family physician since last summer, when I cried on her exam table after she asked how the fertility treatments were going. My demeanor at today's appointment was different. She was very excited for Mr. A and I and visibly disappointed to have to refer me to an OB in FTT (fertility treatment town - where I will be working until November). It's nice to be loved! She spent quite a bit of time with me doing a physical and talking about the screening tests and the next steps. She said that normally, she follows pregnant women until week 24 and then refers to an OB. When I told her that Dr. RE suggested an OB was probably best sooner than later, she got on it right away. I still have an appointment to see her in 1 month, but if the OB's office calls before that, I will just cancel my appointment with her and start with the OB. I somehow don't think I'll get to see an OB within the next month (this is Canada folks: free health care = awesome, and free health care = waiting). 

My doctor had a doppler but said right off the bat that it wasn't very sensitive. She usually only hears heartbeats of 11 week old fetuses and up. She heard one of 10 weeks recently (I'm at 9w2d), so she was willing to try, but at the condition that I wouldn't get anxious if we didn't hear anything. She poked around for a long time, but alas, it couldn't be detected. Yes, I could get anxious about that if I let myself, but that would be ridiculous (please also remind me of this in your comments). The instrument isn't sensitive enough to pick up the heartbeat of such a young fetus.

I found it interesting that they made me pee in a bottle today. Oh look, there is hcg in my urine! I guess they were being thorough. The nurse took my blood pressure (a-ok) and weighed me. I weighed a pound more than the last time I weighed myself (2 weeks ago) and pretty much the same as pre-transfer. I think the extra pound was all constipation. That is the new symptom this week, along with heartburn. Poor digestive tract. It's really struggling.

It was great to walk out of the doctor's office. I was back in Pleasantville, which is where I like to be. The sun was shining, something we haven't really seen in weeks. And I had just spent an hour talking my pregnancy. What. my. pregnancy. Yes. I had been thinking of Bunny all day, since this is the day that Bun Bun is coming to the light of day, and I suddenly felt my heart fill with substantial hope. This happens. People have fertility treatments and get pregnant and have babies. This really happens. Maybe it's even happening to me.

14 comments:

  1. It is happening for you! Yay :)

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  2. Yeah!! What a nice visit with your MD. Don't worry about the dopler not finding a hb. That's why alot of folks don't buy one for home use.

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  3. They'll probably test your urine at every prenatal appt. I think they test for sugar and protein. Definitely don't worry about not hearing the hb yet!

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  4. Hurray for hope, beloved Augusta! Yes, this is happening to you. :)

    And as far as the darling 9w heart beat, I can already hear Dr. Dad and Sister NP in my ear, saying "no worries about the heartbeat! it's hearing one at your stage that would be odd!" Not that I have told them, but they are my go-to medical reassurers, and they both love you very much. Knowing they wouldn't be worried means a lot too me, and I hope gives you some comfort, too.

    I am confident your little one's heart is above average for health and happiness -- look whose heart he or she gets to nestle near for the next several months!

    Sending love, as always, H.

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  5. Yay, warm sunshine and hope! What could be better? No worries on the heartbeat....it's just too soon. Give that little one time to get bigger :D

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  6. Hey Augusta! My OB/GYN is a fertility specialist in my area...aka she does the IUI's and that's about it but she does have extra training. Anyway, she says IVF patients are considered high risk patients and should be seen by an OB right away. So this was good to hear as I was feeling guilty about not seeing my local family doctor who delivers babies. As it turns out, I see both actually. She's new school and family doc is old school so its neat to have the two different types of care. And yes, no worries on the heartbeat...may even be until week 14 until you hear something. Also, my OB said to take colace for the constipation...just kinda "loosens" things up if you know what I mean. Eventually I had to take "Pantaloc" for heartburn...started off on zantac and that works well for most people. But try and cope with the hb until week 12...after that baby is fully formed and lesser worries on any meds but if you have to you have to. Risks are super slim even if taken in first tri. Take care!

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  7. It is happening! I know in Ottawa - OBs don't generally see you until past 12 weeks - I had my first appointment at 14 weeks I believe. Hopefully you get an OB that you like and who is very available to you.

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  8. Your baby's heart is chugging along with love, well beneath the surface. Safe = in a place that is difficult to hear.

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  9. It is, it is, it really is happening to you! Your sweet owlet's just playing hard-to-get. S/he'll be dopplable soon enough. Keep up the great work, Augs and Wee'un! xoxo

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  10. Do not fret for a moment over the doppler - way too early to hear on doppler. It would have been a miracle to pick it up (though, if that miracle is going to happen I would have liked it to happen to YOU). Also glad you'll get a sooner referral to an OB, even if the wheels will move slowly.

    As for the constipation, all I can say is: ugh:) Your OB (or maybe even your GP) can prescribe a prenatal that does wonders on that front. Mine is "Citranatal" and has done wonders on that front.

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  11. I am so glad for you!!
    Keep up with the great mood!! :)

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  12. It does happen! Sad bunnies can become happy bunnies with little baby buns, and I believe--*consults field guide*--yes, it can happen to owls too. It is happening for you right now. And yeah, I was still having transvaginal ultrasound at that stage-finding a heartbeat that early is just too much to ask of a doppler.

    If it's any consolation, the constipation went away at about 14 weeks and never returned. There are tons of remedies you can try, but for what it's worth, this is the one that worked for me, and has worked again at getting the old post-c-section bowels happy again:
    http://www.amazon.com/Cascadian-Farms-Organic-Morning-15-Ounce/dp/B001E5DZI4/ref=sr_1_1?ie=UTF8&s=grocery&qid=1305051975&sr=8-1

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