Archives for the day Wednesday, January 28th, 2015

Yassy’s note; Pregnancy week 1week -12 weeks

In the previous entry titled “Yassy’s note: Natural IVF cycle and finally…“,I wrote that since we did not give up on building a family of our own, we tried two more round of IVF cycle;Natural IVF cycle with frozen embryo.

Once with 2 embryo in September,2013,which ended up not getting a good news, and the other time with one last standing embryo (Liam) in November 2013,which turned out to be our little Liam to be.

I wrote about this before, but I do not know what to say about the last IVF cycle with Liam to be. The last remaining embryo ,which is “Liam” to be, beat the odd!  Our doctor was amazed for the result knowing it was the last embryo, and that it would have been our last try with IVF. Liam could be called as “miracle baby” for that.

My husband sometimes say that he still cannot believe that we got our own son who gives us smiles everyday.

This strong baby “Liam” is now 6 months old. Time passes by so fast!

Liam was such a great Christmas gift for both of us.

How to count your pregnancy week..

One thing that I found interesting for the pregnancy weeks is how to count your pregnancy week.

With naturally conceived pregnancy, the day one in the pregnancy is the first day of the last period is the pregnancy day 1.

According to parenting website, to calculate the due date manually for the naturally conceived babies, you can add seven days to the first day of your last period, then subtracting three months, then adding a year. wil give you the due date for the baby.

With IVF conceived pregnancy, especially if you were to use the frozen embryos, then, using the embryo transfer day to calculate the due date will give you the most accurate due date for the baby.

When I was a pregnant, I used the IVF due date calculator at the IVF connection website here. The IVF connection website got not only having the calculator but also plenty of information regarding IVF  and IVF conceived pregnancy etc..

Medication after positive pregnancy result and beyond..

With IVF conceived pregnancy, fertility doctor has told me to keep taking the prenatal vitamins,baby aspirin, progesterone and estradiol until 12th week of pregnancy. Those medications were to support/maintain the pregnancy.

With over the counter medications,  we got the list of medication pregnant ladies can take. You should talk to your doctor/OBGYN first but here is the list that I got. If you do plan to breastfeeding the baby, keeping the list of drugs you can take during the pregnancy time is great because medicine you could take during the breastfeeding would probably the same or similar.

I do breastfeed Liam and, when I got cold, I made a call to our OBGYN and made sure the”Tylenol cold” listed under the safe to take drug during the pregnancy time is still good one to take.

Once before I thought of asking about the medicine what to take when cold, I was not thinking clearly and took “Day Quil”. It is fine to take during the breastfeeding time, but it did reduce the milk supply as I read on it somewhere on the internet later on. Therefore, I do not take Day Quil anymore and stick with Tylenol products.

** For aches; discomfort,headache,fever; Tylenol (regular/extra strength),Tylenol sinus, Tylenol PM

** For cold; sudafed, Tylenol Flu, Tylenol Cold, Claritin-D

** For cough; Robitussin, Dimetapp, Halls/Sucrets Cough Drops,Mucinex

** For Heartburn; Indigestion; Tums, Maalox,Mylanta,Rolaids,Zantac, Pepcid, Gaviscon, Tagarnet, Prilosec OTC

** For Sinus congestion; Saline Nasal Spray, Sudafed, Tylenol Sinus, Claritin D

** For Allergy; Tylenol Allergy, Benadryl, Benadryl Allergy, Claritin

** For Difficulty sleeping; Benadryl, Tylenol PM

** For Constipation; Colace, Milk of Magnesia (tablets/liquid), Beneful, Metamucil, Fibercon, Cirucel, Konsyl, Senokat

** For Diarrhea; Immodium

** For Hemorrhoids; Preparation H, Anusol (Ointment/ suppositories), Nupercaine,Tucks Pads

** For nausea; Emetrol

Nutrition after positive pregnancy result and beyond..

On the very last day we visited our fertility doctor, he set us off with a small information packet regarding the pregnancy along with information sheet on Liam (vital record of embryo).

According to the paper that I got, it says that main goal for maintaining the healthy pregnancy is to not to loose the weight. Also, it encouraged patients to eat additional 300kcal per day over the normal consumption.

What encouraged not to eat was deli meat and hotdogs that are not heated well to avoid listeriosis.It was also advised patients not to eat undercooked meat,fish,poultry.

I was told that it will be ok to eat medium rare steak or sushi or drink coffee as long as I am not eating a lot of by OBGYN, but I stopped eating steak and stopped drinking coffee, and I made sure that all the meat that I ate was well cooked one.

I love cheese. I was told to make sure that any dairy I will consume is pasteurized one, and avoid soft cheese such as brie,feta etc..

Eating variety of healthy fresh food, and try to eat balanced meal each day are also the goal throughout the pregnancy weeks.

I remember I ate lots of yogurt,lots of fresh fruits, lots of liquid (to keep me hydrated), some good omega 3 fatty acids rich fish like salmon along with variety of vegetables.The fertility clinic advise patients that it is ok for them to eat about 6-12 oz of small fish like salmon in a week.

Fertility clinic also got a information sheet that advised patients who have tough nausea time to…

** eat small frequent meal

** avoid hot/spicy food

** Well hydrated by consuming 6-8 cups of water each day

** Try to avoid strong odors

** Try going for walk and getting some fresh air 

Some people goes through tough nausea experience ,but mine was rather mild. I did get nausea and sometime,I did not feel like eating (although I made myself to eat for Liam), but I did not skip the meal.

What helped me for the nausea was to drink something or eating fresh fruits or ice cream or yogurt.

Although the fertility clinic encourage patients to avoid spicy food for nausea, spicy food was something that I craved a lot of. I did not care for the smell of dish washer soap and,I avoided that.

As for walking, I wanted to keep doing small exercise each day like walking but for me, moving around seemed to trigger the bleeding/spotting so, I remember I was on the bed lots of time, try not to walk around much especially when I was under 12 weeks.

The food that I craved a lot of was strawberry,black olive, plain yogurt with fresh and spicy food. I still like to eat black olive that I did not care for before. Yogurt also became one of those things that ” have to have one in a day”.

I now share the yogurt with our dog “Palette”. When the yogurt container gets emptied out, Palette makes sure to get it super clean. She dives her head into the yogurt cup and when she lifts her head up from the yogurt container, she sometimes got yogurt eyelashes,yogurt head etc.. It is so funny but she really really like yogurt!

Palette and yogurt cup 1

Lick,lick,lick…

Palette and yogurt cup mine

This is mine….

 What is happening with you and your baby..

 One thing that I had as weekly routine stuff to do during my pregnancy weeks was to read up two websites on what will be happening with me that week and what will be going on with Liam in the belly.

Reading up about how I am changing day to day and getting information about what to do, what not to sort of things as tips and how Liam would be growing in my belly that week gave me plenty of information and I enjoyed reading the article week by week.

One website that I visited often is called “Pregnancy corner “, and the other website is called ” The Bump“. Both very informative and very good ones to read up.

One other thing that I did to following up with my changes and Liam’s changes is to watch the youtube video produced by pregnancy chat. You can find their youtube video channel here. I watched their channel until I give birth to Liam. I found the video was very easy to understand and helpful.

How to read the ultrasound pictures..

According to the eimedical website, various body tissues absorb sound waves while others reflect them. The density of the tissue dictates the speed at which the echoes return.

It says that that FLUID like amniotic fluid is always BLACK and TISSUE is GRAY. The denser the tissue is, the brighter white it will appear in ultrasound.Then, the brightest white being bone.

 In the ultrasound picture, you will always find the date,and time on top.

 In the picture,especially when sonographer was measuring anatomy of the baby,you will see the x mark on it.

You will also see pregnancy week; It usually noted after “GA”; OwOd. W means weeks. D means days.

Sometimes, you will be abbreviation on the picture when sonographer has measured something of your babies.

 For example, width of the baby’s head being BPD; biparietal diameter, FL means length of the long bones;femur length, TTD is the width of the abdomen; transverse trunk diameter. GS means “gestational sac“; the sack where the baby is in. CRL means “Crwn-rump length”; the length of the baby’s head to his/her butt.

 Sometimes, different sonographer measure the baby and baby’s posture/angle they can see is different and measurement can be slightly different each time.

Watching over Liam’s growth through the ultrasound..

 The very first regular OBGYN as a pregnant woman was in December 2014. It was close to the Christmas week.

 Very first regular OBGYN appointment was rather wasting time though. Because we told them we are through the fertility clinic and we will be coming to them but, when  we got there, we had to wait for 2-3 hours in the waiting room and when my name was finally called, I was asked to pee in the cup for the pregnancy test.

 Since we told them we were through the fertility clinic and we will be coming with the ultrasound image of our little Liam (6 weeks and 5 days) , it was not something we were thinking of happening at the OBGYN.It is simply because we have the ultrasound image of our son and why need pee in the cup to check the pregnancy positive/negative test for our visit….?

  Anyway, when we told about it with the little Liam ultrasound image on our hand, the nurse said that by the time our name was called, the sonographer time was up and she went to home, and we got nothing to do there…and have to come back in January 2014 for the actual visit as a pregnant woman.

Here is Liam at 6 weeks 4 days old. This is the ultrasound image picture we brought to our local OBGYN.

According to the pregnancy corner website, at this time of 6 weeks of pregnant,Liam would have been forming eyes and nostrils and it would appear as black dots.Then arms and legs will be like stubs.Also, lungs,pancreas, intestine, and liver are also forming at this stage and size of the baby will be about lentil ; 1/4″.

Technically, in the ultrasound image, he was past 6 weeks, so he must have been growing into the blueberry size;7th week development.

7th week development include mouth,eyes and tongue forming,developing his own blood type. Then,intestine,appendix are fully formed. You may see toes and fingers in the ultrasound picture. The pregnancy corner website says that teeth and tongues are forming inside the mouth as well in the week of 7th weeks too although you cannot see them.

Liam 6 week 4 days old Dec 16 2013.blog

Liam 6 weeks 4 days old..

 It was cold,rainy day and by the next appointment time in January, we would not be seeing Liam in my belly for 2-3 weeks and since we were getting used to see how things were going in my belly weekly basis, it was tough/anxiety time especially when I was spotting here and there and sometimes, I saw red blood in the toilet and it really got us worried if Liam was doing ok.

 Come January 2014, we got to see arms and legs in the ultrasound image and it made us smile. Knowing he was doing all right since the last image scan at the fertility clinic was such a relief.

 This is Liam with arm and leg first appeared in the ultrasound image.The sonographer said that this little one is really wiggly and moving a lot:-)

With 8th week development for the baby from the pregnancy corner, Liam would have been forming gonads. Also, the hardening of the bones begins to occur, and the elbows, wrists, and other bones and joints are taking shape along with facial features such as nose, ears,jawline and mouth and teeth. The website also said that if you look closer, you can almost count all twenty fingers and toes!

Liam 8 weeks 6 day Jan 3 2014 blog

Liam 8 weeks 6 days…

 When I visited regular OBGYN, our doctor has suggested us to go see high risk OBGYN one floor down just because I have got bicornate uterus (heart shaped uterus).

 Therefore, after the visit, we started seeing both high risk OBGYN and regular OBGYN. I was busy with OBGYN visit throughout the pregnancy time.I visited weekly basis for some time and as I get close to birth, 2 times a week for high risk OBGYN,1 time a week for regular OBGYN. We were monitored very closely.

 Next Liam’s image that I got to take home was end of January.I had more visit with regular OBGYN but when we go there, we were simply did testing and hearing the heartbeat and not ultrasound. We were wondering if they decided not to do the ultrasound because they know that we will be going to the high risk OBGYN who would closely monitor both of us.

Just around 11th week, we went to regular OBGYN for the first trimester screening test (blood test,pup smear,breast exam etc etc..) and we did not get to see the little Liam with sonogram and we were a little disappointed.

But I remember the nurse put a device on my tummy so we got to hear the heartbeat.Bom,bom,bom…

They said heartbeat was 162 per minutes and it is good.The doc said then, in about 3 weeks, I would start feeling the little one’s movement.

 The doctor was really nice one and, I could ask question comfortably and when we did screening test, I asked her about allergy.Because I was curious if what I eat will raise the probability of food allergy of little one; for example, if I eat egg a lot, if kid will have egg allergy and should avoid common allergen food to eat during pregnancy?

It may sound silly question but I was curious.

Her answer was no. She said, the way we manufacture food is making more kids allergic to variety of food,but what mother eat would not make kids more prone to be allergic to certain stuff.

After the visit, we visited high risk OBGYN.There, I did blood test for down syndrome,which needle was poked into 4th finger and mark the red on designated section on the test paper,and we did abdominal sonogram.

Everything was good with little Liam and sonographer made the image into 3D! It was cool to see that.

That day, looking at the picture, my husband was wonders if it was a boy (He thought he was seeing something).

With them, it seems like we need to do a lot of testing.First one ordered to do was glucose test,which I was told I will be served sweet drink and after 1 hour later,check the sugar level. Normally, glucose test will be done much later in the pregnancy week but because of family history of diabetes, they wanted me to check twice.

Next time we went there,I was told I would do the anatomy test,which they would check every detail of the babies including gender.

This is the picture the sonographer took regular ultrasound image plus 3D image one. Liam looked cute in the 3D image:-)

According to the pregnancy corner website, in the week of 12th week, Liam would have been forming the vocal cords and nails, and developing eyebrows and lips.

Liam 12 weeks 5 days blog

Liam 12 weeks 5 days..

Liam 12 weeks 5 days 3D Jan 30th blog

Liam in 3D;12 weeks 5 days..

Overall, because of how my uterus is shaped (heart), they said I would have possibility of premature birth and possibility to have kidney problems (which they want to check later).

I understand their position is to go with extra caution with close monitor with me and Liam but, listening what will be ahead of us made me a little nervous than I was before.

IVF was stressful stuff to go through but all of these during the pregnancy weeks was also stressful,full of worries… Stress is not a good one for the healthy pregnancy so I tried to focus on positive stuff but every time we went to high risk OBGYN, I felt like I was given more stuff to worry… even though I understand their position in the situation.

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Jan 28, 2015 | 0 | Pregnancy