Third trimester of pregnancy: June 2014

Today marks 29 weeks and 4 days along the pregnancy. I am in the middle of the second week of maternity leave, and feeling a little bigger and more tired than last week so I have been taking it easy….There are no signs of premature labour or cervical insufficiency (nice lingo hey?), but I have had some Braxton-Hicks (aka practice) contractions (which is normal).

Fun fact: A woman carrying twins at 30 weeks is carrying the same weight as a singleton pregnancy at full term. That explains it….

I have been swimming to enjoy some time without the weight, and generally organizing things at home. The next project is to cook a bunch of meals, aliquot them into portions and freeze them (in our newly acquired chest freezer) for the anticipated insanity coming our way. Anyone who knows me knows that I want a square meal come hell or high water, and I’ll make damn sure I’m getting one if I’ll be breastfeeding 2 hungry little babies! Friends in Denmark please note: this does not get you off the hook! You are still very welcome (and kind of obliged and forced) to make us meals, generally help and tend to us in the early desperate parenting days 🙂

Today I spent the day at Rigshospital, having tests:

1. Diabetes test to check for gestational diabetes (since my grandfather had diabetes) – no problems there (except for how gross it is to drink a cup full of liquid with 75g of glucose in it)

2. Ultrasound scan & blood flow check

3. Midwife chat

4. Obstetrician chat

The summary is that this week the blood flow of the twins looks fine (in their various arteries as well as the umbilical cord) but one twin seems smaller than the other. One has always been a little smaller, but it seems like the gap is widening. So 2 weeks ago baby 1 was 954g, and she is now 1.2 kg, while baby 2 was 943g and is now about 1 kg. The weight is estimated based on measurements of the circumference of the head and abdomen as well as the length of the femur. Obviously there is a lot of error, given that the femur is only about 48 mm long (aw so tiny). But now the obstetrician reckons maybe a C-section at 32 weeks is more likely than 34 weeks.

one tiny baby profile

So you are probably wondering, like me, why is this happening???

Well they don’t really know… It could be the start of twin-twin transfusion syndrome where one twin is getting the blood from the other, but it’s hard to tell. The main indicator is bladder size, and their bladders don’t look extremely different, so that’s not confirmed. It could also be that for some reason baby 2 is not getting what she should from the placenta.  Either way, it’s not really a good thing to see.

So. bummer.

I mean the babies are both kicking and have good heart rates when we monitor them with CTG (they put these little ultrasound monitors on your belly at the positions of the babies’ hearts and it measures how fast their hearts are beating, usually 130-150 bpm), usually for 20-30 minutes at a time. So far this indicates they are not yet in distress. I have 2 CTG appointments this week, and another ultrasound for the blood flow to keep a close eye on them. Next week I have another scan, 2 more CTGs and a visit to see the neonatal unit at the hospital for the first time.

So the plans is keep on thinking happy thoughts and hope the girls can make it to 32 weeks.


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