That title drew you right in, did it not? I saw the wonderful Dr. W today, and his ability to soothe me and also mock me a little is a surprising combination. Picture a British forty-something in a dress shirt and slacks who would definitely rather be wearing shorts (what he usually sports).
After he declared that all was well with me, my cervix and the babies, I told him I was worried about placental abruption. Why am I worried about this relatively rare condition in which the placenta detaches from the wall of the uterus, leading to bleeding, premature labor and possibly fetal death, you ask? Since the risk of major complications and death from prematurity is low as we are past 28 weeks (woo hoo!) and we have a less than 1% chance of developing TTTS at this stage, I need something to worry about! Don't I? C'mon! Worrying is for me what stamp collecting is to others: a comforting pastime.
Me: How common is placental abruption? I am very concerned about it since it is more common in multiples.
Dr. W: We rarely see it. It is usually associated with high blood pressure, and your blood pressure is low.
Me: Hmm. But it is more common with multiples, right?
Dr. W: About 1% of pregnancies have an abruption.
Me: Ohh. And it usually presents with bleeding?
Dr. W: Yes. Most are minor and do not result in fetal death, just an earlier delivery which should not concern us too much as you are nearly in the 30's.
Me: Okay. (Furrows brow.)
Dr. W: You can do something that reduces your risk tremendously, actually.
Me: (Practically jumps off the paper-covered table to grab his arm.) YES! What is it?
Dr. W: Don't smoke any crack cocaine this weekend. That is the biggest cause. Ha, ha!
Me: I was going to have some crack with my popcorn for movie night, but I shall refrain.
Dr. W: (Laughing his English ass off...) Great! See you next week!
I have to say, he is good at making me feel like everything is okay while reminding me not to worry about things not worth worrying about.
28 weeks and 5 days baby stats!
Baby A: 2 lbs, 13 oz
Baby B: 2 lbs, 12 oz
Baby C: 2 lbs, 12 oz
Their weights are all within the normal growth curve for a singleton- about the 40th percentile. The sonographer commented on how long the boys' arms and legs are, indicating they will be fairly tall. I was able to see their cutie pie faces and watched them breathing and swallowing. And kicking each other in the head. Since Baby C is breech, his little feet hover right around Baby A's nose. Occasionally he gives his unsuspecting brother a little poke with his heel just to remind the twins that he is in there too.
My cervix is still over 2 cm! I am very pleased knowing they consider it to be quite stable. Dr. P said she would only hospitalize me if it was hovering closer to 1 cm (which, unfortunately, can happen quickly) and I still might have a couple weeks of cervix left to keep me at home. I am hoping with all my might that I will be among the lucky few who manage to stay out of the hospital until right before their C-section, or even drive to the hospital on the boys' birthday which we hope is Monday, October 26th!