Re: 's ultrasound update and interesting stuff the doc told me.

[Guest guest]

Ok I am walking on clouds today. I

don’t know where to begin.

My peri said that based on the ultrasound

today which is 35.5 weeks that my baby does not have Downs. He said that by 35 weeks a baby

with Downs would have shown signs of a rounder head shape (cross section) and

shortened femur length. He said

you can only pick up this stuff late in the pregnancy and only 40% of the time before

20 weeks. But, because he was

looking so late, he said we would see some problems by now…what a

relief. He did say that there is

still a possibility, but that it would be highly unlikely.

Next, and are you ready for this? He is having a conference on

Tuesday with the other 3 perinatologists to discuss the possibility for trying

a vaginal birth instead of a c-section. He said it will still be up to me, but he

would recommend it at this point.

He said that they would be very cautious, that 2 perinatologists would

be by my side at all times and if there is any sign of increased bleeding, then

they would rush me into OR and get two other surgeons (4 in all) and they would

be prepared to take the baby and inject these beads to stop the bleeding in my

uterus if it comes to that. The

beads would clot my uterine arteries and would be delivered through another

blood vessel by a catheter that they feed to the right position. He said that hysterectomies are extremely

rare in these type of controlled situations. He said that they would be very cautious

and overly conservative.

Why does he think I should try vaginal

first? Because

the placement of my placenta is not over any surgical scars. If it was over my c-section scar he

would recommend a c-section, but the placenta is actually in a good location,

it’s in the back of my uterus.

This is interesting to note…he said that there is a layer of

fibrinous tissue underneath the endometrial layer that secretes hormones that tells

the placental villi (capillaries) to not grow any deeper. If you have a c-section or any surgery

that cuts through the myometrium then this layer is compromised and you don’t

have the feedback needed to stop the placenta from embedding too deeply. This is why the more c-sections and surgeries

you have that cuts through the muscle of the uterus you have the higher risk of

accreta, percreta and increta. In

my case the only two myometrium breeches I have had were in places that the

placenta isn’t. But, they

will discuss my complete history on Tuesday.

My peri also said that a full term

pregnancy pretty much reverses the damage of Ashermans. Your thin lining can and will build up

after a pregnancy because of the bathing of high levels of hormones for 9

months. This is consistent with

what Cheryl’s doc said. I

asked him about rough spots, he said that they fill in, I asked him about thin

linings like mine , he said they get thick again. So, if I can do a vaginal then I could

save my uterus for another baby if I wished to.

The last items of note from

the ultrasound. She has a full set of hair, she is

measuring 50th percentile in size and weight at 5 lbs and 13 oz

(almost 6 lbs). My placenta

is a full 2.5 -3.0 cm from the cervix now and I am off all my

restrictions. My cervix is just

starting to show signs of shortening, but it is very little.

So, on Tuesday I find out if I wait for a

vaginal delivery or not. Wow, I am

floored but so happy! Thanks for

listening,

[Guest guest]

,

What wonderful news today. I gave birth at 35.5 weeks to a

6lb4ozer. You are doing great. I wish you much luck as you must

already know. That would be great if you wanted to try for a 3rd and

you can. I hope we can all put ashermans behind us one day.

Here is to a happy, healthy and easy delivery no matter which way you

choose to deliver.

hugs,

penni

[Guest guest]

,

You surprised me...I didn't know you had any concerns about a Downs

baby. Didn't you have an Amnio to rule that out much earlier in the

pregnancy? Was there worry of any other conditions, i.e. spina

bifida, etc...

Boy was I doubled surprised about the possibility of a vaginal

delivery. It sounds very exciting...but, I must admit, it gave me

goosebumps when I was reading it. It all sounds very risky!!! But I

can understand why you are contemplating the idea and I know you have

the best physicians discussing and counseling on your case, so if

it's recommended and you decided to attempt it....GOOD LUCK!! We'll

all be rooting for you.

LOL

NANCY S

[Guest guest]

,

What great news for you! Very interesting about the layer of

fibrinous tissue beneath the endometial layer. It sounds like you'll

be in very capable hands (lots of them!) if you give birth vaginally.

And you can even try to conceive again - fantastic!

Lee Ann

[Guest guest]

,

What good news from you. I am so excited for you.

I found your whole email very very interesting and informative, especially that bit about the placental villi (capillaries). Thank you for passing on that information.

Good luck!

Poly

[Guest guest]

Wow -

That is so wonderful! and so exciting! Good luck

tomorrow. We're all routing for you and that little

one.

Janice

__________________________________________________

[Guest guest]

Thanks Janice!

[Guest guest]

Thanks Lee Ann….Looks like I will be

doing the c-section..but in capable hands

nevertheless.