Appointment with my OB " take one"

Earlier in the summer I tried buying some new flower combos to use in my pots this year. I really like the varieties of the polka dot plants they had out this year. Although I bought them as seedlings they've really grown well with a few impatients. I love pink combos and blue pots so I tried them out in a pot I got at English Gardens nearby.


Yesterday afternoon I trekked down to my OB's office (always say down since most of my doctors are south of the city and we live on the north side) for my preconceptual planning appointment. While in the waiting room I ran into the ultrasound tech from their office whom I've grown to love over the years. I hadn't seen her since our recent miscarriage and she gave me a hug. It was sweet of her and I felt my eyes well up a bit- but I quickly stopped them. I didn't want to lose it in a waiting room full of pregnant bellies. Not there, not like that. Besides, the ultrasound tech (a former infertility gal herself) began telling me about their current plans of adopting from Korea. So that was a well welcomed distraction.

Shortly after I walked into an exam room for my appointment. I discussed with my OB the idea of us doing a frozen embryo transfer in a few months. He's hopeful that my uterus has stretched a bit from our pregnancy with Brynn. That still doesn't solve the issue of my nutritional problems during last pregnancy but hopefully will help with the preterm labor we had. My unicornuate uterus was about 1/3rd normal size before we had Brynn but hopefully it is a bit larger now. My OB pulled out my chart from the office and started reviewing our course during the last pregnancy. He laughed when just as he opened it up, the file ripped at the seam! It was a pretty thick chart and we both said it was time for a new one. Hopefully this new chart will be the start to a new beginning.


We talked about my OB providing most of my care during our pregnancy as well as me being co-managed by the MFM (maternal fetal medicine) perinatolgy group. He wants the two of us to meet with my peri from my previous pregnancy in the next few weeks. We made a tentative appointment for July 14th. We talked about me taking progesterone for the first trimester. Then around week 13 I would have a cerclage placed by my OB - who placed one when we were pregnant with Brynn. He said that he would possibly place a different type of cerclage than the one we had placed last time and that I would likely have to be admitted and stay overnight this time. I said whatever it would take of course I will have to do if we are going to go down this road. I would then take weekly progesterone shots around week 16 or so to help calm the uterus and prevent preterm labor. Likely I may be on procardia again to prevent and control contractions since they helped greatly last time. He talked about the risk that I may have to be admitted and placed on Mag Sulfate again if things got dicey but that we would try to avoid that at all costs.

From a nutritional standpoint the plan is more vague. Mainly because we don't even know if this will happen again. Hopefully we will dodge this bullet. I am realistic of the risk however. Regardless my OB wanted me to meet with the gastro (GI) doc who followed me last pregnancy to get his imput. My OB joked but somewhat seriously told me to start beefing up now. Meaning if we are fortunate enough to get pregnant from our FET then I should try to gain a decent amount of weight early on in case I run into trouble later on in the second and third trimester.

We ended the appointment on a lighthearted note about discussing my upcoming trip with the hubby we have planned to New York for our anniversary. My OB loves to travel with his wife and daughter and had a bunch of suggestions on places to see and shows to go to. He wanted to see me again in a few weeks after the other two appointments to wrap up the plans for another stab at a pregnancy with my good ole ute.

My feelings at the moment? Well I think this post is already long enough..I'll fill in more tomorrow since people may already be bored by this long post :-) I need to make some dinner and crash a little early tonight since worked paged me that I'm in the open heart room tomorrow. When you're in the heart room the cases start at 6:30 meaning we have to be there by 5:30AM to set up so the alarm goes off kind of early. Thanks for listening and I hope everyone has a great night!