March 13th, 2013 (27 weeks) - OB Appointment and Glucose Screening
Yesterday I had my Ob appointment. I drank the glucose on my way and had my blood drawn. Results in a few weeks.
Weight was 146lbs, so 11lbs gained at start of third trimester! :)
Talked to Dr. A about a few things:
1. The perinatalogist asked me if I had high-grade HPV with high-grade lesions/cells, and the answer is yes. It is the worst non-cancerous cells you can have before cancer. No where to go but to cancer.
2. I will have another colpo with a pap smear at 30 weeks and again at 35 weeks. If they at all show up cancer, then we prepare for delivery and do the hysterectomy then. Of course this isn't nearly as concerning to me as it was when I was only 24 weeks pregnant. I know Anna-Kate will be much healthier being born at most, 32 weeks (it takes up to two weeks for results to come back). And of course I will get the steroid shot for her lungs if I need to deliver early.
3. But as of now, the way it is, looks like around 8-12 weeks after Anna-Kate is born, I will have a hysterectomy. I will have a colpo and pap-smear six weeks after delivery and they will make a decision then. There seems to be a consensus now with all three doctors (OB, peri and oncologist). I am super glad about this. This is, after all, what I wanted from the beginning. Get it out of me. Take the fear away!
4. I will not be a candidate for a vaginal or laparoscopic hysterectomy because it's involving cancer. Apparently the lymph nodes have to be biopsied and they can't do that any other way but "the old fashioned way". So the doctors (my OB and oncologist) will use my same scar from my c-section. I will most likely be in the hospital for 3-5 days in Baltimore, where the oncologist does his surgeries. So we are looking at late August or early September for the surgery, just depends when AK is born.
5. Hopefully I will be able to keep my ovaries and tubes. This way I don't go straight into menopause Of course without having my uterus and cervix, I won't ever have a period again! :) I guess something good has to come from all this, besides not worrying about getting cancer!!
6. Regarding Anna-Kate's shorter limbs, the OB is not too concerned. First of all, ultrasounds can be wrong. Second, there is confirmation of a nasal bone, so he really thinks if anything it could be dwarfism. He also thinks she could just be short. Or maybe just a little behind in development. But since her limbs are growing and everything else on her is perfect, he really says I shouldn't worry. I am praying that is the case. I will be worried though, she is my littlest baby and I want her to be perfect. But no matter what she is will perfect to us.
7. There are no other genetic testing or testing of any kind that can be done now that is worth risking. We just have to wait and see once she is born, if anything stands out. Praying she is just perfect in every way!
It was a good appointment and I am glad I got a lot of my concerns and questions answered. I go back in 3 weeks (4/3) to the OB and 4 weeks to the peri (4/8). I don't see the oncologist until 6 weeks after delivery.
Thank you again for all the wonderful prayers and thoughts. I appreciate everyone of them! (Some of you who have left blog comments do not have an email attached to your profile, so I can't email you back to say thank you, so please know that you are appreciated!)
Yesterday I had my Ob appointment. I drank the glucose on my way and had my blood drawn. Results in a few weeks.
Weight was 146lbs, so 11lbs gained at start of third trimester! :)
Talked to Dr. A about a few things:
1. The perinatalogist asked me if I had high-grade HPV with high-grade lesions/cells, and the answer is yes. It is the worst non-cancerous cells you can have before cancer. No where to go but to cancer.
2. I will have another colpo with a pap smear at 30 weeks and again at 35 weeks. If they at all show up cancer, then we prepare for delivery and do the hysterectomy then. Of course this isn't nearly as concerning to me as it was when I was only 24 weeks pregnant. I know Anna-Kate will be much healthier being born at most, 32 weeks (it takes up to two weeks for results to come back). And of course I will get the steroid shot for her lungs if I need to deliver early.
3. But as of now, the way it is, looks like around 8-12 weeks after Anna-Kate is born, I will have a hysterectomy. I will have a colpo and pap-smear six weeks after delivery and they will make a decision then. There seems to be a consensus now with all three doctors (OB, peri and oncologist). I am super glad about this. This is, after all, what I wanted from the beginning. Get it out of me. Take the fear away!
4. I will not be a candidate for a vaginal or laparoscopic hysterectomy because it's involving cancer. Apparently the lymph nodes have to be biopsied and they can't do that any other way but "the old fashioned way". So the doctors (my OB and oncologist) will use my same scar from my c-section. I will most likely be in the hospital for 3-5 days in Baltimore, where the oncologist does his surgeries. So we are looking at late August or early September for the surgery, just depends when AK is born.
5. Hopefully I will be able to keep my ovaries and tubes. This way I don't go straight into menopause Of course without having my uterus and cervix, I won't ever have a period again! :) I guess something good has to come from all this, besides not worrying about getting cancer!!
6. Regarding Anna-Kate's shorter limbs, the OB is not too concerned. First of all, ultrasounds can be wrong. Second, there is confirmation of a nasal bone, so he really thinks if anything it could be dwarfism. He also thinks she could just be short. Or maybe just a little behind in development. But since her limbs are growing and everything else on her is perfect, he really says I shouldn't worry. I am praying that is the case. I will be worried though, she is my littlest baby and I want her to be perfect. But no matter what she is will perfect to us.
7. There are no other genetic testing or testing of any kind that can be done now that is worth risking. We just have to wait and see once she is born, if anything stands out. Praying she is just perfect in every way!
It was a good appointment and I am glad I got a lot of my concerns and questions answered. I go back in 3 weeks (4/3) to the OB and 4 weeks to the peri (4/8). I don't see the oncologist until 6 weeks after delivery.
Thank you again for all the wonderful prayers and thoughts. I appreciate everyone of them! (Some of you who have left blog comments do not have an email attached to your profile, so I can't email you back to say thank you, so please know that you are appreciated!)
I am so far behind and I'm just now seeing all of this! Praying for you and AK. I am happy you were able to get some answers!
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