Pernatalogist Appointment: 26w4d

Monday, March 11th I had a perinatalogy appointment. I am 26w4d.

The scan went well. Everything looks good. Fluid is good. Cervix is good. AK is growing well. She is still on the small side. She is currently weighing 2lbs exactly. Oh and she is head up, just as I expected..I've been feeling those little feet dancing on my bladder!

In reference to her limbs, they are still measuring small. Her upper leg bone (from her hip to her knee) on both legs are measuring very small. Small, like not even on the normal curve, yet. Her lower leg bones (from the knee to the ankle) are measuring on the normal curve but in the less than 5 percentile. Both are concerning. Both legs are measuring the same, so that is at least consistent. Arm bones are the same. In the low percentile but on the normal curve. 

Again he asked me how tall I am. How tall is my husband. How tall are our other girls. Again he asked if the genetic screening came back normal.

He doesn't have any answers as of now. He compared it to Emily's growth at this point in my pregnancy with her and she was growing normally. He said it is good that AK's limbs are all growing still. They are measuring longer than at the last scan, just not normal for gestational age at this point (it's about two weeks behind).

Of course this isn't what I wanted to hear, but still it's not the worse. I am rejoicing in the fact that she is healthy and like I have said before, if she just is a little shorter, no problem!

Here are some photos of our sweet little AK:

They couldn't get any good 3D photos because she was head up with her hands in front of her face.

As for the pre-cancerous cells. We talked long about that and I was glad to hear another doctor's opinion. He said hands-down, I should have a hysterectomy after AK is born. He said if it was his wife, at 27 years old, with five kids, 100% he would suggest a hysterectomy. He asked me a few more questions about the type of cells and lesions that were found and when I find out the answers tomorrow at my OB appointment, I will share.  I really was surprised and glad to hear that I am not crazy wanting a hysterectomy. Wanting this fear gone. The risk of cancer will never completely be eliminated but it will be a lot better! He said there is no reason to keep my cervix/uterus at all, especially since we are not having any more children. 

He also said that I could be a candidate for a vaginal hysterectomy, which would be awesome. Less time in the hospital, much better recovery times, less expensive and with four toddlers and a newborn (well a little one who is 2-3 months old) that is breastfeeding, I hope to have something that is easy then completely open surgery! We will see, and I will have to keep discussing everything with my OB and the oncologist.

Also, the nurse doing my scan heard what oncologist I saw and when I was mentioning his bed side manner wasn't the greatest and how he made my husband feel stupid for asking questions, she said she used to work for him and knows exactly what I meant. She said that he is a great doctor and one of the best in the local area related to oncology. I was again glad to hear this, because now I've heard it from two different people, both in the medical field. 

By the time most of you are reading this, I will be at my OB appointment and doing my glucose test. I'll share details on Thursday.