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2? - Elizabeth Unexplained
Lots of data but no answers
greyautumnrain
greyautumnrain
2?
I took psychohist in with me today for the ultrasound and appointment. Having him along was totally worth the effort it takes to get him out the door before his normal time. It was nice to have an extra set of eyes, not to mention someone to balance tendency to expect the worst these days.

We had the nicest tech I've met yet doing the ultrasound. She asked about my numbers, and I told her that they were a bit high for a singleton but a bit low for twins. "Probably only one in there," was what I said, while psychohist pointed out that it was her job to look and tell us how many. As it turns out there were two sacs in there, though one is much smaller than the other. My initial reaction was that the smaller one was probably not going to make it, but when we went in to talk to our doctor about the ultrasound she though that since both sacs had yolk sacs, it was quite possible that both of them would make it. So, I might be having twins. We'll have to see if they are both still there in two weeks when I go back for a second ultrasound.

It was too early to see heartbeats at this point. That's one of the reasons to have a second ultrasound in two weeks. We'll check then to see if they are both still there and if they are viable. Grace says that the difference in size could just be that one of them impanted a couple of days later than the other. She was pretty upbeat about it given that they both have yolk sacs, so we'll see.
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Comments
coraline From: coraline Date: October 29th, 2007 05:57 pm (UTC) (Link)
cautious congrats and fingers crossed for you... so exciting :)
From: (Anonymous) Date: October 29th, 2007 06:07 pm (UTC) (Link)
Congrats!!!!!!! Fingers crossed for you! Michelle from Mommy Someday delurking here (http://mommysomeday.typepad.com).
sorceror From: sorceror Date: October 29th, 2007 06:13 pm (UTC) (Link)
Best wishes, as always!
jdbakermn From: jdbakermn Date: October 29th, 2007 06:51 pm (UTC) (Link)
1/ Continued best wishes
2/ Yolk sac? Really? I had no idea.
psychohist From: psychohist Date: October 29th, 2007 06:59 pm (UTC) (Link)
Yeah, the amniotic sac and the yolk sac are highly visible on the ultrasound, probably because of differing densities or something. One amniotic sac was about 60mm in diameter with a 15mm diameter yolk sac; the other amniotic sac was about 20mm diameter with maybe a 5mm diameter yolk sac. I think much of the space outside the yolk sac but inside the amniotic sac is filled by the fetus, but to ultrasound, the fetus looks the same as amniotic fluid at this point and is thus invisible.

Obviously the yolk sac isn't a reserve of energy that's used up the way a chicken egg yolk is. I'm wondering if it's maybe a reserve of energy to bridge the periods between meals or something. I don't think Elizabeth mentioned it, but she's been ravenous a lot ever since roughly when we think implantation happened, to the extent that I joked about "the kids fighting over food".
enugent From: enugent Date: October 29th, 2007 07:08 pm (UTC) (Link)
Yolk sac - more than you ever wanted to know.
psychohist From: psychohist Date: October 29th, 2007 07:32 pm (UTC) (Link)
enugent From: enugent Date: October 29th, 2007 07:07 pm (UTC) (Link)
Congratulations! I thought those numbers sounded high for a singleton, especially your doubling time. You could get "caught up" in one fell swoop.

Good luck for the next ultrasound. Tip - if you and Warren are squabbling over the last bit of food at dinner, telling him he can have it if he doesn't mind taking food from his unborn child was surprisingly effective on Tom.
dcltdw From: dcltdw Date: October 29th, 2007 07:41 pm (UTC) (Link)
*grin* Reminds me of a co-worker, who at N months pregnant, was not keen on being the one to get out of the warm, comfy car to open the garage door when it was freezing/snowing/this/that/the other.

So when her husband relented and hopped outside, and subsequently slipped on some ice, she calmly quipped, "that could've been me", glancing down at her abdomen.

At which point, she stayed comfy for the rest of winter. :)
merastra From: merastra Date: October 29th, 2007 11:07 pm (UTC) (Link)
Ooooh... Double the cautious congratulations! :-)
psychohist From: psychohist Date: November 5th, 2007 09:22 pm (UTC) (Link)
Mostly I'm using this comment to save this link:

http://humrep.oxfordjournals.org/cgi/content/abstract/18/8/1720

I was looking for information on miscarriage statistics for twins. Okay, that sounds grim, but I just want to be realistic. Statistics are really hard to come by; some web pages said things as scary as "the chances of miscarriage may be up to 50% in multiple pregnancies", but they didn't have details.

This article says that per embryo miscarriage rates for twins is no higher than for singles. It's for IVF with ICSI, and we didn't use ICSI, but it was reassuring nonetheless. It sounds like the main complications with twins are other than miscarriage.
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