Sunday, April 21, 2013

What is a TAC??

TAC = Transabdominal Cerclage

How did you know you had an Incompetent Cervix:
I knew I had IC because I went in for my A/S and they checked my cervix with a trans vag u/s. I had the typical U shaped funneling of my cervix, with "silent" contractions. meaning the cervix was funneling from the inside out, and it was too far gone to do an emergency transvaginal cerclage (TVC). It looks like this:
And my little Josh was kicking the bottom of the U.
After I lost J and Z I decided there was no other answer for me than the TAC. So on April 15th I had it placed Lapriscopically. 

Having a TAC placed essentially cures incompetent cervix. it has over a 90% success rate (a traditional vaginal cerclage has about a 55-60% success rate).
Here is a picture of the various cerclages. 
 
A TAC is a band of mersaline tape (one 8" piece of this material can hold the entire weight of an adult!!!) placed AROUND the very top of your cervix (in my case lapriscopically, others have a c/s type incision). The TAC prevents the membranes from even beginning to funnel and "holds" the cervix shut.  A typical cerclage (TVC) is sew THROUGH your cervix at the base, since the doctor needs to access it through the vagina.
So typically a vaginal McDonald cerclage is placed around 12-14 weeks gestation (or in an emergency situation) while it canbe successful, what usually happens is that your membranes funnel to the point of the cerclage, at which point the cerclage can either hold and be fine, rip through the cervix completely (and deliver a premature baby) or funnel to that point and get an infection which then makes you pprom which results in preterm delivery.  
Will it allow you to TTC sooner?
After having the TAC done my doctor suggests you wait 2 cycles before getting pregnant. In my case we had intended to do our next IVF cycle in July, so this works out just fine for us. We could have had the surgery earlier and TTC-ed sooner, but July works out better for our jobs and for EDD as well.
Often times OBs see this as an "extreme" measure to be taking and try to counsel patients out of it. They see it as too invasive when a TVC could work. I'm not playing with the word could here, I'm going as dang extreme as I can. With as difficult as it is to get the baby in there in the first place I dont have a real margin for error (not that people who get PG the "normal" way should EVER have to endure this pain, but you know what I mean).

Please feel free to ask any other questions. I dont mind answering at all!!
Here is a video of the surgery being preformed by the doctor that did mine:


Friday, February 22, 2013

J and Z birth story



December 4th, 2012 was supposed to be one of the very best days of our lives, instead it was one of the worst.
            We went in to the doctors to find out what gender our miracle babies would be. Bill really wanted at least one boy, he was so scared of being over protective of a little girl, let alone two. There they both were, as perfect as perfect could be, beautiful hearts, perfectly formed spines, bones, lungs and brains. We were so so proud. Then she told us Baby A was a boy! Baby B was a girl! It was everything I could have ever hoped and dreamed for.  Bill and I were SO excited! Then the u/s tech decided to do an internal to just put mine and the doctors mind at ease and check my cervix. It was measuring at .75cm, a “normal” cervix should be over 3cm long at that point in pregnancy.  I was instructed to go immediately to the hospital to L&D.
When we got to the hospital I was put on a stretcher in triage flat on my back for 4 hours until they found a bed to move me to. I prayed and prayed and prayed the whole time I was there, and all through the night. When I finally was moved to my room they put me on the bed in trendelenburg position, my feet were raised up above my head to decrease pressure on my cervix. Bill and I really got to a new place in our marriage since I needed him to help me use a bed pan throughout the night. The next morning we were visited by the most horrible high risk OB (MFM), he suggested we terminate, that was SO not an option for us, he said he would not do a cerclage b/c my cervix was too far gone. We went down for an ultra sound to see if there was any change. The ultra sound tech took to many measurements of Josh and Zoe, she kept saying how perfect they were growing, I just laid there sobbing.  Our OB came in and watched some of the ultrasound, he asked by I was crying. I told him “Because they are absolutely perfect and we aren’t going to get to keep them”. My cervix had now shrunk to .35cm a pessary was suggested along with progesterone. It was our only hope. We did both and stayed in the hospital on bed rest until Saturday afternoon.
I was so happy to be home and in my own bed, but I got up to use the bathroom and felt like I was leaking. The OB on call told me to come in to the hospital. They checked my cervix and said it looked like I was dilated a little, they took a swab and went to check to see if the liquid was in fact my water. When two doctors and the nurse came back, we knew that was it, my water had broken and there was nothing more we could do. Bill and I clung to each other and sobbed. Why after all we had been through to get pregnant with our miracles did this have to be happening to us. We both would have given anything to keep our precious angels.
They brought us back to a L&D room, We just sat on the couch and cried for a few hours until my contractions picked up. I love my babies so much, and my body was failing them.  My nurse told me she had been through this three times herself. She said she has three angels in heaven and four kids on earth. Having her with me was such a blessing. She got my IV in on the first shot, and offered me pain meds or an epi, which I declined. I tried to watch SNL to take my mind off of what my body was doing. The OB came in and placed a med called Miso internally, though she said I probably didn’t need it, I was dilating with a bulging bag of water. I was contracting every 2 minutes, strong contractions, the kind that make your body shake. Bill was right there with me holding my hand, telling me how strong I was. The nurse went to get a few things and told me to call her with any pressure or any changes, a few minutes later my water broke. I called the nurse and she came running to the room and called the OBs. By the time the OBs got there it was time for me to push, I just laid there yelling “NO NO NO NO my baby my baby whhhhyyyyy” The pain was bad only for a moment, I was just so upset to be pushing out my baby, when he needed to be in me so much longer. Baby Joshua David was born at 1:30am (only 45 min after getting the miso) Dec 9th 10oz 11inches. He was so handsome, he has his mommy’s nose and lips and daddy’s eyes and flat feet. Zoe Faith was born along with Joshua’s placenta at 1:38am Dec 9th 9oz 10inches. She was moving her perfect arms and legs just too early for her to breathe on her own. She also had her mommy’s nose and chin, and daddy’s pouty lips. I soaked the OB sitting at the foot of my bed when Zoe’s water broke. It took an hour and two more tablets of miso, which they told me needed to be placed rectally, I said “Uhh no thank you”, for Zoe’s placenta to come, they were setting up an OR for a D&C I am so lucky I didn’t need one. I ate a little and got up to use the bathroom around 4am with the nurses help. I passed out in a wheel chair for about 3 minutes. Bill said it was one of the scariest things he has had to witness. I woke up on the bed where they let me sleep until around 8 the next morning. numerous social workers came in to talk to us about funeral arrangements, I was so numb. We were finally discharged around 4pm Sunday, lonely and heartbroken.
Joshua and Zoe’s middle names have significance. Joshua’s middle name is David because in the story of David in goliath in the Bible, David has to have strength and trust in God to overcome a scary and difficult ordeal of fighting goliath. Our little angels had to face a scary and difficult time as they went to heaven, we as parents need to have the same faith and strength as David to get through this. Zoe’s Middle name, Faith, is because we need to have faith in God that he will see us through this pain, we need to believe through faith that our perfect little babies are in heaven being cradled by God and we need to have faith that one day Zoe and Joshua will have siblings to watch over here on earth.
We are so blessed with  amount of support we have had these past few weeks, the number of prayers for peace, and comfort in this pain has helped us through.

Friday, September 14, 2012

Yes I did change my blog name...

I had to change the name of my blog becaaauuussseeee

WE ARE HAVING TWINS!!!!!!

Baby A and Baby B!!! 

It was the most exciting, amazing, special and emotional thing ever. We even got to hear and record their heartbeats!
Baby A's heart was beating at 142 beats per minute and Baby B was 132 beats per minute. As long as they are over 125bpm they are healthy little nuggets!! Bill of course is a little frightened but couldn't be happier. I am so blessed to only have to go through IVF twice to complete our family (at least we are praying this is the case). 

We were released from RSC which was a little sad for us, but we are excited to begin a new chapter with a new OB. One of the nurses there happens to be my moms close friend, I babysat for her kids...so weird!! lol 

I have another appointment on the 24th with the OB to get all my info and see my beautiful kiddos one more time. *sigh* I can't wait! 

More then!
<3

Tuesday, September 11, 2012

Betas

I had my betas done once a week at 4 weeks, 5weeks and 6 weeks.

4 weeks - 184
5 weeks - 1,699
6 weeks - 12,652

All we are looking for is growth to tell us that this is viable!!! I am so so so so sooooo excited. It doesn't feel real tho, I'm not sure when it will. Maybe after tomorrow when we have our first U/S. I can't wait to find out how many babies I am carrying!! I would be so happy with one of course but having twins would be absolutely amazing. I know it would be difficult but it would be nice to not have to do IVF again, and twins are pretty cute, no one in our family has ever had twins before.

I just pray I see at least one healthy beating heart.

I will certainly update tomorrow!!

Sunday, August 26, 2012

I suppose I should update you

We had our ET on 8/11 - 3dt, they transferred 2 embryos 9BF and 7BF WAY better than the previous cycle. Bill was able to come with me, and we held hands while I laid there for my 10 minutes post transfer.
Here are our two beautiful embies!!
So then Bill drove me back to school (I was in grad class when they called about the transfer) and sat with my feet up for the rest of the day. All the girls in my grad class are super awesome and kept telling me to take it easy and sit and we made "plans" about who would babysit during class and all that fun stuff.

Then I entered the worst 2 weeks of this whole process, the time between the transfer and the beta.

Well at 8dp3dt (or 11dpo is you wish) I decided I needed to pee on something.
first I saw this - if you look close there are two faint lines on each stick. Bill was not satisfied, so I used a digital and up popped a word I thought I would NEVER see "pregnant". 

What an amazing feeling. 
We  told our families since they knew what we were going through, before IVF we agreed not to tell until like 10-13 weeks, but hey they knew the exact time and place the embryos were put in, kind of hard not to let them know what happened! Then Thursday 8/23 I had my first beta it came back at 184!!! so they scheduled my next beta for wednesday 8/29. Which is kind of crappy b/c its my first day with kids in my classroom. I'll have to get to the hospital right when it opens!! I keep having dreams about twins. I can't wait to have my U/S so I can see how many beautiful babies I am carrying!! 

Thats all for now!! <3 

Friday, August 10, 2012

48 hour report!

Just got the call, we have 4 four celled embryos, 4 three celled embryos and 1 two celled embryo. By this time they should be 2-4 cells, extra good if they are more. I'll take those numbers tho! WAY better than last time!!

So tomorrow I have grad school, but also a tentative ET scheduled for 11:20. They will call me in the morning, if they are still growing (fx they are) then we will push it out until monday for a 5dt (dt=day transfer). If they notice them not keeping up as well, we will go in for the 3dt. I've talked to my professor, luckily he was super understanding. So we shall see!!

Now all I have to do is write a 3 page paper for tomorrow...hmmmm

ER and Fert report!

Well I had my ER Wednesday morning, it only took them 2 tried to get the IV in so that made me happy. Turns out they retrieved 11 eggs!! I was so so happy. But I am still in a lot of pain from the ER, its not bad enough to be considered full blow OHSS but it sure isn't comfortable. It feels like the combination between doing 10000 pushups and horrible gas pains at the top of your stomach. No fun.

The next day we got a phone call for the fert report. 9 out of the 11 eggs fertilized!! I am ecstatic. Now we wait to hear if we will have a transfer on Saturday or Monday. Monday would be best b/c that means they are growing like champs. Bill keeps asking if I got the "score card" yet. ohhhh Bill.

Of course, we'll keep ya posted!!