Today I met a new Perinatologist whom I loved. My family doctor wanted me to meet her despite my not being pregnant just to make sure I liked her, I did. We discussed everything, Evan, what happened, what will happen with future pregnancies, what I expect ect..
I told her straight up, I am not difficult ot high maintance, I simply like to have a say in my own health and treatment options, I like to discuss possible interventions and come to a consensus for the best action. I am very open to medical suggestion and will always take their advice in an emergency situation, She said she really respected that and likes to have an informed patient. She said a doctor patient relationship should be a two way deal. She said she would be glad to treat me. We looked over the post partum test results again and discussed that really they have no idea what specific thing caused Evan’s death. The plancenta pathology did show signs of infection and swelling, Evan himself did appear post term, then there is the Lupus Antigoagulant thing, 1.3 is a possitive, my first test came back at 1.6 then the second came back as 1.3 so both are at or over the line of significance. She said that she can’t say for sure that this had anything to do with Evan’s death though, so treating it would be just another precaution.
The summary of her recomended treatment in future preganancies would be as follows, however she did make it clear that it’s up to me what I do and don’t do.
-As soon as possitive pregnancy test is found, begin on low dose aspirin
-Ultrasound around 8-9 weeks to confirm conception date and set due date
-Begin on 1x day low molecular weight heparin injections from 12 weeks
-Normal 20 week ultrasound
-After 32 weeks weekly biophysical profiles
-Induction at 39 weeks
She said my dream of a homebirth was not impossible it would just take specific actions first- I interupted her and said It’s ok, I have no desire to have a home birth again.
So now I just wait until I get pregnant again and then she will take over my care. On the downside, they weighed me 😦 I gained 30lbs while I was pregnant with Evan, then I love 25 in the first 3 months, now I am back up 25 pounds. To much candy and sugar in my diet in recent months, Dave and I have been so depressed and so we just cuddle and watch movies and eat junk food. I have to lay off the junk food now, and get my butt off the couch. Much easier done when it’s not freezing out.