When did I write last? I feel like a lot has happened since…
I called a doctor here in Cedar Falls Tuesday afternoon and they scheduled HCG blood tests. The first was done Wednesday at I think 22DPO. Hard to tell this time since it not being IVF and my cycles a little all over the place. I’m assuming ovulation was cycle day 14 and estimating my last period started on September 16th. So at 22DPO my level was 499, and today, at 24DPO it was 614. In comparison, with Nora my level was 189 at 14DPO and 448 48 hours later at 16DPO. The HCG value should double to indicate a viable pregnancy, and since it didn’t, I’m guessing the end is in sight. The office here in Cedar Falls wants me to come in Monday for another blood test. I’m not thinking too positive at this point though.
Yesterday while I was in Iowa City for Nora’s appointments I had a chance to meet with my OB there and they did an ultrasound. They estimated me at 5 weeks and therefore we saw what we expected on ultrasound, basically a black circle, as it’s too early to see anything else. They scheduled a repeat ultrasound for 10 days out to check for a heartbeat.
My main reason in meeting with my Iowa City OB though was to decide where I would seek care should this pregnancy proceed. Or future pregnancies for that matter. I was a little discouraged by my OB’s advice. Basically she said she could not recommend any providers in Cedar Falls who she would trust to follow a high risk pregnancy of mine given my history. Some of her main points include:
- No providers in CF (Cedar Falls) are accustomed to checking cervical length, which I’ll need weekly beginning at 16 weeks or maybe even earlier.
- No providers in CF have enough experience, in her opinion, in placing a cervical cerclage. In fact, only two providers in Iowa City place them.
- The providers in CF will only deliver at 37 weeks or later, otherwise patients are flown to Iowa City. Same goes for the babies, the flight team comes to pick them up a birth and transport to Iowa City’s NICU. Just not equipped here to handle such small babies.
Shared care was mentioned, meaning perhaps some visits could be handled in CF. I would definitely be put on weekly Makena injections, and perhaps those could be given in Cedar Falls at an office here. Most visits though would need to be in Iowa City, including the delivery.
For now though, I’m guessing there isn’t much to consider for care… I’m not hopeful this pregnancy is viable. Easy come easy go? I’ll update on Monday and let you know my HCG level and plan going forward.