I was totally expecting that the Dr would walk in today, do the ultrasound, and tell us that Lisa could go home. I guess that is why I'm an engineer and not a doctor.
Dr. Campbell and his nurse performed the ultrasound this morning at 8:30am. Babies were fine. Baby B is smaller than A, and Baby A has gained more fluid. Dr. Campbell recommended performing an amniocentesis on Baby A. This is the process of removing amniotic fluid from the membrane. The procedure was then scheduled for this afternoon.
Dr. Campbell feels that Baby A is stealing too much from Baby B. Baby A is growing faster than B and has more fluid. It doesn't seem like Lisa will be going home in the near future.
When it came time for the amniocentesis, Dr. Campbell said he had a change of heart and wanted to recommend another alternative. He discussed Lisa and the twins situation with some other doctors and recommended seeing a specialist in Cincinnati. This Dr. specializes in surgeries within the uterus where babies are present. The procedure involves taking a scope to find the interconnecting blood vessels and using a laser to coagulate the blood vessels to prevent Baby A from stealing from Baby B.
Dr. Campbell wasn't sure if Lisa was a good candidate for this procedure originally due to the cerclage and her contractions. Since Lisa is doing so well (good cervix and minimal contractions), he thinks Lisa is a potential candidate. Dr. Campbell said that this procedure would definitely be better for the babies than serial amniocentesis.
Dr. Campbell thinks our babies are identical and thus the resulting Twin to Twin Transfusion problem. He says it is really hard to tell and probably won't know for sure if they are identical until birth.
So tomorrow they will do another ultrasound and provide a report to the Dr. in Cincy. Lisa will then be transferred to Good Samaritan Hospital in Cincy via ambulance. They will then assess her situation and determine whether she is a good candidate for this procedure. If not, she will be sent back to St. Joseph East for the amniocentesis. If she is a viable candidate, the procedure would take place and she would probably remain in Cincy for several days. Dr. Campbell said that if everything went really well, they may send Lisa home rather than back to St. Joseph East.
Well..... Lisa and twins continue to be tested. She is in amazingly good spirits. We just pray for healthy babies. Keep us in your prayers.
The twins are 22 weeks today.
http://lisaandtwins.blogspot.com
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