Wednesday, October 9, 2013

September 09, 2013 – Welcome to the Second Trimester!

    Today we are officially starting our second trimester.  At our last appointment we had blood drawn to check for chromosomal abnormalities for our baby.  This test is offered to women who will be 35 or older at the time of delivery, because increased maternal age is associated with an increased risk of chromosomal abnormalities.  This was my first time being offered the test, so I had a lot of questions.  My doctor explained it to me like this: There are placental cells from this baby in my blood.  Those cells can be extracted and examined for chromosomal abnormalities of the 21st, 18th, and 13th chromosome.  For those science folks in the crowd; Down Syndrome, Edwards Syndrome, & Patau Syndrome.  The test also examines the sex chromosomes for abnormalities (Turner Syndrome, Klinefelter Syndrome, and Triple X and XYY Syndrome).  Our first trimester screen came back negative for abnormalities at all tested chromosomes.  This doesn’t mean we are 100% guaranteed that our baby doesn’t have chromosomal abnormalities at these chromosomes, it just means it is less likely.  This is a relief to us only because our last pregnancy had chromosomal abnormalities (69XXY). 
    So, why did we get the testing?  When it was first offered we thought about declining.  The outcome of the test wouldn’t change our minds about the pregnancy.  We had seen a heartbeat and knew baby was growing well, so we weren’t worried about another 69XXY baby.  Then I started thinking about how it might change the way I behave during the pregnancy.  Because if we were going to have a child with different needs I wanted to spend the rest of this pregnancy reading about which ever syndrome we were working with and learning how to give my child the greatest start in this world.  I have some knowledge about Down Syndrome from my work, but the others I know nothing about.  So, how would a positive result for Down Syndrome have changed the way this wife and her pediatrician husband reacted to this pregnancy?  It would change which parenting books I read.  I have always enjoyed working with kids who have Down Syndrome (DS).  They love music, singing, and moving their bodies in joyful ways.  They are amazing people and I often wonder if they aren’t closer to God’s image than we are.  Like that extra chromosome is what appears when an angel decides to be human for a bit. Doc loves days when he sees kids with DS.  They are always happy and ready for hugs. They often happily sit in his lap for the exams and even if they get shots he gets a hug before they leave, because they don’t hold grudges.  Usually if I catch him smiling to himself that night he will have a story of having had a fun day with a DS kid.  They are simply amazing children and people that we could learn so much from.  Any child with chromosomal abnormalities comes with a new set of worries for their parents.  They may have different medical needs and will certainly have different mental health needs.  However, these needs are all manageable.  Maybe we have a different perspective because we see so many things that seem unmanageable to us, but we weren’t really too worried about the outcome of this test.  In fact, when the nurse called I had forgotten all about it! 
    Our final bit of news from this test is that we found out the gender of our baby!  We are having a boy!!  This isn’t too much of a surprise because Doc’s family hasn’t had a girl in many generations.  Each generation has 2 boys.  Who knows if we will have 2 boys, but we are having at least 1! J

    As for the pregnancy symptoms entering the second trimester, things are going well.  The insomnia is getting better, thank goodness!  I am having fewer days of morning sickness and fewer nights throwing up.  Our son decided to move up off my bladder a little early and that helps a ton with getting enough sleep.  I still haven’t gained weight, but I think that will change soon.  I have 12 days before my next appointment and I am staying focused on how well this pregnancy is going.  J