July 24th - 34 wks

Yesterday was my weekly MFM appointment with ultrasound, as well as a consult with one of the university neonatologists (we will be delivering at UofL Hospital). The baby looked great on ultrasound and his MCA doppler reading was a PSV of 53 with an MoM of 1.08, a little lower than what it has been! The consultation with the neonatologist went well and together with my MFM we came up with a game plan for when to deliver. Because it can get to the point rather quickly at the end of an isoimmunization pregnancy where the baby is safer out than in, it is recommended that the pregnancy not progress to full term so as not to take the risk of the baby becoming sick (anemic) inutero. So with that, we all agreed on doing a repeat amnio at 37 weeks to check for lung maturity, as well as any evidence of anemia (checking for bilirubin in the amniotic fluid), and more than likely deliver the following week around 38 weeks. In the meantime we will definitely continue the weekly MCA doppler ultrasounds as this is a very accurate gauge of how the baby is doing and if he is developing anemia. One other note is that I had my regular biweekly blood work drawn yesterday to check my titer and we got those results this morning. My titer has risen quite significantly in the last two weeks, going from 1:16 to 1:64. This justifies what the neonatologist was saying in that changes can happen more rapidly the later in pregnancy you get. So with this increase in titer we may have to move the amnio/delivery up a little because the MCA doppler results may POSSIBLY start to increase. These weekly ultrasounds are very important and give us the information we need to make the best decision as to when deliver. I will have two more ultrasounds before my amnio that is scheduled for 37 weeks on Aug. 13th. We will anxiously be anticipating what the outcome will be over the next several weeks! We are all optimistic that everything will turn out fine and we will have a happy, healthy baby in the end. Keep praying - we are getting close! :-)