The past few weeks have been a whirlwind, which began with our first melodramatic pregnancy moments.
In mid April, my OB decided she wanted me to start having bi-weekly fetal fibronectin tests. The test is given to women who are at high risk for preterm labor. (Being pregnant with multiples automatically places me in that category.) It looks for a protein secreted by the cervix as it prepares for labor. If the test comes back negative, you are likely not going into labor in the next two weeks. If it comes back positive, that’s when things get tricky.
My first fetal fibronectin test came back negative. I had my second test on April 27.
Friday, April 29 began as a great day for me. My mom was flying in that night for a long weekend, and Keith and I were planning to go to a Rockies game while we waited for her to arrive. First, Keith had to go in to work for an important pre-deployment meeting with his brigade commander and a few others.
At 9:05 that morning—only five minutes into Keith’s meeting—my OB’s medical assistant called. “I have some news!” she announced. “Your fetal fibronectin test came back positive!” As my heart began to race, she informed me that I needed to get to my perinatologist’s office “as soon as possible” so he could start me on steroid injections. The steroids would help the twins’ lungs to develop in case they had to come early.
I flew into a complete panic. First, I called my mom, hysterical crying. “I can’t give birth this weekend!” I shrieked. “I’m only 28 1/2 weeks along!” Then, I began to think about all of the things I hadn’t yet done. I had not yet packed a single item into the hospital bag, or even purchased the cribs!
I called Keith right away, and he raced out of his meeting. We high-tailed it to the perinatologist’s office in a frenzy. We did not calm down until he walked into the room and we saw his face. “Relax,” he said. “This is likely nothing to worry about.”
He and an ultrasound technician ran a few tests to look for other markers of preterm labor. There were none present. “You’re fine,” he said. “Go home and relax.”
It turns out that a positive fetal fibronectin test result does not mean much. As the perinatologist explained, it could mean the expectant mom has a 30% chance of going into labor in the next two weeks, or a whopping 85% chance. Only the negative result is absolute. (It sure would have been nice for the medical assistant to share that tidbit with us.) Keith and I went home, collected ourselves, and went to the baseball game—business as usual.
The following Monday—May 2—I went back to the perinatologist’s office for my regular growth ultrasound. For the first time, Keith couldn’t get out of work to come with me. Luckily, my mom was still in town! The boys did not perform much for Grandma, but the doctor said they were looking great. Matthew weighed 2 lb. 8 oz., while Nathaniel was a whopping 2 lbs. 14 oz. (The little tubber!) Nate was also now in a breech position.
The doctor was, however, concerned about one thing: Matthew’s stomach was measuring small for his gestational age. To monitor it, he wanted me to return for another growth ultrasound in two weeks. If it still hadn’t caught up, he’d likely start me on the steroids in case the boys needed to come out early so that Matthew could get more nutrition.
Of course, this sent me into another bout of worry and obsession. Despite Mom’s and Keith’s reassurances, I couldn’t resist going home and doing Internet research to read about all of the horrible things a small stomach could indicate. (Lesson to all: Do NOT use the Internet to research symptoms, unless you want to believe you are dying when you really only have a stomach flu).
But my appointment with my regular OB the following week once again eased my fears. She said that many twins have small stomachs, and that they usually beef right up after birth and are fine. She also said that Matt’s body is doing what it’s supposed to be doing, which is directing the nutrients he is getting to all of his vital organs—his heart, lungs, etc.
So, Keith and I have been feeling quite a bit better about things over the past week and a half. But the scares did spur us to action. My hospital bag is now packed, and the nursery is almost finished. I can’t wait to post photos of it! I am now 31 weeks along, and we are ready for anything. Stay tuned for more updates!