oh crap, the docs are talking about delivering tomorrow..

Well even though the babies have been doing well with their daily NSTs and BPPs, for the past 2 days the diatolic flow in baby A's cord has been reversed. The docs just came in and said that if it's the same again tomorrow morning then they'd like to deliver tomorrow afternoon. Wow, I don't even know what to think... The docs said they'd rather not wait until testing goes poorly because that would baby A at greater risk of fetal demise. I was really hoping we could make it to 30 weeks, but they said a few more days isn't going to make that much of a difference. I don't know what to do. Should I just trust in the docs? Should we try to get the babies a few more days on the inside? Are the docs just being overly cautious? The attending told me, if were her and her babies, this is what she would do. I appreciate her opinion. But so many other docs say they wouldn't want to deliver until after 32 weeks even if that meant sacrificing one baby for the other.

Just curious what everyone here thinks... Would you want to deliver early, save both babies and risk premature complications? Or would you sacrifice one for the other to give the stronger baby a better chance, also knowing that if one baby dies in utero, there is a 20% chance of the stronger baby dying. It's a very tough question, one that my husband and I have been facing for the past 5 weeks.

Please send good vibes that the babies do better tomorrow.

 

Honestly I would deliver based on their opinions. Survival rates at 29 weeks are excellent. I personally could not risk loosing one of them, but it is definitely a personal decision.

 

I hope everything turns around for you. I'm in the same situation and it's a personal decision but we decided long ago if we made it to 24 weeks we'd deliver if necessary and take our chances with the nicu and preemie problems to have a chance with both. Thank god we've made it to 26 weeks and are still stable. Every week is nerve wracking going to check those dopplers. Even though we made that decision if something were to go for the worse and we were to face delivery this soon I'd be terrified. I wish you the best.

 

What an awful decision to have to make. My heart goes out to you. I would deliver both of them. I have known too many 29 weekers who have done phenomenally well.

Have you had the steroid shots yet?

 

I think I would deliver at 29 weeks. It would be very scary, but with 24 weeks being the benchmark for most folks for survival - I would say they both have a great chance this early.

Prayers, prayers, prayers coming your way

 

Oh my gosh I'm so sorry! I think I would probably go with delivery too. I've know many babies born between 24-29 weeks and ALL of them survived with no long lasting problems.

 

I'm praying for positive flow! :hug99: We also delivered because of negative flow plus Jessy wasn't growing and we were afraid of loosing her. How are they doing weight wise?

 

good luck with whatever decision you make :hug99:

 

I would go with delivery if it means saving her. If you opted to wait and she didn't make it, that might be a HUGE regret. Like the PPs, 29 weekers do well and I have heard that 28wks their survival rate is 90%. We know that the majority of time staying inutero is best, but not always and think that this is your case.

I am sorry that you are in this situation, and I hope things turn out better tomorrow for you.

April

 

QUOTE(TwinxesMom @ Jun 6 2007, 09:15 PM) [snapback]282182[/snapback]
I'm praying for positive flow! :hug99: We also delivered because of negative flow plus Jessy wasn't growing and we were afraid of loosing her. How are they doing weight wise?


As of Monday, Baby A was 1lb 13oz and B was 2lb 11oz, so smalll... We were hoping they'd get about 2 and 3lbs repectively before having to deliver. Hopefully those measurements are a little off and they'll come out bigger. I did have steroid shots 3 weeks ago.

 

I am sorry to hear about the cord issue. I would deliver at 29 weeks if I was in a similar situation. We will be thinking of you, please keep us updated as time allows!

 

What a heartbreaking descion. My sister had her twins at 30 weeks, spent 6 weeks in the NICU and are nowchunky and happy babies. Medical science has come along way and babies born premature have amazing survival rates. I would make the choice of an early delivery and not choose to risk one babies life for the other. Goodluck .

 

Best wishes to you and your family! :hug99: Good luck with your difficult decision. I am sure the answer is inside you somewhere!! We'll be here when you deliver and our NICU forum is fantastic! :hug99:

 

Honestly, if it were me, I would follow their suggestion OR request a 2nd opinion.

What would make me most uncomfortable about the situation is that 1) Baby A is doing well and not showing signs of distress right now and 2) the doc says a few days won't make much difference. Those two things would make me want a 2nd opinion. I know that I was on continuous monitoring and daily and sometimes 2x/day BPPs to monitor Anthony because the doctor was not going to deliver until it was clear it was necessary. Also, I'd be uncomfortable with any opinion that says a few more days in the womb won't make a difference.

29 weekers face huge challenges, without question they do. BUT...their chances of survival are statistically as high as full term infants. When it comes down to it, if I had to choose between the risks of prematurity for both and the risk of death for one, I'd choose to deliver.

This must be such a hard decision for you to face right now and I know you've got to be frightened, but you and your babies have come so far through all of this and you are going to make the very best decision for your family. We're here to support you :hug99:

 

:hug99: First of all you and your babies are in my prayers. I went into PTL at 30 weeks and they were able to stop the contractions. I have been worried because I still have them a little more than I would like and I am only 32 weeks. My MIL is a nurse told me that the babies would be ok if they were born at 30 weeks because medical tec. is so great that I need not worry. I hope that can ease your mind and bless you and your dh with whatever choice you make.

 

I would go with the doctor's reccommendation to deliver. I would personally have a hard time sacrificing one for the other. From all I have heard and read and seen so far from other mothers on this site survival at 29 weeks is excellent! You obviously have to decide what is best for you and your family, and my thoughts are with you as you are faced with such a difficult choice.

 

Oh my goodness. What an incredibly difficult decision! I'm so sorry you have to make it. Good luck with whatever you decide. I'll be thinking good thoughts!

 

best of luck to you - I think faced with that decision at 29 weeks I'd deliver....

 

Sending hugs and positive thoughts your way. I would deliever as most of the ladies above have said. It really is a personal decision that you need to make, there is no wrong decision.

xoxoxoxooxox

 

:hug99: :hug99: :hug99: :sorry: I think you've gotten some great advice here, best wishes to you and your family in whatever the outcome may be.

 

Oh, my. I am so sorry you're facing this decision.....I have no idea what I would do. Sending lots of hugs and prayers your way.....

 

many hugs to you Buttercup :hug99:

If I could do it all over again and be in your shoes I would deliver in a heartbeat! My story was similar to yours with baby B having cord insertion problems and slow growth issues.
Please I tell this not to scare you or upset you but to show you the "other " side.
I was actually in the hospital being monitored due to pre-e and baby B's issues when we lost her, so it can happen at anytime. She passed at 30 weeks and 4 days. My nurse stopped the monitoring with the belts of the babies even after baby B's heart rate dropped down to the 80's and the call from the Dr said to continue to monitor them but she took the belts off thinking it would be better for me since it was midnight and I would sleep better. ( I wasn't aware that baby B's heartrate was dropping since I had been sleeping or there would be no way in he** I would of allowed those belts to come off me and my babies!!!

In the Am when the new nurse came in to put the belts on my belly baby B's heart was no longer beating. I still live with so much guilt and wondered if they would of delivered them that night I would be holding both of my girls instead of mourning.

I pray that you can find peace in whatever decision you make and that you bring home 2 healthy babies.

many hugs to you.

 

What a tough place to be in right now. I think that if I were faced with that decision I would choose delivery. Medical technology has come so far.

I wish you the best of luck no matter what choice you make, please keep us posted :hug99:

 

First,I have been following your story and am amazed by you. Baby A obviously has your strength!! I believe if I were in your position, I would deliver them. I can only imagine how difficult this time must be for you. Take care and know whatever decision you make, the babies' health and well being is out of your hands. You have to believe that your choice is the right one without looking back and wondering what if.... Take care!!

 

Good Luck with your decision.....I am thinking and praying for you and the babies....keep us posted....

 

QUOTE(AmynTony @ Jun 6 2007, 11:57 PM) [snapback]282292[/snapback]
best of luck to you - I think faced with that decision at 29 weeks I'd deliver....


Ditto. I hope everything works out for you and i will keep you in my thoughts. :hug99: x

 

:hug99: What an awful decision to have to make. I think that I would go with the doctor's opinion and deliver now. You will be in my thoughts as you make this difficult decision. Please keep us updated when you can.

 

Wow, that is really tough. I had my son at 33 weeks & they said everything would be fine. He wasn't getting any bigger so. Anyway, he was fine and healthy when he was born. However, he has an eye problem that is related to premature complications that we discovered at about 2. His left eye turns in & his eye sight is very, very bad. He will have to wear glass for the rest of his life.

It's really hard to say "oh, everything will be fine" because it may not or they may be 100% perfect!
I am not trying to scare to, but you have to keep things like this in mind becuase if I had to do it again, I would have not been induced & had him then. I would have waited.


Best of luck to you, it's a really hard decision. Kiesha

 

I personally can't understand the thought of "sacrificing one to give the other a better chance" at this stage. At 29 weeks, your babies have a 90% chance of survival even if born very small. My boys were born 12 hours short of 29 weeks. They were VERY sick due to TTTS and PPROM at birth -- not typical premie issues. But I had NO problem with the thought of delivering them at that time. At the hospital I delivered in, they hadn't lost a 29 weeker in over 4 years. I would definitely encourage you to follow along with what the doctors recommend. I can tell you as a NICU nurse that 29 weekers are NOT nearly as scary as you would think. I pray that your babies are BOTH okay. I am attaching pictures of my almost-29 weekers to hopefully give you some encouragement. The first two were the day my boys were born weighing 2 lb. 7 oz. and 2 lb. 12 oz. The last two were when they were about 18 months old -- perfectly healthy, happy, developmentally typical little boys.

http://i65.photobucket.com/albums/h220/mom...hisbirthday.jpg
http://i65.photobucket.com/albums/h220/mom...hisbirthday.jpg
http://i65.photobucket.com/albums/h220/mom...ickLucas2-1.jpg
http://i65.photobucket.com/albums/h220/mom...MattieLucas.jpg

 

QUOTE(FirstTimeMom814 @ Jun 6 2007, 01:51 PM) [snapback]282129[/snapback]
Honestly I would deliver based on their opinions. Survival rates at 29 weeks are excellent. I personally could not risk loosing one of them, but it is definitely a personal decision.


I agree.

Good luck! I hope we hear from you soon!

 

I pray that God will give you peace and comfort with whatever decision you make.

Personally, I would deliver at 29 weeks. At 24 weeks my answer would probably be different. But at 29 weeks the odds are definately in your favor.