So, I didn’t want to jinx it, but I think I can safely say my nausea is finally better! The day I hit 16 weeks, I noticed I didn’t feel nauseous at all that entire day, and the pattern continued the next day, and the next. I’ve been slowly weaning off of Diclegis (prescription strength unisom + B6 that I was taking 4 pills of daily just to take the edge off, so I could make it through my days). I am so happy to be feeling better! I was really struggling from 5 weeks to 16 weeks. I was sick during my pregnancy with Juliette until 16 weeks as well, but this time was literally twice as bad. I’ve had a sneaking suspicion that the similarities between my pregnancy with Juliette and this one could mean that I’m carrying twin girls…
And apparently, I was right!
We found out the sex of the babies at my first of many biweekly ultrasounds to monitor the babies for Twin to Twin Transfusion Syndrome. The riskiest time for developing TTTS is between 16-28 weeks, and I was nervous to be entering that phase of my pregnancy.
Luckily, there were no signs of TTTS! Both babies were active with strong heartbeats (150 and 143 bpm, respectively). Both babies’ bladders were visible (an undetectable bladder is indicative of TTTS). Their fluid levels were both 4. A high discordance between the fluid levels is a sign of TTTS, for example, if one was 2 and the other was 9. Both their fluids being exactly the same level is a very good sign! So far, everything with this pregnancy has been almost “textbook perfect.” Of course, my anxiety likes to rear its ugly head and tell me that everything is TOO perfect and something is bound to go horribly wrong…
For now, I am just reveling in the afterglow of a wonderful MFM appointment. My babies are doing great in there! Here are some pictures of my sweet baby girls:
And here is my most recent belly picture, at 16 weeks. I don’t see any real difference between my belly size at 14 weeks and 16 weeks, but I certainly FEEL like I am growing every day! I think by the time I take my next picture at 18 weeks, there will be a big difference. My fundus was measuring 21 weeks at 16 weeks, so I am definitely bigger than I would be if I were carrying a singleton baby!
One thing that is starting to concern me is my weight gain – or lack thereof. Early on, when I was so sick and could not stomach anything except Mrs. Grass soup and toast, I lost some weight. Around 12 weeks, even though I was still very sick, I started to feel more hungry and was able to eat more. I started gaining the weight back. At my 16 week MFM appointment, I was up to a total weight gain of 2 lbs. This morning I saw my regular OB for a quick checkup, and found out I had lost another pound, which means I have gained a grand total of 1 lb. In a normal, low risk singleton pregnancy, this would not be a big deal whatsoever. But with twins, it’s much more important to gain a considerable amount of weight. I should be gaining 1.5 pounds per week. For someone with my petite stature, I should shoot for a total weight gain of 40-50 pounds. I’ve gained anywhere from 17-21 lbs with each of my singletons, so I should at least double those gains this time. Studies have shown that for twin moms who gain the majority of their weight during the first half of the pregnancy, the twins end up larger and with much better outcomes. According to the American Pregnancy Association, “If a mother of twins gains 24 pounds by the 24th week of pregnancy, she reduces her chance of preterm labor.” Now, my OB and MFM have not voiced concern over my weight – yet. But it’s definitely something that is weighing on MY mind. The nurse who weighed me today made an offhand comment that I had lost weight and I should eat more. Sooo, I left the appointment and got a McDonald’s breakfast sandwich, haha!
But don’t worry, I’m not eating fast food and junk all the time! I’ve actually become quite conscious of what I’m putting into my body. The single most important aspect of a twin mom’s diet is PROTEIN. I’ve read some differing info on the topic, but the general consensus seems to be that 150-175 grams of protein per day is a good goal to shoot for. That is A LOT. I don’t think I have ever consumed that much protein in a day, in my entire life, before this pregnancy. I am focusing on high protein snacks: hard boiled eggs, nuts, cheese (this one’s not hard for me to do, obviously!), yogurt, apples or bananas with peanut butter. I’m addicted to this string cheese that I get in a giant bag from Costco. They contain 6 grams of protein each, and I will sit and eat 4-5 in a row. I eat protein bars that contain 20 grams each. I’m eating burgers and steaks, chicken, any kind of meat I can get my hands on. Normally I survive on cheese and carbs, so this is different for me. Hopefully this will all pay off, and I will start piling on the pounds soon and have two big babies! I never thought I would look forward to gaining 40+ lbs in a matter of a few months, LOL.
I am looking forward to my next MFM appt next week, when I will be 18 weeks pregnant. Hopefully we will hear good news again of no signs of TTTS!