Today was the neonatal consult to discuss what we will do with the delivery and treatment of the boys. We had decided to try for a vaginal delivery and that is still the plan. We will deliver vaginally in a c-section ready room so if needed we can be ready to go for a c-section right away. We discussed our options for care of the boys after delivery. Parker will likely be taken to the nicu right away for his care but we declined any care for Nathaniel since life saving measures will not need to be taken. We have opted to give him comfort care for his life span, but no other measures. They gave us the option to leave Nathaniel in the care of nurses or with me and I want to have him stay with me for as he hangs on. When he is no longer living they will leave him in a special part of the nicu until I am discharged so that I can see him as much as I would like to. Once I am discharged he can be released to the funeral home. He will not be able to donate his organs since he will never have technically been alive, but he may donate tissue if he weighs 7 pounds. In Illinois bodies cannot be donated to science unless they are 18 years of age, so we cannot do that like we had hoped.
We talked about the issues that Parker could face depending on what week they are born at. We now have ideas for treatment that he could need for those issues. The neonatologist said that he looks perfectly healthy, that the steroids are going to be a benefit for him and that she thinks he is going to be okay. I felt about a million times better after talking to her today. The only thing that was kind of a downer was that she thinks I will deliver in the next 2 - 4 weeks based on Nathaniel's high fluid levels and the rate they are increasing at, the fact they they are twins and that I have already had some preterm labor. But, she seemed very optimistic about his prognosis even if we deliver in 2 weeks.
We got some information on how to address the death with Cameron at this appt as well. This is something I have been dreading talking to her about but the material had some helpful tips.
Also, my checkup went well. I'm still 50% effaced and a fingertip dilated, no changes this week. Both boys weigh over 3.5 pounds! My belly is measuring 42cm!!! No wonder I feel huge! I'm still about 10 pounds under my pre preg weight, I'm up a little over a pound in three weeks. Neither boy was laying still enough for the dr to get a HB today, every time she found the beat they rolled away! Stinkers.
I'm sure I'm leaving stuff out I wanted to share but I'm kinda drained.