Went to U of M on Monday 2/9, and baby boy is still stable and doing pretty well. Nothing much has changed since our last appointment, besides that his bladder went down to 48 ml. My amniotic fluid also went up from 26 to 28cm. I mentioned to the doc (a new doc we haven't met yet who was very nice) that I was having some major swelling in my legs and feet and she called in the nurse to get my blood pressure checked. It was 139/99 which is pretty high for this point in pregnancy. She said that after my appt with the pediatric urologist, she wanted me to go to triage for testing.
Met with Dr. Park who is one of the pediatric urologists at U of M, and he was wonderful. We've been explained what is going on with him by about 4 different docs, but he has done the best job making sense of everything. He drew diagrams for us and showed us exactly where the blockage likely is. He also said that he believes the bladder ruptured at some point, and it might just be a pinhole rupture, and that is why his abdomen has a lot of fluid pockets (ascites). He said it is a good thing that the pressure was taken off the kidneys and chest cavity, but the abdomen being full of fluid isn't great either. Better of the 2 though... so he said it's best we keep him in and growing as long as we can, and the pediatric team will be ready at birth with a plan. He said the first thing they will do is drain the urine with a catheter and do some testing on it. Next, they'll fill the bladder with a dyed fluid and watch on the ultrasound where exactly the fluid is traveling. If it is escaping the bladder and going into the abdomen, then they'll need to do surgery to repair that area. They'll also likely need to do surgery to remove the blockage, but that is a fairly simple procedure (does require anesthesia). The ureters might need some work too since they are so enlarged. He said most everything is repairable, except for kidney function. He does believe there is some degree of damage, but we won't know how much until he's born. He may have bladder issues down the road as well... but again, we won't know that for awhile. It was great to talk to him, He's one of the best in the world!
After that meeting, I was sent to triage where I got to wear an awesome hospital gown and get hooked up to monitors. They had one for blood pressure, my pulse, and baby's heart rate (non-stress test). They had me give a urine sample to test for protein and they took blood. My blood pressure was still high, so they had me lay on my left side which helped bring it down. I felt totally fine the whole time. After 2 hours, the labs came back and everything was normal. There is a chance preeclampsia could develop, so they'll be checking my blood pressure at every appointment. A lady from church has a blood pressure cuff she's going to let me borrow too so I can check it home. I'm trying to take it easy and take breaks throughout the day to rest. I definitely don't want to place any unnecessary stress on our little guy.
Next appointment is Tuesday in TC, then we'll be back to U of M the following week on Friday 2/27. Have been seeing the chiropractor 2 times a week and my back is feeling so much better. Very thankful for that... About 2.5 months left!!
Be still and know that I am God. Psalm 46:10
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