So yesterday marked 35 weeks! Hard to believe we are getting so close! I feel like she (and I both!) having been growing a lot in the past couple weeks!
We had our appointment today at UVA and it went pretty well. Our plan, as of now, is to have the c-section during week 38 (which would be the week of November 16th). The reason I say, as of now, is because it can change depending on how the next two weeks leading up to it look like. I am going to see my OB (Phemister) for my NST and BPP on Monday and then head back to UVA on Friday for another BPP and ultrasound. The doctor is concerned about a couple things so is asking I do the testing twice a week. One concern in her weight. She is 3lbs 13 oz as of today (which I am happy because she has gained 8 oz since last Thursday!) But she should be around 5 pounds which puts her in the less than 10th percentile. Another concern is the blood flow from the placenta to the baby. It is still within normal limits but isn't as strong as the doctor would like. So we will keep an eye on all of those twice a week plus she is having me count movements to make sure the baby is moving like it should. If anything changes between now and 38 weeks, they will deliver. The doctor said that I need to have my bag packed and bring it with us each week in case anything changes, they will deliver that day!
We got to meet a new doctor today and we really liked her. She took the time to explain things to us and made us feel comfortable with where we stand with plans and she was honest about the concerns she has with the baby. She also went over the delivery plan with us and what we should expect. They will likely do a c-section and make a "classical" cut, which is a vertical incision as opposed to horizontal because they want to make sure they have enough room to get the baby out without causing anymore damage to the back. She explained the process from the time we walk into the operating room to what the days after and recovery would be like. She explained everything really well and am glad that we have gotten to speak with someone at UVA that has helped us understand. She didn't really touch on Spina Bifida much...the baby is still breech and face up so they can't see the spine. The ventricles have seemed to have gotten some smaller but today was the first time they could see fluid on the brain. She expected that to happen either right before delivery or soon after. (Fluid on the brain and the enlarged ventricles are both signs of SB). There isn't much else that would change at this point in regards to SB so we are planning and ready with the Neurosurgeon and team for Caroline to have the back closure surgery soon after delivery and then a shunt surgery a week or two later.
As of now, this is our game plan. Like the doctor said, it could change from week to week. Really, all we can do is wait! She explained that if things are looking good over the next couple weeks, she may even push it back to 39 weeks (week of Thanksgiving) in order to give the baby's lungs time to fully develop! It may be a tough call to make to determine where is the best place for baby, inside or outside. So we will keep our fingers crossed and keep praying that Caroline will make her arrival when she is ready! But for now, Jeremy and I have a lot to get done in order to be prepared for any week!
On a side note, we had our baby shower last week and it was absolutely perfect! Our Caroline was showered with so much love and support from family and friends, it truly was amazing! Thank you for all the encouraging words and love along the way! We have come so far since finding out we were going to have a little girl and we wouldn't want to change it for anything! We are excited (and, I'm not going to lie, a little bit scared!) about the next chapter in our lives with Caroline but know it will be full of love!