Thursday, May 15, 2008

Doctors visit today...Baby Girl D update...

As of today, I am 21 weeks, 1 day pregnant. I'm definitely beginning to feel LARGE! The low back pain is definitely increasing and I'm getting more and more out of breath when I try to expend any amount of energy. Honestly though, I really can't complain. For being as far along as I am and reading many accounts of women in my position already being on bedrest, I feel pretty good. I can still function pretty normally and I don't have any significant pain or problems, so I thank God for sustaining me.

Today was another office visit and ultrasound with Dr. Thomas. The office visit went well - I gained another 4 pounds. All of my other vitals look good and still no stretch marks as of yet - yahoo!!!! We had another ultrasound today to check the progress of the quads and to do some follow up views from our last appointment. Bonnie, our ultrasound technician, was great. Very friendly, very informative and more than happy to spend time showing us everything she saw and explaining what everything meant! I can honestly say everyone at AGH has been SO wonderful to us!

Bonnie did a basic review again of each baby, showing their head and abdominal circumferences, bladders, measuring their legs bones, checking their heart rates, verified appropriate amounts of fluid in each sac and analyzed their current weight. Here's how the babies measure as of today:

Baby Boy A - measures 21 weeks, 1 day and weighs approximately 15 oz.
Baby Girl B - measures 21 weeks, 3 days and weighs approximately 1 lb., 0 oz.
Baby Girl C - measures 21 weeeks, 2 days and weighs approximately 15 oz.
Baby Girl D - measures 19 weeks, 6 days and weighs approximately 12 oz.

Bonnie verified that anatomically speaking, all of the babies again look well and all necessary internal and external features were clearly visible.

We spoke to Dr. Thomas again following the ultrasound. He reviewed the photographs and expressed concern again regarding our Baby Girl D. He is concerned that she seems to again have fallen behind developmentally. He reminded us that she "lagged behind" initially around the 9th week when he was concerned that she may miscarry but instead, rebounded. His concern at this point, as he explained, is that when a woman is pregnant with a singleton, the typical placement of the placenta, which is the baby's food source, is centered directly in the front or in the back of the uterus. This positioning allows for optimal nutritional crossflow from both the left and right sides. When a woman is pregnant with higher order multiples, there is often a "runt". This would be Baby Girl D. The runt usually suffers because the placental placement is not optimal due to the sheer number of children in the womb. In her case, the placenta appears to be placed on the right hand side of my uterus which doesn't allow for good nutritional flow. He is concerned that while the others appear to be progressing nicely and right on schedule, Baby Girl D is not showing the same gradual progress. He said they will continue to monitor her closely and watch for growth. If she doesn't progress over the next few weeks, we will need to make some decisions possibly down the road as the pregnancy moves along about whether or not to birth all of the babies early in order to try and save her or allow the pregnancy to continue, realizing that she may stop progressing all together and/or could miscarry. Birthing all of the babies early however could cause a potential danger to all 4 children, not just Baby Girl D. This, of course, was very difficult news for John and I to hear, but we remain hopeful that our little girl will continue her feisty ways and keep fighting! We pray that she continues to grow just like her brother and sisters, but more importantly, we pray that God's will be done in the life of this tiny little girl. We trust that although we may not understand God's will, we can trust that he knows what is best for this small child. We talked about this in our bible study at church a few weeks ago - the hardest prayer to pray is "not my will, Lord - but THY will be done!"

"Trust in the Lord with all your heart and lean not on your own understanding; in all your ways acknowledge him, and he will make your paths straight". Proverbs 3: 5-6

So tonight, we ask:

1. that you to continue to keep our family and our quads in your prayers - especially our little Baby Girl D. We ask you to pray, that if it be God's will, that she would rebound again and continue to grow and progress.

2. that you pray for strength and courage for our family as we continue on this path God has set before us.

3. that you continue to pray for Carrie's health as we draw closer to the time when carrying out the normal functions of every day life will become more and more difficult.

4. that you pray for John who continues to take on more and more responsibilities around the house and with Luke as Carrie becomes less capable as the pregnancy moves along.

Thanks again everyone for checking in on us! We're so blessed to have you all on board! :)

Carrie, John, Luke and The Lemonovich Quads


Anonymous said...


Your blog looks wonderful, and just wanted to let you know that you all are in my prayers daily and I will definitely pray for baby girl D and to give you and John the wisdom if any difficult decisions should arise.

Take care,

Anonymous said...

Carrie, John, Luke, and the Quads,
You all continue to be in my thoughts and prayers. Baby Girl D (Determined, Dear, Delight) is in the Almighty's Hand. He will watch out for all of you.

Anonymous said...

I love the new look. What a wondrful way to share all this good news. We hope and pray that all will be well with all of the babies and we will offer a special prayer for Baby Girl D......You keep the faith.


Jess & Robb said...

Carrie & John~ Baby girl D is a total fighter!! She's got our special prayers, as do ALL of you. Love the new look of the blog! I'll call you soon to set up a play date for the boys--we'll come your way :-) Jess and Robb

Sweety Hope said...

an other pregnant quad mom (21 w)have a blog
it's the Lewandowski

Anonymous said...

It has been informative. Things will work out.

See you Sunday.

Burkett Quad Squad said...

i promise i will email you back today while to kiddos are sleeping! we've been out of town and super busy so i haven't checked my email like i normally would. BUT today is the day:) yay. sorry it's taken a while:)