Update: 19 weeks 3 days

We met with the perinatologist today. Ryan and I both liked him and we're glad we get to work with him throughout the rest of the pregnancy. He was very good at explaining everything in a way we could understand. He also went over every possibility, and while it's a little scary to hear every possible scenario it's nice to know and be able to plan accordingly. His catchphrase seemed to be "Nothing is an absolute". I love it. He told us that we could discuss whether the glass was half full or half empty all day (or go over every statistic ever), but when it comes down to it you have to take every possibility into consideration... "Nothing is an absolute".

At the ultrasound we got good and bad news and confirmed things we already knew. It was confirmed that my water did indeed break. The fluid was measured at 1.9 cm this time (no, that's not good). Obviously my water is still leaking. There is nothing we can do to stop my water from leaking or to keep me from bleeding and having contractions.

The good news is that they ruled out the low fluid being a symptom of non-functioning kidneys. Her kidneys look great. She has fluid in her belly and bladder which is good, because it shows that she is swallowing and that her kidneys and bladder are functioning. Honestly everything looks perfect right now except for low amniotic fluid and a leaking placenta. (That's all. No big deal, right?) The blood flow to and from the placenta looks great also.                     

Here is the bad (or maybe I should say uncertain?) part... This is the time when it is critical for her to have enough amniotic fluid to fill her lungs when she "breathes" in the womb. This is part of the lung development. If it doesn't happen, even if she makes it to 40 weeks, she won't be able to transition once she is born. No matter the amount of oxygen they tried to put her on having underdeveloped lungs she would not survive. It's called pulmonary hypertension.

Another concern is umbilical cord compression. When there isn't enough amniotic fluid the cord can be compressed and the blood flow reduced. This causes the baby's heart rate to drop. If that were to happen the baby would need to be delivered to prevent brain damage and other complications.

My next appointment with the perinatologist is mid January. At that point if everything is looking the same as it is now we would have to decide whether or not to check me into the hospital for the remainder of the pregnancy. The purpose of checking me in would be the 24/7 monitoring of baby's heartbeat. They would check me in at 23 weeks because the pregnancy would be considered viable. Once checked into the hospital they would put me on steroids and antibiotics like they did with Avella. If her heart rate did drop at any time they would deliver her. Otherwise they would try to let me go to 34 weeks before they deliver her via cesarean.

Words can't properly express how grateful I am for all of the prayers and fasting on behalf of our family. We have been blessed with meals, babysitting, kind words, love, and positivity from friends and family. Thank you to all of you that have served in the ways that you are able. I realize you are taking time away from your own families to serve us. We appreciate you and all you have done for our family! Whenever I am having a moment where I wonder if I can keep going without fail I get a phone call, email, or someone stopping by to see how I'm doing. All of these have gotten me through the last few (very difficult) months. I am so blessed and wish I could give all of you a big hug and say thank you.

Love,
Ella

P.S.
If you have any suggestions for names we are open to them. The top name right now is Hazel. That is what Avella and I are calling her. The boys aren't fans, but they have no suggestions. Avella and I just might win by default. ;)