Breastfeeding Twins

2013-03-30 14.21.36We’re about to get real up in here and talk about something I think is so important to talk about publicly. So, if me talking about nursing my babies ain’t your thing feel free to exit now…otherwise, prepare yourself to get a tiny bit little personal.

(P.S. Mind On Medicine could be abbreviated to M.O.M. Can we all take a moment to relish how ridiculously fitting that is?)

I knew when I was pregnant that I wanted to give breastfeeding a good ole college try. I would give it a go, see how it went, and hope for the best. When I found out we were having twins I became even more okay with supplementing formula or completely formula feeding if nursing didn’t work out. My number one goal was happy babies and happy mommy, however that happened was fine. However, I did know I wanted to give it my best shot, since breastfeeding is the best thing for babies and has some awesome benefits for mom as well (lower rates of some cancers, weight management, lower risk of post-partum depression, etc.).

Somewhat out of character for me, I didn’t read a bunch of books or investigate a bunch of websites. I read up a little and went to Twitter for tips and tricks and hoped the lactation consultants (LC) in the hospital could guide me through the early days. What I didn’t expect was to be sick before and after delivery, to be recovering from a major abdominal surgery, or to have two slightly premature babies with immature lungs in the NICU on respiratory support. But, we rolled with the punches and moved forward.

After my c-section I was started on Magnesium for pre-eclampsia (my blood pressure was really high – 180/110 when they put me in the hospital – and I was losing protein in my urine) and had to stay in bed for monitoring, so I wasn’t allowed to go to the NICU and see my babies until they were over 12 hours old. All the Twitter peeps had told me to put the babies to the breast early and often so I could establish good feeding habits, but clearly that wasn’t an option for us. So, now what?

When the (amazing) L&D nurses finally wheeled me to the NICU the (equally amazing) neonatology team was rounding and asked if it was okay if we started feeding the babies. I can’t remember hardly anything about the first 24 hours after my surgery, Magnesium does weird things to your brain, but I do remember asking if we had any options other than formula. They told me we could use donor breast milk (um, freakin’ awesome that moms choose to donate their extra…THANK YOU) and we all agreed that our number one goal was getting some weight on these babies so I could take them home, so donor milk  it was.

At some point in that first day a LC came by and hooked me up to a breast pump. Holy weirdness, people. Those things are strange. She explained it to me and told me not to expect more than a few mL in the first days, especially with the babies away from me in NICU. She wanted me to pump every 2.5 hours around the clock for 20-30 minutes at a time in order to establish a good supply. Welcome to mommy-hood!

So, I diligently followed orders with the overwhelming love, support, and encouragement of my husband. I’m so thankful he was so helpful when I was sore, exhausted, and sad in those first few days.

They mixed what I pumped with the girls’ bottles of donated milk and 6 days later we were leaving the NICU…with no decent amount of milk in sight from me. I was sure I had a milk-dud situation on my hands.

The NICU gave us feeding guidelines and loaded us up with bottles of Neosure, so that when we got home they’d have something to eat.

Almost instantly as we got home my milk came in. Something about having the girls with me kicked my production into high gear and I was able to start pumping enough for them.

It was a rough road and I won’t discuss it all here, because it would be the longest post ever, but it involved  a month of exclusive pumping, a slow transition to nursing with a shield, a long process of weaning off shields, and finally mastering exclusive nursing in time for me to put away the pump a couple weeks before going back to work.

I’m now back at the hospital with 180+oz of milk in my freezer (oh, did I mention the massive oversupply once my milk finally came in?), pumping enough for them to eat while I’m away, and incredibly proud of my decision to breastfeed despite our obstacles.

Another thing I’ve gotten out of all of this – a very clear understanding of why exactly people choose not to nurse their babies. It’s freaking hard, people.

If you’re pregnant or have a new baby and have questions, shoot me an email. I’ve picked up some tips and tricks along the way and I feel like since I’ve made about 60 gallons of milk (yes, seriously) in the past 18 weeks I am somewhat of an emerging moo-cow extraordinaire.

Pediatrics Clerkship

This is a clerkship I was extremely excited about, because it was a field I was seriously considering going into! In fact, up until my third year Ob/Gyn rotation I was almost positive I would be a pediatrician some day. The clerkship was a lot of fun and definitely made my decision difficult, but as you already know Ob/Gyn ended up winning my heart…but not because Pedi let me down.

Pediatrics

This specialty is focused on children, there’s a lot of “normal” in pediatrics and you tend to get to know your patients and their families very well. The residency to become a general pediatrician is 3 years and you can specialize in any number of things, from neonatology to oncology, after you finish.

The Clerkship

  • 8 Weeks: One week is spent in specialty clinics, one week with neonatologists in the NICU, two are dedicated to inpatient pediatrics and the rest are spent in general pediatric clinic.
  • We had frequent morning lectures and case presentations by the residents to help prepare us for the NBME exam. These were *key* in doing well on this exam for me.
  • One overnight call while on the week of Neonatology.

Daily Life

  • Clinic Weeks: Basically 8am – 5pm.
  • Inpatient: Usually pre-round about 6am, round about 7am and spend the day admitting patients and making sure all is well with admitted patients. Checkout around 5:30pm.
  • Neonatology: Pre-round about 6:30am, round about 7:30am, and spend the day attending deliveries, taking care of procedures (lumbar punctures, circumcisions, etc.), and checking up on lab work/radiology for patients

Pediatrics Clerkship Books

        

  • At our school we have a wonderful physician who provided excellent clerkship notes that were key in doing well on the exam. I wish everyone had those notes.
  • Case Files Pediatrics: Easily the best-written book you can buy for preparing for the shelf exam. If you know this book well, you will score high on the shelf.
  • Blueprints Pediatrics: This book is decent if you need a text-book style, rather than case-style, book to read. I had it as a free hand-me-down and referenced occasionally, but I don’t know that I would have been very happy with it as a purchase if I had to pay for it. It was just ok.
  • First Aid for the Pediatrics Clerkship: Again I had this book as a hand-me-down and it was just okay. However, had I not had the notes from our clerkship coordinator, this & Blueprints may have been a tad more useful to me. I think we are spoiled on this rotation with great teaching.
  • The Shelf: This shelf exam is very age-oriented (whoda thunk it?). What I mean by that is knowing key things like what heart defect causes a “blue baby” immediately after birth and what heart defect causes a “blue baby” months after birth is what will help you do well on this shelf. A lot of the diseases have similar symptoms, but appear at different ages and this is key. Also, knowing basic milestones and developmental timelines will gain you easy points. I felt like it was heavy in infectious disease, cardiology, and respiratory.

What I Like

  • The Patientswell, most of them: I love kids and I loved that on this rotation I got work with kids all the time! They are so resilient and seeing them overcome things is really amazing.
  • Pediatricians: In general, this is a very upbeat, happy field. People tend to have great job satisfaction and be overall happy with their life as a pediatrician and it definitely shows in working with them. I loved the positive morale and environment.
  • Family-Friendliness: Pediatrics tends to be one of the areas of medicine that is relatively family friendly. Most of the residents have children and if they don’t already have them most want them some day.
  • The Hours: Compared to surgical specialties, the time-commitment of this specialty is a little bit better. Because pediatrics is heavily clinical, it offers a more consistent routine. Although, there are definitely rotations in pediatrics that are more intense.

What I Didn’t Like

  • The Patientsa few of them: I loved working with babies and toddlers and little kids, but the ins and outs of adolescent medicine made me feel like I was not cut out to be a pediatrician. I simply am not hard-wired to effectively discuss tobacco and alcohol use with a 13 year old. 
  • So. Much. Clinic: I like clinic in small doses, but Pediatrics involves so much clinic and very few procedures, no surgeries, and  a lot of chit-chat. 
  • Well-Child Checks: To be a good pediatrician I believe you truly have to be interested in normal development of children and, unless it’s the normal development of *my* children, it honestlyjust doesn’t fascinate me.
  • Lack Of Intellectual Interest: The subject important to pediatrics just don’t fascinate me like some other areas of medicine do.

Overall, I did really enjoy this clerkship. I loved most of the patients, the parents didn’t bother me, and the work was okay. Nothing about pediatrics really fascinated me the way reproduction and women’s health does and nothing caught my attention and heart the way reproductive endocrinology has, but pediatrics is a great field. The hours were tempting, the morale was attractive, and the people were great…but in the end it just wasn’t me. 

My Take On The Other Core Clerkships

 

Image Credit: imagerymajestic | FreeDigitalPhotos.net

Questions People Ask Twin Moms

From the moment you find out you’re having a baby people have questions – is it a boy or a girl, what are you naming it, how are you feeling? When they find out you’re having multiples, the questions increase exponentially by the number of babies gestating in your uterus. And, when those babies finally arrive and you take them out and about, people have even more questions!

As A Twin Mom, Always Be Prepared To Answer The Following Questions:

  • Are they twins?
    No, they’re triplets…oh my gosh, have you seen their brother?!
  • Are they identical?
    No.
  • They look the same. Are you sure they aren’t identical?
    Yes.
  • How do you know they aren’t identical?
    They have different blood types. And hair colors. And eye colors.
  • Are they “natural?”
    No, actually we made them from MSG and Red Dye #40 in our garage.
  • You had a c-section, right?
    Yes, because they tried their hardest to come out feet first…not because they are twins.
  • Are you getting any sleep?
    They’ve slept 10 hrs straight every night since the day we brought them home. Why? Do you think I look tired?
  • Are they your first?
    And second.
  • Will you have any more?
    I’m due in 8 months!
  • How do you tell them apart?
    I can’t really, each morning I just pick one to be Amelia and one to be Reese…surely it will balance out eventually.
  • Do twins run in your family? 
    They can’t even walk yet…but they’ll probably run some day.

In all honesty I don’t mind the questions – I’m so proud of these two that it makes me really happy other people are interested in them! Sometimes it does get old being able to predict every conversation I’ll have while I’m waiting in line at Baby Gap, but I’m so grateful to have healthy babies I could answer these simple questions all day long.

Speaking of Baby Gap, though – that place is the holy grail of adorable baby clothes. I wish I could get them to sponsor this blog – surely one of you has the connections to make that happen. MAKE THAT HAPPEN!

Any other twin moms out there get asked the same questions over and over? 

Medicine, Marriage, Family

I remember when I was considering applying to medical school being terrified that becoming a doctor meant I’d never be able to have a family. Every Google search led to horror stories about divorce, blogs berating physicians that chose to have children, and forums full of miserable doctors. I almost chose a different career path purely out of fear.

As I’ve mentioned before I strive to make this blog a balance of medicine and other things – particularly family. I want my blog to serve as a place for pre-meds and medical students with these worries to find a positive story.

I love blogging about medical training and education, but the goal of Mind On Medicine has always been to create a place to write what we might sit down and talk about over a cup of coffee…and I can guarantee right now there would be lots of talk about mothering multiples, being a working mom, breastfeeding twins, returning to work, sleeping in 2 hour chunks, etc.

So, in order to continue in my endeavor to have work-life balance on this blog, I’m going to be starting what we will oh-so-creatively refer to as “Twin Tuesday.” On Tuesdays I’ll share anecdotes about adorable babies (obviously), but I also hope to delve into some of the challenges and excitements of being a mother in medicine.

I hope if you stumbled on this blog and you’re worried about medicine and family life and marriage that you will stick around! It’s not easy, but it is possible…it’s an adventure that I’m so glad I have chosen to embark on. And, while I still have a ways to go, knowing what I know now I’d still choose to do it this way!

Also, if you’re considering throwing your dreams of medicine out the window because you think you have to choose one or the other, I hope you’ll email me first so we can chat. I’ve been in your shoes!

What Is This “Match” Thing, Anyway?

First off – I’m back from blogging maternity leave – celebration dances may commence! Oh, you thought you got rid of me because I birthed two babies at one time? Oh no, friends, it won’t be nearly that easy to get rid of me.

Now, for our regularly scheduled post of insightful information.

If I had a dollar for every time someone has asked me “hey you did all those interviews (while ridiculously huge and pregnant), did you get a job yet?” I’d probably have 14 pesos by now. Nobody outside of medicine understands how this works…and quite honestly, I can’t imagine why they would want to…but I’m going to try to break it down into simple bullets as well as I can. This is an extremely basic overview.

Applying To Residency – The Basics

  • Medical school is four years long.
  • Sometime during the third year most people choose a specialty. I chose Ob/Gyn.
  • In the Fall semester of your fourth year residency applications are due.
  • Some specialties have different application processes, this blog discusses the most common.

Interviewing For Residency Positions

  • After applications are in programs offer interviews.
  • Interview season is generally from September – January of fourth year.
  • People do an average of 10 interviews, depending on competitiveness.

Applicants Make A “Rank List”

  • After all interviews are completed we rank each place we interviewed based on how badly we would like to go there. I interviewed 10 places and ranked 7 – you’re allowed to leave any places you don’t think you’d want to go off your list and this guarantees you won’t end up there.
  •  Rank lists this year were due February 20, 2013. (yesterday! eek!!)

Programs Make A “Rank List”

  • Programs rank applicants who interviewed according to how badly they want them to join their program. Like applicants, programs are allowed to choose not to rank a certain person if they really don’t think they’re a good fit for the program.
The Match
  • A very large, Alien-manned computer located somewhere between here and Venus uses a mysterious, Big Bang Theory-type algorithm to calculate where an applicant will “match.”
  • This pairing goes in favor of the applicant – so applicants get matched to the highest place on their list that also ranked them.
  • The idea is to put the largest number of applicants possible at the programs they really liked. This is the extent of my understanding. If you’d like the nitty gritty on how the actual algorithm works you can read about it here.
  • The Monday before Match Day applicants find out if they matched. Applicants who don’t match enter into the Supplemental Offer Acceptance Program (SOAP), that’s a whole blog post in itself.

Match Day – March 15, 2013

  • MATCH DAY! Friday you gather with your classmates for a big, fancy ceremony and celebration. At our school we have an exciting morning filled with friends and food. Everyone gets an envelope with their name on the outside and destiny on the inside. At 11am we all open them together to find out where we will be spending the next 3-7 years. Obviously, everyone hopes for their #1 choice, but most people are happy with any of their top 3 or 4.

 
So, no I haven’t technically gotten a job from all those interviews I did…yet! I will find out on Monday, March 11 IF I got a job and Friday, March 15 WHERE I got a job.

Residency is your first real job as a doctor, we will all technically receive our MD in May. However, residency is continued supervised training. So, while we are doctors and we do get paid (instead of paying tuition, finally), we are just baby doctors. The average resident physician pay is about $45,000/year and the work weeks are typically 80 hours long. That comes out to $notverymuch/hr for someone with a doctorate level education, but it makes sense – we’re still learning how to be really great doctors and someone has to make sure we are doing a good job!

There, clear as mud…now how should I spend all these pesos?

Introducing…The Elves

One month ago today I was 35 weeks pregnant and headed to the hospital for a non-stress test and ultrasound to check on “Baby A” due to concerns about restricted growth. At my appointment I was swollen like a balloon and had a blood pressure of 180/110 and “3+ protein” in my urine (in other words, I would have made a super easy USMLE question on classic presentation of pre-eclampsia).  I was sent straight to Labor & Delivery – no time to even go home and pack a bag (which my husband may or may not have so kindly asked me to do the weekend before)! My abdomen was somewhere along the lines of ginormous when I snapped my last “belly picture”…

We got all ready to welcome The Elves, who would arrive late in the evening of December 3, 2012 (by c-section because Baby A was trying her hardest to enter into this world feet first).


If you follow the blog you know we had opted out of knowing the babies’ sexes before the birth, so the delivery was all sorts of exciting!

SURPRISE! It’s a girl!

Baby A 

DOUBLE SURPRISE! It’s another girl!!

Baby B

They were 5 weeks early and having some trouble breathing, so they headed off to NICU after kisses and hugs from their dad and I. The next time I saw them, 12 hours after they were born (because I was busy enjoying the lovely side effects of magnesium sulfate – every horrible thing your patients say about that drug is true), they were hooked up to all kinds of wires and breathing with CPAP assistance.


They were rockstars, though and did awesome in NICU! After a few days they were able to reunited for the first time since birth.

And just 5 days later we were able to go home as a family of four (+ 3 crazy canines!). The girls each weighed about 4.5 lbs when we left the hospital – if putting a four and a half pound baby in a carseat isn’t terrifying, I don’t know what is!

Happy one month birthday, Elves – you bring an unexplainable joy to our life.

Why Do You Blog?

The past week I’ve been meandering down the interview trail hoping to avoid death by dysentery along the way…ugh…wait…wrong trail.

Anyhow, I really have been traveling around Central Texas the past week for residency interviews and along the way the most commonly asked question has been:

“Why exactly do you blog?”

Most often the question has been posed with genuine interest and good intentions, but it has been occasionally paired with a single raised eyebrow and skeptical tone. Both reactions I understand and both are great reasons for me to address the question here. Would it be appropriate to refer someone to a URL mid-interview?

No? Oops…maybe I really have been in the blogosphere too long.

So, here are the 6 best reasons I can come up with on this half-cup of coffee I’ve had:

#1: I enjoy it.

I initially started writing in this blog 2 years ago (holy wow, have I really been typing random rants and information for two full years? You people are so tolerant.) because I felt like medical school had sucked the creativity out of me. I can’t paint or draw (except those awesome stick figures cursed with Streptococcus agalactiae and Pseudomonas), so naturally blogging was my only option.

#2: Before medical school I worried…about work-life balance, about studying, about family.

I feel like I have a perspective to share that would’ve given me hope as a pre-med. I wanted to write about whatever we might sit down and talk about over coffee. I wanted to show that a work-life balance was not impossible for a woman in medicine and I wanted to share my experiences. Everyone doesn’t go to medical school, but a lot of people seem to be genuinely interested in our experiences here, particularly those considering a career in medicine. This feeling to share the possibility of balance in medicine became even more urgent after seeing that everyone was not promoting the fact that it is possible.

#3: Our patients are online…and they have so much to teach us.

I feel like I’ve now written ad nauseam about the utility of hearing people’s stories…feel free to hop on over to “Following Patients On Twitter…” or “What Medical School Doesn’t Teach Us” for my take on learning from patients online.

#4: Our pateints are online…and they have a right to reliable information.

We have this unique opportunity to share information on things we are passionate about and know to be evidenced-based, like flu shots and how they’re safe in pregnancy or the fact that endometriosis is related to infertility. Though I don’t blog in this manner too often at this point in my career, I do plan to share more health information in the future (you know…when I’m really a doctor and stuff).

The bottom line is our patients are going online to find their health information and, in my eyes (and the eyes of some awesome health bloggers like SeattleMamaDoc) that means we have a responsibility to be online with them.

#5: It’s a fun challenge.

Make no mistake, friends – maintaining a blog is no easy feat. It’s a fun and interesting endeavor, but it does take some time and patience. I’ve enjoyed seeing Mind On Med evolve into what it is today and I’m excited to see where it’s headed in the future. I love the challenge of putting my thoughts into words and of designing and orchestrating the back end of the blog. It’s exciting to see what posts get a lot of chatter on the Twitters (usually not the posts I expect) and it’s fun to hear others opinions on what I have to say.

#6: I get to learn from people I never would’ve met if I wasn’t online.

I’ve interacted with people from more countries than I can count, specifically through the Medical Education Monday series. People from all over the world have taught me what it’s like to train to be a physician in their country and I’ve had the opportunity to share it with y’all. I’ve also had the chance to meet (or “meet”) medical students, doctors, and other providers from around the US and learn about how medicine is practiced in different parts of our country. These are not conversations I would have had without my involvement in social media and I think there’s a lot to be said for a tool that makes it so easy for us to step outside of our little bubbles…and comfort zones!

Why are you involved in social media and/or blogging…as a patient, provider, or student? I’m interested to hear what keeps you coming back to the wonderful web-world every day.

Stanford Medicine X – Student Voices

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Let me start off by saying I’m learning so much at this conference. Dr. Larry Chu has done a fabulous job organizing and orchestrating, a true class act of knowledge, technology, and passion.

Everything about this conference has me nodding my head and saying, “Yes! THAT is why I’m involved in social media & health technology.” Med X has maintained a human side by giving a loud voice to patients, something I think is incredibly important to maintaining compassion in healthcare, and still managed to be on top of medical information by including a great mix of emerging health technology.

We’ve heard from patients, investors, lawyers, doctors, professors, engineers, computer scientists…all kinds of people.

So, what’s missing? The voice of students.

I’m so disappointed in the lack of involvement given to those of us in the throws of medical education. We are here. We are watching. Many are even help organize and offer ideas to the planning of the conference. But, we have no voice…

This is not a new thing at medical conferences, medical students and young physicians (residents, newly practicing docs) are often left out of speaking positions and panels. Perhaps it’s due to time and money constraints. Or maybe the reason is that we don’t have the expertise that many of these wonderfully seasoned docs have and we aren’t a traditionally valued opinion group. I don’t think those are great reasons, though. In fact, I think that lack of experience is a great reason we should have a voice.

Why do we deserve a voice?

We are in a unique place in our lives – not quite general population, but not quite healthcare provider. We still have the idealism that not fully understanding the medical system allows, but we have enough insight into the medicine to express ideas that are consistent with medical practice.

Why are we valuable in the ePatient realm?

One of the biggest echoings I’ve heard from the amazing patients here is that their stories aren’t being heard by their providers. I talk a little in this post about our role as medical students allowing us to be more present with patients. We have time to listen to patients. We are afforded an opportunity to hear their stories, because we don’t have 25 patients to round on – we have 2. We can offer an infantile medical perspective mixed with a healthy naivety of knowing patient stories.

We deserve a voice at these conferences, because we have a lot to offer. We deserve a voice, because we are the future. We deserve a voice, because sometimes being an expert isn’t always the best way to develop new and innovative ideas. Steve Jobs could’ve told you that.

Following Patients on Twitter – The Other Side of the Chief Complaint

I recently tweeted asking about favorite patients, physicians, and students on Twitter and was met with a plethora of shocked tweets at my inclusion of patients as potential Twitter interests.

Perhaps other medical friends interpreted this as being similar to meeting people in clinic and asking for their Twitter handle (which is not something I do) or maybe people really think it’s wrong to follow patients on Twitter, I don’t know. However, I do know y’all should be aware of why following people who tweet about their medical problems is beneficial to me as a future physician.

I don’t follow all that many people on Twitter – I find it overwhelming to keep up with too many people. Dr. Vartabedian at 33 Charts expressed my sentiments on this perfectly in a recent post, “How I Avoid Filter Failure on Twitter.”

So why, with my limited “following” numbers, do I preferentially follow people who tweet about their experiences as patients?

How often in medicine do we forget that on the other side of that chart and chief complaint is a person?

What if we are forced to understand that a person’s ailments and the way their physician treats them often directly affects their entire life?

I’ve mentioned before how incredibly eye-opening it has been for me to follow people in the infertility community. I’m currently on my Ob/Gyn Sub-I and am keenly aware of how heart-breaking infertility, high-risk pregnancy, and pregnancy loss can be for my patients, purely because I’ve been exposed to some of these women’s stories online.

@EndoJourney is struggling through this right now and her story is one of many that makes me so exquisitely cognizant that the worries of pregnancy (and the heartbreak and fear of pregnancy loss) do not end when a patient leaves our office. Some of these women (often along with their spouses and families) are forced to worry 24 hours a day that a very wanted child may never be in their arms.

Medical problems permeate lives. When we, as healthcare providers, forget that our actions, our words, our demeanor truly affects the well-being of our patients we easily lose compassion and gain complacency.

So, yes – I follow patients on Twitter. Not my patients, but patients who share their stories. I follow patients who explain how their doctors have affected their mental and physical health – how their physicians have failed them or fought for them and how it made them feel.

I follow patients to understand…to avoid complacency…to maintain compassion.

I learn from these people on a curve much different than that of traditional medical training, because through them I learn to be acutely aware that my actions – both positive and negative – are not quickly forgotten.

I am sharply conscious that an ounce of honest compassion can significantly improve someone’s mental well-being…and that a moment of carelessness can destroy it.

And that, my friends, is not something that can be learned from a textbook.

Anatomy Scan

21 weeks + 2 days

Today we had our “anatomy scan” where they basically do a detailed ultrasound of the baby to look for various fetal anomalies or malformations. We got great news – everything is looking perfectly on track for both Little Elves*! Basically each appears to have a three vessel umbilical cord (which mean two arteries and one vein per cord), two kidneys, a cute little round stomach, a four-chambered heart with good outflow tracts, no obvious brain or spine malformations, etc. We are so overwhelmingly happy and feel absolutely blessed!

Baby A Information

This is a picture of Baby A with left arm over left eye and hand on head. This little guy/girl wouldn’t cooperate long enough to let us get a really good face shot! I think this one is still adorable, but of course I’m a bit biased. 🙂

  • Heart Rate: 152
  • Approximate Weight: 14 ounces
  • Position: During the scan this little one went from vertex (head down) to transverse left (horizontal with head on my left) to breech (head up by my ribs) without me even being able to tell gymnastics were happening in my belly! It was the craziest thing.

Baby B Information

This is a picture of Baby B with one arm/hand up over the right side of the face and the other under the chin! This little one was slightly more cooperative with face shots, but still wouldn’t let us get a full-on picture.

  • Heart Rate: 155
  • Approximate Weight: 14 ounces
  • Position: Breech on my left (so curled up a bit with head near my left ribs).

 
 
 

*Since we don’t know the sex of either baby (and aren’t finding out until they can show us in person themselves) we are lovingly referring to them as “The Elves.” This name came about because they will hopefully be here around Christmas time…oh and also they looked a bit elfin in their early scan pics. 🙂