3. Awaiting Birth

3. Awaiting Birth

Postby HammockGuy » February 27th, 2009, 3:34 pm

This is the third in a series of 5 free-form discussions related to where a couple is in the process. Unlike the topic-centric discussions that adhere strictly to the subject, these are much more open to a multitude of subjects that would naturally present themselves during this stage.

For those who did not read about the forum’s structure within “About this Forum”, here are the five stages of these free-form discussions:

1. Baby-making in Anand (including prep at home)

2. Awaiting Pregnancy

3. Awaiting Birth

4. Baby Pick-up in Anand (including prep at home)

5. Baby at Home

First, for those following along by your actual stage of progression, CONGRATULATIONS! While being pregnant is wonderful news and an important milestone, the objective obviously is the birth of your baby, or some instances babies. This stage of “Awaiting Birth” is for you and also for all others who want to chime-in on these discussions.

Topics are bound to be many over the course of about 9 months! Some that come-to-mind are: understanding beta numbers, ultrasound scans, wiring funds, surrogate care, preparing to care for a baby, getting a room ready, baby supplies, thoughts on how to tell family and friends, what to bring to India for the baby/ies (like silver nitrate, Erythromycin or Tetracycline), and securing a pediatrician at home beforehand. Again, these are just a sampling of what should exist here...

As a reminder, if new topic information happens to surface in this discussion, kindly update the appropriate topic-focused discussion with that information.

While there are many ways in which one can choose to handle this long wait, we invariably all have the same questions and concerns; or at least we should, in most cases.

Thanks for your participation, and continued wonderful news for those at this stage!
Four cycles with Dr. Nayana Patel, with the first and fourth giving us two beautiful, healthy baby girls! Persistence and determination are often rewarded, so stay the course...
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Re: 3. Awaiting Birth

Postby HammockGuy » March 8th, 2009, 3:22 am

With dcrater kicking things off on Stage 1, since we are currently a little over 14 weeks pg, I'll be the first the chime-in here...

We are now just beginning the 2nd trimester. Everything I heard and read indicates that our chances are now very high that we will have a baby. We are not jumping up and down though. We are happy, but in a reserved, cautious kind of way... We still need to hear back on the marker test. This test is more accurately called an AFP (Alpha-fetoprotein) screen.

This screen has the aim of trying to identify abnormalities such as Trisomy 21(Down syndrome) and Trisomy 18 (Edwards Syndrome), among others. I have heard that this analysis is quite lacking though as there are many false positives, or indications of disease when there is none. An amniocentesis or amnio for short can be done to get more conclusive results (about 98% accuracy) on several hundred genetic or chromosomal defects. It is typically performed during weeks 14-18.

I've heard that amnios are not routine and are usually only done if merited, like if when the marker test are positive, and even then it might not be pursued. Actually, something called CVS or Chorionic Villus Sampling will be done before before an amnio. Does anyone know if Dr. Patel offers CVS? I know she does the marker tests and amnios, if needed...

As you might have guessed, with the increased accuracy of these other tests, comes increased risk. With both CVS and amnios, there is up to a 4% chance of a miscarriage :( Studies show that this risk is reduced if performed later, like at weeks 16-18. There are other implications as well, including infections, which can also lead to a miscarriage. The water can break as well. These are also invasive, and not pleasant for the mother or woman carrying the baby.

The marker tests (AFP) have virtually no risk or even discomfort involved, but are generally accurate a little more than half the time. These are some of the pros and cons when considering such options. I found this hospital's web page to be a good source of info on pregnancy tests.

So, we are a bit anxious to hear back on the test results...

In the meantime, we now feel that we can get a little more engaged in thinking of names, picking-up baby stuff and getting a room ready. I'd be curious to hear when others began thinking of names and how they did so not knowing the gender. When did you start buying clothes and other baby supplies? We've got a few items now, and it feels good...
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Re: 3. Awaiting Birth

Postby KPM » August 11th, 2011, 2:03 pm

Here is the fetal test protocol at the clinic. As some of you know, the wait after the pregnancy test is unbearable. You receive very few information from the clinic and don't have a clue about the protocol. I found this schedule from Dr. Patel to be very useful.

1 Next scan 11 - 13 weeks

2 Antenatal

Antenatal check up Protocol

1st blood test Serum Beta hcg for confirmation of pregnancy after 15 days of embryo transfer date (4weeks pregnancy)

If positive we do 2nd blood test serum beta hcg, Toxoplasma IgG and IgM, APA IgG and IgM and TSH on day after tomorrow of 1st beta hcg report

We go for the 1st scan at 7 weeks of pregnancy (after the 20 days of 1st beta hcg)

At 10 weeks we do her routine check up

At 11- 12 weeks we do her scan by fetal medicine specialist and double marker test for down syndrome

At 16 weeks we do her triple marker test

Blood test – HB, TC, DC, Platelet count, Random blood sugar, HIV, HbSAg, HCV, VDRL, SGPT, S.Bilirubin, S.Creatinine, Urine routine micro

At 20 – 22 week we do her fetal echo by fetal medicine specialist

At 28 – 30 weeks we do her scan and blood test – HB, TC, DC, Platelet count, GTT or PP2BS, HIV, HbSAg, HCV, VDRL, SGPT, S.Bilirubin, S.Creatinine, Urine routine micro

At 34 – 36 weeks we do her color Doppler scan and blood test - HB, TC, DC, Platelet count, Random blood sugar, HIV, HbSAg, HCV, VDRL, SGPT, S.Bilirubin, S.Creatinine, Urine routine micro

If triplest or quadruplet pregnancy we do fetal reduction at 10 – 11 weeks

If twin pregnancy we do cervical circlage after 14 – 16 weeks scan

In twin pregnancy we do extra scan at 32 weeks pregnancy (color Doppler)

Every 20 days routine check up

Most of them stay in the surrogate house. Surrogate stay in a surrogate house when they are taken care - food, medicine etc.

The surrogate gets admitted in the clinic at 35 weeks if she is carrying single baby and at 30 weeks if she is carrying twins

At 7th month of pregnancy we do baby shower if you wish.

Dr. Nayana Patel Akanksha IVF CentreKaival Hospital, Anand, Gujarat 388001Ph. +91.269.225.3789Email:nayana@ivfsurrogate.com
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Re: 3. Awaiting Birth

Postby HammockGuy » August 11th, 2011, 9:09 pm

Wow, while I know we lost a ton of content from the old forum, with just the first few posts on this new one, we have information the old forum never had, like what you just provided KPM. Thank you!
Four cycles with Dr. Nayana Patel, with the first and fourth giving us two beautiful, healthy baby girls! Persistence and determination are often rewarded, so stay the course...
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Re: 3. Awaiting Birth

Postby RVP2011 » August 16th, 2011, 7:56 am

I'm not really sure which section to post this in.
On 09 Aug me and my husband became pround parents to a baby boy. Our little boy was born sleeping at 00.20am weighing 2lb 3oz. We were so devasted when we found out he had no heartbeat.

We went to Dr Patel in Jan 2011, I had IVF with donor eggs. The transfer was done in myself, this was our first attempt and we were so happy that it worked tout for us.

I literally lived on the forum before and after our travel, it was a great support, even though I didn't post much.

We are still awaiting results from the hospital to why our baby boy didn't have a heartbeat.

We are also considering going back to see Dr Patel again once my body has recovered.
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Re: 3. Awaiting Birth

Postby spanky » August 16th, 2011, 11:04 pm

RVP, I am so sorry for your loss. I don't know what to say. If there is anything I can do, please ask. I am in Anand now.

Where do you live? I assume you were doing checkups and getting scans, etc? There was no indication of a problem until birth?
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Re: 3. Awaiting Birth

Postby HammockGuy » August 16th, 2011, 11:55 pm

RVP2011, I can only imagine the pain. When you decide you are ready again, I wish for you strength and persistence. Best to you.
Four cycles with Dr. Nayana Patel, with the first and fourth giving us two beautiful, healthy baby girls! Persistence and determination are often rewarded, so stay the course...
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Re: 3. Awaiting Birth

Postby Beagle » August 17th, 2011, 3:44 pm

I am so sorry for your loss RVP2011.... Your strength Demonstrated with your words is very moving.
Father to 2 beautiful girls.
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Re: 3. Awaiting Birth

Postby mira » August 27th, 2011, 4:41 am

Thanks HammockGuy for restarting this forum, I was new to the old forum, but got good information there and its sad to have lost all the useful information. Hopefully we all can contribute and create another one here...

I wanted to start a topic based discussion on "Adoptive breastfeeding", thought I can start this discussion here as well.

Has anyone thought of adoptive breastfeeding ? Does Dr Anita encourage the same?

I had this in my mind and after searching on google, found Dr Newman's canadian foundation supporting it, on discussion with Dr. Nayana Patel, she was in favor of it and gave me the same link.

In case someone needs the link, here it is:
http://www.mamadearest.ca/en/info/newma ... tation.htm

I am looking forward to know if someone actually used Dr. Newman's protocol and if it was helpful? I am definitely going to give it a try.
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Re: 3. Awaiting Birth

Postby HammockGuy » August 28th, 2011, 9:27 am

Certainly appropriate to discuss here, among other topics on the mind of those awaiting a birth... Or, for a more focused discussion, here you go:

viewtopic.php?f=10&t=66

mira, thank you.
Four cycles with Dr. Nayana Patel, with the first and fourth giving us two beautiful, healthy baby girls! Persistence and determination are often rewarded, so stay the course...
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Re: 3. Awaiting Birth

Postby sreepal » September 30th, 2011, 9:53 am

Hello KPM

Thank you for this info.

Do you have any idea when Dr.Nayna performs the C-section to remove the baby (for twins and for single baby) ?
I heard vaguely that its the 35th week for a single baby and 32nd week for twins..

Thanks
Sreepal


KPM wrote:Here is the fetal test protocol at the clinic. As some of you know, the wait after the pregnancy test is unbearable. You receive very few information from the clinic and don't have a clue about the protocol. I found this schedule from Dr. Patel to be very useful.

1 Next scan 11 - 13 weeks

2 Antenatal

Antenatal check up Protocol

1st blood test Serum Beta hcg for confirmation of pregnancy after 15 days of embryo transfer date (4weeks pregnancy)

If positive we do 2nd blood test serum beta hcg, Toxoplasma IgG and IgM, APA IgG and IgM and TSH on day after tomorrow of 1st beta hcg report

We go for the 1st scan at 7 weeks of pregnancy (after the 20 days of 1st beta hcg)

At 10 weeks we do her routine check up

At 11- 12 weeks we do her scan by fetal medicine specialist and double marker test for down syndrome

At 16 weeks we do her triple marker test

Blood test – HB, TC, DC, Platelet count, Random blood sugar, HIV, HbSAg, HCV, VDRL, SGPT, S.Bilirubin, S.Creatinine, Urine routine micro

At 20 – 22 week we do her fetal echo by fetal medicine specialist

At 28 – 30 weeks we do her scan and blood test – HB, TC, DC, Platelet count, GTT or PP2BS, HIV, HbSAg, HCV, VDRL, SGPT, S.Bilirubin, S.Creatinine, Urine routine micro

At 34 – 36 weeks we do her color Doppler scan and blood test - HB, TC, DC, Platelet count, Random blood sugar, HIV, HbSAg, HCV, VDRL, SGPT, S.Bilirubin, S.Creatinine, Urine routine micro

If triplest or quadruplet pregnancy we do fetal reduction at 10 – 11 weeks

If twin pregnancy we do cervical circlage after 14 – 16 weeks scan

In twin pregnancy we do extra scan at 32 weeks pregnancy (color Doppler)

Every 20 days routine check up

Most of them stay in the surrogate house. Surrogate stay in a surrogate house when they are taken care - food, medicine etc.

The surrogate gets admitted in the clinic at 35 weeks if she is carrying single baby and at 30 weeks if she is carrying twins

At 7th month of pregnancy we do baby shower if you wish.

Dr. Nayana Patel Akanksha IVF CentreKaival Hospital, Anand, Gujarat 388001Ph. +91.269.225.3789Email:nayana@ivfsurrogate.com
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Twins - due which week ?

Postby sreepal » October 18th, 2011, 12:19 pm

Hello friends

We got the scan results this morning and its TWINS for us.. yahooooooo
We are very very excited.

Any suggestions are welcome.
Also, I would like to know how the due date is calculated by Dr.Nayna.
And which week does she operate the surrogate?

Thanks
Sreepal
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Re: 3. Awaiting Birth

Postby redsox » October 19th, 2011, 2:15 am

Congrats!!! That is wonderful news!!! Best wishes!!!
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Re: 3. Awaiting Birth

Postby Jackie_pbs » October 24th, 2011, 7:26 pm

Hello KPM

Thank you for this info.

Do you have any idea when Dr.Nayna performs the C-section to remove the baby (for twins and for single baby) ?
I heard vaguely that its the 35th week for a single baby and 32nd week for twins..

Thanks
Sreepal

_______________________

This information was given by Dr Patel 2 weeks ago about the birthing protocol/procedure.

For a single baby - The preference is that the baby be delivered vaginally. At 37.5 weeks a trial dose of potocin (labour inducing drug) is given to the surrogate to induce labour. This is dependent upon if the surrogate is a first time surrogate, and has had no previous c-section deliveries. If the surrogate is not able to deliver vaginally then a C-Section will be done. Expect the baby to arrive in the 38th week.

For twins - delivery will be at the 35th week.

For arrival of parents - Dr Patel will update parents around the 32nd week for expected dates of delivery in order for travel arrangements to be made.
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Re: 3. Awaiting Birth

Postby RVP2011 » November 7th, 2011, 2:36 am

Thank you Spanky, Hammockguy and Beagle for you kind words. The last few months have been very tough on me and my husband. But we have decided to go back to India and try again with Dr Patel. I guess we never thought that we would have been returning to Anand so soon. We are planning on going in Jan 2012. I'm a little concerned as my due date will be very similar to my little boy's. I pray that the 2nd attempt will work for us like our 1st try. Dr Patel has been so supportive to us since we lost our little boy. It has been really tough especially since the people wecycled with all had a positive and have gone on to have healthy babies, we are very happy for them and hopefully next yr I too will be blessed with a baby in my arms.
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Re: 3. Awaiting Birth

Postby mira » November 7th, 2011, 9:10 am

Hi RVP2011

I can understand your grief. My heartiest wishes are with you. I am sure you would succeed one day, just don't loose hope. You will be in my prayers.

Good Luck!
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