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Monday, June 6, 2016

Baby Chip: The Last 4 Weeks Inside

The next four weeks all revolve around Chip's middle cerebral artery (MCA). The bloodflow through that artery is the standard to see to what degree my blood is attacking Baby Chip's blood and making him anemic by killing off his red blood cells.

Joe-Joe at one week old


Just like water flows through a hose faster than a Wendy's frosty, so too anemic blood is less viscous than regular blood, so flows faster. At least that's my understanding. If a baby's blood is flowing too fast through his brain, then the doctors suspect anemia. The only way to know exactly how anemic a baby is though is to stick a needle into his umbilical cord and draw out some blood. Baby Chip's blood is flowing too fast through his brain and I almost got sent for a transfusion today. But in the end, his blood wasn't flowing significantly faster than last week so the doctors are holding off a few more days.

The other thing the bloodflow through the middle cerebral artery can show is a CPR score. This score is related to Baby Chip being so small, under the 1%, and shows if a baby is in distress at all. Apparently, the CPR bloodflow number will start showing signs of wear and tear even before the baby's umbilical bloodflow starts deteriorating. It got a little worse from last week, but not enough to necessitate a delivery. Today, Baby Chip's umbilical cord bloodflow was awesome, once again practically normal. The doctors are still waiting for it to get worse since it was so terrible at 24 weeks (absent flow) and still very much less bloodflow than what should be up to about 30 weeks. The Maternal Fetal Medicine specialist running Baby Chip's research study, who pioneered the use of sonogram to diagnose specialty things in-utero,  is examining sonograms of my placenta this week to see if he can come up with an explanation for why the bloodflow got so much better.

He also did some extra measurements for the study today. He looked at Baby Chip's brain through the hole in his skull that all babies have and sent off videos of his heart to another specialist. Apparently, IUGR babies (babies less than the 10%) are at risk for heart issues such as hypertension and their brain can show changes due to oxygen deprivation, not life-altering brain damage or anything, but enough to affect say a child's SAT score.

So that's Baby Chip. I have seven more scheduled doctor appointments (2x a week) until the doctors absolutely will bring him out to the open air. Whether he's allowed inside me the next four weeks  or not is entirely up to him. Praying he can keep chugging and we can eke things out until 37 weeks. Oh and Baby Chip gained weight. Up 11 oz in the last week to 3lb 6oz. :) Now to make it to four pounds. #growbabygrow

And the sonogram shows Baby Chip has hair. Any guesses whether he'll inherit black or blonde hair?

3 comments:

  1. ANNE praying for you and your precious little boy. There is nothing too big for our GOD!

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  2. Continuing to pray for you and baby Chip as well as your family. Praying he stays in longer and comes out completely healthy and will grow more each day. :)

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  3. I think ir will be an incredible mixture of both! ��

    ReplyDelete