Thursday, April 4, 2013

Not One but Two Miracles!

My husband and I found out we were having identical twin girls on my 18w6d ultrasound.  We were ecstatic about having twins girls!  Then we found out they were one of the rarest kinds of twins...Monoamniatic Monochorionic Twins.  We had no idea what that meant so of course we went home and found out as much info on the Internet as possible about this type of twinning.  Monoamniatic Monochorionic means they are identical twins who share a placenta and are in the same sac together.  They each have their own umbilical cords.  For short MoMo twins develop when an embryo does not split until after 9 days after fertilization.  MoMo twins are about 1% of twin pregnancies.  We then shortly learned the complications of the twins.  Cord entanglement and cord compression are the two major complications.  Being that the twins are in the same sac with no membrane separating them the float around in the fluid and their cords become tangled which can ultimately cause the one cord to become compressed potentially stopping the flow of nutrients and blood to one twin resulting in fetal death.  The other complication is Twin-to-twin-transfusion syndrome.  One twin may receive the majority of the nourishment causing the other twin to become undernourished.  Once we found out all of this info it scared us.  Our two precious miracles could be taken from us at any moment.  We just had to think positive and take all the necessary precautions.  My Ob said due to them being MoMo twins they would have to be delivered early around 32 - 34 weeks.  They will be born preemie babies and have to be in the NICU for a couple weeks/months.  My Ob referred me to a specialist who deals with high risk pregnancies.  The Perinatologist did a 2 hour detailed ultrasound.  So far at 23 weeks the babies were looking good.  Both weighing 1 pound 5 ounces.  I was then informed I needed to start inpatient at the hospital at 24 weeks until I deliver the twins c-section at 32 weeks if all goes well.  So here I am at 23w3d nervous and sad about leaving my 2 year old daughter for 2 months while being inpatient but happy and thankful that my twins will be monitored 24/7 in case anything goes wrong and need to be delivered.  I haven't even started to pack so I better get on that.  I just can't wait until this is all a distant memory and I have my beautiful healthy twins in my arms and at home with my 2 year old daughter.

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