Surprise!

Yesterday morning I had some strange pains in my belly and back. A couple of hours after they started, I decided to called the doctor. They told me to come to the office in the afternoon so that they could hook me up to a contraction monitor, take a urine sample, measure my blood pressure, etc., to make sure things were all right. When I got there, however, I learned that they were also going to go ahead and do the full scans that I was scheduled to have done on Friday.

I called Ted to tell him that he was going to miss the scans (which were going to measure the babies' heads, abdomens, and femurs), but neither of us thought it was a big deal. As soon as the ultrasound tech came into the examining room, though, she asked, "So are you here to find out what you're having?" I hadn't expected to find out for a couple more weeks! I told her that I would love to know, if she could tell me, so she got to work. Within seconds, she was able to determine the sexes of all four babies!

She gave me a bunch of pictures, but it's hard to make out what exactly they're supposed to be showing, so I won't be posting them. I will, however, reveal our happy news! Without further ado (drumroll, please):

Baby A is a ... BOY!
Baby B is a ... BOY!
Baby C is a ... GIRL!
Baby D is a ... GIRL!

I asked the tech how certain she was, and she said, "I'm 98% sure. I've been in this office 20 years and have only been wrong once." So we feel pretty confident that these boys will stay boys and the girls will stay girls. The tech said that when I have my next full scan (in a month) the babies will be so much bigger that it will be much easier for the untrained eye to see who's what.

Thanks to everyone who voted in the poll; I had fun seeing what the trends were each day (people really thought I was full of boys!). Special props go to Staci, who exercised her sonography skills by examining the ultrasounds in last week's post and determining (correctly) that Baby C was a girl! And a big thank you to Becky, who brought me these pacifiers a few weeks ago in the hopes that we would have an even mix of niños and niñas. Aren't they adorable?

For those who like numbers, I am currently at 16 weeks gestation but am measuring at 27 weeks. Babies A, B, and D weigh about 6 ounces, and Baby C is a little smaller at 5 ounces (the tech says this is nothing to be concerned about). Oh, and the tests showed that I was not having any contractions, did not have a fever, and had normal blood pressure; the pains were probably due to the fact that I've been growing so fast (2 inches in the last 5 days!).

Now it's time to start thinking of some names ...

Drummer boy ... or girl?

After recovering at home for a week, I went back to work on Monday. That morning, as I was walking back to my desk from the copy room, I felt one of the babies move! The sensation was like a very light *thump* from the inside, as if someone had hit a drumskin (my uterus) with a padded drumstick (a foot?). At first I thought the kicker was George (Baby C), but based on the babies' positions on the ultrasound I had yesterday, I am now convinced it was Ringo (Baby D). Quite appropriate, no?

Despite my heightened awareness, I didn't feel any more movement until last night. This time I felt less distinct but more numerous little taps; it kind of felt like little bubbles were popping all across the top of my belly. (And no, I did not have beans for dinner!!) People keep reminding me that I'll soon grow annoyed and uncomfortable with all the gymnastics in my belly, but I am blissfully refusing to let anything lessen the thrill of feeling my babies move for the first time.

Something else I'm getting more excited about is finding out how many of my little drummers are boys and how many are girls. I am not alone in this: "Do you know yet what you're having?" is by far the number-one question I get these days. In fact, interest is so high that a colleague of mine even suggested that I start an office pool! Although I don't plan on doing that, I'd love for people to submit their guesses in the "What's in My Belly?" poll (at right). The nurse says that we should be able to find out what we're having in another 3 to 4 more weeks.

And now for yesterday's 14-week ultrasound pics. It's a good thing that we weren't trying to see the sexes this time since all but one (Baby A, aka John) kept their backs turned to the camera:

The kindness of friends

Ever since we announced that we are expecting quads, I have been repeatedly surprised and touched by people's generosity. Already, a number of friends have offered to give or lend us their used baby paraphernalia, bring us meals during my bedrest, and help with the babies when they come home. This week during my recovery, friends have stopped by to see how I'm doing, bring us food, and even drive me to the doctor's office on short notice.

Several of my girlfriends have also been kind enough to give or lend me a sufficient number of maternity clothes so that I hopefully won't have to purchase more than a couple pairs of pants (being short stinks). Just yesterday, in fact, I acquired my latest piece of maternity clothing, courtesy of my friend Karen (whom I went to school with in Uruguay and haven't seen since the 8th grade). Look at how adorable this T-shirt she sent me is!!

The thoughtfulness of this gesture by an old, old friend really moved me, and I know that this and every kindness that has been extended to us up to this point is just the tip of the iceberg. Your prayers, support, love, and friendship mean more to us than we can express. God is good, and He is providing!

Suzy's big adventure

As most of you know by now, I came home yesterday around noon. What most of you don't know (because I forgot to include it in my last pre-op post) is that my mom was able to take time off to be with me for my surgery! Ted and I were so glad that she could come; it was exactly what I needed in order to feel completely serene and prepared. She flew in on Thursday afternoon and we did a little last-minute shopping to make sure I had everything I needed for my little "vacation." Then she stayed up with me until midnight so that I could eat and drink until the very last minute (I knew the babies would be so mad at me in the morning when I wasn't allowed to eat breakfast or even have a sip of water, so I wanted to keep them happy for as long as possible).

After a great night's sleep, I was completely ready to go. I got a nice surprise in the triage room when quad mom Jen showed up. She offered some firsthand advice, encouragement, and a prayer, all of which were greatly appreciated. Shortly after she left, they wheeled me into the OR (a little earlier than expected, but I didn't mind). They gave me my epidural and then did a quick ultrasound to make sure all the babies still had heartbeats (they did). The first epidural didn't take, so they gave me another one. Because my uterus had grown so much in the four days since my last appointment, the doctor had them wheel the ultrasound machine back in so that he could see where the top of my uterus was now, to verify that he could still get away with a horizontal cut rather than a vertical one (he could, whew!). The resident who was assisting him commented that I am measuring at 20 weeks, 7 weeks ahead of singleton schedule. Because of these detours, the actual TAC didn't get underway until probably closer to 2pm.

The rest of the procedure, which lasted a little over an hour, seemed to go off without a hitch. I had no pain from the actual surgery, although I did have what they call "referred pain" in my upper arm (not pleasant, but not the worst thing in the world). When all was said and done, the doctor told me that my uterus was "very conducive" before heading to the waiting area to tell my family that I'd lost only 6 tablespoons of blood (fantastic, considering how much the babies need every ounce of blood in my body) and that I had "the perfect anatomy" for this type of procedure (I'll take that as a compliment).

I was in recovery for about an hour, during which we got to see another ultrasound of the babies, kicking around and being more active than ever. I used the morphine pump a few times to relieve the burning sensation in my incision, and then I was wheeled to Room 237, my home for the weekend. I clicked the morphine pump once more (kind of out of habit, I think); I didn't have to use pain meds again for the rest of my stay. Mom stayed with me that night, and it was so nice to have her there! She's had several surgeries (including two C-sections) herself, so it seemed that she knew exactly what I needed when I needed it. Neither of us got much sleep due to the nurses coming in to check my vitals so often, but I was nevertheless glad to be in such a great hospital.

On Saturday morning the nurse took out my catheter and IV, and told me to call her when I needed to use the bathroom so that she could help me get up. Well, I was so uncomfortable in the bed that I called her before I needed to use the bathroom, just so she could show me how to get up and walk around the room. It felt so great to stand up and sit in a chair! The nurse was amazed and thrilled that I had started walking around so soon of my own volition. After that, it was just a matter of making sure that my temperature and blood pressure stayed down (they did) and that all my "systems" were back in working order (they were). I got plenty of rest on Saturday (listening to The Beatles on the iPod, watching Tootsie on the in-room DVD player) and made sure that I did a lot of walking around (which was much more comfortable than laying there, anyway). I got another nice surprise when Kristen stopped by to visit (after a big detour to the main St. V's hospital, HA!). Ted stayed with me that night and took me home when I got discharged on Sunday.

I won't see the doctor again until the 15th, which means that I won't see the babies until then, either. They definitely aren't letting me forget about them, though, considering how much my belly seems to have grown in the past few days. Hopefully my incision will continue to heal in record time so that I have minimal discomfort in the growing days ahead. I am thankful that everything went so well, and also that I had the chance to see the hospital and meet the wonderful staff. Knowing that I will be so well taken care of will surely make my inevitable return to the hospital much less stressful. Let's just hope it's not for a long, long time!

The surgery went great!

I thought Ted would have to post in my stead to let everyone know how things went today, but it turns out that I am feeling pretty good, post-TAC. Later this week, I'll fill everybody in on the details of the day, but for now I just wanted everybody to know that I am doing very well and my doctor says that the surgery couldn't have gone better. I am glad to have it behind me, and I cannot express how thankful I am for all your prayers and encouraging words in the past few days. If everything keeps going well, I'll go home on Sunday.

It is scheduled

I will be undergoing the aforementioned transabdominal cerclage (TAC) procedure on Friday at 1:30pm. It actually wasn't that hard of a call to make after I decided that I just cannot ignore all the good outcomes that my doctor has had with dozens of triplet/quad pregnancies. Plus, I figure that if I didn't go through with it and the babies came too early to have a chance at a normal life (or even at life, period), I would always wonder whether things would have turned out differently if I'd had the TAC.

Something else that made my decision a little easier was the opportunity I had to talk with a wonderful triplet mom named Linda (thanks for the contact, Christine!). She had the procedure done a few years ago with the same doctor and was able to answer a lot of my questions (most of which seemed too trivial to ask the doctor himself). I am all about studying up and having all the information beforehand, so my chat with Linda really set my mind at ease. And hearing about her once-tiny babies and how well they're doing three years on was really encouraging. I hope that a couple of years from now I can share my successful quad pregnancy story with a newbie!

In other news, I had my 12-week appointment with the doctor this morning. I got a full first-trimester screening, which means I got to look at my babies for a whole half-hour! For those keeping track, they now range from 5.5 to 6 centimeters in length (crown to rump). The ultrasound tech was excited when she stumbled upon the view below, which shows all four of them in one shot. She says not to expect it to ever happen again:



Part of the screening involved measuring the skin folds on the back of the babies' necks. To do this, the tech had to get a profile shot of each baby. To my delight, while she was measuring the distance between the neck muscles and skin, I got to get a good look at the faces of each of my babies. I think that Baby A looks just like Ted:


And Baby B looks like my brother did when he was little:



Babies C and D were harder to pin down, looks-wise, but it will be interesting to see if my first impressions of the other two babies turn out to be accurate. It's so exciting to see them looking more and more like little individuals!

My next ultrasound will be right before they wheel me into surgery, and then I'll have another one a few minutes after the procedure to reassure me that they all made it through okay. I will probably be too out of it to post, but Ted assures me that he will take advantage of his contributor status in order to let everyone know how things went. If all goes as planned, I'll be back in posting form by early next week!

This is where it starts to get hard

I had my second visit with the maternal-fetal specialist a couple of days ago. As the first order of business, we got to see the babies again. No measurements this time; the tech was just looking for heart tones. She focused on each baby individually and showed us the flicker of the heartbeat. It was very clear that the kiddos have done some growing in the last couple of weeks; we could see them moving around and even waving at us! It's amazing to think that there's all that movement in my body, and yet I can't feel any of it. I am sure that I will long for this kind of oblivion once I have eight tiny feet (and eight tiny fists) vying for room in my torso!

Here are a couple of snapshots from the latest ultrasound (the babies are shown at 10 weeks gestation):




The second part of the visit was less fun, as it involved hearing a little more about transabdominal cerclage (TAC). The TAC is an optional procedure in which the uterus is temporarily removed (with babies in it!) via a C-section-type incision so that a band can be placed around the top of the cervix. The surgery has serious risks (including, rarely, the loss of one or more babies); however, it appears that outcomes for triplet pregnancies are encouraging (there is not much data on quad pregnancies, for obvious reasons). According to my doctor, women who have the surgery are less likely to experience the degree of preterm labor that results in a much-too-early delivery. The babies will come early regardless, of course, but this could lengthen their time in the womb (which, in turn, would mean less time in the NICU—always a good thing).

If I decide to have the procedure (and I'm pretty sure I will), my surgery will be August 1. My doctor says that I can expect to be in the hospital for two nights, and then at home for a week. Please pray for me as I face this scary prospect, that I may have peace about the decision I make. My main goal is to do whatever is best for the babies.

To end on an up note, Ted and I will celebrate our eighth anniversary on Tuesday. That's two years of marriage per baby—and you guys thought we were waiting too long to have kids!

I am full of babies

That's how my coworker Jon described me today, and it cracked me up! Of course, I can't feel any of the babies yet, but that doesn't mean I'm not constantly aware of their presence. Mostly, they make me tired and extremely hungry to the point that I cannot even sleep through the night without waking up for a hearty snack (okay, it's more like a meal). I hear that's pretty normal, but I can't help suspecting that four babies make you hungrier than just one.

In other news, at 9 weeks I can no longer button my jeans. I am using a hair band looped around my button and through my button hole to extend the reach of my waistband. It's working pretty well so far, but I have to admit that I had to unzip my pants on the car ride home from work today (I don't think the drivers around me noticed). Any day now, I won't even have to inform people that I am pregnant. Things are already happening so quickly!

What's not progressing quickly is the name selection. The truth is that we have been so overwhelmed by the thought of having quads that baby names are the last thing on our minds. We've kind of decided that the most efficient thing to do is to wait to make those decisions until we find out the sexes of John, Paul, George, and Ringo (yes, that's what I immediately dubbed them when we got the quad news), which won't happen for a few weeks yet. That way we don't waste a lot of time deciding on names that won't even be needed.

Nevertheless, we do have a number of helpful friends who are having fun coming up with names on our behalf. Here's the most complete (and the most inspired!) list I've received so far, courtesy of Jana (coworker and cat-sitter extraordinaire):

The basics (read: boring!)—these are the top four names for boys and girls in 2008-2009 (in order):

Girls: Madison, Hannah, Emily, and Alexia
Boys: Jacob, Michael, Joshua, and Matthew

In no particular order, here are the more—shall we say—colorful names!!

The 4 food groups: Ham, Broccoli, Milk, and Wheat
The Growing Pains kids (kinda appropriate): Mike, Carol, Ben, and Chrissy
I Love Lucy: Ricky, Lucy, Ethel, and Fred
The Scooby gang: Fred, Daphne, Velma, and Shaggy (I'd be remiss if I didn't include them)
Deck of cards: Heart, Club, Spade, and Diamond (although these do sound stripper-ish!)
70s disco: Earth, Wind, Fire (and Water)
The 4 elements in all living things: Oxygen, Carbon, Hydrogen, and Nitrogen
4 really bad celebrity kids names: Pilot Inspektor, Prince Michael II (yes, because there's a Prince Michael I), Zahara, and Kal El
The 4 seasons: Spring, Summer, Fall, and Winter
The 4 corner states: Utah, Colorado, Arizona, and New Mexico (the kid who gets the name New Mexico could definitely be shortened to "Mexi"—just a thought)
If you have 4 girls, how 'bout 4 flowers? Daisy, Rose, Lily, and Iris
Popular city names: Paris (of course, right!?), London, Brooklyn, and Dallas
And finally, what seems to be the most logical of all, The Fantastic Four: Mr. Fantastic, Invisible Woman, Human Torch, and Thing

Other interesting suggestions have included rock stars (Axl, Slash, Izzy, and Duff), comedians (Larry, Curly, Moe, and Shemp), and biblical characters (Shadrach, Meshach, Abednego, and Chuck—hey, sometimes it's hard to come up with that fourth name!). If you have any more name ideas for us, leave a comment—we just might use one of them!

We know the meaning of shock and awe

On June 3, 2008, Ted and I were elated to learn that I was 4 weeks pregnant. We spent the next couple of weeks making plans and smiling nonstop. When we went for my first ultrasound, at the 6-week mark, we were just praying to see a heartbeat. So imagine our utter surprise when we saw this:

Ted was speechless, and I just had to laugh. Even our doctor was stunned. Quadruplets!! Never in a million years did we imagine having more than two children total. In an instant, our entire life as we had planned it went out the window.
The doctor told us that it's not unusual for a multiple pregnancy to self-reduce this early in the game, so he warned us not to spread the news until we came back the next week for another ultrasound. When that day finally arrived, it was clear that they were all still there and growing (which is why they no longer fit into a single shot):

With this news, my doctor immediately referred me to a maternal-fetal specialist. We had our first visit with the new doctor a couple of days ago, and the ultrasound showed that the babies are all measuring approximately 1.5 to 2 centimeters. The ultrasonographer verified that none of them are identical, and she even named them for us: A, B, C, and D. Here is what they looked like at 8 weeks:

We are thrilled and feel so blessed to be having quads, but we are also terrified and very nervous! Not only do we have to worry about how we are going to afford to raise four kids, but we must also do everything in our power to keep these babies from coming too early. Quadruplet pregnancies are very risky, and preterm labor is the norm. Although my due date is February 9, the doctor says that these babies will almost certainly come before the end of the year (and spend several weeks in the NICU). He says that for them to have any real chance outside the womb, the first major milestone is 28 weeks (November 17). Ideally, however, they'll stay put until at least the 30-week mark (any time in December would be swell; the later, the better). To maximize my chances of carrying them that long, I will be going on bedrest around 20 weeks (September 22), at which time I should measure as large as a full-term singleton pregnancy!

As you can imagine, our minds are constantly racing with thoughts of everything that needs to get done before I go on bedrest, and then what needs to get done before the babies arrive, and then what needs to get done when they come home. Please pray for us as we make this big adjustment and figure out how to make it all work, pray for me as my body goes through changes that it was not really built for, and pray for our babies as they develop so that they may arrive healthy and strong. We plan to update this blog as often as possible to keep everyone posted on the status of the quads, so check back frequently for the latest news. I'm sure there won't be a dull moment!