31 weeks with twins after bpd/ds - babies behind

CosmicFlower
on 5/23/13 6:13 am - Pretoria, South Africa

Hi all, 

I had the BPD/DS 3 years ago and are now pregnant with fraternal twin girls.  Had a scan today and baby A weighs 2lb 10oz and baby B  2lb 13oz.  They are measuring 2 weeks smaller than they should.  I'm on bed rest because of a terrible fall a couple of weeks ago and my gynecologist says they might come much earlier than expected.  All babies here below 5lbs automatically goes to NICU - and usually stays for weeks/months.  Which we obviously don't want.

What I want to know is if you think they are behind because of the DS?  Maybe because I really struggle to get enough protein in.  Anyone who had similar problems and advice on how I can make them grow bigger faster?

I've also only picked up 6 lbs in 31 weeks with this twin pregnancy so far.  Do you think that is normal after wls?

Thank you in advance!

 

Alice P.
on 5/23/13 6:51 am

Are you certain about your date of conception?  Was this your first ultrasound?

 HW 278 SW 259 GW 170 CW 142 Ht 5ft 6

   

CosmicFlower
on 5/23/13 3:29 pm - Pretoria, South Africa

Hi Alice,

Yes, it is IVF babies, so date is certain.  We get ultrasounds every 2 weeks.  Everytime they were fine.  2 weeks ago they were 1 week behind and now 2!

Alice P.
on 5/24/13 12:05 am

I doubt it's wls related--the babies will take what they need out of your reserves and if you aren't loosing weight then you can't be dipping into your reserves much---what does your MD say?

The only thing I can think of that would help is to just keep eating high protein/high fat and see if that helps.

(((HUGS))

 HW 278 SW 259 GW 170 CW 142 Ht 5ft 6

   

CosmicFlower
on 5/24/13 12:16 am - Pretoria, South Africa

 Thanks for your reply. He also just says to up my protein.  It's sooo difficult for me, but I started logging it today and "force feed" myself! :)  How much protein do I need per day?  Any idea?  Dr. Barbara Luke's book, When You're Expecting Twins, Triplets, and Quads says that for twin pregnancy you need 176g!!!  And then there is the malabsorbtion.  I will never get 200+ down!

 

Alice P.
on 5/24/13 12:52 am, edited 5/24/13 12:54 am

200 grams~ WOW~!!!  Can you tolerate protein shakes?? I get 30-35 grams protein in a shake-maybe that's a way to do it?  I have always aimed for 80-100 but that was pre-pregnancy, but I wasn't told to increase with pregnancy--my labs were fine--I need to get them re-done-my baby is 1 month old today!

 

Should add--I"m RNY so my malabsorption is much less than yours.

 HW 278 SW 259 GW 170 CW 142 Ht 5ft 6

   

CosmicFlower
on 5/24/13 2:30 am - Pretoria, South Africa
Protein shakes make me even more nauseous, but I've now experimented with things to add to make it tast better. I managed to get 148g in today. Big milestone for me. Will push for more tomorrow.
Oh, and my protein has always been too low
Alice P.
on 5/24/13 7:04 am

My favorite one-that dh and my kids will drink since it doesn't taste like a protein shake--is 1/2 cup OJ, 1 dannon light and fit peach yogurt, 1 scoop vanilla protein powder, 6 ice cubes in a blender

 HW 278 SW 259 GW 170 CW 142 Ht 5ft 6

   

CosmicFlower
on 5/24/13 4:43 pm - Pretoria, South Africa
That sounds delicious! Will definitely give it a try! Thanks!
T. Deeds
on 5/24/13 1:46 am

I can't really comment on your specific situation, but I wanted to wish you the best!  My husband and his twin brother were born at 28 weeks and while they spent a while in the hospital, they are perfectly fine now!  Both are very bright and successful with no long term effects due to being born so early. 

               
    

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