The "Triary": 17 Weeks
It's a Girl! A Boy! A Girl! Multiple Pregnancy
The Pregnancy: 17.5 Weeks
This photo shows three heads, from L to R, triplets C, B, and A (the boy). The rest of the babies are out focus, a limitation of the size of the babies now, all too big to be depicted in one all-inclusive shot of the three.
Triplet A: 17.5(17 weeks 5 days in size)
Triplet B 17.3
Triplet C: 17.2
These readings indicate the three to be growing at approximately the same rate --no discordancy.
Subjective: "Feel great."
Objective:Blood Pressure 134/72
Negative proteinurea (protein spilling in the urine, a sign of Pregnancy Induced Hypertension, formerly called "Toxemia")
Negative glucosurea (sugar spilling in the urine, a sign of gestational diabetes)
Fundal Height (Size of the uterus as felt through the abdomen) = 32 (that of a mid-third trimester single pregnancy.)
Assessment: Doing well.
Plan: Begin bedrest in a few weeks.
Repeat Thyroid Function Tests, CBC (Blood Count), PT, PTT, Fibrinogen (Clotting Studies), SMA-20
(For purposes of getting Fasting Blood Sugar, along with other liver, kidney, etc. tests.)
The real tests of interest are the CBC (watchful for developing anemia), Fibrinogen (merely as follow-up to last visit's concerns, and the Thyroid Functions (The patient is taking Synthroid--Synthetic thyroid hormone--because of hypothyroidism, and her needs for this will change as the pregnancy progresses.)
|Pic on the left shows the forearm and hand up over his head. Pic on right shows parts of all 4 limbs (bright streaks).||The boy--always seen with his hands up close to his face. Sure to have a blanket fixation. "Strong," says Mom.|
|Girl #1--The "Wild Child--like her mother," says Mom. Very Active. Pic on Rt. shows her head up agains her brother's head.|
(Stands for "Content")
"Most like Dad's personality--laid back," says Mom.