Saturday, January 11, 2020

OB/MFM clearance

It is official!  I have been medically cleared by MY physicians to carry a pregnancy for Bethany and Phillip.  While this is necessary for SGF to proceed and the attorneys to have, it has absolutely no bearing on being a part of the Shady Grove Shared Risk Program (this will be our next HUGE win)!

It is funny to me how doctors will word things so you have to read between the lines.  See here:

Dr. C (OB):  "While there are no pregnancies that are risk free, there is no current medical contraindication for Julia to become pregnant.  She has optimized her health and has my support in her attempts."

Dr. Lanni (MFM):  "The patient is willing to pursue a pregnancy with her current conditions; her knowledge following this counseling session, and recognition and understanding that a pregnancy would not be risk-free, is inherently necessary with medical and obstetric concerns exist, as they do in this situation.  However, I believe it is not unreasonable for this patient to act as a gestational surrogate for a singleton pregnancy.  I do however believe that a multiple gestation pregnancy would not be advisable."

As a follow up to Dr. Lanni's approval, I had to get clarification on selective reduction.  Our attempts will only be a single embryo transfer, but what if that embryo splits (as it does in approximately 1.5% of IVF cases)?

Dr. Lanni (MFM):  "Selective reduction of monochorionic twins is not advisable (unless there is one of the unfortunate consequences of MC twinning, and we would know know about this until much later in gestation).  If one embryo is transferred and it splits, we just deal with the consequences.  I was trying to avoid having the REI docs transfer 2 embryos."

All great information and now we can focus on the next steps!!!

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