Baby Number 2 / Maternal PKU journey 2, facebook, Madelyn, Managing the diet, MPKU Journey!, News, Social Media, That's my PKU life

PKU Awareness month means, Maternal PKU awarness too!

IMG_8415

For #pkuawarenessmonth I will be mainly focusing on the miracle and wonders of maternal PKU Syndrome. All of my life I was told I would never be a mother. Hearing those words does not make the dream die, it does not take away the wish. It does not take away the hope. It does not prevent you for wishing and praying. As the years melted into each other the want never went away. In 2006 I was told for the first time, it was possible. That it was alot of hard work, that it was not for everyone. Well neither is motherhood, pregnancy or parenting. Hard work does not scare me. When the want is there, you can do anything you set your heart and mind to. I relate to those who struggle with infertility and the want to be a mother but for other reasons. I relate to the heartache and the deep deep passionate and consuming want. I relate to the heart work. Though its not doctors tests , injections and treatments for fertility. Its keeping my blood , my body, my brain and my uterus from being toxic.

For many PKU women , its months and months of planning. For many its returning to diet and treatment. Its many months of preparing the body. For preparing your brain. For many its withdrawing from toxicity of high phe levels and side effects. Its adjusting your body to major food changes, to major life style changes.  How do they do this?

With the recommended maternal pku pre conception diet and treatment.  It is highly recommend that any women with PKU who wants to have a healthy sucessful pregnancy and healthy baby follow a even more restricted treatment then normal , to get their phe levels even lower into pre conception range and keep them there for 3 to 6 months prior to conceiving and then the duration of the pregnancy.  I didn’t have this chance. I did things back wards, looking back its totally way harder.  both of my pregnancy’s where unexpected and unplanned. But very very much wanted. I prayed to god, I prayed to my deceased grandparents, I prayed to my grammie in heaven. I talked to her regularity. I dreamed. I wished. I wished on ” the first star I see tonight”  when the clock stuck 11:11 am or pm. When I had something lucky. I hoped. I held on.  I pleaded, and I bargained. Please god, let it be me one day. Let it be my turn. Bless us. Choose us. I promise I will give it my all.  Please let it happen one day. Please change his mind, please want him to want this to.

Both times I found out I was pregnant my levels where very high.  I was not off diet, I wasn’t compliant. I made allowances. I ate rice, and mashed potatoes, and corn and hash browns. Vegetable sushi, peas, beans, and sooo much rice.

I indulged. I did not weigh my portions. I did not keep track of my intake. I made allowances, and made excuses. Its to hard, Its not fiesable, its not sustainable, i’m to hungry. Its only me that suffers the side effects.  Im not hurting anyone but myself. I will do better tomorrow. I will eat less in the morning so I can eat more later.

Having to crash my levels down with in a week, having to re learn the diet, re learn how to cook low protein recipes, how to measure everything. How to track everything. All at once, plus come off anti depressants , anti anxieties and pain medications all at once. If I could change one thing, I would have done better at looking after myself, managing my PKU and actually planning for my babies I would have. But you know what they say about could have, should haves? and if you change the past you might not have the same present or future. I would not change my life for anything.

For I am a mother.

The fact that my daughter is here is truly a miracle in its self,  Life is a miracle, growing, creating and giving life is a miracle. Pregnancy is a miracle, but then add my PKU on top of it.

Now here I am about to bring another baby girl into the world. The weight of it is not lost on me. Through all the highs and the lows, through all the tears and sleepless nights, through all the struggles and all the ups and downs, through the smiles and the I love yous, The way my precious girl looks at me, I wouldn’t trade a thing for this life ive been blessed with.

Its not always easy and sometimes we get lost in the moment and we forget where we have come from and anxiously worry about tomorrow. But its worth it. Its worth every single moment. Id gladly pay for every second through this life and eternity.

There is no bond like that of a mother and her child. The bond I have my daughter is everything I ever dreamed of.  I cannot simply express in words the depth of my love for her . I see it reflected back in her eyes and its so powerful.  It is deep and beautiful and powerful.  The way she holds my hands, touches my face, the words that she says, the joy she experiences , the happiness she is and gives, that she lives and shares.  Its worth it all.  Now that she is such a fluent talker, her vocabulary really floors me. She talks better then some 4 and 5 year olds I know.   She really expresses herself, she speaks her feelings and her thoughts and the wow the stories she tells me. The way she tells me she loves me, and how i am the best swimmer ever! make me burst with pride.  How even though she is a very strong willed , independent, vibrant , busy 3 year old, she still needs and wants her mama. She still wants our cuddles and our talks, our hugs and our kisses.  I will always give her all of me.

It excites me to hear her talk of her baby sister, the stories she tells me about how she will be a big helper, how she will hold and change ” her baby” and all the things babies do and how her baby is in my belly. How every day she tells me what she wants to name her baby.  It makes each day that I struggle with this damn life, this damn diet, and these damn foods worth it.

Each day when I have to test my blood, and drive it to the lab, Each day when I sit down at my computer to record every gram of food I have eaten, when I plan my meals in advance,  when i make my food, prepare my formula. I am reminded why. My daughter is why. Both of them. For every high risk OB appointment, every midwife appointment, ever extra ultrasound, trip to Vancouver maternal fetal medicine, every email to dietitians and specialists, every panicked phone call, every kick and roll. Every thing I am doing its to give my children the very best start in life.  To ensure their health and ensure their futures. The literately weight of their life hangs souly on me , and what I eat.

They say being a parent is always putting someone else before you, and I do that by watching and weighing and counting every single thing I put in my mouth every single day and more.  I do it because I am so much more then me. I am their mother. I am a parent.  I am a partner and a wife.  This is just one part of my life and my daughters. This is how I give them the start in life they need and my care and my devotion and my love and my hard work grows with them and my role changes. From the day they are made, to the day they are born. To all the years to come, I give them all of me.

If anything having PKU has taught me so many life lessons. It has taught me hard work and sacrifice, it has taught me patience, it has taught me how to be strong. It has taught me how to give, and how to be a voice.  I use my voice in hopes of inspiring others. To help even one person know they are not alone. To provide support, to provide education, to spread awarness.

Many wonder why I do this year after year . Why I share my story so personally. Why I am so open, why I blog, Why I volunteer for CanPKU , Why I plan fundraisers and events, and why I post soooo much about PKU.

Well every year that goes by I am grateful for medical advancements , for changes in treatment and new research. For being alive and being healthy. For new born screening and I am proud to be able to use my voice to spread awareness . For each new friend I’ve made through out the year , for each new follower who does not know my story , for each new baby born , for each new diagnosis , for each new family effected , and for each new maternal pku mother…I share for you. If I can help just one new person by sharing , that is one more person who feels supported , one more person educated. And 1 by 1 more people will be aware and pku will be less unknown , less scary and less rare !

Remember, together we are all #PKUSTRONG

 

 

Happy PKU Awareness month!  thanks for following along. I look forward to connecting with many of you this month through social media. Through Facebook lives, though live questions and answer videos, through Instagram and Facebook.  Please feel free to share, write me a question you would like me to answer a topic you wish me to cover!

 

 

Baby Number 2 / Maternal PKU journey 2

24 weeks pregnancy update!

24 weeks pregnant with baby girl number 2 !#24weekspregnant is a milestone week. If baby was to come now she could survive outside the womb though it would be a very long Neonatal intensive care unit stay!

So baby girl we are not ready yet keep on growing !

This week was an emotional one for us with being in a car accident on Easter Sunday. We are ok thank god but are dealing with some soft tissue injuries and pain as well as other stressors. A deer hit us when we where coming back from family dinner. It was about 830pm and was getting dark. It happened so fast. We where very lucky though. Cole was driving, I was in the passenger seat , Madelyn and our dog copper where sleeping in the back.  The deer died on impact. My vechile, an SUV i bought just under a month ago is being written off by ICBC . Where the seat belt was below my belly is tender . I have some pain in my hips and low back so I got a maternity support band this week to help. I also have pain in my left shoulder and neck. Cole is having pain to but thank god baby and madelyn are both fine!

 

We had an obgyn appt and baby is still right on track.  I discussed the car accident with her and also emailed my midwife.  I am under alot of stress right now between dealing with ICBC, deciding what to do with my vehicle, trying to find a new one, dealing with the pain and my growing baby, managing my diet, managing my daycare, all our activities, and family stuff.  I am feeling more and more overwhelmed.  I am hoping things will settle down soon.

I have to get my antibodies checked with some blood work next week and a rogham shot , as I’m A- negative blood with RH + ( Cole ie A+ and Madelyn is A- like me ) and my midwife has booked some growth scans in the next few weeks as well.  One at 28 weeks and one at 32 weeks.  I follow up with my OBGYN again at 32 weeks just to check in and then if all is well she will discharge me to full care by my midwife again for delivery. 

I cant believe there is only 3 months left and I am 6 months pregnant already!

My last #phe level was 1.5 mg / dl so my tolerance was increased to 500 mg. Finally. It will continue to increase each week now until she is born then the day she is born it will go back down to my normal tolerance of 350 mg phe. I stayed off at 200 mg phe this pregnancy so its nice to finally see it moving high enough that I can start eating some real food.

Once baby is born she will be able to break down phe on her own as long as she does not have #pku. Chances are very low of her having it. Though she will be a carrier

So whatever i eat that’s transferred through breatsmilk will be safe for her and whatever i eat after will go back to only effecting me and my brain. Hopefully I can breastfeed this time as I wasn’t able to with Madelyn .

Baby girl is getting stronger and i can now see her movements from the outside that was new this week to ! Maybe in a few days Madelyn will be able to feel her to!

We had some mother daughter mother’s day photos taken of us today so I’m excited to see those ♡

#maternalpku #mpku #mpkumentor #pku#pheylketonuria #pkuawarness #pkuadult#lowprotein#lowphelevels #babynumber2

 

Here is what baby center.ca has to say about week 24 :

Your fetus weighs more than 1.3 pounds/ 600 grams. Though she still has little body fat and her skin is thin and fragile, she’s now well-proportioned. Her brain is growing rapidly, and she is starting to fill the space in your uterus. From crown to heel she could measure 11.8 inches / 30 centimetres. If you went into labour at this time, however, many obstetricians and midwives would make every effort to halt the progress of premature labour to enable your baby to continue maturing.

You may be noticing faint, red or brown streaks known as striae or stretch marks on your abdomen, hips and breasts. While creams won’t erase them, wearing a supportive bra may help prevent or minimize them on your breasts. They are very common at this stage of the pregnancy — about 90 per cent of women get them. After you’ve given birth, the reddish or brown pigmentation in the stretch marks gradually fades, and the streaks become lighter than the surrounding skin.

Also, your eyes may be light-sensitive and may feel gritty and dry. This is a perfectly normal pregnancy symptom known as ‘dry-eye’. To ease your discomfort, use an ‘artificial tears’ solution to add moisture.

A healthy diet is still important at this stage of pregnancy, so visit our eating well section for weeks 25-28.

and here are a few of my social media posts this week you may have missed :

So what do you eat?

My daily #phenylalanine intake must stay under 500mg a day in order to keep myself and my baby safe. This is approx 10 grams of protein a day. 1 gram of protein is 50 mg phe.

Here is a day in my life for meals.

Breakfast : 80 grams of western family hash browns = 100 mg phe / 2 grams protein.
My medical formula = 46 mg phe rounded 1 gram protein. Breakfast total 3 grams protein.

Lunch : 2 slices low protein bread at 10mg phe each ( 20 mg)
35 grams low protein cheese = 2 mg phe
88 grams of green apple = 5mg phe
My medical formula = 46 mg phe
Approx 1.5 grams protein.

Leaving me approx 5.5 grams of protein left to make dinner. ( take away 1 for formula so really 4 grams for dinner )

Check back tonight to see what I make .

#pku#pheylketonuria #pkuadult #maternalpku #mpku #mpkumentor#treatmentforlife #lowproteinlife

 

So what do you eat? part 2!

As I explained in my previous post I am aloud 500mg phe ( 10 grams protein ) currently and am 23 weeks 6 days pregnant. I had 3 grams at breakfast and 1.5 grams at lunch.

Here is my dinner. A low protein rice stir fry.

140 grams imitation low protein rice
17 mg phe
4 grams Garlic – 10 mg phe
30 grams Onions -30 mg phe
20 grams tomatoes -5 mg phe
40 grams broccoli -50 mg phe
45 grams carrots – 10 mg phe
47 grams Mushrooms – 40 mg phe
2tbsp sweet chilli sauce – 12 mg phe
86 grams avocado – 84 mg phe
and my formula – 46 mg phe
For a total of 264 mg phe or 5 .28 grams protein.

My total for the day is 500 mg phe and 2345 calories . I’ll test my blood again on Monday ..that will give me 4 days at 500 mg and a good sample to see if we can increase my tolerance again when we get the results back next Wednesday. If my #phe level come a back under 2.0 mg/dl my dietician will increase me. If it’s 2 or over I will stay at 500mg untill it drops.

 

58444714_2328365067405903_6996847074914336768_o (1)

 

Yay! Finally broke 500 mg phe intake. Only taken till 23 weeks 5 days lol . Grow baby girl grow mama wants more food !for those of you who don’t understand #phe 500 mg of phe is 10 grams of protein a day.

#maternalpku #mpku #pku #pheylketonuria #pkuawarness #pkuadult#trimester2 #babynumber2 #babygirlnumber2

 

58462898_2327614307480979_8400103866514800640_n

 

 

Every Monday and Thursday I wake up early and take my blood and place it on these filter papers. On Mondays I drive them to the lab and Thursdays Cole does. So they can be sent through the intra labs and courier to Vancouver to be tested. The lab tests my blood for levels of phenylalanine and reports it’s to my pku clinic . I need to do this to make sure my blood does not become toxic with to much phenylalanine as this can cause serious side effects to my baby. I have done this since I found out I was pregnant and I’ll do this untill the day she is born. After she is born I will test my blood weekly untill they re stabilize and then back to monthly. Once the baby is born she is at no risk from my pku or my our levels. Any phe she gets from my breast milk if I’m able to breastfeed she will be able to break down on her own. So the risks go back to souly effect my own brain. Pku is not a childhood disease it’s life long and there is no cure. Only life long treatment.

57989027_2327421707500239_5345821466912882688_o

 

 

and a few photos of my SUV after our accident , Like i said it could have been so much worse. I am so grateful we are ok despite my vehicle being written off and the pain. I cant help but be sad for the deer and for my SUV. I just got it, it had everything I wanted and i love it!

 

 

check back next week for week 25 !

Baby Number 2 / Maternal PKU journey 2

22 and 23 week pregnancy updates.

I had a rough couple weeks so i’m late posting my 22 week update so i am sharing this post for both 22 and 23 weeks.   My daughter and I have been so sick.  Madelyn started with a eye infection and ended up in the hospital last week and then it just progressed and then I got sick last Thursday and am slowly recovering now. Each day i feel a little bit better . I think the turning point was Thursday this week. I still dont have much of a voice while my throat recovers but I can eat again.  I am still coughing a lot and have this nasty taste in my throat when I wake up or when im coughing. I have coughed a couple times till I have puked .  Since i struggled with eating and getting in all the calories I needed my levels went up a bit on Monday to 2.6 but thats still a really fantastic level . Just to bad because if I hadn’t been sick they might have fallen under 2 and I could have had my tolerance bumped up again. I am currently sitting at 440 mg phe and 2100-2500 calories a day.  Alot of my daycare kids choose to stay home and im glad they could as i never would want them to get what we had. I cant remember the last time I was this sick or for this long. It has certainly been a bad one.  But hey im hopeful ill be back to 100 % any day. I have had a bit of energy so been cleaning up around the house. Finally got out on Thursday for the first time in a week to run errands and then again yesterday and today . So feeling good about getting stuff done.

I ordered some maternity dresses online yesterday from Old Navy so i am really excited for those to arrive. I love dresses so thats a bonus about expecting during the summer months.  I also ordered baby girl a baby beluga wrap in a very lovely blush color for while she is little. Baby wearing really helped me with Madelyn and now having a toddler and a daycare I know it something we will be doing a lot. Plus I am not getting a single stroller so I can baby wear baby girl while Madelyn walks or whatever.  I have realized this week there is still a lot of things I am going to need to purchase eventually before baby arrives and its a little daunting. I have not really bought much yet because i have some pretty amazing friends. I am totally regretting getting rid of all of madelyns baby stuff now lol. We have a lot of the big stuff like crib, cradle, change table, car seat, play pen, high chairs etc from the daycare and from friends.  I have madelyns diaper bag still and she dosent use it anymore so baby girl can use it.  We also have a ton of clothing so not worried there. I am keeping a list on amazon of things I will need to get.  Sort of a baby registry i guess but just for me to keep tabs since I dont have a baby shower.  Mostly its all small things like diapers which id like to try to do cloth again, wipes, diaper cream, bath stuff, receiving blankets, burp clothes, hooded towels, feeding supplies. I am really hopeful that I can breast feed this time but they needs supplies to. Because of my struggles i think this time i will invest in a pump.  I also still want a swing for baby but i am super picky about what kind, and id like to get a rocking chair and dresser for her room.

Pregnancy seems to be going much faster this time, I guess that is what happens when you have a toddler and life to focus on and work and a daycare to run!  With madelyn i was already off work on early medical leave at this point so it was just me most days and our dog.  I hope it does not go by to fast though and before I know it its summer cause i am so not ready lol.

Here are my social media posts for my weekly updates :

22 weeks :

#22weekspregnant #5monthspregnant #maternalpku #mpku#mpkumentor #pku #pheylketonuria #dietforlife #lowphe #wecanpku #canpku #pkuadult#pkuawareness

It’s been a hell of a week. Madelyn has been sick and even ended up in emergency. The daycare has been closed all week and now I’m sick to. The worst sore throat I think I have ever had. Was sure it was strep. Doctor said it’s a viral infection going around and Packs a bigger punch when your pregnant to. My head is pounding my ears , eyes and throat burn and I can’t take anything for it ,it just has to run it’s course. I can barely eat and have no voice today.

On the positive side is my tolerance has been increased to 400 mg phe daily.
My weight is holding steady. I’ve started purchasing baby girl clothes from our friends 

Other than that not much say this week.

56991116_2319362048306205_1475928617501327360_n

baby center update for 22 weeks :

*** #22weeks #5months #babygirlnumber2 #maternalpku #mpku

The baby now weighs almost one pound / 430 grams, measures nearly 11 inches/ just over 27 centimetres long from crown to heel, and is proportioned like a newborn, albeit a thinner version since her baby fat hasn’t yet developed. Although she’s getting heavier every day, her skin still appears wrinkled because she needs to gain more weight. The lips are distinct and the eyes are formed, though the iris (the coloured part of the eye) still lacks pigment. The pancreas, essential in the production of hormones, is developing steadily.

Even this early, the first signs of teeth appear in the form of tooth buds beneath the gum line. Before you know it, your baby will be born, and soon after, her first teeth will come through.

You’ve probably gained between 12 and 15 pounds / 5.4 and 6.8 kilograms. Starting now, you’ll begin to put on weight more steadily, averaging about half a pound / 225 grams per week. You may crave certain foods and this is normal in all pregnancies.

( souce babycenter.ca)

 

 

 

and then for today at 23 weeks!

#23weekspregnant #babygirlnumber2 #babykicks #maternalpku#mpku#mpkumentor #pku#pheylketonuria#pkuawarness

Finally starting feel better a bit more each day. That was the longest and worst sickness I’ve had in many years. I still don’t have much of a voice as my throat recovers and I still have some lingering mils cold symptoms but I can eat again so that’s fantastic. My levels did spike a little tiny bit from being so sick. I wasn’t able to get enough calories in some days no matter what I did. So my level went from 1.7 to 2.6 but that’s still a wicked awesome #phelevel. Considering range is 2 to 4 mg while pregnant. Had I not been sick I probably would have had a level below 2 and been able to bump up my intake some more but there is always next week. I’m starting to get my energy back a bit so looking forward to getting back in the pool and yoga soon. Baby girl is becoming stronger and making herself known through out the day. We are no wear near having any names picked out. We both agree we won’t name her untill we meet her but are trying to come up with 2 or 3 names we both like to make it easier. Madelyn is still stuck on Summer ! While it is a pretty name and has so much happy imagary and memories associated with it I’m not sure I like it for a baby name haha. I’m sure will come up with something. I sure through having to pick names for one gender would make things easier but nope lol. Still doing my blood phe levels twice a week and there still prefect in range. My current intake is 440 mg phe and 2100 to 2500 calories daily 

57387282_2324111434497933_6746585085832593408_n

 

and what baby center says this week :

#23weekspregnant #babygirlnumber2

** Your baby now weighs a little over one pound/ 500 grams and measures about 11.4 inches/ 29 centimetres from crown to heel. Her hearing is well established and she can make out a distorted version of your voice, the beating of your heart and your stomach rumblings. Loud noises often heard in utero, such as the barking of a dog next door or the roar of a vacuum cleaner, probably won’t bother your child when she hears them outside the womb.

Numerous studies seem to indicate that the unborn prefer classical music. Play Vivaldi’sThe Four Seasons for your child and pay attention to her movements. Does she quieten down during adagio sections and speed up for the allegro portions? You may have a budding conductor in your womb.

In addition to advances in your baby’shearing, her lungs are developing to prepare for breathing. She’s swallowing but usually won’t pass stool until after birth.

As for you, you may feel clumsy now that your centre of gravity has shifted. Your gums may bleed when you brush your teeth and your belly button, once an ‘innie’, may now stick out. Don’t worry. It’ll revert to its pre-baby state soon after you give birth.

The middle months are a good time to think about a holiday. Find out all you need to know from suntans to vaccinations in ourtravel section.

(source babycenter.ca  )

check back next week for another update. 24 weeks is a big one :)

Baby Number 2 / Maternal PKU journey 2

Results from 20 week maternal pku lab work

The results are in from my 20 week maternal pku blood work , That I had done on April 1st before heading to Vancouver last week. 2019-04-01 09.27.04

Here they are :

General CommentsHours After Meal hours pc: 2Hematology

WBC
8.1
RBC
4.05
Hemoglobin
127 g/L
Hematocrit
0.38 L/L
MCV
94 fl
MCH
31.4 pg
MCHC
335 g/L
RDW
12.5 %
Platelet Count
242 L

Differential

Neutrophils
5.8
Lymphocytes
1.9
Monocytes
0.3
Eosinophils
0.0
Basophils
0.0
Granulocytes Immature
0.0

 

Ferritin
22
ug/L

15-50: Probable Iron Deficiency

General Chemistry

Albumin
36 g/L

Lipids

Cholesterol
4.66 mmol/L
LDL Cholesterol
1.94 mmol/L

The optimal LDL cholesterol level for
intermediate and high risk individuals
is <= 2.00 mmol/L. If triglycerides are
=> 1.50 mmol/L, consider monitoring of
alternate lipid targets non HDL-cholest-
erol or apoB. For low risk individuals
with LDL cholesterol => 5.00 mmol/L,
target reduction of LDL cholesterol
=> 50 percent. See Can J Cardiol 2013
vol 29 pgs 151 to 167.

HDL Cholesterol
1.88 mmol/L

New method effective September 17,2018,
with improved specificity and reduced
interferences in patients with liver
disease.

Chol/HDL (Risk Ratio)
2.48
Non HDL Cholesterol
2.78 mmol/L

Non HDL-cholesterol is calculated from
total cholesterol and HDL-C and is not
affected by the fasting status of the
patient. The optimal non HDL-cholesterol
level for intermediate and high risk
individuals is <= 2.60 mmol/L. See Can J
Cardiol 2013 vol 29 pgs 151 to 167.

Triglycerides
1.85 mmol/L
Homocysteine
5 umol/L

 

 

April 1st blood phe collection – 1.7mg/dl  ( increased from 325 mg phe to 360 mg phe daily)

April 4th Blood phe colletion – 2.1 mg /dl ( no increase)

 

 

check back next week for my 22 week pregnancy update!

Baby Number 2 / Maternal PKU journey 2

21 weeks 4 days

A bit behind this week. Its been a crazy week so far.  Between the Vancouver trip for our anatomy scan and maternal pku appointments last week To finding out baby is a healthy girl and all the in between this week has brought. It has been bit of an emotional roller coster.

My levels have bottomed it under 2 again so my intake is slowly moving every week. I am currently sitting at 360 mg phe daily. I am getting so hungry! Ive ran out of my favorite breakfast foods and my next low protein shipment is not expected to arrive until next week.

My belly is growing and so is baby girl. Sleep has been terrible !!! I’m waking up hungry every morning between 2 and 4 am. Baby girl is moving a lot more Kicking and punching me randomly through out the day.  Specially after dinner and early in the morning. It’s been a pretty stressful and emotional week as well so I’ve had some cramping and trying to remember to pace myself and breathe.   My legs have been sore, i have alot of muscle tension in my legs. I have been keeping up with yoga and swimming once a week. Yoga is so much harder then I thought it would be. I do really enjoy it and I do see it being very beneficial. I was hoping maybe 5 weeks in it would be getting a bit easier but some of the poses are so hard. I fall over alot , loose my balance and my muscles tremble and shake.  I see the other mommies to be holding the poses longer and i feel all over the place. Its a bit embarrassing and i feel a big shameful but i will not give up. Its so worth it. I really enjoy my time in the studio to. Its my time. I am no good at trying to practice at home with all the side traction’s, family and daycare so its nice to get away for a bit each weekend and just move and breathe. It always feels good after. I wish i could go more then once a week but its all my schedule can manage for now. 

I signed up for a new class on monday nights as well as my weekend class ends in may so i will need to move anyways but i havent been able to make it yet. Last Monday we where in Vancouver and this Monday we ended up in emergency with Madelyn. Turns out she has a double eye infection so my daycare is closed this week.

I had my midwife appt yesterday . Baby’s heart beat was 150 bpm. I was right on target with my measurements and my midwife has no concerns. My PKU clinic has been hounding me on my lack of weight gain but thats pretty normal for me. I didnt start gaining with madelyn until I was 30 weeks. I also lost 10 lbs in the first trimester with her just like this time. I also stared out heavier and a larger BMI this time to so my over all weight gain should not be very much for my own health and babies. I hate having to weigh myself every week. I dont want to be so focused on my weight. it is a relif that my midwife is not concerned.

My midwife and I also went over my 20 week  blood work , went over the ultrasound, talked about some pregnancy symptoms i’ve been experiencing. Discussed breastfeeding a bit more. I wasn’t able to breast feed with madelyn but i am so hopeful I can this time. Though I need to be realistic and manage my expectations to.  We talked about my blood pressure dropping and the tachycardia and black out i experienced a few weeks ago. Luckily it has not happens again thus far.

I have been forgetting to take my vitamins a few times this week. Because of my PKU formula I dont need to take a prenatal vitamin but I do take an additional omega 369, ferrous gluconate and folic acid still.

We talked again about my plans for delivery . Everyone keeps asking me but I have not made a decision yet.  I am contemplating a home water birth as the idea is appealing to me due to the research i have done and the benefits i have read about. Plus i have always found great comfort in the water , being a water baby myself.  I do not mean myself being born in water, just that my sign is water and i relate to water and take comfort it and love to be swimming and spending time in water. I love the ocean , lakes, rivers creeks etc. I feel water is so good for you and your body and there are so many benefits to mom and baby to be born into that environment and way.  I was super surprised that cole was supportive of this idea. I am just not fully committed yet as im scared lol I needed the pain medicine with Madelyn even though i hadn’t wanted it going into it. SO now im worried i wont be able to manage. Even though I stayed at home in our bath tub until I was 8cm with madelyn. My midwife has total faith I can do it and we have gone over how it all works.  I am also particular to whom i want around me while in labour and before and after the baby is born. I am usually a pretty open person on my blog and social media but when it comes to my children , my parenting and my birth plans, and my post partum i am not. I am very strongly opposed to anyone being in my home while I am in labour other then cole and madelyn. I do not want anyone around me, I dont want any friends or family here, or waiting for me to go into labor or for the baby to be born. I do not want madelyn sent away from me or to go away while im at the hospital or giving birth. I of course dont plan to have her present while Im giving birth but if she has to go anywhere she can go across the street to my friends where i know she is close by, where she can come back anytime and where she is comfortable , and then she can come back as soon as baby is here and meet her sister before anyone else. Once baby is here I dont want any visitors for the first 24 hours to just have time with the 4 of us . We had this with Madelyn and i loved the quiet time to sink it all in and bond. To try to learn to feed and recover a bit.  I dont want anyone staying at my house after either for at least the first week when Cole is home with us. Cole plans to take a week off when baby comes. After that week if I need help I know I have a lot of great family and friends close buy and i know coles mom would totally be there for us. I just want this first week with cole. Visitors during the day here and there are fine lol . I am so scared of hurting anyone’s feelings or being judged or having others views and people in general pushed on me. This private time is so important to me.  But I guess there is more time to think about that all later since im only half way though and things could change.

I am really feeling my busy schedule lately. I seem to have something every single day and every single weekend. I really want to get away to Victoria to see my family and friends before baby comes as i wont feel much like traveling after but will probably  make a trip down again in the fall.  The only time I can find where I might be able to get to Victoria would be the first weekend in July as i am hoping to work till the end of the school year. So I would be 33 weeks before I could travel down there and have no idea how i will feel that far along and that big or how uncomfortable it might be for an 8 hour trip one way and 8 hours back so we will cross that bridge when we get there.

Right now between Madelyns activities, Swimming, dance, soccer . My activities yoga and swimming. Plus my daycare and our own stuff going on at home its overwhelming and i’m getting more and more tired.

I never got a baby shower with madelyn because I didn’t believe in throwing my own, my family is not up here and all my friends where really busy plus i think everyone waited to see if someone else would do it. I dont think I will be having one again this time as tradition is usually first children only and second baby showers are a bit odd.  So maybe at the end of summer depending how tried we are all i might try to put a meet and greet BBQ together but nothing is set in stone for that either.

Im trying hard to go with the flow but i like to have an idea or a tentative plan in place. For more of a guideline.  I of course understand that plans never work out and i need to be flexible and thats ok to!

My level from Monday just came in from my dietitians as i type this and it was 1.7 so they just bumped me up to 400 mg finally!!!

My PKU specialist / doctor called me at home today since she was not able to see me at my last appt just to say she was happy with my progress, that my levels are fantastic. My average PHE level since 5 weeks pregnant has been 2.0 mg/dl and based on the ultrasound results she has no concern for growth and that I dont need to come back to Vancouver in the 3rd trimester and we can just have a phone conference in June.

Here is what baby center.ca has to say about 21 weeks.

 

#21weeks #babynumber2
#babygirl #maternalpku
#mpku
*** The fetus now weighs about three-quarters of a pound/ 360 grams and is approximately 10.5 inches/ 27 centimetres long from crown to heel. The eyebrows and eyelids are fully developed and the fingernails cover the fingertips.

There’s a saying: ‘Little pitchers have big ears’. Your baby can now hear your conversations. If you talk, read, or sing to your baby, expect her to hear you. Some studies have found that newborns will suck more vigorously when read to from a book they heard frequently in utero. If you want to try, pick a book now and read it out loud. Make sure you won’t mind reading it over and over once the baby is here. It may be your baby’s favourite bedtime story for a long time after birth.

You’re probably feeling quite comfortable these days. This, in fact, may be the most enjoyable time in your pregnancy. You’re not too big yet, and the usual aches and pains associated with pregnancy like nausea,frequent urination, and fatigue are for the most part gone. Relax and enjoy while you can. The third trimester is just around the corner and with it comes some mild discomfort from carrying a baby that is nearly full-term.

*Source http://www.babycenter.ca

Check back for my next  post about a summery of my 20 week ( last week) blood work results.

Thanks for reading this far and following my journey!

Baby Number 2 / Maternal PKU journey 2

20 week anatomy scan !

2019-04-02 19.11.15

 

We drove down to Vancouver Monday night and arrived at our friends house just about 8pm . It was such a long day.  I had my 20 week blood work done at the lab in the morning. I had no appointment so i just had to go in and wait. They told me that it would be an hour but luckily I was in and out in 25 mins.  I wanted to get it done before we left so the clinic would have my results at my appt Tuesday morning.  I had done my monday morning blood dot but decided to just take it with me and drop it off in person to newborn screening lab while I was there. It would be much faster then couriering it over night. Then We had some running around to do and Madelyn had her first spring session dance class.  We came home had lunch, packed up, took copper to coles brother house, then got gas, new windshield wipers and a few things before we headed out. I hated the trip there and back as i could  not eat anything till we got to my friends house. I was so freaking hungry. We did not sleep well while in Vancouver. I guess im not longer a city girl . It was so bright and loud! I was woken up at 2 am and our room was so bright that i thought it was 7 am. I even heard birds. Then I looked at my watch. I laid awake till 4 am when I finally feel back asleep but only till 6 am when Madelyn woke up.

 

20 week lab work – sitting at life labs waiting to have my full work up done .

 

Our first appt was Tuesday morning at 930 with my PKU clinic.  I saw my nurse and my dietitian .  My average level since i was 5 weeks pregnant is 2.0 All my test results and ferrtin came back good!  I also got to see a good friend of mine briefly while there.

Then we headed off to to the Maternal fetal medicine clinic at BC women’s for out detailed ultrasound / cardiogram and fetal echo. It was 45 mins long. I am happy to write that  Baby 2 be number 2 is very healthy. No concerns from any of our medical team. Everything is as it should be and we couldn’t be happier. Baby was so active during the scan kicking and moving around. Covering it’s eyes and face with its hands. I wish we had of got more photos as we saw everything so clearly. Beautiful big full lips. All the limbs and hands and feet. On one screen there was a perfect image of both of babies feet side by side together. Madelyn got to see the baby move around and chatted the whole time how she’s going to a big helper when the baby is born but she knows it still has to grow for a while. Seeing baby so fully was comforting and reassuring for me . Baby is lying side ways it’s head is at my belly button and it’s feet are down by my bladder which I could totally feel lol. We saw all 4 chambers if the heart. The full spine and even the kidneys. I love the care an attention the team had and details we went over. Happy I don’t need to go back to Vancouver and the rest of our growth scans be done here ! Baby was moving so much and we could see the little hands and feet kick and punch and suck its hand.  I loved watching baby on the big screen TV and move around. I felt very comforted when the tech told me everything was as it should be and was measuring exactly 20 weeks and 3 days like I was. That baby was healthy. I had been holding my breathe and waiting to hear those words. They knew that we wanted to know baby’s gender if possible . The doctor came in next to take a few more images of the heart and talk to us about the findings. He asked Madelyn what baby was and she said a sister named summer and he said what if it was a boy. Mads said then fozzy ( waka waka) . It clicked on me all of a sudden where she got her names from LOL from “Muppet babies!!!” Summer is the penguin and Fozzy bear LOL i nearly peed laughing so hard. 

We are very excited and pleased to announce2019-04-03 17.07.55

I could not be happier and neither can Madelyn. It is so nice to know this time around.  The doctor told Madelyn ” Your sister is looking very healthy ” and then showed us on the screen that baby was indeed a girl!

I had hoped so and I had guessed so because when they tech was in the room she took some “gender” images for the doctor to tell us and I could sort of tell as i seen with Madelyn but wasn’t totally sure and my bff had explained to me what to look for.  I know either way i would have been happy , as one of each would have been nice to but im delighted Madelyn gets a sister and i get to be a mom to 2 beautiful little girls.  All that truly matters to me is that she is healthy and she will be here soon! I know in my heart our family is complete and I am content.

So keep growing baby girl and mama will always give you my very best. We cant wait to meet you!

After the ultrasound I took my blood dot up to newborn screening, we headed out for lunch then back to MFM for the consult at 1 pm.  The specialist we had seen was very impressed with my journey , with Madelyn and with our new little girl.  They had no concerns and said i could have some follow up growth scans at 28 weeks and 34 weeks but in kamloops so thats a relief.

As it stands we are hoping for a home water birth.  As long as all goes well .

I can finally breathe now. I know my hard work is paying off. I know its worth it. I know she is healthy and I can feel her daily. I talk to her now and im hoping that the stress in my life and the fear surrounding this pregnancy will begin to ease off and I can enjoy the last half until we meet this little girl.

After all our appointments Madelyn and I went to the children’s hospital gift shop and she picked out her baby sister a new sleeper and a little stuffed donkey ( seen in photo above)  all on her own. she even told the lady at the till all about her baby!  Madelyn is still insisting we call her summer. I dont mind it but im not totally sold on it. I think we will wait to see baby and meet her and she what she looks like.  Right now my top names are : Abigail, Olivia, Summer and Amaya. But it changes all the time. Good thing we have lots of time!

I got my level back today from the blood dot I dropped it off and it was 1.7 mg/dl so the clinic has bumped me up now to 360 mg phe and im so happy for the increase!

Check back Saturday for my 21 week update!

 

 

 

 

 

 

 

Baby Number 2 / Maternal PKU journey 2

20 weeks pregnant

55875448_2310070079235402_3537057859206381568_n

 

#20weeks #pregnant #babynumber2 #maternalpku #mpku #pku#pheylketonuria #pkuawareness #pkuadult #dietforlife #lowphe
#lowproteinliving #lowphelevels

Officially half way to 40 weeks !
I’ve been up since 530 am and finally gave up and went for a Epsom salt and essential oils bath at 630 am due to pain in my legs. Sleep is uncomfortable. But as i type this I’m being kicked and that’s all the motivation I need to stay positive and focused.

Baby had been kicking alot more the past 3 days but still not as active as Madelyn was.

My tolerance is now 325 mg phe daily. I’ve been enjoying low orotrim grilled cheese for lunch and baked pasta with roasted veggies for dinner. I can sure appreciate how we often take food for granted. The strength it takes to remain complaint to such a restricted diet for not only the health and safety of your own body but as well as your unborn babies is not ever lost on me. It’s certainly easy to stay motivated and avoid all temptation when another life you have created relies on you. If not for this little baby I totally would have failed and given up by now.

My levels are steady and stable at around 2.0 mg / dl so nice and safe for baby to grow and thrive.

We head to Vancouver on Monday evening to prepare for a full day of appointments on Tuesday. 930 am we have our meeting with my pku team . 11 am is our fetal echo / cardiogrsm and anatomy ultrasound at bc women’s and 1 pm is our appointment with the maternal fetal medicine specialist. I feel like I hold my breathe till this scan is over. When we finally get a glimpse of this little babe. When we count fingers and toes. See all limbs and systems . It gives me great reassurance that all my effort is paying off when I can see my baby is healthy and fully formed and no abnormalities. I pray for the same this time. When I can see that and it’s confirmed then I read a little and can enjoy the rest to come. Fingers crossed baby cooperates and we can see what he or she is !

Baby center says I should be gaining about a pound a week but I have yet to gain anything. My PKU team noted that this week to me in an email. Saying that it was weird that I still have not gained. I lost 10 lbs and im maintaining that.  I have back up 1 lb in the last 2 weeks. I weigh in each monday and email my weights to the pku clinic.

Because I started off with a higher BMI then most and am considered obese the healthy weight gain for me is between 11 and 20 lbs. however my midwife is quiet happy with my progress and my measurments and im right where i need to be!

Baby center.ca also has this to say about the 20 week mark:

* Your baby measures about 6.5 inches/ 16.5 centimetres from crown to rump and is steadily gaining weight. A whitish coat of a slick, fatty substance called vernix caseosa begins to cover your baby and protects the skin during its long immersion in amniotic fluid. It also eases delivery. The baby’s swallowing more this week, good practice for the digestive system. After your baby takes in amniotic fluid, his body absorbs the water in the liquid and moves the rest into the large bowel.

You may want to look into a childbirth education class if you haven’t done so already. Whether you are a first-time parent or want a refresher course, you will benefit from a structured class either way. No matter what the philosophy behind it, a prenatal class can help prepare you for the rigours of labour and delivery. You should plan to have completed the classes by 37 weeks, when you’ll be considered full-term and labour could start at any time.

Be extra vigilant about getting enough iron.Your baby needs it to make red blood cells, among other things. In fact, it’s almost impossible for you to get too much from food alone without overeating.

( *source babycenter.ca)

On Monday before we leave for Vancouver I need to head to the lab and have my 20 week lab work done to check my iron levels, blood profile , and nutrients so they can be analyzed by my clinic to make sure my low protein diet is adequate for my growing baby.  Then we will know if we should make any changes or if i need to increase my iron supplements. I currently take 2 iron pills a day, an omega 369 and a folic acid. I do not need prenatal vitamins because of my formula. I struggle with iron deficient anemia though so we carefully monitor my levels even when not pregnant but even more so now.

Check back later this week for a summery of our appointments and ultrasound results :)

Baby Number 2 / Maternal PKU journey 2

19 weeks

54728780_2305599453015798_4735365129338617856_n

 

19 weeks pregnant with baby number 2!

My phe levels finally dropped under 2. My last level was 1.7mg/dl so my dietitian told me to go ahead and increase my daily intake to 310 mg how a day. I’m still so much lower in tolerance then I was with Madelyn at this point but I’m so happy to finally get more food in.

My blood pressure dropped a few times this week and I nearly blacked out. I went through this with Madelyn to. My heart was beating through my chest and it was hard to breathe. But it settled eventually . It took me an hour to get my heart rate to go back under 100 bpm. My normal resting heart rate is about 66-77 but with this episode it got up to 177!  I have always had low blood pressure for my age and weight as i am considered obese.   My blood pressure a few weeks ago at my appointment was 101/57 . I eat a ton of salt, my whole life always have. I use to get alot of flack from family but when i was pregnant with Madelyn my doctor told me to eat more so now cole leaves me alone lol.

I’ve stopped loosing weight finally. I am maintaining at this point.  I’m having a difficult time sleeping. I usually always l sleep on my left side with a pillow under my knees and hips because of my chronic pain but it seems my body wants to sleep on my back but the pressure from my belly wakes me up with headaches. I finally dug our my snoogle pregnancy pillow. My good friend who came out for Madelyn’s 3rd bday brought me a huge box full of maternity clothing that i am fulling taking advantage of them now.

My legs are cramping at night ., so that dose not help sleeping. At least i havent gotten a dreaded charlie horse yet. I use to get those a lot with Madelyn. 
But I’m feeling little kicks a few times a day now. Such a neat feeling and so reassuring.

Next week we head to Vancouver for our anatomy scan and fetal echo. I can’t wait to see this baby and hopefully what it is !

I’ve been soaking up this gorgeous weather and walking with the daycare kids . We have been spending hours outside in the sun and I feel like it’s really helped my energy.  I feel like the spring air and sunshine has really reduced my stress. 

I am trying to swim at least once a week for half an hour while Madelyn is at swim lessons. I have missed a few weeks but mostly have been able to go consistently. I also joined prenatal yoga and have been really really enjoying it! 
We bought a new family vehicle this week in preparation for baby. As we have out grown  my little car.  My little car was my first car.  I bought it in fall 2011 and it is a 2011 Chevy aveo hatch back. It is so small! It has been a really good car to me though. I bought it in Victoria before we moved. I drove it right off the lot with 0 km on it. Now it has about 65 000 and its 8 years old. It has no Air conditioning , it has no power anything. It is a very basic model. I love it but if i knew we where going to move to kamloops where its 40 degrees in the summer i probably never would have bought it . 
This new vehicle is a 2009 dodge journey. It has 7 seats. It has power windows, Air conditioning, power seats, heated seats, back up camera, cruise control, power windows,  DVD player for kids, sun room, hatch back also.  All wheel drive. ( my car was front wheel drive) so will be safer in the snow. Tons of storage and lots of room. We can finally fit a stroller and groceries in it at the same time. Or our family dog and luggage for road trips. It will make our annual summer trips back home to Victoria much more enjoyable and doable. Or camping! or road trips and just daily living.  I already love driving it.  It drives so smooth, and so much easier then my car.  I feel much safer in it to!  I havent felt safe in my car in a long time and we cant fit 2 rear facing car seats in my car. Luckily we can in this new SUV. Madelyn is still rear facing and will be for as long as possible as it is the safest. I will keep her rear facing until she maxes out.  She is still small for her age and i feel much safer knowing she is safe. 
I am so happy my phe tolerance has finally been increased and im enjoying some real foods and more variety.  I even had BBQ veggies and low protein rice one night for dinner and low protein tacos for another.  Today im having a low protein grilled sandwich for lunch!  I know my tolerance will continue to rise and this is just the beginning but i feel like i eat healthier and more rounded whole foods when i can tolerate more.
Some really amazing and weird things happen when your pregnant. For one thing your hair goes remarkably fast. Everywhere! I even have fine blonde hair growing on my belly. My toe nails and finger nails are growing alot to.  pigment in my skin is darkening and many more things. 
Next week ill be half way through this pregnancy. Baby center says that this week the baby is about 6 inches long and the size of a heriloom tomato.  And weights about 9 oz. 
Baby center canada also has this to say this week
“**She has started to swallow amniotic fluid, and her kidneys continue to make urine. Hair on the scalp is sprouting.

Sensory development reaches its peak this week. The nerve cells serving each of the senses — taste, smell, hearing, seeing, and touch — are now developing in their specialized areas of the brain. Nerve cell production slows down as existing nerve cells grow larger and make more complex connections. If you’re carrying a baby girl, she already has roughly six million eggs in her ovaries. By the time she’s born, she’ll have about one million.

You may have started to feel your baby’s movements. If the idea of having a baby still seems remote, nothing makes it more real than feeling her move for the first time. Most moms-to-be start to feel movement (called quickening) between 18 weeks and 20 weeks.

If you’ve been pregnant before, you’ll feel things earlier rather than later. What you may first think is a rumbling stomach may be your baby doing some back flips. Make note of when you first start feeling your baby and tell your doctor or midwife at your next appointment.

You no doubt feel the kicking and somersaulting of your growing baby. At times, she may be so mobile that you can’t sleep. The next ten weeks or so will be your baby’s busiest and most active time, until the womb gets too crowded”

 

**baby center app switches between he and she regularly on their updates. This does not mean I know what baby is yet!

Source: https://www.babycenter.ca/

 

check back next week for more updates and a summery on our anatomy scan!
Baby Number 2 / Maternal PKU journey 2

18 weeks

54430344_2301107870131623_355984541808066560_n

Today marks 18 weeks pregnant. I as an my ob on Monday and my midwife on Tuesday. Finally heard the baby’s heart beat. Madelyn came to my midwife appt so she got to here the baby to. Her “sister baby ” as she has taken to calling it. The heart beat was a beautiful strong 155 bpm just like Madelyn was!

I had an early gestational diabetes screen on Monday after my ob appt because she thought I was measuring at 21 weeks when I was only 17 +2 weeks at that point. The tests came back negative. It was scary to hear I was measuring that far ahead but when I seen my midwife on Tuesday she said I’m right where I need to be and she felt my uterus and baby and all is well !

16 days till we get to see baby at the anatomy scan in Vancouver. But who is counting ?

I started prenatal yoga last week and am going to my second class tomorrow. The nice weather has been amazing and I’m looking forward to going on my walks with Madelyn again ! I’m going to miss going for bike rides this year though.

My Latest level was 2.5 mg /dl after having a small bump in #phe. I can now have 270 mg a day . Still so much lower then I’m use to and I’m finding it much more difficult and frustrating. I swear by this time with Madelyn was nearly 100 mg more. I haven’t lost any weight this week so my clinic will be happy.

images
I am  starting a baby pool to guess the gender since we hope to find out in just over 2 weeks I thought I better start gathering guesses! 
Join our free online baby pool at the following link :
Baby Number 2 / Maternal PKU journey 2

Trimester 1 blood phe results

Summery of my first trimester blood phe levels. I do my blood dots Mondays and Thursdays.  Mondays I drop them off at the lab and Thursdays i work so my best friend or my husband drops them off for me.  I fast all night before doing them. I shower first thing in the morning to warm up and get my blood flowing.  I then do my blood dot before eating breakfast or drinking my formula. Usually around 730 am.

When I am pregnant I have to drop them at the lab so they can go through the labs “intramail” courier system. I get my levels from Monday back on Wednesdays or Thursdays. I get my Thursday blood results back on Monday or Tuesday.

When I am not pregnant I mail my blood dots in the mail after they dry for 4 hours. They take 10 days to 2 weeks to get the results back.

I was not really on diet when I got pregnant both times. I ate low protein food and drank formula but I did not weigh my portions or track my intake so my portions where getting really big. I ate a lot of rice, potatoes, and high phe foods. Never touched meat and dont plan to ever.

So When I found out that i was pregnant my levels were 14.8 I had been eating a ton of rice.

It took me 10 days to get my levels under 5 . The maternal PKU safe level range is 2-5 mg/dl

 

Here are my results :

Dec 1st – 12.8 ( monthly regular blood dot)

Dec 3rd – 14.8 ( The day I found out)  Intake dropped down to 200 mg phe !!!

Dec 4th – 12.5 ( plasma amino acid blood draw at the lab )

Dec 6th- 11.5

Dec 10th – 7.6

Dec 13th – 5.7 ( In range!!)

Dec 17th – 2.3 ( Tyrosine 54)

Dec 20th – 2.5

Dec 24th – 1.8

Dec 28th – 1.8 ( tyrosine 79)

Dec 31st – 2.4  ( intake increased to 225 mg)

Jan 3rd 2019 – 3.0 (Intake increased to 240 mg phe)

Jan 7th- 4.2

Jan 10th – 4.1 Tyrosine 45

Jan 14th – 4,5

Jan 17th – 4.8

Jan 21st – 3.7

Jan 24th-3.9 Tyrosine 56

Jan 28th- 2.7 tyrosine 50

Jan 31st – 2.5 Tyrosine 43

Feb 4th – 2.6 tyrosine 51

Feb 7th- 2.8 tyrosine 55

Feb 10th – 3.15 Tyrosine 62

Feb 14th – 2.9

Trimester 2 begun at 14 weeks on Feb 16th 2019