First off ~ I would like to say how sorry I am that you are not holding sweet Felix in your arms today. It is surely the most devastating situation to have to endure and there are no words to ease the pain. The path becomes a little less rocky as time goes on but the valleys and peaks remind us of the long soulful journey we all must make. My first Granddaughter was born still at 36.6 weeks due to torsion of the umbilical cord ~ not a true knot or nuchal cord but delivers the same devastation and heartache.
According to Dr. Jason Collins of The Pregnancy Institute in New Roads, LA, stillbirth mothers are 5 - 10 more likely to have a recurrent stillbirth, so I am sure with your past history you are considered high risk (if you are not considered high risk ~ find a new healthcare team). Genetic testing may also be something to consider for future pregnancy. My daughter in law was monitored during her second pregnancy from 28 weeks onward by Dr. Collins using daily home fetal heart rate monitoring in conjunction with their own OB. All went very well and our "rainbow" baby Jacks was born on June 14th, 2010! Although Dr. Collins is not monitoring at present, there are companies which do work with health care teams providing monitoring.
I think how you are feeling is very normal. If our own doctors, the experts, cannot predict a stillbirth - how are we to? You will need to be very open and honest with your doctor and you may want to be followed by a Maternal Fetal Specialist or Perinatologist during your pregnancy. The thoughts of going through this pregnancy must be absolutely terrifying for you. I would like to offer some guidelines for you to help based on the latest research. Please discuss these with your health care team and see if they can implement them into your health care plan.
Become your expected baby's guardian. Don?t ever hesitate to call your doctor, midwife or health care team with any questions and concerns you may have ~ they are there to educate and inform you ~ that?s their job!!! And, always trust your gut.
Begin starting to sleep on your left side when you become pregnant!!! At 10 and 18 weeks, have your baby's estimated placental volume (EPV) measured, this will let you know how the placenta is functioning in relation to your baby (there is an app for your IPhone). At 20 weeks on the anatomy scan, make sure the baby's heart, umbilical cord and placenta are visualized for normal development and location; begin a daily journal of baby's moments at this time.
Insist on an additional ultrasound around 28 weeks to check the umbilical cord and placenta as I have mentioned above. If there is a problem, work with your health care team for a close monitoring solution such as ultrasounds, daily home fetal rate heart home monitoring and Fetal Non Stress Tests, etc. Begin kick counting now three times a day and remember a change in baby's movements such as speeding up or slowing down and changes in sleep-wake cycles could be the sign of a compromised baby. Don't ever hesitate to voice your questions and concerns to your healthcare team, and request additional testing and ultrasounds during this pregnancy.
Your baby may experience ?hiccups? which will first be noticed as soft, regular, rhythmic movements in the same place. As your pregnancy progresses, they will feel stronger and will eventually feel like hiccups except in your abdomen!!! Your baby?s hiccups should decrease as your pregnancy advances. Although many, many babies have no problem with hiccups, according to Dr. Collins, past 30 weeks your baby should not have hiccups every day. If your baby has daily hiccups, hiccups lasting longer than 15 minutes, or hiccups occurring more than 3 ? 4 times in 24 hours, your baby should be evaluated for umbilical cord issues.
Also, check out the websites for Group B Strep (GBS), CMV, Toxoplasmosis etc. Most health care professionals don't mention these infections to moms. Be educated, be proactive, and be vigilant.
Getting to know your baby's movements is imperative. Empowering moms to ask simple questions, be proactive and learn how to be their baby's guardian will help to ensure a happy, healthy and hearty delivery day for all?xo