For the most part, it went well. My OB seems to be the right balance of laid-back (to balance out my extreme neuroticism) and yet not dimissive of my concerns--she answered all of my questions seriously and carefully. I can eat pretty much whatever I want--she said she normally gives patients a big lecture about carbs and gaining too much weight, but because I'm already underweight, she's not worried about it. I don't need to be paranoid about listeria ("Just don't go to a bodega and order the ham that's been sitting there for two months") and can even feel free to eat sushi. She prefers not to perform episiotomies and is totally fine with my hiring a doula if I want.
Of course, my biggest concern is the whole UU thing. She said that while I do have a higher chance of preterm labor, it's also entirely possible that I'll have a completely normal pregnancy. In fact, if I make it to 37 weeks with no major problems, I can even deliver at the hospital's birthing center. At this point she is going to treat me like a normal patient (that means my next appointment isn't for FOUR MORE WEEKS! Aagh!) and then when I reach 24 weeks she will start watching more closely for UU-related problems. If needed, I'll be referred to a high-risk specialist, but not right now. Which...I guess I'm okay with. I suppose it's not a bad thing to be "normal," though I'm disappointed not to get the million billion extra ultrasounds I was hoping for (shut up, Robbie, I can hear you laughing). I will be going for a nuchal translucency scan in a few weeks--actually, she gave me a choice between the nuchal translucency scan at 11-13 weeks or AFP3/AFP4 screening at 15-16 weeks. Which took me about two seconds to decide--gee, would I prefer an earlier test that includes an ultrasound, or a later test that's bloodwork only? Huh, let me think.
Speaking of ultrasounds...this is the part I'm not sure about. According to today's scan, at 8w1d, the fetus measured 7w4d. It measured 7w6d just four days ago. I told my OB about the earlier scan, and asked if I should be worried, but she was not the slightest bit concerned. "There's a heartbeat, everything looks fine, don't worry," she said.
Now, the ultrasound machine at the OB's office did have considerably lower resolution than the one used for my last scan at the clinic. The image was quite blurry, so that could have affected the measurements. I did actually see the heartbeat this time. And the measurements are generally plus or minus a few days anyway, so it's possible that the growth is perfectly on track and the measurements are just wonky.
...Or maybe my baby is shrinking.
I really have no choice at this point but to trust that the person with the actual medical degree, who has delivered hundreds of babies, knows better than I do about this. But truthfully, I would almost rather have not had the scan today at all if it meant that I was going to get confusing information like this. I guess this is what I get for jumping the gun on scheduling my OB appointment--if I'd waited until after I was officially discharged from the clinic, I probably would have had this appointment next week or the week after, and the scans wouldn't have been so close together as to be confusing.
Sigh. Anyone have any charms against DBTs (dead baby thoughts)?