The 13 week Twin Ultrasound and Appointment

March 22, 2012

Monday morning my parents, who had driven 12 hours the night before to make it here, met us at the house so we could all head to the Dr. together for my 13 week ultrasound. I was excited to see them and nervous about the appt – I wanted to make sure the babies were ok.

The tech squeezed us all in the room and I held my breath and said a small prayer as she waved the wand over my stomach – and the flurry of motion that came with it on the screen was reassuring. “Are they ok?” I asked.

She nodded. “Yep, see – two heartbeats, both kicking around. Were you nervous?” I nodded and she smiled. “Everything is fine.”

“Still fraternal?” I said.

“Still fraternal.”

The next few minutes were filled with all the stats and screen shots as I stared in wonder at the two little beings who were already so much a part of our lives. I watched them kick and jump and punch, roll and back into each other. “Can they feel each other?”

“They can, and more and more the bigger they get.”

How cool is that?

I learned I was measuring at 20 weeks and my mind was blown. My uterus had literally doubled in size from the 9 week appt where I measured 10 weeks 4 days. She asked if we wanted to know the sex(es) but said at this point she would only be about 60% sure, so we declined. A few minutes later, I was so glad as we had enough to comprehend that day.

After, the MFM (maternal fetal medicine specialist that is at all my ultrasounds now) came in to look at all the photos and talk to me. I am not her biggest fan as her bedside manner leaves a lot to be desired, but thankfully she isn’t my Dr. and won’t deliver the twins.

“Hmmm,” she said peering at the screen. “I don’t like how thin the line between the sacs is.”

Um. What? Like, were the sac linings going away? Getting thinner? WHAT DID IT MEAN?

She didn’t say much else besides, “It’s probably nothing,” so it didn’t leave me with much to go on.

She talked with me about my care briefly and then told me she’d like to see me in 6 weeks. My parents and Sam went into the hall to wait while I made the appt, and as I was checking out the MFM came up and said to the receptionist, “Actually, make it 4 weeks. I’m pretty sure the twins are mono-di and that puts her at a higher risk.”

And my head fell clean off.

I stared at her trying to comprehend what this meant. Mono-di? What the heck was that?

“What does that mean?” I asked, trying not to lose it right there. Did it have something to do with the thin line?

She shrugged. “It means they are sharing a placenta so that puts you at a risk for TTTS (twin to twin transfusion) and so you’ll just need more appointments. Don’t worry, you’re going to get plenty of ultrasounds.”

YES. That’s exactly what I was worried about. How many flippin’ ultrasounds I was going to get.


I tried to ask her anything I could think of about how I had walked out the door of the room with fraternal twins and ended up in reception with mono-di. Whatever that meant. She answered them quickly and said she’d see me in 4 weeks and not to worry.

Which we all know means she has no idea who she’s talking to. lol

The tech came by on her way home and I grabbed her up. “Mono-di, sharing a placenta? Does that mean they’re identical?”

“Oh yes,” she said cheerfully.

“Are you sure?” I asked, floored. Somewhere my head rolled further under a table and gasped for air.

“Pretty sure. The MFM looked and we’re almost positive there is only one placenta. And they are in their own separate sacs. We’ll know more in 4 weeks when we’re actually looking for it all.” She waved and left.

I was handed my next appt card, walked into the hall, and burst into tears. Honestly, it was just too much to take in. I still had no idea what it all meant, I was totally shocked, I didn’t understand how they weren’t more worried, wasn’t sharing a placenta a really horrible thing? 4 weeks? How was I supposed to make it 4 weeks not knowing what was happening in me? I’d just managed to wrap my head around twins, fraternal at that, only to have a pretty big change casually told to the receptionist as I stood alone in the hallway.

My parents and Sam talked to me (and Googled) for the next hour while we waited to see my actual Dr. (a DO). I was SO thankful I had that appointment then.

The DO was concerned when she came in and saw what a mess I was, so she said, “Now, you tell me everything that you’re worried about and we’ll go from there.”

So through my tears (still crying) I told her what I thought was going on and she then reassured me that wasn’t the case. “Oh no! You have the kind of identical twins that most people have. Mono-di. That’s a good thing. The majority of identical twins share a placenta and are just fine. TTTS is a concern for all those types but everything is fine right now. There are no worries; the MFM is confident you’re looking good, the babies look good, everything is ok.”

She spent the next 45 minutes going over every question I could possibly think of about their birth, her involvement, c sections, epidurals, the hospital policy, my care over the next 5 months, due dates, inducement, etc. I am 100% comfortable with everything she said. And she is going to do everything in her power to make sure it’s what I want it to be with the end goal for both of us simply being healthy babies.

I’m going to do a whole other post on that later.

For the past few days, Sam and I have just spent time with my parents while, yet again, wrapping our heads around the strong possibility of having identical twins. There are a lot of new emotions that come with this knowledge, and I’m not ready to write about them yet. But the prevailing one is total relief that they are ok right now. Thankfulness that we got to see them and my parents were there, and that I was placed in the care of a Dr. and staff that is behind me and understands my fears – and makes sure they are lessened before I leave. Regardless of the time or the energy that might take. It might not have been the ideal way of finding out but it resulted in a great first meeting with my DO.

And so, here are the blurry babies who wouldn’t stop moving so the tech could get a good shot. 🙂

Baby A/Baby B

Whatever they are in 4 weeks, they are already so very loved.

ETA: It looks like boy parts in one pic (squeee!) but the other (edited out) looks like something different entirely so… I guess we’ll see in 4 weeks!


  • Becca

    March 24, 2012 at 10:00 pm

    My twins were mono-di as well and as for the thiness of the sac, that is something they check to be on the safe side, my girls were just fine and perfect! Hang in there! My husband was deployed for most of the pregnancy and I know how nerve racking it can be. Just remember to take deep breaths and that you are in charge,no one wants to argue with a pregnant woman!

  • Teresa

    March 23, 2012 at 7:18 pm

    What a bitchy tech. They aren’t supposed to tell you anything like that, that is the doctor’s job. Humph! i would have been so scared and uncomfortable too. hugs to you. I’m glad you got your questions answered. I am so excited for you, and I am so glad you got to see your babies dancing!!

    1. Teresa

      March 23, 2012 at 7:20 pm

      Ok wait, it WAS a doc, ust reread your post. OMG. You’d think they’d know better than to scare a pregnant mom. Some people just don’t get it.

  • Cassilda

    March 23, 2012 at 12:55 pm

    your posts are always so explicative, and i like it because i have a problem in understanding such things.

  • Alexsandra

    March 23, 2012 at 12:42 pm

    this is very nice one and gives in depth information. i think it will be helpful. thank you very much for that extraordinarily first class editorial! keep up the good work.

  • Angie O

    March 22, 2012 at 5:55 pm

    Those look like boy parts to me, lady!
    Either way, I’m so happy that everything seems to be going well. So glad you found a doc you like; sounds like she’s a keeper!

  • Misty Pratt

    March 22, 2012 at 5:43 pm

    Ugh, that first doc sounded horrible. I’m so happy you have a great doctor who was able to provide some comfort!!

  • melissa

    March 22, 2012 at 4:09 pm

    I totally see the boy parts!!!! Oh Em Geeeeee! How crazy that they are already so precious???

  • Stacy

    March 22, 2012 at 3:23 pm

    Diana, I’m so glad you’re doing good, good doctors are hard to find. How exciting, identical twins!!

  • Tammi

    March 22, 2012 at 3:06 pm

    I’m so happy that your DO was patient and calm with you! And, so happy that you had Sam & your parents with you! The pictures are so wonderful. Many hugs and prayers coming your way, Diana!

  • Suz

    March 22, 2012 at 2:54 pm

    Your BOGO are too cute already & are so loved, just like you.

  • Kelli

    March 22, 2012 at 2:40 pm


    First, thank you for reminding me how lucky I am that I was an L&D nurse before getting pregnant with my twins. I tend to dwell on the fact that I knew too much and was therefore terrified the whole time, but you have reminded me that it's probably more terrifying the other way around. So thanks.

    Second, I'm glad that you LOVE your DO. She's the one that counts!

    Third, you're going to be great at this. The fact that you're worried about them and have so much love for them already is amazing. That's what really matters. Sure, there are other difficulties, but you'll concur them.

    Let me know if I can be of any help 🙂

  • Abigail

    March 22, 2012 at 2:26 pm

    Ugh, how can a doctor whose specialty is high risk pregnancy not know how to relay news so as not to cause panic? You would think that would be an incredibly important part of their training.

    I’m glad your twins are healthy and I’m sure they will continue to stay that way. ::hugs::

  • Kendra

    March 22, 2012 at 2:16 pm

    I had an experience with an OB/GYN just like your MFM. She was the WORST. I’m having a baby lady, it should be sunshiny and happy not stale and gloomy! I’m so glad everything is ok with the twins. I hope the time in bewteen your appointments will fly by for you!

  • Surf Momma

    March 22, 2012 at 2:00 pm

    I was blurted a diagnosis by an OB then told I needed to see the MFM doc who was an hour away THAT day. I was in total panic over these words I’d never heard before, so I understand! I’m glad your DO made you feel better! Adorable wiggly babies 🙂

  • Amber

    March 22, 2012 at 1:51 pm

    There should be an entirely separate class every doc that works with pregnant woman should take on the importance of not blurting out technical terms with no explanation. Everything sounds so ominous when you are pregnant.

    And, identical twins! How exciting!

  • Jennifer @ Also Known As the Wife

    March 22, 2012 at 1:50 pm

    Ugh…I hate doctors who are like “Here is your diagnosis. What do you mean you don’t know what it means?? ZOMG! Patient fail,” followed up with a big eye roll.

    Tell her from now you you’d like any diagnosis or information relayed to the DO who will share and discuss with you.

    What a PITA!

    I’m glad those babies are moving and shaking and doing so well! Keep up the good work, mama!

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