Monday, November 16, 2009

Uni-kidney no more??

Well, after our exciting day yesterday (ha ha) we were up SUPER bright and early this morning so we could get to Dr. Sweeney's by 8:00.

(I don't miss getting up at 5 AM...and we got up this early on Saturday too so we could get to the car place. Of's not like I was really sleeping anyway, but still.....)

We had a sono tech I've never had before, and she was very intent on what she was looking at on the screen. I could tell she didn't really want to do a growth assessment because the last one was only 2 weeks ago and she was worried he'd be smaller and I'd freak out. (Did she hear about me crying on the table two weeks ago?) At this point, I'm pretty confident he's at least 5 pounds, so no more freaking out....just hoping to GET HIM OUT! In any event, two Mondays ago he was 5 lbs., 9 oz. and this morning he was 6 lbs., 1 oz. Not quite as much growth as I expected (13th percentile for growth), but at this point, plenty big enough for me. Speaking of big...or little, hopefully....John said he paid attention to the head circumference and it measured 8.9 cm. I've always said I hoped he took after his daddy and had a little head...I don't know how much bigger his head will get in the next two weeks (John says not much) and maybe I am naive, but in my mind, if I dilate to 10 cm., and his head stays that size, I'm liking those stats!

When Dr. Sweeney came in, I told him Drs. Polko and Shonekan were more content to let Matthew get to 41 weeks than to make a plan for 39. He said, "Well, okay then." I told him I was fine with that too...although if he thought he needed to come out earlier, by all means tell us! He was pretty interested in what he was seeing on the screen and then told us that he may be imagining things, but he thought he saw some kidney tissue! The sono tech had seen it first and told him...and he was actually pretty surprised since we had been looking pretty closely for another one this whole pregnancy. He's interested to see what it looks like next week (though here's hoping there is NO next week appointment!) and may amend his recommendations for the renal ultrasound when Matthew is born. As of now, he is ok with the ultrasound being done on an outpatient basis after he's born. If this is a pelvic kidney, as he now suspects it may be, he will request a renal ultrasound the day Matthew is born for nephrology consult. True to his lineage....Matthew's odds of having one normal kidney and one pelvic kidney are 1:3000!!!! It's funny because there is actually less possibility of complication for Matthew if he only had one kidney vice him having one normal kidney and one pelvic kidney. Even still, because his one normal one has been fabulous, and a pelvic kidney may function fine (many pelvic kidneys function normally, but in some people, it can be small or have abnormality in the drainage system) , we'll just be on the lookout for a few different things than we would with only one. We may not have to worry as much about contact sports (though I am JUST fine with him not playing football!) and such, but may have more UTI and recurrent infections. In any event, until he has his very own ultrasound and we see that there is another kidney and how functional it is, we are just surmising. Worst case scenario, from what I've been researching, would be that it isn't functional, and could be problematic or it could be functional but he could have hydronephrosis and they may need to be surgically remove it. Honestly, I don't think that's the I am not even close to worrying about it.

I must admit, we were pretty surprised though! This little guy never ceases to amaze me.


  1. Wow! That's an exciting developmental possibility!

    And no need to worry over his head getting any bigger or if it will fit. This late in pregnancy all baby is doing is packing on some padding in the chubby department and remember their skull is not fused so his head is not a solid object like a bowling ball. It will compress just fine to fit but ALSO your pelvis is not a solid fused object either it's like a joint and the pregnancy hormones make the tendons that hold it all together soft and malleable so that even if baby's head didn't want to mold to fit the outlet your body can accommodate an uncooperative babe as well. It's all divinely designed to work perfectly! :)

  2. Sounds like everything is fine and dandy!

  3. Yeah, the munchkins never stop surprising you... you'll come to learn that little fact (and love it - most of the time).

  4. Did I ever mention that my mom has three kidneys? Apparently the third one barely functions and from what you wrote, maybe it's this "pelvic" kidney... Anyway, just thought that was weird. You know, Lori, God can do anything -- never let Him surprise you!!