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Monday, May 24, 2010
Sober Baseball???!!!
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Friday, May 21, 2010
A Good Death by Victoria Eduoard
A Good Death
By Victoria Edouard
It was a good death, I thought, not like my father’s. I almost said it out loud but then thought better of it. Driving home from his mother’s funeral was probably not the time to share another one of my unusual observations with Michael.
I suppose it’s easier for me. I came to know Nell at the brink of adulthood. She wasn’t my Mama. Over the years as our friendship deepened, there were times I wondered if I didn’t love her more than my own husband, her son.
Nell was a plain woman who lived a plain life. But hers was an outward life. This was evidenced by the overflowing crowd of mourners at the country church we had just left. Through the passenger window, I watched the open, golden fields pass by periodically interspersed with the cool shaded protection of a stand of woods. I reflected on Nell’s life.
She was a straight A high school student with a full university scholarship. But her father told her women didn’t need a college education. So she married the love of her life. She met him on a train during her big adventure to New York City.
A world war broke his spirit and broke her heart. Alcoholic and forever despondent, he eventually abandoned her, leaving behind four fatherless children and a mountain of debt from a string of failed businesses. She was forced to move in with her now retired father living in Florida.
The unfairness of the many stigmas and judgments she endured as a divorcee in the reluctant South of the civil rights era crushed down on her with unexpected force. Other women avoided her as if her condition was contagious. There was the young black man she saw everyday at the bus stop who finally implored her to stop trying to engage in conversation because he might be beat up or worse. There were the tears she had to dry when other children refused to play with her’s because they were poor, white Yankee trash. Finally there were the liberties men thought they could take with their words, eyes and hands as she waited on them at the local diner.
The choices she had seemed continually dictated by men. None of them ideal, but she did the best she could. Her brother found her a job back up North. But she couldn’t afford to bring her children right away. That decision would have ripple effects on all of them for many years to come.
Up North she thrived with the opportunity to use her brain as a secretary in the Federal government. She enjoyed travelling to conferences and meetings around the country despite the frequent advances from male colleagues, married or not, who expected divorcee equated to party girl.
Despite her plain features, men were attracted to Nell’s independent spirit and intelligence. She was forthright, open and had a quick wit. She carried herself well and fashionably. On her days off she loved to scour upscale boutiques trying on designer fashions that flattered her tall, thin figure. She’d linger in the dressing room, examining every detail, then spend equal hours searching for similar patterns and fabrics allowing her to re-create the same design late at night in her room.
She started dating again. Some were powerful and wealthy men. But at the end of the day she carried too much baggage for anyone to make a long term commitment.
After a year or so up North, saving every penny she could while relying on her brother’s good will and spare bedroom, she could finally afford to rent a one bedroom apartment and bring her children back to her. The girls and baby could share the bedroom with her and her oldest son, Michael, would have to sleep on the couch but at least they could all be together again. But even this couldn’t happen without a man’s help. With a good job and savings, Nell still had no credit. No landlord would rent to her without her brother agreeing to sign for her and take responsibility for the lease. Grateful for his continued generosity, a part of her was still resentful. However, she knew her children needed her. She would have an uphill battle to repair the damage done by the children’s unspoken perception of having been abandoned twice.
Thankfully with time, close quarters and necessity knit her family together again with a rare bond that would remain throughout her life. Even more remarkable the love within that bond was able to grow, expand and absorb anyone fortunate enough to come close to it. Nell worked hard and was thrifty. She became solidly, comfortably middle class. After her children had lives of their own, she married again.
Nell was an easy person to be around. Her advice never seemed to be advice so much as a conversation, a parable. She could be trusted not to judge. Through the worst adversity she could point out the path through it. She treated every child, grand child and friend with equal importance.
By the time of her illness she was a great grandmother. And her family and friends closed in around her in a pool of love and support. As her health deteriorated, after giving up on further chemotherapy, her focus was always on her family first. She’d tell us: this is her diagnosis, these are the odds, this is how we will attack it, this is how it will affect her… how are you all doing? She called a family meeting with the hospice worker…for us, not her.
Nell planned her funeral, suggesting favorite hymns and Bible passages. She never showed fear. Never a regular church goer, subtle hypocrisy annoyed her, she made sure we knew how deep her faith still ran and exactly what she believed. She had a living will and made sure we all acknowledged it. She did not want to die in the hospital and she did not want to linger too long. She spent time individually with everyone important to her. The family willingly took turns caring for her. Someone stayed with her every day and every night. As Nell faded and the pain increased, the hospice worker showed us how to administer morphine orally. We learned when the mind finally goes comatose maybe a little extra morphine could mercifully hasten things.
Within two hour of Nell’s passing, the entire family once again closed in around her. We were sad but at peace. It was a good death.
With the countryside behind us, I stared out the car window at the series of steel sided warehouses and impersonal strip malls lining the highway back to the city. I thought about how different my father’s death was.
His was an inward life. He collected wives and mistresses. Not so much because he was a stud-ly man, but because he was never present enough to protest, either the marriage or the divorce. With the exception of his first wife, none of his women were particularly younger or less successful than he. He respected them intellectually, which too many mistook to imply an emotional attachment as well.
There were reasons for this of course, as a lifetime of therapy could justify. His college educated mother, who died too young, was too absorbed in her books and philanthropy to ever take much interest in her four children. His father believed children should not be seen or heard. The children never knew how to address their father – he wouldn’t answer to Father, Dad or daddy. My Dad and his sisters used to joke as adults that whenever they received a phone call and there was silence at the other end, they knew it was their father; they would have to start the conversation. Even then my Grandfather still had no idea how to acknowledge his relationship with his own children.
Unbeknownst to my Dad, the joke continued into the next generation. My siblings and I would laugh and roll our eyes on the few occasions Dad would call one of us. He would announce, “Hello this is your Faaatherrr” with a clear, drawn out emphasis on the word “father”. While we never really knew the man, we all knew who was calling us.
The only emotion I ever witnessed from my father was at the age of four as my mother was packing me and my older sister and brother into the car to leave him. I had forgotten my favorite stuffed animal in the basement playroom where my dad had been sleeping for some time in the spare bedroom. As I was running back up the stairs, he grabbed me and held me close and crying, he begged us not to leave him. I don’t recall being able to answer him, but I had to go.
After that, I can probably count within my ten fingers the number of times I visited with him during the rest of my childhood. Those few visits would form the basis of our conversations into my adulthood during our equally infrequent encounters. Dad was famous for telling the same stories over and over again about the past. He just couldn’t connect with his children in the present or personally. My brother, Dad’s only child to attend his funeral, was surprised to find that none of our father’s work colleagues over the past twenty years even knew he had children. I wasn’t surprised.
Dad’s death was not a good death. After his cancer diagnosis, Dad and his last wife decided death by starvation was preferable to the potential pain and indignities suffered as cancer eats its way through a body.
I visited one last time. Mostly to say goodbye and stave off any future guilt, but maybe also with a tiny piece of that four year old girl hoping to finally make a connection. I arrived in the middle of a sunny, beautiful Colorado spring day to a dark house with heavy curtains drawn against the bright and teeming life outside. My father said he was having a good day. He thought he could sit up in the living room to talk with me. He was taking pain medication by pill and it helped to get it down by taking it with a spoonful of yogurt. As we were talking I watched while he eagerly continued to spoon yogurt into his mouth. Until his wife gasped in horror, yanked the yogurt from his hand and said, “What are you doing?” He apologized. He went on with our discussion. He didn’t believe in God. He really didn’t think anything happens after death but, just in case, he laughed, don’t step on any bugs after he’s gone.
Dad then asked his youngest child to tell her brother, who had previously visited, that he could have the new grandfather clock they recently bought, after his wife passes away or didn’t want it anymore. He also asked me to please tell my older sister that she could have Grandmother’s marble top dresser. I could have his desk. Of course, he continued, once his wife passed away we would all inherit whatever was left of his estate. His wife quickly assured me that we can trust her. She never had children of her own and she sincerely promised, even though she wasn’t legally required to, that she would remember us in her will.
Dad said he was getting tired. He thanked me for visiting. As we were helping him back to bed, he got dizzy. He said he couldn’t make it to the bed, he had to lie down right away in the hallway. As he collapsed on the floor, his last wife hysterically called out his name and asked over and over, “Is this it? Are you going? Is this it? Is this it?” He weakly answered that he didn’t know, he didn’t think so. Their fear was palpable. After a few minutes we helped him back up and into his bed. I told him I loved him and I said good bye. When he died a few weeks later, I was in the middle of an important short term contract. I didn’t attend his funeral. My sister was out of the country. She didn’t make it either.
I think a good death reflects a good life. A life spent with enough introspection to comfort and encourage others but not so much that you never connect with those around you.
As Michael and I pulled into our driveway, not having said a word to one another on the long drive home, I noticed for the first time the distance between us that had been bridged too long by our mutual love for Nell. With a deep sigh, I closed my eyes and silently prayed, God, please help me to have a good death.
Thursday, May 6, 2010
It's a girl!
All looked fine and we found out that the baby is a wee girl. She has long legs and is on the big side (no surprises there!). It was funny to see her on the screen as she was pumping her wee legs away, kicking the hell out of my insides. I couldn't feel a thing either which was quite strange as she looked like she was giving me a good, hard kicking.
The Sonographer was really funny and nice and he took all the important measurements, showed us all the important bits and was very patient with all my daft questions - some truly numpty ones as usual from me.
We saw the heart chambers and vessels as well as the different areas of the brain. He showed us the Cerebral and explained that the shading and the shape showed that there was an almost zero chance that the baby has cerebral palsy - another reassurance for us. Heartbeat was 150 beats per minute which is good and healthy.
All limbs look fine and he showed us the developing sex organs - although I couldn't tell what they were but he assures me it is definitely a girl.
How exciting we are having a daughter. It shows you the power of the mind and my dreams telling me it was a girl already. I am now listing all my girlie names to try and decide what to call her. I have so many on my list and they are a mixture of modern, traditional and Celtic names so I just know it is going to be very difficult to make a final decision. What a responsibility giving a living being it's name as I believe a name is important in how a person is viewed. Like the quote from the movie The Breakfast Club - "Clare is a fat girls name" - and every name I come up with has some history or opinion that will affect our decision.
After the sonogram we saw the doctor. Dr Sartawi again and I really like her as she seems very matter of fact. She is quite young and I feel like I could be her mother but she really puts me at ease and does not have any of the american bullshit you sometimes get (perhaps because she spent her childhood in Saudi Arabia). I have put on 10 lbs which she says is perfect for the halfway mark as you should only put on between 25 and 35 pounds in a healthy pregnancy. Again she was patient with all our daft questions.
Well that is all the news from the visit so here are some of the scans and the latest pisture of my bump.
In the one below she is actually having a yawn which was so lovely to see. the sonographer had a laugh and made used this and the previous still photo to make her talk to us.
You can just see her long legs on the right hand side as she was doing her bench presses against my Uterus.
I was not expecting any 3D scans so it took my breath away when the sonographer suddenly switched the machine over to 3D mode. The joys and benefits of expensive American healthcare system and the advance equipment it provides. You can make out her face and the ears, eyes, nose and mouth were very clear as well as her wee left hand up at her mouth.

Giving a smile for the camera!
The bump at halfway through. I am still in regular clothes for now with the help of my belly band for my jeans, so not had to spend any money on pregnancy clothes yet. I am sure in a month I will invest in some but holding off as long as I can.Wednesday, April 28, 2010
A Layette?!
It is a term I had never in all my 39 years heard of until I found out I was pregnant. Even during friends and families pregnancies the term had never appeared in my awareness and vocabulary.
I first came across it when I starting reading some pregnancy books and there it was used in abundance as if we all knew what the author meant. It was only when we phoned my In laws and my Father in law - an extremely eloquent, well read man - mentioned something about getting the babies Layette ready. Well I thought, clearly I am the only person in the world (apart from my darling husband) who has not heard of this term. So a quick google search produced the following definition:
A layette is a collection of clothing for a newborn child. The term "layette set" is commonly used in the United States to refer to gift sets of baby clothes.
Traditionally, women would hand-sew their baby's clothes during their pregnancy. Today "layette" is often used to identify a baby clothing section of a store. The term can also be used for bedding, accessories, and baby care items
Well perhaps that is why I have never heard the term as it is most common in the US.
My next question is how does one pronounce it properly. I tend to pronounce it Lay et, although I have heard people say Lie et. Perhaps our resident Linguist, the LovelyTreez, can give me her expert guidance on this?!
After finding out what the hell everyone was talking about I set off on the task of producing myself a traditional Layette for Junior. As I have not sewn for many years and don't possess a sewing machine I am limited to knitting what I can for the sprog. I also mentioned in a previous blog about the tradition of knitting shawls and blankets that my Mother used to do. Well on this note I picked up one of her old patterns and made my first attempt at a pram blanket. I am quite pleased with it but especially with the thought that I am carrying on a family tradition. I would have loved one of her own hand knits but I have no way of getting them now, even from family in the UK .
So here is my attempt at a pram blanket:
Then I fancied trying something pink and frilly in case it is a girl, so did these girly bootees and mittens with ribbons.
Well that is all for this blog as I just wanted to share my latest crafts. Just finishing a coat for baby to come home in and will then do a wee hat to keep the head warm. After that I will be attempting the seond of my Mothers patterns and doing a swaddling shawl. I bought some nice cream wool for this so will make an attempt and share the results in due course.
Sunday, April 18, 2010
Some Cherry Blossom, a Baby Shower and the Bump
The National Cherry Blossom Festival is an annual two-week event that celebrates springtime in Washington, DC as well as the 1912 gift of the cherry blossom trees and the enduring friendship between the people of the United States and Japan.
The National Cherry Blossom Festival® annually commemorates the 1912 gift of 3,000 cherry trees from Mayor Yukio Ozaki of Tokyo to the city of Washington, honoring the lasting friendship between the United States and Japan and celebrating the continued close relationship between our two cultures.
In a simple ceremony on March 27, 1912, First Lady Helen Herron Taft and Viscountess Chinda, wife of the Japanese ambassador, planted the first two trees from Japan on the north bank of the Tidal Basin in West Potomac Park. In 1915, the United States Government reciprocated with a gift of flowering dogwood trees to the people of Japan. A group of American school children reenacted the initial planting in 1927 and the first "festival” was held in 1935, sponsored by civic groups in the Nation’s Capital.
First Lady Lady Bird Johnson accepted 3,800 more trees in 1965. In 1981, the cycle of giving came full circle. Japanese horticulturists were given cuttings from our trees to replace some cherry trees in Japan which had been destroyed in a flood.
The Festival was expanded to two weeks in 1994 to accommodate a diverse activity schedule during the trees’ blooming. Today, more than a million people visit Washington, DC each year to admire the blossoming cherry trees and attend events that herald the beginning of spring in the Nation’s Capital.
The Festival looks forward to celebrating the centennial anniversary of the gift of trees in 2012 and is planning spectacular events to mark this historic and special occasion.
And the Cherry Blossom trees were absolutely stunning while driving around for work and in the parks of Washington DC. The only down side is the high pollen count around this time, to the point that the inside of my car was yellow with the pollen when I put my roof down in the sunshine. So I am sneezing my way around at the moment as I don't like to take allergy medicine anyway but particularly so now I am pregnant.
To join in the celebrations downtown we decided to head to The Waterfront for the day on the second Saturday of the festival. On this day they were having a family day of activities, music and then some fireworks in the evening. Vicky had warned us to go early as the crowds would be huge but I can't really get myself going well in the morning at the moment so we planned to meet Dawn, Simon, Mike and Catherine mid afternoon to head down for some afternoon sunshine and then to stay on for the fireworks in the evening. It was a lovely afternoon but Vicky was right and the crowds were incredible. Added to this the fact that they had not catered very well and we had difficulty getting anything to eat or drink we decided to pack up early and head back to Bethesda for drinks and dinner in the evening before the fireworks had started ( it's not like we had never seen fireworks before). Boy were we glad we took this decicison because we had to fight our way into the subway station against the masses of people that were turning up to see the fireworks and the stations on the way home were mobbed. It would have been pandemonium and dangerous later to try and get home amongst those mobs. As it was we managed to lose Mike and Catherine at one of the subway stations but just texted them that we would then meet them back at Bethesda so not really a problem as at least they were together. We finished the day having drinks outside at the Tiki bar in Bethesda with Dawn and Simon and hearing about there possible new plans to move to Dallas, Texas at the end of June. We will be sad to see them go but a great excuse to visit them in Texas - with perhaps a side visit down to San Antonio to see Sazzy Sarah!
I kept forgetting that I had my camera but here are the few photos I took at the beginning of our day out
http://www.facebook.com/album.php?aid=203636&id=626078744&l=8f8330c17d
A Baby Shower
Kim and Andrew were having their baby shower for Scooter ( as we all affectionately call their unborn son). They decided against the traditional, ladies only, baby shower and just hosted an afternoon party for male and female friends. It was a lovely sunny, Spring day so with the balcony doors on their condo open it was lovely eating and drinking while catching up with old friends and meeting new ones.
Kim had been on bed rest all week as she had low amniotic fluid levels. She had posted on facebook that she had a craving for donuts so Jar and I decided to stop off at Krispy Kreme on our way there and turned up with 2 dozen donuts to help satisfy her craving (and my own I must admit!).
Lots of good food, cake and company made it a lovely afternoon. My only disappointment was not experiencing a traditional baby shower so I could see what it entailed to decide whether I wanted one of my own. Although I belieive that Vicky is already plotting one for me with Jarlath!
Again here are the few photos I remembered to take:
http://www.facebook.com/album.php?aid=203634&id=626078744&l=c0704062c3
Kim took some better photos and has posted them to Facebook but I can't work out how to share them on here but try this link, if not they should be on my facebook profile for those of you on there:
http://www.facebook.com/#!/album.php?aid=165050&id=510562615&ref=mf
Sunday, March 28, 2010
Food Glorious Food
While we're in the mood
Cold Jelly and Custard
Pease pudding and saveloy
What next is the question.........la la la
And what next IS the one question I am getting fed up answering at the moment.
With my pregnancy nausea (and I refuse to call it morning sickness as that would suggest a respite from it for the rest of the day and night!) I have found that the only way to keep it at bay is to constantly eat. If I go more than 90 minutes without eating something I am then very nauseas and off kilter for the rest of the day. A great "problem" to have most people will say and, yes, for anyone that loves food, imagine having an excuse to eat so often in a day. The issue comes from having to constantly think up what to eat next.
Breakfast is fairly easy as I start off with a bowl of muesli before I get up properly then 90 minutes later I have my second breakfast (just like a wee Hobbit) of toast and some sort of eggs. Then I go out to walk the dogs for several hours and have to pack my lunch and snack bag as if I was going on a major military campaign in the desert. One just gets so bored with the same food over and over and after a couple of days I have to rethink all my snacks and come up with a complete alternative set. Living in America is making it easier as they have so many choices and you can get everything individually packed to keep fresh on the go but still I find I am struggling to think up new and tasty foods that I can stomach.
But think positive Hazel, so far the baby is healthy. You get to try lots of new foods that you normally wouldn't eat and you have not yet gained any weight.
For once in my life I am actually looking forward to having a sticky out belly and gaining some weight. It is quite a mind blowing concept for me not to have to worry about crunching those abdominal muscles. I have even cancelled my gym membership for now as it was costing $100 a month and I just was not going to use it. I am walking at least 5 miles each weekday anyway and from May the outdoor pool will be open as well so I am sure I will go swimming most days even just to cool down. Any other exercise like yoga and pilates can just be done in the house with the help of the fitness channel on tv or some home exercise dvds.
I am now in my second Trimester and looking forward to the nausea going away - unless I am one of those unlucky people that have it for full pergnancy but no, positive thoughts, it is going to go away in the next week for sure!!!
Well what else have we been up to? Last weekend we had some lovely weather with the sun out and temperatures in the high seventies. Jar and I put the roof down on the Miata and drove with a picnic to the National Arboretum. I had visited there at the end of last summer (in a previous blog and photos on facebook) and I suggested that we go so he can see it. We had a lovely walk and picnic in the woods and a lovely drive with the wind in our hair.
After the Arboretum we decided to stop at Eastern Market - a sunday flea market and farmers market at the back of Capitol Hill. It was a lovely stroll and I found a second hand bookshop and a baby clothes consignment store, so I will definitely go back for a better browse another time.
As we were driving home we had to drive past the Capitol Building and the Mall. It was on the Sunday that the Healthcare reform bill was being signed by the Senate and there were various protest marches for and against this bill and regarding immigration reform (it was all a major story on the news over here). There was supposed to have been several hundres thousand people shipped in from around the country for the protests and it was interesting to see them. We didn't stop and get out as, you can imagine, there was no parking available but still interesting to drive through.
Stopped off on the way home for a lovely treat of Ben and Jerrys ice cream in Bethesda - baby wanted ice cream!!!!!
Well just a short one for this week as still not up to doing too much.
On a serious note, my thoughts are with Laura Croxson and her family as she is going through a rough time at the moment.
Well bye for now and all hae a nice week - Spring Break over here for a lot of people. Xx
Tuesday, March 23, 2010
A Nuchal test and some Terracotta Warriors
Well I will start with the baby bit at the risk of boring everyone. If you are not interested just scroll down to the second part of blog. I am conscious of going on and on about baby stuff, like I am the only woman to ever have a baby in the world. It is just a large part of life for me at the moment that it is difficult to blog without making some mention. So, please bear with me until normal service is resumed.
Nuchal Test
Well I am a geriatric mum to be as I am the grand old age of 39. This puts me more at risk of having a baby with a genetic issue like Spinal Bifida or, the main one, Downs Syndrome. Spinal bifida is tested by taking blood from a finger prick and sending off to the lab. This was taken at my 10 week check up so I was just waiting for the results.
There are various ways of testing for Downs Syndrome. The first, and newest, is the Chorionic Villus Sampling (CVS) which is usually performed between the 10 and 12 week mark.
Who needs to take the test, and why?
CVS is used to get an early diagnosis of genetic and/or chromosomal abnormalities such as Down syndrome. It's offered when there's an increased risk of such defects, and when expectant parents want early test results instead of waiting to have an amniocentesis (which tests for many of the same abnormalities but is given only in the second trimester). You may be offered CVS if you will be 35 or older on your due date, have had a prior child with chromosomal or genetic abnormalities, or have a history of such problems in your family. If you feel strongly that you would rather have the option of terminating a pregnancy before the end of your first trimester, you should ask your doctor about this test as an alternative to amniocentesis. Be aware, however, that the CVS test carries a slightly higher risk of test-related miscarriage than amnio -- perhaps 1 in 100 for CVS as opposed to less than 1 in 200 for amnio. (Some medical sources say this risk could be as high as 3.5 or 4 in 100, but, to date, no controlled studies have been completed.) Also, you should be aware that CVS cannot test for neural tube defects.
What's involved?
Chorionic villus sampling begins with an ultrasound exam, which is needed to confirm the age of the fetus and the position of the placenta. Then, using the ultrasound image as a guide, the practitioner removes a tiny piece of the chorionic villi, the fingerlike projections of tissue that attach the placenta to the wall of the uterus. This can be done in one of two ways. (1) In a transcervical CVS, the practitioner inserts a narrow tube through the vaginal canal and into the cervix, using gentle suction to extract a bit of the needed tissue. (2) In a transabdominal CVS, a long, narrow needle is inserted through the abdomen and into the uterus to extract the tissue. The type of CVS your practitioner chooses to perform will depend on your individual anatomy and the position of the placenta. The villi sample (which shares the same genetic makeup as the baby) is sent to a lab, where it is grown in a culture, then checked for defects.
The test lasts about a half an hour, but the extraction process should only take a few minutes. It may be painless, or it may pinch or hurt briefly. Afterward, you should take it easy: plan to take the rest of the day off of work, arrange for a ride home, and relax. You may experience mild cramping and slight spotting. Any prolonged bleeding or cramping should be immediately reported to your healthcare provider.
When are test results available, and how are they interpreted?
Results are normally available within 7 to 14 days. CVS test results are more than 99 percent accurate in diagnosing many genetic and chromosomal abnormalities. If you receive "normal" results, your baby has an excellent chance of being healthy -- but be aware that the test doesn't rule out every possible problem. If your test results indicate an abnormality, you will meet with your practitioner and a genetic specialist to discuss your options, which may include further tests.
A very interesting test but it is still so new that there are a number of undocumented concerns about it. The first is that most practitioners are not yet experts and have not carried out the test regularly yet. One book I read said only to do it if it is done by one of the few experts available and definitely not to just let your normal practitioner do it. The other concern is that it has been thought in some cases (although unofficially) to cause missing limbs or appendages in the baby once born.
For these reasons and after discussion with other people, we decided against this test. The main reason being the very high risk of miscarriage.
The nuchal translucency screening test is among the newest of the many first-trimester screening tests now being offered to pregnant women. The nuchal translucency (NT) screening test — basically a specialized ultrasound — lets you know if you're at an increased risk for having a baby with a chromosomal problem such as Down syndrome. Unlike amniocentesis or chorionic villus sampling (CVS), however, the nuchal translucency test cannot give you a definitive answer as to whether your baby has a genetic abnormality, but rather it gives the statistical likelihood of one. With that information in hand, you and your practitioner can then decide if further (more invasive, but conclusive) testing, such as amnio or CVS, is necessary.
What exactly does it measure? The test focuses on a small, clear space in the tissue at the back of your growing baby's neck called the nuchal fold. Experts have found that this spot tends to accumulate fluid and, as a result, expand in size in babies who have genetic abnormalities like Down syndrome (caused by an extra copy of chromosome 21, one of the 23 pairs of chromosomes that contain our genetic code), trisomy 18 (an extra copy of chromosome 18), and trisomy 13 (an extra number 13 chromosome).
Nuchal translucency screening — which must be performed between 11 to 14 weeks of pregnancy (after that, the tissue gets so thick that it is no longer translucent, rendering the test inconclusive) — is done with a highly sensitive ultrasound machine (but like a regular sonogram, is considered safe). A sonographer will first measure your baby from crown to rump, to confirm his or her gestational age, before zooming in on the nuchal fold and measuring its thickness on the screen. That value, plus the mother's age and the baby's gestational age, will be entered into a formula that calculates the probability of a chromosomal abnormality.
Because NT results by themselves have an accuracy rate of just 70 to 75 percent (meaning that the test misses 25 to 30 percent of babies with Down syndrome), your practitioner might offer what's referred to as a combined or integrated screening, in which the NT ultrasound results are combined with one or two blood tests that measure and compare your levels of two maternal pregnancy hormones, beta-hCG and PAPP-A. By combining these blood tests with NT, the accuracy of detection rates for Down syndrome rises dramatically to between 83 and 92 percent.
One drawback to the NT screening, and even the combined screening, is the risk of false negatives and false positives — not to mention the emotional hoops of worry and waiting that you'll have to jump through. But if you're on the fence about amnio, NT screening may help you determine whether you need it.
So we went ahead with this test as the risk to the pregnancy was zero anyway.
It was amazing to see the pictures of the baby again and how much it has developed in the 2 weeks since my first scan. It was also visibly moving in my uterus. It started off lying on its back and then flipped right over to be face down – which was a problem for getting the measurements. The sonographer made me shake my hips from side to side to try and get it to flip back and it eventually did. I was completely overwhelmed by seeing what was growing inside me and the fact that it was moving around.
Here are the pictures:



Before I took the test my risk of having a Downs baby was 1 in 102 because of my age. My Doctor phoned with the results after 24 hours and the results were good in that my risk had reduced to 1 in 2021, which is about the same as someone under 23 – therefore, my age is not a significant factor. I am also negative for Spinal bifida from my blood results which is good as well.
So the decision now has to be made as to whether we then follow this up with an Amniocentesis.
How is amniocentesis performed?
An ultrasound is used as a guide to determine a safe location for the needle to enter the amniotic sac so the fluid may be safely removed. A sample of amniotic fluid is collected through the needle. The procedure takes about 45 minutes, although the collection of fluid takes less than five minutes. The amniotic fluid, which contains cells shed by the fetus, is sent to the laboratory for analysis. Results can take anywhere from a few days to a couple weeks to be returned.
When is amniocentesis performed?
Amniocentesis is usually performed between 14 and 20 weeks. Some medical facilities may perform amniocentesis as early as 11 weeks.
Amniocentesis can be used later in the third trimester for a few reasons. Your healthcare provider may recommend the procedure if your membranes have ruptured prematurely to assess for uterine infections. Amniocentesis may also help determine the severity of fetal anemia in babies with Rh disease and assist your physician determine whether the fetus requires lifesaving blood transfusions.
Amniocentesis is sometimes done to assess lung maturity. If so, this is done shortly before delivery.
What does the amniocentesis test look for?
Amniocentesis detects chromosome abnormalities, neural tube defects and genetic disorders. Down syndrome or Trisomy 21 is the most common chromosome abnormality. Genetic disorders include disorders like cystic fibrosis. The most common neural tube defect is spina bifida.
Amniocentesis is occasionally used late in pregnancy to assess whether the baby's lungs are mature enough for the baby to breathe on his own.
Amniocentesis also provides access to DNA for paternity testing prior to delivery. DNA is collected from the potential father and is compared to DNA obtained from the baby during amniocentesis. The results are accurate (99%) for determining paternity.
What do amniocentesis results mean?
Amniocentesis is a diagnostic test that detects chromosome abnormalities, neural tube defects and genetic disorders with high levels of accuracy (98-99%). Although the probabilities of identification are high, this test does not measure the severity of these birth defects. Alpha-fetoprotein levels and advanced level ultrasounds may assist in assessing the severity.
What are the risks and side effects to the mother or baby?
Although amniocentesis is considered to be a safe procedure, it is recognized as an invasive diagnostic test that does pose potential risks. According to the Mayo Clinic, it is performed approximately 200,000 times a year.
Miscarriage is the primary risk related to amniocentesis. The risk of miscarriage ranges from 1 in 400 to 1 in 200. In facilities where amniocentesis is performed regularly, the rates are closer to 1 in 400. Miscarriages can occur because of infection in the uterus, the water breaks or labor is induced prematurely
Now the decision has been very difficult as I have had to weigh up the risk of miscarrying a healthy fetus from the amnio or worrying about the risk of having a Downs baby.
I won’t go into my decision process as I don’t really want to open up a debate about handicapped children, abortions, adoption or any of the other subjects that comes up in these decision processes – I would support anyone in any of their decisions no matter what my beliefs are.
Anyway as my risk is so low we have decided not to have the amnio and see what happens. So now I guess I just have to sit back and let my body cook the little bun in my oven.
Terracotta Warriors
The Terracotta Army (simplified Chinese: 兵马俑; traditional Chinese: 兵馬俑; pinyin: bīngmǎ yǒng; literally "soldier and horse funerary statues") is the Terra Cotta Warriors and Horses of Qin Shi Huang the First Emperor of China. The terracotta figures, dating from 210 BC, were discovered in 1974 by some local farmers near Xi'an, Shaanxi province, China near the Mausoleum of the First Qin Emperor. (Chinese: 秦始皇陵; pinyin: Qín Shǐhuáng di). The figures vary in height (183–195 cm - 6 ft–6 ft 5in), according to their role, the tallest being the generals. The figures include warriors, chariots, horses, officials, acrobats, strongmen, and musicians. Current estimates are that in the three pits containing the Terracotta Army there were over 8,000 soldiers, 130 chariots with 520 horses and 150 cavalry horses, the majority of which are still buried in the pits.[1] Many archeologists believe that there are many pits still waiting to be discovered.
So, the National Geographic museum in Washington had an exhibition of them which we were very keen to see. I booked tickets for myself, Jar, Dawn, Simon and Vicky for an afternoon out and then the plan was to go out for drinks and dinner afterwards. This was all booked before I started to feel ill and before I knew I was pregnant.
I drove us all downtown and we started by having a coffee as we arrive a bit earlier than our entry time and also because Jar and I wanted to tell Simon and Dawn about the pregnancy. They had been in Canada working at the winter Olympics for all of February so we had not seen them yet to tell them. Jar handed Dawn the envelope with the scans and it was so sweet because she just burst into tears and was so thrilled for us. Simon was thrilled as well but didn’t show it quite as emotionally as Dawn.
We then went into the Terracotta warrior exhibition. I felt really warm and a bit faint so had to sit down a lot and just wait for every else. What we saw was interesting but the exhibition was just far too small. It was like we saw the introduction and were then expecting to go into the main exhibit but that was all they had. Not worth the money and it only lasted just over an hour and not the whole afternoon as planned. All a bit of an anti-climax for us which we all agreed on.
We all then headed to Georgetown for a bite of lunch and then just home. So from what was supposed to be a full day and night out we were all home by tea time. Not a problem as Simon and Dawn had lots to do after just getting back from Canada, I was knackered as usual and Vicky was tired from work as well.
So my recommendation is not to bother going to see the Terracotta warriors exhibition if it comes to a museum near you.