Well, I guess the MFM that I saw last week was unclear about me not being on bedrest because I AM! I finished off work last week and then had my first visit on Saturday from the "Antepartum Care at Home" nurses (they will visit twice a week and call every day) and I am DEFINITELY on bedrest. I have to keep a record of baby movements, vaginal discharge and contractions and report it to them each day. At 28 weeks I will get once weekly non-stress tests at home too. CRAZY! Sheesh, I was really hoping to avoid being a high-risk pregnancy but I guess my body has other plans. I tend to get about 2-4 contractions an hour...which on their own, isn't the issue...it's the fact that I'm having cervical changes as well that's the issue. I have my next ultrasound and cervical measurement next Thursday (the 4th). I am SO hoping that it has stayed the same or even gotten better now that I am reclining or laying down all day! I am trying to keep myself occupied with books, movies and Netflix and so far it's working but I'm sure I will start to get bored soon...and this is only day 4 of bedrest! So...if anyone has suggestions of good movies, TV shows or books, let me know!
This brings me to the topic of single-embryo transfer, which had always been our plan until we only got 2 embryos and had to transfer on Day 2. I guess I am a PERFECT example of what they are trying to avoid by doing SET's. My clinic is pretty strict about transferring only one at a time for people who are "good prognosis" (young, no history of multiple failed cycles etc) unless they think there is a good chance you won't get pregnant at all if they transfer just one (like in our situation). I fully believe in doing SETs to decrease multiple-births related to fertility treatments (kind of hilarious, considering my current situation). When I worked on a pediatric ward I saw many many formerly premature babies in with pneumonia, influenza, feeding issues, cerebral palsy etc. And we know that twins are at much higher risk of being premature. I know this is controversial, and its not like I am regretting my twins (I am so incredibly in love with these babies, please don't get me wrong!) but a singleton pregnancy would have been much lower risk. Just food for thought. Its hard though, to make the decision to transfer only one when there is so much money involved. You want to give yourself the best chance when you are laying down that kind of cash! However, there are studies that give almost equal pregnancy rates with one good-looking blastocyst transferred as compared to 2 or 3 transferred but with a non-existent multiples rate. Still, it's a hard sell! I think the solution is better funding for IF treatments. In Canada, only one province (Quebec) funds IVF and they have decreased their multiple-birth rate dramatically (therefore saving the healthcare system millions of dollars in preemie-care). They will pay for 3 IVF cycles as long as only one embryo is transferred in people under 35 and only 2 in people over 35. Paying for these cycles, and therefore avoiding a bunch of premature multiples saves them TONS of money! I wish all the provinces here would get a clue and follow in Quebec's footsteps! I'm no economist but it just makes sense! Our healthcare system is very different from the States so I am speaking from a purely Canadian perspective. Anyone else have opinions about this?