The "Triary": 17 Weeks

It's a Girl! A Boy! A Girl! Multiple Pregnancy

The Pregnancy: 17.5 Weeks

This photo shows three heads, from L to R, triplets C, B, and A (the boy). The rest of the babies are out focus, a limitation of the size of the babies now, all too big to be depicted in one all-inclusive shot of the three.

The Babies:
Triplet A: 17.5(17 weeks 5 days in size)
Triplet B 17.3
Triplet C: 17.2
These readings indicate the three to be growing at approximately the same rate --no discordancy.

The Mother:
Subjective: "Feel great."
Objective:Blood Pressure 134/72
Negative proteinurea (protein spilling in the urine, a sign of Pregnancy Induced Hypertension, formerly called "Toxemia")
Negative glucosurea (sugar spilling in the urine, a sign of gestational diabetes)
Fundal Height (Size of the uterus as felt through the abdomen) = 32 (that of a mid-third trimester single pregnancy.)
Assessment: Doing well.
Plan: Begin bedrest in a few weeks.
Repeat Thyroid Function Tests, CBC (Blood Count), PT, PTT, Fibrinogen (Clotting Studies), SMA-20
(For purposes of getting Fasting Blood Sugar, along with other liver, kidney, etc. tests.)

The real tests of interest are the CBC (watchful for developing anemia), Fibrinogen (merely as follow-up to last visit's concerns, and the Thyroid Functions (The patient is taking Synthroid--Synthetic thyroid hormone--because of hypothyroidism, and her needs for this will change as the pregnancy progresses.)

TRIPLET A
	Pic on the left shows the forearm and hand up over his head. Pic on right shows parts of all 4 limbs (bright streaks).	The boy--always seen with his hands up close to his face. Sure to have a blanket fixation. "Strong," says Mom.