Monday, April 29, 2013

Twin Girls

We have 2 baby girls :)

It is just 32 weeks. They come a bit early and we completely do not expect, but we are so happy to know they are healthy, do not need any support.

Ngan make a phone call immediately to Sai Kiran and talk to Anjani, he confirmed everything is great.  Both Thai and Ngan will make the last wire transfer, some arrangements for final exams in her school and plan to leave for our babies by the end of this week.

Here's the message from Anjani:

" Congrats! You have twin girls, each weighing 1600 gm. They are a bit small but there are doing fine, as they don’t require any support.
But they would be under observation and medical care for a week to 10 days.
 You should take the latest flight out to reach here. "



Wednesday, April 10, 2013

30 Weeks

The time now become very fast. We received the report from Anjani today
The message is so nice "All is good with your surrogate and babies. Here’s the scan from 6th"
So we may have from 5 to 6 weeks from the delivery. We hope our babies will cooperate and stay there with D, our surrogate.

Here is some detail about them on the report:

Fetus A
GA :29w3d
BIPARIETAL DIAMETER : 7.46cm
ABDOMINAL CIRCUMF : 25.27cm
HEAD CIRCUMFERENCE : 27.48cm
FEMUR LENGTH : 5.76cm
TRANSV ABD DIAM : 7.75cm
ANT-POST ABD DIAM : 7.28cm
ESTIM FETAL WEIGHT : 1487g
Heart Rate : 130-150BPM

Fetus B
GA :29w6d
BIPARIETAL DIAMETER : 7.44cm
ABDOMINAL CIRCUMF : 25.7cm
HEAD CIRCUMFERENCE : 27.36cm
FEMUR LENGTH : 5.79cm
TRANSV ABD DIAM : 7.6cm
ANT-POST ABD DIAM : 7.9cm
ESTIM FETAL WEIGHT : 1541g
Heart Rate : 130-150BPM

The preparation at this time:
  - We received the Indian Medical Visa, so this will ease the FRRO process later to apply for Exit Permit for our twins.
  - These 2 Ted and Phil's Cocoons has arrived, we cleaned them up carefully to avoid any allergens
  - Two infant car seats also arrived, we tried to mount one in our van and did it successfully after struggling a bit with the manual.
  - Order the DNA kits from Genetica Lab in Ohio, they will send the kits around 20 April ( 1 month before babies delivery estimate date)
  - Thai send the introducing letter to Hyderabad Consulate to introduce ourselves and ask them to hold our DNA lit when it arrive to their post.
  - Thai research the consulate and FRRO processes and prepare all paperwork so we can quickly bring the babies back to US.
  - Thai  filled out applications for our children’s Consular Report of Birth Abroad (CRBA), US Passport and Social Security Card. He filled out everything and only leave the rest as  DOB, gender.
  - Ngan has prepared diapers, baby wipes, babies cloths, bottles, pacifier,…
  - For the formula, we decided to buy them later in India and do not bring any.
 
  We will nor book the flight and accommodation at this point and we will wait until hear the news from Dr. Samit or Anjani.

Ngan friends from QCV will have a baby shower for us on May 11
 

Friday, March 29, 2013

27 Weeks

We received the report from Anjani. It is a great Easter Friday we both off from work. The first thing after I wake-up is checking for Anjani update.
Fetus A weight 1187g (~2.6 lbs) and fetus B weight 1189g, the scan show at 27 weeks 5 days. This is a good developing and balance for the twin. They are not much different in measurement. We are shoping on Amazon to buy 2 cocoons. and 2 infant carseats. Thanks God help us get to this point. We continue to pray everyday for our surrogate and twin all good.

Monday, March 4, 2013

TIFFA Scan Received

We received the TIFFA ( Targeted Imaging for Fetal Anomalies) scan result today from Anjani. All is good. We also have 24 week payment to make today.

Ngan ordered some onesies on Amazon last night. She also shop at CVS yesterday and saw some good deal on Newborn Diaper and bought 300 number1diapers and 100 number 2 diapers.

Made a Google search and knew that the scan is ultrasonic visualization fetus in detail. Ultrasound is the main diagnostic tool in the prenatal detection of congenital abnormalities. It allows examination of the external and internal anatomy of the fetus and the detection of not only major defects but also of subtle markers of chromosomal abnormalities and genetic syndromes. Although some women are at high risk of fetal abnormalities, either because of a family history or due to exposure to teratogens such as infection and various drugs, the vast majority of fetal abnormalities occur in the low-risk group. Consequently, ultrasound examination should be offered routinely to all pregnant women.
The scan, which is usually performed at 18–23 weeks of pregnancy, should be carried out to a high standard and should include systematic examination of the fetus for the detection of both major and minor defects.

The report indicates :
  . Twin live foeti with separate placenta and separating amniotic membrane noted.
  . Cervix - 3.5 cm
  . Internal os is closed.

  Twin A
    - Cephalic presentation i.e. the baby is delivered head first. This delivery presentation is the safest and most common
    - Grade 1 for fundal posterior
    - Amniotic fluid - adequate
    - FHR : 154 bpm
    - EFW : 574 grs

   Twin B
    - Breech presentation i.e. the baby enters the pelvis with the buttocks or feet first as opposed to the normal head-first presentation
    - Amniotic fluid - adequate
    - FHR : 138 bpm
    - EFW : 554 grs

    The estimated deliver date is June 27, 2013
    Twin Fetuses Tiffa as followed:

    . Fetal head is normal. Cerebral ventricles are normal in calibre
    . Fetal spine shows normal
    . Four chambered view of heart is visualized and is normal
    . Gastric bubble is visualized. Bowel echoes are normal
    . Fetal kidney and urinary bladder are normal
    . Anterior abdominal wall is normal
    . Limb survey is normal
    . Face survey is normal

The result is:

    . Dichorionic, diamniotic twin live fetus at 22 to 23 weeks of gestational age
    . No obvious congenital abnormalities

Thursday, February 28, 2013

New guidelines that apply to foreign nationals seeking an Indian surrogate

We both had India Tourist Visas taht obtained from October 2011, but there is new Guideline from India for Surrogacy. After consulting with Anjani, our case worker from KIC, by sending him an email to ask. He confirmed that we need to re-apply for Medical Visas. Anjani sent some attachements in his response email and we need to sign the Agreement of Surrogacy and send back to KIC to fill out the remain and noterize it before we can apply for the Medical Visas.

Here are the guidelines that apply to foreign nationals seeking to proceed with an Indian surrogate taht we see while google it:

1. Tourist visa is not the appropriate visa category and such foreigners will be liable for action for violation of visa conditions. The appropriate visa category for commissioning surrogacy is a medical visa.

2. The foreign man and woman intending to commission surrogacy should be duly married and the
marriage should have sustained for at least two years Please also note that current Indian laws do not recognise gay marriages.

3. The couple commissioning surrogacy should be in the possession of a letter from the Embassy of the foreign country in India or the foreign ministry of the country stating clearly that:
         a. The country recognises surrogacy;
         b. The child/children to be born to the commissioning couple through the Indian surrogate will be permitted entry into their country as a biological child/children of the commissioning surrogacy.

4. The couple commission surrogacy is required to furnish an undertaking that they would take care of the child/children born through surrogacy.

5. The couple should produce a duly notarised agreement between the applicant couple and the prospective Indian surrogate mother.

6. The treatment concerning surrogacy should be done only at one of the registered ART clinics recognised by ICMR.

7. The foreign couple before leaving India for their return journey would require exit permission and should be carrying a certificate form the ART clinic concerned regarding the fact that the child/children have been duly taken custody of by the foreigner and the liabilities toward the Indian surrogate mother are fully discharged as per the agreement.  A copy of the birth certificate(s) of the surrogate child/children will be returned by the FRRO/FRO along with photocopies of the passport and visa of the foreign parents.

You are therefore hereby ordered to ascertain all the above mentioned details before
commissioning the surrogacy cases of foreigners and not to accept any case for surrogacy
if the conditions of no. 1 to 7 of this letter are not fulfilled by the foreigner.

Contravention of this order may hold you liable for legal action under the Foreigners Act
1946. Also you are hereby informed that because of noncompliance of this order on your
part if in future any complication arises in respect or surrogate baby’s nationality
and their parenthood, you will be held responsible for it.

Further you are directed to provide list of foreigners with the details of their nationality, visa, passport, etc. who have already registered with you for commissioning surrogacy to this office. Notably, same-sex couples, single individuals, unmarried couples and couples who have been married for less than 2 years fall outside these guidelines. Moreover, if the international couple’s country of origin does not recognize surrogacy, then the couple would also be in violation of the Indian guidelines. And the penalty for proceeding with a surrogate arrangement in contravention of these guidelines? Imprisonment. Under Section 14 of the Foreigners Act, 1946, “If any person contravenes the provisions of this Act or of any order made thereunder, or any direction given in pursuance of this Act or such order, he shall be punished with imprisonment for a term which may extend to five years and shall also be liable to fine”

Wednesday, February 20, 2013

Happy to have 22 week report

Wow, we received the scan report from Anjani today, even it is not TIFFA images( that we guess is 4-D ) and the report is more than 1 week old , but the numbers for both fetuses are great and we can not be happier .

We worry about our surrogate and our little ones every day. We keep praing for them.
The pregnancy is uneventful so far and we wish it continue that way.
So at this point we guess our babies is near to week 23.

Fetus A
GA :21w3d
BIPARIETAL DIAMETER : 4.98cm
ABDOMINAL CIRCUMF : 16.83cm
HEAD CIRCUMFERENCE : 18.74cm
FEMUR LENGTH :
TRANSV ABD DIAM : 4.99cm
ANT-POST ABD DIAM : 5.42cm
Heart Rate : 130-150BPM

Fetus B
GA :21w4d
BIPARIETAL DIAMETER : 5.17cm
ABDOMINAL CIRCUMF : 16.8cm
HEAD CIRCUMFERENCE : 18.86cm
FEMUR LENGTH : 3.64cm
TRANSV ABD DIAM : 5.06cm
ANT-POST ABD DIAM :
Heart Rate : 130-150BPM

Thursday, January 31, 2013

Triple Marker Test result received - All is good

We received the triple test result today from Anjani. All is good.
We really not expect to received it but we are glad to have good result, even though we still love our babies no matter how the test come back.

We answer Anjani email by saying our big thanks to him, Dr. Samit and all KIC staffs who are working tirelessly to help us. We continue to pray everyday for D, our surrogate, our babies, as well as all babies at KIC to have uneventful pregnancies.
 
Here is an excerpt extracted from http://kidshealth.org/

Between the 15th and 20th weeks of pregnancy, expectant mothers usually are offered a blood test called the multiple marker test. Sometimes called a triple screen or a quad screen, depending on the number of things measured, it also might be done in combination with blood tests and an ultrasound in the first trimester.
For the multiple marker screening, a sample of blood is drawn from the mother to measure the levels of:
   - hCG (human chorionic gonadotropin), which is made by the placenta
   - estriol, which is made by the placenta and the fetus
   - alpha-fetoprotein (AFP), which is made by the fetus