Meeting the new OB

Today was the first day that I met and had my first appointment with the new OB- Dr. Jayne. My prior OB was Dr. Schell. Dr Schell is a Reproductive Endocrinologist and high-risk obstetrician. Dr. Jayne is a 'regular' Ob dr, so its a different experience. However, I know Dr. Jayne has dealt with high risk patients and knows her stuff. I've heard very good things about her. Some comments have been, "I was impressed when I met her" "She is very smart and knows her stuff" "She is super nice". Her Physician's assistant that I know assured me that Dr Jayne has dealt with women in my situations and prior situation with N&C's pregnancy.
Anyway.... Dr Schell was planning on starting the progesterone weekly shot at about 16 weeks (I'm 15 weeks) to prevent Preterm labor as an extra precautionary measure. I asked Dr. Jayne about this and she said that we should wait and see if I need it. All of my cervical measurements and checks have shown up normal. And most likely my complications were from having twins last time. The problem with progesterone shots is that your body can have so much progesterone in it that it can struggle to go into labor on its own when it is time. Since I had a c-section with Nicholas and Celia, and I want to have a VBAC (vaginal birth after c-section), they do not like to induce VBAC patients. This is because an induced VBAC has a much higher rate of uterine rupture. So, if I was to not go into labor on my own due to progesterone shots, then I could end up having a csection anyway. So, the plan for now is to wait and see if I even need the progesterone shots to begin with. If I DID need them, there is still a chance I would go into labor on my own when I'm full term. But I am comfortable with waiting and seeing if I even need them.
I have my fetal anatomy ultrasound on Dec 18th already (time is flying by) and we'll be able to see if there are any cervical changes at that time. If not, then we'll progress without the progesterone shots. If change, then we'll start them up. Dr Jayne said that our goal is a healthy full-term baby, but with only the measures needed. I completely agree and I like that approach. I hope my intuition is right, but I am feeling that things will go normally this time. However, we'll see how things go between now and May. We'll just keep praying things continue to go smoothly like they have been.
Also ( I know this is a long way off), but I had heard that it is helpful for a VBAC patient to have little pain medicine so she can alert the Dr to uterine rupture symptoms. If a VBAC patient is completely numb (like a traditional epidural) then she can't explain those feelings. I asked her about that and she agreed. She recommends a walking epidural for pain medicine for VBAC patients. It takes the edge off, but does not take away feeling. I did mention that I would be going into labor trying to see how far I can go without any medicine (but my options are open for the walking epidural). She said she agreed with this and feels that is better for a VBAC patient and Dr communication. So, we'll see. We talked about a lot.

Anyway, I was reading a little fetal development information about being 15 weeks pregnant and this struck me as so funny:
Baby's head is now resting on his well-formed neck instead of directly on his shoulders like Igor. He's beginning to grow eyebrows and eyelashes this week. (All the better to give you that "Mom, you're crazy" look when he's a teenager.) Over the next month, baby will grow faster than ever, so make sure you load up on enough nutritious food and fluids to support his growth. Your baby now measures nearly 4 inches, about the size of a Kit Kat "finger" (regular-size, not the Big one you get at the movies), and weighs almost 2 ounces.

***If you made it through this entire post (and there weren't even pictures), then by all means, treat yourself to some chocolate or ice cream.