Wednesday, September 3, 2008

Our Birth Story (Not A Short One)

This is a very long story, but it's our way of remembering exactly what happened on our daughters birthdays!

After my 2 weeks of hospital bed rest, I successfully made it through one more week at home. Sunday night I was waking up every 30 minutes to use the bathroom. Monday, I kept telling Christian I just didn't feel well, and had some little aches and pains, but we both attributed it to "growing pains". Monday night, same thing... up every 30 minutes and I just felt very achey, had an uncomfortable heaviness, and my hip and pubic bone pain were much worse. Around 6am, I went to the bathroom and noticed some faint pink spotting. We decided it was time to call the doctor. When she returned my call, she said she was sorry, but I should make the trip into Magee, though she felt it was most likely a UTI. I decided to pack a little bag just in case I ended up on hospital bed rest again. I guess I had some sort of intuition about what was ahead because I told Christian I just wasn't ready to have our babies yet... I wanted them to have more time to grow.

Moments after hanging up the phone with her I started having horrific cramping. We both got showered and by the time we got into the car around 7:15am, I was contracting every 4-5 minutes and feeling it in my back as well. I had a feeling that wasn't good. I was starving and craving marshmallows, so Christian stopped and got me a rice krispie bar. Who knew this would be my last morsel of food until 11pm that night?

We got to L&D and were sent back to triage right away. It was actually a slow morning for them. As soon as they got me set up on the monitors, we saw the contractions. I think they were every 5 minutes at that point. They checked my cervix and did a bunch of cultures. I was 4 cm dilated. When I left the hospital 1 week prior, I was 2 cm dilated. The doctor came in and talked to us and did yet another cervical exam. She looked at me and said you realize your not going home, right? We were a little scared, but still had hope that maybe I'd just remain there on bed rest.

After a few hours of monitoring, they sent us over to a Labor and Delivery room. We were told it was just for further monitoring where they could give us more one-on-one attention. I think we went over there around 11am. Then the MFM (maternal fetal medicine/high-risk) group came to talk to us. We were surrounded by probably 7 doctors, nurses and specialists. They explained to us that there are many reasons for pre-term labor, but sometimes the true reason is never found. One out of 3 reasons is an infection in the uterus. They suggested to us that we do an Amniocentesis to check for infection. We were both shocked by this as we always thought that an amnio was very risky due to a chance of miscarriage. They explained that the risk does exist at early stages in pregnancy. The risks associated with an amnio at this point were very small. We needed to know if there was infection because an infection would mean delivering the babies that day. Infection can be detrimental to the babies and to the mother. If no infection was found they would consider continuing my meds to prolong birth, even if was only for a day. They did the amnio, assisted by an ultrasound and the initial result showed a positive for baby a. They would need to wait for 3 more markers before making a decision.

My parents then came and we all waited and waited for the results to come back. In the meantime my contractions worsened, then subsided a little, and then started back up. It was around 12:15 or so that they did the amnio and we didn't see the doctors again until about 4:00 (all times are estimates... it was such a whirlwind!). The doctor came in and explained that there indeed was infection found. It was basically our decision in the end as far as what we wanted to do, but that the consensus of every one there was to induce labor and they she wanted to break my water. We were in shock and disbelief. We didn't want to risk the babies health or mine, so we agreed. My eyes welled with tears and the doctor looked right at me and said "this is not your fault, you did everything you could."

She did one last cervix check and I was now 6-7 dilated. She told us at that point there was no longer a decision to be made anyway, I was going into labor. She broke my water and I felt a little relief and then the cramping started again. We discussed the epidural. I didn't want it too early or too late. I needed to do it then so that I was ready for a c-section if necessary. I think by this time it was about 5, and my dad asked the doctor if she had a time in mind. She said she was pretty sure the kids would be here by 8pm, and she was right!

Right after we said it was time for the epidural, the "real" contractions and pain started. I was in so much pain and screamed a few times. The anesthesiologist came in and explained what he would be doing. In the meantime my pain was increasing. I had to turn to my side and hunch over and not move while he prepped an inserted the needle and catheder. Christian held my hands and I leaned on him for support. After trying twice, the doctor said he was not convinced that this was going to work, but he would be back to check on me in a few minutes. Everything remained the same, if not worse. He came back to check me by pricking my skin with a needle and it was obvious that it hadn't worked. So while my pain was worsening, we had to try again. 2 more attempts and he finally got it in. This was probably the worst part of the day. Trying to breath through a contraction being unable to move.

After the epidural, they checked me again and I was 9-10 dilated. We did a few pushes in the labor and deliver room to push through the pain of the contractions and I was moved to the OR just in case of a c-section. I kept looking for Christian, making sure I could always see him. By the time we got to the OR, the pain of the contractions had lessened and turned more into an immense pressure/pain instead of cramping. It definitely made a difference, but we still painful.

After they got my prepped, Christian was able to pull a chair up beside me and hold my head and hand. He was the best labor coach anyone could ask for. There is no way I could have done this without him. The nurses are still commenting on what a great team we were and how well we did. He was talking the whole time, trying to keep me occupied. I kept my eyes closed almost the whole time to remain focused, but he said there were at least 15-20 people in the room with us.

I think that maybe I pushed 5-8 times and then they told me they could see the head and full head of hair. Christian kept saying, "honey, it's the head, it's our baby's head!" A few pushes later I could feel her getting ready to come out, as the pressure intensified. At 7:16, they told me to open my eyes and look and said, "congratulations, it's a girl"! We named her immediately and they laid her on my chest for a moment. She was beautiful! While they cleaned her up, they prepared for baby b. Christian and I were a little nervous, as they used the ultrasound to figure out if the baby had changed position and they were concentrating on the heartbeat. They positioned the baby internally and by moving my belly around. They broke her water and put a monitor on her head.

It was only a few pushes later that our second miracle entered our world, at 7:27pm. We got to see them both after they were cleaned up and put in their isolettes. Two beautiful baby girls!

Then they went to work on me. I had to deliver the placentas, which was a little uncomfortable, but I felt such relief afterwards. I only required one stich, which was one of the parts of labor I was very worried about!

It was an amazing, scary, joyful, tearful, whirlwind of a day. These little girls are doing so, so well. We think they know how much mommy and daddy went through to have them and how we would go through anything for them.

4 comments:

Heather said...

Congratulations, Loree! Your girls are beautiful. I am sure it wasn't the way you imagined them entering the world, but I'm glad they are here safe and sound, nonetheless.

Heather.D (nestie)

Jill said...

Congrats, Loree! I am so happy for you -- your girls are so beautiful!

It seems so surreal to me, since we are due the same day. I showed my DH the pictures and said "this is EXACTLY how big Ava is right now." Neither one of us can believe that we are so close.

Unknown said...

Congratulations, Loree! You and I had the same due date so our little girls are rooting for your little girls! I wish you and your family all the best and many blessings.
Fellow SAIF nestie, shamrock2003

Laura said...

Congratulations and good job Momma!

My guys were born at 28wks 6days. Both were stars in the NICU but both had their hurdles, including Cameron coming home on oxygen and Evan coming home at 3 lbs 8oz. It's tough in the NICU but they are in the best place and will do some amazing things. Please visit the preemies board on the NEST. It's the thing that really saved my sanity. I have no one else who can even begin to understand the awful rollercoaster that is the NICU. Not even my DH understands some of it. Hang in there and don't hesitate to ask for help!