Monday, March 30, 2015

The Birth Story

I'm using this blog as my journal.  As the days, months, and years fly by, I know that these memories will slowly fade.  With that being said, I contemplated for weeks if I was going to make this post public, as the 'birth story' is really insufficient at this point after the babies eere here, but I've had a lot of people comment to me that they're waiting to hear it...

Here's the story! 

On Thursday, February 12th, I was actually working on my 31-week blog post around 2:00.  I wasn't feeling any different... I dozed off and woke up at 2:35 after feeling a 'pop'.  I knew exactly what had just happened because it was the same exact 'pop' I experienced when we lost the twins in 2013.  I didn't panic because the physicians kept telling me (over and over and over) that if/when my water breaks, it would most likely be a few hours before anything progresses, if not 24+ hours before delivery.  They also said that when the time came, they would give me magnesium before the birth.  So, when my water broke, I put my call light on, the nurse came in, and I told her what happened... she was more panicked than I was, and she she just stood there.   I was feeling just fine, and I told her that I would hospital gown on, call Donny, and she can go get the doctor.  When I called Donny (he was working... in St. Peter) I told him to come right to the hospital but no rush because I felt fine and they were going to start magnesium for neurological protection for the babies.  The doctor wasn't in yet, so I called my mom at work and told her what had happened, and she was going to come stay with me until Donny got to the hospital.  While talking to her, I started to feel a strong contraction, but it wasn't the 'I want to chop everyone's head off' kind of pain like people talk about.

After that one "strong" contraction, everything went really fast.  The doctor came in to make sure my water did break.  She took a swab of the 'water' and left the room to verify it was my water (apparently they can't take my word for it). As soon as she left I felt a 'chop your head off' contraction.  I yelled for someone to come in my room... and there must have been a team of people hovering outside my door because five people came flying thru the door.  They yelled down the hallway for the doctor to come back... she came back in and checked me.  She didn't say a word to me, which is a major medical pet peeve of mine.  She told my nurse to run and get a gurney, and we needed to get over to Labor and Delivery.  I asked her what I was dilated at and she didn't answer me, she just asked me, "What symptoms have you been having?"  ummm... none until my water broke!  I had to ask again what I was dilated at and she said I was dilated to "at least 9" and that "baby A's head is right there".

Normally, that would be a good thing for a 'normal' pregnant woman... dilated at 9 with only braxton hicks contractions leading up to it and already at the hospital... but I was a wreck when she told me because I knew then that Donny wouldn't make it for the delivery.  As I was having the melt down, I had another contraction, and I had to push.  They decided to scrap the gurney idea and pulled the cords out of the outlets connected to my hospital bed and ran me over to L&D.  Hospital beds obviously aren't meant for pushing thru the hallway at fast speeds.  I had two doctors pulling the bed and one pushing, and they still managed to run into two walls... the turning radius on those beds are nothing.

When we got to L&D, the doctor who first saw me when I was admitted at 28 weeks saw me in the corner of her eye, and she gowned up and was right next to me.  They wheeled me into an operating room because the plan was for a c-section.  When we got over there, the room was packed with people:  At least  5 nurses, the respiratory team (for the babies), anesthesia team (for me), neonatal team, three resident physicians, a staff physician... When they checked me again when we got into the operating room, I was dilated to 10 and 'baby A's' head was crowning.  Then "the plan" changed drastically.  Baby A was making her appearance faster than I could make a decision.  My choices were:  1.  Start pushing with no drugs and once baby A is out, reevaluate and have a potential emergency c-section for baby B.  2.  Have an epidural and start pushing.  3.  Have an epidural and a spinal block and have baby A vaginally and baby B c-section.  4.  Have an epidural and a spinal block, attempt both vaginally but all set up for c-section.  5.  ....  6.  ....

Basically, there were numerous options thrown at me, and I had to decide with 25+ people staring at me waiting on go.  I decided to have an epidural and a spinal bloc.  I decided this because the epidural gave me instant relief... and the spinal bloc was given in preparation for a c-section.  With twin births, it's common where the first baby will deliver vaginally with no problem, and the second baby will flip to breach instantly (with all that new room, it can happen very quickly) and will then need an emergency c-section. In a situation like that, they need to perform an emergency c-section, at which time the mom will need to be put under for it, as there is no time for a spinal bloc to be placed.  With getting a spinal block before either delivery, we got ahead of the game in case I did need to undergo a c-section... so many details!

They gave me the epidural 30 seconds after I made the decision.  They literally were standing there, needles in hand, waiting for me to tell them what to do.  Fifteen seconds after the decision, the epidural was being placed... and soon after the spinal bloc.  After that,  I was so numb that I told the doctor I wasn't going to push until Donny got there.. they had to convince me otherwise.  I felt fine, no pain, no pressure, no need to push!  They gave me no choice.  My next contraction, they had me pushing.  The anesthesiologist turned into the photographer because I had no one there to take pictures... man that guy took his photography job just as serious as making my body numb!!  I remember him saying "Ok.  I'm standing  where your husband would be standing, and I'll be taking a million pictures!"

I pushed three times, and Danika Jo came out screaming. (So, little side note, I say dumb things when I'm worked up. I was so shocked because I only pushed three times, then she was screaming, and I saw a full head of hair... I believe I said, "She's mine??")  I got to look at her before they rushed her over across the hallway to evaluate her breathing and status.  Mr. Anesthesiologist ran across the hallway following Danika and her entourage to continue taking pictures.  I asked if baby B flipped to breach or is "lodged in my pelvis", and the doctor laughed and said that her head was right there and they just needed to break the sac and I'll be pushing again.  I asked if Donny made it yet and they said no, and I had to push again.  Two pushes and Johnalyn Ann came out screaming.  I got to look at her for a split second before she was rushed her across the hallway.  She looked a lot bigger than Danika and wasn't quite as vocal.

I don't think I was the only one in shock in the delivery room with how fast it went.  I remember Dr. Dow kept saying "Oh wow!  Oh wow!"  I asked the anesthesiologist for my phone back so I could call Donny.  When he answered I tried to calmly ask where he was... and he said he was in Kasson.  I didn't know what else to say so I blurted out, "You're a daddy".  Looking back at it now, I don't think that was the best thing to say while your husband his driving in a frenzy to begin with...

No more than 5 minutes after they were born, my mom came into the room dressed in surgical blue from head to toe with a confused look on her face... she was coming to keep me company in my room until Donny got there... I was still in shock and all I could say was "They're here".  I think that was the last thing she expected to hear because, A.  The plan was a c-section B.  I sounded fine on the phone 40 minutes before.  C.  I wasn't having any major contractions leading up to the water breaking.

Donny got into the room, dressed in blues, about 15 minutes later, just as the physicians were finishing up on me.  I was still in complete shock, and nothing felt real life.  Just an hour before this I was laying down taking a nap...

Then I was wheeled into a recovery room... the last place I wanted to be when my babies were in another room with 20 people around them.  We had to wait until I was stable from the spinal bloc before I could be wheeled over to see them.  When we were able to see them, they were already on C-Pap.  It wasn't as scary or sad as I thought it would be.  The doctors and nurses working on them were SO awesome.  They were so happy for us instead of the constant empathy I was getting throughout this whole pregnancy.  For once, it felt like I could finally celebrate something happy with this whole journey.  People were congratulating us!!  As simple and common as it sounds during a birth of a baby.... It was amazing to hear the word "congratulations!".  That one word made everything feel awesome.  Everything was going to be fine!  They gave us report on the girls as soon as we got in there.  They are both breathing on their own, so no need for oxygen, just c-pap.  They had a line put into their belly button for fluids, antibiotics, and other needed medications, and a feeding tube in their mouth.  Even with all the 'junk' all over them, they were beautiful.... and still didn't feel like ours.

We got moved back to our recovery room, and they had me start pumping so they could get some colostrum in the girls' cheeks... very important for preemies.  After I started gaining feeling back in my legs, we were brought back to my room in antepartem... that was the weirdest feeling ever!!  The nurses were so quick to set up a camera in the girls' room, so we could watch them from our room.  After awhile, we went back to see the girls.  They were in their little incubators, and sound asleep.  That was one of the most comforting things to see... with all the chaos and action around them in such a short time, they were sound asleep.

Our nurse, Michelle, was amazing.  She explained everything to us and made sure we were put at ease with everything going on.  If there was a plan change, she came down to our room in antepartem to let us know.  She was one of the most warm and calming people we came across that day... and the days following.  She played arts and crafts with the girls on Valentine's day using the girls' feet.  She made scrapbook pages for us... she put little signs in the incubators for us to read while we were watching them from our room.  She made such a scary situation into something we could enjoy.  I don't know if she'll ever realize the positive impact she made on our new family.

The days following their birth was a blur... but a good blur.  I was in a complete euphoria.  Even though Johnalyn had to be transferred to the NICU for a few days, I still knew everything was going to be alright.  This whole journey from pregnancy up until today, and every day is a complete gift.



Meeting Danika


Meeting Johnalyn





Thursday, March 26, 2015

6 WEEKS!! (37 weeks gestation)

Cliff Notes update:  No, we're not home yet.  No, we don't know when we will be... but the girls are doing great.  They just love to sleep too much.  :-)



The girls are six weeks old today!  Six weeks and six pounds!

Danika:
She is a whopping 6 lbs 0.5 oz!

Johnalyn:
She's close behind at 5 lbs 15.4 oz (we think she'll break the 6 lbs barrier at her weigh in tonight)!

It's been a bit of a 'boring' week this week.  They haven't had any tests, nothing new has come up... they just keep gaining weight and gaining stamina.  On Tuesday, they both took a little over 50% oral and yesterday they both took around 60% oral... so they're making progress, just very slowly this time.

The doctors and nurses mentioned that they possibly came down with a cold last week which could have hindered their progression.

It's not been a fun week for their mama.  I got mastitis on Sunday.  Thankfully, it was a mild case of it... but honestly, I'd rather go through childbirth (the childbirth I had, at least) than have mastitis again.  I'm on antibiotics now, so we're on the road to recovery.  THEN, on Tuesday I came down with a cold... so I took an afternoon off and went back to our room (at Ronald McDonald) to sleep it off.  I'm petrified of the girls getting any kind of sickness. I'm so anal about visitors coming if they've even sneezed in the last 24 hours (kidding... kind of), so I followed my own rules..I got the heck out of their room!  We're all on the mend now.

So, I did an update on Shadow last week... I think Donny deserves an update too!

Donny:
Seriously, this man is our Superman.  He's working Monday - Wednesday in the office in St. Peter, taking care of the house and everything that comes with it, works remotely in the girls' room Thursday and Friday, and then enjoys his time with the girls and me on the weekend before having to do it all over again.. hoping that every week might be his last week of all this running around...

When he is here with us, he's up in the middle of the night when I have to get up, he cleans our room at Ronald McDonald, helps with the laundry, he's always up and ready to feed or diaper the girls... and most importantly, he always makes sure I get my coffee.... Happy wife, Happy life!

When the girls and I get home, he will be taking a week off so we can all get established and acquainted with our new life.  Which I can't WAIT for.... and neither can he.  One thing is for sure... those two little girls already know what to do to make their daddy laugh... and it's usually when they toot followed by a grin (which they've mastered).  :-)

That's all I really have for this week.  I've gotten over the constant discharge excitement, and I'll be happy if we get home by Easter.  We will see!!  Any time before that will be bonus!

Six week pictures!


Johnalyn doing what she does best.
Danika learning to take the bottle.
This is how we chill in our room.















Friday, March 20, 2015

Five weeks old (and a day)! 36 weeks gestation.

Sorry for a day late! I swear yesterday was Wednesday.  The days are flying by, even though time feels like a standstill in this room sometimes.  

The girls are doing well.  Still here just for feeding and growing.  They've mastered the growing thing, and we're still fine tuning the feeding thing.  
Individual Updates:

Danika:
She is now 5 lbs 6.3 ounces.  Seriously?!?  I barely remember typing the number 4... It feels like we just leaped over that number.  She is doing very well.  She had a few quiet days, and looking back at it, I think she was just over worked her oral feedings and it caught up with her.  She LOVES her baths!  She's starting to give us more of those little infant grins, and my heart completely melts when she does it (even though I'm pretty sure it's her just passing gas... because she has A LOT of it!) 

Her oral feedings are coming along... she'll eat orally for 13 hours straight and then she gets tired for the next 11 hours.  Her bradycardia episodes are really slowing down, and she usually only has one when she's eating because she's trying to eat so fast.  

Johnalyn:
She is 5 lbs 5.9 oz.   Our girls are getting SO big (yet are still so tiny).  She is more of our sleepy girl, but LOVES to eat.  If it wasn't for getting so sleepy and tired, I think she would eat all the time.  She's still our little cuddle bug.  If she's squirming or fussing, it never fails that all she wants is to be held.  

They both had hearing tests on Wednesday (or was it Tuesday?)... and they both passed.  The audiologist did say, though, that parents swear that from the ages of 2 - 18 their kids can't hear, but we can always bring them back for a retest if that's the case. :-) 

Everything is going well.  I've been getting pretty discouraged lately because we keep getting teased with the word, "discharge".  We were told they would be discharged last Saturday... and then we were told Tuesday... and then this weekend.  I completely lost it yesterday because I'm so sick of the anticipation.  I had to come to the realization that the girls just aren't ready to leave here, like their mama.  They need a little bit more time to gain more stamina to eat on their own.  I was pushing them too hard and too fast, and then they just crash because their little bodies can't take it yet.  

Their doctor sent me home to Kasota (and by much persuasion and encouragement by an amazing nurse, Emily) to get some sleep and get the house ready.  I haven't been home for two months, let alone been able to do anything since early December.  It felt SO good, but SO hard to be there without the girls or Shadow.  The house is ready for all five of us to be together... and it's so hard to wait.  

Speaking of Shadow... he deserves his own paragraph (or two... or three)!   

He's been staying with a family here in Rochester... the mom is a co-organizer of Minnesota Greyhound Rescue, the organization he came from... and she was the gal that we knew from the time we got Shadow.  She was the one who actually brought Shadow to us 6 years ago.  I had A LOT of anxiety when it came to where Shadow would go during this time. The longest he's been away from us was a week.  With his history of anxiety (we're a good pair, aren't we??) I was afraid what would happen to him, and if he would lash out to other dogs or humans around him.  Last time we left him for a length of time, he got in nasty fight and he ended up with gashes all over him and ended up in surgery.  I was beside myself. 

I've been in contact with Kelly, the greyhound mama, and he wasn't doing so well the first three weeks, and I was beside myself trying to figure out how to get Shadow home.  He wasn't eating, drinking, sleeping, laying, and wouldn't go near other dogs.  All he would do would pace.  Then things turned around at week three.  


Kelly and her boyfriend go down south quite frequently to get retired/discarded greyhounds from the track... with their last trip, they brought home a brood mama, Rosie.  Shadow fell in love. He completely turned around and LOVES Rosie.  He's eating now and is sleeping with Rosie (scandalous!)  I miss him...  a lot.  I can't wait for him to meet his new little humans and watch him be their protector.  

Shadow and his girlfriend, Rosie
I can keep typing as things come to my head, because my mind really doesn't stop.  We sit in the girls' room and it kills us that we can't be home doing 'normal' things, as simple as laying them on the floor together and watch them interact... or put them in a swing and watch them fall asleep... or being able to change their diapers without straightening cords out.  I know the day will come soon, but it feels like time goes backwards sometimes... and then I look at the calendar and it's March 20th when it feels like it should be February 20th... and I should have 3 pound girls, and I really have 5 pound girls...  

Alright, here are pictures!  I'm sure many of you scroll to the bottom of the post before reading anything anyway!  (That's what I would do too!)  


We can hear!
Danika and Daddy
Johnalyn and Daddy

Friday, March 13, 2015

Thursday, March 12, 2015

One month old!! (35 weeks gestation)

I've started an unintentional trend of having blog posts on Thursdays.  When I was pregnant, Thursdays were my 'celebration' days, as that was the turn to the next week of gestation... and then the girls were born on a Thursday... so I've kind of went with the Thursday thing.  

With that being said, I'm sort of at a loss for words at what to type today.  The girls are doing wonderful... beyond our expectations, and a bit fast for their mom and dad.   Today they are ONE MONTH old!!  Just four weeks ago we were still in shock that we have two gorgeous baby girls... in a heated isolate, c-pap in their nose, IV in their belly button, and a feeding tube in their mouths.  Now, only 30 days later, they are just learning how to eat and get bigger with absolutely no other concerns.

With very few minor speed bumps, the girls have been doing amazingly well.  They started oral feedings at 33 weeks and in just one week of beginning oral feedings, the word "discharge" is being used more and more often.  

Danika:  Currently 4 lbs 13 oz.  Her feedings are going well.  She has been feeding three times a day with me, and is starting to get her feet wet with the bottle feeding.  She LOVES to be awake and look around.  She won't make a sound, but she will just lay there and look around.  She's really mastering the grin... and I completely fall in love every time she gives us one of her smirks.

Johnalyn: Currently 4 lbs 15 oz.  This girl loves her feedings!  She doesn't miss a meal and will even eat while sleeping (not very common with preemies).   She's been SO alert the past few days and is taking up to five oral feedings a day and taking bottles at night!  She sure has the lactation nurse impressed... and an exhausted mom!  

Last Friday, it was brought up the question of a possible transfer back to Mankato because their level of care is minimal at this point, and it would have been closer to home.  Our social worker tried every way possible to get the ambulance transfer covered by our insurance, but it was a no-go.  Because it wasn't medically necessary, and because it would have been a transfer to a step-down unit, it would not have been covered.  

Both of the girls underwent ROP (Retinopathy of Prematurity) testing on Monday.  ROP is an eye disorder that could cause blinding, that primarily affects premature infants.  They had their eyes dilated and we all (me and the girls' entourage of two nurses, two respiratory therapists, and the head nurse)had a field trip all the way over to the Mayo building.  The appointment was uneventful, and the girls aren't at alarming risk of having ROP.  ROP typically occurs in premature babies under 2-3/4 pounds or born before 31 weeks gestation.  Because they were right at 31 weeks, we decided to go forth with the test.  

A lot of people have been asking me, how it's determined when they go home.  It's a loaded question.  There is a long list that needs to be checked off before they're discharge... but that doesn't mean it can't come up fast.  Some of thing things that need to be accomplished before discharge:  48 hours of oral feedings without any tube feeding supplementation, no weight loss with the oral feedings, no bradycardia episodes that require intervention, routine brain scans (due to their gestational birth), the 90-minute car seat test, and a list of parent education material that Donny and I have to complete (basically like a test-out... can we change a diaper, give baths, feed the babies, properly put them in their car seats, infant CPR... you know, all the things that all parents should have to do prior to discharge with their first babies... in my opinion).... 

When they are discharged, they will have a doctor appointment 24 to 48 hours after discharge to make sure they are thriving.  Danika will also have a follow-up for her heart murmur, just to gather a baseline with their pediatrician.  

It's been another crazy but amazing week watching them grow before our eyes and watching them develop new abilities.  As scary as prematurity can be, we are really pulling the positives out of this... one of them being that we are able to watch these miracles grow and develop to a level that most parents don't get to experience.  They are showing us the beauty in the smallest things... like celebrating weight gains as little as 10 grams... the sense of accomplishment with a swallow of milk... little squeaks as they find their voices... such little tiny things that have become such a huge deal to us.  Life is truly a gift!  

It's late... I'm rambling... and I can't decide what pictures to post... SO... that will have to wait until tomorrow when I can keep my eyes open!   Life is good.  God is good.  Please pray for our sanity as we near closer to going home!  :-)  

Thursday, March 5, 2015

Three weeks old! (34 weeks gestation)

Three weeks ago at this time I was down in the patient library checking out the "How to Survive Bedrest" book.  HA!  Five hours later, that book could have been returned.

The girls are still doing great!  Feeding and growing is their full-time job.  It's my full-time job too.  Biggest milestone this week:  They both joined the 4-pounder club!  They also went from being in their isolates to co-bedding in a crib together to being in separate bassinets.   They were separated because they're becoming more alert, and they also love to grab things... Yesterday morning, Danika pulled out Johnalyn's nasal tube, and then Johnalyn's put her fist in Danika's mouth, which then Danika proceeded to suck on it! Super cute, but too much action and potential accidents. 

Danika:  
She is now 4 lbs 3.7 oz.  She's taking on slowly to oral feeding, but she's gaining weight very well!  She is still having random bradycardia episodes, but the doctors are not concerned one bit.  None of them have needed any intervention, and are becoming shorter and shorter stints.  

The doctors detected a heart murmur on her, so they decided to go forward with an echocardiogram on Tuesday.  The echo wasn't the best experience for her or me... it was long, she was hungry, I was tired, and the tech decided to nearly pass out...  After about three hours, I was able to get some answers.  She has a small PDA (Patent Ductus Arteriosus)and a small ASD  (Atrial Septal Defect).  Sounds scary,  but when I reached out to Dr. Google (before the actual doctor came to talk to me), both conditions are pretty common in babies, especially preemies, and will most likely resolve on their own. She'll have one more echo before discharge, and then we'll just follow up with their primary doctor when we get home.  

She is still showing us how spunky she is.  She LOVES to pull out her feeding tube.  

Johnalyn:
Even though she had a rough first 72 hours... she's proving that she's pretty mighty.  She's now 4 lbs 6.5 oz, and is taking oral feeding like a champ.  She loves to cuddle and loves to be cuddled (they both do, but Johnalyn REALLY loves it).  She loves touching her sister (picture below), and would sleep most of the day if her stomach didn't wake her up for feedings (which is another great sign!)  

The doctors hear a slight murmur on her, but they said it's so minimal that she doesn't need an echo.  I feel bad that her update isn't as long, but that's because there's nothing else to really report on her.  She's packing on the grams everyday, loves her pacifier, loves to be cuddled, and loves her sister (we know Danika loves her sister too, but she loves her space too).  


That's about it for this week's update!  Here are pictures!  

High Five?
Johnalyn (purple bow) and Danika (pink)- Danika is ALL about pictures... Johnalyn could care less  

"Love you sister"

Danika
Johnalyn