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Archive for the ‘pPROM’ Category

It has taken me about a week to revisit my blog – mostly because of the emotional issues I’m suffering from and because of my last entry where I specifically said I was waiting for the “other shoe to drop”.  And well, because it did.

Last Thursday, I was lying in bed watching the news and I thought I peed my pants.  I literally got out of bed laughing because I couldn’t believe I was doing that kind of stuff already.  I took my pants off and noticed it was more than just a dribble – and then I went into the bathroom and I was gushing fluid.  I knew right then and there that this wasn’t urine and that my water had broke.

I called down to Chris and told him we had to go to the hospital.  He came running upstairs and couldn’t believe his eyes.  I was hysterical but he grabbed me my phone so I could call the OB office and they told me to get to the hospital as soon as possible.  My husband was literally frozen with fear – he was walking in circles and trying to secure the house and the dogs and I just lost it, grabbed my keys, and got into my car with him chasing behind me.  I couldn’t wait one more second and just HAD to get to the hospital.  So, yes, I drove myself the 37 miles to South Shore Hospital all while on the phone with my mom, Grandy, and Julie.  I made it in 30 minutes.  My mom met me there and Chris soon followed.  When I pulled into the hospital, I saw what I thought was the valet guy and literally hopped out of my car and handed him my keys.  I didn’t care whether he was actually a valet or if I just gave my new car to some random guy in a red coat.  I walked as fast as I could with a towel between my legs and made it to the birthing center where my mom was waiting.  Note:  it was a valet and I still have my car.

They started me on monitors for both babies heartbeats and contractions and they did a test that confirmed it was, in fact, amniotic fluid.  I had suffered from preterm premature rupture of membrane (pPROM).  The OB came in and did an u/s which did little more than confirm both babies were still breech and she did a physical exam and found that my cervix was still closed.  I was apparently contracting, but didn’t feel them at all – I was 3-4 minutes apart when I came in!  I was immediately given a steroid shot (the first in a two shot series) and they started me on magnesium sulfate to stop the labor.  A neonatologist came in to talk with Chris and I and we were essentially told that at 25w3d gestation, the babies had a 50/50 chance of survival.  We were heartbroken.  But, the team of doctors (OBs, MFMs, etc…) were going to work as hard as possible to keep me pregnant for as long as they could.

I was then moved to a room in the birthing unit where I was monitored very closely.  I was given an u/s Friday morning that confirmed it was Baby Girl’s sac that had broken and it was a full rupture.  Her fluid level was considered “low”, but she wasn’t showing any signs of distress.  In addition to the magnesium, I was given two antibiotics to ward off infection and because I tested positive for group B strep earlier in my pregnancy.  That first night / morning  is a blur to me – I wasn’t allow to sit up at all, had to urinate in a bed pan, and was literally left to lie in bed and do nothing.  I was given three goals to try and make and they were:

– Goal #1:  second steroid shot (Saturday at 1:30am)

– Goal #2:  steroid series considered complete (Sunday at 1:30am)

– Goal #3:  26 weeks gestation (Monday)

I was moved to a new room in the birthing unit on Friday and I stayed there until Sunday morning.  Again, I was closely monitored and completed the magnesium and steroid series successfully where I stopped contractions and it looked like labor was held at bay for the time being. 

Sunday morning I was stable enough that they moved me to the maternity special care unit where I would stay until I delivered the babies.  We didn’t know if that would be a few days or a few weeks, but we were hoping for the latter.  I was allowed to finally get up, only to use the bathroom, and I could shower for 5 minutes a day.  It was a lot of freedom compared to how I was monitored at the birthing unit.  So many friends and family visited with me throughout the days I was in the hospital and on Monday night my mom came to watch the Bachelorette with me…the last show I would watch before becoming a mom.

Before my mom left the hospital for the night, at around 10:00pm, the amniotic fluid that was leaking turned pink.  The nurse came in and checked the babies and they sounded good and they hooked me up to the TOCO to check for contractions and there was nothing.  The nurse spoke with my OB and they said that it can happen where the fluid changes colors and it was considered “normal”.  At around 2:30am, I was having these lower abdominal pains – almost like I needed to have a bowel movement.  I got up to try and go a few times but nothing happened.  I finally called in the nurse and she checked the babies and both sounded good.  She put me on the TOCO and it wasn’t registering anything.  Then I was getting those lower ab pains more severely and I finally asked her to move the TOCO lower.  Well, I was registering large, sustained contractions and so she called my OB once again.  The OB came down to my room prior to her next c-section and did a “digital exam” to see if I was dilated and guess what?  She looked up at me and said, “I can say I feel two little feet”.  I about died.  I was approximately 6cm dilated and Baby Girl had essentially kicked her feet through my cervix!

It was then like a scene from a movie – while they were rounding people into my room, I called my husband and we both knew he’d never make it. They made one attempt at an IV in my room and my OB finally said something along the lines of “we don’t have time for this – she’s got to go NOW”. I was then flying through the hallways – I was so scared that I was physically trembling. I went right into the OR and there wasn’t even time to give me a spinal so I was put under general anesthesia and that’s the last I remember before waking up in excruciating pain in recovery.

On Tuesday, January 24, 2012 at 3:19am I gave birth to two beautiful preemies:

– Colton Christopher weighed 1lb, 13 oz and was 13 inches long

– Keltie Grace weighed 1lb, 9oz and was 13 inches long

That day remains a blur – I keep getting pieces of information from various doctors and people to try and put together their birth story.  Colton came out first because he apparently edged himself in front of his sister.  Both cried when they were pulled out and Colton’s APGAR scores were 7 and then 8.  I don’t have Keltie’s yet.

Both are in the NICU and we’ve had some ups and downs but they remain stable and are doing well for being 26 weekers.  Our lives are officially changed and dedicated to these two sweet beings.  I was discharged from the hospital on Saturday and that was probably one of the hardest days of my life.  Our new “normal” is visiting with them once or twice a day and me pumping every 3 hours – breast milk is considered “medicine” for preemies and it’s the one thing I can provide them that no one else can.  My c-section sucked – there’s no other way to put it.  I have 20 staples and I still don’t understand why people elect to have this done. 

So – that is the story of the other shoe dropping…or well, Keltie deciding to break her sac and then sticking her feet where they don’t belong.  I can’t even begin to explain the amount of love I feel for these two peanuts.  It actually overwhelms me at some points.  They’re absolutely beautiful and are fighting as hard as they can.  I’ve learned to appreciate the small things – things that “normal” parents likely take for granted such as seeing their faces for the first time, touching them for the first time, their first poop, their first 1ml of breast milk feeding, overcoming breathing issues, etc…  I could sit and stare at them in their isolettes all day.  And it’s amazing to see their personalities coming out so soon – she’s a firecracker and feisty and he’s sensitive and content to just rest. 

Even though I’ve gained two precious children, I do feel some sense of loss.  Loss of my fertility, loss of 12+ weeks of my pregnancy, loss of special moments like a maternity photo shoot (there is only one picture of me pregnant) and my baby shower which was postponed from this past Saturday.  But, I have to keep focus on what I’ve gained and continue to be strong for my beautiful peanuts.  I will be putting together a new blog to chronicle our NICU experience and our new children’s lives.  I plan to update this with PCOS / infertility related entries and thoughts, but it won’t be as frequent.  I will post a link to the new blog and would love to have all of you subscribe and follow along.  I appreciate all of the love and support you’ve provided throughout my infertility and pregnancy journey.

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