Showing posts with label preterm labor. Show all posts
Showing posts with label preterm labor. Show all posts

24 April 2007

Woman to Woman

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"Enduring health problems - either your own, a spouse's or a child's"



My experiences with poor health have revolved primarily around preterm labor and delivery.

My pregnancy with my first child, since I had nothing to compare it to, seemed normal. I am a busy body, and I certainly didn't slow down when I first conceived! But when I reached the 36 week mark and was 2 cm dilated and 80% effaced, with Adriana's head engaged, my OBGYN raised an eyebrow. Actually both. Suddenly I was alerted to the fact that I was tired and sore and oh yeah, a little crampy. I delivered my daughter 3 days later, despite resting, not knowing I could have prevented it much earlier. She was in the NICU for just 4 days, but those 4 days were brutal. I delivered her at 10:26 pm and they whisked her off to run their tests. My husband stayed with her while I was wheeled on to recovery. I could not walk yet; I pushed for 3 hours around a very effective epidural to get her out. About 1:30 am he checked in with me and told me that she was on oxygen and may have pneumonia and was taking antibiotics and had had a bottle, but not really because she was not hungry and couldn't breathe well enough to suck and swallow. Um, hello? Where was my babymoon? I held a polaroid of my daughter close to my heart that night, worrying about how lonely she must have felt in that NICU, as I would not get to be with her until the next morning. My recovery continued to be slow. I was in a wheel chair for a couple days, but I think that feeling overwhelmed emotionally is really what stalled my resiliency. Adriana would go on to have severe reflux, strabismus, gross motor delays and receptive speech delays. The strabismus has required 4 eye surgeries, all before the age of 3. And her other delays were resolved with therapy by Kindergarten. She is now a thriving 2nd grader.

My second pregnancy ended early in miscarriage.

My pregnancy with my second child proceeded normally until at 27 weeks I went into full labor. My husband was out of town on business. It was perhaps the scariest moment of my life. I had a friend, also pregnant and due at about the same time as I was, take me to the hospital. Everyone scurried to the attention of 2 pregnant women walking through the doors hanging onto each other for dear life. I was immediately placed in a room, monitored and checked and I was indeed in labor and at 1cm and 75% effaced, with baby at 0 station. The OBGYN on call came in and briefly told me what they would do... first terbutaline, then magnesium sulfate - if necessary - to stop my labor. He was as assuring as he could have been in that situation... he knew it would be several hours before my husband could be with me and that he'd better try to at least put off delivery until then. The terbutaline proved 100% ineffective as I continued to have contractions every few minutes, and so they put me on the "mag". Let me tell you, this stuff is awful. AWFUL! It totally slows down all your bodily functions... to the point where I could hardly even control my throat well enough to swallow food. I felt like my body weighed a thousand tons, my face like it was on fire and my heart like it was beating, very slowly and loudly, inside my head. The magnesium also would have normally required that I be cathetered, but that only made me contract more, so I had to manage a bedpan, which when you feel somewhat paralyzed, is not an easy feat. My labor was successfully stopped, but I had to spend the next 7 weeks in bed, with only bathroom priveleges. I had a 3 year old daughter at that point, and she was shuffled off here, there and everywhere during the day while my husband worked and lied in bed. After work, he came home and took care of us, physically, and me, emotionally. Thankfully meals and house cleaning was covered by the Relief Society at church. I made it to 35 weeks before giving birth to Jonah. He spent a week in the NICU for a variety of small issues including respiratory distress, failure to maintain his body temperature, failure to gain weight, low blood sugar - those types of things. But we gladly took him home, all 5 lbs. 11 oz. of him, when the time came. My emotions at this time were extremely positive. Having been through the NICU ordeal with Adriana (although not nearly to the same extent) helped tremendously. I was not going to be a victim this time. I bounced back quickly and faithfully pumped every 3 hours, faithfully arrived at the hospital at 7am every morning to feed Jonah, and faithfully sat by his bed all day reading to him, singing to him, and talking to him. Jonah's future problems would include a heart murmur, severe reflux and allergies, speech impediments, and sensory issues. He is still in therapy, but expected to progress in school at a normal pace, and will be starting Kindergarten in the fall.

By the time I was pregnant with my third, all my doctors (which now included a high risk perinatologist) were on alert, from day 1. I was put on preventative restrictions around 20 weeks... no cleaning or lifting and 3 rest periods off my feet daily. I didn't have any productive contractions (I was always contracting though) or dilation until about 33weeks, when they again put me on complete bedrest (until 36 weeks). At that point I was 4cm and 100% effaced, but Drew was still high. I held out until 38.5 weeks this time! Being born full term, we did not expect Drew to have any delays or extenuating health problems. He was, however, diagnosed with hemiplegia or right side assymetry, when he was just a few months old. I notcied that his head was always turned to the left, and that he could not control his right arm when he rolled over (it would constantly get stuck underneath him). Later crawling and then walking became awkward as he could not bear much weight on his right leg. He began physical and later occupational therapy and is still undergoing those therapies today.

By now I am sure you are wondering why on earth I went on to conceive little Miss Sasha. All I can say is that she needed to come to this family. It was a feeling neither I or my husband could deny, and so we cautiously entered a 4th pregnancy. And we approached everything differently. I had the same set of restrictions around 20 weeks as I'd had with Drew, plus got progesterone shots weekly throughout the last half of the pregnancy. But I also decided that I needed to have a different mindset this time around. We wondered how much the stress of my pregnancies contributed to the health problems of our babies (as they'd all had issues, but not all been premature). And so came the idea of having a very natural zen-like approach to delivery. Throughout the weeks leading up to her birthdate, I meditated, practiced anxiety suppressing breathing exercises, met with a doula, and learned all I possibly could about natural childbirth (consuming around 8 books on the matter). My contractions were more subdued and my mentality was calm and tranquil. I just knew everything would be alright. And it was... it was the perfect ending to a long, difficult-to-endure journey to complete our family. She has a beautiful birth story, which you can read here. She is 9.5 months old now, and with the exception of reflux and a recently resolved allergy to dairy, she's perfectly healthy in every way.

As hard as my pregnancies have been, I'd go on to have more children if I felt it were right. Nothing has brought me more joy than they have. From those first little flutters in the womb to the pitter patter of feet all over my home, I am happy. It's been 100% worth the enduring trials that have accompanied their arrival.

Please sign Mr. Linky, both here and over at Morning Glory's, and I'll catch up with you all as soon as I get a chance!!!


10 June 2006

Deep breath in, deep breath out

That's what is going on here. No, not panic (quite yet). Or hyperventilation. Just lots and lots of practice! Breathing, labor positions and kegels, oh my!

Today is my last day of bedrest. The hospital bag is packed. The carpet has been steam cleaned (thanks honey). I have lots of cute burp cloths! Lol. But it is anybody's guess when Sasha will arrive. When I reached this point in my pregnancy with Drew (getting out of bed), I slowly and steadily dilated to 6cm over the course of 3 weeks when he was finally born (at 38 1/2 weeks gestation).

My plans for this week are to regain some strength and stamina, first of all. At this moment, I begin to contract the minute I get out of bed in the morning. I am exhausted by the time I've showered, had breakfast and said good morning to my children. So I have a ways to go before I'll be hopping to meet 4 childrens' demands. Then I would like to get the nursery in order. It is still green and blue! If I can get these two things accomplished this week, I will be happy to surrender to nature's course. But I want my week of normalcy first!

I'll check in here and there, but serious blogging isn't a top priority right now. Keep checking in, though! I might still have some random good thoughts for ya. :)

02 June 2006

Only the strong survive, revisited

I've been picking apart this quote. I love it, but think it has several different applications - particularly in my life.

When I was in college, I had this posted where I could see it every morning... at the foot of my bed. College was not easy for me, but only because I made it hard. I was involved in everything I possibly could be. I about killed myself! And somehow thought that I was proving my strength by doing as much as possible. But I thrived on it. I've always thrived on busyness.

At this time in my life, survival cannot be about busyness. And I cannot define my strength so much by the things I am accomplishing. I am finding that strength is not wrapped up in what you accomplish in life, but how you live it.

Obviously, what I am working towards now is a healthy and safe delivery, preferably at full term. I am tired of thinking of my pregnancy in terms of my uterus, my cervix, risk factors, gestational weeks... so I have made the decision to turn this around and make it about my baby. About bringing Sasha into the world as peacefully as possible. And about not only thriving on this experience but making it into a growing experience.

I've hired a doula and we're doing this naturally. And I am excited about this. Crazy, no? Lol. Apparently the nurse that guided our tour at the hospital this week thought so. She went back to my OB and told her I'd been asking "questions" that would require approval. Good grief. Guess I'd better have signed copies of my birth plan when I arrive at the hospital!

Anyway, I have learned so much about my body and about its natural abilities through others' birth stories and literature and my doula, that I am really looking forward to labor now. And that's a first! I'm also not nearly as ansty for delivery day to arrive as I have been in the past because I'm no longer fed up with pregnancy or ready for it to just be over. (Hopefully I don't eat my words as the time passes :)

I'm now savoring these last weeks and enjoying the new sense I have of preparing for baby's arrival. It's a unique way to end my birthing experience because we are focusing on making it a very calm and peaceful one. I believe it will bring us a great sense of closure and be a lasting and pleasant memory for our whole family. I can feel the power in surrendering to nature's course. In accepting what is. It's like the principle of faith, you may as well throw yourself into it, or it won't benefit you at all.

29 May 2006

Happy Tuesday...

...even though it is Monday night!

Life has really quieted down here. My husband has the next 2 weeks off in hopes of getting me to 36 weeks before having this baby. Last Wednesday was scare #1. Only - yay me - I didn't go running to the hospital. I rode it out at home for 3 hours and was able to regain control of my crazy irritable uterus. How do I stay sane many of you have asked? Well, I could definitely write the bedrest survivial guide, as this is my 3rd time surviving it.

There are the projects, of course, which I decide on at the beginning of my day, gathering all the tools I need and piling them on my bed so that I don't have to get up again. Most recently this includes decoupaged lightswitch covers:


Now everybody needs some of those, don't they? ;)

And I've managed to wash and fold and put away all the baby's things over the course of about a week. Slow as a turtle, lol. Dh has been hauling trunks of Adriana's old baby stuff in and out of our bedroom like a slave, poor thing.

I'm also enjoying playing around with our
family pictures and printing them off, deciding where they should be hung, etc. I am putting together a collage of my favorites. :)

There has been much online shopping. Now is the time when I fantasize about getting my pre-pg body back within a few weeks and therefore justify a shopping spree for a few postpartum outfits that make me look hot. Thankfully, dh does not argue this fantasy. I guess he trusts that I will fit into them eventually.

In my online searches, I have also discovered the latest trends in baby items, like this nursing cover and these changing pads. And I bought my first sling! I tell ya, gone are the boring plaid and teddy bear prints! Man, oh man, am I glad they are no longer my only choices! Going back to that would be like bringing back the splatter paint. Eek. Cringe.

Today we were going to go kite flying, but it's been a pretty dead day (wind-wise) so the kids went swimming instead. I stayed inside of course and have been catching up on my pregnancy journal and Sasha's baby book. I have plans to watch "Rent" a little later and maybe read? I just bought the Da Vinci Code. Sheesh, how behind am I?

Oh, so before I forget, my 7 year old daughter has been a hoot lately. All her prayers conclude with "Please bless Mommy to not have anymore subtractions." She means contractions, of course. This next tidbit? Not much of a hoot... at least not for years and years when I need the pictures for blackmail. Friday I woke up from my nap to discover hair clippings in the bathroom trashcan and scissors out on the counter. Undeniably blond curls belonging to one and only one head in this household. I've always prided myself on the fact that these types of catastrophes don't take place in our home. I've never had to clean flour up off the floor or sharpie marker off the wall. I keep nice things around the house and they don't get broken or demolished. But to go from that to this? Out of nowhere? Messing up my track record? Was it penance for being on bedrest? Rebellion for neglecting her for an hour? She still has not explained herself. She just periodically checks out her new hairstyle in the mirror and asks me if she looks like a boy. Was that what she was trying to do? I managed to disguise it fairly well by cutting bangs. It's not the best look with curly hair, but it will grow back. Along with my track record. I'm sure you'd like to see a picture, but blogger isn't being very user friendly right now.

On one last victorious note, we got our little Drewby into a big boy bed this weekend! If only the ease of this transition could foretell of transitions to come! Like potty training! (Again - would love to show a picture! Where is the love, Blogger?) So in 2 weeks when all restrictions have been lifted, I can nest. In the truest sense of the word. I cannot wait to bring my vision of Sasha's nursery to life!

18 May 2006

How preterm labor is like unto a concerto

In the beginning, you kind of go it alone... like a single melody... creating a theme you can come back to and rely on. You feel strong and capable. Confident and positive. Pretty soon, you are joined by friends and family which support you and build you up. And your melody is suddenly much more interesting and pleasing to listen to. This is doable, you think! Everyone helps you find this voice. And how grateful you are.

Then things begin to develop and build and you're not sure what is coming next. Your body begins to play it's own tune without your permission. And it doesn't make much sense to you, or anyone else, considering how well you started off. There is dissonance and you begin to modulate to other keys. You are feeling unstable. You're not sure you can see an end in sight, at least not one you're happy with. Your emotions pile up and inevitably spread confusion among friends and family members. This is not the melody you began with. You long for that safe zone in which you no longer have to worry about pushing yourself too far... or your family too far... you want to get back to feeling confident and positive! Find your voice again!

Somehow, you do find it, and it doesn't take as long as you thought it would. Through sheer determination, continued support and encouragement, you arrive at where you began. And alas, everything comes full circle, familiarity returns, and your haphazard journey is resolved. In the same key it began.

17 May 2006

Happy Birthday to me!

31. Not flavors of ice cream but years I've been alive! Astounding! Where has it gone? Well, it's sort of dragging this week, so I take that back! Lol. My restrictions have been increased. My cervix is super soft, dilated 1cm and I'm about 25% effaced. Baby's head is down. Sigh. So, I'm off my feet as much as possible to help disguise the exit sign. :)

A few more weeks inside would be lovely, dear Sasha!

Keep those Wild Card Wednesday ideas coming... I pick a topic - suggested by one of you - to blog about. And give you credit for the idea. So, give me a new question or subject to blog about! You can even challenge me to use a certain word in my post!

Last week
Rachelle suggested the word discombobulated. I hope she doesn't consider this cheating, because I already have the perfect blog entry using that word here.