1 week old!

Well we are finally home and getting into the groove of things. I am sure most of you already know  how traumatic the birth turned out to be. I was going to write about it but I still am not ready to talk about it yet. Hopefully someday soon. On a positive note we are both healing and I am so very much in love with this beautiful little girl.

Kaili is a week and 2 days old and so far she is a great baby. Nights have been smooth sailing and are pretty much the same each night. She will eat around 9 or 10 pm and sleep until 12:00 or 1:00am. Then after another feeding she will sleep until 3:00 4:00am and then wake at 5:00 to 6:oo am. for the day. I get up with her at night and then Shane will take her in the morning while I catch another hour or two of sleep. So far it seems to be working out great.

She is in her most active state during the morning hours and then the sleepiness kicks in around lunch time. After her lunch she seems to spend most of the day napping. Sometimes it’s so hard not to wake her just so I can love on her. Her cheeks are the most adorable kissable things and she makes the cutest faces when she is trying to wake up from a nap.

I have heard how hard it can be to have a newborn. I would like to say that she is a piece of cake after everything we have been through.  I am one lucky lady to have an amazing husband and a beautiful daughter that we worked so hard for finally home in my arms. Uh oh here come the tears..

I will keep taking pictures of the little princess and updating you all with the wonderful things going on in our lives!

A Little Scared A Lot Nervous Super Excited

We have reached the final destination of this long complicated journey and I must admit I am scared as hell at what awaits. It hasn’t been the smoothest ride throughout the last few years so I feel that I have every reason to approach the finish line with caution.

From the heartbreak of infertility to the elation of a successful IVF and a sticky egg. Then we had the scary news of the Subchorionic tear along with bed rest. The nerve-racking wait for the amnio results and the finding of the Velementous cord insertion. Pre term labor that landed me in a few hospitals with more bed rest, followed up with a diagnosis of Pre-eclampsia and a need for an early induction. Since this road has been so bumpy I am really hoping the ending will be smooth. However I am a little skeptical.
So I ask you all to please send good vibes, think good thoughts, say a prayer, cross your fingers, your toes, your hair, whatever it is you do. All I want is for baby K and I to leave the hospital healthy with Shane.

4 Days Left

At our last Dr. appointment the nurse said that walking was the best way to dilate the cervix. She followed that up with how they recommend bed rest for Pre E. I decided there is NO way I am spending these last days in bed, I will enjoy them the best I can with caution.

Shane’s mom flew in on Thursday so we decided to make Saturday a fun filled day with a trip to the Del Mar farmers market, a few hours enjoyoing lunch in La Jolla   with a lot of walking followed by sticking our feet in the ocean. I was exhausted at the end of the day but it was oh so fun! We managed to take a few pictures although they are not very good.

I’m A Pre E mama

Since I didn’t receive a phone call from my doctor  after my 24 hour collection was dropped off  I figured I was out of the woods. Unfortunately the phone call did come last night. My doctor called to tell me I did have protein in my urine, it wasn’t a huge amount but alas I do have mild Preeclampsia.

At my OB check today we were told that I will be induced next week. If I have a headache that doesn’t go away  or I notice decreased fetal movement I am to head to Triage and chances are they will admit me for an induction. I will continue my non stress test Friday and next Tuesday and if my blood pressure is high or if the nurses are at all concerned I will be admitted.

The doctor walked us through an induction and it doesn’t sound very fun, especially if I don’t get my cervix opened up a bit more before heading in. I am only 1 cm dilated 50% effaced. Ideally I would like to be 3cm by next Wednesday…any ideas?

Next Wednesday night I will call the hospital at 10:00pm and talk to the charge nurse who will tell me what time to come in. Once I am admitted I can not eat anything and I will be stuck to the hospital bed the entire time.  If I am still only 1 or 2 cm dilated they will start me on a drug called Cytotec to ripen my cervix. After 4 hours they will check my cervix to see how things are moving along. The doctor said it usually takes a few doses and sometimes up to 16 hours. Once I am dilated and contracting they will start me on an IV drip of Pitocin, this really gets the contractions going fast, strong and hard. I am told I can have the epidural at any time throughout this process. Then the rest is history unless baby has any problems which would then lead to a C-section.

Preeclampsia

*http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001900/

Preeclampsia is a pregnancy condition in which high blood pressure and protein in the urine develop after the 20th week (late 2nd or 3rd trimester) of pregnancy.

Causes, incidence, and risk factors

The exact cause of preeclampsia is not known. Possible causes include:

Preeclampsia occurs in a small percentage of pregnancies. Risk factors include:

  • First pregnancy
  • Multiple pregnancy (twins or more)
  • Obesity
  • Older than age 35
  • Past history of diabetes, high blood pressure, or kidney disease

Symptoms

Often, women who are diagnosed with preeclampsia do not feel sick.

Symptoms of preeclampsia can include:

  • Swelling of the hands and face/eyes (edema)
  • Weight gain
    • More than 2 pounds per week
    • Sudden weight gain over 1 – 2 days

Note: Some swelling of the feet and ankles is considered normal with pregnancy.

Symptoms of more severe preeclampsia:

  • Headaches that are dull or throbbing and will not go away
  • Abdominal pain, mostly felt on the right side, underneath the ribs. Pain may also be felt in the right shoulder, and can be confused with heartburn, gallbladder pain, a stomach virus, or the baby kicking
  • Agitation
  • Decreased urine output, not urinating very often
  • Nausea and vomiting (worrisome sign)
  • Vision changes — temporary loss of vision, sensations of flashing lights, auras, light sensitivity, spots, and blurry vision

Signs and tests

The doctor will perform a physical exam and order laboratory tests. Signs of preclampsia include:

  • High blood pressure, usually higher than 140/90 mm/Hg
  • Protein in the urine (proteinuria)

The physical exam may also reveal:

  • Swelling in the hands and face
  • Weight gain

Blood and urine tests will be done. Abnormal results include:

  • Protein in the urine (proteinuria)
  • Higher-than-normal liver enzymes
  • Platelet count less than 100,000 (thrombocytopenia)

Your doctor will also order tests to see how well your blood clots, and to monitor the health of the baby. Tests to monitor the baby’s well-being include pregnancy ultrasoundnon-stress test, and a biophysical profile. The results of these tests will help your doctor decide whether your baby needs to be delivered immediately.

Women who began their pregnancy with very low blood pressure, but had a significant rise in blood pressure need to be watched closely for other signs of preeclampsia.

Treatment

The only way to cure preeclampsia is to deliver the baby.

If your baby is developed enough (usually 37 weeks or later), your doctor may want your baby to be delivered so the preeclampsia does not get worse. You may receive different treatments to help trigger labor, or you may need a c-section.

If your baby is not fully developed and you have mild preeclampsia, the disease can often be managed at home until your baby has a good chance of surviving after delivery.

Such a Good Girl

Baby K is a champ during these non stress tests. Every time she gives the nurses exactly what they need and they are always complimenting me on how “gorgeous” she looks on the monitor strips. I can hear the nurses talking to other mothers about how they need to monitor their babies longer because of this or that. Not our baby, she is making momma proud!

I dropped off my 24 hour collection last night around 9:00pm. The nurse said the Dr would call me if we had an emergency situation, otherwise I would get the results at my appointment Wednesday. I haven’t received a phone call so I am assuming all is good. Well I am pretty sure everything is fine because my blood pressure looked great today..Go figure!

Before I left the office today the nurse asked me if I had scheduled the rest of my non stress appointments already. I told her I made them through the end of April because I am ready to have this baby 🙂 She said we should make them through May 6th just incase I go late. Grrreeaat!

Excuse Me, Have You Seen My Ankles?

About a week ago my cute little feet starting looking more like loaves of bread but Saturday they morphed into cankles. By then end of the day my whole lower leg was swollen.

At my last non stress test Friday, my blood pressure was a little high. After taking it 3 times in an hour the nurse let me go but said if I had more swelling, got a headache or blurry vision to go to triage.

So Saturday when I could feel my calves swell up and my head started to hurt I went ahead and called Triage. The nurse suggested I try taking Tylenol and resting, if the headache didn’t go away to come in. An hour and a half later I felt better. I thought the swelling looked better, however Shane disagreed.

Sunday the same thing happened and later in the evening after a nice relaxing bath I thought my face was looking a little swollen. Once Shane agreed I decided better safe than sorry and we headed to the hospital. It’s the usual protocol when you get to triage. They have you pee in a cup and fill out a form that asks questions like “Have you ever been beaten by someone in you household?” and “How many times have you been pregnant.” Then they take you to a little room where you hop on a gurney and they hook you up to a contraction monitor, baby heart rate monitor and strap a blood pressure cuff on you. The blood pressure monitor goes off every 10 minutes so the nurse can monitor you from the front desk area. After about a half hour the nurse said baby looked great but my blood pressure was high. She called the on call Dr. who wanted to get a blood test to see if I had PIH Pregnancy Induced Hypertension or also called toxemia or preeclampsia. The test came back negative which was good but the nurse still wasn’t convinced I was in the clear. They sent my home with a 24 hour urine test. I was given two big red jugs like this:

I was told to collect all my pee in these, keep them cold and bring them back to Triage tonight. The nurse suggested keeping them in the fridge but somehow putting this container between the iced tea and last night’s leftovers wasn’t appealing to the men in the house. So I put a bunch of ice in a cooler and kept it in the bathroom, this way I wouldn’t have to walk to the kitchen all night long either. Needless to say I didn’t sleep well, this whole thing is a pain in the ass.

When I bring my collection back tonight they will check it for levels of protein. Depending on how much they find, if any, the Dr. will call me and send my back to triage. I am not sure when will happen then. The nurse said they may want me to deliver if it can save us from an emergency situation.  I don’t think they will find any protein but that is just my feeling on the situation, who knows. I am term now so a planned delivery is fine with me.

I guess I wont be leaving the house today since I am bound to my new friend the red jug. I go back in for another non stress test tomorrow and my OB check on Wednesday.

I thought the full moon was tomorrow but apparently it’s tonight…..

Paint A Picture

Since I had been on bed rest I kept telling myself I needed a hobby other than reading and soaking up the sun. Well it took awhile but I finally went to an art supply store and picked up everything I would need to paint baby girl a picture. I had browsed thousands of painting on ETSY and kept telling myself “I can do that for WAY less than $80.00”.  I definitely need some practice and I will get better with time however I am happy with her first painting.

Here it is in her room

Non-Stress test

I had my first NST at 7:30 this morning and I will continue to go twice a week until baby arrives. First thing they did was measure the amniotic fluid via ultrasound to make sure there is enough. I asked the nurse what happens if it’s low and she said that if it’s borderline low then they would put me back on bed rest and increase my fluids…AWESOME! But if it’s really low the Dr. might go ahead and have me deliver. No fear though my fluid level is fine. Then they moved me to a little area where I sat in a recliner with two monitors on my belly. One to monitor contractions and the other to measure baby’s heart rate. I was also given a little buzzer (think Jeopardy) that I was to push every time I felt baby move. Then they left me alone for about 20 minutes. The nurse came back in after 10 minutes and said that they want to see 2 accelerations from baby’s borderline heart rate in the 20 minutes. Baby K had already given her 3 so everything was looking good.

These NST are a good anxiety reducer. I can get my kick counts done under supervision and I go home knowing she is just fine. So from now on  I will get to hear her heartbeat 3 times a week until she decides she wants to meet her mommy and daddy.

Car Seats and Breasts

Did you know that 85% of parents install their child’s car seat the wrong way? That percentage made me a little uneasy so we decided to take ours to a local car seat inspection. Not that I don’t trust my wonderful husband and father in law but the hospital will not let you leave with your newborn if they feel your car seat is unsafe.  The inspection was at the CHP station and officers came around to each vehicle to check the handy work of to-be dads, moms and grandparents. Seemed like most cases the officers were taking the car seats out and putting in back in the correct way. Our car seat was not leveled and definitely not tight enough so he showed us how to do the “right”way. After Shane installed it with his supervision and was given a thumbs up we went on our merry way. I think it was worth the piece of mind.

Last night was the Breastfeeding class at our hospital. I went solo since Shane was out of town and I didn’t want to drag anyone else with me. I knew more than I actually thought I did but in the end I am happy that I went. A few things I learned were:

  • Diet doesn’t have to change, you can eat and drink anything in moderation.
  • Don’t need to wash your breasts they clean themselves.
  • Feed baby every 2 hours until mature milk comes in.
  • It takes 45 minutes for a breast to refill milk
  • Milk can “letdown” when you hear another baby cry or just think about your baby.
  • Cabbage leaves help with engorgement of breasts.

But the best thing she said was no matter how long you breast feed for, be it a week or 1 year to never feel guilty about stopping. Even one drop of colostrum has 3,000,000 immune cells in it!