Wednesday, July 18, 2012

Landry's Birth

I'm afraid if I don't get some of this down I will forget it, I'm sure there are parts I've already forgotten. I also know one day I will want to read back on all we have gone through. So here goes:

Friday, July 6th
I had not been sleeping well for the past couple of nights because of comfort and worry. Landry hadn't been moving very well for weeks but it had further decreased the past couple of days. We are so busy with the boys that during the day it's hard to really know if I'm feeling slight movements or not. At night, I know when and how often I feel him so there was no denying he wasn't moving a lot, hence the not sleeping because then I would lie there and worry. Friday night was by far the worst night as far as I just couldn't get him to move. On top of that I was having some really bad dreams that we lost him. Morbid, I know.

Saturday, July 7th
Woke up and ate breakfast. Still hadn't felt him move. Brandon was tired as well as we had a few days of the boys just being off their schedule and they were whiny and tired. So I decided to load them up and take them to my parents to give Brandon a little break and the boys a change of scenery so to say. Got over to my parents and just didn't feel right about things. I started to mention it to my mom that maybe I should go into hosptial to get checked but then got distracted. Luckily she asked me a short while what was wrong and I told her what was going on and that I hadn't slept because I just had that feeling something was wrong. So I called the doctor, they decided to load up the boys and go driving around so that I could hop in the shower and get ready to head to hospital. I called Brandon and told him to get ready himself and meet me up there.

We went into Maternal Obs and they got me hooked up to the monitors right away. The nurse didn't even have me put on a gown because she said it'd probably be an in and out visit and everything would be ok. Landry looked great on the monitors for the next 30 minutes or so but still wasn't moving. She brought in some juice and crackers to try and get him to move around while she went to check me into the computer. About that time he had a dip in his heart rate in the 90's for about a minute. So the nurse had me turn to my side and we waited and watched. About a hour and half laster, around 2:00 pm, I was getting hungry so sent Brandon down to get me a drink and snack. While he was gone Landry took a big dip into the 70's for about 1 1/2 minutes. I paged the nurse, she came running in and was concerned with what just happened so told me not to eat or drink anything else in case I need an emergency csection right as Brandon was walking in with my drink and snack. All of a sudden this became very real that there was obviously a problem with Landry so we started notifying everyone and making arrangements. Dr. Bradford's on call doctor, Dr. Wylie came by just to let me know she'd be monitoring him for a couple hours to see what he did. Not long after Dr. Tabor, the OB specialist came to get me for an ultrasound. He said he had been following me on the monitors across the hospital and saw his dip so wanted to take a look at him on the ultrasound. He said everyone in the room was fine except baby Landry and that he was showing signs of distress in there. He looked at his bloodflow and said although it wasn't to a zero yet it was worse than when he saw me last week. So they were going to admit me and keep an eye on him and reassess in 24 hours if he behaved.

Around 4:30 we went up to L&D. My parents and Brandon's parents came up and Marcy watched the boys for us. They got me hooked up to the monitors and started an IV (took two tries). I was having small contractions, some of them I didn't even feel and he would decel on most of them. Sometimes his decels were only 125bpm and others were down in the 90's. They also varied in length, some were 10 seconds and some were a minute or two. His baseline was 145 bpm. This continued for several hours. Dr. Wylie came in and explained that we were in a tough spot because although I was 35 weeks pregnant and most babies do great at that gestional age, Landry was more of a 31-32 weeker. So there was a slight risk for respiratory problems, we worried about his weight and being small, blood sugar problems, etc. but he could also come out kicking and screaming and doing just fine. She also said she was 100% certain I'd be having a csection. She said there was no way he'd be able to tolerate a vaginal birth. This, of course, upset me. I, of course wanted to do what was best for Landry but there was so much more to  a csection because of my Lovenox and Factor 5. I was afraid of clotting, bleeding too much, etc. So Dr. Wylie said we would just wait and see how he did through the night.

Around 8:30 I was starving and thirsty so the nurse asked if I could have anything. Dr. Wylie said I could have clear liquid so we thought that was a good sign that I wouldn't deliver that night. Everyone started to head home for the night. Probably about 30 minutes after everyone left Landry decelled into the 60's for about 2 minutes. Brandon and I looked at each other and we knew this would be it. Sure enough the nurse and Dr. Wylie come walking in. She basically said he was in destress,  his decels are getting deeper, lasting longer and we just didn't want to get into a situation where we would need to rush back for an emergency csection and he decel for who knows how long. I completely agreed and we started getting ready for the csection. Family turned back around and came up and I was taken back to the OR. I was able to get a spinal, which is different from a epidural. It felt the same but came all the way up to my chest. I hated the feeling that I couldn't breath. By the time they got me laying down, all steriled up and Brandon back there she was already cutting into me. Landry had meconum, which Dr. Wylie said the only reason a 35 weeker has meconum is because they are under stress. He also had a very thin, flimsy cord that was wrapped around his neck. He wasn't crying and they took him over to the Neonatal team. They had to intabate him to suck out all the meconum, which didn't go past his vocal cords and then he began crying. The best sound ever!! Brandon went over to see him and the antesialogist took pictures and showed me. She was absolutely amazing! They cleaned him up, assessed his situation and weighed him. He was 4lbs6oz. They finally came over to show me Landry and he was the cutest little peanut I've laid eyes on. The neo. doctor told me we absolutely made the right decision and we wouldn't had a good outcome if he stayed any there any longer. Thank you God for protecting us and giving me the intuition that something wasn't right.

The hardest part was sewing me back up, it was uncomfortable! I felt very sick to my stomach as they were putting me back together and it just wasn't fun. Brandon had left to go with Landry back to the NICU. They wheeled me back into my room where my family was anxiously waiting. Brandon and I were texting back and forth and because Harris NICU was full they were going to transport Landry to Cooks NICU. I was very excited as I know they have a room in NICU so that I could stay with him 24/7. Again, God looking after us. They stopped by the room before they sent him next door so that I could hold him for the first time. Mandy captured that wonderful moment for us.

I will update on Landry's NICU stay sometime soon.




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