Always, Katie


Sunday, July 19, 2015

Twin Birth Story: Abigail and Samuel, Part 1

I have been wanting to get our birth story published for a while now... I set deadline goals and let them pass a few different times... turns out, life with two newborns leaves precious little time or brain space for blogging!  I believe this will be a two-parter, in part to let me publish some of it sooner, and in part because it could very well end up being really long! ;-)  So many thoughts and feelings that I want to preserve on the internet to look back on as they begin to fade in my own mind...

The night we started my induction, we dropped Charley off with Ethan's parents, who would be watching him while we were otherwise occupied :-)  His mom made one of my favorite meals - chicken and dumplings - for my "last supper," since we assumed I'd be going without food from the start of the induction until the babies made their debut.  I got super-emotional hugging and kissing Charley goodbye... next time we saw him, he'd be a "big brother" and I knew his life was about to change dramatically.  Eventually for the better, I believe, but knew it would probably take him a while to agree.  

Pulling out of my in-laws' driveway...
We reported to the hospital at 8pm on Sunday, May 31.  The doctor had told us that we'd be doing a foley bulb induction, and I had made the mistake of googling what that meant.  So I was pretty nervous.  We knew the plan was a slow induction, and that we may not even have the babies until Tuesday.  Of course, we were hoping it wouldn't take THAT long, but agreed that slowly increasing induction meds and letting my body adjust and cope and giving it the chance to kick in on its own was the best course for my diabetes and for the babies.  I just hoped I had the stamina!

So we got registered and were shown to our room - which was the same labor and delivery room we were shown on our tour :-)  Room 2010.  Met my nurse, Stephanie, who got my IV started and monitors on the babies - just like my gazillion non-stress tests.  She said I'd be on the monitors continuously until the babies were born... I immediately started trying to negotiate for intermittent monitoring, but she was pretty insistent that I'd only be able to unhook to go to the bathroom.  

38 weeks, 1 day pregnant.  I.Am.Done.
The resident who would be working closely with my MFM team (Dr. Abtahi) came in and introduced herself, checked the positions of the babies (B - Sam - had flipped breech again, but no big worry, since Abbie was still vertex), and got started inserting my Foley bulb.  I don't handle cervix checks well, and this was like one looooong, drawn-out cervix check.  And my cervix was shut tight, so she had to work really hard to get the catheter through.  She was the sweetest, so I feel a little bad that I wasn't super-nice to her... but OW!  

Anyway... eventually, it was in and I was tucked in for the night.  Except that I was still massively pregnant, and being tucked in for the night meant for the next hour or so until I needed to go to the bathroom.  Again.  After several times of me being up and unplugged from the monitors, and the nurse having to find the babies again, she got the resident to agree to intermittent monitoring, since pitocin wasn't starting until morning.  Once in the middle of the night, during a bathroom run, I saw that I was dripping blood all over the bathroom floor... I called for my nurse in a panic, and she said it was coming from my catheter and was totally normal... from the "trauma" to my cervix.  Yeah, trauma is a good word! ;-) 
This is a foley bulb induction.  Yeah.  The image is originally from IMGBuddy, but it seems to only exist in Google search results now..
In the morning, they let me order breakfast, which was AWESOME since I'd totally expected the chicken and dumplings to be my last meal for a while.  We got pitocin started at a really low dose, and increased it a little bit every so often.   My bulb finally came out in the early afternoon when a nurse gave it a little tug.  When I was checked after that, I was dilated to about 3cm.  I'd been on continuous monitors since my pitocin started, and we could see that I was having good, strong, frequent contractions, and guesses were that I'd deliver in the wee hours of Tuesday morning.  


Monday evening, I was dilated to about 4cm, and the doctor said to discontinue pitocin long enough for me to have supper (woohoo!) then get it started back up.  The thought was that if I was only off a short time, my uterus could rest and regroup, and I wouldn't lose any ground.  Plus, I needed fuel to keep going!  I love that my doctors were so focused on making sure I had what I needed to stay strong.  During the day, I had a shot of Nubain in my IV and got a good, drugged nap... but still passed on the epidural.  I knew I was going to get one eventually, but I wanted to hold off until labor was a little more established.

As the late evening and overnight progressed, and it was clear I wasn't going to be delivering early Tuesday morning, I started to get a little discouraged.  When my doctor rounded, I asked her when the best time for an epidural would be... she said that since I was 5cm and contracting well, this would be an excellent time.  So around 10am on Tuesday (36 hours after induction started), my epidural was up and running.  Thank goodness!!  I was terrified, but it turned out that the biggest problem was my ticklish back.  Any time the anesthetist touched me, I twitched.  Ethan and my wonderful nurse, Brenda, kept talking to me and keeping me calm... they were fantastic!  Brenda was relieved when it was in because she said, "Your mouth said your pain was a 4, your eyes said more like 7."  :-)  And I truly had no idea how much pain I was in until it was gone!  Drugs are niiiiice!  

Best support person EVER!  Sorry about my "30 hours into induction and still no babies" look. ;-)
So...  I labored, nice and comfortably, all day Tuesday.  The day time resident broke Abbie's water at 1pm, and I knew I was on a 24 hour clock.  Then supper time came, and we did another pitocin break so I could eat and we could "wash the receptors" in my uterus that they thought were being overloaded.  It meant starting back on the pit at half of what I was on when we quit, but overnight we got back up to speed pretty quickly.  

Super-cozy accommodations
At 5:20 in the morning, I was snoozing lightly while Ethan slept on a pull-out chair for the third night in a row.  Dr. Abtahi, who had been my night doctor the last three days, came in to check my cervix.  I was surprised when she said I was dilated to... 5cm.  I'd been at 5cm for a whole day.  She left to call Dr. Kovac, one of the doctors in my MFM practice.  When she came back in, she told us that she and Dr. Kovac thought it was time for a c-section.  Ethan was starting to come to at the point, and we both readily agreed.  It was about 5:30, and I asked her what kind of a timeline we were on... expecting her to say a few hours... she said, "Oh, maybe thirty minutes or so?" 

Check out PART TWO here :-)
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Saturday, June 13, 2015

Baby, Baby: Due Date

Wishing a very happy due date to our 10-day-old little peanuts <3

Abigail Rebecca was born on June 3, 2015 at 6:09am, weighing 6lbs, 2oz and measuring 20 inches long.

Her little (/big) brother Samuel Ethan came one minute later, weighing 6lbs, 14oz and measuring 20.25 inches long.  

Momma, Daddy, and big brother Charley are head-over-heels in love!

I'll work on our birth story soon, but for now, enjoy this picture overload of the cutest twins ever!

Abbie on the left, Sam on the right
Abbie on the left, Sam on the right
First family-of-four picture <3
Snuggly in Daddy's hands... Sam's in the hat.
Fairly sure Sam's on the left, Abbie's on the right.
Abigirl
Sam-Man
Our girl <3
Our boy <3
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Saturday, May 30, 2015

Baby, Baby: 38 Week (and FINAL) Bumpdate

The Kidlets
via

How Far Along?
38 weeks... and this is the last bumpdate!  We meet our Princess and Prince in 2 days!

Genders?
One girl, one boy.

How big are they? 
According to the apps... they're each as long as a leek or Swiss chard, and as big as a spaghetti squash, a pumpkin, or a "big cabbage."  We'll know in a few days exactly how big they are!!



Changing Momma


Have you started showing yet?
Barely... ;-)

Weight Gain?
I lost almost 2 pounds in the last 2 weeks, so I'm only up a total of 31 pounds.

Maternity Clothes?
Yep.

Stretch Marks?
They're impressive!

Belly Button In or Out?
Barely out :-)



Momma's Feeling


Cravings:
Spicy, and cheeseburgers...

Anything making you queasy or sick?
Just hormones...

Happy or Moody Most of the Time?
Fairly moody! 

Movement?
A fair amount... they're both pretty low and head-down, so movement feels weird...

Sleep:
Not really happening...

What I Miss:
Sleep, caffeine... things that give you pep, apparently ;-)

Other Symptoms:
Lots of Braxton Hicks contractions, break-through heartburn, stretching, aching, swelling... the usual!


Highlights and Coming Soon


Best Moment of the Week:
Being handed a paper with my induction date and time written at the top!
 
Looking Forward To:
Meeting these little people on Monday (or Tuesday)!!!

Doctor's Appointments:
Both NSTs went great.  At Thursday's cervix check, I wasn't dilated, but I'm about 50% effaced.  So we discussed going to the hospital on Sunday night (tooooomorrow!) and how I'll be induced.  We'll be using a foley bulb for dilation tomorrow night, then starting pitocin slowly Monday morning. 

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Saturday, May 23, 2015

Baby, Baby: 37 Week Bumpdate

The Kidlets

via

How Far Along?
37 weeks!  Twins born past this point rarely need any NICU time or extra nursery attention.  Mine may still need blood sugar monitoring, but that would be the case with even a singleton born later.  My dream has been to be wheeled out of the OR with both babies in my arms, then spend that magical hour or two bonding as a family of four in recovery afterwards... it's starting to be a distinct possibility!

Genders?
One girl, one boy.

How big are they? 
According to my apps, they're each the length of a piece of Swiss chard and as big as a winter melon (I have learned the names of more types of melons this pregnancy...) or a honeydew melon. :-)   According to yesterday's ultrasound, Baby Girl (A) should weigh about 6 pounds and 1 ounce, while her younger/big brother weighs about 7 pounds and 1 ounce.  We're not super-confident in these estimates, because their positions were making it difficult to measure certain parts, and we had a different tech than our usual.  I'm sure she's perfectly competent, but it seems like the same eyes measuring each time would give more consistent results... we're thinking she probably overestimated Baby Boy and underestimated Baby Girl a little bit.  But either way, probably in the ballpark of 13 pounds of baby!!!



Changing Momma


Have you started showing yet?
With 13 pounds of baby, yeah!

Weight Gain?
Wasn't weighed this week, so as far as I know, still the 33 pounds up.

Maternity Clothes?
Yep.

Stretch Marks?
Oh yes.

Belly Button In or Out?
Barely out :-)



Momma's Feeling


Cravings:
Spicy and ice cream...

Anything making you queasy or sick?
Hormones, and strong contractions.

Happy or Moody Most of the Time?
Moody. 

Movement?
Yep - Baby Girl was doing some CRAZY acrobatics a couple nights ago.  I thought for sure she had moved out of her vertex position, but thankfully, she's still head down and ready to go :-)

Sleep:
Well... last night I fell asleep before 9... got up twice to cold shower my intensely itching belly, went to the bathroom three times, and woke at least once an hour to roll or shift.  Sleep's not great lately...

What I Miss:
Sleeping for more than an hour at a time... and every McDonald's looks like a big styrofoam cup of ice-cold caffeinated diet Coke.

Other Symptoms:
Contractions are starting to shift from the annoying and fairly uncomfortable Braxton Hicks to the much more intense actual contractions.  My first one the other day made me sit forward in the recliner, grab the arms, and moan.  It was crazy how different it was.  They started speeding up, and when they went from 16 minutes apart to 6 minutes apart in less than an hour, I called my doctor.  She had me go to the hospital to get checked.  I was having good strong contractions very regularly, but my cervix was only a fingertip dilated.  So I got sent home.  In pain.  Like, a lot of it.  So I've been having contractions like this the past couple of evenings, but they don't seem to be making the necessary changes to be "real" labor. 


Highlights and Coming Soon


Best Moment of the Week:
Seeing little Miss and little Mr. at the ultrasound yesterday :-)
 
Looking Forward To:
Getting them out.  Smooching on their little noses.  Showing them off to all of you :-)

Doctor's Appointments:
Both NSTs (and the heart monitoring at the hospital) looked great again.  At the ultrasound, we discovered that Baby Boy has turned vertex now!  So both babies are head down and ready to "head" out. WooHoo!  That also means I now have four feet in my ribs, though... and four hands fumbling for and beating on my bladder. ;-)  

We asked the doctor what she thought about our trip to the hospital, and she said that unfortunately with twins, the uterus gets so distended that it basically gets ticked off.  It throws tantrums by contracting without the directional motions needed to push the babies against my cervix to dilate... she said my water could still break, or the contractions could suddenly start coordinating to be effective, but that she suspects I'll make it to my induction date... not something we ever expected when we first saw two flickering heartbeats on an ultrasound eight months ago! 
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