preeclampsia

PREVIEW: Bristol Baby

double positive test

What a difference a year makes!

On August 3rd last year, Blaine and I discovered that I was pregnant.  Little did we know what all was in store for us over the coming months – twins, pre-eclampsia, NICU – what a year!

I have always enjoyed writing, and it has always been a dream of mine to write a book.  At one point when I was young – maybe around 4th grade or so – I actually aspired to be an author when I grew up.  Almost thirty years later, I am finally trying to make that happen.  I am currently working on writing our story.  I thought it fitting to share with you the very rough draft of the start of Chapter 1, given that it is about how we found out I was pregnant and today is the one year anniversary.

Because we were so secretive for the first 15 weeks (well, and I didn’t even find out until I was about 5 or 6 weeks along), many of you may not even know the whole story about how we found out.  I hope you enjoy our story…

Click here to read the exerpt: Chapter 1 – Finding Out

Advertisements

A Mother’s Guilt

Bristol hugging pillow (Bristol)

I am a logical person who appreciates facts.

FACT: I did everything within my power to have a healthy and safe pregnancy.
FACT: Preeclampsia was not my fault and not even doctors know what causes it.
FACT: Some things are just beyond my control.

And yet, I cannot even express in words the amount of guilt that I carry for getting preeclampsia and being forced to deliver my twin girls at 28 weeks.  To compound the situation, my youngest girl, Bristol, suffers day in and day out as doctors struggle to find a way to heal her sick, undeveloped lungs.  She had a collapsed lung from a pneumothorax about 48 hours after birth, has been on both a jet ventilator and a conventional ventilator ever since.  Despite treatments of surfactant, steroids, and numerous vaso- and broncho-dilators, her overall lung condition has worsened, and doctors now say she has pulmonary interstitial emphysema and chronic lung disease.  As if that isn’t enough, she has contracted a couple of infections – one in her lungs and one in her blood – so they are giving her two antibiotics.  Because she is a fighter and often very restless, doctors also pump her with several sedatives, including morphine.  She is listed as “severely critical” and “unstable”, and her life journey so far has been a roller coaster with a few highs and a lot of very low lows.  When I look at her, my mind races with a million “what ifs”:

“What if I had never gotten preeclampsia?”
“What if I had made it just a few more weeks?”
“What if I had rested more during my second trimester?”
“What if I had eaten better or taken more vitamins?”
And the list goes on….

I even feel guilt for celebrating the successes of my oldest girl, Bella, who has (thankfully) not had any major issues thus far.  She has been breathing on her own and has only a nasal cannula (the same little tube you or I would get if we were in the hospital), which merely provides supplemental oxygen to remind her little preemie brain to breathe.  She has been on feedings of my breast milk through a tube since Day One, was off of TPN (IV supplementation) within about two weeks, and is now practicing latching on for actual breastfeeding.  This week, she began regulating her body temperature much better, so they removed her temperature probe and have allowed her to begin wearing clothes and swaddling in sleepsacks.  These are all things to celebrate…..but I feel guilty celebrating and feeling excitement when I have a sick child who is hanging onto life by a thread.

And at the end of the day, I feel guilty when I become exhausted and want to go home to sleep in my bed.  My girls – and especially Bristol – are fighting for their lives 24/7, so who am I to say I am tired?  But there are days when I just want to stay home and catch up on my sleep.  In addition to the emotional roller coaster we endure as parents of preemie babies in NICU, I am pumping my milk every 3 hours – which means that I haven’t had a full night’s sleep of 7-9 hours straight since before I went into the hospital.  My house is in disarray, I am behind on thank you notes for all of the generosity that has been extended to us, I need to run errands like grocery shopping, I need to take care of some paperwork and such for the girls and I – just a million things that are piling up.  I feel like I just need one day to myself to sleep and take care of all of that – but I can’t bear to miss a day with my girls, and I would feel guilty if I even tried.

As I struggle with my guilt day in and day out, I can’t help but wonder, “Is this just all part of being a good mom?”

Bellas first pjs (Bella)

Not Ready for January Babies

before delivery

Baby showers. Professional pregnancy belly photos. Decorating the nursery. The exciting drive to the hospital for delivery. All very normal things that normal pregnant women get to experience.

I missed out on all of them.

When we found out we were having twins, we were almost instantly also told that twins almost always come early and that 37 weeks is considered “term” for twins. That being said, my doctor’s goal was to make it to 38 weeks (he was a very optimistic guy). As the pregnancy went on and I read more about twins and their moms, our goal was to make it to 36 weeks, but we were prepared for as early as maybe 34 weeks. Given that my due date was April 3 if I were to carry them the full 40 weeks, that meant that our babies could be born anywhere from about mid-February to about mid-March. In my gut, I always knew they’d be earlier than expected or planned, but never in my wildest dreams was I prepared for January babies.

Being the super planner that I am, I began planning WAY in advance – just in case. I created a registry in early November – as soon as we were certain they were girls. At my appointment the week after Thanksgiving, I made a trip on over to the hospital to schedule our tour of the birthing center, where we would get a chance to go ahead and fill out paperwork and such, as well as talk to the staff about our birthing plan, etc. I scheduled it for January 2. A couple of weeks later, I went ahead and scheduled us for our infant care class and our childbirth class – both for the first week in January. Finally, we decided we would stay here in Tennessee for Christmas this year instead of traveling to Kansas, and we would use that time to assemble the cribs and get the nursery all settled. Finally, my mom wanted to come visit for New Year’s, and we thought we could use that time to shop for a gown and robe and other items needed for my hospital bag. Essentially, I would have everything done and completed by about the second week in January, so if the doctor decided at that time to put me on bed rest, that would be fine, because all I would be doing was sitting and waiting for the girls to come anyway.

Then came my doctor appointment on December 20. Due to an abnormally high blood pressure (140-something over 90-something), protein in my urine, and sudden and excessive weight gain (13 lbs since my appointment 3 weeks prior), the doctor sent me immediately over to the hospital from his office. He wanted me to do a 24-hour observation, in which they would try to get my blood pressure under control and do a 24-hour urine to count the amount of protein. Once my 24 hours was up, I was diagnosed with mild preeclampsia and was sent home on strict orders of bed rest for the remainder of the pregnancy……which meant all of my plans mentioned above were tossed out the window,

So much for planning and trying to be prepared.

The next 2 1/2 weeks, my preeclampsia escalated very quickly, and on January 7, I was admitted to the hospital for good. Two and a half days later, I gave birth to my girls.

To top it off, I didn’t even get to hold or touch or kiss my girls once they were born. In fact, I didn’t even lay eyes on them until about 36 hours later. They were whisked up to the NICU as soon as they were born, and I was sent back to my room to lay for another 24+ hours with the stupid magnesium drip that left me drugged out of my mind. Once taken off the drip, I had to wait for it to leave my system, and then had to prove to the nurse that I was capable of walking – or at least standing to get into a wheelchair. And THEN I had to prove that I could walk to and from the bathroom so that they would take out my catheter. FINALLY, after all of that, they let me go see my girls.

In many ways, I feel that I was robbed of so many of the joys of pregnancy. And given my experience with preeclampsia, I’m not sure that I will try pregnancy again. I am thankful that I did at least document the six months I did get to enjoy of pregnancy, so I at least have belly pictures (however amateur) to show the girls one day, and I have a very detailed timeline of every pregnancy moment, ultrasound, symptom, etc. At least I have that.

An Unbelievable Story

8.15.12 first ultrasound

You know how there are some people who seem to have everything, or to whom everything seems to come so easily?  I am not one of those people.  While I have certainly had some triumphs and victories in my life, they seem to be short-lived or overshadowed by the fight that follows it.

I have always had to negotiate or fight for everything I’ve attained, or I’ve had to prove myself before given a chance.  I wasn’t the most popular girl in school, but I was friends with those girls.  I wasn’t the smartest kid in the class, but I got close.  I wasn’t the best athlete or most talented singer or dancer, but I held my own and might be considered “above average” in some circumstances.  The most recent fight was a few years ago with losing my job during the recession and the financial struggles that followed, including filing bankruptcy.  After going through that, I finally met my life partner, and things began to fall into place.  We moved in together, and a year later I found out I was pregnant – with twins.  He then proposed to me at Thanksgiving.  I felt as though I could FINALLY begin to enjoy life!  Maybe – just maybe – the Lord wanted me to go through all that I had been through so that I could appreciate the blessings when they finally came.  “Everything happens for a reason”, right?  I could swallow that logic, because Lord knows I had learned a lot about myself and others, and felt I was a much better – and stronger – person for having been through it all.

Then preeclampsia happened.

If you’ve never heard of preeclampsia, it is a condition that can occur during pregnancy.  I’ve seen statistics that say it happens in about 5-8% of all pregnancies.  Leave it to me to fall into such a rare statistic.  No one is really sure what causes preeclampsia, but they have identified some factors that tend to make some women more likely to develop preeclampsia, including having your first child after the age of 35 (check), carrying multiples (check), and having a pre-existing condition with the heart (check).  So what is preeclampsia?  In short, the body begins to reject the pregnancy.  The condition develops after 20 weeks, and is diagnosed by sudden onset of high blood pressure and protein in the urine.  From there, things can escalate very quickly and include severe swelling of the body, fatigue, headaches, visual disturbances (i.e. seeing spots or auras and/or having sensitivity to light), and even higher blood pressure and higher protein counts in the urine.  If not caught soon enough, preeclampsia can escalate to full eclampsia, which includes seizures and can be potentially fatal for the mother and/or baby.

Mine was caught by doctors at 25 weeks, but in hindsight, I think I had early symptoms at about 21 weeks (the week of Thanksgiving).  After 3 weeks of bedrest and missing out on much of the Christmas season, I went into the hospital on January 7th and delivered my twin girls on January 10 at 28 weeks and 1 day.  Today marks two weeks since delivery, and my girls still have a long haul in the NICU.  My oldest, Bella, has been doing well from day one, is breathing on her own with only a nasal cannula on minimal settings to give her a little boost of oxygen, and continues to increase her feedings of breast milk.  However, my youngest baby girl, Bristol, has been struggling since about day two or three – unable to breathe on her own and relying on a jet ventilator which beats her lungs with puffs of air at a rate of about 400 breaths per minute.

Because I like to write, and because we have so many out there that are praying for us and asking for updates, I decided to begin telling my story here on my blog.  Our family and friends have already been receiving updates via Facebook, but even many of them haven’t heard the whole story, or understand what preeclampsia is and what it did to me (and my new little family).  Stay tuned for our story….

6w vs 26w4d