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Baby Luke Hayden L's Birth story


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  #1  
June 12th, 2009, 06:31 PM
photophreak's Avatar Mega Super Mommy
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Luke's Birth Story

My pregnancy was progressing normally up until my 34 week OB appointment. I have 3 other children, and had 3 normal spontaneous vaginal deliveries of healthy term babies, the smallest of whom weighed 7 pounds 5 ounces.

At my 34 week appointment this time, I ended up measuring 31 weeks, so my doctor set me up for a sonogram 2 days later. According to the sonogram, I was measuring 29 weeks, and my fluid level was around 6, which is low. The baby was measuring around 3 and a half pounds, when he should have been around 4 and a half pounds at 34 weeks.

We did an NST, which was reassuring. My doctor took me out of work and set up an appointment for me at a higher level maternal fetal medicine center in Vermont. (I live in Upstate NY). The appointment was scheduled for Wednesday the 10th. I was to return to our hospital on Saturday the 6th for an NST and on Monday the 8th for another sonogram and an NST.

She gave me 2 doses of beta methasone, to mature the baby's lungs more quickly, should it end up being that he needed to be born prematurely. My NST on Saturday was reassuring.

On Monday, my sonogram showed that the fluid level had decreased to around 4. My doctor spoke to the doctors in Vermont and got me in for that same day.

So my hubby and I drove over to Vermont and saw the specialists there. The higher level sonogram showed that my fluid level was measuring around a 2, and the baby was measuring about 3 pounds 11 ounces. My NST was reassuring.

The perinatologist said that he would like us to closely monitor the baby, but due to the fact that the NST's looked good, he recommended trying to keep the baby on the inside for as long as possible. He set a target for 37 weeks, and if anything deteriorated in the meantime, we would re evaluate the situation.

I was reassured by this. The thought of how fragile my baby could be at 34 weeks and change was very frightening for me. I was very worried about him having to be shipped to the hospital with the NICU in Vermont if I ended up delivering at my local hospital.
So, my hubby and I went out and had a nice dinner together and then drove the 2 hours or so back home. I was beat. As soon as we got home, I took a nice long shower, and got into bed with my 2 sons to have our snuggle time. We watched a little TV together and I was sound asleep by 10:30 or so.

I remember having a dream that my membranes ruptured, and then I felt a gush of something. I got up and went into the bathroom, and found my underwear full of blood. I called my OB department and let the girls know I was on my way. I woke my hubby up and told him what was going on. I got into my van and drove up to the hospital.
My hubby went to work finding someone to come be with our boys . (My daughter was at her dad's house)

So, I got up to OB. It was a quiet night on the unit. The 2 girls who were working had a room all set up for me, and my doc had already been called. I got on the monitor right away and was VERY relieved to hear my baby's heartbeat right away. I was not contracting. They got an IV started, and my doctor arrived.

The ultrasound tech had also been called and was on her way. We made a call to one of my good friends, who would be coming in to be my nurse. (You get special perks when you work on the unit. hehe)

In an ideal situation, with a baby at my baby's gestational age, I would have been shipped to the higher level hospital, with the NICU, but active bleeding is a contraindication to transport, so it was clear that if the baby was going to be born, he was going to be born here.

Ultrasound got here, and the sono showed the placenta beginning to separate, a 4 centimeter clot, and active bleeding in the uterus. The external bleeding was scant to moderate, but most of the bleeding was behind the clot and the placenta. The baby looked good.

My doctor wanted to give it a little time, to see if the bleeding would resolve and maybe we could keep the little guy in for a little longer. Meanwhile, I was beginning to have some low back cramping, which was steadily worsening.

We repeated the sonogram a couple hours later. It showed that the placenta was separating more. The clot was larger. The active bleeding continued.

We began to prep for a C- section. (The placenta was still partway over my cervix). A shave prep as not necessary- I'm one of those grooming obsessed girls... hehe A foley catheter was placed.

We made a few more phone calls to arrange for special treament Another coworker and friend who has a lot of NICU experience was called in to be there in case the baby needed her. My own pediatrician was called in, and agreed to come, even though she was not on call. One of the midwives we work with who is also a surgical first assist was called and agreed to come in and be the surgical assistant.

My doctor let me know that she would prefer that this could be done at the higher level hospital with the NICU, but that we had to do what we had to do. She tried to prepare me for the fact that most likely, my 34 week plus 5 day little boy would have to be shipped to the NICU.

I was managing to stay very calm thus far. I felt good about the people we had here. I was nervous, but I knew that we didn't really have another choice at this point.

We got over to the OR and the anesthesiologist placed my spinal. He did a lovely job. I felt the pick and burn of the lidocaine, and then felt as though he was applying pressure to my back. There was no pain of a pick or anything that felt remotely sharp as he placed the spinal. Within a few moments, I began to feel my feet getting tingly. I wasn't sure if he had finished yet, or if I was just tingly from being nervous. In fact, he was all done, and they got me positioned on the table.

My coworkers set up the warmer for the baby just adjacent to the head of the OR table, so I would be able to see what was going on. I began to feel my legs getting warm and heavy feeling. The OR nurse applied the pneumatic teds to my legs and got them going. My doctor and the assisting midwife began to drape and prep me for the surgery. When my doctor did the initial tests to see if I was numb, I was still able to feel the sharp pick of the testing device, so they waited a few more minutes.

My husband was brought in to sit at the top of the operating table. I had his hand in a death grip. In what seemed like no time at all, I could tell that the surgery had begun. I was draped so that I couldnít see anything but a blue drape in front of my face. If I looked up, I could see my IV dripping in. If I looked to my right, I could see my husband, and the baby warmer, with the staff standing by, waiting for the baby.

My arms were secured to the arm boards on the table, extended to my sides. Intermittently, the blood pressure cuff would inflate on my left arm. I could hear my doctor and the midwife talking as they worked on opening the initial abdominal layers.
About at this point, it hit me like a ton of bricks that my baby was going to be here momentarily, and that I had no idea of how well he would do, or if he would be able to breathe on his own, or anything. I began to- well, pretty much to freak out. The anesthesiologist became concerned that my spinal wasnít working, and asked me if I was feeling the surgery. No, I assured him. I was just worried about my baby.

When my doctor got into the uterine cavity, she found that the placenta was not in an anterior position, as had been shown on the numerous sonograms that had been done. In fact, it was right there, and her hand perforated part of it. She began trying to get to the baby, but was having difficulty, due to the fact that the placenta was in the way, there was now copious bleeding from the perforation, and his small size.

My freak out ended abruptly. Did you know that you can be too scared to freak out?

I could feel my doctor repeatedly reaching into my abdominal cavity trying to get the baby. It felt as though she was inside me up to her shoulders. Strangely enough this was not a painful feeling, but just the movement and pressure of her working that I was cognizant of. Meanwhile, the midwifeís hands were applying pressure from the outside and above to try and push the baby down to her.

It felt like it lasted for a lifetime, but was only moments.

My husband let me know that the baby was out. I could hear my doctor and the midwife talking as though on another plane of reality about a defect in the posterior uterine wall, and checking to see if there was damage to the bladder, and looking for all the parts of the placenta and controlling the bleeding. I asked my husband to move the drape aside so that I could see over to the warmer more easily.

It seemed as though the whole world was silent. I could see a tiny form on the warmer, and my coworkers hands drying him, and palpating his cord for a pulse and listening to his lungs and heart.

And then- the best sound ever- a tiny little hoarse sad shaky baby cry.

He was ok. He didnít require any intervention whatsoever. His Apgars were 9 and 9. They got him dried off and wrapped up and he was able to come over and see me for a moment. Then he was taken back to the OB department for continued monitoring and to stay warm (itís cold in the OR). My husband left to go and be with him.

His time of birth was 7:11 am. He weighed 4 pounds 8 ounces (I think I said 4-11 previously, but I was mixing up the time of birth and his weight), and was 18 inches long. He has the sweetest pale blond hair.

Now I laid there, listening to my doctor and midwife working to put me back together.

They asked me if I was sure I still wanted my tubal ligation. Um. Hell to the yes.

It was probably a half hour or 40 minutes of me lying there while they worked to close up. I began to have the most intense pain in my shoulders which I assumed was due to the tension of the night and the morning coming to a head. It was difficult to get comfortable, since I was unable to move. My coworkers came over to check on me several times during the closing, and to give me updates on how the baby was doing- which were all good.

Finally, the drape came down, they evacuated my uterus of blood and clots and moved me to the bed that I would go to recovery and back to the OB department in. My doctor took a moment to tell me that I was a real pain in the buttÖ hehe I had given her a heart attack and I had lost about 1200 ccís of blood. I should prepare to feel weak and tired for a little while. She let me know she was going to check my hemoglobin and hematocrit every 6 hours for a while to keep an eye on it. She was wracking her brain trying to figure out why all of my sonograms had shown a posterior placenta when in fact it had been anterior when she got in there. She even went down to review the sonograms, and was assured that they did all show a posterior placenta. We decided to chalk it up to a medical mystery.

It is such a strange sensation to have no feeling or movement in your legs. It felt like my legs were in an uncomfortable apart position, but in fact, they were very neatly placed straight out and together. At one point, when they were clearing my uterus of blood and clots, the nurse and my doctor were holding my legs up in a bent position. That was REALLY weird, to look down and see them holding my lifeless legs and have no sensation of it whatsoever.

Once I got into recovery and got settled in, my coworkers brought the baby in to me, so I could snuggle him. He was so tiny and sweet and perfect. My husband came in to see us. The baby was pretty sleepy and I was still not able to move my legs at all. The pain in my shoulders was becoming more intense. I decided to hold off on nursing him just yet, so that I could do it when I felt like Iíd have a better chance of being successful.

They kept me in recovery long enough to give me some fluid replacement to make up for the loss of blood volume. They got me hooked up to my PCA for pain relief, and after an hour and a half or so in recovery, I was able to be brought back to the OB unit. I was still not able to move my legs. I could twitch my toes though! I was able to keep the baby with me for most of the time I was there. They came and took him back about 10 minutes before I was brought back.

The baby was being monitored on a warmer, to be sure he maintained his temperature and his heartbeat and respirations. My coworker who had been called in at 4 am to take care of me had gone home, since she had to come back for night shift. Another coworker took over my care. She brought the warmer the baby was on into my room so that we could be together.

I was feeling very weak, as my doctor had predicted, and I was beginning to have uterine cramping. The pain in my shoulders was the most intense pain that I was feeling though. It would have to be described as excruciating. A similar pain was beginning to manifest itself around my ribs. It began to occur to me that while tension may have had something to do with the shoulder discomfort, it was more likely due to air and blood and fluid trapped in my abdominal cavity during the surgery, due to the difficult delivery of the baby and the excessive bleeding.

The morphine PCA was not touching my pain, but I kept pushing the button like some kind of crack fiend, hoping it would help some.

The baby was doing well. He was wrapped up and brought over to me again. I put him to breast and he began to nurse like he knew it was his job. It was such a relief to me to know that he would be able to nurse.

My nurses called my doctor to get me some better pain management. I ended up adding Vicodin to the morphine PCA. That also didnít nearly begin to manage the pain, but it did take the edge off. When my friend came back in for night shift, she got me some Toradol ordered and some IV Demerol. So, for the next 24 hours, I was in a haze of Vicodin every 4 hours, Demerol every 4 hours (alternating with the Vicodin), and Toradol every 12 hours. Even this combination wasnít able to make me comfortable. The shoulder pain was really, REALLY bad.

Finally, on my 2nd post op day, the shoulder and rib pain lessened. I was able to get my IV out and am now just using Vicodin every 4 hours or so for incisional pain and uterine cramping.

Baby Luke continues to do well. My milk came in at around 48 hours post partum. Luke has nursed ad lib since birth. He hasnít gone for a longer than 3 hour stretch without nursing, which I think helped to get my milk in quickly. (Although my milk has come in relatively quickly with all of my babies. But I am a big believer in ad lib nursing. Babies donít ever have to wait for boobies, in my world.)

Lukeís weight has gone down, as expected. Last night he was down to 3 pounds 15 ounces. I am hoping against hope that he gains just a little tonight, because that is the marker that will impact most whether I get to take him home tomorrow.

So, that is Luke's birth story. If you made it this far, you deserve some kind of medal.

One of my coworkers was going to photograph the delivery for me, but she decided it might not be a good idea when the events began to unfold. (She is the NICU nurse and wanted to be ready at the warmer, plus, she didn't think it was shaping up to be much o a kodak moment. hehe). She did take photos once the baby was on the warmer. I'll post them below.
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  #2  
June 12th, 2009, 06:38 PM
photophreak's Avatar Mega Super Mommy
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Just being placed on the warmer and stimulated to cry


Getting listened to










"I want my mom"




Getting ready to come see me


Back in the OB department


Sorry for the censored buttons. i don't like baby bits on the WWW.
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  #3  
June 12th, 2009, 06:57 PM
jen44's Avatar Mega Super Mommy
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Oh wow, what a birth story! I'm so glad that everything went so smooth considering the situation that you were in! He is super cute
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  #4  
June 12th, 2009, 07:05 PM
.adi.
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WOW. What a scary ordeal! Not just for the baby but seriously, YOU! i'm glad they got him out in time and were able to keep you from bleeding too much more. that's alot of blood... He's gorgeous!
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  #5  
June 12th, 2009, 07:07 PM
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Wow! What a story. I am so happy you had such talented and trusted people around you for your delivery. I am glad everyone is doing so well!
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  #6  
June 12th, 2009, 07:16 PM
soImarriedAnerd's Avatar Platinum Supermommy
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May I say how SO MUCH cooler it is to read the birth stories of nurses! The details were amazing I felt like I was right there with you. and it sounded scary as he1l. Glad it all turned out alright and you and your little guy are doing good.
And WOW can you handle the drugs! LOL that combo AND blood loss--- on me would have been including Narcan!! LOL Glad those shoulders/ribs are feeling better as well!
Istn't it GREAT being able to pick your team! Glad everyone you wanted was there--I'm sure that helped a ton.

CONGRATS AGAIN! And he is SO cute! I love the picture with his ear laying side ways---is it still like that or did it pop back?
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  #7  
June 12th, 2009, 07:29 PM
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oh congrats to you!!! he is simply adorable and I love the pics!!!
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  #8  
June 12th, 2009, 07:57 PM
photophreak's Avatar Mega Super Mommy
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Angela, I know with the drugs! I don't have much of a tolerance, but it is crazy that they didn't touch me. My doctor came in and said that I could do whatever I wanted, but I better not stop breathing. (Not that I wanted all that. I can't even descrie the pain effectively, I don't think. Let me tell you that right now, my burning incisional pain and 4th baby uterine cramping feel GOOD compared to it)

His poor little ear was bent right down in half. A couple nights with his hat holding it where it belongs has gotten it so that it stays now. hehe The poor little guy was basically in a dry amniotic sac. I'm lucky he came out cute at all!
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  #9  
June 12th, 2009, 08:03 PM
~LaurenNoel~'s Avatar Platinum Supermommy
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What an amazing story! I am so happy you are both doing well. He's very handsome.
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  #10  
June 12th, 2009, 10:38 PM
AndreaRenee's Avatar raising boys...
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im glad you shared this.. it was really interesting and he is soooooooooooo adorable!!
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  #11  
June 13th, 2009, 04:02 AM
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WOW girl.. what an amazing story... I remember i was on demeral Then the epi,,, YES it scary you can't feel your body at all,, & I remember i to was on morphine,,, & man ever 15 minutes was NOT quick enough they kept getting mad at me for pushing the button to soon

I'm just glad you are both ok!!!!
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  #12  
June 13th, 2009, 08:13 AM
Jade27's Avatar Mega Super Mommy
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What an amazing story. I'm so glad you took the time to share it.
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  #13  
June 13th, 2009, 08:59 AM
MamaRN's Avatar Platinum Supermommy
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Great (albeit scary!) birth story!

Sooo written like a nurse!
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  #14  
June 14th, 2009, 09:49 PM
DawnN's Avatar Mega Super Mommy
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Goodness, what a scary birth story! But so thankful that he is doing well and that you are alright too. He's a cutie!
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  #15  
June 14th, 2009, 09:54 PM
Martina's Avatar Mega Super Mommy
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congrats, he is sooo cute
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  #16  
June 18th, 2009, 06:15 AM
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Wow, what a story!! I'm glad all turned out ok in the end. CONGRATS!!
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  #17  
July 4th, 2009, 11:32 AM
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Omg, I am so sorry you had to go through all this. Congratulations on your beautiful baby.
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  #18  
July 14th, 2009, 12:44 AM
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Yikes! What a birth story! I am so glad everything turned out so well for you both in the end! And that ear is adorable!!
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  #19  
July 15th, 2009, 06:23 AM
New_England_Girl's Avatar Platinum Supermommy
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Congrats, he's soooo beautiful! Those pictures are awesome.
Thanks for sharing your story! I'm so glad everything turned out so perfectly even with the scary complications!
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Hi, I'm Sara. I used to post here a lot when I was having the kids, but life got busy and it's been years since I was around. Now I'm back, and happy to be here.

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