The Birth Story: Part 4

Here is the final installment of the birth story.  Here is Part 1, Part 2 and Part 3.  

We left off with my sweet babies doing skin to skin with me in my recovery room.  I was so incredibly exhausted and had a very difficult time staying awake.  Eventually our babies were taken to the NICU.  It's standard protocol to have any babies born before 37 weeks taken to the NICU for monitoring.  

It turned out that our babies were healthy!  They had no breathing issues or other health concerns.  They would just stay in the NICU while I recovered and to make sure they gained weight.  Some babies who are born early have trouble latching and sucking while breastfeeding, so it was important to make sure they could do both before they came home with us.  

Since they were so healthy, the NICU nurses made an exception for us- they would bring the babies to my recovery room to visit me every so often for the next few days.  These next few days were a big blur.  I was still recovering from preeclampsia and ended up with some pretty serious complications.  

My kidneys stopped working properly and I went into acute kidney failure.  My liver wasn't working properly either.  I had to have blood drawn every 4 hours to monitor my liver and kidney function.  At one point, the doctors said I would have to be sent to the ICU if my body didn't whip itself back into shape.  

All I really remember about these few days is being completely and utterly exhausted.  The nurses kept telling me to get some sleep, but it was hard to when I was stuck with needles every 4 hours.  I also had all kinds of doctors coming in to check on me.  I have no recollection of anything they said to me.  I just remember trying to keep my eyes open as they were speaking to me.  

The one doctor that sticks out in my mind was the pediatric cardiologist.  If you remember back to this post, a fetal echocardiogram revealed our son had an Atrial Septal Aneurysm.  It was recommended that our son have an echocardiogram once he was born to check on things.  It turned out that it had completely resolved itself all on its own!  That meant Archer's heart was perfectly normal and healthy.  So when Dr. Drake came into my room and woke me up to tell me about this wonderful news, it stuck with me.  I was so incredibly relieved!  

In addition to all the blood draws and doctor visits, I was also supposed to be pumping every 4 hours to get my milk supply up.  So I also had lactation specialists in and out of my room.  Adam is the only reason I am able to breastfeed my babies today.  If it had been up to me, I would have just slept through the pumping.  Adam would wake me up, get all the pump parts assembled and get the pump going.  Sometimes he even held the parts up to my boobs for me.  For the first few days all I would end up with was a tiny bit of colostrum that Adam would swab up with a cotton swab.  He would then take it to the babies in the NICU and stick it in their mouths.  I remember thinking "what the heck is the point of all this for a measly drop or two of breast milk?"  But I was too tired to argue.  I am so glad he made sure I pumped.  After a very long while (days) eventually my milk did come in.  But it wouldn't have if Adam hadn't gotten the ball rolling.    

I can't say enough about how amazing Adam was during that rough time for me!  He took care of me and was at the NICU for the babies' care times.  He communicated to our parents.  He even would go home and take Jazzy on runs some nights.  He was my rock and stepped up in the most wonderful way.  Even though my mind was a bit fuzzy during this time, I knew just how lucky I was that Adam was my husband and Archer, Lyla and Jazzy's daddy.  

If you'll recall, I delivered the babies on Thursday, August 3rd.  I stayed in bed all that evening and the following day and evening.  Friday evening was terrible!  I had the most awful groin pain.  The nurses were a bit puzzled by it, since people don't usually experience that.  They decided it was from the weight I had been carrying around and staying in the same position for so long.  I cried from the pain and was just miserable.  

Typically, you are supposed to get up and move around after a c-section sooner rather than later.  But due to all my health complications, I stayed in bed for far too long.  When I eventually got out of bed, it was Saturday.  It was the most pain I had ever felt in my life.  I cried and moaned and wanted to just get back in bed.  But the nurse who made me get up turned out to be the best nurse during my whole stay.  She got my pain medicine changed to help with the groin pain and the c-section pain.  She got me up and moving around.  She helped me get to and from the toilet.  She wheeled me down to see my babies in the NICU.  And she did all these things with such kindness and encouragement.

My recovery was such a humbling experience.  I have never had to rely on so many people to help me do the most basic things.  There were so many sweet nurses, along with Adam and my mom to help me out.  I'm talking some embarrassing stuff too!  Things like helping me go the bathroom and taking a shower.  I remember sitting on the shower chair with Adam gently washing my hair for me because it hurt my stomach too much to stretch my arms up and thinking if this isn't love I don't know what is.  

Eventually I had to start walking again.  I would walk what felt like forever, but in reality was probably just a few feet towards the NICU.  Then someone would push me in a wheelchair the rest of the way.  There was this one seam on the floor on the way that I hated!  It would kill my stomach each time I was wheeled across it.  That soon became my goal to walk to so I wouldn't have to be wheeled over it.  

  

I continued to recover and eventually my kidneys and liver started to get better.  I was finally released on Tuesday, August 8th.  However, I didn't go home.  I went to the NICU to stay with my babies.  The NICU was a whole other experience, which I'll share all about in another post.  

I am so glad I had no idea how my labor, delivery and recovery would turn out.  It was long, scary, stressful and painful.  I knew it wouldn't be a walk in the park, but I had no idea it would be that rough.  Despite it all, it ended up being worth it.  I have two beautiful, healthy babies.  (One whose lungs work quite well.)   

The Birth Story: Part 3

Here is the third installment of the birth story.  If you'd like to catch up, here's Part 1 and Part 2.  

While I didn't plan on a c-section and was pretty terrified about the thought of being sliced open, I was very ready to meet my babies.  Once the decision was made to move forward with a c-section, everything seemed to move very quickly.  Two anesthesiologists started explaining what would happen once we were in the operating room.  I didn't really listen to what they were saying.  I just started to get very, very scared.  I started shaking because I was so scared.  I remember trying to calm myself down and just focus on the fact that I would get to meet my babies soon.  

I was wheeled into the operating room.  Adam couldn't come with me.  He had to go get suited up and would later rejoin me when things were set up in the operating room.  When I got to the operating room, I was baffled by all of the people in there!  There were two anesthesiologists, two doctors, nurses for me, neonatologists and nurses for the babies.  I heard all kinds of conversations and I remember thinking that everyone seemed a little too calm.  They were talking about their weekend plans and what their kids were up to.  I was moved onto the operating table and they set up a drape so I wouldn't have to see anything.  I was just shaking violently and trying not to burst into tears.  Eventually one of the anesthesiologists realized how terrified I was and told me that everything was going to be okay.  He told me they would make sure I couldn't feel anything before they got started.

Adam joined me at this point and I was so happy to see him.  Having him by my side made things better.  

I assumed they would let me know before they got started, but I started feeling tugging going on in my belly.  It was the strangest feeling!  It didn't hurt but I totally felt pulling and tugging.  I heard on of the doctors say that Baby A was caught in my hip, which explained why I never dilated past 8 cm.  Archer (aka Baby A) was stuck and couldn't move down the birth canal and was also blocking the path for Lyla.  

They told Adam to stand up and watch his baby being born.  I think I would have passed out if I had had to watch them yank a baby out of my stomach, but Adam managed to stay standing.  I heard lots of commotion as they pulled out Archer.  I heard him cry and they held him up for a moment.  Then he was whisked away by the neonatologist and nurses to another part of the operating room to get checked out.  

A minute later they pulled out Lyla.  I heard her cry too and saw a glimpse of her.  I remember Adam asking me if I wanted him to stay with me or go to the babies and I told him to go with the babies.  

I was so incredibly happy to hear them crying!  I started crying and remember my glasses getting all steamed up and stuck to my eyelashes and I couldn't push them down my nose because my arms were out to my side.  Adam came back to check on me and tell me the babies were doing well.   

Eventually Archer and Lyla were brought over so I could see them and kiss them.  They were beautiful!  The most prominent feeling I had was shock.  I was just plain shocked that these babies I had imagined and grown in my belly all these months were actually here!  And they seemed so big and healthy!  Archer weighed 6 pounds, 4 ounces and Lyla weighed 5 pounds, 12 ounces.  I felt so incredibly relieved that they were so big and were crying and didn't have any major health issues.  

I was being closed up while all this was going on and eventually I was taken to another room for recovery.  Adam and I had talked about how I wanted to do skin to skin with the babies as long as everything went well with the delivery.  Adam had to advocate for us and really fight to have the babies do skin to skin with me.  I am so happy he did so!  Both Archer and Lyla were able to latch on and nurse with me before they were taken to the NICU.

It was such a wonderful moment, but I was so tired I had a hard time keeping my eyes open!  A combination of being awake for so long, a long labor and all the medications made me really sleepy.  But I was so relieved that they were here and healthy!

Our babies were born at 35 weeks, 6 days and 21 hours.  They ended up being taken to the NICU and spent 15 days in the NICU as grower-feeders.  I had successfully given birth to two healthy babies!  My health, however, was in question.  I'll share more about that in the fourth and final installment of the birth story.  

The Birth Story: Part 2

So when we left off, I had just gotten my epidural.  If you want to catch up on the birth story, here's Part 1. 

I forgot to mention a few things in Part 1.  Before I got my epidural, I was also catheterized.  I didn't expect that to hurt as much as it did.  It was pretty terrible!  I'm not sure if the nurse who put it in didn't do a good job or if that's just how it goes, but it was incredibly uncomfortable.  It continued to be uncomfortable after it was in.  That was another reason I was all on board to get an epidural.  

I also had an oxygen monitor put on my toe.  And since my legs were so swollen, there were some pressure things that were wrapped around my calves.  They would get tight every few minutes and help stimulate my blood flow to prevent blood clots.  Oh, and a blood pressure cuff that would go off every 30 minutes.  So I had an iv in my arm, a blood pressure cuff on the other arm, leads stuck on my chest to monitor my heart rate, two heart rate monitors on my belly to monitor the babies' heart rates, a catheter, leg pressure things on both of my legs, and an oxygen monitor on my toe.  I couldn't move at all, which was incredibly uncomfortable.  I was used to switching up my position every ten minutes or so, but now I was stuck on my back for hours.  

Remember how I talked about how I was given magnesium because of my preeclampsia?  Well, one of the charming side effects is making you feel incredibly hot.  The nurses had warned me of this side effect and I didn't think too much about it.  But it was terrible!  It made me feel like my insides were boiling!  I have never felt so hot in all my life.  I was also on restricted fluid intake, so I was only able to have a measly half cup of ice chips every few hours.  It was miserable to be so hot and not able to have water or ice.  My throat would get so dry!  I would try to ration my ice chips, but I was so darn thirsty when I finally got my new batch that I would gobble it all down at once!  

Finally a nurse asked me if I wanted some washcloths soaked in ice water to put on my head.  Adam and my mom had been putting washcloths with cold water from the sink on me, but it felt like the washcloths had been soaked in hot water instead.  The ice water-soaked washcloths did help, but they only felt cold for the first few minutes they were on me.  I also figured out that I could suck some water out of the washcloths.  I'm sure I was jeopardizing my health by sucking up more water than I was supposed to, but I was so incredibly thirsty and my throat was so dry I could barely breathe or swallow.  I kept asking people to get the washcloths wet again so I could suck out more water until they caught on.  I looked really pretty at this point.  See below for proof.    

Around 6:15 in the morning on August 3, I was put on Pitocin.  Pitocin helps your contractions get stronger and closer together.  At this point I was dilated to 2.5 centimeters.  

My contractions were definitely getting closer together and they looked stronger on the monitor, but thanks to the epidural I couldn't really feel them.  Even though my contractions were improving, they still weren't really consistent.  The reason was because of the magnesium.  Basically, the Pitocin and the magnesium were working against each other.  While Pitocin works to move labor along, magnesium works to slow or stop contractions.  So the nurses kept cranking up the Pitocin, but the magnesium prevented it from working as well as it would have on its own.

Right around this time, my blood work showed that my blood sugar level was high.  Because of this, I was put on an insulin drip.  What's some more medicine being pumped into my body?  

I was checked several more times and at 10am was dilated to 8cm and was 85%-95% effaced.  The OB on call was pretty excited by this and said that I would probably have my babies by late morning or early afternoon!  I was very excited by this news!

However, late morning turned into early afternoon.  And then early afternoon turned into late afternoon.  Then late afternoon turned into early evening and still no babies.  I never dilated past 8cm.  And my contractions started petering out.  I honestly don't remember a lot about this day.  I had so many drugs running through my body and just remember being super tired and very uncomfortable because I couldn't move around.  I was still super thirsty and hot.  I was so ready to be done!  

Eventually, the OB on call decided to stop the Pitocin for an hour and give me a break.  The thinking behind it was that my body could rest and then give it another try.  My OB had told the on call OB how much I wanted a vaginal delivery.  So the on call OB gave me every opportunity to make that happen.  I definitely appreciated how patient the on call OB was with me.  

During my break, a nurse named Julie asked me if I wanted a popsicle.  I hadn't had anything to eat since the previous evening and just a measly amount of ice chips every few hours, so a popsicle sounded like a four course meal!  I will remember Julie and that popsicle for the rest of my life!  It was the most delicious thing I've ever eaten in all my life!  Even though I was still exhausted and kinda fuzzy from all the medications being pumped through my body, I remember thinking it was quite the coincidence that I was having twins while eating a twin pop.  My mom later told me I had asked Julie if I got to have both sides of the twin pop and that I was beside myself when she said yes.  

After my break, they restarted the Pitocin.  They cranked it up and my contractions did get closer together.  Unfortunately, I still hadn't dilated past 8 cm.  At this point, the on call OB told me I needed to start considering a c-section.  By this point I was so incredibly tired and just plain ready to be done with the whole labor and delivery.  So I agreed it was the best thing to do at this point.  

I'll save the c-section for the next part!