Metadata: f / 3.8, 1/20 sec, ISO 400
Every time I look at this photo, I smile. My, oh my, have we been taught this lesson over and over again in our lives together... but let me share with you the happenings of this week to keep 'ya up to date. :o)
Two Fridays ago (March 1), we set our date for surgery in order to welcome our baby girl in the world. April 26! We were excited, but realized we were really very nervous of being parents of two. Were we ready? Did we have everything we needed? What could we do to prepare more? Did we need more clothes / diapers / bottles? How would we know we were ready...
We were celebrating the fact that we had been pregnant for 31 weeks! We had completed the week when
Lucas was born prematurely and were continuing our journey on our normal pregnancy path. There may not have been streamers or balloons, but we celebrated every morning we woke up still pregnant. Our doctor asked to see us each week since this was uncharted territory for us. Everything was normal and she assured us that we shouldn't expect anything to change, but just to be safe...
Thursday, March 7, I went down to the school nurse to have her check my blood pressure. I'd been a bit more swollen than normal (NOTHING compared to the first pregnancy) and I had promised Korey that if I was ever feeling weird during the day I'd have someone check out my blood pressure. Thinking nothing except I needed to relax a bit, the nurse read my stats back to me: 187/107... whaaat?
I went to my boss and asked if I could rest during my next class period: she told me to go home. A bit nervous at the high pressure and knowing that this was sign numero uno of
Preeclampsia (what caused the premature birth of our first kiddo), I called my doctor to let her know what was happening. The office was closed for lunch, so instead of driving home (where I wouldn't be able to relax until they were open), I drove downtown to the office to have someone double check the numbers. The doctor that was there took one look at the numbers and sent me across the street to the hospital. She said, "they'll be able to get labs back faster than we will... just to be sure."
So I called Korey, parked in the hospital parking lot, and checked in on the maternity floor. "Luckily", we had just registered the day before for our April C-Section, so all of my information and medical records were in the system from the doctor's office. Within an hour I was hooked up to fetal monitors, blood pressure cuffs, and had blood drawn. Korey met me in triage and we chuckled thinking of how out of place this whole process was. The doctor on call (part of the practice I saw) told me to be safe we would do a 24 hour urine and readjust from there. With the help of friends and family, we found somewhere for Lucas to rest for the night, had plans set up for the weekend, and spent a "relaxing" night in the antepartum ward of the hospital. Since our "regular" appointment was the next day, we were also sent for an ultrasound, only our second view of our little angel since we'd been pregnant. All in all, it was a pretty fun day.
Fast forward to Friday night, Dr. Yu (the doctor who had sent me to the hospital in the first place) came into my room, sat down on the couch next to my bed, and let me have it straight. To qualify as mildly preeclamptic, a woman would have 0.3 grams of protein in her urine. To be severely preeclamptic, she has 0.4 grams. Mine... had 1.3 grams of protein in it. In addition, baby girl was in the 2nd percentile for growth, which meant that my condition was preventing her from growing any more. Those two conditions meant that we had *potentially* days before we'd have a repeat of our first pregnancy: she needed to be delivered first thing Saturday morning.
It's hard to describe the feeling of that realization. But the timing is what hit me the hardest. I wasn't ready: I had prepared myself for at least 4 more weeks of pregnancy. I had planned out maternity leave and lessons for my students. I hadn't prepared my mind for a C-Section. I hadn't fully thought about what it meant to be a mom of two. This wasn't what I had planned - it wasn't time yet.
But my heart was relieved that all of this had transpired and that I was safe and sound in a hospital, with professionals that could take care of me, keep me from seizing, and deliver my little girl into the world with as little complications as possible. My time didn't matter... this was way out of my hands now.
I started a round of magnesium to prevent my body from seizing (the latter stages of eclampisa, which is where I was with Lucas, involves seizures, multiple system failure, heart failure, etc). I went through pre-op for my C-Section, met the attending doctor and the nurses, and heard about all of the things that could go wrong. My attending doctor was unreal: I had never met her before, but she knew everything about me, how to talk me off the ceiling, what I needed to hear, and answered every question I couldn't have thought to ask.
At 9:28 on Saturday, March 9 we welcomed Amelia Grace into the world: 3 pounds, 2 ounces, 16.5 inches long... and she cried as any newborn would have. Her lungs were well developed. Her coloring was perfect. Everything couldn't have been timed better. ...it's a good thing I'm not in charge of timing :)
I came home after 7 days in the hospital adjusting blood pressure meds (common with preeclamptic women post-partum). Amelia will spend the next few weeks growing in the NICU... and she is making HUGE gains every day. For instance, she had her central line taken out within a week, she's breathing room air, and she took her first feeding from a bottle this morning... at a week old. It's hard to describe to the nurses that the scary part for us is behind us: the C-Section and preeclampsia were the hardest for us to work through.
And now we wait for our sweet girl to put on some weight and maintain her own body temperature. Once she's in an open bassinet and able to feed on her own (without her tube) we will be on our way to going home. All of the NICU jargon is coming back to us, we've adjusted to the schedule again, and we're beyond grateful for the amazing nurses that take care of our precious daughter 24/7.
She may not have come on our time. And she hasn't come home on our time. But our time means nothing: a lesson I hope my children learn after their times spent in the NICU.
For You formed my inward parts;
You knitted me together in my mother's womb.
I praise You, for I am fearfully and wonderfully made.
Wonderful are Your works;
my soul knows it very well...
Your eyes saw my unformed substance;
in Your book were written, every one of them,
the days that were formed for me,
when as yet there were none of them.
- Psalm 139: 13, 16