Friday, December 25, 2009
Very long time, no post...
Sunday, September 20, 2009
The hard yards
Sorry it's been so long since the last post. Abbigail was discharged on the friday after her surgery. We had to starve her for 5 hours before the surgery, which went well, and had the expected result. She was very dopy but still rather sore straight after surgery, and then only had a little feed off Sarah, and then struggled to get any kind of routine going straight after the surgery. That night was not fun. She woke every hour of so, and would only drink a little bit each time. But friday was better, she finally had a good feed in the afternoon, and they decided to discharge her at that point. She wasn't really happy that night, but Saturday was a great day, she slept and fed well, until the night which again wasn't one of her best, and then Sunday we struggled through. She was increasingly agitated and was very grizzly. She didn't eat well, and we had a really nasty night with her. Then on monday she just refused to drink. Sarah couldn't get her to take anything off her, and she would scream whenever Sarah put her to the breast. I came home from lunch and essentially tried my whole lunch break to get her to eat. Nothing doing! We luckily had our first appointment with her pediatrician that afternoon, so I took time off for it to be there with Sarah. And just as well too. She was inconsolable. She litterally cried the whole hour that we were there. Did I say cry - I meant SCREAMED. I had to take her out of the consultation room for at least half of the appointment so that Sarah and the pediatrician could talk. The pediatrician was great. He was very concerned for her, and one of the things we wish had been done differently with the surgery was that she was weighed immediately before the surgery, but not immediately afterwards. So with all her weight gaining issues we were now completely in the dark as to exactly how much weight she had lost since the operation. She weighed 4.0 kg (I think) immediately before the surgery, and then four days later she weighed 4.8kg because of the cast she was wearing. And we had no idea how much weight she had lost. We know she lost weight because she drank very little, and also she was starting to be able to wriggle around in her cast. We could litterally slide our hands down the front of her cast! So he decided that she needed to be admitted to the children's ward again to be monitored and fed nasogastrically if need be. We got there at about 5pm, and at about 8pm we saw an intern doctor who basically took a history (do interns do anything else?) and then we were left to continue to try to feed her - she refused the breast point blank, and we had to resort to using a dummy to quiet her and soothe her, and then switch it for the bottle - she took some but very little. Over the next day we continued to struggle to get her to drink, and she continued to loose weight. So they eventually tubed her and this allowed us to attempt to breastfeed her and top her up as needed. Which was quite frequently. She has been put on omeprazole 5mg twice daily, and they have stopped the ranitidine, as the pediatrician suspected that it may actually have made her reflux worse. She is on daily weighs, and has had two days where she hasn't put on weight, but also hasn't lost weight. There is little more we can do other than struggle through, but they are going to do some investigation on monday to see what more they can find. They may do a gastroscopy (camera down to stomach) and may biopsy the lining of the osophagus to check for issues. So she is spilling a lot less, but still screams when sarah tries to feed her from the breast a lot. Sarah is struggling with this a great deal, and understandably. we are greatful that she is able to express and keep up with Abbigails needs that way. She doesn't just cry, but screams like she is in pain.
Hopefully we will find out more information with the new week that will help us to get to the bottom of the issue.
Abe
Thursday, September 10, 2009
Surgery in 2 hours...
I can't believe what has happened in the last 24 hours...
Let me begin the story last week...
Abbigail had an appointment at the hospital last Thursday to have her Hip joints ultrasounded as a routine check to make sure that she didn't have a congenital hip defect that her cousin had. We had previously had 2 paediatricians, 1 orthopaedic surgeon, 1 GP, 1 nurse and 1 Midwife look at her hips and say that they felt she was fine as there was no audible click on performing the usual tests on her hips. So we thought everything was fine...
At the hospital the ultrasonographer had no problem doing the right hip, and that was fine. So they moved on to the left hip, and had trouble getting a clear picture because Abbigail was quite upset and squirming so much. The ultrasonographer got a little annoyed and got peed on for her trouble. (Haha! Serves you right for hurting my daughter!) After waiting an hour for the orthopedic doctor to see her, the call was made to give her a brace to ensure her hips were in the proper place. After searching for a brace her size they came up empty handed and so Sarah was told to bring her back next week when a brace would be available, and they would try to do the scan again.
So fast forward to yesterday... The head orthopedic surgeon was present to inspect Abbigail's hips. He immediately diagnosed a dislocating hip due to a really shallow hip socket, and a tendon that was too short that would continually pull the ball out of the socket when attempts were made to relocate it into the joint. Apparently it is possible for a joint to be fine at birth and slowly degenerate over the first couple of months. Apparently the only option is to operate. And so she has been scheduled for surgery today!!! She is on the emergency list, so we are hoping and praying that she doesn't get bumped by something more serious. We are currently starving her so that she can have the general anaesthetic, she is currently an hour overdue for her feed, and she is currently handling things, but we know all hell is about to be unleashed as she has at least another two hours to wait before her surgery.
After her surgery she will need to be in a CAST for 18 WEEKS!!! That is longer than she has been alive! The cast will start at her armpits and finish at her ankles, it cannot be removed. There is an opening for her bottom and vagina for obvious reasons, but that is all. No showers or baths will be possible, and somehow we have to prevent poos and wees getting inside her cast. She is going to be 7 months old before we will be able to cuddle her unimpeded by her cast. 18 weeks of time between now and when we will be able to look at her without her cast on.
Of course this may explain some of the incessant screaming that she has had over the last month or so, as it can't possibly be comfortable - the doctors say it's not painful and demonstrated the dislocation without Abbigail reacting painfully. But seriously! How could it not be at least a little uncomfortable!
I particularly feel really bad. Since she was born I have had a number of times where I've gotten so frustrated with her for crying for "no reason", and there were no real reasons obvious at the time, but I still feel like an incredibly selfish and impatient father for being angry with her. She couldn't tell me what was wrong, and we couldn't have known. Her tears are not for no reason, and now we understand what she has been trying frantically to tell us for goodness knows how long.
So in several hours we will have a cast Baby girl, that will no doubt be in serious pain, and will be frantically desperate to be fed once the surgery is over!
I'll post by phone with updates as I can.
Thanks in advance for thoughts and prayers,
Abe
Friday, September 4, 2009
Long time ... no post...
Abbigail will be 11 weeks old next Tuesday. That statement by itself is fairly amazing! But there have been trials along the way. The regular day to day of feeding, changing nappies and sleeping are just par for the course now - those aren't trials. Silent reflux, hip dysplasia, spilling milk and poor weight gain are our most recent trials. We realised after starting to treat the reflux that Abbigail actually spent most of her awake time crying. It's funny how when something that's abnormal happens all the time, it becomes the normal. It was kind of summed up well by an incident that occurred after the reflux started to be treated on Tuesday. Sarah needed something from Abbigail's room, and thought she was asleep because all was quiet, so she walked in and discovered Abbigail staring back at her from her cot! A quiet baby has been a foreign concept to us! On Thursday Abbigail had an appointment to have an ultrasound scan of her hips to check they are fine. We both thought it would be a formality, but Abbigail screamed blue urder the whole time, and after several atempts they decided that her left hip isn't properly positioned and that she needs a hip brace to ensure they stay in the right place for some undetermined period of time. So they proceeded to try to fit her to a brace, only to discover that there were none her size, so she has to go back next week to be fitted appropriately and have another scan to try to get a better picture of what is going on for her. On Monday we had the plunket nurse come and visit to weigh Abbigail and check on her progress. Apparently she had only put on 50g in the previous 11 days since the last weigh. Since then practically every feed has been a huge disaster - she simply struggles to feed well. We have put it down to silent reflux for which she is now being treated with Ranitidine. I've been feeding her at night to give Sarah a break between feedings to get a decent sleep, and ordinarily she would cry to wake us up to feed her, then she would settle as she fed and really guzzle it down, but the last three nights she has continued to scream (not just cry) and I litereally have to hold the teat in her mouth so that she swallows some milk between breaths as she screams. That is until she passes out from exhaustion and finishes the rest of her bottle while she is asleep. There are times when she is very happy and alert, so we're not so concerned about her not getting enough, but it's so hard on us, and of course her.
Don't get me wrong - this is not a complaining session, or a I wish we hadn't done this, because she is still the most amazing thing that has happened to us, and we thank God for her every day. But it has sure kept us busy, and emotionally drained. The thing is that there are people out there who have much harder times as parents, and considering where we've come from we have no right to complain.
She is still a (between screams) constant source of joy and pride to us both. She is more beautiful today than the day she was born! She just continues to get more georgous as the days go by. She is still under 9 pounds. Here are some more recent pictures...
Sunday, July 5, 2009
The slideshow
We got back from the hospital two days ago, and it's been crazy trying to get everything organised just the way you want it...
Now I know that I teased you all earlier in the piece with a slide show set to music, and so here it is. For us, the fact that IVF was necessary in allowing us to get pregnant, did not automatically mean "baby in nine months time". Those who struggle with infertility know that there are hundreds, if not thousands of steps in the process from before fertilization of the egg through to live birth. If any one of those steps is flawed in our process then the end result is not a live baby in 9 months time. The rationalist might say "It's only a matter of time", but for us at the coal-face of infertility - there is so much more to it!
With the slide show I wanted to capture the emotion, as well as the faith journey that Sarah and I have gone through. Ultimately we feel that without God's loving hand being involved in every minute aspect from formation of gametes through to birth - none of this would have been possible. So this slideshow is as much to present Abbigail Grace to you all, as it is to give our thanks and glory to God for what he has done. And I guess I just wanted to say that he is magnificent. By the way, the photo of Sarah and I with a rose in the background was just after the moment Sarah told me that she was officially pregnant :-)
I put this together during the week, and I know it's caused one or two damp eyes since we've shown it to relatives and friends. So let me know what you think, and I'd love to hear if it touched you like it did them. I had the most awesome time making it!
I realised that I really need to explain a little bit more about why the song choice was so significant. There's a few lines which stand out to me particularly as relevant in our infertility journey.
Only love can leave such a mark - anyone who has truly loved knows this is true. In the case of having children the mark is exponetially larger
Only love can heal such a scar - you all know what scar this refers to. Infertility itself is for all of us one of ther heardest things we will ever endure. This scar penetrates so many levels of our psyche - and we all know the one thing that can cure it, is so elusively distant from our grasp... until the magnificent happens.
You and I will magnify, the Magnificent - This is perhaps the most moving line of the whole song for me. As a christian, it is only fair that I say that I attribute the birth of our daughter to Him. We couldn't do it by ourselves. Yes medical science was instrumental, but all medical science could do is put the sperm inside the egg. God still had to look over all the biochemical and genetic aspects of the fertilization, implantation, development, birth and everything in between. We all know that there are plenty of things that can (and have in our case) go wrong to prevent a fertilized egg progressing to the end result. We all know there is no such thing as a foregone conclusion.
Take care all,
Abe
Thursday, June 25, 2009
Introducing . . .
really well given her 36 week birth. I'm sorry but I can't send a
photo with this method of blogging. Be sure it will be the first thing
I do when I get a chance!
Flash back . . .
We were taken up to the prep area in our gowns and scrubs. I got to be
with sarah right up until the birth, which sarah really appreciated.
She was given a spinal block, which according to sarah was the worst
part of her experience. Having to lean forward and hug her knees
(impossible) and not recoil with pain at the injection into the spine.
She felt very nauseous initially as her blood pressure dropped as we
had been warned. With extra fluid on board she felt much better. They
then set her up on the operating table with a screen preventing her
from seeing the drama unfolding beyond. I sat next to her just holding
her hand as the anaesthetist talked with sarah to keep her mind
distracted. Before sarah realised what was going on they announced
that they were half way there! Sarah was surprised that they had even
started! The anaesthesia was very good! I took a look at this stage
with a feeling of mounting anticipation! They must have been looking
to find the best way to cut into the uterus. Not only was placenta
previa a problem but placenta accretia. Sarah had blood vessels that
penetrated uterus. This further complicated things. Several minutes
later I looked again and the doctors were playing tug of war with the
head and body of our daughter. The doctors won and abbigail was put
under heat lamps and poked and prodded, towelled off. My attention was
torn as I took in the awesome sight of my daughter, and looked back to
ensure sarah was still well. They decided to take abbigail away to
neonatal and I was asked if I wanted to go and look after her. After
checking with sarah that she was ok with that, I went with the
paediatrician to neonatal. There they attached probes and monitors to
measure heart rate, blood pressure, temperature, and measured blood
glucose. All the time I simply can't take my eyes off my daughter. She
is SO gorgeous! After what seems like only 5 minutes they declared
her well enough to not need to be kept in the neonatal unit. During
the whole time I was quite overcome with emotion, and couldn't stop
the tears. I was so privileged to have the first meaningful hug with
abbigail. She just stared back at me, taking it all in. So about half
an hour after leaving sarah, she was stitched up and waiting in
recovery. Abbigail and I went back to say hi and reintroduce then to
each other. Sarah had a really good session of feeding with abbigail,
and eventually sarah was allowed to return to her room. Sarah has been
in significant pain since then, and so far has been rather unable to
do very much at all. At the moment her speedy recovery and sleep for
the both of us would be our greatest wishes.
Sorry it's taken all day to get this written. I'm not sure where the day went!
Abe
--
Sent from my mobile device
Wednesday, June 24, 2009
Introducing . . .
really well given her 36 week birth. I'm sorry but I can't send a
photo with this method of blogging. Be sure it will be the first thing
I do when I get a chance!
Flash back . . .
We were taken up to the prep area in our gowns and scrubs. I got to be
with sarah right up until the birth, which sarah really appreciated.
She was given a spinal block, which according to sarah was the worst
part of her experience. Having to lean forward and hug her knees
(impossible) and not recoil with pain at the injection into the spine.
She felt very nauseous initially as her blood pressure dropped as we
had been warned. With extra fluid on board she felt much better. They
then set her up on the operating table with a screen preventing her
from seeing the drama unfolding beyond. I sat next to her just holding
her hand as the anaesthetist talked with sarah to keep her mind
distracted. Before sarah realised what was going on they announced
that they were half way there! Sarah was surprised that they had even
started! The anaesthesia was very good! I took a look at this stage
with a feeling of mounting anticipation! They must have been looking
to find the best way to cut into the uterus. Not only was placenta
previa a problem but placenta accretia. Sarah had blood vessels that
penetrated uterus. This further complicated things. Several minutes
later I looked again and the doctors were playing tug of war with the
head and body of our daughter. The doctors won and abbigail was put
under heat lamps and poked and prodded, towelled off. My attention was
torn as I took in the awesome sight of my daughter, and looked back to
ensure sarah was still well. They decided to take abbigail away to
neonatal and I was asked if I wanted to go and look after her. After
checking with sarah that she was ok with that, I went with the
paediatrician to neonatal. There they attached probes and monitors to
measure heart rate, blood pressure, temperature, and measured blood
glucose. All the time I simply can't take my eyes off my daughter. She
is SO gorgeous! After what seems like only 5 minutes they declared
her well enough to not need to be kept in the neonatal unit. During
the whole time I was quite overcome with emotion, and couldn't stop
the tears. I was so privileged to have the first meaningful hug with
abbigail. She just stared back at me, taking it all in. So about half
an hour after leaving sarah, she was stitched up and waiting in
recovery. Abbigail and I went back to say hi and reintroduce then to
each other. Sarah had a really good session of feeding with abbigail,
and eventually sarah was allowed to return to her room. Sarah has been
in significant pain since then, and so far has been rather unable to
do very much at all. At the moment her speedy recovery and sleep for
the both of us would be our greatest wishes.
Sorry it's taken all day to get this written. I'm not sure where the day went!
Abe
--
Sent from my mobile device
Tuesday, June 23, 2009
6 Hours to go!
couldn't help but snore when she was asleep. I had ear plugs and
everything! I figured she deserted and needed the sleep!
It's such a surreal time. This morning is (apart from the early start)
is just like every other morning ... But we know it will be a day
unlike any other. Head knowledge can only get you so far in a
situation like this. We are about to be added to. Our miracle is about
to be revealed.
After the struggles and heartbreak of the last 4 years, everything
(apart from infertility) is about to change. The agony of 4 long
years of feeling the pain and dealing with the loss of what we never
had is about to come to a close.
Sarah has some nerves, but she describes it as more of a biological
response as she isn't nervous cognitively. I can rationalise that this
is the only course of action that could possibly provide a good
outcome, but I know better than most the possibilities of things that
may go wrong. That is enough negativity for today. Now that i've
thought about it, it won't happen! :)
The next time I blog, i'll be able to tell you about our bundle of joy!
Abe
--
Sent from my mobile device
One sleep to go ! ! !
tomorrow once, but it's all the other things that come to mind! No
doubt tonight is going to be a write off too! But that's to be
expected. We are going to have the operation at 1 pm nz time. It seems
like a crime to spend this next 24 hours doing things like watching tv
or watching movies... But today will pass so slowly and of course
there is plenty to worry about.
I have dreamed so much of tomorrow. My mind has played through the the
scene so many times. I still find the idea so hard to imagine. I can't
put a face to the name, or a tone to the voice as emby cries that
first cry. This is ridiculous, I can't even type this without tearing
up! Tomorrow is going to be an incredibly emotional day!
--
Sent from my mobile device
Sunday, June 21, 2009
Two sleeps to go part 2
lot of fun for her, especially considering how long she has been stuck
here! They had games and food and gifts, it was very special! So many
of them have known for a long time of the struggles we have faced over
the last 4 and a quarter years. They even got me a "daddy's diaper
duty" tool belt. Which was very funny, but it was nice to be included.
We will probably find out the time details for the c section tomorrow.
I think I will end up staying here with sarah for the next few days at
least. I'm really looking forward to up all going home! Its been a
long four weeks so far!
Abe
--
Sent from my mobile device
Two sleeps to go!
my mobile phone. So frustrating!
I woke up several times last night with excitement and struggled to
get back to sleep. So i'm a little tired today, I have no idea how i'm
going to sleep in the next 48 hours! It's like a cross between the
night before christmas and the night before an exam that you feel
grossly unprepared for! It's obvious what the excitement is all about,
but the apprehension is due to what could go wrong.
Sarah is having her last baby shower this afternoon. We're going to
have iv in the waiting room of the maternity inpatients clinic here at
the hospital. Should be lots of fun, but I just hope that if anyone is
sick, that they won't come. We have had visitors in the last 4 weeks
who have come despite being unwell and have passed on colds etc and
its just not fair. Do people just not think when they enter a hospital
or do they not care?! Anyway, i'm going to make a point of asking
sick people who turn up not to visit us on tuesday. Especially with
the swine flu being spread through the community as much as it is at
the moment.
Anyway, that's enough for now. Will catch you later.
Abe
--
Sent from my mobile device
Saturday, June 20, 2009
Three sleeps to go!
Sarah is again allowed to have a couple of hours away from the
hospital, so we will do a little shopping and more organising at home.
So we are looking forward to that.
One really good thing is that sarah is doing really well at expressing
colostrum. She has been producing up to 25ml at a time now, so emby
will not have to have formula at any stage.
Sarah is thoroughly sick of hospital food! Its amazing the types of
foods that get passed off as edible! All this bland heart food and low
fat stuff ~ yuck!
Sarah is otherwise fine, and so is emby. So just hoping iv stays that
way until after emby is born!
Will let you know if anything changes.
Abe
--
Sent from my mobile device
Friday, June 19, 2009
Four sleeps to go ~ part 2
which she is rather relieved about.
At this stage we are expecting that there will be a best case scenario
after emby's born of a 3 day wait before sarah and emby can in home.
That's probably an overly optimistic best case though. It could be as
long as 10 days though. It entirely depends on the needs of emby after
birth.
So what philosophical topic can I write about now? We have discovered
that we now know what emby's birthday will be! 23rd of june 2009. I
imagine not many parents get to know that kind of thing until
afterwards. It's just something we hadn't processed.
I'm trying real hard not to get too excited because iv makes time pass
too slowly. I know I said I wasn't in too much of a hurry to get
through this time, but i'm starting to wish it away. I just can't
wait! There is so much to do and get used to! Oh, and we've got to get
used to this new person that we've never met! I still can't imagine
what it will be like...
Probably the most amazing experience of our lives!
Abe
--
Sent from my mobile device
Four sleeps to go!
The specialist nurse should be in today to put in another one. Sarah
is not looking forward to that.
Sarah has had plenty of visitors. And has put up a sign on two
afternoons to say "sleeping until 4 pm" and at 4:05 on both days
someone knocked at the door to visit sarah. So if anything sarah has
had more visitors than she knows what to do with. In a good sense of
course.
I've got to do some colouring with my niece now so i'll write again after that.
--
Sent from my mobile device
Thursday, June 18, 2009
How many days left?
arrives. Should I count down days, or hours, or as sarah just
quipped, how many iv lines she has to go through...
Sarah has just been told that she has to have her iv changed again.
She's not looking forward to it because it's quite painful. She ran
out of veins before the last iv change so a specialist iv nurse had to
make it work. They have just decided to pull it out. So I don't know
how they will get the next one in without the specialist as he is away
today.
Sarah just decided that the best way to measure time left is that
there is five sleeps left! That sounds good to me !
Sarah just reminded me of how important doing this blog is. One day
emby will be able to read this and hopefully understand some of the
emotions that we have gone through as well as understand just how
special he/she is. I imagine that would be an amazing thing to read 10
years down the track.
That's all for now. We're going to take a nap.
Abe
--
Sent from my mobile device
Wednesday, June 17, 2009
Informed consent...
However tonight we had one of the better midwives on who asked if someone had gone through with us what will happen on Tuesday. We reply - no, no one has explained anything to us - which is true. We figured someone would at some point. I guess that time was tonight. Everything was pretty standard, until the midwife explains that if in the worse case scenario that bleeding cannot be stopped, then the uterus may have to be removed. Now, if that's what has to happen in a worst case scenario then fine, that is just what has to happen. Easy to rationalise when you are talking about your wife's life. But I think I would have been pretty annoyed had we got to the day and the worst did happen, if no one had explained to us that it could be a possibility. It wouldn't change the outcome, but that should have been explained prior to the informed consent form being signed!
Forgive me, I'm just a little annoyed about that because it's stuff like that that needs to be explained. I guess I'm the kind of guy that likes to know all the info, the pro's and con's so to speak. It doesn't change the outcome - I'd sign anything that would make sure they both come through the proceedure healthy and happy! But at this point I want to know all the risks.
Anyway, that's just my little rant for tonight. I'm liking being able to blog during the day while I'm with Sarah, because that has been a little frustraiting - there is actually very little to do, but I'm not getting bored. It's actually quite relaxing just sitting back and letting the rest of the world worry about it's own concerns for time. It's really good to let the world pass us by for a change!
The midwives have recommended that Sarah express to have some collostrum on hand should the baby come early. Apparently the usual amount for new mothers to be to express is only 2 or 3 ml daily, Sarah does that without even trying! She can do up to 25ml in a sitting, and she does it twice a day! But anyway the reason I'm mentioning this is because I just talked to her on the phone, and someone has taken the collostrum she expressed this morning - hopefully by accident. But she's real miffed! And fair enough to! It's not that we wouldn't share if someone asked, but people can't just do that. It was properly labeled etc. Anyway, who knows what happened.
Hmmm... Maybe I wasn't finished ranting... Oh well, I am now.
Abe
My first blog from the hospital
really going to be great to be able to keep you all informed as to
what is going on! But I fear I may give myself RSI with using my phone
keypad if i'm not careful!
So where are we at right now ┄ well sarah got significantly better
pain wise yesterday. And her tummy just feels tired today. Sarah gave
a fellow inmate a manicure today and now all the nurses and midwives
are lining up for nail painting - well at least I think they would if
they could!
We have watched about 3 seasons of bones, half a season of americas
next top model and a season of project runway. We've still got a
season of bones and NCIS to watch so there is plenty to see!
So how are we doing otherwise? Well, sarah is bored witless which
really is to be expected after three full weeks! But otherwise she is
pretty good. We are both really excited about emby's arrival! But we
know we can't get too excited about it cause it's like the night
before christmas and getting too excited might just mean we explode
with anticipation!
But I guess there is only so much I can tell you can tell you about up
doing nothing but waiting for next tuesday to happen. But i'll try not
to bore everyone in the posts to come.
Abe
--
Sent from my mobile device
Tuesday, June 16, 2009
Sarah's still in hopsital
I'm writing this completely on the run so if there's spelling mistakes, I appologise...
Sarah must stay in hospital until the birth of Emby, the placenta has grown to completely cover the cervix, and as well as that has grown up over the area they would usually make the first incision to do the c section, so I'm fairly certain they will have to cut higher up to avoid cutting the placenta. That's not a real problem I guess. They have set a date for the c section to be done - the 23rd of June. That is 36 weeks for Emby - which again is fine and not really a problem - Emby may need some time in the neonatal care unit, and Sarah will need at least 3 to 5 days of recovery time after the c section - which again isn't really a problem. The problems will start to occur if anything doesn't go to plan. Sarah has had significant lower abdominal pain in the last 24 hours. She describes it as being akin to period pain, and feels like she would just before she would usually start to bleed in a period situation.
Usually with placenta previs the bleeding occurs without warning and is completely painless, so maybe that's not what is about to happen here. Please pray that it's not about to happen that way. We have been told that when that kind of bleeding occurs that it's like a tap turning on - with not off position. One of the nurses in the hospital told us of a situation where one lady lost about a litre of blood as she was on her way to the operating theatre and the doctors were not preped and scrubbed. The nurse didn't tell us the outcome, but I'm presuming she survived. So yeah this is a little scarey. But things at the moment are fine apart from pretty intense abdominal pain. They put it down to the baby being so active on top of the placenta. I'm happy wiht that diagnosis, just hope and pray that it's nothing more.
Basically we need for Emby to make it until the c section date. Because the alternative is quite scarey. I know that God has all things under control - not the least of which is the two most important people in the world to me. But none the less, I think letting you all know will at least mean more people are praying and thinking of us.
Thanks all for your support.
Abe
PS: If anyone knows of a good application for a mobile phone that will let you blog remotely (without having to send sms messages) can you let me know, cause that would be SOOOO much easier! I'll keep you as posted as I can!
Sunday, May 31, 2009
Still in hospital...
Sarah is still in hospital. There have been a few minor dramas - like Thursday when I was about 70% convinced that Sarah was about to go into labour. She had lower back pain, lower abdominal pain, had to lean over the bed to try and get comfortable, that kind of thing...
... but it petered out into nothing.
Sarah has had a blood clot inside the uterus which has been slowly releasing clots via discharge over the last week. They initially told us that she could go home once she was 24 hours with no discharge or clots. Sarah has been clear for about 36 hours - but they are waiting for another ultrasound scan on Tuesday to determine what is happening with the clot. If it is getting bigger - that is bad and could cause the placenta to come away from the lining of the uterus. If it is getting smaller then that is good, and Sarah may get to go home to have bed rest and no activity. That still leaves the problem of the placenta previa, which could still be a problem as the cervix softens and the uterus changes shape over the next few weeks. So lots of potential for drama, but we have been blessed so far that there really hasn't been any.
It has gotten me thinking though about "what ifs". I think my worst case scenario is that something happens and the doctors say "you have to choose between Sarah or the baby" - that is a question I don't know the answer to - and know I'm not likely to have to answer, so don't worry, I'm not getting myself too worked up. But it has really shown me how silly I've been in the past. I'm sure I've seen movies or read books where this question came up and I'd always thought "that's easy, choose..." - I haven't finished that sentence because I honestly can't remember what my oh so wise answer was back when I was free from the grip of emotional attachment...
I'm prepared for the fact that there is a possibility that things could go south - and I'm told they can go south very quickly - but surely I wouldn't have to choose...
I guess I should also say not to worry I'm not getting all pessimistic about this, I'm actually remarkably positive given the train of thought I've just taken you through. I have every confidence that Both Sarah and Emby will be just fine -it's actually really exciting that Emby could be born at any time. Sarah had the IM steroids that help speed the development of the lungs, and I'm told that 33 week babies do very well - if that's what Emby ends up being... It seems that the whole transition from husband to Dad occurs too quickly in the scenario where a c section is necessary, I imagine that when a normal delivery occurs both parents are at least mentally prepared that the baby is NOW on it's way - we may not get that. Another scenario is that Sarah has to have an immediate C section because she goes into early labour - and the baby could be out in the real world before I even get to the hospital from work - now that would be crazy! There seems (in my mind at least) some kind of visual cue that needs to happen for a father to see his child being produced from his wife - I think it would be horrible to simply arrive in the room too late and be handed the child and told that it's yours. It almost seems like there really is a stalk in that situation and you wake up one morning and a baby all swaddled up is sitting on your doorstep! Anyway I digress... I want to be able to hold Sarah's hand and watch as the baby is pulled out through the sunroof, and takes it's first breath and has it's umbilical cord cut. I think I need to see that.
So in the meantime we are watching and waiting with baited breath. Just what will the next 48 hours hold... and what about beyond that??!! It's amazing how you spend so long trying to get the chance to be parents - and when the time is almost upon you, you realise that you completely unprepared - despite all the nappies you bought, and the cot, and the change table... you get the picture. Obviously nothing can prepare us for this final frontier, but I'm sure God will give us that strength and the wisdom at just the right times.
On another note, I have decided that when Emby is born, I will need to make an electronic slideshow of photos/movies we have of the pregnancy/birth/early days to show friends and family (and you guys too!). The other day I decided exactly what song I will put with it - and it's possibly an odd one to initially consider, but I think it's perfect. And nope I'm not telling - yeah I know I'm such a horrible tease!
Take care you all - sorry for being neglectful of staying in contact - I kind of feel like I'm being pulled in about six directions at the moment with Work, Church, Sarah in hospital and all the other daily things. I'm sure you all understand.
Take care,
Abe
Thursday, May 28, 2009
Things just start getting exciting again
I'm only able to write a small note because I'm about to head out, but here's a brief update on all that is going on...
On Friday afternoon Sarah had a light brown discharge that seemed to be fairly constant - she notified the midwife who said to let her know if anything changed. On Saturday it got slightly darker. So on Sunday after a continuing darkening of the discharge the midwife booked us in to see her in the evening at hospital.
During the short stay at the hospital a dark clot came loose and the midwife took some swabs to determine if it was due to infection or a blod clot. The did a referal for an ungent ultrasound scan to see if a bleed had occurred.
Monday afternoon saw us at the ultrasound clinic. The scanner told us that Sarah had a definite placenta Previa (planceta completely blocking the cervix), and Sarah has a blod clot and that Sarah needed to be in hospital because these can bleed profusely. So that evening Sarah was admited to the meternit ward, and there she has stayed - and will stay quite possibly until the baby is delivered! She has had a number of clots come away over the last couple of days, and they say that she needs to be in hospital until she has had a clear 24 hours with no clots or discharge. They are doing daily fetal monitoring, and have decided today to give Sarah steroids to encourage the lung development of Emby incase an early delivery is necessary. The delivery will have to be "through the sunroof". There is a risk regarding the clot that if it gets bigger rather than dissolving that it may cause the placenta to come away from the Uterus endangering both Sarah and Emby, so another scan will be had on Tuesday next week to determine what is happening with the clot.
Sarah is fine, just tired and a little sore from lying the same positions all the time, but is otherwise feeling fine.
I will try and keep you all up to date when I have the time - between working, and being with Sarah (without an internet connection) I'm not finding much time to even be on the internet, but be rest assured, I will be updating you with all the important info!
Thanks Guys,
Abe