PRE-OP
First of all, nothing went as planned on Monday as far as the operation, not that I really expected it to, but still. I was told I'd probably be monitored for about 2 hours beforehand, that that is standard procedure with a regular c-section. I woke up at 8:30, c-section was planned for 10:15, so I knew things were not going to be what I expected.
Pre-op stuff was fine, I didn't feel nervous, just anxious to get them out. Shane was so nervous, he kept pacing the room. I talked to the anesthesiologist and told him I wanted Zofran, so I wouldn't get sick. He told me he could also give me a different type of epidural, one that worked the same, but would just take longer to take effect, therefore taking away the sudden drop of blood pressure that often make women nauseous. Sounded good to me.
EPIDURAL #1
I couldn't wait to get in the operating room, and even though I knew a lot of people would be in there, I was surprised by how many. I counted 12, I think, and that was just the people that were standing in front of me. The epidural was not as bad as I thought it would be, I have a high tolerance for needles, I guess (just not getting sick!). So, the anesthesiologist ask if my feet felt tingly and hot, I said yes, and was laid back for prep. The curtain went up, my stomach was covered, and my doctor poked my stomach with the knife and asked if I could still feel it. "Yes!" I'm sure I shouted. The anesthesiologist told her it would take a few more minutes, and what did he decide to talk to me about..... baseball.... and hockey. After a few more minutes, my doctor tried again. The anesthesiologist apologized and said he would have to try a different type of epidural. At this point, I didn't care, I wanted to get it over with. They had to take everything off me, get new "stuff" (sterilized stuff I guess), and I sat back up. Everyone was looking at me. I could only see people's eyes because of their masks, but I knew there were familiar people there with me. The practitioner that had been with me since the night I fell, and had repeatedly come in to help with the monitoring was holding me for the epidural. Shane wasn't allowed in yet. I felt like I was in that Twilight Zone episode where everyone had pig noses, but everyone had sympathetic eyes. One woman told me to hang in there- she was from the NICU, standing by one of the warming beds with blankets ready.
EPIDURAL #2
So they started another epidural, he had a hard time and kept injecting me in different areas. I could tell he was getting frustrated. He said that my spinal column was narrow, but he couldn't understand why the fluid wasn't going in (or something like that). Anyway, he got it in, they got me back down, all prepped up and after a few minutes, my doctor poked me again. Annnnnd I still felt it. He apologized, said they would give it a few minutes, and if it didn't work, they would have to knock me out. At this point, I didn't care. It was making me more and more nervous that it didn't seem to be working, and I just wanted to get it over with and have them out. The practitioner looked at me and laughed, "Did you really expect this to end easily?"
THEY'RE OUT
Another anesthesiologist came in and explained that he was going to give me something and to relax. I remember him patting my hand and saying, "goodnight". Then what felt like a few seconds later, I heard them saying, "Katie, Katie, take deep breaths" and "Your babies are fine."
AFTERWARDS
I was in and out for a little while. They kept reassuring me that the babies were fine. I saw Shane coming in and out. And then the woman who did my pre-op stuff was taking me to my room. Shane followed and then was able to tell me about our boys. He wasn't allowed in because I was under anesthesia, but he was allowed to follow them up to the NICU. I couldn't go see them till I had recovered further, and this broke my heart.
OUR BABIES
Shane had taken many pictures and he showed them to me in my "new" hospital room. Baby A (formally B) is Nolan Shane, born at 11:05 am, 17 inches long, 4 lb. 14 oz. Baby B (formally A) is Brooks Readmond, born at 11:06 am, 17 1/4 inches long, 3 lb. 15 oz. They both have blonde hair! I was shocked. They were both born breathing on their own and they even cried! Which we didn't expect at all. Shane went up to see them often that day... I was supposed to sleep and drink. : (
Nolan
Nolan
We met with doctors, nurses, the neonatologist, and various other people from the hospital throughout the day.
Long story short, I wasn't able to go up until 11:30 that night. The one nurse suggested just relaxing through the night and going in the morning. My night nurse told me that if I wanted to go up, to eat dinner, take more pain medicine, put on my binder, and go up then because I would be most comfortable. I couldn't stand not seeing them on their birth day, so I went up. It wasn't as scary as I thought. But again, I've had a lot of family members
in the NICU, much worse off than our boys.
Brooks
Brooks
The neonatologist told us to expect them to be jaundiced, explained that they may go on the respirator, but at the moment they are on a C-Pap breathing room air, they are getting fluids, but doing as well as they expected - good news to me!
SINCE THEN
The boys haven't needed the respirator yet. They continue to breathe room air, but are on the C-Pap for extra support for pressure in their lungs. Their tests came back high for the red blood count, so they are under the bilirubin lights. Brooks is in an
incubator to keep his temperature up, but Nolan is in a crib.
incubator to keep his temperature up, but Nolan is in a crib.
Today, they upped their food intake. They were only given about 5cc (1 tsp) of formula a feeding, to see how their stomach would digest it. So today they were going to try and up it, they've done so well that they went from 5 cc, to 10, to 15! Which is about a tablespoon. They are fed through a feeding tube. But tonight they were given pacifiers and they are both able to suck!
We were both able to hold Nolan yesterday afternoon. We are only allowed to hold them during their care time, as to not over-disturb them. Last night I was able to hold Brooks. I was overwhelmed by what that 1 pound weight difference made. It broke my heart to see him with all the wires and tubes on him. It hurt to see Nolan like that, but I think with Brooks- he just seems so much smaller and more delicate it really overwhelmed me.
THE 32 WEEK DEBATE
I am so thankful I listened to my doctor. The cords were a mess. I saw the cords everyday and we monitored their heart rates 3 times a day. There was no "obvious" cord entanglement, just "twisting" and NO heart decelerations. Everything appeared to be going so well. Everyone said we were so lucky to take them out when we did. I know that it seemed I could keep going, and I know this is a big debate with this situation. My husband and I did not feel it was worth the risk of losing one of our babies everyday to keep them out of the NICU.
The cords were so bad that 2 doctors had to get them out at the same time, as to not risk pulling one out and harming the other from tightening the cords.
There was also no twin to twin transfusion. The placenta was sent away to a lab to be analyzed. It seemed that when the cords were implanted, A's/ Nolan's (old B's) was stuck to a thicker part of the placenta, whereas B's/ Brooks' (old A's) was attached to a smaller part, causing a small cord to form.
THANK YOU
Anyway, I am so incredibly thankful for all the thoughts and prayers. I know we have a long road ahead, and not every day will be as wonderful as these have been. But I cannot thank all of you enough for everything you have done for us. It makes me cry just to see the support and love so many people have for us and our babies. I know they are doing so well because of the power of these prayers.
I'm going to try and keep everyone updated. It's been hard, I'm very tired and busy trying to get better. But you all deserve to be updated.
Thank you and we love you all!
Congratulations on your healthy babies! I saw the article in the Balto Sun. I learned about momo pregnancies when I had a scare at my first u-sound, but the amniotic membrane was found a few weeks later (http://pregnancy.about.com/cs/ultrasounds/l/bluspic0010c.htm). So glad to hear you beat the odds - and thanks for the blog!
ReplyDeleteWe were at risk for TTTS, but also have healthy (11 year old) babies.
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