January 2010

Waiting…

by Jessica on January 25, 2010

We’re in a breast feeding room at the hospital waiting for Knox to get discharged. He is off all of his monitors and hanging out in here with us, which is such a great feeling. The first doctor, Dr. P, that he had in the NICU is back on today. Last week, Dr. G took over. Dr. P is much more aggressive and detail-oriented and was our favorite, so we were glad to have her back. Let’s just say she was pretty pissed when she found out that Knox’s echo (that had been ordered) had not been done by the other doctor, yet. This meant that instead of going home at noon, we are still sitting here waiting on results.

She felt the echo was not necessary and saw it as a hindrance to our leaving because they will be repeating it at the Cardiologist’s office this week, anyway. I see her point. Knox’s first visit to the pediatrician is tomorrow morning at 8:15. I LOVE his pediatrician- he was actually my doctor from the time I was six months old until I was, oh, 21. :) I still haven’t found a doctor as great as him (but now I have an excuse to go see him, again). He called me this morning to check on Knox and make sure we were scheduling an appointment. He had me call him at home the day Knox was born to give me advice on all of the health issues that were being discussed upon his admittance to the NICU.

I’m not sure when his cardio visit is, yet, the nurses are making it right now. We have his medication all filled and will be giving it to him twice a day for probably six months. It’s apparently gross, so we have to mix it with breast milk and give it to him in a nipple- not the most convenient method, luckily I’ll be home for a while and should get better at it by the time I have to give it to him outside of the house.
Anyway, the bottom line here is that I am getting impatient and can’t wait to get out of here!!

P.S. A week and two days later, my vagina is killing me. These stitches hurt like a bia-tch, I’m always leaking funky stuff and pooping is NOT a pleasant experience. Just so you know. Thank goodness for my Vicodin.

{ 8 comments }

One Week Old Today (and some good news!!)

by Jessica on January 23, 2010

I cannot believe that an entire week has gone by since Knox was born. In certain aspects, it feels like an eternity has passed since I pushed him out and saw him for the first time, but on the other hand, it doesn’t seem right that he is already one week old. He’s growing up so fast, already!

I spoke with the doctor this morning, and she talked to the cardiologist, which is what we’ve been waiting on. He reviewed the results of the halter monitor and, oddly, the results were “normal.” They did not pick up the high heart rate that we did in the NICU- their highest recorded heart rate was 209, still high, but not the 250 we were seeing. Regardless, the treatment will be the same. Knox has been given Digoxin (heart medicine) to stop his Tachycardia, and (so far) it seems to have worked. He’s received a loading dose by IV, then a few monitoring doses, and today, he is set to start the oral version. He will go home on this medicine and likely take it for six months.

The EKG from two days ago ruled out WPW Disease, which we did not want him to have, so that was great, too. In infants, this Tachycardia generally gets rid of itself. A lot of times, there is a second electrical impulse present in the heart that causes the problem. In Knox’s case, however, there is not a secondary impulse present. Long story short, he will come home on the medicine and we will follow up with the cardiologist next week at his office. That’s right, at HIS office… this means that…

KNOX IS GOING HOME ON MONDAY!!!

I am thrilled beyond belief and cannot wait to take our little man home. He just got circumcised, the poor guy. He didn’t cry when he got back, but when he realized that he was hungry AND had a sore weiner, well, that didn’t sit too well with him. He latched on, ate, then slept with my boob in his mouth for half an hour. What a brave boy. :) He will get his Hep B shot, and do the car seat test before we go home. Trevor and I have to watch a few mandatory videos, too, before he gets discharged, so we will do all of that this weekend.

I absolutely can’t wait to get him home. I am looking forward to everything when it comes to Knox, and this is the first step in the process. He is doing amazingly well at breast feeding. He is jaundiced, but because he is eating so well, he is pooping like a champ and has brought his jaundice level down enough on his own that he doesn’t have to go under any of the lights. The first few days, he would take a while to get comfortable with his latch. He’d latch, then let go, latch, let go, and repeat. The majority of the problem was with my rock hard boobs- they were just so full that he couldn’t get a grip. I have found a good system, now, though. I pump for a few minutes on each side before feeding to soften them up, then I pump after he eats just for relief. He generally only eats on one side (there is plenty of milk in just one of these suckers!) so I’ll pump the other. Now, he can latch himself with minimal help and goes to town. I am so happy that the breast feeding is going well, and that he enjoys it so much. It is the BEST bonding experience, and I absolutely love to do it. The lactation consultant told me I was born to nurse, and apparently, Knox agrees with her. :)

Here are some more pictures of our incredibly handsome little man. These are from two days ago, I need to get some from today on here, too. And a one week postpartum belly pic, because I know you all want to know about that.

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Knox’s Birth Story

by Jessica on January 22, 2010

Knox’s birth happened surprisingly fast. So, you guys know how it all started out with the bloody show on Friday night. After calling the doctor, she told me to monitor my contractions for about an hour and a half, and if they got more intense, we’d need to come into the hospital. So, I spent the next two hours walking around the house, straightening up, finishing laundry and sure enough, the contractions were getting more intense. They remained at about two to four minutes apart, just as they had been all day. I called back Dr. L and let her know, so she said to come on in. At this point, Trevor was practically bouncing off the walls with excitement. It was very surreal to be heading to the hospital, although at that point, we didn’t know if we’d been staying or coming right back.

We got to the hospital around 9:30 pm and were sent back to L&D Room 5. Our nurse came in, got me into a hospital gown and checked my cervix. I was “a good two.” I remember feeling disappointed that I hadn’t dilated more, I thought for sure with the bloody show I would have been at least three. The doctor was there seeing some other patients, so the nurse just left us alone. I was having some pretty good back labor at this point, though I could easily talk through them. Dr. L came in and talked to us, telling us that because I was pre-term at 36 weeks 4 days, she could not do anything to help with my labor until it was proven that I was in real labor on my own. That made good sense to me, so she pretty much just said to hang out in the room, keep laboring and she’d be back in an hour to check me and see if I was making progress.

The contractions slowly got stronger and I had to have Trevor apply some counterpressure and massage it for me. It was getting harder and harder to stay still, and I was definitely having to do some deep breathing and squatting to get through them. Luckily, at this point, we had not been officially admitted, so I had no I.V. and was munching on a Pop Tart and drinking water to my heart’s content. That worked out pretty well. Because yes, during labor, I did feel hungry! After an hour, Dr. L came back and checked me again, and I had dilated to 3. Progress!

At that point, it had been established I was in labor since my cervix was actively changing, so I went ahead and signed all the paperwork and got admitted. This was just after 1 am. They wanted to go ahead and do my IV, I went ahead and let them do the IV instead of just the hep lock because my contractions were getting stronger, and I wanted to have it just in case I changed my mind about the whole natural thing. I was trying to be practical and cover all my bases. Lying in bed, though, did make the back labor feel much worse and was so much harder to control. The most comfortable position to labor in was squatting with Trevor massaging my lower back. The back labor guys, I cannot even tell you, it really is horrible. My doctor told me straight up “Back labor… it’s the worst.” Every single contraction that came, all of the pain was concentrated on my lower back, and when you’re laying on your back, it’s kind of hard to get to the area to massage it. The comfort measures that helped me the most were the lower back massage, position change, and once I was in bed, a cold cloth on my face and ice chips.

As the contractions increased, so did the pain level. It does get to the point where you cannot talk during them, and you really have to get in the zone so that you can mentally get through them. By 2 am, I had reached 4 centimeters, 90% effaced and was still at zero station. At this point, the doctor said she’d like to break my water and could get me started on Pitocin. I okayed breaking the water but said no to Pitocin because I didn’t want to cause the baby undue stress with those artificially strong contractions when I didn’t need to. So, she broke my water, which does not hurt, you don’t feel it at all, but you feel this huge rush of warm, jucuzzi-temperature water gushing out all over the place. You will be not be dry for the rest of this process, just so you know. I asked just before they broke my water, “just in case, when would I be able to get an epidural?” They said I could have one whenever I wanted since I was already in very active labor.

This is where things started to really move.

I knew that breaking my water would increase the strength of the contractions significantly. What I did not realized, was that the increase would be instantaneous and beyond the realm of comprehension, pain-wise. Literally seconds after my water broke, my body was rocked with the most intense, horrific pain that I could even imagine. I still had the back labor, but it was at least 20 times worse, and I also felt the contractions in the front. It was AWFUL. Nothing I did stopped it. I tried to roll over, instinctively, to let Trevor massage my back, but found that I couldn’t move because that made it worse. All I got out to Trevor was “Help.” I sobbed. There was nothing I could do. None of the breathing techniques I learned, no amount of moving around, nothing. It was then that thoughts of a natural birth flew out of my head at lightening speed. And you know what? I don’t even feel bad about it. I am glad that I waited until after my water broke, because now I know what I was “missing” by getting an epidural. I had two of these horrific contractions before I said “I want the epidural right now.”

Bless that anesthesiologist. He got there in ten minutes and was prepping me for the epi at 2:10 am. They’re right when they say if you are worried about the epidural, you’re not in real labor. They could have sawed my head off at that point, and if it would have helped stop that pain, I would have been totally fine with it. The anesthesiologist was really good about pausing when I had a contraction, he wasn’t one of those jerks that made you deal with it while he stabbed you. I was having a contraction about every minute and a half at that point. He swabbed my back with cold iodine stuff, then inserted the numbing medication. They warn you it will burn, and it really was not bad. I said “Ow, ow” and that was it. Of course, all the while, Trevor is waiting outside like they made him, and I am hugging the nurse crying during each contraction. She was the best nurse ever, truly. After the numbing shot, I literally felt nothing he was doing back there. Not even a sensation of what he was doing. Then, he taped up my whole back. I felt a total of five contractions from the time my water broke until that marvelous epidural kicked in, so it happened really fast. I felt NOTHING. Let’s just say it was a picture perfect epidural, I have zero complaints.

Shortly after the epidural, the doula, Linda, showed up. I felt bad that I was kind of boring for her since I had the epidural, but she was really awesome. She brought me a popsicle because I was a little bit hungry, she got me ice, fixed my pillows and just made me feel really comfortable. She also wrote down every single detail of the birthing experience, which is how, five days later, I remember what time all of these things happened! At 4:10 am, the doctor checked me again and I was at 5 centimeters. She suggested that Trevor and I lay down and take a nap or just relax because it would be a long evening. Not quite. :)

I woke up at 6:05 am, and Dr. L checked me again. She said “Oh wow. You just have a little anterior lip, and you’re at +2 station. We’re ready to push.” She pulled out her gloved hand, paused and said “You know what, let me just check that again because that’s crazy.” It was pretty unbelievable how fast I had progressed. Trevor and I were still bleary eyed from sleeping and it was a little hard to digest. I felt like it was a dream at that point as they took off the bottom of the bed and got the room ready for delivery. it was so surreal. Trevor’s face was like a deer in headlights, he could not believe what was happening. It all of a sudden felt really real. We were about to have a baby! I started to push at 6:40 am. The epidural, once again, was amazing. I felt nothing as I pushed, but during the first one, it became clear that it wasn’t going to take long. The doctor, nurse and doula were thrilled with my pushing, telling me what a great job I was doing. At this point, Trevor was comfortably up near my head and looking at me. He rubbed my head the whole time I pushed. He was truly awesome throughout the entire labor and delivery process.

After a few pushes, Dr. L said “This baby has a TON of hair!” She asked me if I wanted to see with a mirror, but I had started to get a little nauseated before pushing ( just nerves) so I said no. She asked Trevor and he looked a little green. She promised him that there was no blood or anything gross, just that you could see his head and hair. So, Trevor looked and was very excited. That was the dose of bravery he needed, I think. He never got down in there or anything but he was comfortable watching more from then on. They told me when to look down to see his head, but my belly was still too big to see over. At 7:08 am on January 16, after only 28 minutes of pushing, Knox Compton was born. I watched the doctor pull him out, and the second she put him on my stomach, crying, I was in love. I sobbed from the moment I saw him emerge, and I could barely see him through the tears. Trevor cried, too, at the sight of our son, and it was hands-down the best moment of my entire life. Trevor cut the cord and I held him, all bloody and goopy, and had never been happier. I kissed his little vernix-covered face and stared. He had a ton of hair, that was for sure, and he looked exactly like Trevor.

They carried him over the scale to weigh him, 7 pounds and 5 ounces. He was 20.5 inches long. Trevor got to hold him for the first time while they stitched up my second degree tear. I didn’t feel that, either, thankfully. The three of us cuddled together, enjoying the first moments of our family life. I can honestly say, that I would do it a million times over for him (even without any pain medication!). He is the most precious, amazing little person, and I fall more in love with him each second of the day. I thank God for blessing me with the precious gift of being his mother.

The doula and I (with my popsicle)

Prepping for delivery:

Knox being delivered by Dr. L:

Trevor cutting the cord:

Crying my eyes out the first time I saw him:

Big boy! 7lbs 4.7 oz

Trevor holding his son for the first time:

All that I need in the world:

{ 17 comments }

Bad Day, Good Day

by Jessica on January 21, 2010

This experience has been such an emotional rollercoaster. You go from one happy moment to one terrifying one, and it is so scary and incredibly draining. Tuesday night, I was in the nursery with Knox when his heart rate shot up to 250. After a few minutes, it had not dropped and our nurse got on the phone and got instructions from the doctor to put ice on Knox’s face. Sure enough, this shocked him back into his normal heart pattern. So, in a second, not only were we dealing with his PDA and oxygen issues, but this new Tachycardia was added into the mix. It was terrifying to see that monitor with such high numbers. We hoped it would be a stand alone incident, but sure enough, he did it again later that night and again yesterday afternoon.

This new problem earned Knox a halter monitor, which he has to wear for 24 hours. After he is finished, the report will be sent to the pediatric cardiologist to see if he can figure out the problem. Hopefully, this is normal infant preemie stuff where there are just too many conflicting electrical impulses trying to communicate in the heart. Yesterday was an absolutely horrible day, with all of the irregular heart beats, plus, he got bumped back up to 45% oxygen and we just felt that all progress had been halted. Sitting there holding him, looking at the beautiful face, but knowing that something wasn’t working right was the worst feeling. It was another one of those sobbing days. Too much new information, too many visitors, too many phone calls, I felt like I was drowning. I also got discharged, so that made it harder. Luckily, there are breast feeding rooms adjacent to the special care nursery that we are allowed to spend the night in since we’re in there at least every three hours caring for Knox.

Then, last night, things took a turn for the better. All of a sudden, Knox kept hitting 100% oxygen concentration on his monitor. We kept lowering it and lowering it until by this morning, he is on room air! It was the BEST night last night and we were there to witness this miraculous improvement. The doctor told us that with his high urine output, chances were that he was getting rid of all of that fluid in his lungs yesterday and is now able to absorb oxygen like he should. He is also doing an amazing job at breastfeeding. This was another obstacle he had to clear, so I was so relieved that he latched on the first time (even though he preferred to lick my nipple like a lollipop as opposed to actually eating). Each time, he’s gotten better and better at it. Poor thing, though, my boobs are so massive and hard that he is having a hard time getting them into his mouth. As our nurse said “Geez, Mom, it’s like trying to suck on the side of a grapefruit!” By massaging them during nursing, they seem to soften enough to help him out. I seem to have a ton of milk and it just starts spurting out when I am next to him. This is a very good thing (though I have already soaked through several shirts!).

We are basically waiting on getting the Tachycardia settled, but he has completed his other tasks, which is great. I am off to go breast feed again, then walk over to my doctors office because I am fairly positive that my stitches from delivery are infected. I had a second degree tear, and things don’t seem quite right down there, today.

We are trying to be as positive as possible and hope that this tachycardia will get under control so Knox can come home very soon. Until then, we are blessed to be in such a great nursery with such awesome nurses that care so much about our little guy.

ETA: Stitches are not infected. FYI, the locchia that comes out after birth can change from red to yellow, and that’s normal.
Also, yes, I do pump to help with the breast feeding. I pump for a few minutes before feeding him to help with engorgement, and for a few after to finish emptying me out enough to stand it. I pumped a lot the first few days, every two hours, to help the milk come in, and man did it work!

{ 16 comments }

Knox Update

by Jessica on January 19, 2010

So, here we are on our fourth day in the hospital, and Knox is making good progress. He is still in the special care nursery (NICU), but he has had his CPAP removed and now has only a small nasal canula to receive his oxygen through. He is much happier with this arrangement, considering he liked to rip out the CPAP at least once an hour. He got his umbilical line removed today, as well. They had put this line in through his umbilical artery and it went up to his heart. This is how they drew blood for his blood gas tests. He is all done with those tests, now, as he had three good ones in a row.

They let him eat for the first time today, he had just been on IV fluids before. I have been pumping and my milk started to come in today (hello, giant boobs) so that was very good timing. I am still just getting about half an ounce out of each boob per pumping session, but that’s how much they’re giving him, so it works out. He digested all of the milk at his first feeding, which is great, so he’s getting more every three hours. They let me change his diaper and take his temperature today, too. They’re great here, and do their best to make you feel comfortable. My doctors have been awesome, since I was really supposed to get discharged yesterday, of treating my “problems” to keep me here with Knox for longer. Yesterday, I got laxatives since I hadn’t gone to the bathroom, yet. Today I was having some “pains” and had to get a shot of Demerol. Small price to pay, I think, to stay here with our baby for longer!

The best part of the day was holding him! I got to hold him for about 15 minutes at 3 a.m. after he got weighed, but got to hold him for a good couple hours this afternoon. He was so much happier being held by me that being in his isolette. He is a very feisty little guy and he lets you know when he’s mad (which is often), but he was so peaceful and sleeping when I held him. Trevor went to work today because he wants to reserve his days off for when Knox is at home. He gets to hold him when we got back to the nursery. They close for an hour and a half three times a day for shift changes.

Thank you guys so much for all the prayers and well-wishes. It means the world to us! I know those prayers have gone to work and helped Knox progress.

I leave you with some pictures of our little man, I will take more tonight since you can see his little face, now, without all that stuff all over it.

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