Mommy 4-1-1

Mommies 4 Mommies: What We Wish We’d Known

Callahan’s birth story: A long journey Sunday, December 14, 2008

At the end of my second trimester, I was diagnosed with high blood pressure by my obstetrician. He put me on partial bed rest and put me on medication. He told me if my blood pressure kept going up that I would have to be delivered early, but he was sure that the medication would help. So, for a few weeks I went twice a week to the doctor to get my blood pressure checked. Every check -up was going good, my blood pressure seemed to be under control and they told me they hoped for me to make it to 36 weeks.

On September 18, I woke up and felt like something was different. I couldn’t put my finger on it , but something was different. I had a doctor’s appointment that day, so I got ready and my mom took me ( Cade had the car that day). I went into the office feeling fine, then she took my blood pressure and told me I needed to go to the hospital right now. My blood pressure was 170/112 ( just so everyone knows normal blood pressure should be 120/80). So, they sent me to labour/delivery where they put me on stronger doses of medication and told me they wanted to monitor my blood pressure for a few days. They sent me to mother babe because antepartum was full. The next day , a Friday my blood pressure wasn’t improving and they loaded me up on more medication and decided to give me steroids to help Callahan’s lungs mature in case they needed to deliver. Dr.Cooper came in that night and told me that I would have to remain in the hospital for the rest of the pregnancy and thought we could make it to at least 34 weeks ( at this point I was 29 weeks pregnant). So, I prepared myself for a long stay. Two days later I had a major spell and my blood pressure reached 180/113. They gave me emergency doses of adalat, a second medication to the blood pressure medication I was already on. It worked but gave me wickedly painful headaches. The next day (Monday) my blood pressure was still acting up and none of the medication seemed to be working. So, the obstetrician told me he was going to deliver me via C-section that night , so Cade and I had visits from the neonatalogists talking to us about what would happen when Callahan was born and what his stay at the Neonatal Intensive Care Unit might be like. So, Cade and I sat there and waited for me to be delivered , scared and feeling not ready at all. The anesthesiologist came in and started prepping me, then a different obstetrician came in and told me I was fine and the baby was fine and that he was just going to load me up with more medication. I was like alright, thank goodness.

On the Wednesday, of all things my water broke and we thought well I guess this baby really wants to come out. The nurses told me that sometimes even if your water breaks you might not go into labour for weeks. So, we sat and waited and my blood pressure was somewhat under control. The next day, my blood pressure was up again and on the ultrasound that day, they saw that the blood flow to Callahan was being effected. So, once again they tell me we are going to deliver you today at 1 pm. Cade leaves class in the middle of an exam and gets to the hospital only for us to be told once again they are not going to deliver me. Now, as much as I wanted Callahan to stay in me and grow more, I was getting so frustrated with this back and forth that the nurse took my blood pressure and laughed and said it was so high she was not going to tell me and just let me calm down. On Saturday ( it had been over a week) , I started having very irregular contractions, but then they slowed down and eventually stopped that night. Sunday, the day. I went for an ultrasound that morning and normally they don’t do ultrasounds on Sunday’s because they have to call people in, but I was a special case . I went up to my room and waited for the obstetrician with the results. The doctor was taking awhile , so Cade decided to go home have a nap, some lunch and a shower. In the meantime, the doctor came in and told me that they had tried long enough to control my blood pressure and that it was starting to affect Callahan . He told me they would induce me the next day, if Callahan had moved back into the mobile, birthing position ( the previous few days he had been lying transverse, straight across). So, I phoned my mom and Cade and told them that I would be induced the next day. A few minutes later the nurse asked me to take a urine sample , and she discovered that I was leaking huge amounts of protein and that the blood pressure was starting to affect my kidney’s. She called the obstetrician back in and he decided that he would induce me that night. He came to examine me and said that inducing would be too difficult , and that they would deliver via-emergency c-section at 4 pm. It was now 3 :15 pm , and all I had was enough time to call Cade and tell him to get back to the hospital and my mom to leave church because I was going to have a baby within the hour. Cade made it just as they were walking me to the operating room.

Inside the operating room, they prepped me with a spinal epidural but just before that they took my blood pressure and it was 195/129. It was time to deliver that baby. So, they gave me the spinal , which in all honesty I was more worried about than them cutting me open . They then strapped me to the table, put up the sheet and let Cade come in. Cade was talking to me then all of sudden they said to him , do you want to see the baby come out? I was like what ?? I didn’t even know they had cut me open. At 4:08pm Callahan was born , letting out a few cries before he had to be intubated with oxygen. His cries were the most beautiful, most reassuring sounds I could have ever heard. My little boy had come into the world screaming letting everyone know he was there, even though he came 10 weeks early. I saw him for a few moments before they whisked him away to the Neonatal Intensive Care Unit. He weighed 3 pounds 1 ounce and was 16 inches long.

After they took him away (Cade had gone with him), they stitched me up and then wheeled me back into a recovery area, where they checked my blood pressure and put me on a drug called magnesium sulphate to keep me from having a seizure. It is an extremely strong med and you can only be on it for a very short period of time. They then wheeled my whole bed into level 3 of the NICU, where our little boy was hooked up to a ventilator and beginning his transition to what would be his home for 64 days in the NICU. It was amazing to seem him so small and tiny and that he was here, but it was also scary and extremely difficult to see my little baby hooked up to tubes and machines . After that they took me back to my room, where Cade was told he would have to go home, because I would need to have one on one care for the rest of the night. They had to wake me up every hour that night to check my blood pressure and all my vitals, and keep me moving. At one point in the middle of the night, I woke up to them putting nasal oxygen prongs in my nose, because the medication had lowered my blood pressure so much that my oxygen levels were dropping. I was so out of it though that I didn’t care, or was even that aware. The next morning I was told I could come off the Mag sulphate, and that I was ready to be moved from antepartum into the mother/babe unit for the rest of my recovery. I stayed for 5 more days before they discharged me. That was the hardest day and there were such mixed feelings. I was happy to be out of the hospital, but I was devastated that I was not leaving with my baby. Definitely not the birth experience I had expected.For the next 64 days, we spent everyday at the hospital with Callahan , watching him become stronger and progress and fight so he could come home. He had to learn so many things, that most babies develop in utero. He spent 1 and a half days on a ventilator, then 3 weeks on a C-pap machine and then four weeks on nasal prongs. He finally came off his oxygen in the middle of November and on December 1st he was discharged and finally came home with us weighing 6 pounds 8 ounces, a far cry from the 3 pounds 1 ounce he once was. He is at home , a healthy and happy boy and we are so extremely grateful.

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