She’s a peach

I ask for your indulgence in the coming weeks as I post LOTS AND LOTS of pictures of Baby G on my blog.

Hope nobody minds ;-)

Counting down the hours until morning, when I have fingers crossed for a good bilirubin reading that will allow us to take her home.

UPDATED: Still in the hospital

I am sitting in our hospital room with G in my lap asleep, nervously waiting for the neonatologist to come back to tell us whether G can be released today or whether they are going to send her to the special care nursery for a day or two to stay under the bili lights. Apparently her jaundice level is creeping up. My OB has already said that I can go home today, but I’m not leaving without my baby. So if she stays, I will be staying too.

Having her in an acute care setting under the lights would be VERY difficult for me to deal with, so I plan to basically beg the neonatologist to take her home and have lighst set up at our house and take her to the pediatrician every day to have her levels checked. I don’t know if he will agree to that, though, Of course, jaundice can be serious – especially in a premature baby – so I definitely want to take it seriously, but I am soooo hoping that we can find a way to manage her care at home. I really want to take her home…

UPDATE:

Well, as you can see from the photo, G is now under the bili lights. After talking with her pediatrician and getting a second opinion from one of my best friends who is a doctor, we decided that we needed to be aggressive with the jaundice. They did give us the option of taking her home and then getting her tested again tomorrow, but if it hadn’t improved by then, she would have had to be admitted to Children’s Hospital. All of that sounded a lot more unpleasant and disruptive than staying here another night, especially since the incredibly kind nurse practiotioner bent some rules and got the bili lights set up in our room. That’s right, no more being taken to the nursery; she gets to stay here with us in her special lighted isolette until tomorrow morning, when she will be tested again. In the meantime, I can feed her on demand and be right here with her all the time.

As for breastfeeding, I think we’ve turned the corner (knock wood). She still wasn’t latching or even showing much interest in eating until after midnight last night, when my instincts told me that she simply wasn’t getting enough calories or hydration from the syringe feeding we had been doing since she was born. I decided to give her a bottle of pumped milk mixed with the high calorie preemie formula, feeding it to her with a special preemie nipple. Well, she gulped that bottle right down like she was starving – which she apparently was. And within an hour of taking the bottle, she was suddenly much more awake and alert and she began latching on and breastfeeding well. She nursed wonderfully all night. Then this morning she seemed to be lagging again, so I gave her a few ounces by bottle again and now this afternoon she is again breastfeeding like a pro. Her weight was down to 5lbs 2 ozs last night, but I’ll be t it will stabilize and start climbing within the next 12-24 hours now that she is nursing so well.

Jon and I are veeeery tired. I am pretty sore from the surgery and neither of us has slept much (or very well) while we’ve been in the hospital. I’m really eager to get home and get cozy in our bed with Baby G, C, and any of the other children who want to join us.

I’ve had two really special Henry moments while we’ve been here that I’ll write about later – in a day or two – when I am not so tired and can focus better. But suffice it to say that he continues to be present with me in this very special experience of giving birth to G.

Baby G – the first 24 hours

It’s 11 pm, which means that Baby G has now been out of my belly and in my arms for just about 24 hours. And I have yet to sleep!

Jon is asleep on the fold out sleeper chair next to my hospital bed, and G is snoozing in the little bassinet on the other side – which explains why I haven’t yet slept. You see, the hospital where I gave birth  doesn’t allow newborns to stay in the room if both parents are asleep. In order for the baby to stay and not be taken to the well-baby nursery, at least one adult has to be awake – with lights on – at all times. And since Jon is asleep, I am fighting sleep myself because even though I’m sure they would take excellent care of her in the nursery, I don’t like being away from her. I know that I’m going to have to cave in soon, though. Even the post-birth euphoria that’s kept me awake this long can’t last much longer.

Since I am exhausted and feeling spacy, I probably can’t manage a truly organized and coherent blog post, so here are some odds and ends from our first 24 hours since G arrived:

  • For those who have asked or are curious, yes, I did have a c-section.  My labor went from Braxton Hicks contractions to REALLY strong contractions in just a few hours. Brethine and stadol failed to stop or even slow down the contractions.  So for several reasons ( I will write a longer birth story later), including the fact that G was transverse breech and the very powerful, nonstop contractions were stressing my previous c-section scar, my doctor advised us to go ahead and have a c-section. Forty five minutes later – at 11:45 pm last night, G arrived via a relatively uneventful surgery.
  • G was technically 34 weeks gestation when she was born. She would have been 35 weeks if she had made it to midnight before her delivery.
  • She weighed 5 lbs and 7.5 ounces and was 18 inches long. She’s TEENSY. But unlike some babies who come early (including C, who was born at 36 weeks in 2007), she doesn’t look undercooked or like a preemie. Instead she just looks like a miniature, perfectly formed china doll, with sweet little features and quite a bit of wavy, very blonde hair. She is GORGEOUS.
  • She needed a bit of supplemental oxygen for a few hours after birth, so Jon and I had to wait to have her with us until 3-4 am in the morning after the c-section. She’s been breathing wonderfully since then. That’s great news because at 34-35 weeks, we weren’t sure how her lungs would be. We’re really lucky.
  • That’s the good news. The bad news is that like many late-term premature babies, she is veeeeery sleepy and her sucking reflex is underdeveloped. So breastfeeding is not going well (understatement).  She and I are really struggling to get nursing going.  Even for me -  someone who has successfully breastfed several other children, and who has helped lots of other women get started nursing their babies – this is really a challenging situation.  She’s simply too tired to latch on and actually eat.  And making matters more complicated, she also has had issues with unstable body temperature and blood sugar levels (both also common problems for late term preemies). So we have to get calories into her.  It’s crucial. Without energy, she can’t wake up enough to nurse. It’s a vicious cycle. At one point today, we were warned that if we didn’t see some improvement in her feeding and blood sugar,  she might have to be sent to the special care nursery for a day or three to get things stabilized. The thought of being separated from her in an acute care hospital setting was REALLY upsetting to me.  So I broke down and explained to the nurse who had taken her blood sugar about recently losing Henry, and she was absolutely wonderful. She told me she would do whatever she could to help us get the blood sugar issue turned around – and she did.  This nurse spent the next 45 minutes showing me how to use my finger plus a syringe (to avoid nipple confusion while she;s learning to breastfeed) to get a mix of my pumped milk plus high calorie formula into G’s little tummy. An hour later, her blood sugar reading was the best it had been all day. And since that time, this nurse’s technique has allowed me to keep her well-fed enough to stay out of the NICU.  She still isn’t really getting enough, and I’m still not half as good at it as that nurse is, but we’re hanging in there. I also keep G skin to skin as much as possible to keep her temperature up, and so I can try to nurse her every time she looks even remotely awake enough. Unfortunately, I really wasn’t able to get her to latch on even one time today. But I think that if I just keep trying as she grows and becomes more awake, we will eventually get there.  Between the pumping, the nursing attempts and the finger-plus-syringe feedings, keeping her fed is a very time consuming proposition at this point. Her weight is now at 5lbs 4ozs, so she hasn’t lost too much. That’s good. Tomorrow I hope to get a clearer idea from the pediatrician of how her feeding will have to look in order for her to go home (I am hoping for Thursday at the latest).

  • Today J (staying with her dad and stepmom while I am hospitalized)  and C (staying with Jon’s wonderful parents) both came to meet their new baby sister for the first time. It was magical for me to see each of my girls with G, and to realize that I am now the lucky mother of THREE beautiful daughters. J came to the hospital with two of her best friends, and I loved seeing the big girls oohing and aahing over G. J seemed so proud, and loved holding her new baby sister. C came into the room yelling “where is my baby sister!?” and was absolutely THRILLED to finally meet Georgia. She couldn’t keep her hands off of her, but I could tell that she is also a little stressed. We’ve had so much happening in our family lately, and she’s had to spend more time away from her mama than any two year old should. But her grandparents are so amazing and she is so close to them that I think she is mostly doing okay. Still, I can’t wait to get home, get the kids home, and try to settle in as the radically reconfigured family that we are.
  • E still doesn’t know that G was born last night! I tried several times today to get him on the phone at camp but wasn’t successful because he was out hiking all day. I think we now have a plan where he’ll be calling me first thing in the morning so I can tell him. He is going to be SO EXCITED.  (He will probably be equally excited to hear about the surprise baby guinea pigs)
  • G’s other hospital visitors today included Aunt Betsy, cousins E, M and NC and  Uncle Robert and Aunt Nicole, plus cousins A, H and N (their J is away at camp as well, so he wasn’t here).  Dr. Neighbor also came, along with the Hickman grandparents, plus C and M (who are Henry, J and E’s father and stepmother). It was a busy day. All agreed that G is an absolutely beautiful baby who radiates a peaceful, warm vibe that puts a smile on everyone’s face. She’s a special baby; we all sense it.
  • Today was an amazing day for me. Starting last night, while I was lying on the operating table just before the c-section, I sensed Henry’s actual presence with me for the very first time since his death. And he’s remained with me all day today, encouraging me to fall in love with his new baby sister, born two months to the day after he was first admitted to the hospital.  When I hold G in my arms, I feel Henry with me in a really intense way.  It’s extremely comforting and has brought me a level of peace with the loss of my son that I hadn’t experienced even one bit before G’s birth. It’s been an extremely emotionally intense 24 hours, and I love Henry even more than I did before.

Baby G has arrived!

Welcome to the world Georgia Allison Hickman!

Our beautiful new daughter was born at 11:45 pm on June 27 at Fort Sanders Hospital in Knoxville, TN. She weighs 5 lbs and 7.5 ozs and she’s 18 inches long. SHe’s a teensy little thing! (She is getting a little extra oxygen in this photo because she made her arrival 6 full weeks before her due date, but she’s breathing on her own just fine now)

More details soon, but I wanted to share the wonderful news. We are over the moon with happiness. She’s just gorgeous. I truly felt Henry with me as Georgia came into the world.

What ifs

The last time I spoke to Henry before he was hospitalized was by phone on April 25th. On April 26th, I got two texts from him. One said “I love you mom,” and the second one, late in the afternoon said “Mom, I’m having a really rough day.” I tried to call him several times after that, throughout the evening, but I got his voicemail. It was unusual for him not to return my calls or texts, and I was worried about him (well, I was always worried about him, but more worried after receiving that last text.). I didn’t sleep well that night; I had bad dreams about Henry.

The next time I saw Henry was around noon on April 27th, when I was called to the hospital. He was in a coma and on a ventilator.

That last message from him, about having a “rough day” will always haunt me. If only I’d been able to get to him then, and bring him home, before he went to that terrible final place with people who didn’t love him or even know him except as a throwaway junkie and a potential source of income, and where no one helped him at all.