Ahhhhh Justin.... the boy who's birth story is one I will remember EVERY exact detail for a very long time to come.... someone with a mind of his own, that's for sure!
Justin was high maintenance from the very start with conception- we had to move on to IVF at the fertility center since our three attempts with IUI were unsuccessful, unlike my pregnancy with Kaylin in which we conceived with our first IUI attempt. Finally got pregnant, and then around week 13 I had an episode of heavy bleeding and thought for sure I was losing the baby. At the ER, the doctors seemed quite surprised to find a strong heartbeat, and thankfully the rest of my pregnancy was pretty uneventful... for the most part.
My due date was August 7th, 2005. We scheduled a repeat c-section for August 1st by recommendation of my OB since Kaylin was an emergency c-section and he determined my pelvis was narrow, hence the reason she got stuck. I had absolutely no problem with this decision for a repeat c-section. I prefer having everything planned, knowing exactly what is to come.
It was early June and I was teaching Pre-K in our public school system at the time. One week of school left with students and then I was taking a leave of absence to stay home with the kids. I only worked half-time, and about 90% of my check went towards Kaylin's child care- I worked because I enjoyed it. It made no sense to continue working since I would lose money paying for two kids in child care. I was looking forward to a much deserved break.
We had workers at the house finishing our basement so we could move the computer room downstairs and make room for baby upstairs. The house was a mess! The basement needed to be finished before we could even begin preparing Justin's bedroom. But we still had two full months to prepare, right? I had it all planned out....
Saturday, June 4th- I wake up feeling not so great. Not sure what it was, just not good. I decide a stroll through the mall would be a good idea- get out of the house for a little while and walk around. So Mike, Kaylin (2 years old at the time) and I head to the mall.
A little later we get a phone call from my mom. Now looking back, I know this is God making sure everything plays out for the rest of the day- very mind blowing how everything happens to fall into place....
My mother has NEVER called to say they are going to stop by at the last minute- they live an hour away and visits are ALWAYS planned in advance. It has never happened again since, either. This is the ONLY time this has ever happened. Fate I tell you. We were planning to head over to my parents' house the next day (Sunday) so I could bring Kaylin over with my mom to my grandmother's assisted living facility for their annual picnic. Mom was over at a friend's house out this way on Saturday, and offered to take Kaylin for the night and we would go get her Sunday before going to the picnic. Sounded fine to me!
While my parents were here, I still wasn't feeling right. I go to the bathroom and notice it appears I may have lost my mucus plug (I know, sorry, TMI). This was a little alarming, so I figure I better go to the hospital to get checked out. It's probably just another UTI since I had one earlier in this pregnancy. With my last UTI I just drove myself to the hospital, but since my parents were taking Kaylin, I figured Mike could go with me this time. They head out with Kaylin, and Mike drives me to the hospital.
We get in to the triage area of the birthing center- they hook up the monitors... I had some mild contractions showing on the screen but nothing too concerning.... The house OB comes in to examine me.
"Oh, No. This is NOT good."
Those were his words while he is sitting between my legs giving me an exam. I start to panic. What's wrong??
"You are four to five centimeters dilated. You are 80-90% effaced. We are
flying you out of here. You will go to either Johns Hopkins or University of Maryland hospital. I need to go make a few phone calls. I'll be right back."
I start to FREAK out. This can't be happening! I'm only 31 weeks pregnant! The baby will be too small- what about his lungs? What about anything else that's not fully developed? Dammit, I'm not ready to have this baby! This wasn't part of the plan!!
I immediately start having stronger contractions- strong enough that I have to breathe through them. They are coming every 2-5 minutes. The doctor returns as I hear the helicopter approaching on the roof of the building. He reassures me that since I'm past 30 weeks that the baby should be ok... it will have to stay in the hospital for a little while, but all should be fine. They gave me several shots- one steroid shot to begin maturing the baby's lungs, and a couple meds to help stop the contractions. He went on to say that Mike would not be able to ride on the helicopter due to the space and weight constraints- there will be a pilot as well as a high risk OB on board with me and there simply isn't any room. I am being flown to University of Maryland Medical Center which will take about 20 minutes by helicopter; it will take Mike about an hour and a half to get down there and find parking etc. I. Am. Scared.
The helicopter staff comes to get me- they strap me down flat to the stretcher, and wheel me through all sorts of narrow halls as I stare at the lights on the ceiling moving by, all the while breathing through contractions, telling the high risk OB when each one starts. Being strapped down flat is not exactly the most comfortable position while breathing through contractions, just to let you know. We get to the roof, and they push me onto the helicopter- through an extremely narrow opening under the tail- not for the claustrophobic! While inside the helicopter, I could see a control panel full of buttons, lights, and meters in front of me- and that was it. They let me know ahead of time that we would not be able to hear each other- they would look over at me and give a thumbs up; I was to give a thumbs up as long as everything was ok. They put headphones over my ears and we were off.
We land at UMMC. I get wheeled into this much larger hospital, full of commotion. First they wheel me into a triage area and go over the medications I was given at the previous hospital. They apparently are in disagreement with the choice of action from the first hospital. Okay.....
Next, they perform an ultrasound. They determine the baby's weight to be about 3 lbs 13 oz which was a relief to me. Since he was well over 3 lbs he should be ok. Eventually I'm taken to a room on the active labor floor. I'm not to get out of bed or even elevate my bed at all. I need to lay on my side as much as possible; I must use a bed pan when needed- my first experience ever with that- ugh! The floor was soooooo busy with the sounds of nurses running this way and that... the sounds of women screaming out in pain.... the high pitched squeals I will never ever forget of those tiny babies being born- not even sounding human. Is this what my baby would sound like when he's born? Will they be able to stop labor? How long will I be here?
A nurse comes in to let me know my parents are here and worried, wanting to know if I had the baby and if everything is ok. Wait a minute... where is Kaylin?? Aren't they supposed to have her at their house while Mike comes here?? Where is Mike? I told the nurse to let them know I am ok, and she would send them up shortly. Mike arrived soon after.
Apparently, when Mike called to tell my parents what was happening- he told them I was being flown to Shock Trauma since that is at University of Maryland hospital. My mom interprets this as Shock Trauma = someone's life is in danger, probably mine. They are extremely worried and make arrangements to take Kaylin to my aunt and uncle's house for the night so my parents too could come down to the hospital. Thankfully Kaylin handled everything just fine even though she had never spent the night at my aunt's house before.
Plan of action: I would receive a series of two steroid shots to mature the baby's lungs- I received the first one at our local hospital before I was flown out, and I would receive the second shot 24 hours later. After the complete 48 hours is over, baby's lungs should be fully matured and delivery will be much safer. Of course our goal is to still keep baby inside as long as possible- I would stay in the hospital until I either went back into labor or I made it to 36 weeks. Oh, boy. I wasn't sure which scenario would be better- 5 weeks in the hospital??
Mike and my parents were camping out in my room that first night, but it was so incredibly uncomfortable for them, and all appeared to be calming down now that I was receiving medication and on strict bed rest, so I told them they could go home and get rest. So many interruptions with the nurse having to come in and adjust the monitors on my belly every hour or so since the baby was so active and moving all over the place. He did not like those straps on my belly! LOL
By Sunday evening my contractions had stopped completely. Monday morning they moved me to the next floor down to the long term maternity floor since I wasn't in active labor anymore. Whew, peace and quiet.
I was currently on two medications to stop contractions- one was only safe through 32 weeks and then could possibly cause birth defects, so as soon as I hit the 48 hour mark for the lungs to mature they would take me off that one. What I didn't understand was why they also cut my other medication in half at the same time as removing me from the first medication. I was now given bathroom privileges as well and could sit up a little bit in bed for short periods of time. All of this began Tuesday morning.
Tuesday evening, Mike decided to bring Kaylin in to see me. This was the longest I had ever been away from her- she had spent one night at a time away at my parents' house but that was it. I missed my baby girl SO much, and worried how much she would miss me and worry about me. I also worried how she would react seeing me in the hospital since she's never been to a hospital before.
My parents decided to come also- another great decision. They would come in case Kaylin didn't handle the visit well, and Mike could visit with me longer if he wanted. Well, Kaylin handled the visit VERY well. I fought back tears as soon as she entered the room, I was SO happy to see her. She was full of all sorts of energy- wanted to bounce up on the bed, sit on my lap... it was a little challenging to calm her down some and keep her sitting still instead of jumping on my legs. I inclined my bed a bit during their visit and she kept trying to sit on my lap.
It was around dinner time so they all decided to head out. As they were getting ready to leave, I felt like I was having contractions again. I paged the nurse to come hook me back up to the monitors and check things out- while Mike and my parents hung out in the hallway before they left to be sure everything was ok. Nothing was really showing on the monitors as far as contractions go, but I knew what I was feeling. She calls for the resident doctor to come check me.
"Ok! You are now 6-7 centimeters and in active labor!! You are having this baby tonight!!"
Alright, so I was not prepared for that kind of news nor the manner in which he delivered this news! Between him and the OB at our local hospital who first examined me I could smack them both! Seriously, there should be special training for how to deliver news to a woman in labor!!
I immediately start having much stronger contractions, very close together. The resident doctor continues with his examination. "It looks like the baby's head is still down." Baby's head was down when I was admitted just a few days prior as seen on the ultrasound, so our plan was to attempt a VBAC since the baby would be much smaller and should fit through my pelvis without trouble.
I get moved back up to the active labor floor and into the triage area. Back to the ultrasound machine. This resident is pressing this ultrasound wand hard on my belly and not relenting.... extremely uncomfortable while I'm having back-to-back contractions. I wanted to shove that wand where the sun doesn't shine!
"Well it looks like the baby is in fact breech." He continues with the ultrasound. I can't believe it- from Saturday night to Tuesday night the baby has totally flipped. A high risk OB enters the room and tries to convince me to continue with the VBAC even though the baby is breech. She explains that the only risks delivering a breech baby vaginally would be if the baby's head got stuck in the birth canal due to the cervix not thinning enough. This most likely wouldn't be the case since the baby is much smaller.
I wasn't going for it. There is no way I have gone through all this and was going to chance trying for a VBAC. The c-section was familiar to me- it was the plan. I needed SOMETHING to go according to plan! I was in excruciating pain with these intense contractions back to back- no break at all from one to the next. I feared this baby would decide to deliver himself if they didn't get me to an OR fast enough! I needed pain relief. I needed this all to just be over. As much as I did not want to deliver a premature baby, this crazy roller coaster needed to come to an end as soon as possible. The next challenge- all the OR's are full.
Finally, one opens and we go in. It seems like an eternity as the room full of resident and attending doctors get everything sorted. It was decided to give me a spinal for the c-section but to also place an epidural in case the surgery takes longer than expected- it could take longer since this is a repeat c-section and there will be scar tissue to deal with. It took the anesthesiologists FOREVER to get the epidural placed as well as the spinal. I lay on the table stark naked, shivering cold in the fetal position while they are trying to place these needles. Oh, and still in excruciating pain. Hurry. Up.
Finally the needles are in place and I'm starting to feel some relief. Whew. Now for the surgery. I am so nervous, praying that our baby will be ok... praying the steroid shots did their job and his lungs are mature... wondering what this tiny baby would look like... what he would sound like... praying he would be able to cry when he's born so I know he is ok... thinking I have no camera with me so I won't have any pictures from the day of his birth. I was very upset about this as I cherish the photos taken moments after Kaylin's birth.
I make the mistake of looking over at a container on the wall.... a container filling with blood being suctioned... a container which looks like it is about to overflow. Please God don't let me bleed to death! Thankfully, the surgery went well. Justin came out at 7:47 PM weighing a whopping 4 lbs even, cried a great scream, a human scream, and looked absolutely adorable. He was beautiful, not appearing at all like a little alien I feared he would resemble being born so early. He was having some breathing issues so they whisked him right away to the NICU.
After my surgery I was taken to my room, another different room on the same floor as the NICU. Unfortunately, I wouldn't get to see my baby until the next day. I could barely remember what he looked like since it was such a quick second the nurse held him up before she whisked him away. Does he look like me? Does he have any hair? The answers to those questions will have to wait until morning- right now I'm completely drained and need sleep.
Morning comes and I need to get out of bed to see my sweet baby. My first trip down to the NICU is by wheel chair but soon enough I am walking the halls- my room being the furthest from the NICU. Down one hall and turn down another.... scrub up with the nasty disposable soap sponges, gown up, and go in.
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| my hand for size reference |
He is beautiful. You may notice a slight difference in size between these two photos- he was full of fluid at birth and slowly began losing it, dropping down closer to 3 pounds. His lungs were fully mature thanks to the steroid shots, but he was having trouble remembering to breathe. He began on a respirator, and after just a day or two moved to a C-PAP machine to open his lungs and make it easier to breathe. After a week or so he was taken off the C-PAP and given a nasal cannula providing a flow of room air- he didn't need extra oxygen but for a few days.
After he was down to the nasal cannula and a little less scary looking to big sisters, we brought Kaylin in to meet her baby brother. She was SO excited to finally meet him. :) She picked out a stuffed turtle to give him to keep in his "aquarium" as Daddy called it.

They didn't have child sized gowns, so she had to wear the big adult size gown to go in the NICU. lol She did great going in and not once seemed scared of all the wires and machines.
After about a month, Justin was making great improvements and was moved to the satellite nursery- a room down the hall- still a part of the NICU, but the room babies are moved to when they are close to going home! It looked like we were finally seeing some light at the end of the tunnel.
He was off the nasal cannula, but still having some problems while feeding- he would forget to stop and breathe, causing his heart rate to drop... and he would have some episodes after feeds also where his breathing and heart rate would drop. Bloodwork showed a drop in red blood cells once or twice, and a transfusion was required which pepped him up a bit. We were told this is common with preemies. He'd improve a bit, but then things really started to get worse.
Blood results were showing weakened red blood cells again, and in attempts to avoid another transfusion, they decided to add vitamin E to his nutrition which would strengthen the cell walls. A day or so later, after deciding the vitamin E wasn't working well enough, Justin received another blood transfusion. He still wasn't doing very well.
The next day would be one of the scariest days of my life.
To be continued.....