December 1, 2015 was the hardest day
of my life. It had the greatest highs and lowest lows all in one.
On Monday at my 37-week midwife
appointment, Tisha swept my membranes and felt my cervix grow from 3cm dilated
to 5cm and paper-thin. I went to bed that night at 10 and woke again at 12-
having consistent contractions. Waited a bit and woke Flip to say, “I think its
time” to which he said “time for what?” I let him catch up then texted my mom
(to come back from hotel) and doula, Amanda, to come over. Once they got there
we hung around for a bit while my contractions grew.
Around 3 or 4am I decided we should
head to the hospital. Mom stayed to be with the sleeping kids. Flip and I got
lost finding labor and delivery and security gave Amanda trouble! While
checking in the desk nurse asked me "are you getting induced or c
section?" "I'm in labor!" "Oh you're so calm..."
Must be the childbirth hypnosis I practiced haha. We eventually all made it and
Tisha took us to the big room with the tub.
Tisha checked me and I was so
disappointed to hear that I was still 5cm! I really thought I would be 10
considering the pain and how long id been contracting. When I had Luna I was
10cm when I got to the hospital. I got in the tub for a while which felt good
but didn't help much with progression. The first nurse I had was Bridget, who
was a nurse I had in Slidell when having Luna! She is pregnant and also does
hypnobabies. Once her shift ended at 7 am, I got Lanette and her trainee
Madeline. Poor girls had to check heart tones on the babies every 30 minutes
and the positions I was in did not help them, but they were very sweet and
understanding.
I eventually got out of the tub and
on to the bed to listen to some hypno. The nurse checked me and I was only 7cm.
This was already my longest, hardest labor and it seemed there was no end in
sight. After awhile I took out my ear buds and told flip and Amanda I needed
help. I wanted an epidural.
Both of them reassured me I was doing
it, the end was in sight, etc. Amanda clearly had experience because she was
skillfully changing my words when the nurse would come in. I’d say I wanted an epidural but somehow when
the nurse would appear Amanda would turn it into “she is doing so beautifully!
She just wants to know that she’s progressing”.
I was serious though. I couldn't take any more. They convinced me to get
back in the tub and called Tisha. She came in and checked me again (no
progress) and broke my water in the tub. Even Dr. Lapeyrolerie (the back up
doctor who had to be present for the twin birth) came in and told me I was about
to be done and didn't need anesthesia. It was around this time that my mom
arrived at the hospital after taking the kids to school. The nurse came in to
tell us she was here but I was in such a bad place mentally I couldn't let her
come in. I knew I'd beg her for help.
Once my water was broken things
picked up and I had several contractions where I felt the need to push. I had
wanted a water birth but it was not allowed with twins because they need to
monitor baby B immediately after A comes out. At this point I was so exhausted
and really done, though, and decided the only way out was through. Without
telling anyone what I was doing, I let myself push. Only Flip and Amanda were
in the room (no medical professionals). I wasn’t speaking to them at this point
because I was so over it. I pooped a little and Amanda went to call a nurse for
a fish net to get it out of the tub. By the time she was back baby A was
crowning and she called again screaming. I felt like I was also screaming, but
when I watch the video Amanda caught last minute, I wasn’t. Maybe that was when I put my head underwater!
Flip was cheering me on, ready to catch the baby. As the head was halfway out I
told him to just pull it out! He couldn't so somehow I pushed it the rest of
the way and by this time Tisha had run over from her patient across the hall.
My unplanned unapproved water birth was her first bare hands baby catch! Flip
was a bit disappointed he didn’t get to do the catching.
Tisha handed the baby to me and put a
towel over us. I asked what it was and nobody knew so I checked and was shocked
and thrilled to see it was a GIRL! I was convinced we were having two boys, but
wanted at least one girl. A perfect little girl born in the water, our Sailor.
My very next thought was "go get my mom!" So Amanda did. My mom came
in thinking I had already had both twins. When she saw the look on my face
though she knew.
I was quite shaky after Sailor was
born and dreading having to do it again. They checked baby b's heart rate
(good) and position (head down!) on the ultrasound machine while I was still in
the tub. We all cheered to find her stats good to proceed with another natural
birth. We were all on a bit of a high from the surprise and excitement of
Sailor’s fast water birth. Dr. Lap joked, "How's that epidural treating
you? Well you got your water birth!" I had no tears and that was by far my
easiest pushing experience.
Sailor's cord seemed to pulse
forever. I wasn't contracting again right away so Dr. Lap went to reschedule
her patients across the street. Once they cut Sailor's cord they looked again
for baby b's heart rate and struggled to find it in the water. They said I
needed to get out. In tons of pain and just then starting to have contractions
again, I was moving slowly. They rushed me and got me to the bed, where I
wanted to lean for a contraction. The stern side of Tisha came out and she said
“I need you on the bed now”. They laid me down and used the ultrasound to find
the heart. I guess they could not find it because all hell broke loose. Calm,
gentle Tisha was yelling "I need Lap NOW! Baby b is down!!" And a
cord was pulled which sent probably 15 different medical professionals into the
room and into action.
All of the sudden I am given oxygen
(by Amanda- who used to be a labor and delivery nurse) and told to start
pushing NOW. Lap runs in and immediately has her hands inside me, which is when
she feels the cord below baby b's head. Prolapsed cord means when I contract,
baby's head pushes against the cord and keeps oxygen from reaching baby. I am
pushing while Lap is trying to push the cord away from the head. I can tell we
need the baby out now. She talks me thru what she's doing, with phrases like
"I'm sorry this is going to be super painful". At one point she says
“she JUST had a baby why is this so hard?” After a few pushes and the help of
forceps, which Dr. Lap is known for being very conservative with yet skilled
at, we get her out.
They take her to the warmer, telling
me it's another girl. Now Dr. Lap starts sewing me up. I have a second-degree
midline tear and some labial tears from the very brutal delivery. I'm pretty
out of it and shaky. They tell me they're taking baby b to the NICU and Flip
goes with. I saw she was on oxygen which I know isn't ideal but I really thought
that would be the worst of it. Mom and I were texting flip to send us pictures
of her from the NICU, with no response.
Once the NICU Doctor comes back with
Flip I can tell its worse than I thought. She starts explaining that the baby
was without oxygen for an unknown amount of time, was born unawake and although
her lungs and heart are perfect her brain is not telling her lungs to breathe
because of the trauma it went thru. She is on a ventilator, and showing seizure
activity (eye and chin flutters and hand motions). They are worried about
something called HIE. I'm not googling it, I'll take my info from her doctors.
But I know the last word is encephaly and that's not a good one. The best thing
they can do to help is to cool her body temperature to 93 degrees within 6 hours
of her birth to try and reverse or stop the brain damage. We sign off for her
to be taken by ambulance to Children's Hospital. She is being cooled for 3
days, warmed back up for one, and then we may know more about where she stands.
We won't know everything though; as with developmental stuff we will kind of
see as she grows.
They brought her to my room in a
completely enclosed plastic bassinet before transporting her. This was my first
time seeing her. I held Sailor up next to her for their first and only “just
born” twins pic. Once she arrived at children's they called and let me know she
was breathing on her own, though still hooked up to the ventilator for extra
help. They also said she had no more seizures after getting the seizure meds.
Flip went and visited her and said she was making some small movements and he
got to touch her.
The time before Sailor and I were
discharged was full of happy cuddles and worried, sad, confused tears. They
took newborn pictures of Sailor and I just cried the whole time… I can’t buy
pictures of one twin while the other is all alone across town. They should be
getting pictures together! We know things could be worse and we could not have
Scout with us at all. She has hope of getting thru this without a trace of
issues. And if she doesn't, well what is normal anyway? Our job is to give her
love and a great life and nothing changes that.
I am so thankful for the staff at the
hospital. Tisha, Dr. Lap, my doula Amanda, all the nurses for me and the baby,
the NICU team and the team from Children's who came to get our baby and have
kept in touch with her progress. They seriously all have been so wonderful!
Lanette and Madeline cried when they passed me on to the recovery nurse. Tisha
cried when she came to have a long chat about everything. Dr. Lap isn't the
crying type but she too took her time talking us through what had happened. It
feels personal for every one involved and that is a good feeling. I am so
thankful for Flip who was so strong for me during the birth, such a
cheerleading during delivery, and the best protective daddy for Scout, making
sure to be with her every step he can.
It was hard having one twin with us and the other away. It
crushes me how different their first days on earth were. But I can't let
myself dwell on the things I can't control. The good thing is that we have
known from early on in the pregnancy that Scout aka baby B is super feisty and
a fighter. She definitely lived up to that. During the cooling Scout would open
her eyes and grab fingers. I got to meet
her for the first time on December 3rd. It is hard to believe I
didn’t get to touch my baby until the 3rd day of her life. Her
amazing nurse, Liz, said when I came to visit she reacted so strongly. You
could see her little lips sucking and she would look right at me, grab my
finger.
On December 4, her cooling period was over and they
started the slow warming process. We visited her everyday, some days more than
once. The first time I got to hold her was December 5th, her 5th
day of life. It was the best feeling in the world and heartbreaking because I
had to put her back in her bassinet and leave her there afterwards. Her MRI was
extremely positive. It showed just one small spot of hemorrhage, which they
said should be nothing to worry about. We just have to keep an eye on her motor
skill development and see if she needs extra help at any point. She will remain
on the a small dose of the anti-seizure medication until she is 6 months as a
precaution.
On December 10 I finally got to breastfeed Scout. I was
pumping milk for her the whole time, but this was what I was looking forward
to! She latched on like a champ and my heart nearly burst with pride. This was
when I knew she was ok, and that I needed to push a little harder to get her
home with us (at the recommendation of her pediatrician). My pushing was
successful (and I think the Dr. felt bad when I was coming in to nurse multiple
times a day while also nursing Sailor- who was not allowed in the NICU). On Saturday, December 12 we got to take Scout
home.
I can’t thank enough all of our friends and family who
have come forward to help out- bringing meals, cooking, running errands, going
to the hospital to sit in the waiting room with Sailor while we visit Scout,
visiting Scout themselves, taking Boston and Luna for playdates, giving rides
to school, etc. I don’t know what we would have done without my mom and Marnie
staying here for weeks on end and waiting on us hand and foot. I don’t think we’ll
ever be able to repay them!
It has been amazing having Scout back with her sister. I’m
pretty sure I’ll never sleep again but who needs it?
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Scout on way to Children's |
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Scout first day of cooling |
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Boston and Luna meet Sailor |
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Scout during cooling |
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Sailor ready to leave the hospital |
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First time held by Mama |
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Scout |
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Sailor |
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Reunited! |
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Cudds :) |
Sailor Juana Lopez 11:59am 5 lbs 8 oz 19 inches
Scout Maria Lopez 12:35 am 5 lbs 9 oz 19.75 inches