Eviction Number Three

I know it has been over 6 months since my last post.. It has taken me this long to hopefully be able to complete this post.

Attempting to hold it together for photos

On July 14 I went in for a very much unwanted scheduled C-section.  My OB was going out of town and there was no other OB in the area that I even slightly trusted to even touch me, much less deliver my baby.   I was angry and dreading the surgery, seriously not how you should feel when looking to meeting your child.
My sister was my "doula" and my husband was also there.  When we got there we realized we had not taken any "bump" pictures, so we took some quickly.
 We went in and found out they had given away my room because they expected us to arrive at 8am, while my Dr had told us to arrive at anytime..  I immediately wanted to leave.  The nurse seemed a bit angry that we were "late",  my sister stepped out of the room where she went to the nurses station and politely (from what I was told) and explained that we were a hospital family and I really did not want to be having the section, but was not given a choice in the matter.
We  waited in the prep room, next to a woman in actual labor with the nurse and my sister telling jokes to keep my mind off of it.   We kept being told "a few more minutes"  "uh oh.. someone got pushed ahead"  so I didn't actually go back until 3.  That gave us enough time for them to eat and my sister to braid my hair since I knew it would be a little while until I would be able to shower.
We went over my birth plan (I used this one as a starting point and adjusted it for us) and they assured us that they would attempt to accommodate our wishes.  I swear they thought I was the crazy natural mama up for the section, but after my sister's talk with the nurses they were all really kind to us, almost pitying.
When I finally went back I was scared and worried the entire time.  I really hate getting epidurals... the cold room, the pain, the worry that if they slip up I could be paralyzed, spinal headaches... etc.   Then I was staring at the same ceiling tiles as I was at Lil'K's delivery and thinking that if that Dr hadn't been an idiot then I wouldn't be forced to do this section..

Skin-to-Skin in the OR

 My hubby came in and was allowed to look over the curtain and my sister stood at the door, both got to watch my uterus pulled out, while I looked at the bugs inside the florescent lights.   There was the usual pushing and tugging and to do a "delayed" cord clamping they laid her on my legs and did whatever else it is for as long as they could until the placenta began to separate.  Then they cut the cord, and brought her to me so we could skin to skin.  Unfortunately, due to the epidural I had weakness in my arms and had trouble moving them.  My husband was not by my side at this moment and I have no idea why.  The neonatologist had to help me adjust her because her face was in my neck.
 She was cleaned up and hubby got to trim the cord, which was actually a first for us.  He stayed with her until she was reunited with me in the room.  I of course was numb and unable to move my legs for many hours.  I remember them doing the final clean up and after they removed the curtian being shocked that my legs weren't straight like I thought they were.  When I was back in the room my hubby was able to stay with me,  and my parents brought Lil'C and Lil'K to meet their new baby sister, Baby K.   They both wanted to climb on my lap and cuddle but we of course had to be careful since I couldn't move or feel if they were hurting me.

Lil'K and Baby K

 

 Lil'C and Baby K

Baby wearing less than 24hours after Section.

After the epidural wore off enough I was able to get around a bit, very very slowly.  Baby K did end up having some trouble with holding her temperature and there was talk of putting her in a warmer.  First I grabbed my sling and stuck her on me, where she stayed the rest of the time there.. even at night.  That is something I would only do in a hospital setting since the nurses come in frequently and I am an experienced co-sleeper.  Still worried me but her temperature stayed 1/2 a degree from mine for the rest of our stay.
 The biggest worry I had was going home, and being home most of the day by myself with 3 little ones while healing from the surgery.  Due to Lil'K's affinity for flopping, that did become a worry.  She landed on me once so hard that I screamed and my sister had to pull her off.  I was in tears it hurt so bad.. and I was on pain meds at the time.  

At 5Lb 15oz She was my largest baby. 

She has gotten much bigger in 6 months

I do wonder if I could have done it differently, my scar was thinning but that isn't a huge deal.  If only I had been allowed to attempt a VBAC with Lil'K then maybe I would have been able to do the same with Baby K.  The crazy part is that the risk levels of a VBAC at Lil'K is less of a risk than a 3rd section and they knew I wanted a third child.  It just feels unethical to me and a bit crazy.
My post-pain is worse now as well.  My scar is in almost constant pain along with my upper right thigh,  there is also some numbing at the upper part of it (the pain goes around the edges of the numbing).   It just all feels so unnecessary and a bit unfair to my girls and myself.  So now I have had one necessary and life saving c-section, and two unnecessary ones.
Baby K is growing and is a very happy little person,  for that I am blessed.

Avoiding NICU head aka Plagiocephaly

Image from Here with tons of info for the medical people.

A more severe version go here and for the same things

I'm saying but in doctor speak, go here.

You maybe asking yourself...  what is NICU head or Plagiocephaly?  It is where the skull gets misshapen due to being in the same position for extended periods of time. It is very common in preemies/long term NICU residents, but is becoming more common in termies as well.

I have been promising this post for awhile and have finally gotten to it!  YEAHHH  to having interwebs again!
Now I have to start off with some basic info....  I am NOT a medical professional, but I am the Mom of a NICU grad.  A long term NICU resident. We were in the NICU for 5.5 months (figured out the other day.. 170+ days).  In our NICU plagiocphaly was EXTREMELY common.  The fact that we managed to leave the NICU with a "normal" skull shape was amazing to many of the medical professionals there, and has inspired some changes in our NICU.

The first signs of NICU head. Lil'C was only a few days old.

So how did we avoid NICU head?  One way is that our nurses rocked and let us know about it.  Another is something I have said before... the greatest asset a NICU child can have is their parent(s)!
A parent gives a unique perspective on the medical interventions.  A parent will notice if their child's head has been in the same spot over 24hrs, which you should point out to your nurse(nicely!).
Even when we were barely allowed to touch him we could still make sure his head got turned side to side daily. We even got center when we started to notice him showing signs of NICU head, which is when we got really serious about finding out how to avoid it.

In the beginning there wasn't much we could do. But we did start letting the nurses know at each shift change about when the last time his head was turned. We made sure his head was turned every 12 hrs (each  shift change). They are supposed to do that anyway but nurses have so much to keep track of, and I would rather they focus on the other things.

The blanket roll method

The blanket roll method with an extra light sheld

One of the other parents told us about Early Intervention and we started asking the medical people about it, but it was early on and we were told that there wasn't anything EI could do for us that early.   We did have one awesome nurse who came up with the blanket roll method.
The blanket roll method requires many receiving blankets.  We used two as sheets to cover the mattress in the isolate. One rolled into a tube on either side another rolled at his feet.  Another blanket was laid over the top of all of these creating a little nest. A cloth diaper and/or scrap of faux fir was placed under his head as a pillow.
The idea was to basically swaddle him/mimic the confinement of the womb as much as we could since he missed those last 3 months in utero.  We baised this idea off of Dr.Sears  (oops... read both books at the same time)  Dr. Karp's "Forth trimester" theory, we figured if it had proven helpful for termies it should really help someone who had missed the whole third trimester.  He stayed a lot calmer after we did, plus it helped avoid NICU head. we still had to make sure his head was turned at least every shift change, but not being on a flat surface helped.
In the beginning we were barely be able to touch him, so the great thing about the blanket roll method is that the nurses were able to do it whenever they had to change his bed anyway.  That way he wasn't disturbed unnecessarily.

Christopher with his EI happies. Froggy pillow under his head and snugglie wrapped around him

Later on we were able to finally get Early Intervention to come in, unlike EI when you are at home they don't actually touch/play with the baby.  They bring HAPPY things!  Bendies, Frog pillows and snugglies.  They generally work the same as the blanket method but are easier to change/customize. 

Kangaroo care is the BEST! This was my favorite day, first day happy holding.

Once he finally got big enough to do kangaroo care, we started that.  Kangaroo care also helped us avoid NICU head by putting him in different positions and in different angles.  Later on when he was in a crib we also used a Boppy as a positioner.  He continued to use the boppy to sleep in at home, which you shouldn't do unless your LO is on O2 and a monitor, it's right on the bobby not to, it just isn't safe otherwise.
Once we finally got home kangroo care morphed into baby wearing, which I highly suggest for all parents whither you had NICU time or not.  Wearing him in a wrap and later a sling allowed him to be nearby, kept him calm and relaxing for me.  I only retired my sling about a month ago when it got uncomfortable with my pregnancy bump.  He was 19mo and 17lbs.  My sister comfortably wears her much heavier (aka healthy normal termie) 1 year old.
The Plagiocehaly is becoming common in termies is due to the "bucket baby" mentality.   A bucket baby is when parents keep their baby in containers such as the baby carrier/car seat, swings, bouncy seats, strollers and cribs. I firmly believe that car seats should stay in the car... my sister isn't as strict as I am about that.   She has no issues but my niece isn't a bucket baby, a true bucket baby is almost always in some bucket device. Babywearing is a great way to keep that from being an issue and is easier on mom and baby.
Now I'm not saying these devices are bad. Christopher loved his swing in the NICU and loved it some at home. The trick is to use these things sparingly.  Ok... getting off my soap box.

Soo how does his head look after 5.5 months in the NICU?    You would never know he spent months in a bed.

No NICU head. The ears are genetic.. both sides, he didn't have a chance. :P

Friday Happy! : Baby wearing

Found this on The Leaky Boob, it's from Marvelous Kiddo

Oh.. tis funny!  Enjoy!
I love that it allows me to take stairs with no difficulty.  Do you babywear?  What is your favorite thing about it?

One year old! Both ways!

My big boy :)

Today Christopher is One year old gestationally.  June 17 was my due date.  He was born 15 months ago so he has been a "one year old" for 3 months now. Now when people ask me how old he is I can just say "one year" instead of " __ months old and __ months gestational"  and then have to go into the whole 1 trimester short explanation.

DIY babywearing sling

It's fun!

Monday I posted about Babywearing.  I have a tutorial for ya'll!! :D   DIY baby sling!

Babywearing

Our first time Babywearing in the NICU or "Rooing"

We babywear  Lil' C anytime we are in public.  We do this for 2 reasons, ease of movement and health reasons. 

St. Patrick's Day

We had a busy day yesterday. Synergis shot in the morning, and then we ran a few.. Ok.. Quite a few errands. JcPenny, shopping, O2 stop, and a few more. Christopher took a few naps in his brand new sling we got at penny's. It's green! :) I actually made it in store from a scarf/wrap thing. Worked GREAT! It's comfy and comes in a rainbow!
We even picked up the party supplies. I am looking forward to seeing who all comes Saturday!
While shopping we ran into one of my mom's bosses. He thought Lil' C was asleep in the new "sling" and peeked over my shoulder.. Yeah he was snacking and the only angle you could see anything from was above :P. He embarrassed himself. I didn't even know he had done it till my mom started laughing at his reaction. I thought it was hilarious!

Last St.Patrick's day was a pretty fun day.. Considering.

Being Kanga and Roo

Kangarooing (also sometimes called "skin to skin") is some of my happiest NICU memories.

Rooing is where you hold the baby (fantastic right!) on your chest in direct skin contact. The babies have to be a bit stable. Although they stabilize while being rooed, they can tank when being put back in their isolates. Our NICU would not allow us to roo while he was still on the vent or on bad days, he also had be over 2.5 lbs I think.. But I can't remember very well. Weight limits will vary NICU to NICU.
There has been and continues to be a good bit of research going into rooing. There have also been studies showing that micro & standard preemies stabilize faster when the post delivery procedures are done using mom as a table, but she has to lie really still. I hope to never need to put that knowledge to use.

Breastfeeding in the NICU

The day finally comes when the nurse let's you know "how do you feel like trying to feed today?". Try not jumping up and down while cheering (they don't like it).