Saturday, December 12, 2009

Labor and delivery of Carden Lee Smith






As we planned for Carden’s arrival sometime on Tuesday knowing the induction would begin that morning, we had lined up grandmother shifts taking care of Jayden so they all would be close by when it was time. Little did we know Carden had a different plan? Sunday, Dec 6th was Jay’s birthday and we were planning a little get together in the Cafeteria at 5:00 to celebrate and for me to see Jayden since it had been a couple days and was going to be mid. to late in the week before I was able to go home. That Sunday morning around 9:00 as every morning, they had hooked me up to the baby monitor; Carden was flat lined, like to see zig zags, with accelerations and decelerations. The nurse called the doctor, I was to stay on the monitor, I started on a Mountain Dew that friends had brought 4 days ago, to see if we could get a little activity out of him. I’m starting to get worried, another hour with no significant changes. Have we waited too late to deliver, this is the first sign that an infection is setting in and we’ve risked taking a perfectly healthy, though immature baby, gambling on getting to 34 weeks. The doctor orders me to go over to Labor and Delivery where I can be put on continuous monitoring, for they don’t do that at special maternity. So needless to say I was not going down to the cafeteria at 5 to celebrate Jay’s birthday with the family, they would not even let me off the monitor to take a shower. That afternoon the baby was starting to show variability, zig zag lines, what we like to see but I had a significant increase in contractions now 4/hr. The doctor came back in late that afternoon to take a look at the readings, which she was much happier, but basically I’m not going back to my old room and will be in labor and delivery until the baby arrives. Contractions continued off and on through the night and were getting much stronger but no real pattern. Morning arrived I had an ultrasound to check on baby’s position, vertex, head down and pointing the correct way, they also did a quick measuring, estimated 3lbs 7oz, wow, he has shrunk again, for he was 3lbs 15oz last week, tells you not to believe it 100%. One of my doctor’s partners came by to see me and he had indicated I could labor like this for 2-3 days or I could go ahead and start the pitocin instead of waiting the 24 hours on my previously set date. My concern was I didn’t want to wear the baby out contracting and having the decels during the contractions, which had been happening off and on throughout the last 3 weeks. Then he would be too tired, forcing us to have a C-Section. He allowed me to take a shower while consulting with my doctor, the nurse volunteered her opinion, and she would wait because I was not in labor. (Not “in labor” I was thinking to myself, what the heck pain was I going through.) After a shower, got back in bed for more monitoring, I asked the nurse what was her definition of “in labor”, she said contractions 5 min apart or cervical changes. Shortly Dr. DeHoff came by and he checked me I was already 5-6 cm and station 0, (nurse began to be more attentive to me) he went ahead and ordered up the pitocin so I would have a quicker labor, not to stress the baby, if I wanted an epidural I needed to get it now or it would be too late. I remember last time being on pitocin and those contractions were much too strong in comparison to these, for I was still calling them a 5 on the pain scale but was starting to second think my judgment. Yes, get me an epidural and I’ve also experienced it would make me dilate quicker, bettering my chances for a vaginal delivery. An hour and half later I was at 7 and an hour after that I was fully dilated and could feel the head. I pushed two times then was told to wait until all the baby’s nurses were there, pushed two more times and he was out kicking and crying out loud. Crying was music to our ears for we were totally prepared for silence and resuscitation. Carden Lee Smith was born on Monday, Dec. 7th at 3:51 pm, 4 lbs 7 oz and 17.5” inches long.

Sunday, December 6, 2009

Fairly uneventful with one slight bummer




These last 4 days have passed with not much change, only one slight spike in temperature that quickly declined and only one hour window where I had 6 contractions but that quickly expired and I’ve been back to my normal of 1/hr. and not that painful.
We had an ultrasound on Friday morning, all was well, I had more fluid then before, the cord blood flow was great, she wouldn’t do any measurements since they did them earlier this week. We had to wake Carden up for her to see proper breathing, but once awake he showed good signs. While we were waiting on the doctor she was just poking around and found a fairly large sist on my right ovary. I do remember when I go pregnant it was there, but would probably go away. To be truthful, I had actually forgotten about it. After consulting with the doctor it will probably go away once these hormones leave my body in 2-3 months after birth, so not too worry.
One little bummer, Friday afternoon the charge nurse told me Jayden would no longer be allowed up to my room, not because she misbehaved but due to a news story that caused the higher ups to no longer allow any exceptions. Thank goodness my days are limited here and this happened at the end of my stay.
Also Friday my hair dresser came and cut my hair, that was so nice and one less thing I have to attend to once I get out next week.
Tonight Jay and I went back over to the NICU to get another list of my questions answered, we also got to see a 34 week old, he was in much better shape then the 32 week old we saw 2 weeks ago.
Tomorrow (Sun.) Jay turns 46 and we are celebrating his birthday in the cafeteria, were Jayden is allowed with a mask on, if you want to wish him a happy birthday here is his blackberry (jay.smith@duke-energy.com / 704-430-9210).
The plan is still to induce on Tuesday morning, if the delivery room is full like it has been the last two days due to the full moon, I will be bumped. If bumped it will just be a couple hours or ½ day, but should still happen. Keep your fingers crossed Carden will deal well with a vaginal delivery!
Thanks to all my visitors: Jay and Jayden, Neal, Judy White – Covenant Presby., Chris M., Granny and Jayden, mom, Bob Henderson – Covenant Presby., Judy and Jayden, Lori – hair dresser, Mark Deihl – Covenant Presby., Janet and Vance and Paul.
Again thinks to all the visitors it has my 17 day stay (thus far) go by quickly.
Also thanks to Jeff and Teresa for the holiday flower arrangement and to Tim and Suzanne Severs for the Cookies by Design for my birthday.

Wednesday, December 2, 2009

Good signs



We are still hanging out with Carden in mommy’s belly but there is an end in site. Monday they weighed me and I had gained 5 lbs. since Thanksgiving morning, 5 lbs. in 5 days. Actually that is a good thing so now I’m back to the 17 lbs. weight gain that I was at 29 weeks. Plus how was he supposed to gain if I was not gaining. This morning I had an ultrasound and things looked real good, he had good breathing patterns and movement, the fluid level was about the same as Friday’s results. Currently he’s estimated at weighing 3 lbs. 15 oz. The blood flow from the cord looked great, whereas on Friday it was within limits but more spiked forms. Also on Friday the doctor had to wait and then buzz him in order to see his breathing but today she was able to see the needed breathing patterns in no time.
As I said earlier "the end is in site" for we are going to deliver on Tuesday Dec. 8th if I don’t start labor before or develop an infection. Carden will probably be in the NICU for 3-5 weeks but should be a strong little boy by the time we take him home.

I have to thank all my visitors: Jay, Judy and Jayden, mom and Jayden came and decorated my room for Christmas, Joan Watson – Covenant Presby. Church, Sarah brought me my favorite Avocado Turkey Burger for lunch, Cynthia, Melanie and Tracey brought me Mac’s BBQ (sorry I didn’t get pictures of everyone).