Thursday, September 12, 2013
Kanaan is Here!!!
I started having mild cramps/contractions right away when they put the cervadil in. They gradually got a little stronger throughout the evening and by 3:30a.m. they were so strong I had to breath through them. They were also back to back the whole time. Three minutes apart was the most spaced out ones, they usually came in threes. I'd have 3 30 seconds to 1 minute apart and then a 3 minute stretch. They went ahead and took the cervadil out at 4am instead of 5 because my contractions were so close together. They were hoping that they would settle down a bit once the cervadil was out. The contractions didn't lighten up at all once the cervadil was out and I had dilated to 3cm and 70% thinned out. Since the cervadil had put me into labor they did not start the pitocin. Earlier they had said that once the cervadil was out that I would be able to eat some breakfast and drink something, also that I'd be able to walk around. However, since the contractions were right on top of each other they wanted me to stay hooked to the monitor in the bed and I couldn't eat or drink.
At 9am they came in and broke my water to try to make the contractions stronger and more effective. It did make them stronger, but they stayed at about the same pattern.
At about 11am I got an epidural and was almost 4 cm dilated. I really wanted to go without the epidural, but the contractions were so back to back there was no break in between and Kanaan was positioned so that I was having a lot of back labor as well. The doctor wanted to give me pitocin, because even though my contractions were strong they wanted them to be more evenly spaced and into a better pattern. They started the pitocin after the epidural was placed. Since I had only gotten about 2 hours of sleep, Andy, Kayla and I all napped after the epidural for a bit.
They checked me again at about 4:30pm and I was still basically 4cm but they could stretch me to a 5. At this point it had been 24 hours since the contractions started and I had only changed 4 centimeters, the doctor thought maybe Kanaan was turned wrong or he was too big to fit in my pelvis because I was still not progressing. Dr A said that we could try a few more hours if I wanted or we could go ahead and do a c section. I decided just to do a c-section while Kanaan was still tolerating things well instead of waiting until he was in distress. I was ready for it to be over at this point. Since I already had the epidural they were able to start fairly quickly.
Kanaan Lee King was born at 5:14pm on 9/4/13 and weighed 7lbs 12oz 20in. He took just a few seconds that seemed like hours then we heard his squeally high pitched cry. He was put on 50% oxygen but was breathing on his own. They took him off to the NICU and Andy went to tell Kayla, Mary and Alan he was here.
An hour and a half or so after he was born the Neonatologist came in and told me that Kanaan was doing well and that he was now on 30% oxygen and otherwise doing well. Andy was able to take Mary and Alan up to the NICU around 8ish and at around 9:30pm Kayla and I went to see him for the first time. By that time he was off all oxygen and they let me hold him. It was so nice to be able to hold and see him.
Monday, September 2, 2013
Kanaan Week 35 and 36 Update and Induction Date Is Set!
On 8/19/13 Kanaan got a 10/10 on the BPP/NST. The fluid level was 7cm and he was still head down.
On 8/22/13 Kanaan got a 10/10 on the BPP/NST. The fluid level was 9.2cm and he was still head down.
Week 36 Updates:
On 8/26/13 Kanaan got a 10/10 on the BPP/NST. The fluid level was at 12cm and he was still head down. This was my last visit with the regular OB.
On 8/29/13 I had my appointment with Dr. A the specialist. Kanaan's fluid was at 15.6cm! Dr. A said "You have a miracle baby!". They measured Kanaan and he weighs approximately 6lbs 13oz. He checked to see if I was starting to dilate at all, he said I was less than 1cm dilated but more than a 0. Since I wasn't really dilated much, we will go in to the hospital on Tuesday 9/3/13 in the afternoon. They will start the cervadil, a medicine to help the cervix soften and dilate that night and then the next morning they will start the pitocin to get contractions and labor going. He said Kanaan should be here by Wednesday night! About 10% of women will go into labor with just the cervadil and not need the pitocin, I hope that happens with me. I'd really like everything to go as naturally as possible. He said that as long as Kanaan is crying and breathing and looks good I will be able to hold him right away and nurse him as soon as possible. The NICU doctors will be in the room when he's born as well so that if he does need any help they are right there.
Even though the fluid has gone up and he's done fantastically, he was still without fluid during the crucial time when his lungs were developing. This means we won't know if he will have enough lung tissue to support him once he's born. If this is the case there is nothing they can do to help him breath and he won't make it. Please pray that Kanaan is able to pass over this last hurdle and amaze the doctors once again with how well he's doing. I believe God is using Kanaan's story as a testimony to what He can do!!
Sunday, August 18, 2013
Kanaan 34ish Week Update
On 8/13/13 I met with the general surgeon Dr. P. He tried to remove the infection with a syringe, but that wasn't working, so he ended up having to cut it out. I was glad Andy was off work so he could take me and stay with. It was pretty painful, but is on the mend now. I go back next Tuesday for a follow up. Hopefully it's healing as it should and will not be an ongoing problem.
0n 8/15/13 Kanaan once again got a 10/10 on his BPP/NST. The fluid was at 10.3! If it's lower next Monday I won't be surprised, because he was curled up in a tight little ball so he wasn't really covering any of the pockets up.
Wednesday, August 14, 2013
Kanaan 33 Week Updates
On Thursday 8/8/13 I met with Dr. A the MFM/specialist again. Kanaan's fluid was at 8.5, the doctor was not concerned about that as it could just be how he was lying. As long as his fluid is above 5 they aren't too concerned. Kanaan weighed 5lbs! I was born at 35 weeks and weighed 4lbs 10oz, he's already bigger than I was at 2 weeks later in the pregnancy. Dr A said "I'm really impressed with this kid". I will see Dr A on 8/29/13 for another growth check and he will check me at that time to see if I'm starting to dilate at all and schedule the induction for 37 weeks. He said if I'm my cervix is not favorable then I will go in 9/2/13 in the evening to get that ready before the induction on 9/3/13. If it is favorable then I won't have to be at the hospital until 9/3/13. He said he'd rather do a slow induction over a few days than try to rush it and need a c section. That makes me feel a lot better, I'd prefer to avoid a c section as much as possible. The induction dates are tentative at this point we will know an exact plan after the 29th.
Sunday, August 4, 2013
Kanaan 32ish Week Updates and Prayer Requests.
On 7/30/13 I had to take off my wedding ring. They were getting too tight. I did get a vaccination shot in my left arm at my appointment on Monday so it may be swelling from that. My arm was extremely sore and I could hardly move it for several days. It is still a tad sore, but basically back to normal now.
On 8/1/13 Kanaan was still vertex and fluid was at 9.1cm. He got 10/10 on BPP/NST.
PRAYER REQUESTS:
- Continue to pray that the fluid increases. We are in the normal range, but the low end of normal. We are about to the stage where fluid levels typically peak and then start to drop for normal pregnancies. Pray that it continues to increase and does not drop at all.
- Continue to pray that his lungs will be developed in order for him to survive after birth. Even though he does do practice breathing, that has no impact on whether his lung function will be able to support life after he is born. Nobody is really sure how/when the fluid-lung connection works, his increasing fluid now may be good for his lungs, but it may be too late and missed the time to build his lungs. We won't have any idea if his lungs will be developed at all until he is born. His lungs may be fine, he may need respiratory help, or they may be so underdeveloped there is nothing to be done and he won't make it longer than a few minutes. Even though the increased fluid reduces the chance of still birth, he is still at a great danger of not having the lung function to survive. We aren't out of the woods yet.
- Pray that the clogged milk duct clears up and I will not have to have surgery to remove it.
- Pray that my blood pressure is fine at my next appointment and continues to be so for the remainder of the pregnancy.
- Pray Kanaan continues to remain head down, so that I can have a chance at a natural delivery. I really do not want a c-section.
Monday, July 29, 2013
Kanaan 31ish week updates
Now that we are home I go to the local hospital on Monday and Thursday for ultrasounds (biophysical profiles) and NSTs and see my doctor after that on Mondays. I've decided to call these weekish posts because I turn weeks on Tuesday, but it's easier to keep track of updates in the same calendar week. So technically I was 30w6d on Monday not 31weeks, hense the ish. During the biophysical profile Kanaan is scored on a point system. He gets 2 points for each area they are looking for to reach a total of 8. They are looking for: Movement- he has to make a series of movements to pass. Tone- they are looking at his muscle tone when he moves. Fluid- they are measuring his fluid. Breathing- he has to do a series of practice breathing.
Monday 7/22/13 Kanaan was head down and his fluid was still at 5. He scored a 6/8 on his BPP because he did not practice breathe. Practice breathing does not mean his lungs will be able to support him, it's a reflex type thing babies do. This does not mean anything about if he will be able to survive birth. His NST looked great as normal.
Thursday 7/25/13 Kanaan is still head down!!!! That's the way we want him to stay. He got an 8/8 because he met all the requirements and his fluid is at 6.91. That is considered normal fluid level! It barely meets normal range but we'll take what we can get. NST was perfect as usual.
Friday, July 19, 2013
30 Week Growth Check Ultrasound and Coming HOME!
I got home last night 7/18/13 around 9pm. I will go in to the hospital in Quincy twice a week for a NST (Non Stress Test) and have an ultrasound to check the fluid, as well as seeing my regular OB once a week. The specialists from Springfield are in Quincy once a week so they will be checking in with Dr. K here as well. If they find anything concerning during any of the tests I will be transported back to Springfield. I will see Dr. A from Springfield on August 8th for another growth ultrasound. I'm on modified bed rest and have to do kick counts twice a day. I will also be checking my blood sugar 4 times and giving myself 5 insulin shots each day. I will still be on the same meal/snack schedule as I was in the hospital. I'm still pretty tired because I have to wake up early for breakfast and stay up late for night time snack. I try to take naps between meals but I have to check my blood sugar 2 hours after I eat and give my insulin shot to myself 30ish minutes before I eat, which doesn't leave a very good stretch to nap. So my days consist of poking myself with needles, eating and sleeping, basically the same as the hospital, but it's so nice to be home with Andy and Pogo.
Tuesday, July 16, 2013
Update on Kanaan!
On 7/1/13 we had another ultrasound to check Kanaan's fluid. It was at 2.5cm still and he had moved to head down. They also started checking my blood sugars. When I got here they did the 1 hour glucose screening test for Gestational Diabetes and I failed it. That doesn't necessarily mean that I have Gestational Diabetes, and the next course of action would be to do the 3 hour test. However, they didn't want to wait to give me the betamethasone, which is the steroid shot they give any mothers who are at risk for delivering early. The betamethasone helps lungs to mature, it will not help Kanaan's lungs if they are not developed because of the low fluid, but if they are developed it will help them mature if he has to be born early. Anyway the steroid makes blood sugar high so they decided to wait a few weeks before testing my sugars again, so they wouldn't treat me with Gestational Diabetes if I didn't actually have it. So they started testing the sugars again they were a bit high so they put me on the controlled carb diet. That helped for a few meals then there was a couple more high counts so I started on an oral medication. That helped after the first dose, but my sugar was high after the second dose, so they put me on some slow acting insulin. That helped for a few meals then they started the fast acting insulin as well. So I'm currently on 1 shot of slow acting insulin in the morning and again at night, and 1 shot of fast acting insulin right before each meal. They also test my blood sugar early in the morning, and then 2 hours after I eat.
On 7/9/13 I had another ultrasound the amniotic fluid was up to 2.7 and Kanaan was back to breech. I'm hoping that at some point he will flip back to head down. The doctor said that if Kanaan's heart rate stays ok and he flips head down they will induce me at 39 weeks and I won't have to have a c-section. I'm really hoping that I don't have to have a c-section.
His heart rate is continuing to look great on the monitors!!!
Monday, June 24, 2013
HUGE Update on Kanaan!
On 5/31/13 we went back to Springfield to check on Kanaan's fluid level. We were hoping that his fluid levels would be improved. However, they were still at a 1. Kanaan was looking good though. Dr T. said it was up to us when I would be admitted to the hospital for the remainder of the pregnancy. I was thinking we should come right away so that if he laid on the cord we could deliver him right away instead of him passing away before we knew. After Dr T we met with Dr. B the Neonatologist. He explained that since Kanaan's fluid is so low that his lungs would be less developed than other babies born at the same gestational age with regular fluid levels so his chance of survival were much less. He advised that based on our situation and Kanaan's chances of survival it would be better if we waited until we were 26 weeks to be admitted. If he were to be born before that he would most likely not survive at all. He said that even if we were able to make it full term his lungs may still not be developed enough to allow him to survive. He said that there is still a chance that he may not make it to 26 weeks. So we decided that June 18th when we would be 26 weeks we would be admitted for monitoring. Being admitted does not mean we would deliver him right away, but that he would be monitored so that if he did lay on the cord we would be able to deliver him right away so that he wouldn't be cut off from oxygen so long.
On 6/13/13 we had our last regular doctor appointment with Dr. K. We didn't get to have another ultrasound but she did do a NST (Non Stress Test) where they hook me up to 2 monitors, one to monitor if I'm having any contractions and one to monitor Kanaan's heart rate. He looked good on the NST and we were measuring 26 weeks even though we were only 25w2d. Which means Kanaan is still growing!
On 6/18/13 we were admitted to St. John's Hospital in Springfield. They hooked me up to the monitors and did all their blood draws and added an IV. The first day and night I was on continous monitoring. During the day he stayed on well, but once I tried to sleep he kept wiggling away and the nurses had to keep coming in to reposition the monitors. I maybe got 3 hours of combined sleep.
On 6/19/13 we had an ultrasound and Kanaan weighed 2lbs 3oz, which is still a bit ahead of his gestational age. Which is good, because the low fluid can cause growth problems, plus the bigger he is the better his chances are once he's born. He also had moved from breech (head up) to transverse (lying sideways) the doctor was surprised that he had enough fluid to change positions and said that was good. However, they couldn't find the kidneys in the ultrasound. The doctor wanted me to have an MRI. The concern was that since Kanaan was growing his kidneys should be growing as well. If he didn't have any kidneys on the MRI he wouldn't make it at all once he was born, if they were there and just small then his chances would be better. I was really nervous about the MRI, I had never had one and tend to get claustrophobic. Also I've always been sensitive to loud noises. Even though the MRI was scary I got through it ok.The doctor also said that since he looked so good on the monitor, (he hadn't compressed the cord at all) that we only need monitoring twice a day. I did ask if we could do it three times a day just for my sanity that everything is ok and she said that was fine.
On 6/20/13 the doctor came in to give the MRI results. Basically they found 1 abnormally shaped kidney instead of 2 regular ones. They said he has what is called horseshoe kidney, they said that it is fairly common and most people that have it don't even know it. Although the concern is that his may not be working properly because the fluid is so low. They said he has some function because there is some fluid in the bladder, and he does have a bit of amniotic fluid. They also said that his kidney is in the front of him instead of near the back where it should be. The location isn't much of a concern, just the function. We won't know how his kidney function is until he is born, they said if it is really low they could do dialysis on him and worse case he would need a kidney transplant. Also the main concern is still that once he is born his lungs may not have had enough fluid to develop his lungs.
Today 6/24/13 they did another ultrasound to check his fluid and he has moved back to breech, and his fluid is at 2.5cm!!!! That's still really low but better than 1 and they didn't actually tell me this until today but at my last ultrasound it was at 0. YAY for improvement!!! That's higher than it's been since we found out it was low.
Monday, May 20, 2013
Baby Update!
On Friday 5/17/13, we went to Springfield to meet with the Genetics Counselor and Maternal Fetal Medicine Specialist. Mary and Alan, Andy's parents went along with us for moral support. The genetics counselor gave us an idea of what the ultrasonographer would look at for each of the syndromes and advised that to know for sure what was going on, we would need to have an amniocentesis. With the fluid levels being low we were not sure if we would have enough to do the test. The counselor stated that with Edward's syndrome, Turner Syndrome and Trisomy 13 the baby would most likely have some physical deformity, if the baby had none chances were good that the baby did not have one of those. There are also markers for Down Syndrome the ultrasound tech would look for as well. As far as Turner's syndrome, that is a syndrome that effects only girls. It is when the baby only has 1 x chromosome instead of 2. So if the baby was a boy that one is also out. She said with Edwards syndrome the baby also has problems opening their hand so if the hand is in a fist the whole hour long ultrasound then that would be of concern, but if we saw the hand open, chances would be good the baby did not have that. She even said our fluid may not be low at all, if they were not able to get a good picture. She said that if there was no fluid at all they would induce me right away and we would deliver the baby, as it would not make it. We left there feeling better about what may be going on with our baby as we had more information and questions asked.
Next we had our long ultrasound. We saw the baby's hands wide open so we knew the baby probably did not have Edwards Syndrome. Praise the Lord! We asked the tech if she had a hint of what the baby was. She said she thought she saw some boy bits, but wasn't sure. She checked again after the ultrasound was basically over and was able to get a good shot, however the shot was trying to be blocked by a tiny hand being modest. She was however able to tell that we are having a little boy!!! His name is Kanaan Lee King! The ultrasound tech also confirmed what our first ultrasound stated that he is a little bigger than average. She said he was a little over 1lb, which was good news because a lot of the syndromes and low fluid can cause smaller babies. The fact that we were having a boy eliminated Turner Syndrome and his open hands eliminated Edwards Syndrome. We really didn't know how the ultrasound came out as we aren't really sure what measurements are normal/what we were looking at and what they should look like. The ultrasound, even though it was a high resolution, it still was not very clear.
After the ultrasound our Maternal Fetal Medicine Specialist (MFM) Dr. T came in and gave us the findings. She stated that Kanaan looked great and had no abnormalities or markers that would indicate a chromosomal condition. No cyst. She did say that my amniotic fluid was very low. Low amniotic fluid is called Olighydramnios It should be at 20cm and mine was at 1. She said the main causes for low fluid would be the problems with the baby's kidneys, a chromosomal abnormality, the placenta not being healthy, or that I broke my water and was leaking fluid. She said Kanaan was fine, that knocked out the first 2 options. She also said my placenta looked good and was working properly as well. That left that I may be leaking fluid. She said that since the fluid was so low it can cause major problems for Kanaan. The most dire being that he may lay on the cord and without the fluid cushioning it he could cut off his oxygen supply making his heart rate drop. If he doesn't move he could die. Also it can cause his lungs to not mature and develop correctly. Baby's in the womb drink the fluid and doing that develops their lungs. Even if Kanaan, survives the pregnancy without laying on the cord, he could have breathing problems due to his lungs not developing as well. Also he could have some muscle tightness and may need physical therapy to retrain his muscles to straighten out as he does not have as much room to move around and stretch with less fluid. She said that if I'm not leaking any fluid, it may just be a rarity, but her guess was that I am leaking it and that is why it is so low since everything else checked out. What the plan of action is that once we decide that the risk of the Kanaan having major long term effects of being born very prematurely out weigh the risk of him dying in utero before we have a chance to deliver him, we will be admitted to Springfield to be observed. Once his heart rate drops and doesn't come back up immediately they will deliver him then. At this point we are at 21w6d, they are not going to admit me now because he wouldn't make it if they had to deliver anyway. We need to get to 24 weeks in order for Kanaan to have a chance of surviving, at that point he will have a 50% chance of surviving, but will most likely have permanent life long struggles and complications due to being born so early if he does survive. She wanted me to leave work and just stay at home to rest, but said that since I sit all day and just answer the phones that I can continue to work.
After we spoke with Dr. T she sent us down to labor and delivery triage to check if my fluid is leaking. The test came back negative, so at this point I am not leaking any fluid, it just seems to be very low. Dr. K said that drinking more water and rest can help fluid levels raise, however Dr. T said it would not help. Dr T said that if the low fluid is due to the placenta it may help but if I'm leaking it won't. Well since I'm not leaking and everything I looked at online support the rest and water intake theory, I've basically put myself on "bedrest" and am drinking as much as I can to help. I figure drinking more water certainly can't hurt anything and if I were in the hospital I'd basically be on bed rest.
Andy and I have to decide when I will be admitted, at this point we have not decided. We are praying that the fluid increases on it's own and I'm able to put off being admitted for a few more weeks, if not altogether. We will probably see what the report is next time and decide then. We go back to Springfield on 5/31/13 to have another ultrasound and meet with Dr. T. We will also meet with the Neonatologist to go over what we can expect if Kanaan is born within the next few weeks. At that time we will be 23w3d, so still a few days from viability for Kanaan. I do have several pictures to add but will do that when Andy is home to run back and forth to the scanner for me. Please be praying for our sweet baby, that he be safe inside me until he can safely be born, as well as my fluid increasing so that we will not be forced to deliver him too early. Also since I'm currently working as a temporary employee, there is a good chance that once I have to be admitted I will lose my job. Kanaan's safety is our main concern, but me being 2 hours away from family and Andy and with only 1 income and a hefty hospital bill it will not be ideal.
Wednesday, May 8, 2013
Baby Update!
Anyway I thought I'd do a much needed baby update. So I have not been taking weekly pictures. There really wasn't much change at all in the beginning and even now there isn't enough to do weekly pictures. I did the 6wk pic and then not again until 16wks and 20wks. I'll probably keep doing the pics every 4 weeks, maybe switching to weekly closer to the end, we'll see.
I had my first OB appointment on 3/5/13, which happened to be my mom's birthday. Everything went well and we got another ultrasound to check the baby's heartbeat. This time we even got to take home pictures! The baby's heartrate was 162bpm and it was just over 1 1/2 inches long and about the size of a fig. Here is what Baby Center had to say about the baby's development at our first appointment.
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This is a close up of the heart and heartbeat. |
I felt the baby move for the first time on 4/27/13, I was 18w4d. I'm definitely feeling it more often now but still not really strong or constant. I know it will come though.
I'm currently 20 weeks, halfway there! The baby is now the as long as a banana and is 6 1/2 inches long and 10 1/2 oz.
Now on to the belly pictures!
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16 Weeks |
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20 Weeks |
Sunday, February 10, 2013
6 Weeks! (1/29/13)
Friday, January 25, 2013
5 Weeks (1/22/13)
Tuesday, January 22, 2013
4 Weeks! (1/15/13)
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This is the official test we took Tuesday morning that told us Baby K was coming! |
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I took this one Tuesday night. I was just curious to see if the second line would show up in the evening. It sure did! |
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I took this test Sunday just because I was being neurotic and freaking out that something was wrong. The test line popped up even before the control line. |
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Here is my 4 week belly shot. No difference yet. Please excuse my messy hair. It was the end of the day and we had been all over announcing the big news. |