Home

We're home. Finally.

Thank you all for your generous outpouring of love and support. It means the world to me, and big thanks to Sally for updating the blog.

We had the amnio last Thursday, as planned. I left the assesment unit and headed straight to the maternity ward as my BP was 160/104 and they wanted me admitted right away. I was having headaches and such, the typical pre-e symptoms. There was talk of an emergency c-section that afternoon. I was not prepared for that.

At any rate, a few hours later the resident came in to tell me that the amnio was negative, that Bumblebee was not ready. She said my ObGYN felt I was stable for the time being, and that she would come in the next morning to discuss our options. The surgery had tentatively been booked for 10am on Friday morning, and they weren't going to cancel it yet.

Bright and early on Friday, Dr K came in with a team of med students and residents, and said, very definitively, that unless I had some strong objections she wanted to go ahead and deliver. We talked of the risks to Bee considering the negative amnio- potential respiratory distress, etc., and the risks of waiting considering my declining health. Seeing as I NEVER thought I'd ever make it to 36 weeks (and neither did she), the prematurity risks were pretty small in my mind, and I was more comfortable with that than I was with waiting a few days and having the potential risks of full-blown Pre-E and HELLP. Plus, my bloodwork was showing a rise in liver enzymes and a drop in platelets. BP was still 160/100 even with an increase in meds. By definition, another case of HELLP, but caught so early this time and much much less severe than with Charlotte.

I told her that I thought we should quit while we were ahead. She completely agreed. It was time.

A few hours later I was wheeled into pre-op. It was so different this time- calm and quiet, no huge emergency. I even walked into the OR. The neonates were there with a resuccitation team (I didn't like the sound of that one bit), as they knew we were delivering with a negative amnio. I was blessed with a fantastic medical team- the world's sweetest anesthesist, my beloved OB and my favorite resident and med student. The surgery was fine- no nausea or any negative reactions to anything. I didn't shake like last time. I was comfortable.

On TV it always seems like the baby is out almost instantly in a c-section. Not this baby. I'd say it was half an hour or so. They warned me of the pressure and then announced his head was out. Then he got stuck. Then I heard these little gurgles of crying and then a loud yell from Bumblee.

Do you hear that Heather? they said. He's screaming! M and I were both in tears.

He was whisked away to be evaluated and you could hear him continue to cry from the next room. A few minutes later he was swaddled and on my chest, whimpering. So very very sweet. He was ok. He even got 9/9 on his Apgars.

We held him for 20 minutes or so. He started to get a bit "moany" so they brought him back to the neonates again. They decided to go ahead and admit him to the NICU and brought Mike with him.

I sat in recovery with another lovely nurse and we gossiped about celebrities etc. It was so hard to believe that my baby was here. M would come back from time to time with updates- he was 5 lbs 5 oz., 18 inches long. He has an IV now. He's on the CPAP machine. He's ok, he holds my finger.

After my requisite time in the recovery room they wheeled me by the NICU to see him. So precious. Even under the wires and beeping monitors he was so sweet.

I was brought upstairs to the maternity floor and that's where the memories get fuzzy. I had apparently lost a lot of blood in the surgery, and my blood pressure plummetted. It went from 160/100 to 80/40 and I felt so very sick- completely nauseated, blurred vision, weak and faint. They had to up something in my IV to get the BP up a bit, but I have very little memory of the rest of the day. By Saturday morning I was feeling somewhat better, but I almost fainted several times and had to lie flat on my back in order to stay alert at all. If I moved at all it was not a good scene. Anyway, I didn't get to go back to the NICU until Saturday evening, so I missed a whole day with my bumblebee.

By late Saturday he was off the CPAP. By Sunday morning out of the incubator and into a crib. Sunday afternoon they brought him up to the maternity floor to room-in with us. Again, completely surreal. He didn't feel like mine, probably because I had lost so much time with him. He was so adorable and precious, but completely didn't feel real. Our bonding took a little time, but we're ok now.

So, we were finally discharged yesterday. My hemoglobin is very low due to the blood lossy, so I have to be careful getting up out of chairs and bed and very very careful carrying Adam. (More often than not, M and I still call him the Bumblebee.) We're settling in. He's such a sweet boy, and it's so magical to look at him and think of all the possibilities ahead.

We miss Charlotte so, so, much. Next to Adam in the NICU there was a little 24-weeker, a girl, who was almost a month old. She was a full-time job for the nurses, and there were constant alarms and buzzers and tweakings with her. It broke my heart- for that baby, for her family, and for our baby girl who didn't even make it that far. I am so thrilled and happy that Adam is here and healthy, but he will never replace my baby girl, and he shouldn't be expected to. I am surprised yet comforted by the separateness of the two babies- it is completely possible to be sad and elated at the same time, the feelings do not cancel each other out at all. I can enjoy Adam while still missing Charlotte, and I think that's the way it should be, for us.

But we're home. He sleeps next to me, swaddled in three blankies in his bassinet. His sister's picture is next to us on the dresser. This is our normal. And I'm ok with it.