Wednesday, February 25, 2015

Hip Baby


At her 2 month pediatrician appointment Nora was diagnosed with hip dysplasia and we were sent to a pediatric orthopedist to get outfitted with this baby.  It's a Pavlik harness used to position her legs so that the femur sits correctly in the hip socket.  If we're lucky this harness will fix the problem in 8-12 weeks.

I hate this thing.  Nora doesn't seem much affected by it, but it breaks my heart to see her in it.  It would break my heart more to see her in a Spica cast, which could be a possibility if this harness doesn't do the trick.  We've got our fingers and toes all crossed that the harness will correct the issue and she'll be able to wear pants in a few weeks.

Sisters

This is the first time that Lucy got to hold Nora after her birth.  Nora's NICU stay meant that Lucy couldn't meet her in the hospital.  During cold and flu seasons all kids younger than 12 years old are forbidden from going into the NICU.  We totally understood the reasoning for it, but it was hard on Lucy.  She could see Nora through a window for the first 4 days, but then Nora was moved to another room that did not have an observation window.  Lucy was very excited to get her hands on Nora.
I am so fascinated to see the sister dynamic between these two.  I don't have a sister so this is all new to me.  Let's hope they love and protect each other (and act as default travel buddies).  Honestly, the travel buddy thing is why I thought it really important that Lucy have a sibling.  When all your friends flake, you need a sibling to guilt into traveling with you.

We're two months in now and it is still so fun to see the two of them interact.  Lucy thinks all of Nora's bodily functions are the funniest.thing.ever.  Nora gazes at Lucy and "talks" to her. We'll see how things go once Nora is mobile and curious about all of Lucy's toys.

Nora's Arrival

We started a blog for Lucy right before I went back to work for maternity leave so it seems only fair to start one for Nora.  Think of this as a digital baby book.  Facebook wasn't around for Lucy so the blog was the main source for Lucy info.  Now, I post a lot on FB so I'm not making promises that this blog will have the same amount of content as Lucy's but, there will be certain things that I want to archive.  The first of those is the story of Nora's birth.  Let me start even earlier with my pregnancy.  Everyone says that every pregnancy is different and that's true, but I'm a good pregnant person.  I had only two complaints with my first pregnancy - heartburn and leg cramps.  This time around I was determined to stay fit through out my pregnancy (with the first I pretty much just wallowed around for 9+ months) and I theorize that the running, swimming and strength training helped me avoid the leg cramps this time around.  The heartburn was exactly as I remember though.  

So I was relatively comfortable during this pregnancy.  It wasn't without drama though.  Because of my "advanced maternal age" (so offensive) I got to be followed by a perinatologist.  At my first ultrasound with the perinatologist they saw some cysts on the baby's brain that are sometimes associated with Trisomy-18.  Often, these cysts go away on their own and while the perinatologist felt that this would likely happen in our case, the only way to rule Trisomy-18 out for sure is an amniocentesis.  Not wanting to spend the next 8 months fretting- I opted to go ahead and have the amnio.  Three tense days later we got the news that all was well and sure enough the cysts went away.

However, the perinatologist had also noted that the umbilical cord was attached to the placenta the side versus in the middle, which can result in restricted intrauterine growth so I got lots of ultrasounds through out this pregnancy.  On Thursday, December 18, 2014 I had my last perinatologist appointment and they signed off citing that the baby was growing well and they did not need to see me for the last month of my pregnancy.  My due date was January 19, 2015.  I bee bopped home ready to ring in the holidays fully expecting this baby to be late much like Lucy was.  

And then my water broke very early on Saturday, December 20, 2014.  I was asleep and a gush woke me up at 12:34am.  My first thought was that I had just become completely incontinent (this made more sense in my sleepy preggo brain than my water breaking).  I got up, cleaned up, and went back to bed.  Then there was another gush.  Great.  Cleaned up again - at this point it's 1am and I decide to let Wes in on the happenings.  I walked downstairs and said something helpful like "don't panic, but I'm pretty sure my water broke."  Wes said something equally helpful like "wait a minute, it's too soon for that.  I'm not ready."

I decided to hang out and see if I started having contractions, but about 30 minutes later decided to be responsible and call my doctor.  The on call doc recommended going to the hospital (SURPRISE! <---sarcasm).  So we wake Lucy up and arrive at Northside, baby factory, around 2:30am.  They confirm that my water has indeed broken and I start walking the halls trying to get contractions going.  

Very long story short - the contractions never show up.  After my water had been broken for 17hrs and I hadn't gone into labor the on call doc says it's time for a C-section.  At this point everyone in the hospital takes a turn trying to start an IV on me (no kidding, getting an IV line started on me is not easy).  Finally, a lady from the IV team is successful and I'm able to get my fluids and epidural.

Nora Elaine Little was born five weeks early via C-section at 5:01pm Saturday, December 20, 2014.  She weighed 5 lbs 4 oz, was 18.5 inches long and immediately stopped breathing.  Wes witnessed this.  Luckily, I did not.  She was placed in my arms for about 30 seconds then whisked off to the neonatal intensive care unit (NICU) and intubated.  It was only later, in recovery, that I was filled in on just how serious her condition was.
I know just enough about medicine to freak out when the neonatologist says "she's been intubated and given dopamine to keep her blood pressure up."  I wouldn't get to see her for 12 hours after delivery.  It was the longest 12 hours of my life.  During that time she was given surfactant for her lungs and her IV lines were started for IV nutrition and medications.  Luckily, the surfactant perked her lungs right up and she ultimately only spent 7 days in the NICU.  It's funny to say "only 7 days" now.  Those seven days were hell.  Leaving the hospital without your baby is the most heartbreaking, horrible thing.  My nurse on my last day in the hospital was so kind.  She had twins born at 34 weeks who spent 11 days in the NICU and she held me while I cried and listened to me and then raided the supply closet and sent me home with diapers and supplies that I otherwise wouldn't have gotten.  When your baby doesn't room-in with you they don't bring you baby supplies.

We went home without Nora on Christmas Eve.  We were able to have Christmas with Lucy, which was good, but we were torn between home and the hospital.  Let the challenges of having two children begin!

Nora finally came home on December 27th.  I was so relieved to be home with her that I welcomed the sleepless nights.