Tuesday, December 23, 2008
It's go time!
The timing certainly couldn't have worked out better, as my parents flew in yesterday to spend Christmas with me, and my brother and his girlfriend are flying in tonight. I am beyond thrilled that my whole family will be here for the big event! Please pray with us that the babies are born healthy and stable, and also that I come through this riskier-than-usual C-section with no complications so that we can all enjoy our precious time together before my family flies back to Texas at the end of the week. Tomorrow promises to be hectic, but we'll post names, weights, and all that good stuff as soon circumstances allow!
Monday, December 22, 2008
Christmas quads?
Yesterday Dr. S warned me that, if we learned today that any of the babies hadn't been growing properly, we might need to deliver them earlier than the original goal of 34 weeks. Since that's exactly what we found out, he did an amniocentesis on Baby A to check for lung maturity (for some reason, the largest baby usually has the least-developed lungs). We are currently awaiting the results, which should be ready later today or tomorrow. If Baby A's lungs are not sufficiently developed, we will wait a little longer to deliver. But if his lungs are mature enough, it will be go time! Stay tuned ...
Monday, December 15, 2008
There's a light at the end of the tunnel
So now we're in the final stages of the waiting game, unsure of just when in the next 2 weeks these babies will come. I am torn between wanting to make it all the way to 34 weeks for their sakes, and selfishly yearning to have my body back already. My belly is growing so fast that, every single day, I can detect a marked decline in my ability to move. I have never been allowed to leave my bed except to use the bedside commode (and every other day to shower), but even the seemingly simple acts of getting out of bed, standing up, turning around, and sitting down are laborious—and then I have to repeat the whole sequence in reverse (more than a dozen times a day, no less!). And forget about finding a comfortable position once I'm back in bed. Let's just say that, after nearly 7 weeks here, my rear end is sick and tired of sitting on this mattress!
I don't detail all of this to complain—I just want to provide a small glimpse into how increasingly difficult this pregnancy will be as its final days unfold. I sometimes I worry that I'll be completely bedridden, with a catheter and everything, before it is all over, but I just have to keep trusting in the Lord's timing for these babies. Although Ted and I can't wait to meet them, we know that their well-being is a million times more important than my comfort or our convenience. As long as the babies continue to be active, practice their breathing, grow at a similar rate to each other, and retain plenty of amniotic fluid in their sacs—and as long as my blood pressure and contractions stay under control—we shouldn't have a problem in making it all the way to December 29!
Monday, December 8, 2008
A sad note
The quads were going to be my grandpa's 55th, 56th, 57th, and 58th great-grandchildren, and he was highly interested in my progress. My mother and I kept him up to date on how things were going and, just a couple of days before coming to the hospital, I was able to visit with him so that he could see my big belly. Turns out that was the last time I would ever see him.
The day my mom found out she had cancer, Grandpa called me and gave me a good talking to. I was a mess, but he reminded me that I was the mom now, and that my job was to take care of these babies; he told me that the most important things for me to do now were to talk to the Lord a lot, to keep a good attitude, and to not lose control. He was right, of course, and his words pulled me straight out of the hole of self pity that could very well have swallowed me up in those difficult first days.
So, Grandpa, although I am very sad to lose you, I know that you would want me to keep focusing on the quads and their well-being right now. And that's what I'm gonna try to do.
Monday, December 1, 2008
Going for the A
In other exciting news, the babies were finally measured again today (after 3 long weeks of waiting). All of them were practicing their breathing during the ultrasound (yes!), and their estimated weights were exactly what we were hoping for: They are all over 3 pounds, with just a few ounces of difference between them. (According to the neonatologist, crossing the 3-pound threshold prior to premature delivery decreases the likelihood of severe problems after birth.) With more than 13 pounds of baby to support, though, it's no wonder that my back is beginning to protest; hopefully, both it and my ever-contracting uterus can hold out for another week or two.
You know, it's a good thing that Ted and I finally settled on some names last night because there's no doubt about it: Baby time is drawing nigh—it's exciting and terrifying at the same time!
Saturday, November 29, 2008
What a difference a day makes
First of all, my mom's surgery yesterday went perfectly. Not only that, but the sentinel node biopsy indicated that the cancer has not spread—HALLELUJAH! I was able to talk briefly with her this morning, and she sounded pretty good for someone pumped full of morphine. As I understand it, she should be going home later today to begin the healing process. Let's pray for a quick recovery so that she and Dad can fly up here when the babies come!
Secondly, the babies continue to cook ... despite giving us a big scare yesterday morning. It all started after I got another bolus in the middle of the night because I was once again having too many contractions. When Dr. E saw me in the morning, he told me that we were hitting a wall as far as boluses go and, since my contractions were becoming uncontrollable, he'd advised the nurses to get ready for some babies. Not long after he left my room, I began to feel very hot. The nurse turned on the fan and that helped, but I was still very uncomfortable. I started to feel like I was going to faint (which I never do) and no change in position provided relief. When I got up to use the commode, I thought I was going to pass out, so I called the nurse. Then I started having serious pain with my contractions. The doctor came back, they took away my food and drink, and the nurse drew blood to prepare for a possible C-section. I called Ted and told him that he needed to come now. The resident did an ultrasound to make sure the babies were okay (they were), but I was in so much pain that I didn't even open my eyes once to peek at them! The doctor then noted that I was a little dehydrated, so they increased my IV fluids. I think this must have been the problem because shortly thereafter my symptoms subsided and I began to feel more "normal." By the time Ted arrived, things didn't look so urgent, and he ended up sitting in my room all afternoon as I slept (I guess those big contractions really wore me out or something). By evening, my uterus had been quiet for several hours and it was clear that the crisis was over.
This morning I feel completely back to normal, which is good since the doctor just got done telling me that he really thought he was going to have to cut me open yesterday. He also told me that if I can hold out 2 more days (until the 30-week mark), he'll give me a B grade. If I can wait until 32 weeks, I'll get an A+. Those of you who know me well will know that this is exactly the type of motivation I need; I've always been a straight-A student and I certainly don't want to start breaking the pattern now! Plus, we still don't have names for the boys—I guess we'd better get on the stick, huh?
Thursday, November 27, 2008
Uncertainty is the only certainty
I am also very anxious about what tomorrow holds: My mother is going into the hospital early in the morning to get prepped for her double mastectomy, which is scheduled for around noon Eastern time. I wish so much that I could be there with her, and I am sick with worry about how her surgery will go (it's supposed to last 3 to 4 hours). Would you join me in praying for her tomorrow and also during the next couple of weeks as she recovers at home? We are hopeful that the mastectomy will get all the cancer and that she won't need further treatment; if all goes well, she should be well enough to travel here within a couple of weeks, if necessary. Whether we get good news or not so good, I am so thankful that she was able to fly out here last weekend to keep me company, help me feel a little pampered, and see in person how HUGE I really am—I absolutely dwarf her!
Wednesday, November 26, 2008
Four weeks down
Unfortunately, my poor uterus is sick and tired of being stretched out, so it keeps contracting like crazy. As I type this, I am getting my second bolus of the week in an effort to calm down my relentless contractions. I guess that this Thanksgiving I'll just be substituting the traditional tryptophan coma for a magnesium sulfate brain fog. (Hmm, I'm pretty sure that I'd rather eat too much turkey ... )
Wednesday, November 19, 2008
Three weeks down
The babies continue to look strong on the daily ultrasounds—although my next measuring session isn't due for another week, it's clear that people are growing in there! This is reassuring in light of the fact that I haven't gained any weight since coming into the hospital (prior to my hospitalization, I'd been gaining 2 to 5 pounds a week). The doctor is considering ordering protein shakes for me and, since I expressed some boredom with the cafeteria offerings, he has advised me to acquire outside food as often as possible. I've taken to watching a lot of the Food Channel and dreaming about all the things I'll make once I'm outta here (or once the kids are out of the house!).
It's still hard to think about being here 2, 4, or 6 more weeks, but I am trying to just take it one day at a time. I couldn't do it without all of you, my faithful cheerleaders!
Monday, November 17, 2008
Third trimester, here we come!
As much as I want the babies to do their maturing while still in utero, though, I must admit that I dread the aches and pains associated with them running out of room in my short-girl torso. The boys haven't given me too many problems yet, but the girls are already demanding more space. For a couple of weeks now, Baby D has been positioned so deep in my pelvis that when she kicks, it feels like she is in my leg! And for the past two days, Baby C's head has been directly under my right ribcage, making it impossible for me to find a comfortable position in my hospital bed (not that it was very comfortable to begin with). Poor squished babies! I am starting to think that Dr. E's repeated suggestion of putting me on the rack to stretch me out a bit might not be such a bad idea after all ...
Wednesday, November 12, 2008
Two weeks down
Thankfully, the babies seem to be doing a lot better than their mommy. Their movements are more frequent and stronger than ever, and the daily ultrasounds to check their heart tones confirm that they are not in any distress, despite the continuing contractions. They are also growing well: As of Friday, they weighed approximately 2 lb. 7 oz., 2 lb. 1 oz., 1 lb. 11 oz., and 2 lb. 1 oz. (A to D). I asked the doctor whether we should be concerned that Baby C is so much smaller than her siblings, but he said that she is doing fine and will probably just be a little more "petite" than the others. (Since her femur measures second-longest, though, I am choosing to think of her as tall and slender—you know, like a supermodel!)
Most importantly, we are now just 5 days away from the 28-week milestone. In light of this, a neonatologist recently came in to talk to us about the prognosis for babies born at this stage. Although they would have a good chance of eventually making it, the immediate and long-term risks (including all sorts of breathing problems, bleeding on the brain that could result in cerebral palsy, and a fatal inability to digest food properly) are scary to think about. Knowing a little more about what the babies would have to go through if they were born right now really reinforces our hope that they don't come for several more weeks—no matter how stressful and uncomfortable a long hospital stay proves to be. We can endure anything if it means an ounce less of pain for our babies once they're born.
Thursday, November 6, 2008
Bed-restless
I guess all this activity is good for me, though—it makes the time go by a little faster and helps to keep my mind off of home (have I mentioned that I miss Ted terribly during the day?). And yesterday I actually got to make a new friend; at the doctor's suggestion, a nurse put me in a wheelchair and took me down the hall to meet a girl who is 22 weeks pregnant with triplets. She was admitted on Monday and, like me, is probably here for the duration. I am hopeful that we will get to visit each other again soon so that we can keep each other encouraged during the long weeks ahead. Even though 28 weeks is the short-term goal (for an 80% survival rate versus 50% at 24 weeks), we would both love to gestate our babies much longer than that—the less time they have to spend hooked up to all sorts of stuff in the NICU, the better!
Wednesday, November 5, 2008
One week down
Saturday, November 1, 2008
Movin' on up
Most telling, however, was this morning's exchange with my doctor's partner (Dr. E) who, after seeing my contraction patterns, ordered both an increase in my magnesium sulfate and a return to Indocin (a pill that relaxes the uterus):
Me: "Soooo ... I'm not leaving anytime soon, am I?"
Dr. E: "This is when you leave" (proceeds to write "HFO" [Hell Freezes Over] on the whiteboard in my room).
'Nuff said, no? I am not too unhappy about being here long-term, though; everyone here is wonderful and I feel increasingly reassured that I am getting the best care possible for these babies.
Incidentally, almost as soon as I got my bathroom privileges yesterday, they were revoked due to my sudden increase in contractions. So I'm back to the bedside commode (ugh) and who knows when I'll ever see a showerhead. I guess all the activity yesterday (getting out of bed so they could change my sheets, washing up at the sink, walking to the real toilet umpteen times, talking to nurses and getting somehow poked or prodded by them every half-hour or so, undergoing my daily ultrasound, etc.) was too much for my humongous uterus to handle.
All this is why I've asked people to please not visit or call for the time being—the slightest increase in activity (including any sort of extended conversation) drives up my pulse to as high as 145 (compare that to my pre-pregnancy resting heart rate of 60), which just totally wipes me out. And the last thing I need right now is to be using up my energy on anything other than growing these babies and keeping them from coming for at least 2 more weeks. I absolutely love hearing from everyone via the comments on this blog, Facebook, or just plain e-mail, though. Your words are a constant encouragement to me, so please keep them coming!
Friday, October 31, 2008
Day 3 and counting
In fun news, I had an ultrasound yesterday afternoon to check the babies' heart tones (they say this will be a daily occurrence while I'm here). The resident who performed the scan was pleasantly surprised at how "big and beautiful" my 25-week quads are, and when I told her their 23-week weights, she was quite impressed (yay for my overachieving children!). She noted that the babies are very active and was glad to see that they are practicing their breathing as they should. I don't have any pictures to post, but at today's ultrasound I will try to remember to ask whether the hospital's machine has the capability to burn the images to a CD (I remembered today that I stashed one in my purse before leaving home, just in case).
The best thing that's happened so far today is that I have been granted bathroom privileges (no more bedside commode, woohoo!). And the nurse is hoping that I will be allowed to take a shower tomorrow (they let me get up to wash at the sink this morning, but it's just not the same). But now I need to lie back; the nurse just informed me that I've had six contractions in the last half-hour. RATS!!!
Thursday, October 30, 2008
Quick update
In the hospital
Ted brought me to triage, where they put me on a contraction monitor for over an hour. When they saw that I was still contracting every 5 to 6 minutes, they decided to admit me for overnight observation. Once I got to my room, I found out that the doctor wanted to put me on a magnesium sulfate pump to "wipe out" my contractions. So they hooked me up and I prepared to be miserable. Fortunately, I tolerated the prescribed dose very well; the only side effect I experienced was that I felt very hot. We turned the air down and got a fan, and I was fine for the rest of the night (although Ted just about froze to death—sorry, honey!).
This morning I am having contractions every 10 minutes or so, which is better than yesterday but still not great. The resident told me that sometime today they will give me a steroid shot to accelerate development of the babies' lungs. They say it's just a precaution, but the nurse did mention that they give the shot to women who have a very good chance of delivering in the next few days. It's scary because I am not feeling any pain or anything different, yet they are telling me that these babies could come at 25 weeks and 3 days.
Please pray with us that I can keep these babies cooking for at least 3 more weeks. Thanks to a visit from my mom last weekend, the nursery is ready to go, but just about everything else (including those four little bodies) is not!
Thursday, October 16, 2008
Shrinking spaces and two sweet faces
At Tuesday's 23-week ultrasound, I found out why I've been so much more aware of the babies lately. The tech determined that they now weigh 1 lb. 7 oz., 1 lb. 5 oz., 1 lb. 2 oz., and 1 lb. 3 oz. (A to D), which is just over 5 pounds combined (up from less than 3 pounds at my 20-week ultrasound). To further confirm the babies' significant growth, the nurse said that my belly has now surpassed full-term size (37 weeks) by nearly 2 weeks. It must be getting crowded in there!
I also got to see more 4-D images of two of the babies. Here is a video of Baby B, who let us have a good, long look at his cute little face:
And here's Baby C (she had her arms in a very dramatic pose and refused to move them so that we could get a better look at her):
Babies A and D acted bashful and turned around every time we trained the camera on them. The ultrasound tech said that we'd try to get 4-D images again next week (when Ted will be with me), so hopefully I'll have more videos (or at least stills) to share at that time. I am anxious to get my first look at Baby A, and I would like to see how much Baby D has changed since the 20-week mark.
Incidentally, the round-the-clock terbutaline hasn't entirely gotten rid of the contractions, but it's definitely helping: I haven't had more than four an hour since I began the therapy. And the initial side effects have subsided except for when I get a bolus; this extra-high dose is delivered every six hours and drives my pulse up to about 120 beats per minute, often making me feel weak, shaky, and short of breath for a half-hour or more. My doctor says that this spike is normal and I shouldn't worry unless my pulse reaches 125 or higher. Otherwise, things are looking good: I have no swelling, my blood pressure is staying nice and low, and I have no protein in my urine. My body's just gotta keep this up for at least 5 more weeks!
Wednesday, October 8, 2008
Contractions, be gone!
After the ultrasound, the nurse got out the measuring tape and determined that my belly is measuring at 36 weeks—that's 4 weeks larger than I was measuring just a week ago! This could explain why I suddenly started to experience so many contractions last week; with this huge uterus, my body thinks it's time to get these babies out of here. In fact, when the doctor saw how many contractions I'd registered over the weekend, he decided to take me off the Procardia and start me on something a little more hard core: a terbutaline pump. The pump is about the size of a beeper and delivers the terbutaline (an asthma medication that has been shown to prevent preterm labor by decreasing contractions) straight into my leg muscle via a thin, flexible tube. I get a low dose around the clock, with a big dose (called a "bolus") being delivered every six hours. It makes me really weak and shaky, but the nurse said that these side effects should abate after a couple of days.
The other big news to come out of yesterday's appointment is that the doctor told me that I needed to quit working, even from home. To help keep my uterus quiet, I am to lay on my side as much as possible and avoid any unnecessary stress (these babies make sure I have enough of that as it is). So as of today, I am a woman of leisure—ordered to stay off my feet and lacking the strength or mobility to do anything else anyway! We'll see how long it takes for me to go out of my mind.
Monday, October 6, 2008
Meet our virtual offspring
Allow me to introduce to you our kiddie composites (is it wrong to hope that the technology still has a ways to go?):