Shrinking spaces and two sweet faces

Our little Fab Four have increasingly been making their presence known during the past couple of weeks, making it feel like an air popper is constantly running inside my belly. In fact, about a week ago Baby C kicked hard enough for Ted to feel baby movement for the first time, which was pretty exciting for both of us. And on Monday I was actually able to feel a body part (head? heel? elbow?) when I pressed on the top of my belly!

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!

Contractions, be gone!

At yesterday's 22-week appointment, I unexpectedly got to hear the babies' heartbeats for the first time. When I reacted to the sound, the ultrasound tech laughed and said she always forgets that moms of multiples miss out on listening to the heartbeats. I got to hear only a couple of seconds' worth for each baby, but it was long enough for me to notice that each one has a distinct rhythm. Even after all this time, I still can't believe that there are five hearts beating inside of my body!

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.

Meet our virtual offspring

When Ted and I were first married, we saw one of those machines that morphs two faces together and just couldn't pass up the chance to see what our future kids would look like. Over the years, we've joked about the amusing results, and now, in a matter of weeks, we're finally going to see how accurate the machine's predictions were!

Allow me to introduce to you our kiddie composites (is it wrong to hope that the technology still has a ways to go?):

Good news

The lab results are in, and I don't have preeclampsia! The nurse said that my protein levels were around 250, and they don't start worrying until levels hit the 500 range. Whew!

As for the contractions, they seem to have quieted down. I had only one during my monitoring session this morning, but I did feel several throughout the day. Fortunately, the contractions do not hurt; it just feels like my belly is tightening up and shrinking in on itself for about a minute or so—a very odd sensation, indeed. We'll see how I do over the weekend.

In any case, thanks for all your words of encouragement, as well as your continued prayers for me, the babies, and Ted. They really do make a difference!

A roller-coaster week

My first week of bedrest ended on a high note, with a baby shower thrown by my mother-in-law's friends (don't worry, I had permission from my doctor to attend). I had met most of them only once or twice (several years ago, when I was but a blushing bride), and some I had never met before. The ladies immediately put me at ease, however, with their excitement about the quads, myriad questions about how things are going, and offers to help out when the babies arrive. Ted and I were so surprised by their generosity; it's clear that they must love his mother dearly and we are so thankful that they extended that love to us. The hostesses did a fantastic job and, as you can see, I got another cute cake out of the deal!

Unfortunately, the days following this final baby shower haven't been quite as much fun. At my doctor visit on Tuesday, they found a small amount of protein in my urine. Since this could indicate the onset of preeclampsia (click on the link if you aren't familiar with the condition), the doctor decided to run some additional tests (results should be available tomorrow afternoon). On top of this, I've had contraction monitoring sessions registering five, six, seven, and even eight contractions in the past few days. For this reason, my doctor has put me on Procardia, which is usually used to treat high blood pressure but is also effective at relaxing the uterus. I am not very happy about being on meds already, but I'd rather take a pill than be in the hospital or lose my babies. Hopefully this Procardia will do the trick, and my uterus will stay nice and calm for a few more weeks.

I should be used to the highs and lows by now, but I admit that it's been hard for both Ted and me to balance excitement about the quads and the realities of a high-risk pregnancy. Fortunately, we are a team and we are growing stronger every day. I haven't enjoyed losing my independence (even if I weren't on bedrest, I have no energy and I just plain can't move like I used to), but it's definitely given me a chance to appreciate how much Ted loves me and the babies. I couldn't do this without his help, and I try to let him know every day that I don't take his willing sacrifices of time and energy for granted. I am so blessed to have his support, both physically and emotionally. He is going to be a great dad!

I've just seen a face (or three)

So the reason my doctor appointment was so exciting was that Ted and I unexpectedly got to see 4-D images of three of the babies! They actually looked like morphing gobs of goo most of the time (the ultrasound tech had to fiddle with a bunch of settings in order to get the right angle), but once they were brought into focus, it was so cool to see their little faces.

Without further ado, here is a screencap of Baby B (apparently we were disturbing him so much that he had to cover his ears):


And here's Baby C (the poor thing was getting kicked in the head by her sister most of the time, which is probably why she's frowning):

And finally, here's Baby D (not a great picture, but funny because she's in the process of getting kicked in the face by Baby C—that'll teach her!):

Unfortunately, Baby A was left out because he was too deep in my pelvis to see him clearly. Hopefully we'll have better luck next time.

In case you were curious, the babies weighed in at 14, 11, 11, and 12 ounces (A to D). I won't tell you what the scales read when it was my turn to get weighed, but rest assured that the doctor was very happy with the amount I've gained so far. My 20-week belly is measuring at 30 weeks, and the nurse commented that I am "stretching nicely" (whatever that means). So far I am not having any swelling and my blood pressure remains low, both of which pleased my doctor greatly.

He did warn me, however, that at this stage I will be experiencing contractions on a regular basis. Since I can't feel them yet, I have started using a home contraction monitor for an hour in the morning and an hour in the evening. (The babies go wild when I wear the monitor; I don't think they are fond of it, but I love it when they move around so much!) If I would ever have four or more contractions within the space of an hour, I would need to go to the hospital for further evaluation.

So my job for the foreseeable future is to stay hydrated and restrict my activity as much as possible in order to keep contractions to a minimum. Although I hate not being able to do anything, it's getting to the point now where it's difficult for me to move much, anyway. I predict that my new 3-month Netflix membership (thanks, Johnny and Holly!) will be getting quite the workout!

Some last hurrahs before bedrest

Perhaps not surprisingly, the days leading up to the 20-week mark have been somewhat of a blur.

It all began on Thursday, when my wonderful coworkers threw me a baby shower pitch-in, complete with Beatles song-themed cupcakes! Despite being fully aware of what wonderful people I work with, I was truly astonished at their generosity and touched at the effort they made to celebrate the upcoming arrival of these babies. It was a perfect excuse to take a break from the daily grind and enjoy each others' company for a while—I mean, where else can you sample a dozen potluck dishes while recounting your favorite toddler bathroom horror stories? Good times.

On Friday, I pretty much cleaned out my cubicle in preparation for a couple of months of working from home—it's amazing to realize how much stuff you use on a daily basis! I said goodbye to some of my pals and extracted promises that they'd visit me while I am on bedrest. Leaving at the end of the day was a very strange experience, knowing that the next time I stepped in those doors I would be a mother of four!

Saturday, we drove to my Grandpa M's house to celebrate his 90th birthday—which my parents flew in for! My aunts had set up a tent in my grandpa's backyard, and he sat enthroned in his motorized chair as dozens of friends and family arrived to offer their birthday wishes. It was a beautiful day for an outdoor party, and I got to see several cousins that I rarely have a chance to spend time with. We'd hoped that all 11 of my grandpa's children would be able to make it, but 9 out of 11 ain't bad!

Unfortunately, all this activity proved to be too much for this pregnant lady, and on Sunday morning I woke up with a racing heart. I stayed in bed all morning, hoping that it would calm down before the afternoon, but no such luck. Despite the fact that I was feeling puny, I had another baby shower to go to! This time it was a family shower, hosted by my awesome cousins Tiffany and Charisa and their mom, Holly. The theme was "Four Peas in a Pod"—check out the adorable cake that Tiff's friend made! I loved it! The lovely hostesses even found favors with four peas in a pod; I was super-impressed by their creativity and resourcefulness. They and the other family members present at the shower blessed me with cute baby outfits and other needed items, and I was again so thankful for the ways people are helping us get ready for the quads.

My parents flew home yesterday after a much-too-short visit, and now that I am on light bedrest, things should be slowing way down for me. The only exception will be my doctor appointments, which will now be occurring weekly rather than every other week. And speaking of doctor visits, I had a rather exciting one this morning. But that post will have to wait until Ted has time to make some scans ... stay tuned!

Reality check

"Think you're big now? You'll start growing even more rapidly in the weeks to come."

This startling (and unintentionally hilarious) bit of information was featured in the latest BabyCenter newsletter to land in my inbox. Believe it or not, I occasionally forget that my pregnancy is not a "normal" one—after all, I've never been pregnant before, so I don't know any better! Fortunately, I have BabyCenter to remind me how freakishly big I already am ... and to terrify me as I contemplate what it will be like to grow even faster than I have been doing for the past 6 weeks or so.

Something else that got my attention this week? The illustration (at right) of what my body should look like at 19 weeks, according to Your Pregnancy Week by Week. Honestly, I don't think I looked much smaller than this lady before I became pregnant! Prepare to be astonished as you compare this drawing to my corresponding "19 weeks" belly shot:

You know, sometimes I just sit here and can't even believe that this is happening to me. I'm so glad that I can (usually) laugh about it!

A week of firsts

In the past week, I've gotten to experience a lot of "fun" things about pregnancy for the first time. Lovely stretch marks have begun to appear, my right hip has decided to randomly give out on me when I stand up, and on Sunday I woke up in the middle of the night with one of the worst charley horses I've ever had!

More importantly, however, Ted and I also got to visit our hospital's NICU for the first time last week. It was a far cry from the brightly lit beehive of activity that I'd expected: The lights were dim, sounds were muted, and the nurses seemed relaxed and friendly. I'm sure it would have been a different picture if we'd walked in during an emergency, but it was nevertheless comforting to see in what a soothing environment our babies will spending the first days and perhaps weeks of their lives. The nurse in charge also took us into the little room off the C-section rooms, where the babies will be stabilized directly after birth, and she explained a little bit about all the things the nurses will be checking and administering to the babies during that critical time.

Hearing the nurse talk about preemies and the things they have to go through depending on how many weeks they're in the womb before being born was a great reminder to Ted and me about the importance of making it to 34 weeks. According to the nurse, babies born at that stage can usually breathe room air on their own, which means they don't need to be on ventilators or CPAP machines. They also have usually developed the suckling reflex by then, which means that they can feed from breast or bottle instead of via feeding tubes. And, of course, being born at 34 weeks generally means less time in the NICU before going home.

So let's keep praying for a December 29 birthday ... 15 more weeks to go!

Manpower and a baby shower

Bedrest is less than 2 weeks away, and the flurry of activity has begun! The busy-ness kicked off on Labor Day weekend, when my family (minus Dad) flew up from Texas to help us get some things in shape while I am still mobile. Although Johnny and Holly were only able to be here for a couple of days, they made a huge impact, helping Ted to transform the guest room into the babies' room within a matter of hours. It seriously would have taken ten times longer without their assistance! Here is the nursery in progress (notice how the cribs barely fit into one shot):

After Johnny and Holly left, my mom stayed on through the end of the week. Her most important accomplishment during this time was to keep me exceedingly well fed with her delicious cooking—not a small feat! Having a full belly definitely helped me sleep better and just feel better overall. Mom was also able to finish up a cross-stitch project to decorate the nursery with (I'll post pictures when we get around to hanging it), and on Wednesday she helped me celebrate the big 3-2 (thanks for sharing her on our birthday, Dad!).

At the tail end of Mom's visit, we attended my first baby shower, which was hosted by a group of my wonderful college friends: (left to right) Amy, Lisa, Becky, Andrea, and Kristen. The girls did an absolutely fantastic job, preparing a lovely spread, coming up with non-cheesy shower activities (thanks, guys!), playing Beatles lullabies, and even finding decorations with four baby faces on them! (The cake replicated the design; isn't it so cute?)

I can't tell you how blessed I felt by the girls' hard work and attention to detail (everything was perfect!), as well as by all the friends from different parts of my life who came together to celebrate the upcoming arrival of these four babies. All of your love and support, plus my family's visit during the past week, mean the world to us. Ted and I truly couldn't do this without you guys!

THANK YOU!!

Surprise!

Yesterday morning I had some strange pains in my belly and back. A couple of hours after they started, I decided to called the doctor. They told me to come to the office in the afternoon so that they could hook me up to a contraction monitor, take a urine sample, measure my blood pressure, etc., to make sure things were all right. When I got there, however, I learned that they were also going to go ahead and do the full scans that I was scheduled to have done on Friday.

I called Ted to tell him that he was going to miss the scans (which were going to measure the babies' heads, abdomens, and femurs), but neither of us thought it was a big deal. As soon as the ultrasound tech came into the examining room, though, she asked, "So are you here to find out what you're having?" I hadn't expected to find out for a couple more weeks! I told her that I would love to know, if she could tell me, so she got to work. Within seconds, she was able to determine the sexes of all four babies!

She gave me a bunch of pictures, but it's hard to make out what exactly they're supposed to be showing, so I won't be posting them. I will, however, reveal our happy news! Without further ado (drumroll, please):

Baby A is a ... BOY!
Baby B is a ... BOY!
Baby C is a ... GIRL!
Baby D is a ... GIRL!

I asked the tech how certain she was, and she said, "I'm 98% sure. I've been in this office 20 years and have only been wrong once." So we feel pretty confident that these boys will stay boys and the girls will stay girls. The tech said that when I have my next full scan (in a month) the babies will be so much bigger that it will be much easier for the untrained eye to see who's what.

Thanks to everyone who voted in the poll; I had fun seeing what the trends were each day (people really thought I was full of boys!). Special props go to Staci, who exercised her sonography skills by examining the ultrasounds in last week's post and determining (correctly) that Baby C was a girl! And a big thank you to Becky, who brought me these pacifiers a few weeks ago in the hopes that we would have an even mix of niños and niñas. Aren't they adorable?

For those who like numbers, I am currently at 16 weeks gestation but am measuring at 27 weeks. Babies A, B, and D weigh about 6 ounces, and Baby C is a little smaller at 5 ounces (the tech says this is nothing to be concerned about). Oh, and the tests showed that I was not having any contractions, did not have a fever, and had normal blood pressure; the pains were probably due to the fact that I've been growing so fast (2 inches in the last 5 days!).

Now it's time to start thinking of some names ...

Drummer boy ... or girl?

After recovering at home for a week, I went back to work on Monday. That morning, as I was walking back to my desk from the copy room, I felt one of the babies move! The sensation was like a very light *thump* from the inside, as if someone had hit a drumskin (my uterus) with a padded drumstick (a foot?). At first I thought the kicker was George (Baby C), but based on the babies' positions on the ultrasound I had yesterday, I am now convinced it was Ringo (Baby D). Quite appropriate, no?

Despite my heightened awareness, I didn't feel any more movement until last night. This time I felt less distinct but more numerous little taps; it kind of felt like little bubbles were popping all across the top of my belly. (And no, I did not have beans for dinner!!) People keep reminding me that I'll soon grow annoyed and uncomfortable with all the gymnastics in my belly, but I am blissfully refusing to let anything lessen the thrill of feeling my babies move for the first time.

Something else I'm getting more excited about is finding out how many of my little drummers are boys and how many are girls. I am not alone in this: "Do you know yet what you're having?" is by far the number-one question I get these days. In fact, interest is so high that a colleague of mine even suggested that I start an office pool! Although I don't plan on doing that, I'd love for people to submit their guesses in the "What's in My Belly?" poll (at right). The nurse says that we should be able to find out what we're having in another 3 to 4 more weeks.

And now for yesterday's 14-week ultrasound pics. It's a good thing that we weren't trying to see the sexes this time since all but one (Baby A, aka John) kept their backs turned to the camera:

The kindness of friends

Ever since we announced that we are expecting quads, I have been repeatedly surprised and touched by people's generosity. Already, a number of friends have offered to give or lend us their used baby paraphernalia, bring us meals during my bedrest, and help with the babies when they come home. This week during my recovery, friends have stopped by to see how I'm doing, bring us food, and even drive me to the doctor's office on short notice.

Several of my girlfriends have also been kind enough to give or lend me a sufficient number of maternity clothes so that I hopefully won't have to purchase more than a couple pairs of pants (being short stinks). Just yesterday, in fact, I acquired my latest piece of maternity clothing, courtesy of my friend Karen (whom I went to school with in Uruguay and haven't seen since the 8th grade). Look at how adorable this T-shirt she sent me is!!

The thoughtfulness of this gesture by an old, old friend really moved me, and I know that this and every kindness that has been extended to us up to this point is just the tip of the iceberg. Your prayers, support, love, and friendship mean more to us than we can express. God is good, and He is providing!

Suzy's big adventure

As most of you know by now, I came home yesterday around noon. What most of you don't know (because I forgot to include it in my last pre-op post) is that my mom was able to take time off to be with me for my surgery! Ted and I were so glad that she could come; it was exactly what I needed in order to feel completely serene and prepared. She flew in on Thursday afternoon and we did a little last-minute shopping to make sure I had everything I needed for my little "vacation." Then she stayed up with me until midnight so that I could eat and drink until the very last minute (I knew the babies would be so mad at me in the morning when I wasn't allowed to eat breakfast or even have a sip of water, so I wanted to keep them happy for as long as possible).

After a great night's sleep, I was completely ready to go. I got a nice surprise in the triage room when quad mom Jen showed up. She offered some firsthand advice, encouragement, and a prayer, all of which were greatly appreciated. Shortly after she left, they wheeled me into the OR (a little earlier than expected, but I didn't mind). They gave me my epidural and then did a quick ultrasound to make sure all the babies still had heartbeats (they did). The first epidural didn't take, so they gave me another one. Because my uterus had grown so much in the four days since my last appointment, the doctor had them wheel the ultrasound machine back in so that he could see where the top of my uterus was now, to verify that he could still get away with a horizontal cut rather than a vertical one (he could, whew!). The resident who was assisting him commented that I am measuring at 20 weeks, 7 weeks ahead of singleton schedule. Because of these detours, the actual TAC didn't get underway until probably closer to 2pm.

The rest of the procedure, which lasted a little over an hour, seemed to go off without a hitch. I had no pain from the actual surgery, although I did have what they call "referred pain" in my upper arm (not pleasant, but not the worst thing in the world). When all was said and done, the doctor told me that my uterus was "very conducive" before heading to the waiting area to tell my family that I'd lost only 6 tablespoons of blood (fantastic, considering how much the babies need every ounce of blood in my body) and that I had "the perfect anatomy" for this type of procedure (I'll take that as a compliment).

I was in recovery for about an hour, during which we got to see another ultrasound of the babies, kicking around and being more active than ever. I used the morphine pump a few times to relieve the burning sensation in my incision, and then I was wheeled to Room 237, my home for the weekend. I clicked the morphine pump once more (kind of out of habit, I think); I didn't have to use pain meds again for the rest of my stay. Mom stayed with me that night, and it was so nice to have her there! She's had several surgeries (including two C-sections) herself, so it seemed that she knew exactly what I needed when I needed it. Neither of us got much sleep due to the nurses coming in to check my vitals so often, but I was nevertheless glad to be in such a great hospital.

On Saturday morning the nurse took out my catheter and IV, and told me to call her when I needed to use the bathroom so that she could help me get up. Well, I was so uncomfortable in the bed that I called her before I needed to use the bathroom, just so she could show me how to get up and walk around the room. It felt so great to stand up and sit in a chair! The nurse was amazed and thrilled that I had started walking around so soon of my own volition. After that, it was just a matter of making sure that my temperature and blood pressure stayed down (they did) and that all my "systems" were back in working order (they were). I got plenty of rest on Saturday (listening to The Beatles on the iPod, watching Tootsie on the in-room DVD player) and made sure that I did a lot of walking around (which was much more comfortable than laying there, anyway). I got another nice surprise when Kristen stopped by to visit (after a big detour to the main St. V's hospital, HA!). Ted stayed with me that night and took me home when I got discharged on Sunday.

I won't see the doctor again until the 15th, which means that I won't see the babies until then, either. They definitely aren't letting me forget about them, though, considering how much my belly seems to have grown in the past few days. Hopefully my incision will continue to heal in record time so that I have minimal discomfort in the growing days ahead. I am thankful that everything went so well, and also that I had the chance to see the hospital and meet the wonderful staff. Knowing that I will be so well taken care of will surely make my inevitable return to the hospital much less stressful. Let's just hope it's not for a long, long time!

The surgery went great!

I thought Ted would have to post in my stead to let everyone know how things went today, but it turns out that I am feeling pretty good, post-TAC. Later this week, I'll fill everybody in on the details of the day, but for now I just wanted everybody to know that I am doing very well and my doctor says that the surgery couldn't have gone better. I am glad to have it behind me, and I cannot express how thankful I am for all your prayers and encouraging words in the past few days. If everything keeps going well, I'll go home on Sunday.