Mothering › Forums › Archives › Pregnancy Archives › June 2008 › Rebekah Jo - short version + pertinent questions
New Posts  All Forums:Forum Nav:

Rebekah Jo - short version + pertinent questions  

post #1 of 35
Thread Starter 
Okay, take two - I don't know what's up with the first one!

first -typing with baby in arms - please forgive typos!

We have resolved the ruptured membranes and have the most beautiful baby GIRL! Announcing Rebekah Jo! Born at 34w6d, on Wednesday, May 14th, at 4:20 am, after a c-section. She was 4 lbs. 14 oz., and 17-1/2" long. Of course, she is beautiful!!

The long version is LONG, and I will post it, because you will not believe it all! Short version is that our worry and concern were right on target - I did develop an infection. The afterh99h before the midwife was flying in from out of state to stay with us, my vital signs (pulse, temp, bp) went wonky, and my hubby came home from work and started monitoring me and baby every 10min. Baby stayed fine, but I continued to have weird vitals. Nothing conclusive, and could have very well just been part of the allergic reaction (see long version tomorrow for details on that!). Hubby was still concerned, as was I, and he just kept monitoring us every 10 mintues for hours. Finally, at 10:30pm, baby's FHT went a little to high, into tachycardia, and lost their variability and reactivity to movement. Baby kept moving, but slowed way down from the usual level of activity.

Hubby threw me in the car, grabbed the fetoscope, bp cuff, and thermometer in with us, along wtih a bag we had ready just in case, and off we went. We debated the first 30 miles about whether we should go to the close hospital, RVMC, 60 miles from home) that had been so awful, or whether we had time to make it to the next hospital with an NICU (3 hrs away - Sacred Heart Med Ctr) - we chose the hospital further away. It was super stressful going up there, because we couldn't hear the FHT with all the road noise, and baby's movements were way down, and there was just now way to know if baby had the infection too, or how far gone we both were. That was a very long 3 hours.

When we got there, they were awesome (BIG, HUGE recommendation for Sacred Heart Medical Center in Eugene, Oregon, and total warning AGAINST Rogue Valley Medical Center Medford, Oregon), and baby was in trouble, and we had already decided on the way up that if the monitor confirmed hubby's fetoscope findings, we weren't even going to bother with an induction - we thought that pitocin would be way to hard on baby if he/she were already in trouble. So, we were prepared when they said c-section.

We went, and my hubby had the joy of announcing that our baby surprise was a litle girl!

She got 9/9 on her apgars, but because of the infection possibility, and her premature age, she went into NICU to be monitored and cultured for infection. She came back neg on everything, which means hubby caught my infection pretty much the exact moment it started impacting her, and had we waited at all, well, you can imagine the ramifications. In 3 hrs. time, she went from fine FHT, to distress. Scary.

Sh spent 5 days in NICU and I have spent 5 days dealing with an every-increasing list of complications from the allergic reaction, and a couple of crappy things that I never knew were common after c-section. I knew I was getting discharged today, and we were going to get a motel room until little Bekah was realeased (probably middle of the week), but to our joy tonight, the doc came and asked us if we wanted to take her home! (DUH!!)

VERY long drive home, very exhausted mommy and daddy (both running off of basically 2 wks with little/no sleep), and here we are!!

There is SOOO much more to this that will shock and outrage you, that I will try to get it all down tomorrow. I will also need to be doing quite a bit of processing and debriefing on the whole UC-to-Cesarean thing!

TOnight, however, a few questions from the shell-shocked!

1) Do newborns usually make a lot of little fussing noises during their sleep periods, and do they wake up and cry and need to be comforted (not hungry wake up, just fussing), or do you just give them a minute (or two, or 3??) to let them try to work it out themselves? I'm trying to get a few things done, she's stuffed full, and should be totally out in the basinette (out here in the front room with me), but as soon as I make a new noise or something (which is, of course, EVERY noise I make!) she's making whimpering sounds or something. I did let her ride them out, and it seemed to be okay, but I still ahd to run over and peek at her every time, making it very hard to get these other things done (like washing the breast pump stuff, etc.)

2) Anyone deal with the NICU/ pumping issues?? I"m totally rum-dum from trying to pump (to save my milk supply), feed her (both pumped milk from bottle, and now trying to establish nursing), and feeding myself, and oh yeah, sleep would be nice! All on a 3-hour schedule that the NICU set. The logistics are wasting me, and I'm too tired to even try and think it through. Basically, how did you switch over from the NICU routines to the routines you had planned before *the event*??

3) If you are co-sleeping, what do you do when baby needs to sleep, and you have stuff to do??

4) Please direct me to websites for a quick and dirty way to jerry-rig a sling appropriate for a newborn, with minimal or better yet NO sewing, just maybe simple cutting and tying etc. I will NOT have time for a few days to sew anyting, not even a sling, but I'm thinking that I MUST have one NOW. I don't know that much about slings yet, but I know I want one. SHe is so little (4 lbs. 13 oz as of today), and I don't know which kind would be most appropriate. I need to be able to move about the house, fix food snacks, do a little laundry, and of course, get on the computer! I also need to find a way to occupy her so I can pump my breastmilk, but in a sling, I'm thinking she's going to be blocking the units!!

5) I know there's more, but my brain just fried, and I need to eat again.

Thank you all for the help and support - you just don't know how badly I've wanted on here this week!!

Gonna catch an hour of sleep, then back up for pumping and feeding, LOL!

THANKS!

Tracey Mouse
post #2 of 35
Wow congrats on your new baby! It sounds like you did everything exactly right and I"m so glad everyone is feeling well. Having BDTD I can honestly tell you that however crappy and tired you're feeling right now, you will feel about 1000% better in 2 weeks. Really. Healing from a c-section is not fun, but having some good support from your family and knowing that it was the right thing to do really helps. It sounds like it most definitely was for you and your baby.

Ok on to the questions... (my answers in bold.)

Quote:
Originally Posted by mousebandit View Post
1) Do newborns usually make a lot of little fussing noises during their sleep periods, and do they wake up and cry and need to be comforted (not hungry wake up, just fussing), or do you just give them a minute (or two, or 3??) to let them try to work it out themselves? I'm trying to get a few things done, she's stuffed full, and should be totally out in the basinette (out here in the front room with me), but as soon as I make a new noise or something (which is, of course, EVERY noise I make!) she's making whimpering sounds or something. I did let her ride them out, and it seemed to be okay, but I still ahd to run over and peek at her every time, making it very hard to get these other things done (like washing the breast pump stuff, etc.)

Newborns are VERY LOUD and restless sleepers. I was very surprised by this. If she seems awake and needing comfort, frequently a hand on her chest and a quick "it's ok, mommy's here" is all that is required. IMHO, she's been in the world for less than a week... give her a break! It's a big strange cold place that she's trying to get used to. Also, I noticed with my son that he was coughing up a lot of mucus for the first week or so, probably b/c his lungs never got that good squeeze through my pelvis when he was born. I think this may be typical of c/s babies.


3) If you are co-sleeping, what do you do when baby needs to sleep, and you have stuff to do??

Put the baby down for a nap and just place some tightly rolled up blankets on either side of her. She's too little to roll over so you don't have to worry about that. Make sure she's just on the sheets - no blankets or pillows. She can actually sleep in any location at this point. My son frequently napped in the living room on the floor, in his stroller (esp. if we had been out for a walk and he fell asleep - this was very convenient b/c I could just wheel it into wherever I was so I could hear him), in a bouncy chair, etc. Often I'd just sling him up and let him sleep in the sling while I did stuff too.

4) Please direct me to websites for a quick and dirty way to jerry-rig a sling appropriate for a newborn, with minimal or better yet NO sewing, just maybe simple cutting and tying etc. I will NOT have time for a few days to sew anyting, not even a sling, but I'm thinking that I MUST have one NOW. I don't know that much about slings yet, but I know I want one. SHe is so little (4 lbs. 13 oz as of today), and I don't know which kind would be most appropriate. I need to be able to move about the house, fix food snacks, do a little laundry, and of course, get on the computer! I also need to find a way to occupy her so I can pump my breastmilk, but in a sling, I'm thinking she's going to be blocking the units!!

www.thebabywearer.com has links to patterns, tying instructions, etc etc. I would suggest either a wrap sling or a pouch sling for a baby this little. For a wrap you can just literally get a piece of fabric about 4-5 yards long and tie her in. It will probably take a little practice to figure out what works best, but for my son when he was a newborn I always liked the tie that crosses in the front AND the back. A pouch can be easily made yourself or you can get one. www.slinglings.com has them for pretty cheap and they get good reviews.

You can probably switch to breastfeeding her on demand instead of pumping (though I have no preemie experience, so maybe I'm totally off here) - which would solve the pumping issue. Another possibility is that if you had a pouch sling you could pump one side at a time, but that can be annoying b/c it takes twice as long.
post #3 of 35
Congrats on your daughter!!
I'm so glad you guys are doing well.

I think it does take a while to get used all the little noises that your baby makes.
(it seems sooooo long ago that I had a wee one!)

One quick sling that I read about, was to get a too small t-shirt and cut it below the sleeves to make a tube. I guess, it's actually more of a pouch. But it wouldn't take any sewing...

Take Care & Enjoy your litte girl!
post #4 of 35
Congratulations! You and your dh should be so proud that you took such good care of you and your lo.

Can I ask why you're still pumping? No judgement at all, but it seems like it might be hard on both of you to be trying to do both bottle and breast at this point. Maybe you just need to nurse and reintroduce the bottle when nursing is well-established.

Also, it sounds like you are trying to do a lot. Can you let dh serve all your needs for awhile? I wouldn't be worried about anything else except nurse, sleep and eat (what was fed to me by someone else ;-) Forget the schedule from the hospital! You and baby will both be so much happier if you ignore the clock and calendar and you just focus your attention on learning your baby's cues.

Congrats again! I can't wait to see pics.
post #5 of 35
Thread Starter 
The whole preemie thing has wreaked havoc on my bf plans. The IV's they had her on in the NICU made her not want as much bf, plus she doesn't have a very efficient suck yet, so it gets very tiring for her trying to nurse for very long. While she was in NICU, the vast, vast, vast quanitity of her food either came through IV, from a bottle (easier to get the milk out of for her), and now my milk supply isn't where it should be. I'll be pumping for weeks, to get it up to snuff. So, she does get to practice nursing every day, but at this point only every other feeding, since it tires her out so much, and then she doesn't have energy to even suck down the bottle. I guess most moms who go through the NICU end up suppliementing with formula (in the hospital, they have access to donor breast milk).

It's just such a greuling routine - pump milk (about 30min total, which includes washing the kit parts and labeling the containers), go feed baby (which is supposed to take 30 min. but it's taking me at least an hour to 1-1/2 hours). Baby goes down for nap (at least she did in the NICU!!!! not so much here!), I go try to eat, sleep, pee, cry, etc., in my reamining hour before we starte all over again.

How do I do all this and not lose my mind? How do I get on some sort of SANE schedule??

Thanks!

Tracey Mouse (going to try and sleep for 30 min)
post #6 of 35
I'm in Salem. I wish I was a bit closer and I'd come and help you out!
post #7 of 35
Congrats
post #8 of 35
Oh, congratulations! You did a great job, mama!!

Here's a link to how to make a wrap for free-ish, plus the site has lots of other info for how to make/use other slings:

http://www.mamatoto.org/Default.aspx?tabid=121

Rushing out the door, sorry so short! Congrats again!!
post #9 of 35
First of all Congrats!!

mama I am no help with the pumping issues
Sleeping though, ds would not sleep without touching me for the the first 6 weeks and it was really hard. You can try a bean bag warmed up then wrapped in a shirt you have worn to lay next to her.

You can make a very easy wrap sling with no sewing. Buy 3 meters of material that doesn't need the edges sewn (microfleece or something like that), cut in half legthnwise and you have 2 wraps. HTH!
Good luck!
post #10 of 35
Congratulations on the birth of your little girl. It sounds like your intuition was right on!

About the NICU transition...maybe I can help. Dd was in the nicu for two weeks after she was born, but she was term (39 weeks). Her suck was never an issue and even though they had me pump every three hours (and nurse her when I was there with her) the transition from bottle to breast went really well. I know that when she was in the NICU they wanted to feed her every three hours, but that was for the nurses not for any other reason. The nurses all told me that as soon as I got her home I should nurse on demand. All of the pumping lead to a huge milk supply, so I still had to pump some after she fed because while pumping I was getting 10 oz per pump session! I slowly decreased the pumping over a week or so and everything normalized. I donated all the milk that I collected over the month or so that I was pumping.

Since your little peanut was born early, the suck issue might mean that you need to pump for longer, but I would get in touch with a lactation consultant that you trust asap to see if you can't get her transitioned to the breast.

Hope this helps!

Jacqueline
post #11 of 35
I wanted to offer a couple thoughts about the pumping thing.... (I pumped at work for my son for 13 months) - mostly to save you some work.

I don't think you really need to do a thorough washing of all your pump parts between pumping. Think about it... breast milk is OK for 8 hours at room temp, so there's no reason your pump, with some milk on it, won't be as well. And it's ok for up to 8 days in the fridge.

So if you're pumping, say, 3x/day (every 4 hours?), you can probably just rinse the parts with water, put in a zip-lock or even a clean container, and stick them in the fridge until you're ready to pump again. Then just give them a good washing with soap and water every evening.

I agree with OPs - really do NOT set too high of an expectation for yourself any time soon! Let someone else do the laundry and cook. Make sure you're eating plenty, getting lots of rest, and focus on healing your body and taking care of your baby.
post #12 of 35
Congratulations!!!
post #13 of 35
congrats!!
post #14 of 35
Congratulations!!! I wish I had some words of wisdom or advice! I can however send you happy thoughts - I hope you are getting some rest for yourself!!!
post #15 of 35
my quick advice: (I had a NICU baby/failed UC with my first):

toss the schedule - feed on demand. This may be more frequently than every three hours, but they could be shorter feeds in between. Will make for a happier baby, happier you.

Swaddle your baby. It will help her sleep, and you can lay her anywhere you need to while she sleeps because she can't move/roll while swaddled. Get a Miracle Blanket - a lifesaver!

Yes, newborns are loud sleepers. Offer a boob if the cry seems more insistent, even if they just ate.

Get a sling to wear baby to get things done around house.

www.hotslings.com

Congratulations!
post #16 of 35
Congratulations!
post #17 of 35
Congrats on your sweet baby girl!

My youngest was born at 35 weeks and was in the NICU for 10 days. So I understand the pumping issues. I agree with pp, toss the schedule and feed on demand. It will help with your supply issues and also help your little one to take to breastfeeding better and will be less exhausting for her because you aren't trying to get a certain amount into her at a time. I still pumped a little after every feeding, just to get my supply up. Also I just rinsed my pump parts in warm water after each pumping, so they weren't messy and only washed them once a day. Get/make a sling or pouch right away! It really helps to bond to the baby, help establish breastfeeding and isn't so exhausting for mama. I wore my baby continously when we got home. Also do that kangaroo care. Put your baby skin to skin with you or dh as much as possible. It will help her breastfeeding and development and also help with the bonding that is sometimes hard to establish after a c-section. Make sure to drink lots of water, and get as much rest as possible! You're doing good mama!
post #18 of 35
Congrats! So glad you guys were so in tuned and did the right thing and everybody is safe! That is amazing and you should be so proud of the two of you! (((HUGS)))
post #19 of 35
I can't help with the pumping, but I can help with the sling! Send me a PM, along with your e-mail, and Kangaroo Korner will get you set up!

Co-sleeping: baby's not rolling yet. Just put baby in the middle of the bed when you're not there. Put a body pillow on either side if you're concerned.

Yes, newborns make a lot of noise. At night, I immediately nurse as it's the quickest way for ME to get back to sleep. During the day, if they're in the sling, I immediately nurse. If they're not in the sling, listen to them. You don't want fussing to turn into cries because a crying baby is much harder to latch on than a fussing one. It'll get easiest as you learn more about your baby!!
post #20 of 35
congrats!!!! I did not read all the responses to your posts, but I wanted to mention skin to skin contact for the nursing thing. My son was in NICU for four days and nursing/pumping was quite difficult. A mw friend of mine suggested getting as much skin to skin, shirt off time with my babe to help with let down and just nursing/bonding in general, and it REALLY helped! We basically camped out in bed for a few days and had friends and family help out with stuff to be done around the house(mainly food prep!) It was an easy was to doze between feedings and get some much needed rest. THose few days with babe in NICU are grueling between pumping, nursing, visiting baby and trying to get some sleep(yeah, right!) Sending you much love and hoping things are starting to smooth out a bit! YAY!!!! You have your little girl!!!!
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: June 2008
This thread is locked  
Mothering › Forums › Archives › Pregnancy Archives › June 2008 › Rebekah Jo - short version + pertinent questions