NICU, Part 3

*There will be pictures of a premature infant in this post* I want to post a TRIGGER WARNING that this post, and the subsequent parts will detail hospital/medical bias, medical procedures, the NICU, and other subjects that might be triggering for some. There will also be pictures of premature infants which (from personal experience) can be triggering. I will post this at the beginning of each part.

The next morning I was at the NICU bright and early. I sat with the baby. She had the same day nurse as the previous day when the breastmilk fiasco went down. As the nurse got the feeding ready I asked her what was in the bottle. She replied, "It's breastmilk. I'm not sure why the doctor told you they would give her formula, especially when you're so against it." She was the one who told me that, but I held my tongue, and just shrugged. I stayed most of the day, and well into the night.

My baby was almost three weeks old by now. I was a steady presence in the NICU. I usually sat quietly with the baby on my chest, and read or browsed social media. I guess I started to blend in too well because some staff members started saying things in front of me that should not be heard by any patients. One of the things I remember that rubbed me the wrong way was a nurse frustrated at being locked out of the computer because she could not input the breastmilk she had just received. She told another nurse, "This wouldn't happen if they would just get on formula." Mind you the only two babies on breastmilk were micropreemies who breastmilk is mandatory for at other hospitals. My confidence in these nurses was already on shaky ground. I just held my breath and willed my baby to get better faster so I could take her home.

As the days passed by the baby got bigger, and bigger. At a little less than a month Earthside they tried weaning her off oxygen. She managed to go a few hours without oxygen before needing to get back on it. It was amazing to see her beautiful face without the tape and wires. Around this same time she gained enough weight to start wearing clothes. The nurses who knew me very well by then waited for me to arrive to put her first outfit on her. Because it was December I put her in a Santa Clause onesie.

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Her trial without oxygen lasted about eight hours before it needed to be put back on. They told me that was to be expected, but that she had done well. The baby continued to gain weight and grow each day. Eventually she was she was big enough, and stable enough to leave her pod. She officially upgraded to an open crib, and was moved to the other side with the "bigger" NICU babies. There was currently one other baby over there with her. The best part of the open crib is that I no longer needed assistance to get her out of bed to hold. It was bittersweet to be so far away from her friend, but I was looking forward to hopefully having her home before Christmas.

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Stayed tuned for the next part! Catch up on previous parts here: 1 2

NICU, Part 2

*There will be pictures of a premature infant in this post* I want to post a TRIGGER WARNING that this post, and the subsequent parts will detail hospital/medical bias, medical procedures, the NICU, and other subjects that might be triggering for some. There will also be pictures of premature infants which (from personal experience) can be triggering. I will post this at the beginning of each part.

The next morning when I returned to the NICU the baby was on a vent. They said that overnight she had issues with her breathing, and kept having apnea episodes. She was still on a nasal cannula, but it was thicker and green. They said that with preemies sometimes it's two steps forward, one step back, and that issues like this were expected. I was convinced that the drama of the night before contributed to this issue. I ended up asking the nurse to talk with the nurse manager, and getting it listed in her medical chart that it was ok for me to hold her during her feeding times. The nurse manager was very apologetic, but I was definitely wary of most of the staff at this point.

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Something that's not talked about enough is postpartum anxiety. We talk about postpartum depression at length, but the anxiety slips through the cracks. The hospital basically told me they expected me to have postpartum depression. I wasn't overly sad about my baby being in the hospital, but I was anxious. What if she was upset and crying alone? Who was loving her, and reassuring her that they were right next to her to keep her safe? When I was there I watched everything. I wanted updates every day of her situation. I called for updates every morning before I went to see her. At home I was meticulous about pumping, and sanitizing everything. I washed my hands so much that I flared my eczema. My hands were so scaly and cracked. I avoided as many people as I could because I couldn't risk getting sick, and not being able to visit my baby.

The next few days were pretty mundane if you could call it that. I was on an autopilot schedule of calling the NICU, pumping, visiting, kangaroo care, pumping, and sleeping. Somewhere in that schedule I would eat, shower, and attempt to stay in contact with my friends on social media. I talked with my mom more often than I previously did. I needed things to distract me. I knew we were in for a long journey, and I didn't want to get tired out at the beginning. The baby did well growing steadily, and slowly getting the vent settings decreased. At one point she fluctuated on her temperature so they found a little shirt, and hat to put on her so that I could still kangaroo care. She ended up getting back on track after a couple hours of being held.

Her cord fell off when she was a little over two weeks old. The day nurse saved it for me. I was glad she did because my placenta was thrown away as medical waste. I had originally planned to save my placenta. The baby had been on the vent for a little over a week. The settings had been turned down to room air, and she was breathing well on her own. That night I asked the nurse when it would be discontinued as she hadn't needed it for the last two days. The nurse told me she did not know. I expressed the wish to have her reassessed, and have the vent removed if possible because at this point it no longer seemed necessary.

The next morning I called to get the status of the baby while I was pumping. The nurse informed me that her stomach had gotten severely distended. They had removed the vent, and stopped her feeding because they wanted to give her stomach a chance to rest, and opened her feeding tube to allow the air to vent out. The nurse told me that the doctor was unsure what caused the distension. They ended up having to move her feeding tube from her mouth to her nose because she kept using her tongue to push the feeding tube out.

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When I got to the NICU I was told that I would not be allowed to hold her because they wanted her on her stomach to help move the air. They informed me that she was pooping, and didn't seem to be in any discomfort so they felt she was getting better, and they could resume her feedings soon. The extra air didn't seem to be bothering her though so they said she wasn't "sick". By this point she had not eaten since 1pm earlier that day. She was originally getting tube feedings every 3 hours before that point.

The next morning I called to get an update on the baby. The nurse informed me that the doctor believed the reason the baby's stomach had gotten distended was because of my breastmilk. She told me they planned to restart her feedings, but would be giving her formula. I told her I was not ok with that, but that I would be coming in to see the baby in a few minutes.

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By this point my milk was well established. I was pumping so much that my freezer, two of my friend's freezers, and the NICU freezer were full of breastmilk. I ended up having to buy a deep freezer to try to offload some of this milk. The fact that they were trying to blame her stomach issues on me enraged me. I was so careful about what I consumed because I didn't want to do anything to harm the baby. I knew this wasn't my fault. I was tired of crying. Now I was angry. Now I was going to roar!

When I got to the NICU that night I had a bag of breastmilk with me. The nurse was reluctant to take it. She told me there was no point in having the milk when the doctor was going to change the order to formula. I told her under no circumstances was my baby to have formula without my permission, and if there was an issue she could have him come talk to me. She eventually took the breastmilk, checked it into the computer, and put it in the freezer.

The doctor restarted her feeds that afternoon. He wanted to try giving her formula. His rationale was the if she received the formula, and her stomach was fine then clearly my breastmilk was the issue. I informed him that I had been pumping since the day she was born. If he felt it was something I ate that hurt the baby he could throw out all the milk they currently have, pick any random day on the calendar, and I would bring in the milk from that day. I felt backed into a corner because I wanted her to eat, but I wanted her to have breastmilk! I eventually relented. Her stomach was of course fine because the issue was the vent that should have been discontinued days prior. The doctor felt vindicated. I informed him that was the only time she was going to have formula, and every feeding after this first one had better be breastmilk. I left at 7pm when the nurses had shift change per the NICU rules.

I was late getting to the NICU that night. Again I had called ahead to let them know I was going to be late. When I got there it was 10:30pm. The baby's "hands on time" started at 10pm. This is the time they change her, check her vital signs, and check her weight. The nurse told me that because I had missed the hands on time I was not going to be allowed to hold the baby. At this point after my birthday fiasco, and now the breastmilk fiasco I was done. I took a deep breath to calm myself and firmly stated, "Listen I hold my baby every single night. I called to let you know that I was going to be late. I gave you the exact time I would be here. I want to hold my baby. I am not going through this with you tonight. I am not in the mood for this." The nurse relented, and I held the baby until and throughout her next feeding at 1am. I watched the nurse carefully. I stressed that the only thing she should be getting is breastmilk. She assured me it was.

The next morning I called to get an update on the baby. There was a new nurse I hadn't talked to before. I asked her what the baby was getting in her tube feeding that day. In a snarky voice she replied, "This feeding is breastmilk, but if she has issues again the doctor is going to change her to formula even if you refuse it." I didn't respond to the threat. By now I was livid. I had slept on the anger, and awoke in a rage. Every body was going to feel my wrath!

When I got to the NICU I didn't talk to anybody. I went to the baby's bedside, pulled up my seat, and waited for the nurse to stop by. I could tell the nurse was trying to avoid me. Between the conversation with the nurses yesterday, and the phone conversation this morning she knew I was going to be "that patient". Eventually she came to the podside. I told her I wanted to hold the baby. Once the baby was settled I asked the nurse to tell the doctor, nurse manager, and dietician that I wanted to speak with them. The nurse informed me that the doctor started his rounds at 10am, and would be by shortly with his team which included all the people I wanted to speak with. Perfect.

When the doctor came around I let the nurse give report, and waited . The doctor finally asked me if I had any questions. I told him that yes I had some issues with my baby's care I wanted to discuss. I asked the dietician if there were any specific foods I should avoid when breastfeeding. I told her that I was an Adventist. I followed the Leviticus diet. This was an Adventist hospital. I told her my diet had not changed before, nor after having the baby. She stated that any foods that caused me gas might upset the baby's stomach, and give her gas too, but in no way would it have caused the distension previously seen. I told her I knew that was the case, but I wanted to have a professional corroborate that belief. I then told the doctor that under no circumstances was the baby to have formula. I explained that I had relented the day before for that one feeding, but that I was not happy about it, and would not allow it again. I then told him that if he could not agree with and follow my wishes, then he could get her discharge papers together to have her transferred to All Children's Hospital where I knew they would follow my wishes.

To say the staff was stunned was an understatement. I am not sure if I they were unused to being challenged. The nurse manager gave me her card to call her directly if I had any issues, and the staff continued with their rounds. The nurse and doctor came back after rounds were finished. The doctor told me they would not give her formula. They would continue giving her breastmilk, but they would decrease her feedings to every 2 hours, and give her smaller amounts. I stayed at the NICU most of that day. I watched every tube feeding like a hawk. I was not letting my guard down with them. My postpartum anxiety was in full effect at this point, and nobody was to be trusted.

Stayed tuned for the next part! Catch up on previous parts here: 1

NICU, Part 1

*There will be pictures of a premature infant in this post* I want to post a TRIGGER WARNING that this post, and the subsequent parts will detail hospital/medical bias, medical procedures, the NICU, and other subjects that might be triggering for some. There will also be pictures of premature infants which (from personal experience) can be triggering. I will post this at the beginning of each part.

My next few days at home were torture. I couldn't go to see the baby until night time when my partner got home. I pumped around the clock. I remember a couple times falling asleep while pumping. They started swaddling her to let us hold her while she had her lines still in. It was a small mercy. Her father got to hold her, and I was able to hold her while she ate. The times outside the pod or from under the lights was only 10-15 minutes, but they were glorious. I still wasn't cleared to drive so it was frustrating waiting at home to get rides to go see her.

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Around 5 days of life her lines were removed, and the hospital let me try kangaroo care with her. Her temperature was still a concern, but they tested her temperature before I held her, and every 10 minutes while I held her. Kangaroo care is when you place the baby against your chest skin to skin. I had read about it on different websites. I had stumbled across kellymom.com and read about different ways to care for a premature infant. Sites like that were so beneficial to me on what to expect, and creating realistic expectations. The first time we did kangaroo care the baby snuggled right in. She was so comfortable. She was able to stay with me for an hour, and her temperature only decreased by one degree. Years later I learned that a mother's breast will heat up, or decrease temperature to help the baby regulate their temperature.

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Around a week of life she got so good at regulating her temperature that kangaroo care times went from one hour to three hours with her maintaining her temperature the entire time. I adjusted my schedule to pumping at the hospital and holding her kangaroo style during her feeds. I wanted her to associate me with food and comfort as much as possible. Because I was there so often, and for so long I made casual friends with the parents of the baby across from mine.

I learned that this was the mother who went into labor the day before me. Our babies were the trouble makers of the NICU. When one baby was getting more attention than the other, the other would set off their monitors so the nurses would focus on them. It was comical and sweet. I learned that his parents were from the Caribbean. We were both looking forward to breastfeeding our babies at some point. Our babies were also roughly the same gestational age. I made a point of greeting her baby whenever I would go to see mine, and she would do the same. When we would meet up in the NICU we would give report on the misbehavior of the children at our previous visits.

Eventually the baby was able to do kangaroo care with my partner. I struggled during this time. I knew that he needed to bond with the baby too, but I felt so selfish. I didn't want to share her with anyone, not even her father. I remember calling my mother and crying because I felt selfish, but I couldn't overcome the feelings. She reassured me that those feelings were normal, but that I needed to allow him time to bond as well. She told me I should go pump during those times so I wouldn't feel as antsy. Honestly that was a great suggestion. Eventually those feelings relaxed, but it did take some time.

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My daughter was born 11 days before my birthday. When I was discharged the hospital told me that if I had any bleeding larger than a golf ball I was to head to the ER to get checked. Two days before my birthday I was finally cleared to drive. I was excited about that because my partner had taken a temporary position at work that changed his shift to overnights, and he couldn't take me to the hospital before work anymore. The day of my birthday I started passing large clots. By this time my nighttime routine was to go to the NICU during the baby's feeding time, hold her kangaroo style during the feeding and for an hour afterward, then head home. Because I knew I needed to head to the ER I called the NICU to let them know I was right next door, but that I would be there to hold her during her feeding. I told them I would be a few minutes late, and asked them to hold her feeding until I got there.

At the ER I felt like they were taking forever! In my haste to contact the NICU, and head to the ER I neglected to pump. When I was finally seen by the doctor I hadn't pumped in over 5 hours. For whatever reason the last large clot I passed was the end of my postpartum bleeding. When the doctor checked me I wasn't bleeding at all. He told me he was going to get my discharge papers ready. As time crept by my breasts were so full and painful. The doctor still had not returned. By now it was over 6 hours since I last pumped. I begged the nurse for a pump. She said the pumps were only for the NICU. I explained my baby was in the NICU, and I was headed there as soon as they discharged me. She called the NICU to ask to borrow a pump, and they refused! I was so shocked, and uncomfortable. This was not how I wanted to spend my birthday. Finally the nurse got the doctor to rush my discharge.

I immediately left the ER, and walked to the NICU. My triplet mom friend was also visiting that night. I met her in the lobby of the maternity ward. I didn't stop to pump because I was already 15 minutes late for the start of the baby's feeding. When I got to the NICU the baby had a new overnight nurse I had never seen before. She had started the baby's feeding. I was so upset! I stared at the baby for a few minutes trying to gather my thoughts.

Finally I said to the nurse, "I would like to do kangaroo care with her." The nurse replied, "Her tube feeding is running. We try not to have the babies held while they are eating because they might throw up." I told her that I held her every night when she had her feedings. I asked her, "Why didn't you hold the feeding?" The nurse didn't reply. My friend replied, "It's her birthday. She really wanted this." The nurse walked away, and left us at the podside.

Dejected and on the verge of tears I sat in the armchair by the baby's bed just staring at her. This was the worst birthday. I didn't know what to say or do. The pain in my breasts were completely ignored because the pain in my heart was so much worse. My friend tried to comfort me. She told me I should speak with the nurse manager in the morning. I just nodded. I didn't know what to say at all.

A few minutes later the nurse returned. She told me that she had talked to the nurses on the other side of the NICU. They told her that as long as I held the baby for over an hour it would be ok. By this point my grief had turned to anger. "I always hold her for over an hour. I do this every night. I specifically called to tell y'all I was going to be late because I knew you didn't like her to be moved mid-feeding. Every night I hold her while she gets this feeding. I really want to hold her, but now I'm too upset. I'm just going to go home. I will hold her in the morning."

My friend and I left the NICU. She hugged me and started her long trek home. I called my mom on my way home and cried my eyes out. I told her I had to go home and pump, then try to sleep. That night was awful. My emotions were so high! Getting to sleep was near impossible, but finally I drifted off.

Stay tuned for the continuation of the story!

Pregnancy, Part 8

***There will be pictures of a premature infant in this post*** I want to post a TRIGGER WARNING that this post, and the subsequent parts will detail infertility issues, death, preterm birth, hospital/medical bias, and other subjects that might be triggering for some. There will also be pictures of premature infants which (from personal experience) can be triggering. I will post this at the beginning of each part.*

 

The next morning I woke up, had breakfast, choked down a cup of mother's milk tea, pumped, got pain medicine, and went to see the baby. I held my stomach, and made the long trek down the hall to the NICU. All the staff was amazed I was walking so soon after surgery, but I was determined to see my baby. They told me because of the bruising her bilirubin was high, so she would need to be under UV lights several times each day for a least an hour. They stated that she had no brain bleeds, a common occurrence with premature babies, and that she was still breathing well on her own. She had a feeding tube in her mouth they told me was put there to prevent air build up in her stomach, and later would be used to feed her. They told me I should talk to her softly, and let her know I was there. I was allowed to put my hand in her pod (what I had begun calling the incubator), and touch her lightly, but not to rub as premature skin is fragile and might tear. They told me she would be in the pod until she was able to regulate her temperature on her own. As she learned to regulate her temperature they would turn the internal pod temperature down a few degrees until she finally didn't need it anymore.

I was so afraid to touch her. I was afraid to do more than look. Someone brought me a chair because they said me standing was making them nervous. I sat and stared at her for about 15 minutes before I was brave enough to touch her. She was so warm! I'm not sure what I was expecting. The temperatures in the pods are regulated to keep the baby's temperature at a safe level. She made a little squeak to let me know she was aware of me, but other than that she was quiet, and content.

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I took the time to look around at the other babies that were in the pod baby area. There was another black, young couple to my left, and behind me was a Latino baby in an open crib. I was fascinated by all that was going on. It was still so quiet outside of the hum and beep of electronics. The lights were low. It was strangely peaceful, and daunting. Eventually I went back to my room.

I spent the day resting, pumping, and choking down the awful tea. I had a few friends visit. I took a couple of them down to see the baby. I didn't spend a lot of time in the NICU because I was still pretty tired. That night I went to see the baby one more time before I went to bed. My milk had begun transitioning from colostrum to breastmilk at this point. I brought the milk I had pumped down with me. This second day is vague for me. I think because it was so uneventful it didn't stand out much. Outside of setting alarms to pump I was running on autopilot. I set my alarm for my next pump, and went to sleep.

The next day (day 3) would be my discharge day. I was so apprehensive about leaving. I would be going home without my baby. I had trouble eating. I didn't go to the NICU that morning. The African doctor who saw me on L&D came to see me. He checked my incision site, and remarked on how small and nicely sealed back together the incision site was. He then asked me something I never saw coming, "Mom, why are you not taking the narcotics we prescribed for you?" "I'm pumping for my baby. I didn't want to take the narcotics, and risk her going through withdrawal symptoms," I said. He looked at me and said, "That's not going to happen. It's ok to take these medications if you're pumping. You have to take the narcotics. If you do not take them I will not discharge you." I was so shocked. The Toradol was working well for me. I had no desire to take the narcotics, but I also didn't want to be stuck at the hospital any longer than I needed to be.

When the nurse returned I asked her to give me the Percocet that was prescribed. She asked if I wanted it instead of the Toradol. I told her what the doctor said. I told her that part of me wants to refuse it so I could stay at the hospital with the baby longer. The nurse then told me something amazing. She stated that because my baby was in the NICU the hospital would allow me to stay one extra day at no cost. She said that was their normal policy, and someone should have let me know. She also told me that they could order my discharge medications, and have them delivered to my hospital room before I was discharged the next day. I asked her to do that for me, and still took the narcotic despite my apprehension to do so. The narcotic made it so hard for me to stay awake. I ended up spending the rest of the day sleeping. I woke when my alarm went off to pump, but I was so exhausted I could not do anything else.

The next day (day 4) I refused all medication. I was not having another day like the day before. I pumped, and brought the milk to the NICU. By this point my milk was well transitioned. I was pumping roughly 4-8 oz each pumping session (roughly 20-32 oz). The NICU nurses joked that between me, and the other black mother there we had enough milk to feed all the babies in the NICU, plus a small village. I didn't know then that I had basically caused an oversupply, but I was happy to have the milk because I was adamant I didn't want her having formula if I could avoid it.

When I saw the baby that night it really hit me that this was my last day at the hospital. Once I was home I would be dependent on someone to drive me to the NICU until the doctor cleared me to drive. I wouldn't be able to walk down the hall, and see her whenever I wanted. The NICU nurse talked to me a little. She told me how the baby was doing, and what I could expect over the next few days. She told me they had given her a pacifier to practice suck training with, and the nurse had given her 2 drops of milk by mouth instead of just rubbing it on her lips. She told me the baby loved it.

It made me happy that this nurse cared so much. She was the same nurse from the first night. It was nice to see a familiar face. She could see I was upset, and asked if there was anything I wanted to talk about. I told her I was upset that I was leaving the next day, and that I hadn't been able to hold the baby. I told her I knew her maintaining her temperature plus the lines in her cord were a concern, but I was just upset. The nurse sat quietly for a few minutes looking over the computer, and the baby's current temperature. Finally she looked up and said, "I think you could hold her for a few minutes. If I swaddle her that will protect her cord and lines. You would only be able to hold her for a few minutes, but her temperatures have been stable, and they have already decreased the incubator temperature twice so she's learning to regulate."

I was so shocked I could only shake my head yes. I wanted to try! The nurse carefully prepared the baby for me to hold. I got comfortable in my chair holding my breath in anticipation. When the nurse finally turned around with the swaddled bundle I was so nervous. She was so small, and even with the swaddling there were a lot of tubes and wires sticking out the bottom of the blanket. The nurse placed her gently in my arms, and tears silently slid down my face. She was so pink, and beautiful. Everything I had done and gone through was so worth it for this baby. This baby that was fighting so hard to stay earth side. The nurse asked me if I had my phone so she could use it to take a picture. I didn't have my phone with me, but the nurse used her phone to take pictures, sent me a text, then deleted the pictures from her phone. Grateful doesn't begin to describe how I felt.

Looking like a hot mess express from crying for the last 24 hrs.

Looking like a hot mess express from crying for the last 24 hrs.

That night I went to bed a bundle of nerves. I called my mom and cried. When I got off the phone with her I cried until I finally went to sleep. The next morning I pumped, then was discharged. I went to see the baby one more time, then went home. No car seat. No baby. Just me, and my husband. Headed home to my cats and dog, my sister, and the house that was empty of all things baby.

Thank you for reading this far! This ends the first pregnancy chapter.

Catch up on previous parts here: 1 2 3 4 5 6 7

The story will continue with the next chapter: Her NICU Journey, Part 1

Pregnancy, Part 7

***There will be pictures of a premature infant in this post*** I want to post a TRIGGER WARNING that this post, and the subsequent parts will detail infertility issues, death, preterm birth, hospital/medical bias, and other subjects that might be triggering for some. There will also be pictures of premature infants which (from personal experience) can be triggering. I will post this at the beginning of each part. *

 

When I woke up I was back in L&D in my old room. Because it was the weekend the recovery room was full of the previously scheduled c-sections so they had me go through recovery there. They told me I was going to be moved to the mother baby ward now that I was no longer pregnant. Everything felt so rushed. I barely remember the trip there. Thankfully they wheeled me in the bed instead of moving me to a wheelchair.

By now it was around 3 hours after my surgery. The doctor came to talk to me. She solemnly approached my partner and I, "So the surgery went well. I made the smallest incision I could possibly make to get the baby out. I know you wanted to have a VBAC with your next baby, so I tried to make that possible. I do have to tell you when I pulled the baby out she was feet first. I felt a slight pop. I had her sent for x-rays to make sure I didn't break her leg. Other than that everything went great. The nurse will come see you soon to help you get up and dressed."

Oh. My. God! That was definitely not the news I expected. She made it sound like this was something that happens, and was no big deal. In my head I was going over all the issues that could arise from a broken leg. Trying not to show panic I tried to focus on all the things I would need while I recovered. I wrote a list of all the things I needed my partner to bring from home. I had not packed a hospital bag in my haste days before. I asked him to bring the mother's milk tea I had purchased weeks ago. I was holding onto it until I was closer to term in preparation for breastfeeding. Later I would learn this is not something you even have to do!

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I called my mom after the doctor left, and let her know everything that had happened. She was out of state, but let me know my aunt was driving up to see me, was close by, and that she would be flying out to see me as soon as she could. Shortly after speaking to my mom the nurse came with a CNA, and helped me get out of bed and cleaned up. She told me to press a pillow to my stomach to get up each time I needed to. She expressed surprise at my lack of pain. I told her I was uncomfortable and itchy. She asked if I wanted pain medication, and something for the itching. I told her I did not want narcotics, but would take ibuprofen and something for the itch. She brought me Benadryl to help with the itchiness, and Toradol for the pain. I had never had Toradol before, but it was amazing for the pain without the loopiness of narcotics.

I had a slew of visitors over the next couple hours. When everyone finally left it was around 10:30 pm, a little over 6 hours after the baby was born. After shift change a new nurse came, and asked if I wanted to go to the NICU to see her. I said I did, and the nurse got me a wheelchair to push me down there. When we got to the NICU door they have a call box that you push to speak with the receptionist. You have to state the name of the baby you are coming to see. "I'm here to see Baby Girl Bogalis," I stated. "I'm sorry we don't have a baby here by that name," the receptionist replied. "Um, what? That's her name. She should be there." "Mom, what's your last name?" I had got married a few months before, and hadn't changed my last name yet. I gave her my maiden name. "Ok mom, baby girl is here. Come on back."

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The NICU was dimly lit, and quiet other than the hum and beep of monitors. When we saw her for the first time in her incubator she was so tiny. She was so still, and looked like a doll used for training NICU staff instead of a real baby. I turned to my partner and said, "Are you sure that's our baby? She's so white. You didn't come down here with her. What if they switched her?" She was actually extremely red tinged, other than a purpling bruise down the entire left side of her body.

The NICU nurse introduced herself to us. She gave me a doll that she wanted me to put under my shirt. The doll would hold my scent, and they would give it to the baby to help calm her down. She gave us the status of the baby. Even though she was born at 27w4d she only needed 25% oxygen via nasal cannula. She was able to move her lungs on her own. She weighed 2lbs 9oz, and they were surprised she was that big considering her gestational age. They told me she would be getting nutrients through several tubes extending out of her umbilical cord, and would not have anything by mouth for a few days.

The NICU nurse asked if I had begun pumping yet. I told her I had not, but I planned to. "Don't bother pumping tonight. You've been through a lot. Get some sleep, and pump in the morning," she said. I asked when I would be able to hold her, and was told I wouldn't be able to hold her until her tubes came out. I remember the nurse was really nice, and later I came to depend on her to give me the truth as it related to my daughter's care, and not just the fluff they tell NICU parents so they feel better. I was dejected, but also exhausted by the days events, and returned to my room.

By now it was close to midnight. The baby was over 7 hours old. As my nurse was exiting my room she asked if I had a pump set up, and if I had pumped already. I told her I didn't have anything. She left the room, and came back with a pump, and two bottles to pump the colostrum into. She instructed me how to pump, and left to give me privacy with instructions to call her when I was done. I remember strictly following everything the nurse told me to do, massaging, alternating cycles, pumping one breast at a time. I ended up getting about half an ounce of colostrum. It seemed like such a tiny amount in that 2 ounce bottle I was given.

When the nurse came to my room she was so uplifting. "Wow that's amazing! What a great amount of milk. This is your first time? I'm impressed. I'm going to take this directly to the NICU now. They won't feed it to her yet because she can't have anything by mouth, but they will rub it on her lips so she gets your scent, and tastes your milk. Get some sleep. Remember to set an alarm so you can pump in the morning." She really validated me. I was doubting myself so much after the events of the last few days, but she made me confident I could do this one small thing for my baby. I placed the doll the NICU gave me between my breasts, set my alarm, and went to sleep.

 

Some photos of the baby. The first photo is her directly after birth, the second is a few minutes later before they took her to the NICU. I was unconscious during this time. My partner took these photos, and sent them to me later.

 
27 weeks 3 days

27 weeks 3 days

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Stay tuned for the next part! Catch up on previous parts here: 1 2 3 4 5 6