We wanted to record, or rather journal, the details leading up to the girls' birth and their first week in the NICU - not only for those of you interested, but more for the girls at some point in their future... So, here are some of the nitty gritty details.
We went to our 9:00 doctor's appointment on the 30th not only relaxed, but for once confident that the girls would be scanned fairly quickly and that we'd see the doctor again in 2011. In fact, while we were in the waiting room we discussed what we were going to make to eat for New Year's Eve and Day while we watched all the bowl games! However, our world was about to be changed forever. The sonogram started off perfectly fine, or rather as expected - until Dr. Z came in to take a closer look at the fluid around Baby 'B' (Brynley Cade). After scanning for about 15 minutes he concluded that she only had about 1.5 cm of fluid at her deepest pocket and decided it was time to meet our girls quite sooner than we'd wanted. He called our OB doctor and called ahead to the hospital for admitting purposes. They decided that we'd have two days of steroid treatment and deliver on New Year's Day!
Needless to say, we were immediately both a little overwhelmed and stressed with all we had left to get done before the babies were supposed to come! I headed home to quickly pack my hospital bag and Travis ran back to work to grab his computer and fill in his boss with our latest development. Before packing my bag, we called our parents/sisters and I also managed to post a quick update on the blog and on Facebook to let friends know. In trying to pack our bag - I had no idea what to pack! not to mention half of what I wanted and had planned on taking was in the laundry (it was on our 'to-do' list for that evening/weekend!). Oh well, Travis stuck stuff in the laundry and promised to bring what I needed back with him to the hospital the next day. So off we went to Plano Presbyterian - they have a level 3 NICU and at least we had pre-registered, etc. back in November! The admission process still took forever - but at least most of it was conducted in our room - or rather, where I'd be staying up until delivery. The nurses wondered how long we'd be there and were disappointed to learn we'd only be there for a couple of days! Most women expecting triplets tend to have longer hospitalized bed rest stays than my quick two day stretch. At least there was football to watch for a couple of days and plenty of good games!
The steroid treatment consisted of a shot administered in my back-hip-side both on Thursday and Friday. They were reminiscent of the progesterone shots Travis had to give me way back in the summer... not fun, but then again, it could have been worse! They also monitored the babies twice a day - strapping my belly with three fetal monitors, finding each of the girls was lots of fun... They cooperated better earlier on in the day and each took their turn at being "difficult" for the nurses! I'd stay strapped in for about 20 minutes and then I was left alone. Travis went home to sleep and get some things done at the house on Thursday evening, but then stayed in the hospital with me beginning Friday night (until I went home on Wednesday!). One of the NICU doctors came and spoke with us about what to expect in the OR as well as what they anticipated for the babies. We were able to tour the NICU on Friday - they had already gotten the pods where the girls would be ready for the next morning! While it was all a little or a lot overwhelming, we were confident that our girls would get the best of care!
Dr. Webster came by and confirmed that we would be delivering the girls by cesarean the next morning at 9:00 am. I think all the nurses gave Travis a hard time about missing the tax deduction by 9 hours - he is, afterall, an accountant! However, the steroids needed the two days to really be effective. While I lulled myself to sleep Thursday night by writing most of our Christmas 'thank you's' - luckily I was given a couple of sleeping pills Friday night, otherwise I don't know that I would have gotten much sleep! Friday morning came early and quickly - I took a quick shower and donned my hospital gown. We also managed to get in a few last belly pictures!
We were then taken down for pre-op and I, like always, almost immediately began shaking. It's the most irritating and uncontrollable feeling, but it happens every time before surgery. They also put the monitors on the babies to keep an eye on them. Travis was my rock as usual - I hate surgery and was quite nervous about the c-section in general. Once we got into the OR things went by FAST! There was quite a crowd in the OR with a nurse, a respiratory therapist and doctor at the ready for each baby, plus the doctors/nurses taking care of me, not to mention the anesthesiologists, and of course Travis! We were out of the OR in less than 45 minutes and the surgery itself only lasted 25 minutes - boy do they do quick work. Baby "A" arrived at 9:15 am and came out wiggling and let out a small cry. Baby "B" followed right behind her, also born at 9:15 am and was also squirming away. Then there was a bit of a pause (and Travis, as I found out later, got real anxious)... two minutes later Baby "C" arrived at 9:17 am. She was pretty high up (I certainly knew that) and wasn't too anxious about greeting the world. However, she was also squirming away! The NICU nurse brought Baby "A" over to see me - of course tearing me up - that's a lot of hormones! However I was only able to see our other two girls from a distance, they needed some extra support for their little 31 week, 4 day lungs! The doctor's assured us that they all looked fabulous considering their gestational age, etc., but I don't know that that made us any less anxious! Travis followed the NICU teams out of the OR and up to the NICU - texting our family in the process... However, G'ma P didn't get the text and was out in the waiting room - I don't think Travis will be living that one down any time soon!
I was wheeled out and spent some time back in the pre(now post-)-OP room. Travis and my mom came in a short while later and I think I finally stopped shaking about 45 minutes later or so. I also was (finally) given some ice chips - not being able to drink any water since 5 AM drove me crazy, I was drinking a crazy amount of water every day! After awhile (really no idea on time) they wheeled me up to see my girls in the NICU before taking me to my room. I was able to look over from my bed and see each on of our girls and reach into their little incubators to touch their tiny little hands. We had already learned that firm pressure was calming to the babies at this age - stroking them was too stimulating and agitates them quite quickly still. Their sensory system is still very immature. We also decided to go ahead with the names we'd pretty much agreed upon the night before -- the nurses really wanted to know their names... as did G'ma Sue!
Baby "A" = Ryann Gale, weighing 3 pounds 11 ounces, 15 inches long
Baby "B" = Brynley Cade, weighing 2 pounds 14 ounces, 15 inches long
Baby "C" = Hadley Marie, weighing 3 pounds 1/2 ounce, 15 inches long
And yes, there is a rhyme and reason behind the names... Gale is my middle name and actually is representative of my grandparents initials (Gene, Arlene, Lloyd, and Elaine = GALE). Cade is obviously for my brother - and interestingly, I think little Brynley looks a little like him! Maybe just because of how skinny she is! Finally, both Hadley and Marie have meaning... Hadley is a family name - Travis' grandpa's had a brother Hadley and an uncle I believe - though I could be incorrect on that. However, I do know that Phyllis has a second cousin or two that hold the name Hadley. Marie was Travis' grandmother's name and is also both his mom and sister's middle names.
I'll admit, I was pretty much just plain overwhelmed with seeing them - knowing we now have three children, and yet knowing we couldn't do much for them right at that moment. They took me up to my/our room and got us settled in. I was pretty exhausted, so mom and Travis went to grab some lunch while I took a nap. While they were gone, after I'd gotten a short nap in, the lactation nurses came in and I got my first lesson in pumping, and a schedule to boot! Best of all, while the girls of course would be getting anything and everything I produce, they also are receiving donor milk! Breast milk is especially important for preemies whose little immunity systems are even more immature than term babies (who also need extra immunities). Anyway, we're keeping at it and the girls are getting more and more of my milk everyday - such a way strange experience. Next week Ryann might get to try breastfeeding - she's "practiced" the last couple days and now roots around when Dad holds her as well (ha!). But I'm getting ahead of myself already...
So, the rest of Saturday was kind of a blur. G'ma & G'pa Miles got to the hospital around 2 and they all went and saw the girls a couple times more. I was on a clear liquid diet for the night/next morning - the broth and jello did taste good! Mom, Gary, Phyllis and Travis all went to dinner and then Travis came back to spend the night at the hospital with me. Sunday came early and my blood pressure was still higher than they liked - it took three days before it came down! I went down a couple times to see the girls - once wheeled down by Travis and the second walking down. I looked like a giant snowman or grizzly bear in my white robe, but I don't think the babies minded! I got to change my first diaper (Ryann's) and take her temperature. They were (and still are) just so tiny, it was kind of intimidating to reach in there and touch them. I think it was Monday before I really started feeling human again - or maybe the drug-haze had finally lifted! Travis went to work all week - he's saving his time off for when the babies come home (no, we do NOT know when they'll be coming home!). However, his work is only 5 minutes from the hospital and they're very flexible about him going back and forth - not to mention working a little from home/hospital if need be. I also got to Kangaroo (skin-to-skin contact) Ryann on Monday! What a wonderful feeling to have her sweet little body against my skin. I got to kanga with Brynley on Tuesday and Hadley on Wednesday morning (right after I was discharged). Travis also is kangarooing with the girls - and it's getting easier as they get more tubes off! It promotes milk production and bonding... which are important, but best of all - we get to hold and snuggle our girls for an hour each day! I don't know if anyone but those who have gone through it can really appreciate this contact... only getting to touch the girls during their touch times (I'll explain that in just a moment) is really hard. The NICU practices a cluster philosophy - they touch the babies only every three hours (unless they really need something or an emergency obviously). The rest of the time they make it very womb-like - the babies are swaddled and cocooned and there is a fleece clothe over their little incubators to keep it dark so the babies can work on growing and developing - as though they are still in the womb! During their touchtimes, we get to take their temperatures, change their diapers, and kangaroo - but we obviously can't be there for every touch time. Currently we're trying to make it to two each day, and we've worked out a system so we each get to hold each of the girls twice a day (Ryann and Hadley's touch times are an hour apart so we can get them both in during one visit).
I was discharged on Wednesday morning and I actually went straight down to the NICU - and luckily got to hold Hadley for the first time! My mom came to the hospital and visited the girls and is my driver for the time being... It was hard leaving the hospital though - no longer pregnant and without any of our babies. Again, unless you've done it - it's a feeling that you can't explain. It doesn't really matter that we know they're getting wonderful care, by wonderful people (the NICU nurses have been fabulous - we're totally impressed), here we are at home and our children are clear across town in the hospital... not a good feeling, but we're staying positive. In some ways we've been blessed in our preparation... our neighbors have a little boy who was born at 25 weeks! He's now 5, and it's been inspiring to watch him grow and change and develop over the past four years. We go over to our neighbors every Sunday to watch the Packers play - they're wonderful people and I'm amazed at how positive they've remained with everything they've been through. But I've strayed from my point - not only have we learned through them about so many of the machines and whatnot that help the babies, but we've gotten used to the beeps and sounds that go off (constantly in the NICU especially). Regardless, it did help us from being completely overwhelmed when we saw the girls for the first time...
By the end of the first week, the girls are all off the CPAP. Ryann is actually off of everything - she just has a feeding tube and then little wires that track her vitals. Brynley and Hadley still have a nasal cannula that is clear plastic tubing that is connected to an oxygen source and that has little tubes at the end that allow the oxygen to pass through into a baby's nasal passages. If you're really interested - here's a pretty good side that explains a lot of the NICU equipment that we might mention in passing without explaining: http://www.edward.org/body.cfm?id=1317. They also both still have their IVs - however, that will be changing very shortly! Brynley might have her's out as early as tomorrow with Hadley shortly behind her. They have also all gotten back to or surpassed their birth weights! We were told to expect them to lose weight the first week, so the fact that they all stopped losing and started gaining on Wednesday was wonderful. So far, only Ryann is wearing clothes - they want them over 1500 grams (3 pounds 5 ounces) before they get to wear anything, and yet they still swim in their little preemie clothes! Each of them had a feeding tube. Their feedings continue to increase with Ryann at 33 ccs, Brynley at 22 ccs, and Hadley at 24 ccs (I think - it constantly changes and is hard to keep track of). They eat every three hours and are given pacifiers for them to begin associating sucking with feeding - interesting huh?! Ryann has actually gotten to "practice" the last couple days - they call it nuzzling, and now even when Travis holds her she roots around looking for the "good stuff"! ha! One of the nurses told us we might get try breastfeeding her as early as late next week - she thinks Ryann might be ready before the 34-week timeframe (that's when babies are said to be 'ready'). Brynley loves her paci and I think she's actually a better sucker than Ryann - so if she gains some weight we'll also get to try with her! Miss Hadley is our feisty little girl and she's definitely catching up with her sisters!
For now, we're enjoying the time we get to be with them. I've been going in and kangarooing at least twice a day and trying to come home and take a short nap in the afternoon - though I'll admit I'm not a very good patient... and I'm sure both my mom and Travis will vouch for that. There's a chance I might have been overdoing it just a bit - but what can I say, I was on bed rest for 3 months and now that I'm not I don't want to waste time napping! And yes, I do know that I need to recover as well... like I said, not a good patient!
This morning they moved the girls all next to one another... Ryann and Brynley were moved right next to one another yesterday. So, Travis said today when they wheeled Ryann over (away from Brynley) she woke up and got pretty agitated - not happy that they were taking her sister away! However, she was pushed over closer to her shortly after. And Hadley should be much happier now as well since she's now on the same side as her sisters and much closer. It's kind of funny, but when we're holding Ryann and Brynley, Hadley always let's out a cry and gets pretty upset... it's like she knows! However Ryann doesn't seem to mind when we're holding Brynley and Hadley.... anyway, we were told today that we could hold two of them at the same time if we'd like - though that will get easier once B & H's IVs come out. Finally, the grandparents are anxiously awaiting for the girls to get to 1800+ grams (approximately 4 pounds) so they get to hold their grandbabies!
So there's the nitty-gritty details for now! If you are trying get a hold of us and we don't ever seem to be around below I've listed the girls' touch times. We usually make one or two of the ones in the morning and then either the 5 or 8 time in the evening.
Ryann: 8-11-2-5 am/pm
Brynley: 8:30 - 11:30 - 2:30 - 5:30 am/pm
Hadley: 9 -12 - 3 - 6 am/pm
Thanks again for all the thoughts and prayers that have been sent our way - I'm trying to find time to copy all the comments and whatnot for the girls baby books. They are so loved by so many...
FYI: I've been posting all our pictures on our shutterfly site: http://pleggmiles.shutterfly.com/
Above: Hadley Marie - 1 week
Below: Ryann Gale - 1 week
Above: Mom & Ryann - 1 week
Below: Hadley
Above: Ryann - sooo big!
Below: Brynley
Above: Brynley Cade