WARNING - I promise this post is not terribly graphic or TMI, but I do talk about pregnancy, delivery, surgery and generally the labor & hospital process from start to finish. If this weirds you out please do not read further. ;) I gave away the punch line at the beginning...we now have two babies. Don't feel bad if you just don't want to know the rest.
For the brave souls: I woke up early the morning of Wednesday, October 26. I wasn't having contractions or any issues. Just a normal work day. I didn't work out and I'd straightened my hair and shaved on Tuesday so I decided to skip a shower that morning and just head to work (major regret later!) In fact, I left before 6:30am so I didn't even get to kiss Sam goodbye. Went to work and chatted with mom like normal on the way...pretty sure we talked about the plan for November 8 (scheduled csection). She joked about me having 12 days left and said she wanted to write a song about 12 days til babies....
Sometime mid-morning I got up from my desk at work to make my usual rounds (bathroom, fill up the water jug, etc) and noticed that when I stood up I really had to pee. So much so that I didn't feel like I quite made it to the bathroom before a tiny bit came out. ICK. I was kind of frustrated because I thought, great, yet another joy to deal with the next two weeks. Many women at the end, especially with twins report having a serious bladder control issue as the pregnancy progresses. GREAT. Just what I wanted to add to the growing list of fun, right? I had a pretty tight skirt on and was drinking tons of water so I really didn't think anything of it. So the day went on and I had several bouts of this trickle effect down under. (Trying not to gross too many people out here!) Left work at 11:15am for back to back meetings downtown. Had no problems for a few hours, but after sitting that long, when I stood up I knew I'd have an issue. Immediately after standing, there was more than a trickle this time. I had a quick fleeting thought of amniotic fluid but it's not like water was gushing or anything here people. Just slightly uncomfortable and embarrassed that I was losing bladder control! No one else could possibly tell so it's not like I walked around with a big old wet spot on my skirt. :)
Picked up Jimmy John's downtown and walking back to the car I had another "episode" but this time it did feel a little more concerning....thinking here "did that just drip on my leg?" I took a deep breath while I buckled up and texted Ben. I just said something like, "May be leaking amniotic fluid but I think I'm just peeing in my pants. Gross. Going home to rest and lay down." A little startling text, I'm sure. Ben was concerned and wanted to know if I was going to call the doctor, etc. Whew. So I reassured him I thought it was just a tiny bit of bladder leakage, embarrassing! And I told him I'd go lay down at home and make sure it still didn't happen when I wasn't vertical. I was slightly concerned but not too bad at this point. I was positive that once I was lying down it would stop.
Then I got home. I walked in the door, put my stuff down, and collapsed on the bed. Ironically I was watching Make Room for Multiples on TLC. :) About 15 minutes later while lying down, I seriously felt like I wet the bed. I called the doctor and remembered that my doctor is out of town this week. Great. The nurse told me to go to labor & delivery just to get checked out since it is often just a problem with bladder control. I stood up to change clothes, call Ben, etc. And then I knew. Let's just say my clothing on the bottom half was saturated 4 times in the next 15 minutes. YIKES. Keep in mind it was still 2pm or so at this point. Ben was planning to stay at work until we had more concrete information. I had texted my sister to let her know because I she was likely going to need to pick up Sam from school. (Yes yes, even in labor I was still my normal coordinating and task master self).
As I was hobbling around the house, trying to change clothes...and then change again...and trying to get my suitcase together (just in case)....and remembering that I hadn't taken a shower and debating to take one then....I was having major "gushing" (OKAY, TMI I am sorry!) and I realized all of a sudden that this was IT. I knew it. For real. No denial or wishing it wasn't. My water just broke.
At that same moment April called me and just said, "I can leave work right now and meet you at the hospital." And I cried. I cried that I was all alone at home trying to pack for the hospital and wetting myself like a senior citizen. I cried because I had just told Ben to stay at work and that I didn't mind waiting to call him once I had more info (Don't worry, I called him immediately back WHILE crying and just told him I needed him to come now). I cried because my sister offered what I didn't feel comfortable asking for. I cried because I hadn't made it. I hadn't gone 36 weeks, hadn't protected these babies enough. I knew it was too soon....well at least too soon to avoid the NICU. I cried because I was going to have to throw my plan out the window yet again. I cried because every time I really let out a sob I started leaking more fluid. I cried because Sam was at school and I hadn't gotten to say bye to him that morning. I cried because I knew my parents wouldn't make it in time from St. Louis. And mostly I cried because I felt like a failure. Just being honest! Not my proudest moment here.
Thankfully my sister-in-law and BFF Krystal answered my tear-filled emotional call and she calmed me down enough to drive to the hospital. Granted, I wasn't hysterical, just extremely worried and truly feeling like I failed. Which I can't say has changed, but we'll get to that another time....
When I pulled in to St. John's Ben had already arrived and staked out a spot up front. By staked out, yes I do for real mean he was standing in it not letting any other cars park. What a guy! :)
I hobbled into the hospital with Ben and April arrived as we were checking into triage. After a brief history, vitals (gained 38 pounds officially!), monitoring hookup and discussion with the nurse, the official confirmation came. Test on "water" showed it definitely was NOT bladder leakage. That is right. Toby apparently wanted out. Popped that amniotic fluid sac and I was in labor. No going back now. Stopping labor at that point increases risks for infection and fetal health. I was 34 weeks and 1 day. The doc on call (who we loved by the way!) just came in and said, well....you had your lung steroid shots, you are a little early, but we expect that with twins. Your doctors weren't going to stop your labor if it happened now anyway. And then he says....I have a csection to do right now and then we'll come get you. WAIT? WHAT? So, like now. NOW?
Um yes. He said, within an hour or two. HOLY. COW. Okay, so here we are again. All of a sudden, you are having these babies before 7pm tonight. Quick, call the family, etc. Arrange to pick up Sam at school, get him dinner, etc....ahhhhh. What a whirlwind that was.
And then the nerves started. I had stopped crying by this point, so it was just full on practical Carrie absorbing the enormity of what we were actually embarking on right here. We had wonderful nurses throughout the process of labor and surgery prep. I asked lots of questions and for the most part just tried to NOT freak myself out with the fact that our baby boys were coming early. And that meant NICU. And who knows what other complications.
The actual surgery itself was really getting to me also. Knowing about the painful recovery. Knowing about the strange and concerning feeling of being in there all alone before they would let Ben in. Knowing that half the people in the OR would be for the baby and wondering if I'd hear them cry or how healthy they would be. AHHH. Just so much worry.
The anesthesiologist keep looking me in the eyes and saying, Don't be anxious. I realized after a few times of this that I must have looked very nervous. Ben was very reassuring also, I just was totally and completely apprehensive and anxious about meeting these babies and enduring the surgery.
Keep in mind that all of this stress and worry was during the surgery prep time when I was in the labor and delivery room, and also when Ben's entire family arrived at the hospital AND Sam was there in the waiting room too. So I'm trying to be strong for them and at the same time trying to deal with the fact that I'm about to have some premature babies....eeek!
Soon after they took the babies to the NICU and Ben left with them. Once the surgery was over I started feeling less nauseous and began the shakes....oh yes, the violent twitching, shivering shakes. Just a byproduct of the change in hormones, they told me. Lovely. It lasted about an hour. They wheeled me into my labor and delivery recovery room, and that nurse was amazing. She told me that the babies had APGAR scores of 8 & 9 which was amazing for preemies. She said that is normal for a full term infant. So she was telling me they were doing great, since of course I was worried (again!) about that.
This was a hard time for me because I was feeling awful, anxious about the babies and all alone. My parents were supposed to be at the hospital by this point, so I called my mom to see if she could come sit with me during the two hour recovery. They got delayed by accidents so I called April and she didn't answer. Too funny. Finally the nurse offered to go to the waiting room to get April and Krystal. Just then April knocked on the door and I was so happy to see her. I explained everything that happened. They went and got Krystal and it was great to see her. Then other family took turns coming in and eventually Ben came back with pictures of the babies.
At 8pm they took me back to my permanent room. Whew. And the rest is just an endless round of 4 night and 5 days of nurses, checks, trips to the NICU, etc. Honestly, St. John's was absolutely fantastic. They were so attentive to me, so understanding and patient. The private room was awesome (well I'm not sure Ben would agree since the couch and the recliner were less than stellar places to sleep for him), and I just had amazing nurses. One in particular, Nina, came in one morning after she had been our nurse for several days and asked how the twins were doing. When we told her they were doing well, she just got a huge smile and said she had been praying for them. How sweet is that!
The pain, as expected, was and continues to be a challenge for me. But honestly, I can deal with pain after not being able to move or over-do it for the sake of the babies while pregnant. At least now I know nothing serious is going to happen...I'm just going to be in PAIN. And that is better. I think mentally preparing myself that it was going to be rough motivated me to get up sooner and walk more. As soon as I was able, I got up, stood up and made myself grit my teeth and start walking, knowing that I'd be able to go to the NICU if I pushed myself. And it worked! Was able to go back to the NICU very quickly and kept up the walking and pushing myself and after a few days, it really did get much better. Very good. All in all, my recovery has been expectedly painful and unexpectedly quick. I'm hanging in there, still very sore from the csection, but trying not to dwell on it.
The family support and help has been tremendous, and I think having people around us has gotten me through some harder patches of really thinking about being in the hospital after delivering babies and NOT having them in the room with me, NOT taking them home with me...NOT getting to hear their every cry or attend to their needs. It is rougher than I could have imagined. But family and friends have been bright spots in a difficult situation. We appreciate everyone's thoughts and prayers more than we can ever express.
Now onto the information everyone really is dying to hear, this I know. How are those babies? Yes, yes, I know I could have included that through this post, but there has been such a rollercoaster and learning curve with the NICU to even begin to explain. I tried writing this post every day since Wednesday, and I just couldn't bring myself to do it. I had very positive moments and very emotional ones these last 5 days. Elation to worry to guilt and everything in between. Hormones do not help the situation, and as you can all imagine, I have really had to remind myself of the 'practical Carrie response' and try to embrace the "me" who is still inside and just dealing with all of this craziness. :)
I digress. So...the babies. Toby and Gabe are just amazing. They look a lot like Sam, but with lighter hair. Originally we could tell them apart more - Toby had a narrower face and Gabe's nose was a little fatter. But as the days go by, those features become more and more similar. I have to say I don't know that I could actually tell them apart anymore! It is pretty crazy and fun. Their personalities are different too. Toby is feisty and alert more. He is a huge cuddler (so sweet). Gabe is extremely lazy and likes to stretch out. He kicks off every blanket and doesn't seem thrilled with enclosed spaces or swaddling. The more I think about it, the funnier it is to me....Toby in my stomach was curled up just like he is now and Gabe was completely stretched as far as he possibly could be and kicked me constantly. Just awesome how those traits have carried over.
When the twins were first born, we were elated that they didn't have to be on oxygen or have breathing assistance of any kind. Thank you lung steroid shots at 31 weeks! They were a healthy color and their first tests showed no infection of any kind (rare I guess for their size/term). So they didn't have to be hooked up to a ton of apparatus-type machines, which was awesome. We have been able to hold them since they were born, thankfully. They are both very healthy with no complications or health concerns. Thank you God! Within about 12 hours we got a crash course in NICU verbiage and procedures. Basically, the boys are only in the NICU at this point because they are too young for their bodies to know how to eat. Which means that they have to learn to suck, swallow AND digest food. The suck & swallowing came right away, but digesting the food takes time with little bitty stomachs. And two more weeks of "cooking" really would have made a significant difference with this ability. So there is nothing wrong with them, and no problem with them at all, but simply due to being 34 weeks they are physically not capable of eating without being trained. So what that means for us is a few weeks in the NICU to "feed." They start with a tiny amount of formula/breastmilk and work their way up to larger amounts. While they do this, they put IVs in and give them what I like to call gatorade, but in reality April explained to us is IV nutrients (electrolytes, potassium, etc) that bypass the stomach. So all they need to grow and sustain life is delivered to them in an IV, allowing them time to learn to eat so that we can take them home. In the time we were in the hospital, a lot has happened. The NICU nurses and doctors have explained as we have gone through each thing, and in short, there are great strides made every day and setbacks all the same. None of the setbacks are out of the ordinary or even concerns. We keep being reminded by the nurses that they are doing exactly what is expected for 34 weeks - which means an up and down road in learning to feed. Very very early on Toby was throwing up when eating, which wasn't great. They decided to put in a feeding tube through his nose to make sure they could still stimulate his belly with milk even if he wasn't taking food from a bottle so great. Gabe at this time was chugging along doing excellent. Then a day later they switched places. Toby took off, stopped spitting up and hasn't needed the feeding tube once. In fact, it was taken out completely last night! Gabe on the other hand started out with no issues feeding and a day later, the spit up and then the feeding tube for him. Eventually Gabe had "residuals" in his stomach, which means they find undigested milk from the previous feeding in his stomach still. If they find too much of this, they cannot feed him the next time. So for a day or so, Gabe's feedings stopped completely. Added to that, he had to have a PICC line put in (which is a longer-term IV of sorts) since he wasn't eating as much. The PICC line involves an actual sterile procedure, and it ended up going into a vein in his head...ick. They warned us that was a possibility, but again, he was a trooper. And again, the NICU nurses reassured us this is totally normal in the roller coaster ride to teaching preemies to eat. So much so that the PICC line nurse does the procedure every DAY on babies in the NICU. That did make us feel a little better. Gabe started feedings the next day again (back at the beginning smaller amounts of course and ironically the same day my milk supply kicked in so he was able to get the easier to digest breastmilk) and hasn't looked back since. Here we are a few days later, and after increasing from a start of 5CCs of formula/milk per feeding and going up 1 or 2 CCs per feeding, Toby has reached the "full" feeding amount of 37 ML and Gabe is up to 24 ML. They are rock stars! Toby got his IV out yesterday and they removed his feeding tube last night. Gabe's nurse just told me today they are going to stop Gabe's IV fluids because he is eating great, and soon they will remove his feeding tube also. We are reminded pretty much daily that either of them could start to have trouble again with their small tummies, so we are just happy they've come this far. After they get to full feedings, they just have to put on weight and keep having regular diaper changes. Then the next step is moving from an isolette (which we also learned is a better step from the monitoring open bed that they were in when we first saw them) to a simple open crib once they maintain their body temperature and then HOME. We spoke with the doctor yesterday and he told us most of the time 34-weekers tend to go home a few weeks before their 40 week original due date. He estimated for us the third week in November and told us he can't wait to see them when they are 3 years old running circles around us. Oh, and he also said they were very handsome. :)
So here I am. About to finish this post after giving birth to these amazing little boys about six days ago. I'm sitting in the NICU waiting room tearing up because some of the other sets of parents are discussing their babies and one said theirs was "stable." Another parent got a huge smile and just said, "Well that's great news." I am just humbled and blessed and so incredibly thankful. My babies are so much more than stable. They are perfectly healthy. Praying for things to stay that way and confident that God has continued to carry our load through these twists and turns. What absolutely amazing gifts He has given us. Even though the road wasn't as I had "planned" I am trusting in each day that God has supplied us enough strength to get through. And soon those few short weeks will fly by, as they did during the pregnancy, and our precious gifts will be at home with us. Looking forward to that day.