Being a mum with bipolar

Posts tagged ‘nurse’

Looking Back

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First picture of me and the girls together (I hate my picture being taken!!)

 

Its the twins birthday today, cannot believe they are 2!!! Time sure has flown but then we have hardly had time to sit around with these two, they have kept us on our toes since day 1. As its their birthday I have been thinking a lot about their birth and the last 2 years, realizing I have never really told anyone the full story as it had always been too hard and figured people wouldn’t want to hear, but as you lot get to choose whether to read this or not I will let you make your own minds up lol.

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As big as I got, this was taken at 29+2 weeks

It all started 2 weeks before I was dues to start college, I had organized childcare for the older 2, got supplies and was ready to go, then the sever tummy pains started. I went to the Dr thinking is was my I.B.S playing up and I needed some new meds. When the Dr examined me she looked very worried and ask me to take a pregnancy test, I laughed at first as Tom and I had been careful as we didn’t want anymore children right now, I humored her and took the test, which came out negative, she felt my tummy again and asked me to sit down. She explained that she thinks I am having an ectopic pregnancy and it is quite advanced meaning I will probably need surgery. She rang the early pregnancy unit and got me an appointment there and then, told me to call Tom, get him to pack me a bag and meet me at the surgery as she didn’t want me leaving, I was terrified. We got to the early pregnancy unit and a nurse examined me which caused so much pain as she was pushing quite hard and then got the Dr straight away, he also examined me and look worried, he told us the same thing the G.P said but he wanted to do a quick scan just to see what was happening. The sonographer took what seemed like a life time to check and then she turned to Tom and said ‘what do you see?’ He looked at the screen then looked at me, I thought it was bad, it must be, he has gone pale. She then turned the screen to me, I looked 5 times then she nodded, I had seen right, it was 2 perfectly healthy babies! I was 10weeks 2days with twins and had no idea!! The Dr explained I had a really bad urine infection which they think had tampered with the pregnancy test hence the wrong result. So in 3 hours I had gone from facing surgery and possibly not having children anymore to being pregnant with twins and embarrassingly enough all I could say was ‘my house isn’t big enough I only have 2 bedrooms!’

Fast forward to just after Xmas, I had a good pregnancy, no scares, wasn’t too huge, managing OK until the first school run of the new year. I was walking home when the pains started, I thought it was due to not having done much exercise over Xmas so I promised myself a rest when I got home. Got home made a brew and watched Jeremy Kyle all the pains were gone. Got up to do something only to find I had wet myself, annoyed I went to change but the more I walked the more it kept coming, I knew exactly what it was and then the pain kicked in again. I am only 29 weeks how can this be happening, its too early? I called Tom, my mum and the hospital and off I went. I was taken into a side room and examined, at first it was just the usual type and then next thing I noticed the Dr had a torch on her head and was really looking, now I was really worried, to need that she must have found something. She explained twin 1s waters had gone, I was 4cm dilated, in labour and twin 1 was footling breech and being so small her feet could fit through my cervix already. They gave me steroids and muscles relaxants as well as a drip as I was dehydrated and it can help build the babies waters back up if the hole in the amniotic sac repaired itself. It was the scariest 48 hours of my life, I wasn’t ready and they weren’t ready, I knew nothing about premature babies but I knew this early was not good. I was watched closely during the night  as my heart rate was so high the monitors kept alarming as I was tacycardic and they couldn’t tell it apart from the twins. The Dr examined me and said that my cervix had closed and twin 1 had moved to being breech so we could go home, I had to drink lots of water and eat lots of protein to try and build twin 1s water back up. Exactly a week later I wake up to a soaked bed, exactly what I feared, twins 2s waters had gone now as well, we rang the hospital but was told as I wasn’t in labour I didn’t need to go in and just stick to the weekly consultant appointments. 2 days later I have bad back ache I put it down to not being allowed to move unless I was going to the loo or bed. Wrong!! I woke in the morning wanting to push, I walked round and no contractions but had the overwhelming urge to push, I stopped myself and went to grab a drink, as I sat down the biggest contraction ever hit me, I was in labour again and it was laying or standing easing the contractions to nothing more than an ache but when I sat it was agony. We got to the hospital and was taken to a delivery suite and hooked up to the monitors and just like home as soon as I laid down it all eased up, the contractions didn’t show on the monitor and my tummy wasn’t going hard so the Dr scanned me and just as we suspected neither baby had any water around them except a tiny pocket on the top of twin 2s head (which comes in handy later). The Dr said the pain is probably because their is not much of a cushion between me and the babies so it is causing me pain (turned out I did gain 2 cracked ribs at some point) so he said if nothing happened by 5.30 I could go. At 1ish the midwife gave me some pethidine telling me it would relax me so I could get some sleep as I looked shattered, I reluctantly took it (wanted a drug free labour and birth) and started to doze. Tom went for a coffee and to ring everyone to tell them it was another false alarm. Half an hour went by and just before he walked back in I felt a pop, it now felt like I had a bubble sat in my cervix, it was a weird feeling but I knew it wasn’t right, I tried grabbing the buzzer but it was too far away and I wasn’t allowed to move because of the pethidine, I had just opened my mouth to shout when he walked in. I explained it to him and he laughed, saying it was probably the last of the waters welling in my birth canal and as soon as I stand up it would go but he called the midwife. She examined me then peered up and looked at me. Uh oh what was it? I started to well up and looked at Tom. The midwife informed me the bubble was actually Twin 1s bum moving through my cervix and that there is no stopping it now, the babies are coming today, then shot off to get the Dr. I looked at Tom and started to cry, I am only 30+3 weeks its too soon, they will be small and poorly, there must be something they can do to keep them in surely? I always thought babies had to be born after your waters had gone but I was wrong about that so perhaps the midwife was wrong about them coming today. Tom calmed me down and told me he knew I could do this and we had to be strong for the babies, the more I stressed, the more they stressed, so I wiped away the tears and put my fighting face on, I could do this I could be brave for them. The Dr came in and told me that whilst the babies were nice and calm due to their positions I had to have a section. I broke down, I am terrified of being numbed and of surgery. I was shaking and having a panic attack but I agreed. I signed the forms, put the stockings on and took the pre-meds. I was still terrified and everyone could see it. Then out of the blue the Dr said he would let me try naturally as I had had 2 previous text book births but only on the understanding that the minute something didn’t look right I would go and have section, he said he wouldn’t give me an epidural so if I needed a section I would have to be knocked out. I was relieved, even if it was too soon and the babies were in the wrong positions I was still able to have the birth I wanted. The midwife told me the pethidine would be wearing off but as it stated in my plan I didn’t want any drugs she would stick to that but if I wanted more I only had to ask. I was wheeled up to the surgical delivery suite and it was tiny compared to the room I was just in. There was me on a bed, Tom, 2 midwives, a Dr and a scanning machine and it was cramped already. I asked if I could push yet but the midwife needed to sort my drip out ready for when twin 1 was born (its something that keeps the contractions going so I could deliver twin 2) and we needed to wait for the NICU team. I didn’t really take it in all I could feel was the urge to push again. I was on my back and now I couldn’t even feel the contraction. The midwife kept asking how the pain was and I kept telling her there was none but apparently the monitor said different. The NICU team arrived with incubators and re-suss trolleys. There was a Dr and 3 nurses and we were all cramped in this time room. Looking round it suddenly hit me, my babies are gonna be tiny and poorly and I’m not going to be able to help them, they are going have to rely on these people not me to make them better. I didn’t know what to expect when they arrived, would they be breathing, what would they look like, would they cry, could they even cry yet? I was allowed to push as was the NICU team was ready, with one push twins 1s bum arrived, the Dr then made me stop as he needed to check using a scan there were no cords wrapped round the babies neck, once I was given the OK, I pushed again, it was a bizarre feeling, I had given birth twice before and delivering a baby never felt like that and then I heard the most piercing scream, I looked round then realized, it was my baby! She was actually crying!! She was held up briefly for me to see then passed to the NICU Dr whom then sorted her out, the Dr spoke to Tom but meanwhile I was delivering something else, quickly scanning me the Dr realized it was only her placenta. Whilst scanning me the Dr had seen Twin 2 was still laying transverse (sideways) tucked under my ribs and he said judging by her heart rate she was sleeping. After all that had just happened, she was sound asleep!! He said he would try to externally turn her and explained what it was. He was basically going to push my tummy around until she turned the right way. He was really pulling on my belly and digging his hands in then all of a sudden I got that feeling you get when you go over a bump in the car, it was her turning and she was now head down and the midwife told me to get ready to push. I had a few contractions but she wasn’t budging, she was comfy and wasn’t going anywhere. 30 mins had passed and the Dr told if she didn’t come soon he would have to take me for a section, I really didn’t want that so asked if there was anything else he could do, he said he could try a manual extraction but didn’t know if it would work so I said give it a try. OMG it was the worst pain I had ever felt in my life!! I didn’t quite realize what he ment but what he did mean was trying to pull the baby out by hand!! I was in agony and I kept asking him to stop but he wouldn’t, I could even see his hand on the scan!! After a few minutes of me begging him to stop, Tom threatened to punch him if he didn’t stop as this was traumatic enough for me without him ignoring me asking him to stop. The Dr apologized and said there was one more thing he could try and if it didn’t work it would have to be a section as it had been nearly an hour. He got one of the tools they use to break your waters (little hook thing) and ‘broke’ the little pocket of water that was left on top of baby’s head, as he pulled his hand away, she followed but unlike Hollie she didn’t cry and she didn’t look right, he handed her over to the NICU Dr who began working on her. He said she was having trouble breathing so was giving her some oxygen to try and help her. The Dr called my attention back to him so I could deliver the placenta. When I had done that they started wheeling Hollie away, I caught a quick glimpse of her but she was all covered up in the incubator and all I could see was her hand and I couldn’t believe how tiny it was. They wheeled me down to the ward whilst the NICU Dr stayed in the room getting Georgia stabilized before moving her, he promised as I left that if there was any news we would be told straight away if not when we got to the NICU he would have a chat and tell us what was going on.

I got back to the ward and got up, showered and dressed straight away, the midwives hadn’t even had chance to make my tea and toast they had offered in the time it took me to do all that, I wasn’t hanging about, as soon as I was allowed, I was going to the NICU to see my girls. I walked over to the bed to sort my stuff out only for my trousers to fall down. I was in the maternity trousers I wore to the hospital as I hadn’t brought a hospital bag as I hadn’t even packed one and certainly wasn’t expecting to have the babies today, I was still in shock it had happened. It was a weird feeling because I was happy, sad, angry and scared all in one go. My babies had arrived, I had the birth I had wanted and planned but it was 10 weeks early so my babies were poorly and up until 10 days ago there was no sign that this was even a possibility. Tom made some phones calls and let people know only for him to get the same question, what did they weigh? Then it dawned on me as it wasn’t a ‘normal’ birth they didn’t weigh them so we had no idea. I went off and asked the midwives when they weigh premature babies and they said they would ring as down as they normally do it when the baby is admitted. I heard her on the phone and heard the weights, I was speechless, thought it must have heard wrong so waited until she was off the phone, I did hear right. Hollie was 2lb 15oz and Georgia was 3lb 1oz. That was so tiny, up until then Skie was my smallest at 5lb 12oz and everyone commented then about how tiny she was and she had to wear prem clothes for the first month! I was checked by the midwife and given the all clear to go to the ward. I couldn’t move quick enough!!!

The rest of the girls NICU journey I have described in a previous post, I don’t want to go over it again today I want to remember the happiest times, not the time full of worry and uncertainty but 2 years on I can’t believe how much they have changed and grown. That day I could’ve never have pictured spending their 2nd birthday, dancing with them to Disney songs, listening to them singing each other happy birthday and watching them play together. Every time I look at my girls it reminds me that no matter how small you are you have the capability to fight, that no matter who you are you can overcome something even when the odds count against you and it is possible to move on and be healthy, happy and love life. The girls and their journey have taught me to appreciate the little things and to make the most of everything. When I am down I look at them and ask myself what do I have to be sad about, why aren’t I making the most of things, I am very lucky things have turned out the way they have and to sit their in self pity is just ungrateful and selfish and most of the time it jolts me back to real world. I am very lucky and privileged to be blessed with 4 happy healthy children and sometimes I need to remind myself of that and looking at the all of the kids but especially the twins and remembering their journey does just that.

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The girls first picture together at a week old (Hollie on the left, Georgia on the right)

 

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Hollies first day in clothes at 3 weeks old

 

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Georgias first day in clothes at 3 weeks old

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First picture of all 4 of my beautiful babies

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First Christmas (they were poorly and were admitted to hospital in the new year)

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On their first birthday, Hollie was discharged from hospital the day before (Hollie on the left, Georgia on the right)

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Today on their 2nd birthday!!!!!

 

 

Our second home

Hospital stays, nobody likes them but sometimes they are a must. Some people are only in once or twice in their lives whereas some people spend a lot more time in there, we are the latter.

Before the girls were born we had only had 4 visits to hospital, 2 for the births of Skie and Jack, 1 because Skie wasn’t able to eat or drink without bringing it back up and the other when Jack burnt his hand. So we weren’t familar with our hospital, it was a strange clinical place that we didn’t didn’t know our way round and was full of strangers. Well all that changed dramatically when the girls were born.

I had the girls naturally at 30 weeks. After they were delivered they were handed over to the nicu team and once they were stabilised they were moved down to the nicu. I didn’t require any care after delivery so I was taken back down to the ward to have a shower and get changed. Within 20 minutes of delivering Georgia I was dressed and showered wanting to go see them but the midwives wanted to have a cup of tea and some toast first. I finished that and was promptly sick. The midwife came to check me over and couldn’t believe how quick I was recovering. I was walking round the place like I had the babes a week ago not an hour ago. After she checked me she rang down to the nicu who said they needed more time to sort the girls before we went down so me and the midwives converted the weights the dr gave us as they were in kgs and I didnt know what it was. Hollie was 2lb 15oz and Georgia 3lb 1oz.

We make our way to the nicu (after I had to persuade the midwife I didnt need a wheelchair) not knowing what to expect and we never got our tour or our chat to the nicu dr as everything happened too quick. We buzzed in and walked through the doors. Unlike every other part of the hospital it was so quiet and calm. A nurse greeted us and showed us where to wash and sanitise our hands as we entered a dimly lit room with several nurses in it and six incubators, 3 each side of the room. It suddenly dawned on me Hollie was over 2 hours old and I wouldn’t be able to tell which baby she was to look at. I panicked, what if I go to the wrong baby? Are they gunna show me where they are? I feel it rise and I just wanna run and hide but the urge to wanna see my babies take over, I take a deep breath, push the tears back and follow the nurse who was waiting for us. Hollie is right at the end near the door and Georgia is at the opposite end of the same row with a baby inbetween. I go to Hollie first as she is closer and her size takes my breath away. So tiny, yet perfect in every way. She has lots of tubes and wires and is wearing nothing but the tiniest nappy and a knitted hat, she looks so peaceful and laying so still she looks like one of Skies dolls. I reach out to touch her only for my hand to be met with the plastic incubator, it dawns on me. I haven’t even touched or kissed them yet, most babies at 2 hours old have had cuddles from mummy and daddy and lots of kisses too, my girls haven’t had any, I haven’t even touched them or felt their hair or their soft skin, I didn’t even put their hats or nappies on. I go over to Georgia to find she has a bright U.V light shining on her and they’ve put some eye protectors on her. She has also got at extra tube that Hollie didn’t have that goes up her nose and judging by the noise is providing her with air. I just stand with my hand on the incubator, face lent against it staring at her. I want to cry so much but I refuse to infront of them and everyone else, I will be strong for them I am going fight just like they are. Just as I am pushing it all down my parents arrived to see the girls. As its not visiting hours they can’t stop long but Dad catches pictures for me as we didnt get chance before and then we go off for a drink and we fill them in on all the details, make a few phones calls then I announce it on facebook where we get lots of support from everyone which I draw strength from.

When we go back in a dr sits down and explains everything to us. The 3 sticky pads on their chests, the drips, feeding tubes and the monitors. He explains the light are because Georgia is Jaundice and this is quite common so to expect them both to be on and off them for their stay. The tube Georgia has is CPAP which is helping her breath as she was having issues but she will be slowly weaned off it. He also told us that we shouldn’t expect them home until their due date at least. They were born on the 14th of Janurary, their due date the 26th of March so we had a long journey ahead of us.

We spent the night in there only leaving for a drink or cigarette, wondering the halls of the dark quiet hospital trying to absorb it all, the whole time Tom telling me how proud and impressed he is of me because of what I have just done for us and our family as much as I appreciated it all, I could think was is this my fault? Did I do something wrong?

After spending hours wondering back and forth watching them both sleeping I give in to Tom and the nurses and go and get some sleep on the ward. It was so hard hearing other mums sorting out their babies, listening to the cries, one baby just doesn’t settle and carries on for a while, then the mum comes walking across the ward and asks a midwife to take him as she can’t handle it and needs to sleep. What I wouldn’t have given to have my babies next to me crying, the whole time I was in the nicu neither one had made a sound and had barely moved. I would have loved to have them next to me and to drift off to sleep watching them. I felt awful for feeling like it but I just wanted to shout at the women and tell her she should think herself lucky her baby is up here with her but I just roll over and try to sleep.

The next day the midwives agree to discharge me as I just couldn’t cope with the idea of spending another night waking up to other peoples babies whilst mine are no where near me. I go down to see them as soon as I am sorted. When I get there Tom is already there, it turns out despite the nurses pleas he hasn’t left the girls all night. I feel guilty that he has been here all night whilst I have been asleep upstairs although I’m not sure I would’ve exactly called it sleep.

We are told about ward rounds and how they work and what happens so we wait to speak to a dr. He explains the girls are doing well and they are hoping to start giving them small amounts of milk as well as their TPN fluid in the hopes we can gradually reduce their TPN and increase their feeds to milk only. He also explains they may need to put a long line in (a tube that goes up their arm and the tip sits just under their shoulder) just incase they should need it. He also said they are reducing Georgias CPAP so all round good news.

As the days went on Georgia came off CPAP but also needed a long line fitted as she wasn’t tolerating milk feeds as well as Hollie and they were awaiting blood cultures to check her for an infection. Luckily all came back clear. Hollie did really well and was on full milk feeds 2 hourly quite quickly. Georgia however kept aspirating into her tube so they had to keep reducing and trying again next feed. Eventually, both the girls come out of incubators and in cots like u are given when your baby is born on the ward. I was finally starting to feel like a mum to them. We were changing bums, top to tailing them, learnt how to tube feed them and could cuddle them pretty much anytime we liked. We now knew what the monitors ment, what was good and bad, when to worry about the beeps and when not to, we knew the nurses better, felt more at ease, it really was beginning to feel like a second home which is bad in a sense as its a hospital but also good because if the nurses and other staff hadn’t have been so friendly and understanding it never would’ve felt like that. Once the girls had proven they could keep their own tempratures stable in their cots we were given one they could share. I was so pleased my girlies could share a cot just like I planned for them at home, I was able to dress them although everything, even prem baby clothes drowned them.

By week 4 we were pretty much doing everything we would do at home, all monitors, lines and tubes were gone excepting their feeding their tubes which they were barely using now. Their final hurdles were full bottle feeds and the car seat challenge. The bottle feeds would come as they got used to sucking and the car seat challenge was simply for them to sit in their car seats for an hour with a monitor on. If they didn’t set the alarms off they passed, if they did we would have to wait 24 hours to try again but being the little fighters they are they took on the challenge and passed first time.

The day before their discharge day I got a phone call from their nurse asking if we could come in before the drs changed over as he wants to speak with us, I panicked, whats happened? Aren’t they allowed home? But they nurse kept reassuring me nothing was wrong and not to worry but I did the opposite. I rang Tom who was at work and he left straight away. We got to the hospital and the nurse called the dr. When he came in the nurse shut the door so no one else could come in. I was terrified what was he going to say? The girls were fine yesterday, the drs keep telling us the have exceeded expectations and done so well so whats changed in 24 hours? He stands infront of us and explains that as the girls were born before 32 weeks they have been having regular ultrasounds on the heads to check the blood vessels in their brains have been sealing properly and there isn’t any bleeding, but during their last one they discovered Georgia has a small cist on the part of her brain that controls development. He didn’t know if it was going to affect her, wether it would get bigger or smaller it was just something they had to monitor and hope it shrinks and goes away just as it appeared. He told us she could still come home as they couldn’t remove it and she would have to come back for checks and if we noticed her head change shape or get big rapidly to come to hospital. Our world was now full of what ifs. What if it gets bigger, what if it does affect her development and she can’t walk or talk or ever play with her sister? We stay with them for the rest of the evening then go to my parents to explain what was going on. My mum reassured and reminded me how far they had already come so why should anything change now. I felt so much better and was now just looking forward to bringing my babies home.

Thanks for reading xxx