June 30, 2010

Looking Out For You

Wednesday, June 9, 2010

Dear Stella Rose,

Mama went straight in for your ultrasound this time, because last time they did the non-stress test first and you were so active that it took 45 minutes to get you on the monitor. Then when it was time for the ultrasound where they wanted to see you move, you decided it was nap time and it took 30 minutes before you showed all your tricks!

You looked great on the ultrasound as far as your movements, heart rate, dopler and measurements go. You weighed in at 2 lbs 10 oz.



Your cute little hand and look at your kissy cheeks! (Mama thinks you have her nose and papa's lips.)

Next, mama went in for the the non-stress test. Before it even got started, Dr. Kerlin came in and said not to worry about the test. Turns out your fluid had gone back down; this time to 6.2 cm, which was lower than the first time mama had to go in to the hospital. Mama felt the surge of emotions overcome her like it normally does when she is about to cry. She knew what that meant; you gals were going to have to be readmitted to the hospital.

Dr. Kerlin arranged for mama to be readmitted to the hospital and have Maternal Fetal Medicine come to mama's room to do the ultrasound to make sure they got the same fluid measurements. Before mama left Dr. Kerlin's office, they waited for mama to call papa. Papa was able to get off work early and meet mama at the hospital.

Kimberly, the nurse from Dr. Kerlin's office, wheeled mama over to the hospital to get readmitted. Mama let Tracy know she didn't need to pick her up, and then they took her to her room.

The floor was full that day, so mama got put in the room that they house the "birthing dummy," Noelle. Yep, there is actually a simulation doll that they use to do mock emergency situations, and she actually gives birth. Noelle's room was much smaller than mama's room the last time, and it was an interior room without a view. Mama's bed was a labor and delivery bed rather than a post-partum bed, so that wasn't too comfy, either.

Maternal Fetal Medicine came over to do the ultrasound, and they got the same fluid levels. Mama got hooked up to the monitor for 24 hours to see how you were doing and if mama was having any contractions. She also got an IV, but thankfully didn't have to be hooked up to any fluids; it was just in case of an emergency. Mama had to get more labs run, start the 24 hour urine test again, and get another round of the Celestone steroid shot, too.

Papa arrived quickly, and Dr. Kerlin came to talk to them. She said that mama was going to finish out her pregnancy in the hospital. Since mama had already tried the bed rest at home and it didn't work out, Dr. Kerlin didn't feel comfortable with only being monitored once a day. Mama and papa understood that this was in the best interest for you, and at least if something were to suddenly go wrong, mama would already be at the hospital.

They talked about in what cases she would induce mama or do an emergency C-section prematurely. Dr. Kerlin said that if you started to not look good on the monitor (decelerations in your heart rate), if you stop moving (which means you aren't comfortable with the low fluid anymore), or if mama started to get sick (high blood pressure, liver starts failing, preeclampsia symptoms elevating) which would make it unsafe for both you and mama. She also said that if mama started to go into labor prematurely that she wouldn't stop it with any medication, because it was just you and mama's body saying it was time.

Dr. Kerlin arranged for the NICU nurse to come talk to mama and papa to educate them on premature birth and NICU care at the hospital, which would provide some relief to mama and papa.

Love,
Mama & Papa

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