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A Moment In March

~ the moment that changed my life forever

A Moment In March

Tag Archives: Stillborn

My First Mother’s Day

31 Thursday May 2012

Posted by amomentinmarch in Grief

≈ 4 Comments

Tags

Mother's Day, Stillborn, survival

A little less than 2 months had past when I faced the first holiday that would challenge me to my core.

Mother’s Day!

It seemed to be nothing more than a cruel reminder of how much my life had changed.  It was also the first time I noticed that around Mother’s Day (and Father’s Day for that matter) advertising shifts to be heartfelt and family focused.  Shopping becomes a bit harder because as you enter the store, any store, you are faced with Mother’s Day displays of balloons, flowers, cards, and gifts.  And, while Hallmark claims to have a card for every occasion, they don’t; there are not cards for this one. It seems there is no way to escape it.  So, I needed to figure out how to embrace it.  It is the fight or flight response, I can either run away from life or try to fight my way through it.  Of course, that is easier said than done.  It comes with a great deal of emotions ranging from anxiety, to sadness, to anger, and even guilt.

By this time, I had joined a support group of other bereaved parents.  Many of whom, like me, only had children in Heaven.  It is a group that you hope and pray you will never be a part of, but it is a blessing to know that you are not alone. Rock Good bye Angle gave me an outlet to embrace my first Mother’s Day without Ansley.  We all met at the lake where we were given balloons to write a message to send to our babies.  It was a way to acknowledge them and at the same time reinforce our “status” as parents.  On several occasions leading up to the big day at the lake, I thought about backing out.  I wasn’t sure if I was strong enough to get through it, but I knew I needed to go.  I needed to set a precedent for survival; not just for this holiday and all the others I was yet to face.

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Sitting on top of a Mountain

29 Thursday Mar 2012

Posted by amomentinmarch in Pregnancy, Stillbirth

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Tags

HELLP, Stillborn

By 6am Sunday, my parents were back checking on me.  They must not have been home for more than an hour or two, but much like me, they probably weren’t sleeping.  Nurse Sharon told me I did well that night, better than they had anticipated. 

It wasn’t long before my doctor, Dr. Kasparek and Dr. Kootnz, from Maternal Fetal Specialist stopped by for a visit.  And for the first time, I was given some straight answers about what was going on. 

They explained, I was very ill.  They were worried about my liver rupturing and I was not out of the woods yet.  My back pain was all due to how enlarged my liver was.  They explained because my blood platelets were so low, my blood would not clot and that is why they didn’t go ahead with the c-section the night before.  They apologized for the neonatologist and told me behind the scenes there was a lot of conflict about the course of my care. They hoped it didn’t carry over into my room.  He is the baby doctor and it is his role to focus 100% on what was best for the baby with complete disregard for me.  Dr. Kasparek explained that I was their patient.  Ansley, having not been born yet,  would have been a wildcard.  They had to focus on saving me not her or they may have lost us both.  She said, “last night you were sitting on top of a mountain, nobody knew what side you were going to slide down. It was 50/50 you could have easily gone one way or the other.”  But, I had made a few improvements, they felt I was heading down the mountain in the right direction. 

Until Dr. Kasparek’s visit, I didn’t realize I was so sick.  How is it possible that I was THAT sick?  Shouldn’t I have had a fever or felt worse?

I was glad my parents were there to listen to what they had to say.  Since they had gotten back, Chris had run home for the first time to pack a bag. And, it is always good to have extra ears when listening to doctors.

Soon after Chris got back, his friend Chuck called.  It was his son’s baby shower we no-showed the night before.  He asked if everything was okay – NO NOTHING IS OKAY.  Chris told him what had happened and how sick I was.  It wouldn’t be long before word would spread.  My phone began ringing off the hook, my Facebook page blew up with condolences.  I never answered my phone or looked at Facebook.  That would have meant I would have had to face reality.  And, I was still very much in denial about Ansley’s death.

The rest of the day was a blur that is until my contractions began that evening.  I soon found out I was too ill for an epidural.  They couldn’t risk it, I could have some pain medicine but that would be all.  It was going to be another sleepless night.

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Just a dream

26 Monday Mar 2012

Posted by amomentinmarch in Pregnancy, Stillbirth

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Tags

health, HELLP, pulmonary edema, Stillborn

Saturday turned into Sunday. Time went from moving in slow motion to becoming a complete blur.  I had heard the words, Ansley had passed away. I saw everyone react, but for all I knew, this was just a very bad dream.

One minute the room was packed full of people, the next minute it was just family and a nurse.  I don’t remember seeing anyone leave, but they had all disappeared.  More evidence this must just be a dream, people don’t just disappear in real life.

I was told the course of my care would be changing.  The focus was now solely on me. There would not be a c-section it was too risky, instead they would be inducing labor.

I was given a blood transfusion of platelets as well as a few other medications.  It was the middle of the night.  I was mentally, physically and emotionally exhausted and not asking many questions.   My parents left as did Chris’s mom.  They suggested I get some sleep.  As exhausted as I was, there was no chance of me sleeping.

Sharon the night nurse pulled up a chair next to my bed where she would spend the rest of her shift, she turned the lights down and for the first time I cried.

I must have dosed off a time or two, but every time I did, I was awaken by alarms. My oxygen levels were dipping too low or my blood pressure was rising too high.  I was told to focus on slow deep breaths.

Soon they were hooking me up to oxygen. Pulmonary Edema (aka fluid in my lungs) was setting in.  This was yet another complication from HELLP Syndrome.

 

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The Moment- part 2

20 Tuesday Mar 2012

Posted by amomentinmarch in Pregnancy

≈ 8 Comments

Tags

health, HELLP, perinatal loss, Preeclampsia, Pregnancy Loss, Stillborn

 

We arrived at the Emergency Room at Emory John’s Creek Hospital.  They told us that since I was in my third trimester we needed to go straight to labor and delivery.  It was standard procedure.  Having not done our hospital tour yet, we were unsure where we were going.  A nice young lady escorted us upstairs where we were greeted by Nurse Linda.   Nurse Linda asked what brought me there.  I gave her my same list of seemingly minor issues: my back hurt, I just did feel great, and my blood pressure was up 160/89 at home and 220/212 at the urgent care.  She said well let’s get you in a room and check a few things.

She began to put me in one room and then changed her mind, one of the many things that only made sense in the days to come.   She had me change into a hospital gown, collected a few samples, checked my BP it was now 189/96; she hooked up a fetal baby monitor and advised that we make ourselves comfortable.

We debated calling family, but there was really nothing to tell. We were sure it wouldn’t be long before they would send us home.  Instead we watched a little TV, I believe the 6 o’clock news.  A quiet room with TV, defiantly a benefit of being in L&D rather than the ER.  It was neat to lay there listening to Ansley’s heartbeat on the fetal monitor.   I had heard it many times before in the doctor’s office, but only for a minute or two.  Ansley was way more active than usual.  I told Chris we must have a little gymnast because she is doing back hand-springs.

Hours passed and nobody was really telling us much.  Finally, Nurse Linda came back in and advised they would be coming to drawing more blood and may start and IV line, just incase the doctor wanted to use it.  She was very nonchalant.

A few minutes later the anesthesiologist came by.  He said, “I hear you have stubborn veins”.  Story of my life, nurses and lab techs always have a hard time finding my small deep veins.  He was not much older than Chris and I.  He hung out in the room for a while making small talk.  He explained it was a slow day at the hospital and he prides himself on getting a good vein every time on the first try.

He plunged the needle into my arm much like someone throwing a dart.  Before he could get the tube on, a volcano of blood erupted. It went everywhere, all over me, all over him, the bed, the floor, I am pretty sure even the ceiling.   It was a shocking sight, but he made a quick joke and laughed it off.

He said while he was there he was going to put and IV line in my hand in case they wanted to give me some fluids.  Then for good measure he added a line to my other hand as well.

I bit more time past before Nurse Linda reappeared, she wanted to introduce me to the night nurse, but explained she was going to hang around for a bit.  The doctor should be in soon to talk to me.

It was now after 9:00, Dr. Betty Anthony finally stopped by my room. She told me I was very, very ill.  I had a condition called HELLP Syndrome.  It was serious.  My platelet count had dropped to 30,000 and was continuing drop.

I may as well have been listening to Charley Brown’s teacher.  MAW, MAW, MAW, MAW.  What she said meant NOTHING to me.  I had never heard of HELLP syndrome and 30,000 sounded like a big number to me.  Not to mention, I didn’t feel ill, my only real complaint was my back hurt.

There was no questioning the next words out of her mouth.   They were prepping the OR for an emergency c-section; I was going to deliver Ansley that night.  They were waiting on the blood bank and the neonatologist would be in soon to speak with me.   In the mean time, they were giving me a corticosteroid injection-every little bit would help.

Moments later Chris and I were alone in the room again, both of our heads spinning trying to wrap around what just happened, or more what was about to happen.  It was time to call our families. Chris picked up the phone and called my parents.  My mom answered the phone.  I heard him tell her we were at that hospital, I was very sick, and I had to deliver Ansley that night.  I heard my usually soft-spoken mom scream “WHAT!!!” through the phone across the room.  She and my dad wold be right there.  He told her what hospital we were at and then proceeded to call his parents with the same news.

My parents and Chris’s mom arrived what seemed like moments later.  My parents live an hour away, but it couldn’t have been more than 30 minutes.  The doctor and nurses hadn’t been back in the room yet.  I tried to explain I had a condition called HELLP syndrome, but that was really all I knew.  I heard Nurse Linda say as she entered the room, “yes that is right. We are pretty worried about your liver”  This still didn’t add any clarity to the situation.   Chris had seen the name in his Google search the night before, but it was described as the most severe form of Preeclampsia and since I didn’t have Preeclampsia he didn’t click on it to read anymore.

Nurse Linda brought me an ice-cold towel and told me they were going to be starting a Mag drip.  The first push of medicine would make me hot.  Hot, that was an UNDERSTATEMENT.  As soon as the meds hit the IV my veins burned like crazy followed by insane sweating.  My mom pulled my hair up it was soaking wet instantly.  Nurse Linda explained the Mag would prevent me from having a seizure or stroke and while uncomfortable it was necessary. About this time my brothers showed up.

Nurse Linda assured me I was in good hands, and that she had been off for 3 hours now and really did need to leave.  She told me she was off the next day, but would call me to check on me.   As she left the room it was filling with other people.  A tech brought me the phone, my doctor was on the line. She told me that while she couldn’t be there tonight, she has been informed every step of the way and fully supported the decision that was made to deliver Ansley.  She told me I was in great hands with Dr. Anthony and she would be there first thing in the morning.  By this time the room was full.  The night nurse Sharon, who I soon learned would be my personal nurse for the night, two additional nurses, a tech, the anesthesiologist, the neonatologist and Dr. Anthony along with my parents, my brothers, Chris’s mom and of course Chris and I.

The neonatologist told me he was going to scrub up.  That at 24 weeks Ansley would have a less than 10% survival rate.  They were prepared and would do everything they could.  He told me that if it were up to him I would wait 24-48 hours get a few more corticosteroid injections and that would raise the survival rate immensely.  I was game, lets wait!  I was quickly told that was not an option and the choice was not up to me.

They began to prep me for surgery.  They removed the fetal monitor to wipe down my stomach.  The incision would not be a normal one it would be vertical because she was small and had not dropped yet. They put a surgical cap on my head and placed the fetal monitor back on my stomach but couldn’t find her heartbeat.  I panicked! “Oh there it is” a nurse said with relief in her voice, but then it was gone again. The second nurse took the monitor and was moving it all over my stomach.  It only took a second for the doctor to get frustrated.  She requested the print out of heartbeat and took over.  She dug the monitor deep into my stomach.  I wasn’t even breathing at this point.  And, I don’t think anyone else in the room was either. On several occasions they heard a beat or two, but then it was gone again. Her heartbeat was weak at best.  Dr. Anthony requested an ultrasound machine, this would be better anyway.  She could see exactly where she was.

Instantly the neonatologist appeared with the ultrasound machine.  There seemed to be even more people in the room now.  Dr. Anthony wasted no time getting it set up.  She stared at the screen for a while.  Sharon my night nurse shoved a thermometer in my mouth, still getting ready for surgery.  I could see Ansley out of the corner of my eye.  She wasn’t moving.

Dr. Anthony took a deep breath looked up at Chris and said.

I am so sorry, she is gone.

I heard the words, but I didn’t react at all.  I felt like I was an audience member simply watching a show.  I saw Chris drop his head into his hands, tears stream down my mom’s face, shocked looks by all in the room.  I even saw myself, the nurse was prying the thermometer out of my mouth telling me I had to stop clenching my teeth.  Time was moving in slow motion.  Chris’s mom told the doctor she was wrong.  The other nurse found the heartbeat why couldn’t she.  Dr. Antony left and returned with a second ultrasound machine, in so much disbelief herself, she thought perhaps the first machine was broken.  It wasn’t broken.  My daughter had died practically before our very eyes.

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