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In a year
They told us that you were as perfect as could be (your heart rate was consistent and normal, your size was as it should have been, you had no known deformities, there were absolutely no problems they could see with you), but that you were going to die, as my body (my body, not you) was not able to maintain the pregnancy and you were going to be born at 21 weeks. They told us your warm, sweet home was no longer stable and there was very little hope that things could hold off. I had ruptured my membranes and was dilated almost four centimeters. They tried to convince us to let them "speed things up" with the whole labor process, as they said that there could possibly be a next time, and that your outcome wasn't good (far from it) anyhow. They told us that they never had a "21 weeker" survive. They told us of all the problems you would have.
They told us I was in danger, that I could get an infection, that I might need a hysterectomy, that I could die. I was worried I might die. I was terrified that you would be what they termed a vegetable or severally brain damaged and not able to enjoy life. I was worried that I couldn't handle caring for a child that might never smile. I was scared. I was selfish. I was confused. I was not able to think straight. Your daddy clung to the hope that perhaps, just maybe things would hold off, that perhaps I might be ok, that perhaps you might be ok. He listened when they said, "there is a slight chance the labor could hold offbut very, very doubtful" and he found a rainbow among those brutal words. They brought your daddy into the intensive care unit to show him what you would look like. They chose the smallest of the "guests" and told daddy that you would be "MUCH, MUCH SMALLER". They took grandma for this tour also. I couldn't go. Grandma didn't want to point me in either direction; she knew this was a decision that I had to make myself. Daddy wanted to give you a chance; he had come to love you, just as I had.
The choice was up to me in the end. I sat looking at the machines recording the contractions and was so terrified and afraid for the both of us that I almost gave in without a fight, I almost let you leave this world. Daddy holds anger towards the doctor. The doctor at one point, while I was trying to make up my mind (do I hang on to a shred of hope and pray that nothing terrible happens to me or you or do I give you up without a fight) said that I had to remember that he couldn't wait at the hospital all night, that he had to get some sleep at some point. POOR THING! He had some nerve. He was the bearer of bad news but he could have been more compassionate; he was not. I don't blame daddy for being mad.
Well, my labor did hold off throughout the evening. They pumped me with antibiotics so that I would be able to fight off any infections from your "house" which had "sprung a leak". They kept monitoring you and I both. They told me they were sending me to Yale-New Haven (thank God they did). I asked them if your daddy could drive me because I have always had a fear of ambulances. They did not think I was funny (I wasn't joking). I guess I didn't really comprehend the seriousness of the situation. The ambulance ride was awful. With each bump I thought I would start the labor process all over again. We made it, the three of us, to Yale-New Haven.
My time on bedrest was a bit unsettling. I was so numb the first day or two. I knew how bad things were but I wouldn't allow myself to see things as they really were. The days continued. My deepest thoughts were spent on the menus and in making my selections for the daily meals; otherwise I tried not to think at all. I was able to hold off until 23 weeks. I was so fortunate, you and I both, my sweet apple pie. Each day the doctors told me it could be any day. They staff at Yale were so wonderful, but they were also honestthe statistics they offered me were very gray and dark. Yet, each day that my body could hold off meant a better chance for you. Each day though I knew it wouldn't be long. A few days before you were born I started to notice fluid leaking from my breasts.
I knew this meant things were changing. I knew this meant you were on your way. I prayed otherwise, but still I knew. The night before you were to come into this world I felt contractions again. I started to freak out. I told your grandma, I told daddy and I told the nurses. The nurses said that I wasn't truly having contractions. They were kind and compassionate and provided me the best of care, but their machines were a bit off this time. I knew my body. You were coming and soon. Everyone thought I was just stressed out. Throughout the night I had terrible pains. I tried to convince myself that indeed the nurse was right, that I was just a little anxious about everything; perhaps I was experiencing some major gas pains after all. I didn't want to be in labor again, so I wished it away. The pains continued. Daddy was on the cot sound asleep, I didn't want to wake him as what if it was only gas pains, why bother him when he had to be at work in the morning. I didn't want to buzz the nurse as I didn't want to seem a bother, but I think also, I didn't want confirmation of what I already knew was happening. The pains continued.
With the morning light fast approaching the pains became more constant and more intense. I started to bleed. I called in the nurse and totally went into a panic. "Please don't let it be happening, please tell me I am wrong, what is it, tell me, please." One of the nurses took daddy into the hallway. I would find out later that they told daddy that he needed to go get into scrubs and prepare for your arrival. Daddy did as he was told and also managed to get in the calls to both of the families. He told me later how frantic he was, calling your nana twice just to make sure she had left and making sure your grandma knew that this time there was no delaying it. There was a whirlwind of urgency. I was rushed into another room. You weren't due for another three and a half months.
I cried (not tears of joy). I told the nurses that it was too early for you to come. They did not disagree. They didn't tell me otherwise. Still there was nothing they could do. Sweet Nina, there was nothing I could do either. Daddy tried his best to be so positive and loving. Daddy was scared like never before, I would learn this later. I never got the chance to take the Lamaze class that we had signed up for, and so I had no idea what to do. I tried to think about how to breathe, how to push, what to do. I now know that you don't need those classes when you are in labor, things just happen, as they will. With a few pushes, you came into the world, I didn't see you though, as you came out they took you and you were gone. There was no first cry heard. I would find out, after many hours, that you didn't breathe when you came into the world and needed to be resuscitated.
Daddy got a glimpse of you and actually thought you looked big. God bless your daddy. That other doctor (the mean one) had really set him up for the worst, then again it had been two weeks since Daddy was given the tour at the other hospital, you would have been smaller then. Daddy said that as soon as you came out, he turned to get the camera, and within that second or two you had been stolen. A whole gang had taken you, and you would be theirs for a very long time.
I remember now how often I would watch the Baby Story on TLC when I was still only a few months pregnant and imagined how wonderfully incredible it would be to give birth. I used to watch the half-hour show as often as I could, I used to make daddy watch it too. I hate that show today. It wasn't like I had envisioned. My child was not given to me to hold. Daddy and I didn't look down at our child, just born, with tears of joy and astonishment. I didn't get to bring you to my breast for your first taste of life. We didn't get a chance to bond. There were no visitors begging to hold you, rather it was daddy and I who begged but who would have to wait several more weeks. We were not told how beautiful you lookedindeed you didn't look beautiful. There were no balloons in my room. There were only us, without you, wondering what was going to happen, wondering if you were even still alive, could you be?
I was brought into what would be my room for the next two nights. I still remember most of the family (your grandma, nana, grandpapa, Aunt Vickie and of course daddy) all crowded in my room, all of them looking like complete idiots trying to act as if everything were simply great, as if I just gave birth to a healthy full-term. Where did they get those horrid masks with the painted on smiles? I remember that moment in time, hating them all. I was wrong to feel that way but at the time, that was just how I felt.
You were a very lucky little girl. You got to stay in the finest of establishments. The Newborn Special Care Unit at Yale-New Haven Hospital. Mommy and daddy spent the next few months visiting you and wondering if there would ever be a day that you would come home with us. We learned all about the special lights, ventilators, CPAP, nasal canula, monitors, warming trays and isolettes and all the beepsthe ones to ignore and the ones that needed immediate attention. We also became familiar with your records, the charts taped on the wall, your daily log sheet and the respiratory care check sheets. We would be introduced to many medical terms and equipment and supplies such as the stoma and an ostomy bag and TPN (your breakfast, lunch and dinner), medical terms that we would have otherwise never known about and do not feel privileged for having had the chance to be educated on them. We got first hand experience with blood transfusions, platelet transfusions, brain scans, testing for ROP, ultrasounds, apnea, pulse drops and desats. We found a way to accept the IV that was in your head (in your tiny, angelic, beautiful head!), central lines, surgeries, extremely high blood pressure and low resting heart rates. We actually became accustomed to your lungs collapsing.
Somehow we managed to wake with the sun and even allow ourselves to sleep when others slept; some days we even found hope. We found hope in every couple of grams that you gained or when we saw that your wall chart had no entries for the day. We were ecstatic when you reached two pounds. We were delighted when you were started on breast milk. We were happy that you seemed so much better after your new supply of blood. We held our breath and prayed you would do well when they took you off the ventilatorwe would though end up doing this several times. We counted our blessings when you made it through surgery and again and once more (Dr. Seashore and the entire Yale-New Haven staff did a marvelous job and we are eternally grateful). We cried tears of joy when you "got promoted" to room 5 and then felt like we were going to do jumping jacks when you made it to room 2 (the going home room). We smiled and cheered and were so very proud (you couldn't even imagine how much so) when you took your first bottle (all ten cc's).
Then there were those times when we were afraid to fall asleep at night. There were days, even now to remember makes me cold and sick to my stomach. We couldn't fathom how you could get even smaller than you were at birth, but you did. We were worried when you puffed up like a marshmallow and needed diuretics. We stopped believing that you would make it without the vent (you had to be placed back on so many times) and so just shrugged when we were told that you were being tried again. We were angry when we saw that the CPAP had "broken down" your nose and that you had to be placed back on the vent as that way your nose wouldn't fall apart. I shutter remembering your first spinal tap; the second one was not any better. We were frantic when we were told you needed immediate surgery, and that there was a chance you wouldn't come through it, and we drove like heck but still didn't make it in time to see you off. We were saddened to learn that you would need to "poop" into a bag for some time (no one could say how long) and to see that part of your intestines were pulled out through your belly, just sitting there (what the heck are my daughter's intestines doing sitting atop her belly dammit!!!!!!!!!!!!). We were slapped with a second close call when you again needed to be rushed into immediate surgery (this time we were there and I could swear that as they took you down the hall, that you looked at me and were begging me to comeI wasn't allowed Nina, I wanted to, I did ask). Daddy and I, after all you tried to prove to us, almost believed that your time with us was over, when after a third surgery you would no longer breathe on your own. The doctors too worried. They wanted to test you for meningitis. Your color was so off. You had, just days before, been breathing on your own, like a big girl, no oxygen or anything and were in the going home room with a discharge date around the corner, now things were looking awfully terrible and we were told you were riding the ventnot breathing at all on your own.
We learned, we cried, we prayed, we saw real fear. We learned about you. We saw what a fighter you were. We prayed each day. We begged God to hear our prayers, but most importantly to respond to them. I yelled at God. I got caught screaming at God while in the hospital chapel (I didn't know someone else had entered the room). I asked God to take you if he was going to down the road anyway, and then I begged him to ignore my words. Daddy and I, not to mention the entire family and our friends, were emotional wrecks. I tried to go to work some days. I knew I would want to save some of my leave for the time when you came home (if you did), I had already used so much time while I was on bed rest and after you were born. Returning back to work was a disaster; I couldn't cope. I would call and check on you throughout the night and then immediately after arriving for work. If the report was good, I wanted to be with you, if it was bad I needed to be with you. We sought strength from each other, your daddy and I, but we also "hid" from each other. Daddy couldn't deal with seeing you each day for hours on endit upset him too much, so he did what he could handle, I couldn't be anywhere other than with you. We didn't understand each other. We were afraid.
Back and forth to the hospital each day I went. Back and forth, back and forth. Find parking, cuss as there was none close by, walk down the garage, damn I forgot the breast milk, (that I faithfully pumped for you because you were not strong or big enough to take it by breast and needed it to be tube fed to you) back to the car, back through the garage again, pray that the day would be good, check the beeper (did the hospital call while I was on the way), look down realizing that I could remember where all the sidewalk cracks were and when they were coming up, walk into the hospital. Pass the guards (dare they ask if I have a passI am Nina's mother, I have been here for three monthsWHO ARE YOU), walk into the elevator, pass everyone along the way, some who seemed to be experiencing a normal happy daythey were in a whole different time zone, others that seemed also to know how cruel the world could be. Hit number four. Step off and welcome to the intensive care unit. Yes, on the way to see you. Ask the receptionist if we could come in to see you. Ask for permission to see our child. Love the hospital. Hate the hospital. Drop off some candy for the nursesthat was the only thing I could offer the people who were caring for you. How trivial it always seemed and yet I felt I wanted them to know how thankful I was. Wash the hands. Scrub all the germs away. Scrub really hard. Scrub again. Walk towards your room. Step slowly, in fear. Pray that today would be a good day. Peek in (God forbid someone was at your sideI wondered what was wrong, forbid though that no one was near youWhy not?), enter in. There you would be. Hello Nina. It is mommy. I am here. I love you. How are you today? Straighten your shelf (with your books and toys); grab the chart (never mind that the nurses said I am not supposed to read them). Read every word. Check your report card (did you desat, or pulse drop, did you need to be bagged or was it only "a self", did you need little help or a lot, mild stimulation or more). What did the oxygen level go down to? What did your heart rate go to? I would sit and look at you. Then I would cry, pump your milk, sit for hours, maybe read to you, "Goodnight Moon", goodnight Nina. I will see you tomorrow. Then it starts all over again. Come back, say hello, check the charts, pray for a good sign from the nurse.
Get ready nurse, I have many questions. Oh I gave them a hard time. I am sure that they all hated me. I didn't mean to be such a pest. I loved each of them and will always be grateful to them. There was Jean (your first primary) who scolded me for calling too much (I did call too much though, but at the time just couldn't help it) but also who helped me to, as she said, "put things into perspective", then there was Nancy who was taking care of you during your second surgery and who gave me the advice that rather than ask if things were good or bad, to instead ask if "it was expected to know." Those simple words helped me more than she will know. There was Louise whom daddy fondly remembers as she was so kind to answer so many of his questions. Jeanne was your second primary and I thank her for letting Alex and I both spend time getting to know you and for letting us get so involved in your care (we actually got to feed, change and bath you ourselveswhat a privilege!). She was great and very patient with me. All of the staff was wonderfulI will never forget any of them.
Nina, you were my first child. My first child born premature. I had never before even realized what the term meant. I don't remember ever seeing much about the issue in the media. The media doesn't have a problem with airing the worst of evil and yet they are afraid to focus in on a subject such as thisit is a hard issue to deal with. We are talking about babies here, babies that have to fight to survive. Babies that have to learn how to suck, swallow and breathe and so will not be able to take a bottle or breast for possibly months. Babies that can't handle a loving touch for days, and certainly can't be held right away (it was a month before daddy and I could hold you, daddy had his first hold on Father's Day). These Babies spend their time on warming trays and have to prove themselves in order to graduate to the isolette and then finally (oh it seemed to take so long for you) to a bassinet. It took a long time for you to be able to take a bottle; first all of your feedings were by tube. There were many days we said "hurray hurray": the day you first did have a bottle, the day you grabbed daddy's finger, the day I read to you and you seemed to be rather relaxed as I read, the day your numbers got better, the times you recovered from surgery, your first breastfeed. But for every hurray there was a sheer scream of terror, which echoed in my mind. Then there were the questions that lingered, was I doing the right thing for you, were you in too much pain, was all of this in vain, were you not supposed to be here, what did I do wrong, were you going to survive?
You did survive my miracle princess. You showed me that there is reason to hope. God had promised me on many a walk into the hospital (through the tunnel) that you would come home one day. I heard the song "Taking you home" by Don Henley one night, and although it must have been a sign from God, I still needed more proof. I got the proof. Daddy and I arrived at the hospital that incredible day in August prepared with a car seat. We were taking you home. Taking you home! As the Yale-New Haven staff called it, "you were going shopping."
The first few months were a bit difficult for me. I had all the first-time new mother worries times one thousand. You were still having pulse drops with your feedings and so I hated to feed you. You ate so little, and I wondered how long it would be until you took a regular bottle, the days of counting ccs rather than ounces. You wouldn't keep up with your perfect three-hour feeding schedule that was established in the hospital, many a time you would sleep six hours and I would need to wake you. We couldn't bring you into public, and so I was pretty much homebound. We had so many appointments for you, I felt overwhelmed. There were kidney doctors, surgeons, visiting nurses, birth-to-three physical therapy, regular check-ups; I was in a frazzle. There was no routine. I was scared. I still thought you were going to die. How on earth can a baby born so early survive? I was depressed, I was unsure that I was a good mother. Months though brought change. There was routine. Things got easier. You no longer pulse dropped. You smiled. You laughed. You grew. You rolled. You ate. You survived and didn't even need to be hospitalized when you got sick with RSV in January (as bad as that month was, it could have been worse). You acquired a taste for vanilla yogurt. You crawled. You said ma ma ma ma. You got to go out on Easter.
This year will always have lingering affects I won't deny that. I am jealous when I see a pregnant woman who seems to be in her final trimester glowing happily. I fear having another child, as I have been warned the same thing will happen. I have anxiety attacks and am told they are most likely caused from dealing (or not dealing) with all the last year has handed us. Daddy had a rough time working when you were in the hospital and has been in and out of work since. I find myself sometimes comparing you with other one-year-olds and then set myself up for disappointment. I know that life can be cruel. But there is reason to smile.
We are now preparing to celebrate your first birthday in less than a week, and although there are some issues we worry about, we know that you are one tough girl and that we have been blessed. Sure you have yet to get a first tooth, but that silly toothless grin makes up for it. You may have some problems with your hands, but you may not, and perhaps we can work on that. You may not be ready to eat mashed potatoes or finger foods, but we have learned to be patienthey, we no longer count ccs. You may not say a lot, but you say ma ma and if you can learn da da too, than you will make two of us very proud. We have had one long year, Daddy put it best when he said that looking back, the year has seemed in one way like just days ago and in other ways it seems a hundred years. We want you to know that we are grateful that you fought so hard to be able to come home to us. You have made us so very proud of you. We will always remember the Yale-New Haven staff that helped get you to this point. We will never take for granted how truly lucky we have been and what a little miracle princess you are. We love you so much Nina. Happy first birthday.
Mommy and Daddy
Nina is now 17 months, 18 pounds, eating graham crackers, walking, using both of her hands (a previous concern that she couldn't) and has at least four teeth and more are coming, she also says bye-bye as well as mama and dada and a few others at times. She is our shining star.
Colleen Safyre
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