Monday, January 27, 2014

A waiting game...

A quick update as to where we are at now...

Since Saturday afternoon things have not changed a ton.  My blood pressure is back down to normal with a low dose of medication, my blood work is normal (with the exception of my kidney - more details on that to come), and the babies are doing wonderfully!

Beginning Saturday afternoon, I was switched to blood work being done every 12 hours, non-stress tests (monitoring babies heart rates) twice a day, tracking urine output, and continued medication to help regulate my thyroid (which was high prior to the hospital visit) and my blood pressure.  Fortunately, my blood pressure is staying at a great point, and my blood work is coming back in normal ranges, with the exception of my kidney.

When I was 21, I found out that I only have one functioning kidney.  The other one stopped growing and is in there taking up space but does not have any function.  Up until this weekend, my single kidney has been monitored yearly and has worked perfectly.  Even two weeks ago when we tested it at the doctors it was on par, so something happened within the week or two.

My creatinine levels have ranged from .8 - 1.2 and the normal range is below 1.0.  Most people would be considered OK until about a 2.0 level, but being that I only have one kidney we do not want it to get much higher than 1.5.  If it reaches that point, we would most likely move in and have a c-section - primarily for the safety of me which corresponds to the safety of the babies!  Right now, all we can do is monitor my blood work every 12 hours and see where those numbers go and monitor urine and other kidney related function (and of course all other functions too!)

We have had the opportunity to talk and meet with the NICU doctors and are prepared for anything, but are hoping to keep these babies in until at least 32 - 34 weeks.  Wednesday of this week marks 30 weeks so we will see what happens.

We really appreciate all the thoughts, prayers and support we have received from everyone from home to the great support Brayton is receiving from his classmates and professors at Ross U.

I will continue to keep the blog updated as I can but will probably stop sharing it as much on Facebook so if you would like to be informed, I recommend becoming a follower of the blog.  Brayton and I have decided that we will be sharing minimal pictures on Facebook and are asking our family and friends to do the same.  We hope to keep our friends and family in the loop via the blog, but do plan to keep less public.  We thank everyone for their support and hope that you join on the blog!

Here's to a few more weeks of keeping these precious girls where they belong!!  <3

Saturday, January 25, 2014

An unexpected turn...

Today as I write this blog post, I am sitting in a hospital bed, plugged into IV's, baby heart rate monitors, blood pressure monitors, with many other tests being run in Syracuse at Crouse Hospital...  It seems this may be my home until the girls arrive, which will be sooner than expected.

Some details you ask?  Here is the best, most inclusive summary I can give at this time.  I will do my best to keep up with the blog as to how things are going for anyone interested.

Last week, Tuesday, January 14th I had a doctors appointment that I posted about the following day.  I had said that all is well, things were going well and that was true.  My swelling and slightly elevated blood pressure were slight warning signs of pre-eclampsia but nothing that was of concern.  I was told to continue looking for other symptoms and keep doing what I was doing.  That is what I did.

Over the course of the week and a half between the 14th and the 24th, I swam laps one day, ran some errands with mom, did some subbing and hung out at home.  On Friday, January 24th, I was subbing at Guardino and was feeling really good.  My class had gone to specials and as I was walking by the nurse I was curious as to what my blood pressure was (as I was quite swollen and it was a slight concern 10 days ago).  She took it first with a digital monitor and it read 173/110.  She re-did it on manually and it read 180/100.  As a person who has normally 'good' blood pressure, I asked her opinion and expressed my concerns about pre-eclampsia.  She recommended calling the doctor and seeking their advice, and so I did.

Within the hour, the Perinatal Center Triage Nurse had called me back and told me that they recommend I get to the Emergency Room for further testing and that was an extremely high blood pressure.  Julie was my lifesaver, called mom as I was a bit emotional, had TJ bring her to Guardino and we were off to the Bay Hospital.  (Side Note: During all of this my husband was completing his first surgery as the anesthesiologist and was unreachable!)  The hospital was great and quickly got me in, ran blood and urine tests, and spoke directly with Dr. Spadola (my doctor from the Perinatal Center).  Results came back with high levels of protein in my urine, and abnormal blood tests in many areas, as well as a continued high blood pressure.  All of those things are signs of pre-eclampsia, and Dr. Spadola wanted me transported via ambulance immediately to Crouse.  Jumping ahead, luckily, she was on call this weekend and was present and actively involved in everything.

Upon arriving at Crouse I was admitted and immediately put on a Magnesium Drip.  Magnesium is used as a soft muscle relaxer and was used in hopes to bring my blood pressure down and prevent seizures which are very threatening and are part of eclampsia.  I was also hooked up to baby heart rate monitors, and blood pressure monitors every 15 minutes.  Numerous vials of blood were drawn, urine samples taken and continual monitoring.  Being that I only have one kidney, this was also a factor that needed to be considered as both a risk and as a precaution for providing medications.  I was quickly diagnosed with severe pre-eclampsia and told there was a risk for delivery tomorrow, or as far away as 34 weeks depending on how things progressed.      


Pre-eclampsia is formerly called toxemia, preeclampsia is a condition that pregnant women develop. It is marked by high blood pressure and a high level of protein in the urine. Preeclamptic women will often also have swelling in the feet, legs, and hands. This condition usually appears during the second half of pregnancy, often in the latter part of the second or in the third trimesters, although it can occur earlier. 

If undiagnosed, preeclampsia can lead to eclampsia, a serious condition that can put you and your baby at risk, and in rare cases, cause death. Women with preeclampsia who have seizures are considered to have eclampsia. (http://www.webmd.com/baby/guide/preeclampsia-eclampsia)

It was a very long night, with monitoring, testing, admissions paperwork, being uncomfortable from sitting in hard hospital beds for 12 + hours and no time to really sleep with nurse monitors on an hourly basis.  Around 4 am, I was given a blow up mattress style pad for my bed which allowed me some comfort and a bit of sleep in between my hourly monitors.

My parents, grandma, and Lyndi were amazing last night.  Lyndi had raced to the Bay to ride in the ambulance with me so Mom could go pick up Dad and get some clothes for me.  Mom, Dad, Gram and Lyndi all were here with me until about midnight when I finally made them leave so they could sleep and I could try to sleep.  They all stayed at Aunt Lo's and were back with me this morning with snacks and entertainment for the day!

Today has gone well, or at least as well as we can expect at this point.  My blood pressure has come down to normal range, the babies have not been impacted at all, and are showing their personalities through to the nurses!  Baby A is quite the mover, and proving to be quite difficult in working cooperatively with the nurses.  Baby B is the more laid back baby, protecting herself from her wild sister and making our lives easier!  Last night, around 3 am, I had a bedside ultrasound which confirmed they were doing great, growing and progressing as expected and had appropriate fluid levels in both their amniotic sacs.  Today I had another ultrasound which did the same.  Everything is where it should be.  I have also spoke with Dr. Spadola twice and she is happy with the progress but thinks I will probably be here until I deliver, which we are now aiming for 34 weeks (which means 5 more weeks in the hospital) as long as I stay healthy and don't show any signs that would lead them to believe the babies would be safer out than in.  There is a chance I may get to go home, but we never know... It's a day by day, test by test decision at this point.  She is a wonderful doctor, and I feel extremely fortunate to have landed such a wonderful doctor so quickly upon returning to the states.  I also cannot say enough good things about Crouse at this point.  The nurses I have worked with have been fabulous and everyone has been wonderful!  While this is not the path we had planned on taking, I am so grateful for the wonderful people and facilities we have available for us!

Finally, I have to admit, this is so hard to be going through all of this with my husband in St. Kitts.  Truthfully, I am not sure who it is harder for, me or him, but regardless we are making it through this together and I couldn't ask for a more supportive, loving and dedicated husband.  He is busting his ass to keep up with school and be prepared to get on a plane at a last minutes notice to be here.  My children are blessed, and so am I!!!!

The uncooperative girls from this morning:

Baby B

Baby A 




AND on a very positive note, we found out yesterday that we will be attending CORNELL UNIVERSITY for Brayton's Clinical Year of Vet School.  We are extremely excited that we will be closer to home and be able to have family and friends come visit and help!  Cornell is also one of the best Vet School's in the US, so it is a privilege for Brayton to be attending and graduating with a DVM from Ross University and Cornell University!  


Wednesday, January 15, 2014

28 weeks... Less than 10 to go!

Today marks day one of Week 28.  If ALL goes as planned *insert wishful thoughts here* we will have babies in about 9.5-10 weeks!  That is exciting and scary all in one!  Today also marks 1.5 weeks since Brayton left and it already feels like he has been gone for months on end - as much as I don't want to rush the babies being here, I am so ready for him to be HOME!  

Life since he left has been pretty uneventful for me.  I am trying to keep myself busy - I have been subbing at the elementary and middle school, playing catch-up on life from living out of country for two years, washing and preparing baby stuff and resting/relaxing when I can.  It has been great to see the kids basketball/volleyball games that I missed over the years and see how much they have all grown up!  Makes it seem like we've been gone longer than 2 years!  

Brayton is back into the swing of things, and of course, spent the first week back sick and trying to get life sorted out.  He is finally feeling better and moving forward with 7th semester!  Surgeries start next week, getting to do a variety of hands-on labs, and starting to feel like a real doctor!  

Yesterday we had another doctors appointment, and all is well!  Baby A (the one head down on the right) is measuring at 2 lbs 4 oz and her size says she is about 27 weeks 3 days, putting her in the 40th percentile.  Her heart rate was 173 bpm, which is a bit high but not at a level of concern.  Baby B (the one breech on the left) is measuring at 2 lbs 2 oz and her size says she is about 27 weeks, putting her in the 34th percentile.  Her heart rate was 163 which is also average!  While they are a both a bit behind where my estimated timing is, they are normal for where they should be for twins.  Both girls are moving all over the place and growing and developing as expected.  The doctors were happy with everything thus far!  

How far along? Today begins Week 28! 
Maternity clothes? Yes, and some of my shirts are already struggling to stretch over the belly!    
Stretch marks? Maybe I'm lucky, maybe all the oil and lotion are working - but none yet! 
Sleep? Uh, its hit or miss.  Some nights better than others, a lot of tossing and turning, lower back pain and shoulders/arms going numb.  
Miss Anything? Waking up in the middle of the night to pee and being able to walk... or tossing/turning without lower back hurting.  
Anything making you queasy or sick? Not really... Struggling a bit with dog food in the morning again.. 
Mood? Pretty good considering! 
Weekly Wisdom? Cherish the moments you get to lay there and feel your baby/babies move around, it goes so fast! 
Looking forward to? Prepping all my cloth diaper stash and having it 100% ready to go!! 
Total weight gain/loss? Sort of embarrassed by this, BUT 30 lbs... 
What’s new this week? I have begun  to swell... Wedding rings stopped fitting this week (I can get them on and off, but its NOT easy and not worth the pain and risk of them getting stuck!)
Measurements? 47 1/2" at the belly button
Best moment this week? Getting to see my babies again <3
Movement? So much!  Kicking, punching, twisting, turning, rolling, pushing out!  
Food cravings? No
Gender? Still two girls
Labor Signs? No
Belly Button in or out? The top is starting to pop out, the rest is just flat! 
What is the baby up to? According to Parents.com and WebMD Pregnancy and Baby Center during Week 27 babies measure about 14.5 inches long, and weighs just about 2 pounds. This week, their brain is developing quickly. Their eyelids, which have remained closed up until this point, begin to open and now their retinas can begin to form. The retina contains specialized photoreceptor cells that respond to light, called rods and cones. Cones in particular help us perceive color. Their skin is still wrinkly; but by 27 weeks, she basically looks how she will look when you give birth to her – in just a few months! Babies are now the size of rutabagas!
Babies lungs are going through some major developments these days, which (combined with the opening of previously plugged nostrils) means they are now able to practice inhaling and exhaling. The lack of air in your womb means every "breath" is filled with amniotic fluid. 

Pregnancy Photo Update:



The new and improved SWOLLEN FEET! 


 As I always say, I hate selfies, but since my husband is gone, I took this picture to send him tonight with the caption 
"Remember when my shirts used to fit?!"



And some progression pictures put together - 




Sunday, January 5, 2014

Big changes....

Well, the day that I have been dreading for months and months has come and gone... Brayton has gone back to St. Kitts and I am here, in frigid upstate NY... I have known the day would come since we found out we were pregnant with twins, so that I could receive good medical care and be in a safe location as he finishes his LAST semester in St. Kitts.  Knowing doesn't make reality easier.  It has only been 2 days, and it sucks already.  Sometimes I find myself wondering how I will make it another 11 weeks without him here, but I am trying to stay as busy as possible and keep my mind occupied as I know the stress and sadness is not good for me and the babies.  Brayton is learning how to live on his own again - making his own coffee, setting his own alarm clock, making his own meals, doing his own laundry - and not have a wife there to help.  I won't say I did everything, because then I would be lying, he did a lot around the house to help, but with the schedule he has coming this semester, he will certainly be busy.  

Off of my soapbox now, the remainder of our break was nice, but went too fast.  There was so much running around, errands, bad weather and trying to find some time to do some things just us since this is probably the last time we will get that before parenthood.  Our final doctors appointment with Brayton here went great and Mom and Grandma got to attend.  Grandma had never seen an ultrasound before, so she was blown away seeing everything!  The tech even took some time to take/show us some 3-d images which was tough because our girls didn't want to cooperate but it was still amazing!  Every ultrasound is amazing.  It is sometimes a pain to go to the doctors that is an hour and a half away every 2 weeks, but seeing my babies and knowing they are healthy every two weeks is one of the biggest blessings!  

Since Christmas when I posted last, we have also had our baby shower.  It was a wonderful day of many friends and so many wonderful gifts.  Our babies (and us) are so lucky to have so many great friends and families that showered us with love!  My sister planned it all and it went perfectly - the food was great, the cakes were awesome and it was a great way to see many people I haven't seen in a couple years since we haven't lived at home. 

Brayton is the turtle man - so our girls have lots of turtles in their life!  Gorgeous Cakes! 

Lyndi - the planner who does it all!! 

Cake area

Carlee was the best gift opening helper! 



With every present she opened, she held it up and posed for a picture!  


Friday night Brayton and I had what will likely be our last dinner date before being parents.  We enjoyed a nice, American Texas Road House dinner, and some us time.  Saturday morning came too fast and Travis arrived at 5 am to take Brayton to the airport and off he went.  He is back in St. Kitts, has already lost power, spent hours in the airport, and had to go grocery shopping for himself!  Koala was so happy to have someone home she hasn't left his side since he walked in the door!  




Back to the grind for Brayton tomorrow, and trying to find ways to keep myself busy here in the tundra!  Praying these babies stay in until we are ready and he is home, and at the same time, that the next 11 weeks FLY BY!  I want my husband back!!!!  

How far along? Week 26... but then again, if you start at our due date and count back, Wednesday would begin Week 27!  Hopefully we can get some clarification on this at our next appointment!  
Maternity clothes? Oh yes!   
Stretch marks? None yet, and loading up with lotions and oils!! 
Sleep? I ordered and got my BumpNest body pillow.  If I can say one thing that is worth the money - it is that pillow!  It is simply amazing!  My husband even curled up on it and his exact words were "OH, MY, GOD!"  So it helps, but I still toss and turn, and now sleeping alone makes things harder... 
Miss Anything? My husband =(  I also miss going from sitting to standing without my lower back hurting and my legs wanting to give out on me.
Anything making you queasy or sick? Nope
Mood? Sad... 
Weekly Wisdom? Buy a Bump Nest pillow!!!  Cherish the time you have with your significant other, when they go away you really realize how much you need them in your life everyday! <3 
Looking forward to? Um, it being March and Brayton coming home.. aside from the obvious, hopefully finding a way to keep myself busy and make the time pass! 
Total weight gain/loss? Up to about 22 pounds.. yikes! 
What’s new this week? Baby girls are moving so much more.  I am feeling them both at the same time and its causing a bit more discomfort, but still amazing to feel them move around! 
Measurements? 46" at the belly button
Best moment this week? Having my Grandma see our ultrasounds as she'd never seen one before and this is her first great grand babies!  
Movement? So much!  Kicking, punching, twisting, turning, rolling, pushing out!  
Food cravings? No
Gender? Still two girls
Labor Signs? No
Belly Button in or out? Just about flat! 
What is the baby up to? According to Parents.com and WebMD Pregnancy and Baby Center, babies are now the size of an eggplant!  They are soaking up my antibodies and getting their immune systems ready for life outside the womb. Their eyes are forming, and they'll soon be practicing the blink...perfect for batting those freshly grown lashes.  Babies are about 13.6 - 14.8" long (we will have better actual measurements after our next appointment!) and between 1.5 - 2.2 lbs.  Their lungs continue to develop, and they are taking small breaths of amniotic fluid inside your womb. These small breaths are getting them in shape for their first breath of fresh air. Their veins are visible through their transparent skin, but soon that will change, as their skin begins to turn opaque. The nerve pathways are becoming more and more developed, making them more responsive to sound. Don't be surprised if you feel them jump inside of you if they are startled by a sudden noise. 

Some belly pictures: