Friday, March 7, 2008

New Blog!

Jillian Catherine now has her own blog! You can catch it here:

http://jilliancatherine.blogspot.com

Hope you enjoy it!

A Birth Story

(The condensed version ...)

Heather checked into the Family Birth Center at Southwest Washington Medical Center in Vancouver, Washington on February 25, 2008 at 7:00 a.m. They admitted her into Room 102, which would become very familiar to her and myself, Greta and Dany.

After signing forms and dressing in a hospital gown, the IV therapist put an IV into Heather's hand, and induction using oxytocin (synthetic pitocin) began at about 8:30 a.m. Heather also had saline solution being dripped into her IV. Further monitoring included two round discs that were strapped to her tummy: one to measure the baby's heartbeat, and the other to measure contractions. The steady rhythm of the baby's heartbeat going along at anywhere between 110 and 140 bpm was kind of hypnotic after awhile.

Unfortunately, not much happened this day. Despite the nurses increasing the oxytocin dosage up to the maximum, the contractions weren't getting much stronger or more frequent. And checkups by the doctors, residents and nurses showed that Heather hadn't dilated past 2 or 3 cm. This was a little discouraging. The doctors recommended stopping the oxytocin for the night at about 8:30 p.m., getting a good night sleep, and trying again the next day. So, Dany and Greta went to the Paul house for some sleep, and Heather and myself managed to get a decent night's sleep in Room 102.

The next morning on February 26, both Heather and myself woke up and showered. Then the nurses got the oxytocin going again at about 8:00 a.m. They pursued the increases in dosage even more aggressively this time. This time, the contractions did seem to grow in strength and frequency a bit more. By late morning, the doctor checked Heather and said that she had dilated to about 4 cm; he also attempted to strip some membranes.

Several doctors arrived at 2:00 p.m., and wanted to attempt breaking Heather's water, in the hope of jumpstarting the contractions even more. The OBGYN used an amnihook, and made several tries, but she was unsuccessful at breaking Heather's water (which she stated was a first for her since her days as an intern). Heather would later say that of all the things that happened during her stay at the hospital, this was by far the most painful.

Approximately an hour later, the contractions ramped up dramatically, coming extremely hard and less than 2 minutes apart, such that Heather was hardly able to catch her breath. She said that her pain level went from a 4 to a 10 (maximum) during this time. During this time, the baby's heartbeat experienced a deceleration (or decel, as the doctors called it), which caused a flood of nurses and doctors to pour into the room to restore the heartbeat. They immediately maneuvered Heather into a position so that the stress to the baby was alleviated. They also made the decision to halt the flow of oxytocin.

It was decided at that time to administer the epidural. The practitioner came in and inserted the tube into Heather's spine, and then got the flow of pain blocker going. Relief was almost immediate. On the downside, the oxytocin had to be started up from the beginning, and the contractions were less frequent and lower intensity. On the upside, Heather had dilated up to about 5 cm.

The oxytocin was gradually increased over the course of the next many hours. The doctors continued to check the dilation, and again attempted to break Heather's water at about 7:00 p.m. As before, they were unsuccessful ... in fact, the baby's heartbeat experienced another deceleration, which led to more emergency maneuvers. They were having trouble tracking the baby's heartbeat with the external disc, so they went ahead and attached a fetal scalp monitor to the baby's head, which gave a more accurate reading.

By about 9:00 p.m., Heather had dilated to about 7 cm. Unfortunately, it was around this time that her IV site had come apart, which led to halting the oxytocin. After waiting about an hour, the IV therapist showed up and hooked up another line, and the flow of oxytocin was started up again, but they were having to start back at the beginning again.

On February 27 at 2:00 a.m., several doctors checked Heather and confirmed that she was not dilating past 7 cm. They suggested that a cesarean section may need to be performed since she was not progressing and due to the several decelerations of the baby's heartbeat. But, after consultation with the OBGYN, it was decided to increase the oxytocin up to the maximum for the next several hours, to see if something might happen.

At about 5:00 a.m., the doctor attempted to check Heather's dilation, and again the baby's heartbeat decelerated. The nurse pulled the "code" handle, and about a half dozen doctors and nurses came running into the room to re-position Heather, which had not been an easy task due to her lower extremities being numbed by the epidural.

The OBGYN recommended that a c-section be performed immediately, and Heather consented. This began an incredible flurry of activity, as nurses and doctors moved quickly to prepare Heather for the surgery. Heather signed a waiver, and then they wheeled her out of Room 102 and into the operating room just a short distance away. They prepped her, and within about 15 minutes of the decision, they began the c-section. I sat beside her head behind the drape, and within a couple minutes, the anesthetist practioner suggested looking at the baby's head being withdrawn out of Heather's tummy. I took a look, and there was a head poking out. Within a minute, the baby was out and in the hands of the respiratory therapists, who cleaned her up and got her breathing.

The therapists called me over to check out the sex of the baby ... it was a girl! I told Heather the good news, and then got several photos. They weighed Jillian Catherine at 7 lbs 11 ounces, and measured her at 21 inches long. Then they brought her over to Heather for a look, before moving her over to the nursery.

While Heather was being stitched back up, the therapists were working on Jillian to get her to breathe a little better, since it was a bit labored in the operating room. Within 15 minutes, she was breathing normally, and her skin tone pinked up quickly. After all of that, Jillian lay there pretty content for awhile checking out her surroundings. This bliss ended when the therapists began poking her with needles to get blood drawn ... the crying began in earnest. Jillian would remain in the nursery for the next couple hours awaiting test results.

Finally at about 9:00 a.m., the nurses wheeled Heather into the nursery so that she could hold Jillian for the first time. It was a beautiful sight!

Though the birth didn't go as planned, we still ended up with a beautiful baby girl, and both mother and child came out of this in good health. It was a very happy ending to a long 3 days!

Thanks for following the action these past 9+ months. You can now catch all the news about Jillian on a new blog site : http://jilliancatherine.blogspot.com

Saturday, March 1, 2008

Photos

Here are 3 photos (below) from Jillian's first few days.

The first one is Jillian's first sitting (or laying) for a photo that was taken on Friday at the Family Birth Center. It's easy to see that Jillian looks just like her mommy!

The second one is when Heather and Jillian first met in the nursery on Wednesday morning ... a very happy and memorable moment!

The third one is Jillian looking relaxed in her swaddling.





Wednesday, February 27, 2008

Jillian Catherine

It's a girl!

Jillian Catherine was born on February 27, 2008 at 6:11 a.m. She weighed 7 lbs 11 ounces, and was 21 inches long.

I'm not able to post much, since I'm just stopping by the house to pick up some things for the stay at the hospital. But, rest assured that Heather and Jillian are doing great.

Photos and stories coming soon!

Sunday, February 24, 2008

41-week Photo

This is it!!!

This is the last day before little Baby Woodruff appears to the world. Heather is here in front of R. A. Long High School, where she graduated in 1991.

Heather has said that the last 41 weeks have flown by, and now she is more than ready for BW to be born. We are very excited for tomorrow! It might be hard getting to sleep tonight.

I'll try to post all the details as soon as we get back from the Birth Center ... so stay tuned!

Friday, February 22, 2008

Passing Time

It's a strange place to be, knowing that Baby Woodruff will be born on Monday at the latest, but could come along at any time before that ... for sure the sooner, the better. So, we've been doing what we can to help things along, namely going for a long walk each day, trying to get little BW to settle further down and jumpstart labor. The walks might actually be doing something, since Heather says that the heaviness increases, and there might even be some mild contractions (that feel like crampiness). We've got only a couple more days now, so we'll be putting in a couple more miles of walking ... and we'll see what happens.

Wednesday, February 20, 2008

Countdown

After the latest doctor appointment today, we now know that Baby Woodruff is going to be arriving within the next 5 days, but not later than Monday, February 25th.

The weekly exam with Dr. Zawacki started right off with a check inside to see BW's progress downward. The doctor said that the baby had moved even further down, and that she could feeel the head "right there". She said that Heather had also dilated up to about 2 cm now. And for good measure, she stripped some more membranes (which Heather said had prompted some small contractions). The doctor finished up with a test for leakage of amniotic fluid, in case the water had broken (but this later came back negative).

Dr. Zawacki did express the opinion that she felt that labor could begin any moment, considering what she saw and the fact that Heather would be 41-weeks along tomorrow. She suggested scheduling induction next week, which would give little BW a little more time to make a move.

So, unless labor begins on its own in the next few days, we will be going to the SWMC Birth Center at 7:00 am on Monday, February 25th!