Saturday, July 13, 2013

The Fourth Trimester

They say the first 3 months of a baby's life should really be called the fourth trimester. We couldn't agree more! It's amazing how much Ella has changed already, from an incredibly helpless, almost emotionless creature to the still pretty helpless but much stronger and interactive little person she has already become!

Ella's first month at home was a tough one in many ways. Although my recovery from the c-section went well, I was in bed for the whole first week we were home from the hospital. I improved daily, and as long as I stayed on top of the meds, I wasn't too uncomfortable. Ella slept in a co-sleeper attached to the side of our bed. I originally envisioned sleeping on the side of the bed next to her, but that proved to be impossible, as getting in and out of bed with the co-sleeper there required ab muscles I couldn't use! So Erich and I switched sides, and he just brought her to me whenever she needed to nurse.

Nursing was quite painful for a long while. We got lots of help from nurses and doulas, both at the hospital and through home visits. We finally got things sorted out thankfully, but it took about a month!

Unfortunately, I had a ton of swelling (I initially only lost 2 pounds after she was born because of all the water I was retaining!). I wound up with carpal tunnel in both my hands and lost a lot of functionality for almost 2 months. Luckily, my hands are almost back to normal now!

I think between these struggles and the sleep deprivation, I got hit with a pretty strong case of the baby blues. It seemed to really kick in 4 weeks after Ella was born, when Erich went back to work. It was a big adjustment to be home and to not be able to accomplish any of the basic things I was used to doing on my summer break! But with some extra sleep, lots of hugs and encouragement from Erich, as well as a ton of support from my parents, things improved quickly and the baby blues are gone.

On the bright side, Grandma and Grandpa (Erich's parents) came out to visit and stayed with us about a week after we got home from the hospital. It was great to have them here to help and spend time with Ella!


Now that Ella started smiling at us intentionally, things have become much more fun! She loves to sing songs in the mornings, and just recently started coo/singing along with me. Our favorites are "Head, Shoulders, Knees, and Toes", "How Much is that Doggie in the Window?", "Patty Cake", and more recently, "Old MacDonald".

Ella listening to me sing to her


She also has a great time on her play mat, working on her hand-eye coordination by batting at the birds. She has come a long way in her tummy-time exercises and even rolled from her front to back (of course, mommy missed it! D'oh!)



May 18, 2013
July 10, 2013

At the beginning of the month, Ella took her first vacation. We took a road trip with my mom and Richard in their RV to Minnesota (2 days of driving each way). We started with a visit to Erich's parent's cabin at Woman Lake, then went back to the city so Ella could meet her aunts, uncle, and cousins, as well as Erich's college friends. 


Ella loved being in her car seat and was actually easy to travel with!
Ella was completely smitten with Daisy!


Ella gets festive for the 4th of July

Milestones & Moments:
4/30/13 - 20 in. long (66th percentile); 6lb. 15oz (28th percentile)
5/15/13 - 21.25 in. long (80th percentile); 8lb. 5oz (41st percentile)
6/9/13 - First intentional smile (on the changing table!)
6/14/13 - Sucked her thumb (...though not again since. She prefers the whole set of knuckles...)
6/25/13 - Slept through the night! (5 hours)
6/26/13 - 23.5 in. long (88th percentile); 9lb. 15 oz. (15th percentile) & vaccines!

Band-aids for her vaccine injection sites
6/29/13 - Rolled front to back
7/8/13 - Slept through the night even longer! (8 hours)
7/9/13 - Evicted to her own room - she took it well...mommy cried though! lol


Thursday, May 16, 2013

Introducing Elizabeth (Ella) Basia Otto!

Ella’s birthday was quite eventful! With a scheduled C-section, you wouldn’t expect much of a story, but it seems that our Ella wanted a more interesting arrival.

Erich and I woke up Wednesday morning and started getting ready for the big day. Around 9:30 AM, I started getting cramps that felt much like the strong PMS cramps I experienced back when I was in high school. We thought it was strange, but since I was heading to the hospital in a few hours anyway, we weren’t overly concerned. By 10:30, I was getting stronger cramps periodically, but they never completely went away. I started wondering if I was having contractions, but they were nothing as others had described them. I was told that when I went into labor, I would “know”. That contractions would be felt across the whole belly, not just in the lower area where my cramping was, and that between contractions there would be a break without pain to give your body a chance to recover. None of those things were true for me, but as the cramping started getting stronger, and the stronger cramps started coming faster, I realized I may actually be in labor! I called the OB at about 11:05 AM, just a few minutes before we were going to head to the hospital anyway, and they advised that we go straight in.

Erich quickly loaded up the car, and we arrived at the hospital right as scheduled at 11:30. When we went upstairs to the birthplace, the nurses hooked me up to the non-stress test monitor, and sure enough, it showed I was having contractions, and they were less than 5 minutes apart already! One of the nurses checked me and found that I was 3 cm dilated. They called my OB to see if she could come in to do the C-section earlier than the scheduled 1:30, but she was unable to make it any earlier. It also seemed as though my water was leaking, but we’re not sure if that was the case.

I did not look this happy for long...

The non-stress test...

The anesthesiologist arrived and told us that the only real pain management option at the moment was an IV of fentanyl. An epidural was not recommended since the c-section is best performed with a spinal block, and I guess you can’t get both. The fentanyl helped a little with tolerating the pain, although it didn’t diminish the pain itself. It basically gave me a bit of a buzz so that I cared a little less about what was going on! Alas, it did not last long and wore off before it was time to go to the OR.

Our Doula, Bonnie, was there to help me manage the pain with breathing and was great about rubbing my back, gave me a hot compress for my belly and made things so much easier. I was really wishing that Erich and I had practiced the breathing and relaxation techniques that we’d learned in class a little more! Though knowing I was going to have a c-section, I never expected to need them. I figured if I went into labor, the contractions would be far apart, and my OB had said that she’d be able to perform the c-section within an hour, so I thought it would be easy to handle. As it turned out, my labor was fast and furious. My mom and dad both visited in the room as the contractions were going, and all of us were starting to worried that the baby would try to arrive before the surgeons did!

Nurse Kim and my mom offering encouragement...
Finally, it was time for Erich and Bonnie to get suited up for surgery, and I was wheeled to the OR.

Erich suiting up
Some pain management before it was time to go (I'm sitting on an exercise ball.)
My dad, worried and excited all at the same time
Here we go!
The anesthesiologist worked on getting the spinal block in place. Unfortunately, it was no easy task. He wanted me to be sitting upright, hunching forward over my belly and  pushing my spine back toward him. This proved to be difficult between the contraction that were now less than a minute apart and my belly that made leaning forward difficult anyway. Thankfully, Bonnie was there to offer much needed support, both physical and emotional. (For whatever reason, they didn’t let Erich in until after the spinal was in place).

After about 4 attempts to get the spinal set up, we started getting nervous that he wouldn’t be able to do it. The anesthesiologist had commented that my vertebrae are very close together and my spine is a bit curved, making placing the spinal block quite challenging. I can’t be sure, but I think he said an epidural would have been even more difficult to place! Miraculously, my contractions completely stopped right then for a couple of minutes, which allowed me to get closer to the position he wanted me in. Bonnie actually thought someone had given me medication to stop them, since they went away completely, but no one had. The anesthesiologist got the needle in the right spot, and immediately my lower half started to get tingly and numb. As the nurses helped swing my legs onto the operating table, the last thing I felt was my water completely breaking!

Erich was brought in as soon as I was on the table, and within minutes I was completely numb -- the surgery was beginning!

I had heard from friends and from the birth class and videos that we had watched, that I would feel a lot of pressure and tugging when the surgeons were working to get the baby out. In fact, I didn’t feel hardly any. It felt a little like my ribs were being pushed back and forth, and when one of the nurses was pushing down on the top of my uterus to help push the baby out, there was a ton of pressure on my sternum and ribs, but at that point Erich said she was practically jumping up and down on me, putting her full weight into it. Otherwise, I felt nothing.

I was grateful too that my arms had not been strapped down. I had been told that they would put my arms out to the side and strap them in place, but they just lay them out and made me promise not to reach down toward my belly. There were nurses stationed at each arm ready to catch me if I tried, but it wasn’t an issue. In less than 10 minutes from when they numbed me, Ella was born!

Erich was able to see her emerge from behind the curve of my belly, and they held her up for me to see over the curtain. They then took her to the side to check her and make sure everything was ok. After they swaddled her they put her on my chest. I had been told that I would only get to see her for a brief moment to give her a kiss before Erich took her to the recovery room, but they actually left her on my chest for quite a while, maybe 5 minutes or more. When Erich left with some of the nurses and Ella, Bonnie stayed behind as I was patched up. That only seemed to take about 20 minutes, and with Bonnie talking with me the whole time, it wasn’t bad at all!

My first glimpse of Ella
Watching Ella get checked and cleaned
Check out that cone head, she was really ready to be born!
Heart sounds good!
First encounter

We didn't realize it at first, but she did get nicked by the scalpel on the cheek. Scary, but she's all healed up now!
Erich taking Ella to the recovery room to wait for me
Erich keeping Ella busy while they wait for me. She seems to know something is not quite right...
Another shot of that crazy cone head...
I was then taken to the recovery room where Ella was placed skin to skin on my chest and nursed for the first time. It was pretty amazing that I could come out of surgery having been conscious the whole time, then get to hold and nurse my baby and remember everything! When she was done nursing, Erich and one of the nurses took her to an area at the side of the room and gave her her first bath.

Ella gets a hat knitted by a hospital volunteer


Afterwards, we all went back to the hospital room where we would stay for the next few days.

Back in the room, sleeping soundly
7 lbs. 4 oz, 19.5" of cuteness!

Saturday, April 20, 2013

And the Countdown Begins!

Wow, what a week!

Last weekend was Erich's last volleyball/obligation free weekend before baby arrives. Alas, on Saturday, 4/13, after sleeping in and doing nothing but showering and coming downstairs for breakfast, my vision went all weird again and my blood pressure measured high. We called the OB, and she told us to go to the hospital and get checked out.  We spent a couple of hours there while they monitored me and baby, took blood, and made sure everything was ok. They hooked me up for another non-stress test, and interestingly, this time every time baby moved, I was having a Braxton hick contraction. I could not feel them at all, but they were pronounced and regular, and apparently little fish was feeling them, as she would start flipping about every time I had one! Notice how the line on the right in the photo below now shows some action!


Thankfully, my blood pressure went down and everything was ok, but it wasn’t exactly how we had envisioned the weekend starting out! The OB asked me to come in on Monday so she could check things out again.
We spent part of the rest of the weekend finishing up some final things that needed to be taken care of before baby arrives, including putting the final touches on the nursery, which is finally COMPLETELY DONE!


 
 
 
 
 
 
 
 
When we went to the doctor's office on Monday, the OB expressed concern that I may be showing signs of preeclampsia. She suggested that if I had any more issues, given my age, she would want to move the birthday up by a week.
Two days later, on Wednesday, just as I was about to leave for work, I had a new bizarre vision problem. This time instead of seeing an aura that lasted a little while, I saw little bright lights like fireflies that spiraled into the center of my field of vision every time I blinked, kaleidoscope style. It would have been almost cool if it wasn’t a sign of potential problems!
 It only lasted a moment as I was walking downstairs, but my blood pressure was a bit high again. So when the OB’s office opened, I called and they told me to come in. Erich drove me over and they checked me out.  Although the signs of preeclampsia aren’t definitive, we decided to move the birth date up since the OB was concerned things could go downhill fast for me and baby.  She also said I was not allowed to go to work anymore! I obviously love my job, as I was pretty bummed about that. She did at least concede that I could work from home some so long as I lay on my left side now and then and my blood pressure didn’t go up. Her last order was to stay away from all processed foods to keep my sodium intake down. (Sadly, Erich and I are now struggling to figure out what to eat! Not a good sign, eh?)
She sent us over to the hospital for more blood work (which came back fine) and tried to schedule the delivery for 4/22, but the hospital was booked, so little fish will be born on 4/24 @ 1:30 instead! (Unless of course she decides to come even earlier...)
On Thursday, Erich and I had our Newborn Care class at the hospital, which my mom attended as well. This class was not nearly as good as the prenatal class we had taken before. The nurse who taught this one did not seem quite as sharp, kept repeating herself, and just generally was not a good presenter. I suspected it would not be a great class when before it even started she was having technical difficulties with the video system and several times commented that maybe “one of the daddies” could help her. Ummmm, excuse me? Mommies can be good with tech too. Hello! Instructional Tech Coordinator sitting here.

 I did not feel inclined to help. Lol She finally did get it figured out though.

We didn’t learn much new, but we did get to practice how to swaddle baby in a square blanket and got some tips on items to pack for the hospital that we hadn’t considered before. Not exactly worth 3 hours of our time, but it was something!

So now the countdown truly begins! I bumped up my last massage to this Monday, and will be dropping off my car to have the bumper repaired that same morning. Tuesday I will get together with a friend one last time before baby arrives, and have my two pre-op appointments—one with the hospital and one at the OB office. Then Wednesday it’s go time! Wonder if I’ll get any sleep the night before?? I’m guessing not!
 
 

Tuesday, April 9, 2013

Just a few weeks left...maybe!

Last week, at 36 weeks pregnant, I started to experience some more unpleasant pregnancy symptoms. Namely, me feet and hands really started to swell! They had swelled up some a month or so ago, but nothing like this. Check out my poor feet! For some reason the right one always swells up much worse than the left. I can’t wear anything but flip flops or Ugg style boots anymore. My hands are pretty swollen too, so no more rings for me!!

 
 
 
Last week’s OB appointment on Tuesday was quite eventful! At the beginning of the appointment, I was hooked up to a machine that monitors the baby’s movements and any contractions I may be having. Two straps were placed around my belly, one to record the baby’s heartbeat, which is expected to spike with movement, and the other to monitor contractions. A machine next to me was printing out the readings from each sensor strapped to my belly. 

 
 
I took a little video of the recording (below). The first line (on the left) is the baby’s heartbeat, that’s the active one. I wasn’t having any contractions (Braxton hicks or otherwise), so the second line (in back/on the right) wasn’t doing anything interesting. The fun part happened toward the end of the monitoring session when baby got the hiccups! I could feel them and see them get recorded, and even hear them through the sensors as well. Fun!
 
During the visit I also learned that I was already 1 cm dilated and 70% effaced! Based on that and a few other signs I won’t gross anyone out with, it’s looking like baby girl may want to come early. The doctor said it might still be another 2-3 weeks, but suggested we get all our baby things done!
 
Alas, the appointment wasn’t all fun. I got confirmation that the shape of my pelvis will make childbirth challenging and coupled with the apparent size of baby, there’s a very good chance that she won’t be able to make it through or may cause excessive damage to me in the process. (I had no idea you could break your tailbone while delivering, eek!!) After talking with the doctor and with our doula, it’s looking like I will be better off opting for a c-section. I am going to wait to see what the other doctor in the office says at our next appointment, but I definitely feel some sense of relief having pretty much made the decision. The last thing I want to do is labor for hours and hours before heading into surgery or wind up with severe and unpredictable injuries that could take just as long if not longer to recover from and would be more unpleasant!
 
On Thursday I worked from home so I could be around when the glider for the nursery was finally delivered. I must admit, there are some advantages to being pregnant. When the 2 guys delivering the chair came in with huge boxes, I asked them if they could put the chair upstairs since I wouldn’t be able to help Erich carry them up. They not only put the boxes upstairs, they unpacked the parts to the chair, put them in the nursery, and broke apart and took away the dirty boxes the chair came in! It was awesome. JAnd the chair looks phenomenal!
Here are a couple pictures of the nursery; it's nearly done!
 
 
 
Erich practicing with Maidchen...
Thursday evening we had our prenatal visit with our doula, and we also had her take some maternity photos. I’m so glad I worked from home and was able to put my feet up. Some of the swelling in my hands and feet went down, enough so that I could actually wear my engagement ring for the photos.  It was fun to get the pictures taken and I think we got some good ones! She’s already sent over a few samples! I can’t wait to see the rest!


 
 
One of my favorites so far!
Over the weekend Erich had a volleyball tournament with his girls down in Colorado Springs. I was originally hoping to come along and get to have a little weekend getaway, but with the progress the OB described, I was a little nervous to be that far from our hospital (it’s about a 1.5 – 2 hour drive). Apparently, my mom was nervous about me being home alone, as she cancelled her weekend plans to have a slumber party with me at our house, just so I wouldn’t be alone. It was fun to get to hang out with her and watch some bad movies! The next day we did a little shopping to get a few final items for the nursery and took care of some other things on my to-do list.

Baby has also been super active, and has taken to kicking me on the top part of my belly, which doesn’t feel great. The other night I noticed that I actually had a bruise in the spot she’s been pounding! I had no idea that could happen! So now she has yet another nickname: Bruiser. We think she’ll be quite the jumper one day; a great addition to one of Erich’s future volleyball teams.
The next OB appointment is on Wednesday; I’m curious to see if there’s any more progress or if we’ll learn any different information that may influence how baby will be delivered!