On Tuesday, April 9th, Samantha Jane S. was born into the world.
Unlike her older sister, Samantha was born via C-section. I won't go into details, but just say that it was a decision made with the support of Diana's doctor. As a result of this, the birth experience was quite different than previously.
For one thing, there was no labor. The birth was scheduled a week before the due date, and while Diana had a few cramps and false labor pains, there was no "this is it" kind of moment. No water breaking, no frantic drive to the hospital. Just an 8am appointment.
We showed up and got checked in and waited. And waited. Hospitals in general make me a little anxious, and of course major happenings like this even more so. So I was already feeling a little woozy, but trying to keep hydrated and get some food into my stomach. Diana was on a bed, all gowned up, and we just kind of waited.
Around 11am, we were told that it was go-time. Diana got wheeled back to the operating room, and I put on my haz-mat suit over my clothes, and waited some more. After about twenty minutes, I was called back. I found my way to the head-side of the table. I could see Diana's head, and her arms straight out to her side, and a big curtain in front of me. The surgery didn't last too long. Maybe half-an-hour total? I just tried to talk to Diana and reassure her. She was great, and I didn't feel like I was going to pass out or anything. I was pretty surprised by the amount of tugging and pulling. I could feel the table moving a little, or at least feel Diana's body being pulled in various directions. It was pretty intense. She felt a lot of various pressure and stuff, but no pain.
Then, the kid was born. Her birthweight was 7 pounds and 11 ounces, and she measured around 19 inches long. Her official time of birth was 11:43am. There were many comments about how big she was. She was brought to a small side table, and I was invited over to check her out while the pediatric team checked her out. My first impressions were how purple she was, and how floppy she seemed to be. Granted it's been a long time since I've been around a newborn, but it kind of shocked me. They spent a good bit of time suctioning all the fluid out of her, and she turned from blue to pink quick enough. I think they may have used a little oxygen gas-mask briefly.
At this point, I started feeling a little faint. I headed back to Diana and reported the news to her. I kind of broke out in a sweat, and decided it might be a good time to take a quick break. I went outside, and sat down and was given some juice, which helped. In just a minute or two I headed back inside, and was able to my my new daughter for the first time, and show her to Diana. Diana was pretty ok during the surgery, but got kind of shaky/shivery at the end. Once everything was over, they transferred her over to a rolling bed, and we went back to the waiting room for two hours of observation and making sure nothing bad happened. Diana was able to try to nurse for the first time.
Eventually, we were transferred upstairs to the recovery room. It was a quiet day, and we got a private room, which was nice. I can't imagine sharing a room with another new family. The day was a blur of various doctors and nurses coming and checking on Diana and Samantha, taking vitals, etc. We tried to nurse, but Samantha was so sleepy all the time, if was difficult. They weighed her Tuesday night, and she had lost a little weight, which is normal.
Wednesday was more of the same. Just trying to rest, get checked out by doctors, and feed the kid. Again, she was super sleepy all the time, and it was really hard to know how much she was eating. At her Wednesday midnight official weigh-in, she was down to 6 pounds, 14 ounces, and had lost about 10% of her body weight. This was official Cause for Concern, and a Plan was put into place. After Diana would nurse, she was then pump extra milk. During the next feeding, we used a small tube on a syringe and stuck that into her mouth, right alongside the nipple, and injected extra milk in there.
That plans strikes me as a good one for two reasons. First, it obviously got extra food into the kid. Second, it helped Diana get her milk going. Soon enough, it was apparent that Diana's supply was not an issue. She was pumping more and more milk each session. The bigger deal was that Samantha was just so sleepy all the time. It really took us 10 or 15 minutes of poking and prodding and wet towels and blowing to get her awake enough to eat.
At mid-morning, the pediatricians came by, and expressed some official concern at her sleepiness. Until this point in time, it was just "oh, she'll probably come around after a day", but now they decided it was time to start "doing a few things". I asked, and they wanted to do some blood tests to rule out possible infections or metabolic problems, as well as an ultrasound on her brain to check for bleeding.
Dude.
We agreed to all the tests, as they were non-invasive and seemed harmless enough, and would give us a much better picture if anything was going on. It turns out that (the ped. said) 40% of babies born have some bleeding in their brain, which they don't normally test for and normally resolves on its own. So they took some blood from her heel, and we waited for the ultrasound room to be ready.
The blood test came back in two parts. The first part was done very quickly, and everything was normal. She was slightly dehydrated, but otherwise things were good. A while later, I went downstairs with her to have her tiny little head ultra-sounded. I sat in a corner while the ultrasound guy took a bunch of cross section images and measurements (of tumors and aneurysms, I was sure), while a nurse-tech kept Samantha calm (not too hard).
I was pretty anxious seeing my newborn daughters brain being scanned, but I'll never forget how it ended. The ultrasound tech turned to the nurse and said simply: "Unremarkable." He then excused himself to the back room, and came back a minute later and said that "they concur". I made some crack about "Did you just call my daughter unremarkable?!" with mock indignation. We headed upstairs, and I texted Diana the results. At the same time, she texted back that the extended bloodwork (CBC) came back all normal. So, everything was good, we just apparently have a super-calm, super sleepy baby, and we'll just see how things develop.
That as Thursday afternoon/evening, and given all of the above, it was a pretty roller-coaster day, emotionally. We continued with our feeding Plan, and it was determined that if that went well and she starting gaining weight, we would probably go home tomorrow. And the midnight weighing showed that she had gained back a few ounces of weight. More good news.
As my dad put it, we probably just spent six or eight thousand dollar to find out we have a perfectly healthy baby.
Today, Friday, was release day. We got all our stuff together and met with a couple of lactation consultants. It appears there are two big issues at hand. The first is our sleepy baby. We really need to work hard to wake her enough to eat. I do think, though, that she is coming around on her own. I could come up with all sorts of theories about slightly premature babies, or C-section babies not being ready to be born yet, and being slower to wake up. Who knows.
The second issue is that Diana's breasts are absolutely enormous when filled with milk. There's simply no delicate way to put it. As a result, it's hard for little Samantha to latch on. It's like trying to take a bite out of a whole watermelon.
So, our current plan for each feeding is that I take Samantha and shake her around a bit and try to get her eyes open and awake. At the same time, Diana is pumping so that her boobs deflate a bit. This takes a little while, and there are usually some false starts, but eventually works. It a good bit of effort, though. We have an appointment on Monday, and it will be interesting to see how her weight is when we go there.
We came home in the afternoon, and had some time to ourselves before the grandparents brought Allison home from art camp. I'll talk more about their budding relationship in another post, but it was great to see her again after so long. She came to visit us in the hospital on Tuesday, but wasn't interested in coming down again after that.
I'm pretty calm and think things are going well, but I'll be a little happier when our baby is a little more awake. It makes me a little nervous that she's so quiet and sleepy all the time. I'm probably crazy for saying that, but it's true.
Gotta run. More later. I just wanted to get some details out while I remembered.