Laviolette Twins

Thank God for Grandparents!!!!

2008-12-26T16:35:00.009-06:00

As much of an emotional roller coaster as having twins has been for me, I must say that I would have been in much worse shape if it weren’t for all the help I received from our parents. John’s mom (Lee) and my mom (Dinah) especially, alternated most weeks since Lauren and James came home. They helped feed, change, entertain and pacify them. They helped with laundry, cooking, cleaning, and shopping. And most importantly, they listened to me and supported me through everything.

The grand-DADs have also been an amazing help. John’s dad (John), step dad (Hector), and my dad (Monty), have all come to lend a hand as well. And I have to point out that my dad has never been a baby-lovin’ kind of a guy. He thought that once he saw the babies that he’d think, “Ok, they’re cute. You can have them back now.” But instead, I don’t think I’ve seen another soul love on them more than he has. He has been beaming ear to ear with excitement over their every smile and coo. And I’ve even had to fight him for feeding James (my dad likes the challenge). He always wins, of course! He has always been a wonderful dad and now he has become an amazing grandpa!

Monty with James & Lauren

Dinah & James

Lee & Lauren

Hector & Lauren

Cheryl, James & John Sr.

Thank you grandparents! I love you and sincerely appreciate everything you have done for us and the babies!

Three Months Later...

2008-12-26T16:17:00.019-06:00

Long time no type! Sorry for taking three months to post an update, but as you can probably imagine, we’ve been a little busy. Lauren and James are quite the handful! Thankfully, we had a great deal of help from our parents, who alternated weeks staying with us. Even with one mom staying at a time to help, we often wondered where the days went because we were kept busy every second of every day with feedings, changing, entertaining, cleaning, shopping, etc.

Having been two months premature, James and Lauren’s “corrected age” is only two months, so they are a month to two late on developmental milestones typical of newborns. They are eating every 3 ½ hours. They almost sleep through the night, waking up around 2 a.m. for a late night feeding. They are smiling at us and very alert, cooing and trying to talk to anyone who will listen. Lauren and James are on a well established schedule and both seem to have taken well to it. They sleep when they’re supposed to, with the exception of the occasional bout of cries to “Come put my pacifier back in!”

James & Lauren

Their personalities are really starting to show as well. James is highly sensitive and cries very easily. He frowns a lot and I swear is going to have frown lines by the time he’s one. He was diagnosed with colic and reflux and we’ve been sampling different medicines and formulas with the hope of “fixing” him. John and I think he just has a sensitive digestive system and is troubled by gas and reflux. To feed him, we usually have to put him in a carrier and bounce and feed him simultaneously. But he has many happy moments too. He smiles and coos to himself and others. Initially he cried and screamed bloody murder every time he was changed or bathed, but he finally broke down and came to accept it as a part of his day. He even smiles at me while we’re doing it now! He is physically very active and constantly kicks his chubby little legs everywhere and tries to stand up when being held in our laps.

James' Fussy Face

James' Sweet Face

Lauren on the other hand is the most laid back and happy baby I’ve ever seen. She cries only when hungry or in pain. She smiles constantly at everyone and has just started to coo and talk a little. She is definitely going to have her momma and daddy’s sense of humor. She also has a thing with her hands. Ever since she was wheeled out of the operating room of the hospital she waves her hands in front of her face, awake or asleep. She is also Houdini when it comes to being swaddled… she escapes from all swaddling, except when her daddy does it. She always wants her hands out and by her face. Her other claim to fame is “Spit-up Queen.” We and the grandparents have all learned that when she smiles really big, don’t hold her up right in front of your face because she’s about to projectile spit up. I think most all the grandparents have been christened.

Lauren's Smile

Lauren's Hands

James & Lauren are Home at Last!

2008-10-03T20:54:00.011-05:00

As of Thursday, James and Lauren are both now home with us. John and I "lived in" at the hospital NICU last Sunday where we stayed in a bedroom there with the two babies and took care of them all night, just as we would at home. Nurses were there to answer our questions, monitor how they were doing, and ensure we felt comfortable taking them home. That night was pretty rough on us. We didn't sleep a wink. James and Lauren were a bit fussy, but it was more due to nurses and doctors continuously coming in and out of our room to check the babies' stats. The next day James was discharged home with us. Lauren had to remain in the NICU since she still wasn't taking all feedings from breast or bottle. She would latch on but tire out quickly, forcing them to gavage (feeding tube) the remainder several times.

The next couple of nights with just James at home were, I hate to say this, pretty easy. Taking care of a single baby (and one who slept well at that) was a piece of cake compared to two fussy babies. Lauren must have realized that Brother had left without her because the light came on and she began taking every feeding from a bottle the very next day. Lauren was released to us on Thursday.

James in his Pak N Play

Now the challenge for me and John has become figuring out how to most efficiently change, feed, burp and pump (for me) within the shortest amount of time possible. John has made it easy on me by taking some time off work and feeding them while I pump. But he has to go back, so we've been practicing feeding them simultaneously, and also practicing with me doing everything myself since there will be several feedings no one will be around to help me with. Lauren and James still have to wake up every three hours to feed to help them put on weight. Their pediatrician said we could space those feedings out to every four hours once they both reach 7 lb. As of this past Tuesday, James was 5 lb 11 oz. As of Thursday, Lauren was 4 lb 6 oz. If all goes well, they should be gaining about 1-2 oz's a day.

Lauren & James on the couch with us

Although John and I are extremely sleep deprived (as expected), we are thrilled to have Lauren and James home together at last. Our family is complete with our two dogs and two babies and we look forward to the challenges parenthood will bring. Pictures have been posted to Picasa (see "James & Lauren at Home").

Please keep your prayers coming as we will always continue to need them!

4 Weeks Later

2008-09-25T20:26:00.012-05:00

As you can probably imagine, I don't have a lot of time right now to write a detailed blog but I wanted to give a quick update on how everyone is doing. James and Lauren have continued to make excellent progress in the NICU. They are both out of the incubators (isolettes) and in "cribs" now. They haven't had any apnea episodes in over a week and are now both off of caffeine, which was being used to help remind them to breathe. Both of their pulse / oxygen monitors have been removed now that their heart rates have stopped dropping. James is taking every feeding from breast or bottle and Lauren is taking two out of every three feedings from breast or bottle. James continues to breastfeed very well, however, Lauren still has some catching up to do there. James is 4 lb 15.9 oz (aka 5 lb), and Lauren is officially 4 lb now! Every time we see them, it seems they have changed. They're still tiny, but we can definitely see the weight they've put on.

Their neonatologist informed me this afternoon that if James continues to gain weight, despite some calories being taken away (they've been supplementing my breastmilk with a type of formula that gives them extra calories), that he should be ready to go home on Monday (in 4 days)! Once he comes home with us though, he will be put back on the enhanced breastmilk. If Lauren progresses at the same rate she has been, she should only be a week behind James, if not sooner.

I also had a baby shower last weekend, where some of my family and closest friends came and showered us with wonderful gifts. A big thank you to Kristen, Nicole and Melissa who hosted it! These three girls were so flexible with our family's schedules. The shower was originally suppoesd to be on Saturday, August 30 -- my birthday. But we all remember the slight change in plans that occured. James and Lauren decided to come on into the world! Lauren and James received many fun, special, and meaningful gifts that we look forward to using and showing off. Thank you to all who attended and shared this special event with us! I didn't get many pictures on our personal camera, so after I get some pix from friends and family who came, I'll post to Picasa.

Signs & Diaper Cake by Mel!

Mel & Her Daughter Layla

The present openers: Cody, Clyde, John & Me

2 1/2 Weeks Later...

2008-09-16T19:12:00.021-05:00

Well it's been about two and a half weeks and we're all doing very well. As for mom, for being bed ridden for 13 weeks and giving birth to twins, I feel wonderful. It is so great to be able to get up and about without being yelled at, and it's been refreshing to just get in the car and drive whenever I feel like it. I'm back to cooking and cleaning again, and I'm trying to walk a little most days of the week to build my stamina back.

James and Lauren are continuing to make good progress in the NICU. James had a minor set back last week with a gastrointestinal scare but the doctors never could find what was the matter with him. He was taken off of milk for a few days while they administered antibiotics and put him back on an IV with fluids and nutrients. He's now off of that IV and back on milk, and will actually start nipple feeding from a bottle tomorrow. He had an apnea episode today while John was holding him, but that's the first one he's had in over a week.

Lauren has had several more episodes with apnea but has been doing better than James in other ways. She has put on more weight. She is now 3 lb 7.5 oz, compared to her birth weight of 2 lb 13 oz. James' birth weight was 4 lb and he's now up to 4 lb 6 oz. Lauren also started nipple feeding last Sunday and today I actually got to breastfeed her. After about 30 minutes of working with her, she only sucked for about 3 of them. Lauren hasn't quite figured out what to do with her tongue yet, which makes sucking more difficult. The lactation consultant told me not to get discouraged because the sucking reflex is the last to develop in newborns, therefore preemies have an especially hard time breathing, sucking and swallowing all at the same time. But mom is still supplying them plenty of milk through pumping. So much that I've surprised all the nurses, doctors and lactation consultant!

Lauren & James

When I asked the babies' neonatologist how long she thinks it might be before they'll get to come home, she said that if everything continues to go well and we don't have anymore set backs that one or both of them may be ready in four weeks. Let's pray we get them then!

I updated the Picasa album "NICU Life" with more fun photos too!

Lauren & James Status Update (1 week old)

2008-09-06T22:17:00.015-05:00

It's been a few days since I've blogged and I know that at least the proud grandparents are aching to see some pictures. I hope to have these pictures and more loaded to Picasa by tomorrow, but for now, these will have to do.

Peaceful James

Why'd you wake me up? (James)

Skin to Skin with Little Lauren

Lauren and James have been making great progress in the NICU all week. Originally, they were both on assisted breathing machines (that's what the tubing was on their heads); IV's to provide extra fluid and nutrients; and phototherapy lights for jaundice. They were also in separate rooms due to a lack of available beds. The NICU's goal is to have the babies able to breath, suck and swallow on their own before they can come home with us. For premature babies, whose coordination isn't that of a term baby, that's a lot to achieve all at once. As of today, Lauren and James are both off of the assisted breathing machines; keeping their food down (although it's still administered by a feeding tube); and their IV's are out. Lauren is off of the phototherapy lights, however, James had gone off and is now back on. The jaundice is cause of his darker skin pigmentation than his tiny sister.

John and I have also had the privelege of holding James and Lauren, changing their diaper, and taking their temperature. Today when I visited them, I got a little more diaper changing practice than I had anticipated. When I first started changing Lauren, I noticed her diaper hadn't been soiled at all -- poop or pee. But after sliding the new diaper in, brown goo began to ooze out of her bottom and just wouldn't stop. I kept wiping her down, and there it would go again. And then she'd start peeing at the same time. I think I won the award for the longest diaper change ever. It must have taken me a solid 15 minutes from start to finish. Thankfully James' diaper change went a lot smoother because it was time for me to go pump.

Start of the Longest Diaper Change Ever (Lauren)

The Money Shot

Ah... I'm clean!

Mission Accomplished!

8/30/08 - Happy Birthday Times Three!

2008-09-01T11:10:00.006-05:00

Email update from John on 9/1/08

After last Thursday's update, Caroline took a turn for the worse in the hospital. Friday morning the fluid in her lungs wasn't getting any better leading to breathing problems, and then she started running a temperature of 101. After a battery of tests and meds, it was determined that she contracted some type of viral respiratory infection (probably from the hospital). It being viral, antibiotics weren't effective, so they loaded her up on Tylenol for the fever and a bunch of pain meds to knock her out for the night. During the night her contractions returned. And seeing as how the last round of anti-contraction meds took a toll on her body, the decision was made Saturday morning to not try and suppress her contractions this time around. So they moved her from Antenatal to Labor & Delivery - Saturday was going to be the big day.

The first thing they did was ultrasound the babies to see what position they were in. Upon admission to the hospital, Baby B was breached, but the ultrasound Saturday morning showed that both babies were now head down. This uncommon situation with twins gave us the fortunate opportunity of having a vaginal birth. Greater than 70% of twins are delivered by cesarean. Caroline did receive some additional meds to speed the labor process up and regulate her contractions. So by 7:00 she was fully dilated and ready to start pushing!

After being prepped, Caroline pushed for about 20 minutes in our room with the nurse coaching her on what to do and expect. Once Baby A was crowning, they wheeled her on down to the OR for the actual delivery. With twins, there's a good chance that the second baby will rotate out of position after the first is delivered. This would result in an emergency cesarean, so they deliver multiples in the OR to be safe. Once we were all set up in the OR, Caroline only pushed for three more contractions until Baby A was born. James Paul Laviolette was born at 8:12 pm on August 30th, 2008. He weighed 4lbs and was 17.5 inches long. His proud daddy got to cut his umbilical cord.

After James was gone, Baby B squirmed around for a minute or two before finally settling down - she finally had some room! Luckily she settled head down. Once ready, Caroline started pushing again and Baby B literally squirted out and landed in the doctor's arms on the first push. She was a little smaller than James and was therefore much easier to deliver. Lauren Elizabeth Laviolette was born at 8:16 pm on August 30th, 2008. She weighed 2lbs 13ozs and was 16.25 inches long. Her proud daddy also cut her umbilical cord.

We are still in the hospital, but expect to be discharged tonight. The babies are in the NICU where they will be monitored around the clock for the next 4 to 8 weeks before they can come home. James is having some minor breathing difficulties, but the doctor says that he's doing great for his age and it's to be expected. He's breathing on his own with 26% oxygen (normal air is 21%). She also said he's average size for a 32 week singleton baby, which makes him large for a twin baby. Lauren, on the other hand, is doing great! She is breathing much better than James and is requiring no additional oxygen. Apparently, baby girls develop quicker than boys, so it's normal for the sister to be healthier. The doctor said she's right about average size for a 32 week twin baby.

It has been a difficult 12 weeks (of bed rest) and an even more difficult week here at the hospital, but we are very fortunate to have two healthy babies. Besides being James & Lauren's birth days, it was also Caroline's 30th birthday. She wasn't too happy about the idea of sharing her birthday before their birth, but she now realizes they were the best birthday present she could ask for. And it'll be easy for me to remember, though expensive!

8/26/08 – Hospitalized at 31 Weeks

2008-09-01T10:45:00.007-05:00

I was hospitalized Tuesday afternoon (Aug 26) following a checkup at my ObG. Apparently, I had been having minor/moderate contractions for several days (maybe weeks), but was unaware. While at the doctor's office, they started to become more frequent and more intense, maybe the result of my being up and active for the doctor's visit. The doctor also observed that I had dilated past 2cm and my cervix was paper thin, meaning my uterus was stretched to capacity and ready to go into labor.

My doctor immediately sent me to the hospital in an attempt to suppress my contractions and avoid an early delivery. After monitoring how frequent and intense my contractions were, they quickly decided to put me on an IV of magnesium sulfate (Satan) and catheterize me (Satan’s twin brother). They also gave me a round of steroids for the babies' lung development in the event early delivery could not be prevented. My contractions were occurring every 2 minutes with high intensity before the meds finally kicked in and relaxed her uterus. Over the course of the evening and night, the contractions slowly reduced to about every 10 to 15 minutes in frequency, which was great at that point. Over the course of the day, my contractions reduced to 1 or 2 an hour. The morning of Aug 28 they finally weaned me off the IV meds and put me on another medication to stop contractions called Procardia, which is actually a drug for hypertension but serves another purpose in this case. The hope was they would observe me for ~48 hours on these meds before sending me home with them (by Saturday).

Side effects of the magnesium sulfate are numerous. Since it works on the central nervous system, it slows down all your bodily functions including things like vision, digestion, motor function, etc. I felt as if I had the headache from a hangover and the grogginess of taking a whole lotta valium. My vision was blurry so I couldn’t look at people straight, read, or watch TV. I just lay in bed all day. I was on a clear liquid diet, but that didn’t matter much since I had no appetite anyway. Another side effect of this drug is bloating and fluid retention. Besides the great pair of tree trunks and cankles that resulted, the fluid also got sponged up by my lungs. I wound up with pulmonary edema (fluid in the lungs) which they tried to get rid of through diuretics but couldn’t get to quick enough to stop me from coming down with what felt like the flu. Even after coming off of the magnesium, I just felt like I had a bad case of bronchitis. I was achy all over, it hurt to breathe, and my cough was unproductive.

Contractions during Aug 26 ObG Visit

Toni & Me in the Hospital

31 Weeks

2008-08-25T11:26:00.010-05:00

John and I had a great visit with his dad and Cheryl from Louisiana this past weekend. It was pretty laid back but still productive. While I laid around as usual, the two Johns and Cheryl scurried around town picking up stuff for the nursery, grocery shopping, and grabbing take out from places I haven’t had since going on bed rest. It was a real treat! We watched some movies… “Blue Streak” (1976) with Gene Wilder and Richard Pryor, and something else I can’t remember. We started to watch “Next” with Adam Sandler about a man who loses his wife and children in one of the 9/11 plane crashes, but our TiVo started to record two other shows and we had to quit. I’ve since TiVo’ed it again and look forward to watching the whole thing.

Cheryl & John

31 Weeks

John finished painting the nursery before they came, so his next endeavor will be to paint our bedroom, which is the last room of the house that hasn’t been painted yet. After that, he’ll arrange nursery furniture and we’ll await the birth of James Paul and Lauren Elizabeth. Yep, you read that correctly… those are the names we’ve picked out! “James” is after John’s uncle who passed away years ago due to pancreatic cancer; “Paul” is after my grandfather and father. “Lauren” and “Elizabeth” are just two names we love. Apparently John has had a couple of girlfriends named Lauren but since they weren’t psychos and he’s not still in love with them, I figured why not.

On Sunday, my friend Kami dropped in for a visit and also to loan me a couple of books from the Stephanie Meyer’s Twilight series. She’s heard many great things about these young adult novels from people of all ages and is now hooked on them herself. I plan to start reading “Twilight” this afternoon. Our pooch, Cody, wore himself out loving on Kami the whole time she was here. In the shot below, his tongue is hanging out the left side of his mouth while he lets Kami pet him.

Kami & Cody

30 Weeks

2008-08-20T14:18:00.006-05:00

I had another appointment this morning with my ObG. Good news is I'm still only 1 cm dilated, which means there has been no change since last week. She took another FFN test to check for risk of preterm labor, but because I'm not showing any signs of preterm labor and because there doesn't seem to be a lot of pressure on my cervix right now (thank you babies), she's in no rush to get the results back.

As for other pregnancy experiences I'm having, I've been more fatigued than normal this week and extremely ravenous. I've been so sleepy that I've been napping during the days. Thank goodness I'm on bed rest since work sort of frowns upon afternoon siestas. I also cannot stop eating/snacking. I always try to eat things with some nutritional value and not just empty calories, but I guess it still hasn't been enough because my doctor said she'd like to see me put on a little more weight. Although the babies continue to grow, I've been stuck at the same weight for the past 3 or 4 weeks. Those little leaches! To help with this, John ran by the store after the doctor's visit and picked me up some Ensure, buttermilk pie, chocolate cream pie, and pudding. I'm drinking an Ensure right now and it's actually pretty darn good (frozen).

I'm still fighting the whole pregnancy acne thing. The redness from my rash of pimples is as close to a pregnancy "glow" as I've gotten. I'm also having a severe burning, aching pain stretching from my left groin up through my lower abdomen every time I switch sides, get out of bed, or walk. I asked the doctor about it and she said it's likely being caused by the babies' positioning.

Thanks to all of you who have/are visiting me this week (Jennifer, Paula, Colton, Ronnie, Chris, Anne, Dave, Regina, & Sarah). You know that totally makes my day! John always says I'm happiest on the days I've had company.

Starting the Nursery

2008-08-19T08:40:00.023-05:00

I'm excited to report that this weekend John started on the nursery! Woo-hoo!!!!! The past couple of weekends were spent clearning out stuff from what was formerly our guest bedroom. Now John is finally able to paint. It's taking several days since he's doing it single-handedly, but it's looking great! The paint is called "Frosted Lemon" by Behr. We're hoping it will go well with the bedding sets we registered for ("Little One" by Lambs & Ivy and "Sweet Safari").

And speaking of bedding, the search for the perfect sets has been a bit of a challenge. One, I can't physically go look at anything, and second, there is no store (to my knowledge) that even carries the Lambs & Ivy set. It's not like I can just have someone go look for me and report back. So we're giving it our best guess based on the online pictures (below) and hoping it will all look good together.

Lambs & Ivy "Little One" (girl)

"Sweet Safari" (boy)

Also, my parents were in town this past weekend and they got us our stroller and car seats! Double Woo-hoo!!!! Clyde and Cody weren't sure what to think about the stroller.

Clyde & Cody Take a Test Drive

29 Weeks - It's All Good!

2008-08-14T15:44:00.006-05:00

Not too much new to report today. I did have a visit with my ObG. Two weeks ago when I saw her last my cervix was what she called "fingertip" and "soft." Soft meaning the fibers are thinning out in preparation for labor. Today I am now 1 cm dilated, but she was not overly concerned. I am still at home on bed rest and not the hospital (Thank You, God!). Other than heartburn and nausea (from the heartburn), I'm feeling great. My ObG gave me some Protonix for the heartburn and more CitraNatal DHA prenatal vitamins and sent us on our way. I'm not sure whether all pregnant women start to see their ObG weekly at this point or if it's just because my body thinks it's further along than it actually is. Either way, I will now be seeing her weekly.

On a completely unrelated note, I felt the need to share this adorable picture I took last night of two of my favorite boys, both of whom are making this bed rest thing a lot more tolerable.

John & Cody getting some ZZZ's

Thank God for Friends & Family!

2008-08-10T14:53:00.008-05:00

I didn’t blog anything other than my doctor’s appointment last week so I want to give a quick shout out now to all those who kept me sane by coming to visit and help out. Big hugs and thanks to John's mom Lee. She was an absolute saint running around town to various stores trying to help us with groceries and decorating needs; and she cooked up a variety of dishes that kept us well fed through the week. More hugs to Regina and her daughter Ashley; my boss Susan; and Lisa and her daughter Danielle. I thoroughly enjoyed spending time with all of you!

Me & Lee

Regina & Ashley

Lisa & Danielle

Our First Baby Shower!

2008-08-10T14:26:00.011-05:00

Yesterday was our first baby shower, hosted by my friends Alicia, Jessica, Terri and Candy. Everything was perfect! These ladies, and our friends who helped them, have to be baby shower experts! Alicia and Theresa came over early and went to town arranging furniture, decorating, and setting out the food spreads. When John got home, Alicia had no problem telling him exactly what she needed. Jessica, Lisa and Terri arrived next with cake, food and flowers. After everything was in place for the 2pm start, we had mimosas (o.k., so I had pineapple/OJ & sparkling water… still a treat!) and awaited the first guests.

It was a casual come and go as you please shower so it seemed to me we had a steady flow of guests. John and I were pleased to find our house sufficiently accommodated everyone (and that was with me taking up a good deal of the real estate). I stayed on the couch while the party circulated around me, and I opened presents here and there so each guest could see their gift opened. Things got real wild when I decided to change sides of the couch! Okay, maybe not that wild. It was a baby shower after all.

Several of my friends chipped in to buy us a crib which John and I are very excited about! Also exciting were all the cool baby clothes, toys and necessities we received. Since I went on bed rest before registering, all of my research had to be done through asking friends and reading reviews on the internet. This made yesterday the first time I was able to see those items in person and I was pleasantly surprised by their looks, feel and quality.

Thank you all who came! It was wonderful getting to see each of you. And thank you for showering us with some much needed baby essentials. I am more eager now than ever for our babies to safely arrive! Below are some snapshots of the shower but fore more, go check out our "Pregnancy Pictures" Picasa album (link on left).

Candice, Michele, Carmen, Theresa, Jessie, & Kris

Michele, Tommy, Brea, Monica, Paula & Tricia

Alicia & Me

Shower Loot

Visit to High Risk Specialist (28 Weeks)

2008-08-05T10:00:00.005-05:00

Thank God and all of you who’ve been praying for us! We finally received some really great news for once!

Before I share what happened yesterday, let me back up just a little to the results of my appointment with my regular ObG last week. She didn’t measure my cervix as I assumed she would. Instead, she checked my cervix to see if I had started dilating. She said I’m what’s called “fingertip.” Basically, my cervix has completely shortened, but it has not started opening up for labor. I also tested negative for gestational diabetes and anemia, but I wasn’t worried about those anyway.

Now back to the high risk specialist. This time, the doctor didn’t measure my cervix or even check to see if I was dilating. He explained this was because my last FFN test was negative and because I wasn’t exhibiting any major signs of preterm labor. Although I’ve had a few Braxton Hicks contractions (sporadic uterine contractions that give me slight cramps, make my abdomen feel real tight, but go away when I move around), the doctor didn’t think they sounded like true labor contractions which get longer, more frequent, and stronger in intensity.

So the only thing I had done was an ultrasound where the doctor measured the babies’ growth, based on the size of the baby’s head, abdomen, femur (thigh bone), and humerus (upper arm bone). The boy is roughly 2 lb 10 oz and the girl is 2 lb 9 oz. Although the scale hasn’t moved up for me in the past two weeks, the babies continued to grow and are perfect size for this gestation. On screen during the ultrasound John and I witnessed the babies blinking, opening and closing their mouths, and kicking one another. This wasn’t a 4D ultrasound so I was amazed at the amount of detail I could see of their facial features. They already have chubby cheeks and no longer look like skinny little aliens. I couldn’t stop smiling!

What surprised John and I the most was upon the doctor leaving and he said “I’ll see you in a month.” John said, “What, are you going on vacation?” The doctor said, “Nope, I just don’t want to see you again for another four weeks.” Up until now we’ve been seeing him every two weeks and at each visit he hasn’t exactly come across as being very optimistic. We asked why he wasn’t as concerned anymore and he said that before this visit, the babies had a very low chance of survival outside the womb, whereas now they have about a 90-95% chance. Plus I’m not showing any signs of preterm labor, so he believes that if I keep up with the strict bed rest I should be able to make it for several more weeks. If I do start having preterm labor contractions, he said to check myself right into triage in the maternal ward of the hospital where they would give me medication to delay labor for a few more days while they administer steroids to speed up the development of the babies’ lungs, increasing their chances of survival even more. I’m thankful to be continuing bed rest at home verses the hospital, which we were quite concerned was going to happen.

Thank you all again for your prayers… They’re obviously working!

Visit to High Risk Specialist (26 wks)

2008-07-25T15:00:00.005-05:00

Thursday's visit to my high risk specialist didn't exactly bring the kind of news I was expecting, or even hoping for. Until now, my cervix was shortening by 0.4 cm at each visit. This time it went down all the way from 2.0 cm to 0.7 cm! I have barely any cervix left at all now. What’s interesting is the foreshadowing that led to this. Since Sunday I’ve been feeling as though one or both babies have been trying to kick their way out, and sure enough, the monitor showed the boy’s foot right in the funnel of my opening cervix. These kicks are shocking and usually painful. Yet another issue I have absolutely no control over.

Thankfully, not all the news was bad. The doctor performed another FFN test to check my risk of preterm labor and my results this morning came back negative. Had they come back positive, he would have admitted me to the hospital today, and administered steroids to expedite development of the babies’ lungs in anticipation that I would soon go into labor. Given that my results were negative, and that I still have at least some cervix left, this just meant continuation of very strict bed rest at home. The doctor said it is likely that my cervix will have opened completely by my next appointment (Aug 4) and they will likely hospitalize me for the remainder of my pregnancy for observation. Once the cervix has opened, the babies and the uterus are no longer sealed in a sterile environment, so there is an increased risk of infection which they have to constantly monitor me for. I’m trying to relish every minute of bed rest in my own home for now!

The doctor attempted to look on the bright side by telling me about another patient of his whom, at 24 weeks, her cervix was 0.5 cm and FFN results came back positive. He hospitalized her and she made it to 32 weeks. I’m at 26 weeks and have slightly more cervix than her and negative FFN results. In six more weeks I’ll be at 32 weeks. Right now our major milestone to reach is 28 weeks, at which time the babies will have a 90% chance survival rate outside the womb.

The severe shortening and continued restrictions are taking a toll on me emotionally (as I’m sure they are John as well). Wanting some control over my situation, I wish there was something I could do to stop the shortening, to help out around the house, and to make myself just feel healthier, happier and more energized. I know in my heart that God has plans for me, for John, and for these two little ones, but I start the “what if” cycle after each round of bad news and I’m struggling to just put it and leave it in His hands.

Even with all these issues, the babies are still alive and baking, and that’s the most important thing right now. Thank you again for your continued thoughts and prayers. And many thanks to those of you who visited this week (Tricia, Terri, Candy, Betty Ann, Ken and Regina (who's also preggers))… Your company was the highlight of my days/week!

Betty Ann, Candy & Me

Regina & Ken

25 Weeks

2008-07-16T09:15:00.010-05:00

I went to my regular ObG yesterday but they didn’t take any measurements, so nothing too new. They just weighed me (I’ve gained 23 lb) and tested my urine for proteins/sugars (negative). My next visit with the ObG should be slightly more eventful because they’ll test me for gestational diabetes (which I feel confident will be negative) and talk to me in detail about things like cord blood registry, delivery options, and classes that might come to my home. So those are all good signs I’m getting close to being able to deliver healthy babies which makes me very happy! Both my ObG and high risk specialist are confident I’ll make it to 28 weeks, which is the most critical time right now since each week from week 24 to week 28 increases the babies’ chances of survival by 10%. Since by 28 weeks their chance of survival is so high, the incremental chances of survival continue to rise but at a much slower rate (like 2-3% a week), I have another appointment with my specialist next week, at which time they’ll take another measurement of my cervix.

Also, thank you to all those who have emailed and come to visit me over the past week. I was having a tough time but you helped keep me sane and showed the love! John appreciates it too since he gets time off from catering to me. And speaking of John, he has taken on so much since I went on bed rest and is handling it so well. He caters to my every need without complaining and his strictness with me is only because he loves me and is married to a stubborn woman. I'm extremely blessed to have him for my husband. Please pray that he stays sane throughout all of this as well.

Aunt Paula, Jennifer & Colton

Lisa & Christine

Jessica (Gig 'em)

Visit to High Risk Specialist (24 Weeks)

2008-07-09T14:51:00.010-05:00

Wednesday's appointment with the high risk specialist was a milestone event for a couple of reasons. First, at 24 weeks, our babies now have a 50% chance survival rate outside the womb (not high, but better than five weeks ago). Second, at our last visit, the doctor said that if my cervix hadn't shortened more and my fetal fibronectin (FFN) test (indicator of risk for preterm labor in next 1-2 wks) was negative, that he would consider lifting some of my restrictions (i.e., let me sit up). At our visit today, I had my cervix measured, another FFN test performed, and the babies were measured for the first time since the first trimester.

Unfortunately, my cervix shortened more than the doctor would have liked -- it is now down to 2.0 cm. The FFN test came back negative, which means I only have a 10-15% chance of preterm labor within the next several weeks. If it had come back positive, my chance of preterm labor would have been 60%. On the babies' measurements, Baby A (boy) is about 1 lb 11 oz and Baby B (girl) is about 1 lb 8 oz. This puts Baby B in the 50th percentile (average) and Baby A in the 65th percentile (above avg) for this stage of gestation. Personally, I've gained 20 lb. I also learned that the boy is on the left side of my abdomen and the girl is on the right, so now I know who I'm rubbing and talking to.

So even though I didn't get any restrictions lifted, John and I were relieved to know that the babies are doing well and I at least have a slight amount of cervix left. I have another appointment with the specialist in a couple of weeks.

Going Nuts

2008-07-08T10:47:00.004-05:00

On bed rest, I have on days and off days. Today is a bit of an off day. I don't know if it's just my raging hormones but I'm feeling extra agitated (good thing for John he "gets" to work today). I'm crawling out of my acne infested skin! My back hurts, my side hurts, my neck hurts, and the babies are right under my ribs. I've been trying to take my mind off these woes by listening to music and making (pitiful) attempts to sing. I think the twins really like the music / my singing because it created quite a stir inside. I mean, what baby doesn't like Papa Roach, Seether or 3 Days Grace? No baby of mine!

4th of July Weekend (24 Weeks)

2008-07-05T11:04:00.017-05:00

Dad, Mom, Me & John

My parents came to visit this weekend. My Aunt Paula came over on Friday and we grilled out steaks and chicken. Though I couldn't always be where the action was due to my couch/bed rest, John set me up outside that evening in a lounge chair so I could enjoy the outdoors and company. It was energizing to have a house full of people laughing and chatting around me! The only way it would have been better was if I had had a frozen margarita!

Aunt Paula & Mom Cooking it Up

Dad & Me

Dad & Me Hanging Out

2nd Trimester

2008-07-02T12:03:00.005-05:00

As I moved into my second trimester, I was feeling immensely better, just as the books said I would. This marked the end of my morning sickness and the comeback of fruits, vegetables and whole grains. Of course, I still love mac & cheese, and pizza, etc., but who doesn't?!?!

I was even feeling well enough to exercise again. Although I wasn't lifting weights anymore, I was at least walking and had even started practicing prenatal Pilates, which made me feel refreshed, revived and strong.

I thought I could do it all - at work and at home. I was going to be that annoyingly perfect pregnant person who manages their same workload or more, continues exercising and doing household chores, eats well, and still has a social life, all while carrying two babies. I was completely drained but I kept seeing a light at the end of the tunnel so I kept pushing myself to just make it there. In hindsight, I was probably taking on a little too much because next came the bed rest (see "On Bed Rest at 19 Weeks").

1st Trimester

2008-07-02T11:59:00.009-05:00

When I first found out I was pregnant, I had actually visited the doctor about my abdomen swelling up unusually large. I had looked as though I'd gone from 0 months to 5 months pregnant overnight. It turned out that I had a swollen ovary. Blood tests confirmed I was pregnant. When the doctor did our first ultrasound (at 7 weeks?) we were shocked to learn we were expecting triplets! I just started laughing hysterically and then started crying. The doctor had to give me and John a few minutes to regroup. We finally settled in with the idea of having three babies and were getting real excited.

During my first trimester I was able to check off nearly every single negative pregnancy symptom, the worst being "morning" sickness. Or shall I say, all day and night sickness. I felt as though I had food poisoning 24/7. I didn't always throw up but I always felt like it. Although I was a former health nut in my pre-pregnancy life, I was suddenly turned off by all healthy foods. All I could stomach was bread and cheese. NO vegetables and NO fiber.

Something else I experienced that wasn't exactly a pregnancy symptom was severe cramping on my lower left side that shot down my leg and wrapped around my back. It was debilitating. The pain was sharp and stabbing and came in waves. One day around 3 or 4 a.m., I was just lying on the floor crying, not even wanting to be taken to the emergency room because that involved getting up off the floor. I eventually went in later that day for tests which all came back inconclusive. Doctors assumed it was either a twisted ovary or a kidney stone. After a week, the pain subsided and eventually disappeared.

At 11 1/2 weeks, we had our first visit with the high risk specialist which left us with mixed emotions. Unfortunately, one of our three babies had stopped growing, leaving us with twins. The good news was the remaining two were doing great. They were a healthy 5 cm (2 inches) and growing fast. Two weeks prior they were the size and shape of gummy bears (3/4" with nubs for arms & legs), but at this visit they looked like little babies! We could clearly see their facial profiles, arms, legs, and even little fingers. They were very squirmy, so much in fact that the doc was getting annoyed as he was trying to take photos and measurements. They almost looked like they were swimming at times. So, while we were initially saddened by the loss of one of the babies, we were also overwhelmed with excitement after watching the other two squirm around for about ten minutes.

On Bed Rest at 19 Weeks

2008-07-02T10:22:00.007-05:00

On June 5, at 19 weeks, John and I had our bi-weekly appointment to monitor my pregnancy and we discovered some startling news. The length of my cervix, holding the babies in my uterus, had started to shorten at a significant pace. My measurement two weeks prior was ~8 cm = exactly average. My measurement this day was 2.8 cm (which is average at ~30 weeks), while the doctor was expecting at least 6 cm. Once the cervix "shortens" all the way, it is open and begins to dilate (open wider) in preparation for birth.

To avoid going into preterm labor, the doctor put me on strict home bed rest. I have to lie nearly flat on my back or side the entire day (can’t sit up more than 45 degrees) and am limited to no more than 15-20 minutes of getting up a day (only to use the restroom and shower). At my June 26 visit, my cervix had shortened to 2.4 but I was told that wasn't enough to warrant hospitalized bed rest (thank God). I've been on bed rest now for over three weeks and am "stabilized."

I'm not bored in the least. I stay busy by catching/keeping up with friends and family members (I used to be too much of a workaholic to make time); organizing addresses/emails/phone numbers/birthdays in Excel; creating a pregnancy calendar with doctor appointments, pregnancy milestones, and family/friend visits; registering for baby stuff; reading the Bible and other books; listening to online sermons; watching labor & delivery shows on Discovery Health (scary but in a way relieving to know you’re not the only one with a difficult pregnancy); and crossword puzzles. Our parents come up every other weekend to help clean, grocery shop and cook. They cook enough food to get us by until the next one visits. Friends also visit at lunch or in the evenings. The worst part for me is not being able to exercise, or even just walk around.