Wednesday 2 May 2012

N.I.C.U Week 1

Day 1
April 26th Thursday
Kayla is born. When Kayla was first born she was breathing, she came out kicking and screaming, it was a glorious noise to hear, since Isaac didn't cry when he was born. There was such a mad panic that Chris didn't get to cut the cord, but he did get to be right there while they whisked her away to the nicu. He was more worried about me at this point though, as we were both anticipating me to hemorrage after birth, however, we were lucky and my placenta came out intact and there was very minimal bleeding (Thank the Lord).
I got to see Kayla at around 5:30pm, 3 hours after she was born. They had a lot of stabalizing to do that can be very overwhelming to the parents, so they asked us to stay away, plus I had to wait for the epidural to wear off so I could feel my butt and legs again.
I learned all kinds of things, what a c-pap was (sipap) its a gentle support for assisted breathing. She had a tiny little triangle on her nose, and this hat that had this big tube on it. She was on 4ltrs of 21% oxygen, which is essentially room air. She had an IV in her hand and wires coming from every which way. Her blood gasses are no good.
Isaac got to meet her today, he is very upset that she has to stay, but so does mommy, and hes quite upset about that too.



Day 2
April 27th Friday
Kayla was having a really difficult time breathing, so her doctor decided to add sufactant to her lungs to help her produce her own. Within a few hours she was doing 90% better. Throughout the night though she kept having apnea spells and was bradycardic. They were very worried about her at first until they spoke with the doctor who made the connection that since they gave her morphine she was having a hard time coming out of it. So they gave her a dose of caffine and Narcan to reverse the effects, she had one more episode of apnea, then she was fine in that department. She is taking milk through a guavage tube (g-tube) which is better then just fluids. While she was getting her treatment for the sufactant they placed an umbilical arterial catheter, which is a central line, but instead of being placed in the neck is placed through the umbilical artery. Its kind of neat, where they place it about 8 cm within the body and close to the heart, they also placed an IV catheter in the vein of her belly button. They have to stitch it up, and I just found it to be very neat. Anyhow, they told us they were removing it tomorrow so we could hold her hopefully. Chris got to hold her during his visit that night, just on his lap with the uva and the cpap on still and she opened her eyes for the first time. I started pumping for breast milk. I had originally intended on formula only feeding, but after chatting with the doctor and the LLC I felt that I could try my best to do what I could to get her milk. So far, its been very painful and very hard to get anything as my milk has not come in yet. Isaac touched Kayla's hand today. My parents went to see her today.
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Day 3
April 28th Saturday
They transitioned Kayla onto oxygen 1 ltr today from the 4ltr, and she is still on room air. They moved her from her emergency critical care room and bed to a joey bed with a warming pad in it, but she is maintaining her own temprature. I got to hold her today, and in that my milk came in, hahaha. I got to hold her to my chest and cuddle for about 45 mins. It was an amazing feeling, having the ability to hold her, to cuddle her, smell her for the first time, feel her, listen to her breathe. I felt to relieved and eased to be able to feel her. I am not sleeping well yet, still only getting 4 hours of sleep. I am doing well though. Chris got to cuddle with her today too.


Day 4.
April 29th. Sunday
Kayla is on the bottle, as well as the g-tube, trying to get used to eating. She also took her soother for the first time today. Still on room air push oxygen. She was put under a phototherapy ight tonight because of her billiruben levels. Just a little jaundice.



Day 5
April 30th Monday
They took her off oxygen today, so she is breathing room air alone now, she is doing really well. Mom and dad got lots of cuddles today. Isaac even got a closer look at her today and touched her head. We got to feed her for the first time today from a bottle. She seems to be a daddy's girl as every time he speaks she opens her eyes. Also got to see her face and head for the first time without all the focus on her prongs. She has light blonde kinky hair, so it looks like it is going to be curly just like mine.




Day 6
May 1st Tuesday
Nothing really to report today, she is doing the same today. She is having some slight issues with tolerating her feeds. Plus, I am only producing 50 mls a feed. Feeling might discouraged about it. Spend a lot of the night cleaning up her room and seperating all of her baby clothes, thinking she could get away with newborn/0-3 and 3 months, had to redo all the processing I had already done and just pulled out all the newborn 5-7lb clothes. She wears preemie clothes in the nicu and they swim on her, haha. Chris's mom went to see her today and held her today. While here also, friends of ours went into labor with twin boys, and Kayla welcomed her first friends ever, haha. We share the unit.


Day 7
May 2nd Tuesday
Had a busy busy day today. I went in early today to be there for her morning feed and Chris had an appointment in the afternoon, so I wanted to get my time with her. Isaac is feeling the stress and lack of attention. He had a night terror the night before and woke up this morning at 6am. His eyes were very purple. He was also very arguable all day today, poor guy. Kayla got her g-tube taken out, but this think they may have to put it back in as she is being upped feeds as she tolerates them, and as she is gaininng weight, so they want her at..I think its 120 mils a day, it was at 96 and she was having a hard time with that. Slow and steady. I fed her a bottle this morning, and the nurse needed to help me because she was just not interested, it turned out she tired herself out because the nipple was not working properly. We ended up chaning the nipple 3 times before she took it, she finally ate all of it. When we left she ended up having her 2:00 feed with a tube because they wanted her to be awake for when I got there at 5. She had been progressivly turning neon yellow through-out the day so as her billiruben went up the more tired she got. The feeding at 5 she was gung ho to eat 5 mls, but then she ate nothing else, so after some frustration and her intense crying fit (which is far better and tolerable then a 3 year olds meltdown, haha) The nurse retubed her just for the feed. I am assuming she will be put back on the g-tube and back into the jaundice bed tonight. The doctor seems to think she is doing well though. Her eldest brother, my first born, came to see her today with his parents. It was very nice to see him and to share his sister with him, and Isaac was really excited to see him. Isaac melted down because he was sooo sad when Nicholas had to leave. It took me holding his hand the entire was home to calm him down, where he fell asleep. Hopefully tomorrow will be less eventful. I need to do something with Isaac tomorrow. Can't believe a week went by, wow. Let the volunteer hold her today.







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