Birthday stats and a first experiment with reverse gear

March 31st, 2008

I took Talia to be weighed and measured this morning. It was pouring with rain and she peered out at the raindrops through the clear plastic pram cover. The last time it rained this much on her in Perth she was still in the carrycot, not the forward facing pram. I wanted to get her weighed closer to her birthday but we had a physio appointment the Monday before, and the Monday after was a public holiday.

1 year 2 weeks old (9.5 months corrected)

Weight: 7.235g - somewhere between the 3rd and 10th percentile for corrected age, below the chart for actual age

She only gained 100g in the past month, but that included teething and a cold when she was off solids for almost 2 weeks, so I’m not too fussed on this occasion.

Length: 66.0cm (up 0.5cm) - 5th percentile for corrected age, below the chart for actual age

Head circumference: 45.5cm (up 0.8cm) - somewhere between the 75th and 90th percentile for corrected age, and between the 50th and 75th percentile for actual age

In the afternoon I put her down on the cork floor at the back of our house. Normally she’s on the carpet, and the cork is much more slippery. She moved! She SLITHERED! Backwards! I think she may have been intending to crawl forwards but it didn’t quite work out that way and in the end she just got frustrated and had a grizzle, but I was so impressed.  That’s certainly going to be a good incentive to keep the floor swept.

Talia moving backwards

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Good to the last drop

March 29th, 2008

The bottom drawer of our freezer (we have an “upside-down” fridge) belongs to Talia. It’s full of plastic tubs containing ice-cube-sized portions of stewed fruit, mashed veg, pulverised chicken, flakes of fish in cheese sauce etc. Wedged in the middle of this oyster of solids was a little pearl - the last remaining bottle of my frozen expressed breast milk (EBM).

I’ve rambled at length about the ups and downs of milk production. It wasn’t easy, but it was worth it. I wanted to do more, but now I’m happy that I did as much as I could. If I had to do it all over again, I would. So what’s the story with this bottle of EBM? Talia stopped breastfeeding exclusively last October, and ceased completely at the end of January. It’s now the end of March. This bottle of liquid gold was dated 21/6/07 - the day before Talia came home from hospital. This bottle of milk has reigned, happy and glorious, over the bottom drawer of the freezer for NINE months, as one by one all the other bottles (older) and baggies (younger) of EBM were defrosted and used up. (Don’t worry, my freezer is cold enough that it was safe to keep it longer than the usually recommended three months). This bottle was a testament to my hours of expressing but also a life-line which I had clung to for months in case of emergency, but which was no longer needed now that Talia is healthy and happy with formula and solids.

So two days ago, a week after Talia’s first birthday, I liberated this vintage bottle from its cryogenic home and defrosted it. Today Talia has been drinking half formula, half EBM, the final instalment of my first gift to her. It doesn’t usually happen, but today she completely finished every bottle. Tonight we will both go to sleep satisfied.

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One-derful

March 26th, 2008

Well the candle has been blown out, the cake has been shared and the balloons are slowly deflating.  It has been an emotional but ultimately very joyful (if slightly fattening) week-long celebration.  I’m in awe of my amazing little daughter who is developing before my eyes, and so thankful for my husband and parents and their support.

Talia opens her presents

The cheesecake

Phew, we made it!

Birthday cake

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The last day of zero

March 19th, 2008

I’ve been feeling anxious and emotional all day, and as the hours went by and it came closer to the anniversary of Talia’s birth the feeling just became stronger until here I am now, mid-evening, sitting on the sofa with a box of tissues and wiping away the tears.

This time last year I was in a shared ward with other expectant mothers. I’d had an ultrasound in the late afternoon which showed my baby’s feet clearly pressing down on my bulging, partly dilated cervix. As a result I’d been told to go immediately back to bed, keep my feet up, and not get up unless I needed to use the bathroom. My hopes of going home in a day or two were dashed, and I anticipated a long, boring period of bedrest waiting for “Tic-Tac” to grow and hopefully arrive close to her due date.

My lower abdomen was sore, and I mentioned it to every nurse who came to check on me, but each time they felt me they said it was still soft and it was nothing to worry about. I remember I was in tears that evening too, because I’d asked if they would call my mother if anything happened (like me going into labour) and they said they couldn’t guarantee it. I felt lonely and miserable. Around 11pm I felt I was unlikely to sleep with the pain in my abdomen and rang to ask for some panadol. The nurse who arrived to see what I wanted felt my stomach and immediately called for someone to take me down to a labour ward. As they wheeled me out I was begging them to call my mother.

Down in the labour ward I was in a big room by myself. I met a funky young midwife named Xena and was introduced to a handsome young surgeon whose name I forget, but in chatting we discovered we had both gone on student exchange. My labour pains were intensifying and they offered me morphine. Not knowing how long I would be in labour, and being a total wimp, I accepted it. In retrospect it was the only thing I regret, because I was a zombie for the following 24 hours.

Not knowing if the nurses had called or not, I asked Xena if she would contact my mother. However no sooner had she started to leave the room than in came mum. A nurse had called and left a message when she was asleep and didn’t answer the phone quickly enough. However the number they said to call back on was a wrong number, so mum just assumed the worst and got straight into the car and drove immediately to the hospital and buzzed security to be let in. It was around midnight. I remember holding mum’s hand really, really tightly as we waited to see what would happen.

It must have been close to 2am when the surgeon decided that it was too risky to let me continue labouring. With Talia in the footling breech position, if my waters broke her body might easily slip out leaving her head stuck, and there was a real risk of umbilical cord prolapse - which could lead to brain damage or stillbirth. I don’t recall the exact sequence of events following that, but I was moved to an operating theatre. I can recall going through a series of swinging doors, like you see at the start of medical dramas on TV. I met a couple of friendly anaesthetists. One was almost a stand-up comedian, he just had one joke after another as he supervised his more junior colleague painting my back with a cold liquid before he put in the epidural. By this stage the morphine had taken effect and I was not in so much pain, but everything felt not-quite-real, as if I was watching it all happening to somebody else. Sleep deprivation may have also been to blame.

I met up with my mother again in the operating theatre. The room seemed to be full of people - two surgeons, the midwife, the anaesthetists, three people from the NICU. I remember that I could feel nothing from the chest down, but from the chest up everything was shaking uncontrollably, as if I was cold although I don’t recall being cold. I didn’t even feel quite so frightened by that stage, just numb and vaguely annoyed that I couldn’t stop my arms from wobbling like jellies. I would have liked to actually see what they were doing but perhaps it was better not to. Mum could see some of the action reflected in the big silver light over the operating table as she held my hand again. She told me about the big blood clot which was behind the placenta, and possibly the cause of my premature labour.

I had no idea how long it would take but was still surprised at how quickly everything happened. They started at 3am. Within minutes Talia was out and being bubble-wrapped by the NICU team. It took a little longer to stitch me back up again, but even so it wasn’t long. A NICU person held a pathetic wrinkly red-faced bundle near me and I reached up to brush a finger on her forehead before they whisked her away. Mum stayed with me in recovery, but I only recall recovering long enough to finally fall asleep.

When I woke up it was morning, and the morphine was like a haze. I was in a private room, and someone had brought me a polaroid picture of my baby. I remember looking at the photo and feeling empty and slightly frightened because I didn’t feel any emotional connection, no rush of love, only blankness as if I was looking at a stranger’s baby. At the same time I felt physically empty too, because Talia had always been a wriggly baby who kicked regularly and I felt barren without the movement inside me.

The rest of the day was a blur. I recall very little, other than speaking to my stunned husband on the phone from Singapore, and my mother arriving with a bunch of striking blue orchids. In the evening I agreed for Talia to take part in a clinical trial, and someone showed me how to use a breastpump.

So much has taken place since then.

Today I made a cake, blew up balloons, got ready for the big day tomorrow. My husband is in Singapore again and it all seems a bit unreal. To celebrate the last few hours of her last day of being zero, I packed a bottle (of milk for Talia) and bought some takeaway and we sat in the park in the twilight and watched the ducks and the dog-walkers together. It was incredibly peaceful and such a beautiful contrast to the same night last year.

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This day last year

March 17th, 2008

It’s mid-evening, March 17.

This time last year I was lying on a hospital bed in a delivery room, two monitors strapped across my belly and a machine next to me like a seismograph printing out the magnitude of my labour tremors.  I think my legs were probably trembling just as badly, they certainly felt like jelly earlier in the evening when the head of the obstetrics department told me I could be having a baby within hours.  I was really, really frightened, and hoping against hope that the medication they had given me would stop my labour so I could go home until my baby was actually big enough to be born properly.

Tonight I baked sesame shortbreads for Talia’s birthday on Thursday, and read a lot of chatter posted by other premmie mothers who I now think of as friends, even though I’ve met almost none of them in person.  Things didn’t go to plan last year, but thankfully, like the best sort of stories, it seems to have all turned out OK.

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Milestones of motherhood #1

March 16th, 2008

Today I made my first batch of chocolate crackles!
Talia supervised from the Bumbo seat on the kitchen counter, and even licked the spoon.
I feel ridiculously pleased with myself for this not-particularly-difficult achievement.

It was almost as exciting as the fact that *drumroll* Talia cut her first tooth yesterday!  Woo hoo!  Just in time for her first birthday.

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An eye check and more than one view of the world

March 10th, 2008

Talia had her 1 year sight check at PMH this morning. It was a formality, less than 5 minutes with the opthalmologist, she has been given the all clear again and they don’t want to see her for another year. Hoorah!

They were running an hour late and we had plenty of time to examine toys, flick through magazines and make idle chatter with other parents in the waiting room. I spoke to two mums and dads of other prems.

One couple had twin girls, 28 weekers for memory, 2 weeks corrected and still incredibly tiny but so cute, dressed in normal clothes and being breast and bottle fed. When Talia was that small, she was still on CPAP, in a hospital top and being fed with an NG tube. Their mother looked at Talia and said she was glad to know that they do eventually grow. I looked at the twins and wondered how on earth I would have coped with more than one baby.

The other couple had a bigger boy who was on oxygen, and when I overheard his name I realised we had met him in the high dependency unit - a 24 weeker, he had transferred to the childrens’ hospital a few days after Talia moved into HDU. At the time of his transfer he’d been in the special care nursery for 8 months. Today his parents told me he has been in the childrens’ hospital for the nearly 9 months since then. The poor little kid is 16 months old and still hasn’t come home, although his parents have been told he should in another 6-8 weeks, barring further setbacks.

So many prems, so many paths.

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First week flashbacks

March 5th, 2008

Yesterday my menstrual cycle returned for the first time in 18 months. It caught me by surprise, great clots of blood in the late evening, and the only thing in my drawer was the remainder of the packet of enormous chunky pads I had been using immediately after giving birth. I lay in bed and memories of that first week of Talia’s life floated to the surface, almost as if they had been hiding in the packet.

It was so surreal, it felt like a dream even the first time around. The wheelchair and the catheter, and the syringe you squeeze to inject yourself with more pethidine. The bruising and the bleeding. Not wanting any visitors, not wanting to see the alien full term moon-babies in the ward. The nurses waking me in the middle of the night for more pills and another blood pressure check. Clearest of all, the nursery with the rows of humidicribs, the glow of the fluorescent lights over the babies with jaundice, the incessant beeping and the bewildering array of monitors with their different coloured lines and the numbers constantly changing.

It was most eerie but most beautiful in the middle of the night, when I came down, sleep-deprived, to express at 3am. It was a world away from the same journey during the day. Walking through the quiet, seemingly empty hospital in my pyjamas. No visitors huddled in the corridor, no anxious grandparents and bewildered siblings, no tearful mothers being wheeled in to see their baby for the first time, clutching their parner in one hand and their camera in the other, nobody chattering about the mundanities of life, only the hushed tones of the night staff almost inaudible above the sound of the pump and the monitor alarms. The windows dark and the overhead lighting subdued although all the machines and the desk lights still glowed, like a scene from a spaceship. Through the porthole window, a tiny, translucent dream-child who should be curled up in the dark sea of my womb, not in this nest of wires and tubes. Her eyes were tightly shut, but her fingers gripped mine with an intensity which gave me so much confidence for her survival.

It felt like a dream, but no dream could be more amazing.

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