Well, I have to say. I thought Ezra came into the world fast and furious, but Titus definitely has him beat! I have to warn you, my experience (though I was completely "under") is pretty intense, so if you continue reading, the paragraph denoted with *s is a little unsettling.
Monday morning at about 2:15 am I awoke to a contraction. Nothing major, just discomfort and tightness. I'd been having a contraction here or there, and one night had a few in a row, but they always just stopped (2 or 3 in the morning seems to be my trend for starting labor!). These kept on going, about every 15 minutes, so around 5 am I called the nurse to let her know, and called Nick around 5:30. They took me to labor and delivery so they could keep a closer eye on me (i.e. hook me up to all the machines again!), started and IV, and we just waited. Nothing really changed for a couple hours. My parents and the kiddos came for a short visit at about 10:30, staying for about an hour. Right before they were about to leave, I started feeling queasy, and my dad shuttled the kiddos out of the room before I lost it. I hadn't eaten since dinner, which is torturous in and of itself, so it wasn't too bad. I should have KNOWN then that things were moving along swiftly, since I've had it happen with both my previous labors. The nurses and doc were well aware of all that was going on, so I said bye to the kiddos, and about 30 minutes later things got crazy!
I started having faster contractions right as my parents were leaving, (3 min apart), a bit more intense than before. The doc had checked me a little earlier, and I was not dilated at ALL. After 20 min of more intense contractions, he came back and checked again, and said it was time to MOVE. I could feel baby moving lower, and the midwife on duty was right by my head telling me NOT TO PUSH. They wheeled me into the OR, and it was ALL I could do to not push. He was COMING! Unfortunately, he was still breech, and not at the preferred size/week for them to feel like a breech natural delivery was an option yet. Cesaerean was on the menu, so they got me on my side to get a spinal block in (with me, again, trying with all my might to NOT push, which is nearly impossible. Truly. He was about to come out anyway, and the doc was literally holding him in. They did not want him to come partly out and then have his head get stuck.) While they were injecting the spinal (which really didn't hurt bad at all, but at the same time there was so much else going on that I don't think I would have noticed anything anyway), I heard the doctor say we didn't have enough time to wait for the spinal to take effect (the anesthesiologist was pinching my belly to see if I could feel it, and I could), and before I knew it, they had a mask on my face and were telling me to breathe deeply. Breathe I did, because I knew they were going to cut ASAP, and I didn't want to remember that, let alone feel it. Thankfully, whatever I breathed in did it's magic, and I don't remember anything at all.
Meanwhile, Nick had gotted ready to come into the OR, but once they decided that they had to put me under general anesthesia, he was no longer allowed in the room. He had to wait back in the L&D room by himself for awhile. I know at some point my parents came, and our pastor and good friend Ben came to keep him company, and keep him from going crazy not knowing what was going on. They waited for 5 hours or so, I believe. Nick was sitting there, occasionally hearing announcements over the PA for more docs to come to the OR "STAT," which does nothing to help a husband's concern level for his wife and child! He did get a few updates now and again, but not enough to keep him from being very concerned. A c-section should only take about 45 minutes, but I was in surgery for over 5. That would definitely be concerning. He got word that our little baby was born (I was in the OR at 1:05, and he was born at 1:12! Now that's some fast work!), and doing well, but no one told him what the gender was for a while, either! I feel so bad for him! I, of course, had no idea what was going on, because I was completely unconscious. He got enough info to hear that I was okay, there were complications, but nothing life-threatening.
I awoke during transport to the recovery area, and Nick was with me. He told me we had a beautiful boy, and he was stable and doing well. I was very groggy, and tingly and slightly numb all over, and was having a little difficulty breathing (they intubate you while you're under general anesthesia, so it's pretty uncomfortable to breathe after that as your throat's really sore. Plus, I could feel junk in my throat/lungs, and couldn't cough it out easily due to the surgery.), but otherwise feeling okay. I asked what time it was and he said it was about 7 pm, which was very surprising to me. I was in recovery for an hour or so before they wheeled me off back to L&D where they would keep a close eye on me overnight. I felt okay, just really groggy and tingly all over as they had given me both a spinal and general anesthesia. Breathing was easier, but still not 100% easy. My parents came to check in on me, having taken our kiddos over to our dear friends' house to spend the night. Our night was okay, I was able to doze off and on, what with nurses coming in and out, and pain meds making my breathing slow, which makes your oxygen levels low, which causes the machines to beep and wake you up so you breathe more. Crazy!
The next morning we were up around 7, and I ate a little yogurt and eventually some oatmeal, too. Nick had roomed with me that night, for which I am thankful. I know he had quite a scary day, so it was comforting to both of us to be together. We had many visits from all the different doctors that were part of our surgery and recovery--two or three OBs, the high-risk OB, the NICU head neonatologist, the anesthesiologist, and multiple nurses. Everyone was glad to see me feeling okay, and many told me I gave them a bit more exciting day than they were planning! I worried some of the nurses, too. After all those docs, I got a much clearer picture of what exactly happened during surgery.
**Warning, some intense info to come in following paragraph**
Like I said before, Titus was breech, and not at a developmental stage recommended to do a natural birth. We agreed, and so knew we'd be going in for a c-section. With all that I described above of the things I remember while I was still awake, things progressed a lot more quickly than the staff was anticipating (or me, for that matter!), so it turned into a much more pressing situation. They got me under anesthesia very quickly, and started their incisions. Ideally, you have two horizontal incisions made in the low abdomen--one through external tissues (skin) and a little muscle, and then another incision in the uterus. They like to do the horizontal ones because they are usually smaller and less invasive. They also usually allow for the mom to try for a natural birth later on, in some cases anyways. They made my initial horizontal incision, and then discovered that a horizontal incision inside would not be possible due large vascular tissue (veins and such that they did not want to cut through as it would cause excessive bleeding). Instead, the doc made a vertical incision. Mind you, remember that Titus was trying to get OUT all the while. He was not still fully in utero, so it was essential to get him out fast, as his stats were falling (most likely due to the umbilical cord having pressure on it). While making the incision, little Titus got a small cut on his shoulder because the muscle of the uterus was thinner than expected. They got him out quickly, though, and handed him off to the neonatal doc and nurses to get him stabilized. Initially they had to intubate him, as he was starting to have some difficulties breathing on his own, but the tube came out within a few hours. After they got him out, the doc was still working on me, cleaning out everything that needs to come out. They discovered that the uterus and placenta were infected, which is why the muscle was thinner than expected, and why all of the early labor, etc., happened in the first place. How the infection started is still undetermined. It caused the uterus to be weaker, resulting in some tearing and more stitches for mom. That's why the surgery took so long, as they had a bit of repair work to do, and wanted to make sure all the infected tissues were removed, etc.
**graphic account concluded**
All that being said, things are not as bad as I'm sure Nick worst fears were while I was in surgery, and he didn't have hardly any information about what was going on and things took WAY longer than expected. The docs are all very positive and reassuring that my recovery will be good, I will be a little more uncomfortable than a "normal," planned c-section would be, but I will heal fully and be just fine.
Our little Titus is doing great! He was just over 4 lbs at birth, which is a GREAT weight for a 31 week old baby. He got the ventilator removed within a few hours post-delivery, and just had a nasal canula (the tubes that stick just up into your nose), but no extra oxygen, just regular air. That was removed yesterday (about 24 hrs post delivery), so now he's just breathing room air on his own. He had two lines going into his umblical cord, one to an artery and one to a vein, but the arterial one was removed as well. The one he has now is used for IV, and some nutrition. He has a bunch of monitering wires stuck in various places, and a feeding tube through his mouth into his stomach. (which he has already pulled out a few times! He's a feisty guy!) He looks great and is doing really really well. I got to see him last night for the first time, which was wonderful. I got to touch him and be able to comfort him while the nurses did a few things, and should be able to hold him today. He's eating pretty well, as much as I've been able to provide for him as well as some supplementals. He's definitely a tough little guy. We will be in for the long haul, though, as he won't be going home for at least 5-6 weeks, potentially longer if he has difficulties at some point. I should be able to go home by this weekend, but am not pushing to get home sooner than that! We'll keep you posted, don't worry! We're just thankful that both I and Titus are doing well, and praise God that things ARE so good, and that Titus got a couple more weeks in my tummy to grow and develop.
Prayer requests:
*For Heather's recovery to be as comfortable as possible so she can begin caring for Titus more
*For Titus to continue to grow and mature his lungs and other organs. Things have gone really well so far, but it's only day 2!
*For our family as a whole as we adjust to living half at home and half at the hospital. We still have no idea what this will quite look like yet. We do have help, though. My parents were able to meet little Titus the first night, and I know when Nick's mom gets here she is looking forward to being able to meet him, too. Stella and Ezra are both really excited, and looked at pictures and videos of their new little brother with rapture. They both have runny noses and gunky eyes, though, so their formal introduction will have to wait a little while. I know this is REALLY hard for Stella, especially. She seems to be handling it okay, though.
Thank you ALL for your prayer and support. We will let you know if there are any other practical ways you can help while we're adjusting to our new life this next couple weeks. Nick will be able to have a lot of time off work, thankfully, so that is a huge blessing in and of itself.