Monday, October 16, 2023

Unimaginable

Each year as October rolls around I can feel the grief settling in. Not that it isn’t always present but it becomes extremely heavy. My mind becomes foggy. Fatigue sets in. 

I have learned over the last twelve years to embrace this time. To lean in to my grief season. I take off work the entire week of A’s birthday. To tap into the grief, I go through his photo album, re-read sympathy cards from 2011, watch movies about death and dying, read books about babyloss and grief. I want to get those big, stormy emotions flowing. I’m going to be lethargic and emotionally fragile this time of year no matter what (it’s like my psyche remembers even if I try to distract myself) so I might as well make it therapeutic. 

This year, with a two-year-old at home, I have packed up my grief kit and left the house. I cannot fall apart when my toddler is nearby constantly needing me and my maternal spidey sense is on alert. So I’m here at the public library, stifling my crying while I sit in a corner with soft instrumental music coming through my headphones and reading Brooke D. Taylor’s memoir, “Unimaginable.” 

Maybe you know Brooke and her story from her blog - by the brooke. Either way, it seems like every other page she hits me right in the heart. Her ability to verbalize the experience of stillbirth and the aftermath is such a gift for me. It affirms what I’ve been through, how I have felt (and still feel). It crystalizes my own experience in ways that deepen my comprehension of it.

I haven’t even finished the book yet (I likely will before grief week is over) but I absolutely recommend it. Thank you Brooke for being brave enough to publish your most vulnerable times and feelings.

Tuesday, October 15, 2019

Grief Doula


Doulas offer support services during labor and delivery and also postpartum when parents are physically and emotionally spent. As I lay in bed reading Dear Cheyenne and connecting with my own grief eight years out, I thought how nice it would be to have a grief doula. The doula would cook soul soothing food (for me, rich soups, pork in any variation and plenty of sweets), make tea/coffee, cover me with a heavy blanket when I sat down to read and journal. The doula would also be unfazed by the intense emotions pouring forth from across the spectrum; quietly moving breakable things out of the way when rage sets in and I physically lash out. Sitting with me while I howl in anguish and choke on my tears. Tucking me in for a nap after all the exhausting grief work.

I think this fantasy stems in part from the solitude of grief; how alone I sometimes feel with all the thoughts and feelings; with the weight of grief. Part of it, obviously, is inspired by how vulnerable I feel when I surrender to my grief. The idea of having someone take care of me when I’m feeling shattered instead of the status quo - me taking care of everyone else in my household.

Maybe there’s a business venture here…

Friday, January 11, 2019

Grief Quotes #8

"In a sense, the process of mourning is an outward expression of that love that now has no physical or interpersonal place to be enacted."
- Dr. Joanne Cacciatore
From Bearing the Unbearable

Thursday, January 3, 2019

Grief Quotes #7

"Grief can be terrifying.

And why would we not be afraid? Deep in grief, we look up and see the reflection in our mirror is not our own, not us as we have previously known ourselves. We are changed, and we do not recognize the stranger we have become. We long for our old lives, our old selves; we crave meaning and belonging - we ache for them.

The yearning is unquenchable.

And that sense of emptiness propels us toward unsuccessful attempt to fill that person-shaped hole. The distractions we use to take us from our feelings are one way we try to state that emptiness.

The only alternative to distraction is being with grief - one painful, terrifying moment at a time."

- Dr. Joanne Cacciatore
From Bearing the Unbearable

This passage resonates with me. Because A was our first child, I had the luxury of throwing myself into my grief. I didn't have living children who needed me to be functional. E stayed home with me for the first two weeks. After that, I had another 4 weeks of maternity leave to hole up and relinquish myself to the waves of emotions. It was exhausting; it was ugly and most of the time I wondered if any of the grief work was having an effect.

In retrospect, I do believe that those early weeks and months of devoting myself to processing A's death and being with the grief put me in a better place when Dragon came along. Once we had a living baby, there was hardly a spare minute to cry and breakdown. If I hadn't faced my grief head-on in those early months, I wouldn't be the functional person I am today.

Not that there isn't a place for distraction in traumatic grief. E and I binge watched every season of The Big Bang Theory (online shows meant no chance of diaper commercials triggering a meltdown). I guess, like most of life, it's about balance. Balancing distraction and "being with grief." And, like most of life, it's easier said than done.

Friday, December 28, 2018

Grief Quotes #6

"There is, I am convinced, no picture that conveys in all its dreadfulness, a vision of sorrow, despairing, remediless, supreme. If I could paint such a picture, the canvas would show only a woman looking down at her empty arms."
- Charlotte Bronte

Thursday, December 20, 2018

Grief Quotes #5

"The thing about grief is that there isn't a place or time at which we arrive once-and-for-all at peace, or healing, or completion."
- Dr. Joanne Cacciatore
From Bearing the Unbearable

Friday, December 14, 2018

Grief Quotes #4

"It's typically American to equate healing with doing something. When we have a problem, we fix it, and we prefer to do it quickly. But fixing is not the same as healing; in fact it can easily get in the way of healing...Healing happens not through doing but through feeling."
- Elio Frattaroli

Friday, December 7, 2018

Grief Quotes #3

"Yet there is no place for the tidy, the neat, or the civilized in mourning.

Grief violates convention: it is raw, primal, seditious, chaotic, writhing, and most certainly uncivilized. Yet grief is an affirmation of human passion, and only those who are apathetic, who stonewall love, who eschew intimacy can escape grief's pull.

No intervention and no interventionist can 'cure' our grief. And we are not broken - we are brokenhearted.

Grief is not a medical disorder to be cured.

Grief is not spiritual crisis to be resolved.

Grief is not a social woe to be addressed.

Grief is, simply a matter of the heart - to be felt."

- Dr. Joanne Cacciatore
From Bearing the Unbearable


Thursday, November 29, 2018

Grief Quotes #2

"Though we encounter it as suffering, grief is in fact an affirmation."
- Leon Wieseltier

Friday, November 23, 2018

Grief Quotes #1

During my grief season this year, and especially over the course of A's days, I read and re-read some of my favorite grief books. Even though I've read them before and even though I'm seven years out, some passages and quotes struck me right through. They are concise, poignant observations or a feeling I carry that someone finally articulated perfectly. I thought I'd share them. This is the first of the series. Maybe one or two with resonate with you too.

This first one is a favorite of mine. It speaks to mustering the courage to face and embrace grief.


"We do not experience grief without love, and we cannot experience the love without feeling grief. When we open our hearts to grief, over time, the delineation between the two states deliquesces. Our hearts open because grief, like love, is a matter of the heart."
- Dr. Joanne Cacciatore
From Bearing the Unbearable

Friday, November 16, 2018

Research Opportunity

Ever since A died seven years ago, I've sought ways to create a positive impact from his short life. We do random acts of kindness in his name. I donate books and funds to loss and bereavement groups. And, on a more personal level, I think of myself as a sort of grief ambassador. Whenever anyone in my life - co-worker, close friend, relative - suffers a loss, I don't hesitate to step forward. I'm not bashful about sending food or about asking how they're doing and offering to sit in the grief with them. I like to think that my willingness to speak of grief, in all its facets, is in some small way working to de-stigmatize death and grief in American society. I also feel like it's a compassionate way to honor A's legacy. With this in mind, it's no surprise that I immediately jumped at an opportunity to participate in a research study about grief.

Fellow bereaved mom and blogger, Jen, is a professor and is conducting research about grief and how the bereaved maintain records and items that connect them to their lost loved ones. You can read more about it on her blog here. It is not exclusive to baby loss and your records needn't be paper documents. If you would like to participate, I assure that Jen will be kind and understanding. Please consider it.


Wednesday, October 17, 2018

Seven


My boy would be seven. S-e-v-e-n. A lanky, second-grader comfortable after two years at elementary school and able to provide support to his little sister just venturing into kindergarten.

Like all of these birthdays, seven seems to hold its own significance. Maybe not in the most direct of ways, like the firstbirthday or even the fifth birthday. But it's made me think about an event I attended at a local Native American community center many years ago (well before I ever had kids which feels like an eternity ago). The speaker presented on the significance of the number seven.

She explained that human embryos begin to develop genitalia at 7 weeks gestation. This is the first outward evidence of gender; differentiation and a step in identity.

At age 7 years, most children are shedding their baby teeth and assuming their adult teeth; another major transformation.

Seven years after that, at 14, another major life milestone - puberty. When adolescents' bodies mature and are now capable of reproduction.

Unfortunately, I cannot recall what she said about age 21, the last in her series of 7-year divisions. But I think it was something along the lines of becoming a full-fledged adult who contributes to the community.

Seven years, is also the state-mandated medical record retention policy in our state. When A died, we took advantage of all available opportunities to try and determine why our healthy full-term baby died suddenly. We signed off on lab tests and agreed to an autopsy and genetic testing. After we had all of those reports in hand, we visited two different perinatal specialists in our area to see if they could glean a cause of death. They each came to different hypotheses; one said it may have been some sort of pressure on the cord. The other said, it could have been an infection. We will never know for sure. One of them did note, that A’s heart was enlarged (per the autopsy report it weighed 17.3 grams, well above the high end of average at 14 grams)

In the months after A was born, I requested my prenatal and labor and delivery records along with all of his hospital records. Fresh in mourning and with an aching heart, I read through the autopsy report. It ripped me apart to read how much each of his organs weighed, trying to avoid thinking about some stranger in a lab coat dissecting my boy, cutting open his body and snipping loose each organ. But we wanted answers, for our sake, for A’s sake and for the prospect of future children.

My recollection was that while reading through the autopsy report, there was a single instance where his heart was reported to have been of normal size. That there was one digit off, a typo. This morning, I scoured the house looking for A’s medical records. I needed to find that autopsy report and call the hospital to have it corrected. This week is seven years since treatment, which means they’ll destroy his medical records this week. I need the record to be accurate.

The records weren’t in his box – the one with all his memorabilia. They weren’t in my filing box. They weren’t in his binder that holds his photos. WHERE ARE THEY?! I began sobbing, hyperventilating, spinning into a panic. I had to find them. The hospital will destroy them any day now. This is my last chance to set the record straight.

Finally, in the farthest corner, in a bin I didn’t even remember we had, I found the records. I sat down and went through them again, agonizing over words like “the usual Y shaped incision was made.” I read through the entire autopsy report and didn’t find the discrepant heart size. I re-read the autopsy report. I again, only found the 17.3 gram reference. I picked up the thicker stack of records; my medical records and went through them page-by-page. No discrepancy. Had I misread it all those years ago? Am I misremembering now?

I went through A’s and my records several more times searching for a different measurement of his heart. Nothing.

I have resigned myself that I will not be reaching out to the hospital to right an incorrect report. But I don’t know if I’ll ever shake this nagging feeling that it was an error.

And what does it matter? So what if his heart was enlarged? His brain was also much above the high end of average weight. (Oh the thought of his skull being opened and someone removing his brain with two hands and placing it on a scale!!!!). It may not be an important clue in this medical mystery of why he died. Maybe more than anything, it’s just a manifestation of my need to parent my dead child and there being so few opportunities to do so.  

Monday, October 15, 2018

Grief Week

With seven years of grieving experience, I have come to know what to expect during my grief season and what I need. This week is A’s seventh birthday. I planned ahead by taking the entire week off of work so that I can fall apart and get in touch with all of the emotions I so often quell throughout the year. I also stocked my freezer with ice cream and my pantry with Oreos*.


Image result for oreos

This morning, E and I drop the girls off at their schools and he continued on to work. I returned home and set up (grief) shop. A thick blanket on the recliner, water bottle and coffee within arm’s reach, a box of tissues, A’s tiny urn. I settle in and delve into books that get me in touch with my grief and that validate my feelings and my experiences (like They Were Still Born and Bearing the Unbearable and Love You Forever – all of which were written by bereaved parents).

This week, for me, is an opportunity to inhabit my grief. I wade into the thick stew of emotions and, without judgment, embrace whicheverfeelings come. I give myself permission this week to fall apart; to abandon my usual responsibilities (ie regular showering, laundry and making meals for my family – we’ll subsist this week on pizza, frozen chicken tenders and mac-n-cheese) and to do whatever feels right in the moment. Could be sleeping. Could be exercising. Could be gardening. Could be journaling.

I will go through A’s pictures; all of the ultrasounds and also the photos of our one day together. I will watch the short video my husband took, unbeknownst to me at the time, while I cradled that long, limp boy and delicately caressed his perfect body while quietly uttering, “I don’t understand.” over and over again.

I will listen to songs that trigger tears. I will bawl, howl and sob. I will re-read the condolence cards we received seven autumns ago (only those with heartfelt, genuine notes). I will mound the used tissues up, wet with tears and snot, until they topple onto the floor.

I will honor my love for my boy by honoring my grief over his absence.



*I am in no way compensated for promoting Oreos. I doubt Oreos need any promotion.

Thursday, October 13, 2016

Fives Year Out

Five years old feels like such a milestone. Kindergarten, big boy interests, growth spurts. And yet, there is so little to say because I’ve said it all before. I wonder who he’d be. I wonder what he’d look like. I want him here in the midst of our hectic, messy life. I want him here with his little sisters. I want very much to know him.
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A’s death has undoubtedly affected my parenting. In many ways, I am a much better parent because of A and because of his death. But there is also a level of fear that I don’t think non-babyloss parents feel. I fear that my living children will die or my husband. Because this terrible tragedy befell us with no warning sign, no explanation and not due to anything that we did, it often feels like bad things will continue to happen to us.

This paranoia was clear over the winter. Baby Sheep was still a smooshy infant and we had gotten her accustomed to sleeping in her crib in the room right beside ours. If she got cold during the night, she’d wake up, which sucked for everyone. But if I overbundled her, I was sure I’d kill her. (Overheating has been linked to an increased risk of SIDS). So there I was every bedtime stressing out, standing at the changer hemming and hawing over what to dress her in. I’d finally decide. Zip her into her sleepsack and put her to bed. Later on, while laying in bed myself, trying to fall asleep, my anxiety would rev up wondering if she’s quiet because she’s sleeping soundly or because she’s dead.

She did not die last winter and at 15-months of age now, I’m (a little) less concerned about SIDS. But every night for months I was sure the pajamas I chose were going to be her demise.
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A’s birthday falls on a Monday. E and I are both taking off of work but still sending the girls to preschool and the sitter respectively. We don’t have definite plans but I expect we will go through A’s photos, finger the soft tuft of his hair and cry…a lot. I’d like to spend some time outside. There is something soothing about being in the quiet of nature.

We’ll pick up the girls a little earlier than usual and head to the local toy store to pick out something 5-year-old A would like. Maybe we’ll do something fun like last year or maybe we’ll stop for a special treat at the ice cream parlor. And every year we do an act of kindness in A’s honor. Though we haven’t decided what that will be yet.


All of these things are good and I want to do them. But there is still part me that is angry and resentful. Makes me want to knock all of the toys off the shelf at the store; throw my ice cream cone against the wall and scream at the happy “complete” families walking down the street. Because photos, snippets of hair and “would be” fantasies are not enough. Nothing will ever be enough to right the wrong of his absence.

Tuesday, April 5, 2016

Why he died?

Dragon, age 3 years 1 month, in her bed looking up at A's photo on the wall:


Dragon, "Where's A?"

Me, "He's right there, on the wall where he always is."

Dragon, brow furrows, pondering

Dragon, "He died?"

Me, "Yes, Love. He died."

Dragon, "He passed away?"

Me, "Yes, he passed away."

Dragon, "Why he died?"

Me, "We don't know. He was just a little baby when he died."

Saturday, October 17, 2015

Four Year Ramblings

My sweet still baby would be fours year old. He’d be more than a month into pre-K by now and getting excited for his birthday and Halloween shortly after. I’d be bustling around to get all three kids ready for Halloween, decorate, stock up on candy and also plan my son’s fourth birthday party. I imagine he’d be more of a boy and not so much “toddler” anymore. I’d marvel at how fast the time goes and swoon over the memories of him as an infant. What was his first word? When did he take his first steps?

I do not feel like the mother of a four-year-old. And I certainly don’t feel like the mother of a boy. Our girls are not girly by any means, but they aren’t the energy balls so often prone to destruction that little boys tend to be.

E came home from the grocery store the night before A’s birthday with a pack of beer and two packages of Oreos. Let the emotional self-medicating commence. (I’m shoving fistfuls of Oreos in my mouth as I type this. It doesn’t make me feel any better but it’s kind of a distraction.)

I watch Dragon play with the four-year-old neighbor boy – born 5 months before A – and instantly my mind fantasizes about her interacting with her big brother. She watches the neighbor boy enthralled with his super squirt gun but she has learned not to grab or even ask for his things because he is not a good sharer. She waits until he drops the squirter to get another toy and then swoops in behind his back and starts fiddling with it. She’s trying to figure out how it works, but doesn’t want to ask because that would draw attention to the fact that she now possesses the coveted toy. She emulates whatever he does. You can see the adoration in her eyes as she watches the neighbor boy. On days when it’s just us at home, she’ll pick out a shirt to wear and tell me that the neighbor boy “likes this one.” Why is she seeking his approval? Must be that he’s older and she looks up to him. I can only imagine what kind of big brother A would be. I’d give anything to watch the three of our children play/argue/fight together like normal siblings.
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“What do you want to do for his birthday?” I ask E. He thinks briefly and says, “Something he’d want to do.” I suggest the zoo, museum, bounce house or indoor trampoline park. “All of them?” he responds. My brokenhearted husband, I know it hurts even when, most of the year, you don’t let on.

So this morning we set out to have a special day for Big Brother’s birthday, doing things he’d like to do as a four-year-old. We went to the trampoline place and then out to a restaurant for lunch. A nice elderly couple complimented us on how cute Sheep is at 3-months old and joked with E that two daughters is really like having three wives. No mention of our absent son.

I wish had more time to spend with my son and with my grief this fourth year, but a 2 ½ year-old and a 3-month-old don’t allow for much alone time. In fact, I’ve hardly cried so far this month. I think it’s mainly because if I have a moment of time to myself, I try to lay down (not a whole lot of sleeping going on. Eh hem, I’m looking at you Baby Sheep.). Finally in the shower this week I began sobbing. Now I just need like 15 more showers this weekend to get all the emotions out.


Four years old and I wonder who he’d be. Four years old and I miss him like crazy.

Sunday, July 19, 2015

Sisters

Baby Sheep (it is the Year of the Sheep per the Lunar Zodiac, hence the nickname) was born at 39 weeks 2 days. We had initially scheduled the C-section for 39 w 6 d to give my body as much of a chance as possible to go into spontaneous labor but then we started to panic. We had been doing kickcounts 3-5 times each day including 2-3 times overnight. Three out of the last four nights, Sheep's ovenight kickcounts were real pokey. We'd freak out. I'd chug orange juice and lay down again anxiously awaiting the kicks to start coming. Even the 3 visits per week couldn't quell our worry. So we figured, what's an extra 5 days? We're already past the 39-week mark which is the earliest our doc would do the elective section. We figured baby was robustly full-term by 39 weeks. Why put ourselves through the constant terror for 5 more days? Why push our luck? Sometimes it felt like each day we were risking the baby's life; gambling even.

So I called my doctor who was incredibly understanding. It was late in the afternoon but she said she'd call the surgery scheduler at the hospital first thing in the morning and let us know if they could get us in. Sure enough we got the call that there was a slot open in the afternoon. Immediately I felt relieved knowing this kid would be here TODAY but I was also really nervous about the surgery. I delivered A vaginally after medically inducing and Dragon was born after a successful medical induction that went awry and resulted in an emergency C-section with me knocked out under general anesthesia. The thought of a needle in my spine gives me the heebie jeebies and being awake during surgery (knowing what's going on on the other side of the drape even though you don't feel the pain) straight up turns my stomach. But the thought of this baby dying after 9 long months of vigilance was scarier than facing the C-section.

The spinal wasn't as bad as I thought it'd be. The operation was off the creepiness chart. I mean I could hear the scissors clicking and feel the little pulls as they cut me open. GROSS! Luckily, it wasn't too long after the surgery began that Sheep was born. I was surprised it was another girl. I guess down deep I was convinced it was a boy. As soon as E announced it was a girl, I began to sob, right there on the OR table. That plus hearing her little cry and knowing she was alive and well was overwhelming.

She resembles her older sister though they aren't identical newborns. And speaking of sisters, holy crow how am I going to raise sisters? I have a single brother and every set of sisters I know - young and old - are a mystery to me. There is this bewildering dynamic where a sister will literally die for the other, but then can turn around and say the nastiest things imaginable and know exactly what buttons to push. I just don't get it. I guess the girls will have to teach me. "The girls," it's strange to say that and think of "our girls" now that we have two. It's going to take some getting used to.

I am also anticipating lots of comments from strangers about our girls and each time will feel the pang of our missing son - we don't have just girls. But that's for another post.

In the meantime, I'm going to put my feet up before Sheep is ready to nurse again in another 45 minutes. I look at her chubby cheeks and sweet face and cannot believe she is mine. She is mine and she is mine to keep. We actually get to take her home with us. I'm so grateful.

Monday, July 6, 2015

One Way or the Other

I’m almost 38 weeks. Because no one knows why A died at 40weeks 4 days, my doctor won’t let us go past the 40-week mark with this pregnancy. I don’t disagree with this strategy. However, due to the details of my emergencyC-section with Dragon, I am not a candidate for an induction this pregnancy. This is disheartening because induction, though not ideal, has been a nice middle ground for us because we didn’t have to wait past the due date and I did’t have to deal with the risks and ordeal of major surgery.

Except now I do. Or at least, I might. If labor doesn’t start spontaneously before the due date, I’ll have a scheduled C-section. The doc will do it as early as 39-weeks but after E and I discussed it, we’d rather wait the extra 7 days and schedule it for 40-weeks. The doctor isn’t available on the exact due date so we’ve set it for 39 weeks 6 days.

I very much would prefer to deliver this baby vaginally. I’ve had both a vaginal delivery and a C-section (under general anesthesia) and can say that I prefer the vaginal experience and recovery. Plus, for four years I’ve been thinking about and planning for a natural childbirth. I’d like to know what it feels like. At this point, it would be very healing and redeeming. I think it would also help me to regain some trust in my body after being so brutally betrayed by it. 

While I wish for spontaneous labor, I realize it is unlikely. With A, I was barely 1cm when we induced the night we found he was dead; I was at 40 ½ weeks. Last checkup, on Tuesday, I was 50% effaced, barely 1cm and -3 station, so nothing really happening. I am tempted to intervene with homeopathic labor inducers – evening prim rose oil, acupuncture, etc. but I worry about pushing my body, and baby, too hard before it’s ready. I’ve met those families who went in for a checkup at 38 weeks, had the membranes stripped, contracted all night at home, went in the next morning and the baby was dead because it was too stressful for the baby. I guess we’ll stick to sex and walking since those seem to be less aggressive.

I’m trying to keep my perspective that although we’re anxious to get this kid out, I don’t want to gamble the baby’s well being just to ease my worrying.

As you likely know, a significant number of intrauterine deaths happen overnight. There are several different theories –  low maternal blood pressure, melatonin levels, etc. – and I have always suspected that A died overnight based on his normal active periods. This, of course, makes nights nerve wracking. Several weeks ago, E suggested I drink a large glass of water before turning off the light at bedtime and then, when up to pee during the night, drink more fluids to ensure that I was up at 2-3 times each night. This would buoy my blood pressure and give me a chance to pay attention to baby’s activity during the night.

That strategy has hardened to setting an alarm to wake every 2 ½ hours over night and do kick counts – sometimes we check in with the Doppler too. It is rather miserable to be forcing my waning will power to wake when I’m so flippin’ exhausted, but if a few weeks of sleep deprivation means getting baby here safely, then it’s worth it. I say that, but I also recognize how quickly things can change and that this baby could very well die during one of the 2 ½ hour periods between kick counts. Are we really protecting our child? The only certainty is that it alleviates some of the helplessness we feel as parents.

In addition to the vigilance at home (I’m doing 5-6 rounds of kick counts each day, including the overnighters) I am also going for regular OB visits once a week and biophysical profiles twice a week which is 3 appointments each week. I spread them out so that a professional is checking in on the baby every couple days. Again, the peace-of-mind is short-lived because the minute the ultrasound wand comes off my belly, I know that kid could go into distress and I may, or may not know it and it could all be over. There is just no reassurance for a babylost mom.


And so, this baby will be born one way or the other – vaginally or C-section, dead or alive – in the next couple weeks. I will be sure to post something once baby arrives.

Tuesday, June 9, 2015

34 Weeks

I'm 34 weeks and am unraveling. Like my friend Jen said, at this point the baby would likely live if it were born but it's all on you to notice if something abnormal is going on in there. The truth is I'm not confident in my ability to detect if something is wrong in my own womb.

The anxiety and worry are ramping up. For example, Baby #3 has had the hiccups several nights each week for the last couple weeks. I lay there and wonder if I should act. Yes, hiccups are considered "good" because they're evidence of practice breathing in utero. But they can also be a sign of distress that there's intermittent cord compression and it's baby's body's natural reaction to try to get up off the cord. If I wait until the hiccups are over, then fall back to sleep and the baby is dead by morning how can I live myself? But can I really put myself and E through the fright of running to the ER three times a week in the middle of the night and having to call someone to come stay with Dragon while she's sleeping? 

Or how am I supposed to know if that burst of vigorous movement is a reassuring sign or a redflag that baby is in distress and trying desperately to reposition? 

I'm doing the best I can to walk the line of vigilance and hope. I cried through most of my checkup today. Not because the baby is in danger. Simply because there is so much pressure on me to be attuned to what's happening inside my body and I don't trust myself or my body to keep this baby safe. 

Presently I attend regular OB checkups and also weekly biophysical profiles with a perinatologist's office. This means a professional is checking in on the baby every 3-4 days. It's always nice to check in but I know how quickly things can change so the peace-of-mind is short-lived. 

Further, the weekly BPP's only take specific measurements and don't look for cord entanglement. We don't know what killed A, but two separate perinatologists have theorized it was an umbilical cord accident of some sort. He was born with a single cord loop around his neck; though they don't believe this is what killed him. Fifteen months later, when the specialist saw the cord wrapped around Dragon's neck twice on ultrasound, he recommended we induce that day at 37 1/2 weeks. I'm batting a thousand when it comes to nuchal cords. 

Yes, I realize the cord is floating everywhere and with a big ole third trimester baby it's hard to visualize the cord. Yes, I understand the majority of babies who are born with the cord around their necks are totally fine (85% is the statistic I've heard). But if something happens to this kid and it could have been prevented or I could have taken some sort of action...how the hell am I going to live with myself? These were the bullet points of the back-and-forth conversation I had with my OB provider today. Her point is, what are you going to do if there is some sort of entanglement? Implying that ignorance is bliss and looking for entanglement at each week's ultrasound will only cause me to worry more. I don't know what I'll do if they see something suspicious. It really depends on the circumstances. Is it a single nuchal cord? Is the cord around baby's neck and also looped around the ankle? Is there a true knot in the cord? 

I do feel that I'd be more levelheaded than I was when approached about Dragon. Instead of immediately pulling the trigger (without even discussing it with my husband), I'd ask the specialist what the alternatives are, get input from my OB provider and think it through a little before making a decision. Yet I know from experience, it's hard to keep any faith when you're so scared and so vulnerable and the stakes are so high.  

So after a tearful conversation (I think I've cried at 60% of my OB checkups this pregnancy), she agreed to send the order to the perinatologist asking them to look for entanglement while they're doing the BPP scan each week. My husband's response to this sums it up, "Thanks for being such a great advocate for our children both dead, alive and cookin'."

I am trying to take it day-by-day but damn these emotions are getting the best of me.  

Saturday, April 18, 2015

3 in 4

I am 26 weeks pregnant with our third child. This baby is due in July, at which time Dragon will be two-and-a-half and A would have been a few months shy of 4-years-old. Three kids in under four years. Which is odd because it doesn't feel like we have three kids. There is only one spirited 2-year-old standing in front of us; that's it. 

Like other babyloss moms who have had multiple rainbow babies, (Caroline, Brooke and Catherine for example), I have found this current pregnancy to be less anxious (thus far) than my pregnancy with Dragon. Keeping up with a 2-year-old, coping with extended morning sickness and battling what seems like every bug and illness this winter has left little space or energy for worrying. Of course I have.

I went in when I was sick with the flu and my temperature wasn't coming down. I went in after having some sharp, albeit brief, contractions one night. I went in after the hummus brand we buy every week was recalled for listeria and I had a bout of chills, body aches and low grade temperature. Each time, all was well and baby continues to grow.

Initially, my concern over this baby was more of a resignation. Each pang or cramp made me think, "Well that's it. We lost the baby. I'll just wait to start bleeding." Whereas with Dragon, it would have set me into a tailspin of panic.

As the pregnancy has wore on (and my physical misery of constant morning sickness has abated), my anxiety has ramped up. Maybe it has to do with reaching viability. Before 24-weeks even if I was going into labor, I wasn't convinced they'd do much to try and save my baby. Wow! Writing that sentence was a bit of revelation. I clearly still harbor lots of resentment that modern medicine and science couldn't save my healthy full-term son.

With Dragon we checked in on her often with the Doppler we bought for home. E even went as far as to conduct non-stress tests at home in late pregnancy – that’s a whole other story. This time around, we've only reached for the Doppler a handful of times. We'll start daily kick counts in a couple weeks, which may prompt more listening in. 


Either way the hope is still the same; get this baby here alive and well. Get through each day and try to find reassurance that we’re that much closer to the end of this odyssey.