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Saffron Aiyanna is here!
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A little behind on this announcement, but I didn't have access to
the internet at the hosp. We went for a growth scan Monday the 2nd to
find out she had not grown in the past 3 weeks. She was still at 3lb
12oz per ultrasound. My blood presure had been 200/120 for most of two
weeks as well. So Maternal Fetal Medicine decided she needed to be
born. As we had been planning a home birth this was dissapointing, but
obviosly needed. Also not having planned on birthing that day we were
totally unprepared and an hour from home. We initially started to head
to the hosp my prior ob was at, but upon them calling and finding out
that the baby would likely transfer to a bigger hosp (the one mfm was
located at and we had just left) we decided to go back there. Upon
arrival and triage the Dr. came in and disscussed our options with us
pushing strongly for a c-section due to the baby's size and gest. age
(35weeks 7 days). After disscussing the pros and cons with her and the
neonatologist, and my midwife we chose to do a trial labor as long as
she could handle it. I did have one of my midwife's labor asst. there
the whole time so that was nice. I was put on Magnesium and pitocin
around 6pm on Nov second. We labored all through the night, on no sleep
from the night before due to a hosp stay for blood pressure. At around
6am I was exhausted as was my husband, and being unable to even sit up,
or any other position but lying down in bed do again to my bp, I
decided to get anepidural, things were not progressing very quickly and
didn't seem to go well at this point... Upon getting the epidural my bp
bottomed out, I almost passed out, and her heart rate was affected. The
Maternal Fetal Med Dr. just coming on duty strongly recommended
c-section, and would not turn pitocin back on due to her stress,
although she had regulated with it off. I chose to see what happened
with it off and after a short time my contracts continued to space out
and I still was 5 cent and only 50%. I elected for the c-section as I
knew the best effort had been given and didn't want to stress her more.
This did terrify me as when I had my prior c-section I felt the entire
surgery and I voiced this to the anesthesiologist. I told him I would
do it all over again that way rather than go to sleep. The next hurdle
to cross was the fact that I was on Mag, and would be on a different
floor, High Risk, than the baby upon bitrh. She would not have to go to
NICU barring complications, but would be in Continuos care nursery. The
policy was mother had to come there for feedings etc. And of course I
was bed bound for at least 24 hrs post delivery. I did fight and
convinced them to bring her to me for feedings and let her nurse in
recovery as well. All this barring complications of course. The
c-section went smooth and very quick. She came out screaming and in
great shape. her apgar scores wer 8 and 9. She did not need oxygen or
any other initial intervention. She was born at 10:15am at 3lbs 9oz and
17.5 inches long. As soon as I got to recovery the tough little cowgirl
she is latched and nursed 5-10 mins!!!! They let her stay with me for
about an hour anda half before taking her to CCN. They then moved me to
high risk. She was great that day and into evening, although the
neonatologist did put her on Iv fluids for sugar regulation and she was
in an Isolet for temp maintainance. The neo also wanted me to
supplement my breast milk with ahuman milk fortifier made by similac
which I refused as I wanted no foriegn substances in her and felt my
milk was best thing for her and could sustain her. I did pump and feed
with a bottle at times to ensure my milk came in as fast as possible
and she got as much as possible. The neo didn't seem to have any faith
at all in breastmilk sustaining preemie babies and continued to show
concern and daily pushed for some type of supplementing. I however
stood my ground as she was continuing to thrive and shock all. By
Saturday I was scheduled to be released and she was thriving and
gaining wieght. She did have one Apnea spell, but self recoveredd. The
Neo said we were running out of Iv sites for the fluids and since my
milk was in and she was doing way above how they expected her to she
was going to stop iv. So much for breast milk not being good enoughhuh!
She maintained her sugar levels well and as long as I could get her to
maintain a minimum volume to sustain her 3lb 9oz wieght they would not
intervien with a supp or feed tube. 10 mins beforeI was to be
released my blood pressure again spiked and I was having visual
disturbances so back down to high risk and a second dose of magnesium.
That hit me hard and made me feel horrible, but we plugged on. She
continued to nurse well taking less and less from the bottle and I was
throwing milk pumped away left and right! By sunday even they were
weaning her isolet temps down. and by monday she was out and in room
temp thriving! I was released monday and parent overnight room was
avail so I stayed at the hosp with her. She was allowed to spend a good
chunk of the time in my room at this point and continued to amaze the
staff. They finally were giving her and me some credit for her
toughness and her achieving things much faster than most babies like
her and still purley on breast milk!!!! Even the lactaion consultants
there were pushing for some type of intervention, it amazed me how
little faith the staff had in the bosy of mother and baby working
together. She was release yesterday, 11-11 at a wieght
of 3lb 13 oz and eight days of age. UNBELIEVABLE!!!!!!!!! Statistically
she should have spent another week there! We are doing great at home and loving her to bits!!
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What an amazing story! Congratulations on your little "cowgirl" (so cute). Very inspirational story, thank you for sharing!!! :) It is proof that moms know best. She is gaining weight better than most term babies that are breastfed. Amazing little girl you have! Can't wait to see pictures if you decide to post them.
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WOW! You are such a strong women! good on you for sticking to your guns....and congratulations on the arrival of your little girl! Well Done
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Congratulations x, but your post makes me angry, how dare they try and push for other suppliment, there is nothing better than mothers milk, why dont these stupid doctors understand. Im glad you stuck by your guns, good luck x
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I can't get my pics to upload here, but I have a few on my blog and will be frequently adding more, Feel free to check it out! http://midasvalley.blogspot.com/ Yes the push for "extras" was very aggrivating. I would no sooner turn one thing down and they would have another to throw at me. I must say in their defense they do see the worst very frequently, likely much due to the supp. and formula, and although they had no faith in breast milk they were not argumntative, they had no argument when I had facts to show benefuts, they did do thier best to support my choices, and didn't do anything behind my back. I will post a timeline of her hospital stay along with the things they wanted to do in case someone else is in the same boat! I strongly believe that things turned out as they did because they needed to see what results can be if mother and baby do "exclusively" breast, and minimalinterventions are used! Someday another baby will come around and maybe mom wont have to fight so hard because they now know it CAN work!!!
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Here is her timeline in the hospital and all the details of what the Dr wanted for her. Hopefully it will be of some help to someone else in the same situation.
Tues 3rd. - not maintaining glucose levels or temp, so in Isolet and I had to choose between supplemnting with formula or IV fluids. Of course I let them put an IV in. They gave her straight fluids and Dextrose is all. She was feeding every 3hrs.
Wed 4th - Dr. concerned about calorie and protien intake and suggested adding human milk fortifier to brest milk. I told them no as it is still formula based and a dead substance to sit in her gut increasing her risk of infection, among other reasons. I suggested using Donor milk if need arose to increase calpories and protien, but the Dr. bulked at it saying she was not a canidate for it and it was too expensive! Hello, if she needs it she is a canidate and who cares what it costs she has insurance!
Thurs 5th - Up to 3lb 12oz, crediting gain all to IV fluids, not breastmilk! Bilirubin good level Still pushing for calorie and protien increase. Lactation consults. also pushing which was even more frustrating than the dr as they are supposed to have faith in breast milk. My midwife came to visit and talked to one of the lact. consults. She mentioned that they were pushing this calorie protien issue, yet were not giving her anything in her IV to boost it. Also that we could skim donated milk or my milk to increase calories and fats.... The Lact. said that if I was against the HM fortifier that we could use Alumentum, DUH, thats formula!
Fri 6th - Concerned they are running out of IV sites and won't be able to use fluids soon. They suggested a breast milk based fortifier that is frozen concentrated breast milk with all the "good" stuff pulled out. They had never used it before! Also mentioned using a feed tube to increase her volume. After discussing with my midwife I decided against using it because it still has additives, mainly Iron and lipids, Double Iron concerned me and lipids are to new to have good evidence for. Funny thing was that she had been aking 13 ml per feeding and the feeding following this discussion she took 60!!! Talk about showing the Dr up!
Sat 7th Fluids removed and a minimum volume set at 28ml per feeding. She was back down to birth weight. Agreed to use tube if needed but not as a prevention, but never needed it. Bilirubin up to 11 so she spent the day under lights. Also had an apnea spell in night but self recovered.
Sunday 8th - Maintaining glucose on her own, still in isolet for temps. Up to 3lb 10oz. Amazing Dr! Bilirubin down so no more lights. Began weaning Isolet temps down.
Monday 9th - Out of isolet in my room for a few hours at a time, maintaining temp on own. Up to 3lb 12 oz.
Tues 10th - Down an oz due to maintaining temp on own. Nursing great!
Wed 11th - HOME
I hope this info can help someone else in a similar situation. My advise is that while Drs. do their very bes to do what is right they are too worried about what might go wrong and jump to intervention as a preventative not using it as needed. I would encourage all to have a back up plan they are confortable with in case something does go wrong, but to not anticipate things going wrong. Babies and mothers bodies know what to do they know what they need, breast milk is made specifically to that babies needs, protien, calorie, antibodies, all of it! Trust the body, trust your gut feeling, even when it contradicts the drs, your gut is usually correct! Have faith and stand your ground.
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Wow what a story, congratulations hun, glad u stood your grounds. Glad you and baby are doing well x
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Wow, what a story! You are a strong mama for sure! Glad to hear that you are both doing so well. And, can I just say how awesome you are for sticking to your guns about breastfeeding?? Just goes to show you that mothers know best, and doctors aren't always right!
 6/3/00  3/21/02  2/6/04  6/1/06  5/5/09 born unassisted at home, in water  Hoping to get pregnant with #6 this year...boy or girl, doesn't matter. I just want another baby! "If left alone in labor, the body of a woman produces most easily the baby that is not interfered with...If left alone, just courage and patience are required" -Grantly Dick-Read, MD "I believe that banking institutions are more dangerous to our liberties than standing armies. If the American people ever allow private banks to control the issue of their currency, first by inflation, then by deflation, the banks and corporations that grow up around [the banks] will deprive the people of all property until their children wake up homeless on the continent their fathers conquered. The issuing power should be taken from the banks and restored to the people, to whom it properly belongs" -Thomas Jefferson
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