Sorry for the break you guys. We welcomed BabyK into the world on July 26th, 2007, just 5 short days after my last post.
Friday morning shortly after I arrived at work, I received a phone call that I needed to come to the hospital as soon as possible to have some blood work redone. My blood platelets had dropped very low and I needed to have them rechecked. While I was there, the nurses noticed how swollen I was. Little had I realized, I had gained 18 pounds of fluid weight within 3 short weeks! While waiting on test results to come back and for the doctor’s final word, they prepped me to be admitted just in case. But, I wasn’t admitted since my platelet count had risen, and was instructed to come in to the doctor’s office first thing the following Monday morning.
That Monday, we arrived at the doctor’s office at 9:30am. The appointment took a bit longer because were were being worked in, but after seeing the doctor, he arranged for an ultrasound to see how big BabyK might be to make a descision from there. From what they could see, he estimated 7.5-8lbs. So, the doctor concluded that even though there was no big sign saying we needed to deliver as soon as possible, there were lots of little red flags.. protein in my urine, rising blood pressure, rapid fluid weight gain, blood platelet issues… and we needed to go ahead and see about inducing. I had dilated over the weekend from 0 to 2cm, so they felt it would be okay. We were told to go home, get our stuff, and be back by 3pm to be admitted to have a Foley catheter procedure done in hopes to make me dilate further overnight before starting the Pitocin drip the next morning.
The only problem I had was the doctor wanted me to remove my insulin pump to prevent lows overnight, instead of just doing a temp basal. So, trusting him and not wanting to buck against him, I did what he asked. But, by morning, I realized I should have stuck with my gut feeling. My blood sugar was well above 250, so we had to wait to start the Pitocin drip. After multiple correction dosages, the nurse I had (who also was a diabetic) convinced the doctor to let me reconnect to my insulin pump to see if we could me into a better range so we could start the drip. Within two hours, we were able to start it, and shortly after, I was in active labor.
Things had seemed to be progressing well, and we had even went ahead with an epidural for pain, when about an hour later, things seems to be at a standstill. I was not dilating any further, or if I were, it was very slow, and the baby’s heart rate seemed to be dropping with each contraction I was having. So the nurse went to speak with the doctor and alert him as to what was going on. A little while later, he came in and said that because of the baby’s heart rate, they felt it was in his best interest to deliver via c-section. This was my last-restort wish, but I realized we were there – we were at the last-resort option to be able to safely deliver him.
So, I was wheeled into the surgical room and prepped. What seemed like eternity now seems only like a second had passed. My CGM was left in the room, and my pump was tapped to my arm. Shortly after Erik sat beside me and the operation began, the nurse told us that BabyK would be here soon be here. And she was right. Within a few minutes, he was here, and his cries filled the room.
While I was in recovery, he was taken from the nursery to the NICU with a falling blood sugar. His body had been used to being exposed to higher blood sugars and his pancreas was still producing too much insulin for his little body. His sugar had dropped from the 40’s to 18, and so he had to be put on a glucose drip for three days.
Meanwhile, I was kept on the critical unit floor for two of those days. I had to be kept on a magnesium drip for what I’m still unsure about, and also a glucose drip to keep me from crashing until we could get my basals readjusted. We did lower them by half as instructed by my endocrinologist, but it still didn’t seem to be enough. So, we were checking my blood sugar every two hours, and more if needed. We had checked so many times by the second night, the following day the doctor issued a “no-visitor” warning, and I was told to rest. So, not only could I not see my baby, but now I couldn’t see family except for my husband.
We were moved to the standard floor the next day, and I was finally able to go see my baby. For the first time since he had been born, I was able to go to the NICU and see him and touch him again. Though it was painful to move around, it was so worth it to be able to see him once again. It hurt to have to leave him there, but I knew it was for the best. They were leaving him on the glucose drip another day and then start weaning him off to see if his body would adjust and not need it any more. The doctor also said that other than having the insulin overproduction / low glucose issues at birth, there were no other signs that he was affected by my diabetes during the pregnancy. None of the things they look for as far as heart defects, body abnormalities, etc were present! That in itself to me was a miracle. And, by that Friday morning, he was released from the NICU and allowed to stay in the regular nursery.
The rest of the stay in the hospital, we battled lots of lows, and rarely any highs. We kept lowering and lowering basal rates, until when I left the hospital, I had gone from 31 units of basal insulin per day, down to 12. We were supposed to be scheduled to leave Friday, but an increased white blood count warranted another day stay for some IV antibiotics to be delivered. Then, just as we thought we’d be released Saturday, we were told we’d have so stay yet again because of the lows I was having. They didn’t feel it would be safe. So, after being held Saturday, and yet again Sunday, we were finally released the following Monday after having a night of no lows!
So, we had a week-long stay. We had a rough start and a rough end, but in the end, we left with a beautiful, healthy baby boy. At 8lbs, 3oz, and 21 ½ inches long, he was (and still is) perfect.
And he was all mine (well, all ours!)
I’ll post once more next week to tell you about how things have gone since we have come home and share my new challenge – balancing baby and diabetes!