Tag Archives: Special Care Baby

Four Weeks of Waiting

Big Bro spent four weeks after his birth, in between intensive care and the high dependency unit. Those four weeks were the hardest weeks I’ve ever had to endure. The not knowing was the difficult thing. From one day to the next, I only had a rough understanding of what was happening – nurses, doctors, surgeons – they were all so busy, rushing from one cot to the next, probably saving lives as they did so. I have no quarrels with Big Bro’s care. They were all excellent, professional and took care of him to the highest standards.

My care? Well that was a whole different kettle of fish.

My first two days in Bristol, were spent on the maternity ward, in a private room. After trying to do so much in the first 48 hours after giving birth, I was more exhausted than I thought and it showed, by almost passing out in intensive care, after seeing Big Bro for the first time since his operation.

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My c-section wound was a mess. I had developed two large holes in the incision, which had been stitched on the inside and glued on the outside. Because the incision was higher up than it would normally have been, it lay precisely at the point where my post-baby belly hanged, forcing all of the fluid that had built up within, to gravitate towards that area and escape via the only place it could – my incision. So, while my body was trying it’s hardest to heal on the outside, within it was only just beginning the process, forcing holes in the scar tissue, in order to get rid of the slough – the nastiness that was trying to escape. I would have a dressing put on and within an hour, I would be soaked through and having to painfully rip the dressing off, so that it could be cleaned and re-dressed again.

After my two days on the ward, a place was found for me in a grotty little bedsit, just across the road from the hospital. My first night in there, I sobbed my heart out. Uncontrollable waves of anguish, grief and hopelessness. Why had life done this to me? Why had it robbed me and my son, from spending the first few hours of his life together? Why did I have to tireless pump milk out of my aching breasts, when I didn’t have the strength to even feed myself? Why did I have to be so far away from home?

The morning after, I woke soaked through to the skin. My milk had come through and my c-section incision, had leaked all over the bed. I couldn’t shower because I was told to keep the wound dry and I feared if I got the dressings wet, I’d have to endure the pain of being re-dressed yet again. I was smelly, dirty – I felt unclean and my mood lowered to the point where I was seriously considering just going home, leaving my son in the capable hands of the professionals. But I couldn’t. The importance of pumping my breast milk, for him to be tube fed through the stomach with, was drummed into me with urgency. My baby needed me.

A place was eventually found for me in more suitable parent accommodation. Ronald MacDonald House it was called and it was beautiful. I had my own bedroom with clean sheets, my own bathroom, a communal dining and cooking area, a place to wash all of my soiled clothing and Big Bros baby grows  It did a lot to improve my state of mind and slowly my strength was gathering once more.  One good thing though, always precedes a bad one, and that day, I was officially discharged from the maternity ward and told to register with a doctor, in order to be treated for my ongoing wound problem, by the district nurses.

I was distraught and totally confused. I thought that I would be looked after until I was better. I didn’t know the area and definitely couldn’t walk very far. But no, this is what I had to do apparently. I was sent away with a handful of dressings, to dress my wound myself, a small supply of blood pressure tablets and a feeling of complete hopelessness.

You carry on though don’t you? Against all odds, you just keep on going because you have no other choice and so that is what I did. That afternoon, I half walked, half dragged myself up to the doctors and temporarily registered there. I then went to the district nurses office, and explained my situation. They were totally perplexed, but took my details and assured me that I would see someone soon. In the evening, sat in my room with radio 1 playing the same song continuously in the background, I finally had a visist from the district nurse.

What an effect she had on me!

She was the most lovely woman I have ever had the pleasure to meet. She took one look at my c-section, which had made no attempt to heal further and tutted to herself. “You now what they’ve gone and done?” she asked, more to herself than me, “They’ve only packed the holes in your incision with the wrong dressing. They’ve put a wet dressing, inside a wet wound! How the heck do they think it’s supposed to heal like that?” Promptly, she cleaned the wound, packed it with a dry dressing, popped a couple of absorbent pads on top, then taped the whole thing down. I felt secure! Every other day she came to do this and I remember the immense feeling of pleasure, of being able to take the dressing off and shower before her arrival. I could actually feel clean and more human and things were starting to heal!

After that I started to gain more confidence and focus better on my son and my own health. I was eating better and had a good store of milk in the freezer. Big Bro was gaining a bit of weight and I’d finally mastered the art of changing a colostomy bag, and feeding him through a tube. It was decided on the fourth week, that Big Bro would be transferred back to the NICU in Exeter. There he would be kept in their high dependency unit, to grow and gain strength,  ready for his big operation in three months time. He would need it – it would be the operation to repair his Oesophagus and give him the means to eat normally through his mouth and it wasn’t a risk free one either. I breathed a sigh of relief at this news. I would be able to sleep in my own bed and jump on the bus in the morning, and spend the day with him. I would have my own things around me, could wash his clothes in my own washing machine. I could start getting his cot ready and buy all of the bits that he would need when he was eventually allowed to come home. I could also heal – both physically and mentally.

When I would get him home would remain to be seen. It depended on the success of the operation he would have in a few months and how he would respond to it after. That however, is for a different post, a post that will be extremely hard to write.

I welcome all of your comments and if you have personally been in a similar situation, then I’d love to hear your story also. If you wish to read the previous posts in Big Brother’s story, then you may find them here:

Oesophageal Atresia | The Journey Part 1

On Needles and Weightlessness

Giving Birth Was Not What I Expected.

My Special Care Baby

My Special Care Baby

 

Faintly, there came a voice – a soft, masculine voice whispering, chanting. I had the vague sensation of choking on something and of a dream slipping away from the edges of my consciousness. The voice grew louder, the chanting taking shape, forming a sound I recognised – my name.

“Stacey, Stacey wake up, wake up now Stacey. Stacey, you have a new baby boy!”

I have a new baby boy.

I opened my eyes and looked around. The labour room – the room where everything had happened so fast. I was back there, but this time there was only me in the room, me and the gentle presence of who I would later find out, was the anaesthetist from my operation. I allowed my eyes to focus, before looking at him, letting him know that I was fully awake.

“How are you feeling?” he asked.

Stupidly, I croaked out the words, “I’m fine thank you”, when in reality I was far from it. I was in pain – a lot of it. My whole body was swollen from the anaesthetic and I was shaking, uncontrollably from the morphine I’d received. That, and the lack of baby.

“Where is my baby?”

“He is fine. Right now he is in the Neonatal Unit – your partner is in there now with him. You will be able to see him soon. Please, for now, get some rest. Everything will be explained to you.”

What would be explained to me, was that upon his birth, it was confirmed that my son had Oesophageal Atresia. This was found out, by inserting a tube down his oesophagus and x-raying where it sat. Unfortunately for him, it sat in a pouch, high up in his chest, instead of passing down into his stomach. My baby would not be able to feed. There was no way for him to get anything into his stomach. This news I was expecting to some degree. What I hadn’t counted on, was the second piece of new.

My baby had no anus. 

There’s no polite way of putting it really. My son was born without the means to allow faecal matter to exit his body. It couldn’t go anywhere! This completely spun me out and all sorts of questions, raced around in my head. Not only could my son not feed, but he couldn’t poo either. How on earth was he going to live? You can’t really heed your doctor’s advice and rest, when you know that your newborn child may die without the proper treatment.

Yet I had no choice. I couldn’t see him yet. He was undergoing various examinations. A plan of action was being written and I didn’t have the faintest clue about what was going on. I hadn’t even had time to think about myself. I hadn’t yet seen my baby and all I wanted to do was to hold him close to me, and keep him safe from the pain and upset that he was about to face. All I could do though was wait. Wait, bed-bound, feverish and weak.

I didn’t sleep that night. I had gone from frozen and shaking, to a raging temperature. I couldn’t move, let alone get out of bed and the one thought in my mind, was of him. Finally, after 24 hours of his birth, they allowed me to be wheeled in on my  bed to see him. I remember it as if it was a dream, floating along the corridor  the clinical scent of the hospital in my nostrils, through big, blue, double doors into the Neonatal Intensive Care Unit, along another, shorter corridor  into a dimly lit room and around a corner, and then…and then to my son.

The instant I saw him, the dam that I had built behind my eyelids burst and the tears pushed forward, in an uncontrollable torrent. Here was my beautiful, vulnerable, baby boy. So alone he seemed in that little plastic box – wires attached to all of his limbs, drips, tubes, bandages – it was so much to take in. Wheeled up beside his incubator, I was desperate to shelter him within my arms and, at last my wish was answered.

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It was one of the single most memorable experiences of my life – made all the more memorable for what would follow.

That would be the first and last time, that I would hold him in my arms, for a while. The tube in his nose, would become part of every day life for us – a tube used to suck the saliva his mouth created, away from his oesophagus, preventing it from building up in his pouch and overflowing into his wind-pipe and into his lungs. It would be a vital part of his next four months in hospital, a simple thing that protected him from drowning in his own saliva and yet causing him pain at other times.

That night, they wheeled him into my room, all cosy, covered up and sleeping in a travel incubator. He was about to be sent to Bristol – where he would have vital surgery to fit a feeding tube, directly into his stomach and to create a stoma, which would enable his body, to rid itself of waste. Both would be temporary measures, to keep him alive while he got stronger, bigger and better able to cope with an even bigger, complicated piece of surgery that would await him and eventually get him on the road to recovery.

The following morning, 5 am to be precise, would see me struggle out of bed and on to my feet for the first time. I would push myself to use the toilet after the extraction of my catheter. I would determinedly shower, despite the blood all over the bathroom floor and the wound from my c-section gaping and weeping fluid. I would refuse the stretcher that would carry me to the vehicle, that would take me  to where my son was waiting and where I would meet the wonderful surgeon, who would care for him for  years to come. The one thing that occupied my mind, was to get there for him – to sign the papers that would give the go-ahead for his operation and to be there for him when he woke up.

I needed him to know that his mother would not abandon him, that I would be there by his side, no matter how much I was hurting myself. What I didn’t realise, was just how much I would be hurting and how isolated I would feel, being away from the people who I would need the most, to get me through it.

Please come back next week, when I will tell you about how me and Big Bro really did overcome those problems, along with his most crucial operation and as always, I welcome all of your comments.

If you are interested in reading the previous posts on our story, you may find them here:

Oesophageal Atresia, The Journey

On Needles And Weightlessness 

Giving Birth Was Not What I Expected