Brook's First Five Days
Day One
We arrived at the hospital around 8am on the 11th of June 2001. No sooner had our Midwife got us a room in the Maternity Ward and there was an orderly waiting to rush us off to the operating theatre. We had not even started the pre-op checks.
While Joss was having needles poked into her spine for a spinal block pain relief, Cam was left in the broom closet come visitors changing room. The waiting seemed amazingly long as they had to perform the pre-op checks, and Cam was thinking he was forgotten about and the whole operation would be over before they remembered to collect him and bring him to the operating theatre. But no they did remember to collect Cam and by the time he was well hidden from all the gory stuff behind a sheet up by Joss’s head the operation was ready to start – 9:10am.
After a lot of pulling and tugging, Brook was born at 9:25am and Cam sneaked a peek as Brook came out. The doctor held up our new baby for us to see – Joss could only see his feet but he was a healthy blue little man.
Brook was then given the once over by the Paediatric Doctor and we could both hear him cry and Cam could see him wiggling away. So there was no problems for Brook scoring an APGAR score of 8 at one minute old.
As the long task of sewing Joss back up began, Cam was able to cut the umbilical cord – a rather larger, thicker, and stronger cord than one expects! Afterwards Cam got to give Brook his first cuddle and Joss got to see his face for the first time – oh so cute! Then he was whisked away up to the Neo Natal Unit.
Joss was into Recovery by 10am and cleared back to the Maternity Ward by 10:45am.
Brook weighed in at 4150 grams (9lb 2oz for the older generation) and had to stay in the Neo Natal Unit for monitoring of his blood sugar levels and oxygen stats. Brook started out a full 55cm long with a head circumference of 37.5cm. He was given heal pricks for taking blood tests every half an hour which produced the most amazingly grumpiest faces ever. Meanwhile Joss was trapped in the Maternity Ward and unable to see Brook in his wee oxygen tent.
Brook was brought down for a quick visit mid afternoon allowing Joss her first cuddle, a very emotional time. The visit was short but he was soon back again at 6pm and this time he stayed for 2 hours. This was the start for breast feeding – not particularly successful initially as Brook could not keep himself awake, nor was he too good at sucking. Thus his first couple of feeds were via tube. He came down again around midnight and Joss was able to give him his first successful feed. Not a particularly big feed as Brook would only suck a couple of times before giving up.
Day Two
Day two starts and Brook is transferred down from the Neo Natal Unit to Joss at 10am. With a full head of hair he’s swooning the nurses already. Can you believe that we never knew Joss’s blood type? They did not even have it before she went into the operating theatre. Well we found out it was Group O RH negative. Luckily Brook has the same blood type so Joss did not require the anti D injections.
Brook’s breast feeding methods start to improve but he is still quite sleepy and as his skin tone is yellowish the doctor suspects Jaundice and orders a test for the next morning. Otherwise, his blood sugar levels are good and we’ve started expressing milk (colostrum still at this stage) to ensure he is getting enough food.
Joss has a terror of a night with Brook who would not feed well and appears to have a grumbley tummy. Joss has the pleasure of changing a very pooie nappy with the sticky meconium all up Brook’s back. Nice.
Day Three
Day three starts with some poor lab tech collecting blood samples for the Jaundice and Guthrie tests. With all the blood tests Brook had already endured, this was like getting blood from a stone. Half an hour later the ordeal is stopped and unfortunately the Guthrie tests will probably have to be repeated.
Joss and Brook have a good go at breast feeding around midday and Brook is soon fast asleep – nothing like the previous night! The Jaundice test comes back with a result just borderline for requiring photo therapy treatment. We thought this was good news as Brook was looking less yellow and thus expected the bilirubin levels had peaked and were coming down. Thus if Joss’s blood pressure held steady over night we were looking at coming home the next day.
We found out we had the first baby born in Southland at the start of Parent Week (first of 9 that day!) So we received a gift parcel from the Parent Centre Group.
Feeding is going ok, Brook is still a little lazy at sucking and gets panicky when the food does not come fast and easy for him. Two hour long feeds are the norm.
Day Four
Day four starts and we are hoping to be discharged today. Joss is cleared to go and so to is Brook subject to another Jaundice test to ensure his levels of bilirubin are dropping. We find out that they have in fact increased and are well into the region requiring photo therapy to treat. Not the news we were after.
The photo therapy treatment means Brook has to lie on a special bed of UV lights that help convert the bilirubin into a water soluble form which is easily passed out. Brook started on the bed at 2:40pm and we were told he could require up to 72 hours on it. They promised to check his levels the next morning before the recommended minimum 24 hour period.
So we started a routine of feeding Brook every 4 hours with a combination of breast feeding and expressed breast milk to reduce the time off the bed. A good sign was his dirtying his nappies by each feeding time and we were convinced his colour was improving by the 3am feed.
Day Five
Our patience worked as we noticed Brook was feeding more off the breast and becoming more active. The morning blood test came back with an excellent drop in the bilirubin levels and we were finally discharged just before noon.
Home sweet home.
15. June 2001 »
