I'll try my best to keep some updates available here as to how we are all doing given the surprise early arrival of our son Thomas. We have some pics and at some point I hope to get those up too. For now, here's a summary:
Sunday Aug 1
I was having lots of (what I assumed to be) Braxton Hicks contractions, all morning through church. I tried resting after lunch and that seemed to help, but then they picked up again in the evening. Finally I realized that the usual tricks of resting and drinking water were not going to clear them up and I would have to go in to L&D. I was 100% sure it wasn't real labor so I just went over by myself at about 7:30 pm while Tim was putting the kids to bed, telling him I'd be back in a few hours after they checked everything out. To my incredible shock it turned out that I was 6 cms and contracting every 2-3 minutes, way too far along to even think of stopping labor. We found someone to watch the kids and Tim rushed over to the hospital. There was a debate among the doctors as to whether I should be transferred right away to the bigger hospital in town which has a NICU, but they decided to keep me as I was progressing quickly and they thought a 34 weeker had a good chance of being okay on his own.
Monday Aug 2
At 12:22 am Thomas made his entrance! At 6 lbs 6 oz he was very big for his gestational age and looked healthy but he starting having breathing trouble almost immediately. I got to hold him for a few seconds and he was whisked off to the nursery for oxygen. Over the next couple of hours the doctors changed their minds several times as to whether he was going to need to go to NICU or not. He would do better for a short time then have trouble again. Ultimately they called the transport team and Thomas was taken by ambulance to Sparrow hospital at about 3 am. He looked so miserable and sick and was whimpering with every breath. He was started on CPAP (cannula with positive pressure) even before he went in the ambulance and it did ease him a little bit right away.
Tim and I grabbed a few short hours of sleep and then worked to get me discharged first thing in the morning. We went straight to the NICU and spent most of the day with Thomas. He had the CPAP and got medication for his premature lungs (surfactant) as well as IV antibiotics. The doctors felt he had respiratory distress syndrome (basically from being a preemie) and possibly some pneumonia as well. Thomas was somewhat stable but not considered to be doing well, we were not really allowed to touch him much let alone hold him. Mom/Grandma arrived from Wisconsin which thrilled the big kids to bits.
Tuesday August 3
Not a good day. Thomas just slowly went downhill all day. His oxygen sats decreased, his blood gasses worsened. He developed a pneumothorax (air bubble in his chest) so they had to take him off CPAP and put him in a 100% oxygen tent. This helped maybe a tiny bit but not nearly enough. All day there was the constant threat of intubation and/or chest tube. In fact in the evening they set everything up for intubation and sent us out of the room to do the procedure, only to have the attending call it off at the last minute, which was quite the roller coaster for Tim and I. In general they seemed to be preparing for a turn downhill, and instead of an IV he had umbilical lines placed so they they had better access and could get more precise lab measurements.
Wednesday August 4
Thomas was intubated at about 5 am and also had a chest tube inserted at some point in the wee hours. This chest tube was for a second pneumothorax that showed up in his chest x-ray overnight. The first one they were content to monitor as it was fairly small. Although we were really upset that he had to go on the ventilator, it was obvious that it brought him some relief in that his stats improved and his breathing was much less labored. It does mean that his stay in NICU is going to be longer rather than shorter, so we are trying to mentally adjust to more of a long haul. Over the course of the day his chest xray showed that the chest tube did resolve the pneumo on that side, and the other pneumo had decreased some on its own. We are hopeful he won't need the second chest tube and firmly believe he has enough wires and tubes coming out of him already!