Wednesday, October 29, 2008

two months and nothing to celebrate

Mums don't have a lot of good to say about "health visitors"... perhaps we're all so tired, and so emotional; and they so seldom have anything comforting or congratulatory to say, that the cumulative effect is bad karma. I'm not sure; but I can say that right now I'm feeling pretty hard done by. Today was Calvin's "six week check", altho' he is 2 months old. The negative feedback I got was:
a) he has poor head control (ie. no shoulder strength)
b) he is malnourished - only weighs 3.2kgs at 8 weeks
I'm gutted! I've felt horribly emotional about it all day. I followed the health visitor's advice and topped up his midday feed with formula. By 5:30pm he had vomited up most of his milk of the afternoon - all over himself, the car seat, zack's jacket. I think the hardest thing to stomach is the fact that I've been getting up 2 or 3 times a night to feed him, and he's "malnourished". It just all seems so pointless to me ! I'm hardly in good shape, I have very little patience, am exhausted and my reward - a starving baby ! Fanks alot.

Sunday, October 19, 2008

an audience

Andy, my brother, arrived yesterday morning from Johannesburg, to spend 9 days with us. It is just fabulous having him here, and not just for me but for Zack and Keith and Calvin too - in order of enthusiasm! Andy has boundless "uncle-energy" for Zack and doesn't tire of the "do it again" demands. It's been a fun 2 days, and I'm looking very forward to a bit of "alone time" with Andy this week when m'lord is at nursery and out with Kelly at the library.
Calvin at 7 weeks yesterday - 18 October 2008

Wednesday, October 15, 2008

always a battle

I know there are quite a few parents who read this blog, and perhaps one of you can shed a little light on this issue : Why is it always a battle to get a toddler to do something ? They have no concept of time and punctuality. They will not get dressed. They will not get undressed. They will not put their shoes on. They will not go to bed. They will not get into the bath. They will not get out of the bath either. They choose the MOST horrendous moments for picking a fight - like when you are on the phone, and preferably long-distance. Or they throw a tantrum when your husband is on the phone to his boss.
And yet, they can be absolutely charming. Delightful. Innocence itself.
Who is this little Janus-faced monster-angel that inhabits our home ?

In the news : I see I'm not alone.. this poor mum in Munich, Germany, obviously got enough flack from her toddler to make a point. http://www.thelocal.de/14951/20081016/

sh*t city

On Sunday we took mum to a lovely lunch buffet at the Four Seasons Canary Wharf. We were enjoying our meal and taking it in turns to visit the buffet - child supervision in these environments is essential. I stood up to go and help myself to some lunch when I glanced down at Zack's bright blue shirt which had an enormous yellow semi-circle at the bottom. Oh boy ! that can only mean one thing... a HUGE poo ! Problem was that I didn't have any clean clothes for him, and when Keith looked in the baby bag, he couldn't find any wipes either. Sheesh! Zack certainly knows how to choose his moments. He has never missed an embarassing opportunity to poo. I dashed home for clean clothes, and Keith found some wipes on his second look in the baby bag.
We'd recently moved onto Pamper's Pull Up nappies which fit more snuggly than the Baby Dry brand - that could account for some of the mess. It was pretty awful, but thankfully no poo fell on the floor - I would have died if that'd happened. Keith and Zack ended up in the men's loo, where I dropped off the clean clothes. Suffice it to say, they returned clean and shiny and the rest of the afternoon passed without event. What a day!

Saturday, October 11, 2008

the ordeal, part 2

Keith was ushered into an adjoining room once I was 'under', and within 10 minutes was aware that Calvin had been born. Obviously I have no memory of what happened, but he tells me that they had to get Calvin breathing and had him under the lights for a while, but he was soon passed to Keith. I'd lost about 3,5 litres of blood (freaks me out, just thinking about it!), so they had to transfuse about 4 units as well as giving me some platelets. Apparently I came out of theatre after 10pm, so it was more than 2 hours. I'm very grateful to the surgeon - she DID do a good job and I have a thin, red line below my current belly (overhang). There weren't really any stitches to see, they were the disolving type. I was pretty exhausted for most of Sunday and don't remember much.
On Monday morning, an old friend of mine, Pohgek, popped in to visit (she'd expected to find me in the antenatal ward, so was a bit surprised to find I'd had the baby) and I was horribly emotional when she walked in - bursting into tears and sobbing. But once I'd had my little moment, I felt much better and it was great to have company.
By Monday afternoon tho' I was feeling much, much better and on Monday night at 11pm they rolled me out of ICU/ HDU and to the post natal ward. I was pretty stoopid tho' and didn't take any pain-killers, so that when I woke up at around 2 or 3 am, I was in A-G-O-N-Y, and had a tiny baby to feed. Thankfully the midwife popped in, took a bottle of formula and fed Calvin while I sat in the bathroom sobbing from pain. Yeah ! the joys.
Tuesday I felt a bit better...
Wednesday I was ready to go home.

Wednesday, October 08, 2008

visual record : 4 to 5 weeks old

I've realised that there isn't nearly as much time to take photos of your second child as there were with the first. I'm trying to be good and force myself to do so, whenever the opportunity presents itself. Already I feel guilty as we have no videos of young Calvin in his early days - something I must remedy. These were all taken in the last week or so...



Monday, October 06, 2008

a family outing

On Sunday we headed out to the Natural History Museum with Zack, to see the Dinosaur exhibition. Yes, we've been before but that was during school holidays and it was insane. A rainy Sunday is a huge improvement, and he and Keith thoroughly enjoyed the experience. Afterwards we met up with Caryl, Claire, Pete & Liz (some of the Cape Town family) for tea on the Brompton Road. It was a fun afternoon and quite manageable.

Monday, September 29, 2008

indian summer

We've joined the National Trust, and on two consecutive days took ourselves off to "local" properties to enjoy all they have to offer. These photos were taken on day 2, down in Esher (near Jackie and Claudio) where they have a lovely lake, children's playground and woodlands. The kids had a ball running around like maniacs, climbing trees, marching (Zack's current favourite), kicking a ball and messing around on the playground equipment.


Claudio, Zack and Alessio wrap up our
afternoon at the children's playground

Thursday, September 25, 2008

weigh in

Good news : Calvin was weighed by the midwife yesterday afternoon and he has managed to pick up 350g!! Hooray. We were discharged from the midwife care for Mile End / Barkantine. This means that we only have to go to the fortnightly baby clinic to be weighed.

Monday, September 22, 2008

Congratulations : Johannesburg

Well done Kate ! and welcome little Faith Hannah, a sister to Bethany, and second daughter to Bruce & Kate. We are so pleased you managed to make it to term – Congratulations!

Thursday, September 18, 2008

weight wait


They weighed Calvin again today, and he hasn't gained any weight in the last week - still only 2.4kgs. A breast-feeding specialist is going to visit tomorrow to see how I'm doing and offer some advice. It seems like the general opinion is to keep feeding, see if he'll take the other breast too, top up with EBM (expressed breast-milk) where necessary. That's fine with me. At this point though, I AM NOT getting my knickers in a knot about whether there's enough milk, etc. If push comes to shove, I will supplement with formula. I don't mind at all.
Something we didn't discuss which may have a bearing on all this, is that Calvin was circumcised last Thursday, and he's had a very snuffly nose / cold, which may have affected his ability and desire to feed. In all other respects he is doing well - sleeping well, feeding well, lovely and alert when he is awake during the late afternoon and early evening, keeping us on the hop with nappy-changing.
I'll say this though, it's quite a reality check when you change a little (breast-fed) baby poo, and then have to do Zack's full blown stinkers within 10 minutes of one another. I can't wait for the elder to be potty trained (sigh). Roll on that day !

Wednesday, September 17, 2008

Congratulations : Stanmore

Heartfelt congratulations to Omar & Naz on the birth of a beautiful baby boy - Yahya on Monday afternoon. I'm so sorry to hear it was so traumatic, but pleased that you're both safe and hope the jaundice will clear in the next day or two. Well done Naz ! Keep smiling Omar !

Tuesday, September 16, 2008

Congratulations : Pretoria

My wonderful friend Yolande gave birth to their third child this week - Michiel Petrus Felix. According to daddy, things went along very smoothly. Congratulations friends !

Thursday, September 11, 2008

the ordeal

Sometimes it's important to tell your story. I've found that listening to other women's experiences of birth has been both cathartic and restorative. The aim of this account is probably the former (at this point in time), with hopefully the latter's benefits.
At the outset, I'd also advise people who haven't given birth, not to read the account. I'm almost certain that what I've been through is NOT the run-of-the-mill birth experience, and I don't want to freak you out – God knows how hard I found it the first time 'round with Zack and people were warning me of 5 days of labour and all the associated horrors. You don't need to know until you've been through your own experience. Then it's just good for comparisons!

How it all started :
I've been writing about this low lying placenta issue for some time now, so you probably have an idea of what's entailed. So I'd been comforting myself with the thought that I hadn't had any bleeding and this was a GOOD sign. As it turned out, on Wednesday morning, I got out of bed, went to the loo, and discovered that I'd started bleeding. Keith drove me through to the hospital - The Royal London, (yes, the one I was afraid of going to) - and we were admitted to the labour ward. We were seen by an obstetrician who advised me to stay on for 24 hours of observation as she said small bleeds like this one, were often followed by more severe bleeding. As things turned out, she was right. This first bleed - the "herald bleed" - was the beginning of my placenta and uterus parting company. I spent the rest of Wednesday flat on my back in the ante-natal ward bed with an IV in my arm, just in case. Our first night was blissfully quiet, and I slept better than I had in weeks.

Thursday, more bleeding :
On Thursday morning, feeling decidedly grubby and desperately in need of some shampoo, I psyched myself up for a shower. I got myself into the communal bathroom, put out all the toiletries and clean clothes, and then there was a huge gush of blood. The scary thing was that I couldn't stop it, just like when your waters break, it just came rushing out, and there was no accompanying pain. After cleaning myself up, I went in search of a midwife and politely said that I'd had a 'big bleed'. Looking back, this is laughable - how terribly polite and British of me ! I should've run out into the hallway, starkers, screaming "I'm bleeding, I'm bleeding" (sob, sob). I always go dead calm in a crisis... not always the best reaction.
After that it was more observation back in the labour ward, and listening to baby's heartbeat on the CTG. I certainly got my fill of CTG's on this hospital stay – regular as clockwork ! Baby continued on his steady path, so no concerns there, and my uterus wasn't showing any regular contractions so we weren't in early labour. This meant I was back to the ante-natal ward for observation.
Thursday night was crazy – there were 18 women labouring through the night, and a woman opposite me who had the lowest pain threshold (screaming for Allah, dilated 1cm and wouldn't take any pain relief) which wasn't helped by her mother and mother-in-law being at the bedside, or the fact that she would not go for a walk to help things along. Sheesh!

Friday and all's well :
Friday morning I befriended a fellow patient, a New Yorker, who'd been admitted at about 3am. She was just hilarious, and kept us amused recounting tales of the previous night and her own pregnancy experiences - it did alot to buoy my spirits. Friday passed quietly, and Keith and Zack visited in the evening (Zack with a huge shiner from falling off his scooter). One of the midwives took the time to come and talk to me about placenta praevia, and warned me against any thoughts of going home. I had been longing to get a "day pass" on Sunday so that we could go to Alessio's Christening in Surbiton - Keith and I are God-parents. But it wasn't to be.
As she explained, the situation I was in, was very high risk: I could begin to hemorrhage at any moment. I could not afford to be away from a delivery suite or operating theatre, that's how serious it was. They had already matched 4 units of blood for me, should the need arise. She really put the wind up me with this frank discussion and I decided that it was best to let the medical profession take over. Earlier in the day, the consultant had booked me in for a Caesarean Section for the following Thursday, as baby would've been 38 weeks then.

Saturday :
Saturday was also quiet, with friends popping in for a visit in the afternoon. This was the first time I'd actually sat up (in a chair) in 3 days, and I sat for more than 2 hours chatting to them. They left in the late afternoon, and at about 6:30pm the NY mate was packing up and about to be discharged - I stood up to say goodbye. Suddenly it was all systems go - my body started pouring blood onto the floor. I called for a midwife, carefully took off my slippers and gown, grabbed my cellphone, and was ordered into a wheelchair. As they pushed me through to the labour ward, I rang Keith, who'd only recently gone home to give Zack dinner, and said that I was gushing blood and was almost certainly going into theatre.
He dropped Zack off with Greg & Charlie, and rushed over.

The big event:
Again, things happen in slow motion in your memory, and I remember having to get onto a bed in the labour ward, and there just being blood, blood, blood. I couldn't stop it, and it didn't hurt at all. I was calm. People were running and shouting, and I was following instructions. I was pushed through into theatre, and lifted onto a narrow gurney (maybe it was the operating table). People were monitoring the baby's heartbeat, and my arms were out on supports. Keith turned up at this point, and I was so relieved to see him. The anesthetist was trying to find another vein in my arm, but was so stressed out. He tried twice in my left wrist and failed, and then twice in the right wrist. Thankfully that fourth attempt succeeded, but by then I was ready to shout at him to calm down. I was dead calm thinking "I wonder what it feels like to bleed out", "I wonder what'll happen if I die now?", "What about Keith?", "What about Zack?". Keith was looking quite pale and went to sit down in a corner. I could feel the blood just pouring out, more and more. Midwives were wiping it up. I asked who'd be doing the cutting and the stitching and a woman came forward – I explained to her that I keloid really badly and would appreciate it if she could sew me back up nicely. She said that I wasn't to worry, that she'd take special care in doing so. That's what I needed to hear - someone who was calm and unmoved by the panic going on around me.
The anesthetist asked me to roll onto my side and and curl up as much as I could, so that he could try and do the spinal block (local anesthetic for C-Section). This is pretty hard when you're so far gone (37 weeks pregnant), and I found that the more I tried to curl up on the narrow table, the worse the bleeding got - I could literally feel it squelching out with every movement I made. Keith said it was pouring onto the floor, so I guess it had got beyond bad. They decided the hemorrhaging was severe and the only path was a general anesthetic. And so it was that I put the oxygen mask on, said goodbye to Keith, and started counting while I felt them swab my abdomen with iodine and then the coolness of it being poured over me. And then I slept, a peaceful, dreamless sleep.

(more to come)

Monday, September 08, 2008

Congratulations : Singapore

Welcome to little James Ryan de Oude, born yesterday evening, to Walt & Cindy. Well done Cindy, we're so pleased the wait is over !

Thursday, September 04, 2008

Calvin Richard Guthrie arrives





My placenta and uterus parted company on Saturday evening and I was rushed into theatre for an emergency C-section. Stats : weight 2.5kgs (6lbs); born at 19h31. It was pretty traumatic, and I'll put a more comprehensive report on the blog in the coming days, but for now, enjoy the pics and the good news that our baby boy is safely here, and his mum is making steady progress. Whew ! What an ordeal.

Friday, August 29, 2008

Congratulations : Enfield

Timothy holds his baby sister

Richard & Jenny had a safe and relatively quick delivery with their second - a bouncing baby girl, Hannah Megan. Well done Jenny !!

Tuesday, August 26, 2008

Congratulations : Sydney

Awesome news : my dear friends Geraldine & Andrew in Sydney, Australia, had their baby girl yesterday afternoon. Andrew delivered her in the car park of the hospital because she was in such a hurry to get here. Geraldine and baby are both fine and resting up. Good job, the Dad, we are well impressed!

Monday, August 25, 2008

standing still

Keith and Zack cavort on Tina's lawn in the sunshine

It's a long weekend here in the UK, and I decided that I'd had enough of the waiting game... and took myself off to the Birthing Centre today at noon to talk to the midwife about the scan results. They were in the middle of two complicated deliveries so asked me to return at 6pm.
Once there, the midwife was happy to listen to my concerns, looked over the notes and scan results, and said that what was written was inconclusive and unclear. Not only that, but the scan printouts that were included do not indicate clearly where the placenta ends and the cervix begins - there are no measurements, there are just two labels - "Placenta" and "Cervix/Os". What's the point of that ? If we don't know that the placenta is 1cm, 2cm, 3cm from the cervix, we don't know anything. It's all just annoyingly vague.
So now we're back to square one : I don't know if I'm at risk. I don't know if I'm in line for a c-section. I don't know if I'm allowed to still have the baby at the Barkantine Birthing Centre if everything is OK. One things for certain though, the midwife said if I go into labour in the next week, I should go straight to the hospital rather than going to the Birthing Centre. How gloomy !
My plan of action is to try and get an appointment with a consultant at the Royal London and/or St Guy's & St Thomas' (near London Bridge) in the next few days, so that we can get the wheels turning. Both Keith and I feel that waiting around for the sonographer to blow the whistle on placenta praevia (on Friday 29th Aug), only brings us a week closer to the inevitable and consequently fewer options.
Wish me luck !

Friday, August 22, 2008

A good week

Zack is much better after a week of Amoxycilin, and has been quite delightful these past few days. Keith's managed to come home earlier than usual, which has also been a big help.

We had our 36 week scan yesterday morning and there was good news : baby's head has engaged, and we are facing the right way for "the exit". The sonographer managed to get this rather sweet 'shadow' view of the baby's face, and what is his hand (looks like an odd jewel resting against his chin). We also had confirmation that he is still a boy - in case anyone thought there was a mistake on the first take.
Only problem now - and it's something I have NO control over - is that the placenta continues to be low lying (placenta praevia). This means that the placenta is actually covering the opening of the cervix, so there would be severe bleeding if I went into natural labour. They've decided I can have another week to see if it changes, but after that I will have to have a c-section.

I have mixed feelings about it all. On the one hand, I'm relaxed because the medical profession have experience in these things, and know what to do for both mum & baby's safety. I am fearful of c-section recovery times though, as I've only heard bad news - most people take months if not a year to recover fully from it. How am I going to cope with a 19 kg toddler, a pram that needs to be lifted in and out of the car, etc etc? I just can't. Hmmm...

I'm also a bit sad to not have the use of the new birthing centre. It would be great to have the baby there. What a pity ! And the alternative - having the baby at the Royal London, is not exactly a fair trade... the place is a HOLE. I feel more and more negative about going there with every article I read, and every conversation I have. All I hear is about how TERRIBLE the after-birth care is. And this is at a time when I'm going to need it most. What can I do ?