Our NICU Experience

What started out as a blissful pregnancy turned into a nightmare of a birth. To this day, I wonder how we even got through it. I remember the first time I saw Lucy in the incubator. So tiny and fragile. Her skin was so red and thin. All the tubes and wires coming in and out of her. Honestly, she didn’t look like any baby I had ever seen. At this moment, it was all so surreal. I was just there. She was just there. I was in a lot of pain that day from surgery and all I wanted was to lay down and sleep.

I remember for the next two days, I did not even think I was a mom. It never registered in my brain. I did not ask to see her, instead my husband asked me to go. Looking back, I was numb. I was numb to the situation, and I was numb to the emotions. I was just surviving at that point.

I stayed in the hospital for a total of 5 days, and by day four, I started to have a desire to go down to the NICU to see Lucy. We got to hold her under our shirts (aka kangaroo care). It was bittersweet because we knew we would not be taking her with us. We knew there was so much uncertainty about whether she would make it out of the NICU. The one thought that got me through the next several weeks was that she needed to stay in the hospital to keep growing and getting stronger, it was as if the incubator was an extension of my womb.

While at home, I spent my time pumping milk every 2-3 hours day and night. It was exhausting and painful, but I kept at it because it was the one thing I could do for my girl…I mean, I couldn’t keep her safe in me. So this was it. I remember having to deal with clogged milk ducts every single day for the first four months of pumping, and although I was thankful to be able to provide this nutrition, I seriously cried and almost quit every other day.

Another thing I recall vividly was the pain from my c-section. That pain is no joke. I am thankful for a helpful husband who was there for me the entire healing process.

Every day we went to visit our little girl, even if we could only stay for an hour or so. When I left the hospital, I vowed she would not go a day without her parents by her side, so she didn’t.

As I sit here writing this, trying to recall all the ups and downs we went through…I struggle because it all seems like a blur from here. I remember in the beginning weeks, we learned how to “care” for her. We changed her diapers, and checked her temperature. Soon we became comfortable with holding her each time we visited. There were tons of wires and tubes connected to her, it was always a to-do to get her out, and I was afraid to hurt her.

Each visit we looked forward to hear how many oz she had gained and learning of the next accomplishment. Our focus shifted from hoping for a clear brain ultrasound of brain bleeds, to reducing the oxygen support on the ventilators, and then onto feeding. I can never forget the ABD’s of the NICU…Apnea, Bradycardia (Bradys), and Desaturations (Desats). The monitors would beep incessantly every time my girl’s breathing slowed too much, or her oxygen levels went too low, or her heart rate slowed too far down. And it happened A LOT. All of these conditions are so common for micro preemies, and all are so scary. I remember that Lucy had several blood transfusions, countless blood draws, sugar level checks, IVs, x-rays and ultrasounds, so much that I honestly cannot remember it all anymore. One of the hardest things was that she would have one leap of progress one day and then she would take two steps back the next day. It was truly a test of strength and patience.

A moment I remember vividly is when I had gone to visit my girl for a feeding. She had struggled to take from a bottle, and the most she had ever taken was 60 ml, that is 2 oz. She was nearing her due date at this point (when she would have been due if she were born full-term), and I remember having this gut feeling something was wrong. She was quieter than usual, and less active. I got her out of her crib and held her on my bare chest. She looked into my eyes and I instantly felt so much love and sadness at the same time. Here was this little girl that I loved so much but could not take away what was bothering her. I think this was one of the moments that I felt what people call “mother’s love”. Call me crazy, but the look in her eyes seemed like they were saying, “please, something is wrong. help me.”

I told the nurses I felt something was “off” and I waited for the doctor’s rounds. They initially thought it was normal behavior but I pressed and after doing some bloodwork, they found that she had a UTI. Thankfully it was not more serious, but I am so glad I stuck to my gut here. Mamas, listen to your gut.

The time came where all she needed to “learn” was to eat from a bottle before she could come home. Her heart and lungs were fairly stable at this point, which is such a blessing because many preemies are not as fortunate. But, the feeding never progressed despite all of our attempts and I struggled with the idea of going through with the g-tube surgery. Eventually, a nurse, whom I respected very much, said to me, “Mary, this isn’t no feeding issue that will clear in two weeks. You might as well get the tube so you can get your girl home”. She was right, and so we scheduled for the g-tube surgery the following week.

I would like to say the surgery went without any hitches but that wasn’t the case. During post-op, she had a hard time “waking up” from the anesthesia. It was significantly longer than anticipated, and when they did remove her breathing tube, she “clamped down” and her airway closed. They had to reintubate her and place her under sedation to allow the swelling in her airway to go down. This was a terrifying moment for both my husband and I. Here, we finally started to feel like parents…and yet, here we were…facing the thought of losing our little girl.

Thankfully, the second attempt was successful with the help of some steroids and breathing treatments. It was about a week or so later that we brought our little girl home, oxygen tank, monitors, and feeding pump included. We survived our 148-day long NICU journey.

Life Before Lucy

After I graduated with my Masters, my husband received a salaried position in Charlotte, NC and we packed our things shortly after. See, before this we grew up in Central Florida. Yes–we lived just 15 minutes from Disneyworld, and No–we did not always go. But we loved having the option to go. My husband and I had been together for 7 years before we got married. We had a beautiful wedding in 2015 and began our newlywed journey in a new town.

I fantasized that this relocation was going to be this blissful journey… I mean, who wouldn’t? We were living in the charming Charlotte city. Well, it wasn’t. Not even the least bit. I had an extreme case of home sickness. I missed my family SO MUCH. I missed the familiarity. Mind you, I lost my mother a year prior to this move, and we were very close. I had a hard time finding work because a lot of the licensing requirements were vastly different from Florida and it was a lot of hoops that had to be jumped through.

So there I was, academically inclined and without anywhere to go. Things did kind of spiral out of control for me here. I felt extremely anxious and down about life. I did not have any of my family or friends for support, and I was in a whole new town. Some might wonder, what about your husband? Well, he was there (most of the time, he travels for work). But, he could only be there so much, he was adjusting himself. And, if I were to be honest, I held a lot of it in…I did not want my mess to be a burden on him.

I sought out counseling and always felt immensely better each time. I was able to find an outlet where I could vent about everything that weighed on me, and it gave me enough peace so that I could refocus my energy on bettering myself.

I was able to navigate the licensing process and gain meaningful employment. This was a game changer and I felt better with the move. But it was not until a year or so later that I changed jobs and began working at a university as a counselor that things really started to feel “good-normal”. The people there have been the most amazing group of people I have worked with, and I am so grateful for this work family.

Then, I got pregnant. It was such a wonderful phase in our lives. I can honestly say I LOVED being pregnant. I mean, despite the constipation and nausea in the very beginning–I was that blissfully pregnant girl that people talk about behind their back. We had just gone on our baby-moon and came back home when I began to have what I thought was intense baby movement. Little did I know, things were about to take a turn for the worst.

It was Memorial Day weekend, and my husband and I had canceled our weekend trip to Atlanta so that we could give our dog, Charlie (our Lhasa Apso whom we had for 9 years) one more weekend of joy. Charlie was diagnosed with Cushing’s (a disease where the body generates too much of the hormone, cortisol) few years back and his health steadily declined. Our wonderful veterinarian also suspected a brain tumor because Charlie also had some unexplained seizures with neurological symptoms. Anyway, that weekend, I was knee deep in sewing a slipcover for our sectional couch (a year long project and I was nesting so it had to be done), when my stomach began to feel funny.

I called my OBGYN office and the nurse told me to rest for a couple of hours and call back if my stomach continued to feel funny. I rested for a bit and called. They told me to go to the hospital and get checked out. I was really reluctant because I did not want to leave Charlie home alone, I did not want him to die alone.

We made Charlie a comfortable bed, filled his water bowl, and gave him a kiss. My husband and I left for the hospital that night expecting to return home in a couple of hours. The doctor had examined me and told me I was 2 cm dilated and had to be admitted right away. Turns out the “funny feeling” was in fact contractions.

We were in shock. I was only 25 weeks and 5 days along. So many thoughts ran through my head. What does this even mean? Is this serious? Why is this happening? Will we be OK? We don’t even have our phone chargers! What about my Charlie?!?

I was transported in an ambulance to another hospital that had a Level 4 NICU. They hooked me up to a monitor and gave me magnesium sulfate (a drug that can stop the progression of labor, but also makes you feel extremely weird, like you are on illicit drugs). It worked though! My contractions stopped and they let me eat some real food. By this time, I sent Johnny home to take Charlie to our vet so he could be euthanized. Thankfully there was FaceTime and I could “be there” for it. This broke my heart. I still cry thinking about this.

Several hours later, the contractions returned and my water broke. Back on the magnesium sulfate I went. Unfortunately, it did not work this time around. My contractions continued throughout the night, each getting a little stronger. I remember lying there quietly (my husband was trying to get some much needed rest) and holding onto the handrail tightly as each contraction came, praying it would just stop at some point. It wasn’t because it hurt, but it was because I knew the more they came, the closer I got to giving birth. I pleaded with the nurse to say that my contractions kept coming (they had a hard time reading on the monitors for some reason).

The doctor examined me and said I was in fact 9 cm dilated, but baby was breached. So off to an emergency c-section I went. Our little Lucy was born and swiftly taken to the NICU. We did not even get to see her. She was 1lb 10 oz, and 13″ long. We had no idea of the state she was in.

What NOT to Say to a Preemie-Parent

DISCLAIMER: The following information comes from my discussions with other preemie mommies as well as my own personal experience. If you find yourself upset, offended, etc. from reading this, well…we can’t be friends. Hah..I’M TOTALLY KIDDING. If you know me in person, then you know I am just kidding. I welcome discussions about things, so COME! SIT! LET’S TALK! 🙂

This topic has rang true for me throughout these past three months. I do believe that people, just. don’t. get. it. That is, unless you have had a preemie baby in the nicu then you will not understand. I know most of peoples’ comments are not ill intended, they still sting and sometimes make my blood bubble out of pure human reactivity. Because I am always for education, here is my due diligence in teaching others what not to say to a preemie parent so I can hopefully prevent some awkward silences, broken friendships, and further distress to preemie parents beyond what a nicu stay already entails. So if you care at all, don’t be a jerk and read this, k? 🙂

SO WHEN IS SHE COMING HOME?
First of all, I know people may genuinely care about this and are curious. But, unless you are a real REAL close friend or family member, just save yourself. Because in reality, said preemie parent is dying to know themselves!!! And we don’t have the energy to continuously explain every detail of why they are not home. Discharge dates are not discussed in the NICU unless it’s imminent. Even then, that can change instantly if the baby just looks at the doctor differently. So, asking this question really just reminds said parent about how much of this sucks that they don’t have their baby home and how out of control they feel. INSTEAD…just know that if there was a discharge date, said preemie parent would be telling you. 

YOU ARE SO LUCKY YOU DID NOT HAVE TO DEAL WITH THE LAST FEW MONTHS OF PREGNANCY, THEY SUCK!
Oh, yeah? I am pretty sure they cannot suck more than having to worry if your child is going to live each day, leave them with strangers in a fragile and painful state, live in a transient state trucking to and from the hospital everyday and watching your baby being repeatedly stimulated to breathe. So, please do not compare stretch marks, bloating, swollen feet, achy joints, etc. with nicu life. We would give ANYTHING to have had our babies grow inside of us longer. Period. INSTEAD…stop trying to make light of the situation and learn to deal with uncomfortable things, such as the nicu…do not do this at the expense of these fragile families!

WHAT HAPPENED? WHAT DID YOU DO? 
I feel like I shouldn’t even have to explain this but I do, because people ask this, all. the. time. Let’s just clarify that prematurity is an idiopathic issue, meaning it occurs for many reasons and yet no reasons at all. It is not because the mother did not eat, it is not because the mother ran or exercised. So many mothers who have done drugs and drank while pregnant give birth to full term babies, so please do not categorize this unfortunate occurrence of prematurity with poor decisions and throw around some mom shaming. It is insulting and plain hurtful. INSTEAD…ask, Were doctors able to pinpoint a reason? That is if you are genuinely nosy, I mean curious. 

I’M SURE SHE WILL BE FINE. 
Um, no you are not. Not even the medically trained doctors and nurses can say that, what makes you think you can? This is equivalent to the “don’t worry, it’ll be fine” again, you don’t know that and saying so just aggravates. INSTEAD…say Hope. I hope she will be fine, because that is all we can do, and it’s way more powerful to have others on our side hoping with us. 

ENJOY SLEEPING WHILE YOU CAN!! 
This couldn’t be further from the truth. Us NICU mommies are up in the middle of the night pumping milk for our babies, because doctors drilled into our brains how it is the BEST thing you can do for your baby (I won’t even go into what it is like for moms who cannot/unable to pump), so maybe we don’t get up to feed our babies, but we are making food for them. We also don’t sleep well because we are up worrying about our babies or we lose sleep from going back and forth to the hospital and all that entails. Saying so minimizes our current struggle. 

(Gasp) YOU ARE NOT NURSING??
This one gets me. How can you even be confused/shocked/bewildered by this notion? Preemie babies are usually born without the skills to even breathe, let alone suck and swallow, so nursing is not even an option for most. Even if the baby did, whether a woman nurses her baby or not is really none of your business. 

LET ME KNOW IF YOU NEED ANYTHING. 
Famous last words. Don’t get me wrong, I know most people say this because they want to help so they offer…help. The problem is, it is a real broad serving of help and most, if not all, people I know would be too humble to ask. Not too mention most preemie parents are barely getting through each day, let alone knowing what they really need. INSTEAD…say what day is good for me to help come by to get some housework done? Do you have any allergies..? I want to cook a meal for you. 

I COULD NEVER DO THIS. 
That’s wrong… because, well….you could. If you had to. And that is exactly what preemie parents are doing. Doing what they have to. They really don’t have a choice. INSTEAD…express your admiration of their doing it and don’t insinuate this is all a choice because none of this would be anyone’s choice. 

GO HOME AND GET SOME REST. TAKE CARE OF YOURSELF. 
What. This doesn’t even really apply here. Going home doesn’t equate rest. See above. There are tons of house chores that have gone to the wayside, still the normal daily to-do’s, spending 3+ hours a day at the hospital, on top of finishing getting the house ready for the baby and working (yeah, many might lose their jobs and/or become homeless if they do not go back to work). There honestly isn’t enough time to “get some rest” or “take care of yourself” though we all would die to do this. INSTEAD…ask how we are doing and offer help to get the to-do’s done so mommy and daddy CAN rest or take care of themselves. 

THIS IS GOD’S PLAN, HE WOULD NOT GIVE YOU ANYTHING YOU COULD NOT HANDLE. 
Another misled attempt at making another person feel better. I get the sentiment behind this, “let’s look at this in a more positive light”. But, more often than not, surges of anger may rise. Why would God make me go through this? What did I do to deserve this?!!!? 

THE BEST THINGS COME IN SMALL PACKAGES. 
Just. No. Please do not try to make light of this situation. These “small” packages can’t breathe, eat, or live on their own, so no… these aren’t the best right now. 

WHY ARE YOU MAD/SAD/ETC? THIS [prematurity] HAPPENS ALL THE TIME. 
This one literally makes my blood bubble. First off, this approach totally invalidates one’s feelings. So just because prematurity happens, I shouldn’t be upset that I did not get to birth a healthy baby? I shouldn’t be sad that I can’t take my baby home? I shouldn’t be worried sick that my baby might not make it? INSTEAD…just listen and acknowledge their struggle. 

ISN’T IT HARD TO BE BACK AT WORK?  
You are absolutely right. It is really hard to get up every morning and report to work knowing your baby is lying in a hospital bed fighting for their life. Even worse, not being able to afford to not go to work. It isn’t even a choice. So, yeah, it’s really hard. It is even harder to be reminded of it because we are just barely functioning. INSTEAD… praise them for their strength or whatever. Just don’t reiterate how hard it is unless you want a river to flow. 

DON’T BE SO PARANOID ABOUT GERMS. 
… this is just ignorant. I don’t mean that to be offensive by any means but it really is a demonstration of not knowing better. Preemie babies have barely no immune system, so the common cold or the “normal daily” bacteria on your hands or face can wreak havoc on a preemie’s body to the point they may be hospitalized, end up with permanent damage/delays or even die. Not to mention these preemie parents may have witnessed their babies have infections and/or have spent countless minutes washing and sanitizing before they see their babies. So yes, this “paranoia” is needed. 

I KNOW EXACTLY WHAT YOU ARE GOING THROUGH. 
No, ya don’t! Unless you have had a preemie in the nicu, do not do this. Even if your baby was “two weeks early”. It just does not help. INSTEAD…ask about what they are going through and just listen. 

Last but not least….

LET ME KNOW WHEN I CAN COME SEE HER.
This one is confusing. So many people will offer to see one’s preemie in the nicu. Yet, I don’t know why??? Is this for the parents? Is this for you? Because this is definitely NOT for the baby. The baby actually needs the least amount of visitors. Remember the immune system talk? I get that it might be a gesture of kindness or something, but it is actually a burden for most preemie parents to have to say no, you may not come view my baby like it is a three eyed puppy. At this point you aren’t even asking if you can see the baby but you are basically telling them that you are, just let me know when it is convenient… Newsflash, there is no convenient time right now when they are in the nicu. I will also add that during this tough time in the nicu, it can be a very vulnerable and intimate space for many and some may not want others be around, whilst others crave it…so ask what they want/need! Ask for pictures, ask them to tell you about their baby. There are other ways to express your excitement for the new baby or to spend time with the parents. Ask to hang out with said parents because odds are you haven’t really hung out with your preemie-parent-friend. But, keep in mind this “hanging out” is going to be different now (more to come about that another day). Expect preemie parents to ramble about milestones, like getting to wear clothes, going to an open crib, or breathing all day without an episode, because these are all things term-baby-families take for granted. 

Important to note that IF you have already committed one of these, know that if said preemie parent is still talking to you, then Congratulations!! You have got some awesome traits going for you, just make sure to not repeat offend, ok? You may run out of your luck. JUST KIDDING, but seriously…. just be aware of how your words might affect your preemie parents. 

If you just noticed that said preemie parent does not talk to you anymore, well….an apology is probably necessitated if your relationship is to be saved. 

So, there you have it. The most often said phrases to a preemie parent that probably should not be. 

All food for thought. And all from a place of caring to all of the preemie families out there. 🙂

Sincerely,
A tired preemie mommy