Thursday, December 15, 2022

Luca's Heart Journey - 8 weeks Post Op

 Today marks 8 weeks since Luca had open heart surgery and 4 weeks since we left the hospital! 

Words can't express how grateful we are to be here, experiencing his first Christmas season at home and not in a hospital room. 

I haven't updated much as we have been busy adjusting to giving medications several times a day and keeping him on his feeding schedule along with getting back to homeschooling and our normal routine with all seven of us. 

We are praising the Lord for progress shown on his most recent echocardiogram on 11/29. His left ventricle once severely depressed at diagnosis and moderately depressed at release from the hospital showed as now mildly depressed! He will continue on his regimen of heart failure medications and will receive another EKG and echocardiogram on January 20th. 

In regards to feeding, he has also made progress!  As of two and a half weeks ago, he has been tube free! He is doing so well taking all of his medications my mouth. Feeding has been a learning curve as we figure out the right amount of thickness for his formula. It has been a bit of a struggle to find the right consistency, thick enough not to choke him but thin enough to come out of the bottle properly. 

In regards to typical baby milestones, Luca turned six months old last Wednesday! We are so incredibly thankful to have been given a half a year with our sweet smiley boy. He is just over 16 pounds and has officially found his feet which is one of my favorite baby accomplishments ever! So precious! He isn't able to sit without support yet, but that is to be expected since was laying in a hospital bed for so long. He is getting stronger each day and loves rolling around and playing with his toys. Since he is not able to nurse, he is my first baby to be sleeping in his crib at night. He usually wakes for two bottles and usually goes back to sleep quickly.  I still miss our nursing snuggles, but am so grateful that he is able to rest well. 

This week, he has struggled a bit with a cold, but so far we have been able to manage it at home. 

We have continually been blown away by the kindness of so many even since we've been home. From meals to monetary gifts, we feel so undeserving, but are so very grateful. Experiencing the Church (and not just ours) be the hands and feet of Jesus over the last two months is something I pray we never get over. May we serve as we have been served once this season is behind us.

Thank you all again for your prayers and support. Please continue to pray for our Luca Paul.


Monday, November 28, 2022

Luca's Heart Journey - The Night Before Follow Up

 Somehow ten days have passed since we left the hospital. Time truly does pass differently at home as opposed to the hospital!

Luca continues to amaze us as he seems to be rolling right back to where he was with his physical milestones, both literally and figuratively! Although he remains on sternal precautions meaning he cannot be lifted by his arms or chest/waist, he is showing us that he must be in very little pain since he is loving to roll and play just like he was before his surgery! We are so grateful that he seems to have lost very little ground in this regard! 

Feeding wise, we are adjusting to the learning curve that is thickened feeds by bottle and also using the feeding tube. He started out consistently taking two-three ounces of thickened milk by bottle. He normally seemed content after his bottles, but was being given four ounces through his feeding tube at the hospital so we were giving him is final ounce via the tube and planned to  keep him on that regime until his follow up appointment, but over the last few days he has started taking his entire four ounces by bottle and hasn't needed to use the tube for feeds at all! 

We were also able to switch him back to the European formula that is so much more gentle on his tummy and change out the rice for oatmeal and he is having no more constipation or gas trouble since doing so! The ingredients in the food we eat/feed our children truly make a difference! 

It continues to challenge my heart to not be able to nurse him and to shift so many of the ways I have always cared for my babies, but I am reminding myself that it is a small price to pay for his heart to be functioning as it should. I miss our nursing snuggles and the ease of nursing him in the middle of the night, but I am striving to use the nightime feeds as a time of prayer for others as so many have faithfully prayed for us over the last 5 weeks.

He seems to be doing well heart wise with no concerning symptoms, but we will know for sure on tomorrow after his EKG, echocardiogram and cardiologist appointments. Please pray with us for progress in heart function, specifically the level of depression in his left ventricle.

Tomorrow he will also have a weight check, but according to our baby scale which we have been using to track his weight, he is up from 14 pounds 7 ounces when we left the hospital to 15 pounds 1 ounce as of this morning. That amount of gain is consistent with what is expected for his age and we praise the Lord for his growth! 

We will also see the speech therapist tomorrow and discuss the removal of the feeding tube and the possibility of another swallow study in the near future. 

Please pray that he will be able to nap well and good spirits during such a busy day of back to back appointments. I also need to time his bottles just right so that he isn't hungry during his 45 minute echocardiogram, but ready to eat for his speech appointment following it. 

My heart is anxious about returning to the hospital. I think I am beginning to process the traumatic events of October 18-20 and returning there for what is expected to be a day of outpatient services is a bit overwhelming considering we went to the hospital that night thinking we'd only be there a few hours and that turned into 31 days. 

Being home has been so sweet, but also an adjustment for everyone after such a long time away from our rhythm and routine. We are slowly settling back in and pray that tomorrow passed quickly, we receive a good report and that we will be home tomorrow evening with no complications!

We are so very grateful for our smiley baby boy who is truly such a light in our home. We can't help but smother him in kisses and continue to praise the Lord for his goodness in sparing Luca's life and giving us the opportunity to see him learn and grow. 

Thank you all again for walking this road with us. 

Saturday, November 12, 2022

Luca's Heart Journey - Friday Evening Update - Post Op Day 22 - Hospital Day 25

 Friday Evening Update - Post Op Day 22 - Hospital Day 25

The last two days have been busy as it seems we may have picked up the pace a bit on our road toward home!

Yesterday, Dr. Shruvi, once again advocated for a larger wean than the rest of the team wanted. She reasoned that with his low wat scores of zero to one, we should continue to be a bit more agressive in the weaning process as it is essentially the only thing keeping us here. It was decided that we cut the Morphine dosage in half. Today, we made the final cut on his Ativan dosage and also spaced it to every 12 hours instead of every 8. If he continues to do well, you're hopeful that he will be off all of these medications by early next week. 

Yesterday's echocardiogram was unchanged from last week's, but that was expected. We are praising God that there was no regression. Please continue to pray with us that his function improves over the next few months as the doctor's believe it will.

Labs were ordered today to measure his BNP again. When his heart defect was discovered, his BNP was 2600 (anything over 100 is a sign of heart failure). A week ago it was 152 and it is now 95! To us this is nothing short of a miracle.

 Another exciting step on the road toward home was the beginning of our ng tube training. So far I was able to place two tubes which is a prerequisite for discharge. Daddy will place his first tube on Monday. We were also trained in how to operate the feeding pump.

Originally we thought that we would complete our supervised family care this weekend, but it is now scheduled for Monday night into Tuesday morning. During this time, we will be responsible for providing all feedings and drawing up and giving each medicine without the assistance of the nurses. Another prerequisite for discharge.

Luca's repeat swallow study is scheduled for Monday afternoon at 2 PM. Please pray with us that his vocal cords are functioning at a higher level and that he will be able to eat by mouth without aspirating. Although he would most likely go home with the feeding tube regardless of the outcome, passing this test would allow us to start feeding by mouth again in hopes of weaning him off the tube sooner rather than later. He would also be allowed to nurse again which would provide comfort to both him and Mama!

As we inch closer to finishing up this portion of the journey, I would also ask specific prayer for Luca's continued weight gain and overall health.

It is hard not to be anxious about the amount of other sicknesses that seem to be running rampant right now. It would be so sad to have something else set us back when we can almost see the finish line!

Words cannot express how grateful we are for all of you and your prayers and support over this last month. We have felt the prayers and have been so blessed by the tangible gifts you have given. Whenever the social worker comes by to talk to us, she is always amazed by the incredible support system we have. I wish that she could understand that this is what the Body of Christ is supposed to look like. I know that our family will be striving harder to provide the kind of comfort and hope that you all have given to us to others once this is behind us.


Monday, November 7, 2022

Luca's Heart Journey - Post Op Day 18 - Hospital Day 21

 Monday Morning Update - Post Op Day 18 - Hospital Day 21 

Last Sunday evening, I left the CICU with tears streaming down my face, defeated from a day of watching Luca battle withdrawal alone. The plans to remove the line that was keeping me from holding him had been delayed and my heart was overwhelmed with helplessness. I went back to our room at the Ronald McDonald House telling the Lord that I didn't think my heart could handle another day of watching my son suffer, begging Him to turn the heart of the surgeon toward removal if it was the best option for Luca.

He so graciously answered and somehow a week has passed already and more mountains have been moved. 

We've pushed through the pain and plodded along the path toward home, hour by hour, moment by moment.

Luca has faced physical pain as his tiny body adjusts to functioning without the medicines it was given for the last twenty days and also as it begins to feel the effects of open heart surgery, each hiccup or cough, bringing discomfort again.

Mama has battled intense emotional pain which feels so heavy at times, I can almost feel it physically. Learning to cradle him in my arms without offering him an opportunity to suckle continues to challenge me each day. We're learning to rock, to pat and to sing instead. The age old hymn "What a Friend we Have in Jesus" seems to be a favorite as I watch his eyes flutter and finally succumb to sleep. 

Yet with the pain, He is granting such peace. There has been so much I didn't think I'd be able to face, but somehow He has made it possible.

Yesterday was another quiet day. During rounds, the only change made was another drop in his morphine dosage. If he continues to do well, I am hopeful most of these medications will be close to being discontinued by weeks end.

I feel like I'm starting to see glimpses of the joyful boy we brought to the ER three weeks ago today. His smile is slowly returning and he has been trying to "talk" more as his body wakes fully from the sedation. I am encouraged by the amount of sound he is making now versus last week and I am believing God is restoring his vocal cord and his ability to eat. 

Please continue to pray for progress and for patience as the distance between us and home still seems lengthy.

I can't believe it's been nearly a month since all seven of us were together. Londyn Grace, Liam, Leva and Laityn have been so amazing as they've dealt with their own emotions regarding this journey and also sickness (twice!) without me there to hold them through it. Our family has been forever changed by our baby boy's heart and I know we will cherish the gift He has given us in each other more now than ever.

I am looking forward to a good week because I serve a good God whose goodness doesn't change based on circumstances. I'm excited to see what He has in store.

Thursday, November 3, 2022

Luca's Heart Journey - Wednesday Night Update - Post Op Day 13 - Hospital Day 16

 Wednesday Night Update - Post Op Day 13 - Hospital Day 16 

Two weeks ago today, after struggling to respond to being placed on a ventilator, it was discovered that our baby boy was in heart failure. It's taken me two weeks to even verbalize those words, but that is the reality. His heart was functioning at less than half of it's normal function and at any moment, we could have lost him. 

But earlier tonight, although experiencing some very hard withdrawal symptoms, our Buddy and I said farewell to the Cardiac Intensive Care Unit and stepped down to the regular cardiac floor here on 2B. 

The past two weeks have been the longest, most challenging weeks of my entire life and yet looking back so much of it is a blur. I don't know how we got here, other than by His gracious hand picking us up and carrying us when we didn't feel like we could do the next thing. 

He's crossed so many big things off the list. Making it through surgery. The coarctation being successfully repaired. His delayed chest closure. Lungs healthy enough to be taken off the ventilator. 

Today's echocardiogram brought wonderful news of increased heart function. 

Luca's right ventricle was moderately depressed upon discovery of the coarctation and his left was severely depressed.

Today the right is mildly depressed and the left is now moderate. 

Dr. Frazier, who was the cardiologist to first tell us of Luca's surgery taking place the next day and who has asked to take him as an outpatient upon discharge, reminded me again today that she expects the left ventricle to continue to improve with time. Since it has four months to get tired, it needs more than two weeks to resume normal function. 

It continues to amaze me that the Lord led us to A. I. DuPont where Dr. Pizarro took my son's tiny heart in his hands and repaired it to function again.

I will be forever grateful for His goodness.

These last little steps between us and home seem daunting, especially when I cannot give comfort to him as I want so badly to do, but we continue to plod the path with His Presence to guide us. 

Luca is still on a heavy amount of narcotics and the process of weaning him from them is difficult. It will likely take several days. His little body fought the sedation so hard and he had to be given a lot of sedation to get him through surgery and the days beyond it so it will take time to get used to the lower dosage.

So our specific prayer requests are for Mama to be able to get Luca through the hard moments without rescue doses of the medication. His nurses rate his withdrawal symptoms on a scale (low being the best)  and when he is left to lay in his crib alone, he scores a 5 as opposed to when Mama snuggles and holds his paci in and he scores a 2.

Ater discussing it with his team, we are hopeful that he was not successful at his swallow study because of the high dosage of medication he is still on so the prayer is that he will pass once he wake up more and is retested.

Your continued love and care for us is humbling and we appreciate everything so much more than we can express. Thank you for lifting him up over these last few weeks. Please continue to pray.


Tuesday, November 1, 2022

Luca's Heart Journey - Post Op Day 12 Day

 Tuesday Update - Post Op Day 12 - Hospital Day 15

Yesterday was a big day for our little boy. Shortly after I arrived, the nurse came in with amazing news! After a disappointing day on Sunday, one of the surgeon's agreed to removing the RA line and was ready to remove it right away! 

The removal took less than five minutes and the nurses were so kind to get him right out of bed and into my arms. It was such a relief to be holding him again as I never imagined that laying him down in the ER crib would lead to 13 days of not being able to do so! I am so grateful that God spared my baby and gave me the privilege of holding him once again. 

He gave Mama a few soft smiles and we FaceTimed with his siblings who were so excited to see him! Unfortunately he had gone another 8 hours without food again in preparation for the line removal so he was quite hungry at this point.

Just before his nurses began his feed, the speech therapist arrived wanting to take him down for his swallow study. 

We were told last week that his vocal chord paralysis would impact feeding, but I was hopeful that maybe he would do better than expected.

When he returned from the study, I knew immediately that he hadn't passed as they started a ng tube feed right away. 

The therapist assured me that this is very common and most likely won't be forever, but it will be for the foreseeable future. 

He is not permitted to nurse or bottle feed until he can pass the study with aspiration. Please pray that his vocal chord will begin to function again soon.

If you know me in real life, you know that nursing is my primary form of comforting and soothing my babies so we are struggling with how to do so without having nursing as an option. My milk supply is also suffering despite pumping around the clock.

In regards to his eating, we also are not allowed to use the formula we were supplementing with at home (that he was doing so well on, in regards to his growth and no belly issues) so he was switched to the cleanest formula I could find that is FDA approved. Please pray that he tolerates this change well.

Yesterday also included the removal of his chest tube which is wonderful because they say a lot of older heart patients that can communicate comment on how painful the chest tube is. His wires were also removed since he has not needed any pacemaker assistance since surgery. 

In regards to the next steps in recovery, this week will probably seems slow. They will continue weaning him off the morphine and adavan, alternating each day until he is off of those completely. I long for the day when he is no longer affected by these medications and I can see his true happy eyes and smile again. 

We also started the process of introducing two new heart failure medications that will eventually replace the Milrinone that is currently being given intravenously. 

This morning his heart rate seems to be fluctuating, but the nurse says it could be a side effect of one of the new medications. 

I believe the doctors are a few beds down so hopefully they will round on him soon although I'm not sure today will be a day of big steps, my prayer is that he and I will have time to find a new normal in regards to how I can soothe and comfort him. 

This journey has certainly thrown us a curve ball in more ways than one and we are working to figure it all out. 

I was able to go home for the first time in two weeks last night and spend three precious hours with my other babies while Daddy was here with his Buddy. Please continue to pray for them as they are just wanting to be home together so badly. 

We so appreciate your prayer and concern for Luca and ask that you continue to keep him on your list! 


 


Thursday, April 27, 2017

The Lord is Gracious ... Leva Reese's Birth Story

He hath made his wonderful works to be remembered: 
the Lord is gracious and full of compassion.

Psalm 111:4


As I sit in the same sage green glider where I rocked and nursed both your sister and brother, in reality not too long ago but to my heart what seems like ages ago, I am grateful for the joy another newborn has brought to our home. 
I'm reminded of their baby days, seeing so much of each of them in your tiny profile. Bubby's round face. Sissy's nose. Yet your dark ebony hair, that little dimple in your chin, and the extra pound in weight and two inches in length giving your appearance a unique look that's all your own. And the same is true for your birth story. Elements that mirrored my other births, but so many things that made your entrance into our lives different, an experience filled with one reminder after another His goodness and care over every detail of our story. 



Though we calculated your expected due date as the first week of spring, we never expected to get even close to the 24th of March since neither Londyn Grace or Liam arrived near their due dates. It was my goal to have everything ready for your arrival by the end of February when I would be 37 weeks along, the week both of your siblings came. I spent the majority of February crossing things off my before baby to-do list and adding finishing touches to your nursery as we marked the days on the calendar and March drew closer. But then the first day, second, third, fourth and so on passed without any signs of your arrival. The list I made with hopes of completing maybe a handful of tasks from grew shorter and shorter. I scrubbed the stove, organized the closets and tidied every nook of our home as your hiccuped and kicked contentedly in my belly. I took Londyn Grace out for a girls afternoon filled with manicures and pedicures and frozen yogurt and had a Mama and Bubby date to Aldi and Calandra's for cupcakes as we continued to wonder who it was would make us a family of five and when exactly he or she would do so! Each time we took a picture of our duo we wondered if it would be the last one before it would become a trio. 

Thirty seven weeks turned into thirty eight and Daddy had to go out of town twice which changed my prayer from "bring this baby as soon as possible to please keep the baby from coming until Daddy is home!" I struggled with feeling like there were so many days when you shouldn't arrive whether it be because of Daddy's traveling or because of so many events on the calendar where we had responsibilities at church. Mimi and Auntie and Bayleigh came to stay with us while Daddy was away on his first trip and just two days later Mimi and Pop Pop drove back to Jersey to stay overnight again while Daddy attended a church event a few hours away. I was anxious that he may miss your birth if you came as quickly as Londyn Grace and Liam did, but as he returned on Saturday afternoon, I breathed a sigh of relief and praised the Lord that he was home and finished traveling until your arrival! We said goodbye to Mimi and Pop Pop as they packed up again to head back to Maryland to wait for the call that you were finally ready to make your debut, but we had no idea how soon they would be making the three and a half hour trip again... 

I had spent the majority of the day Saturday baking for our upcoming Upward Awards, in order to be a little ahead of the game. After finishing the cakes and making dinner, I decided to go and get groceries for the week so that would be checked off of the to-do list as well. The snow was falling lightly again as I drove, my mind filled with what if's and when's and how's regarding what seemed would never come. I had never experienced the mental place that is being near a due date or even being over the one the baby was most expected on. I found it to be a moment by moment struggle to trust His timing and the fact that He had already picked your birthday perfectly regardless of the date on the calendar. 

Upon returning home from the store, I was readying the cakes I had spent the day baking for the freezer when I felt it. Just a trickle. I thought "Maybe?!" but knew it was nothing compared to when my water broke with Londyn Grace. I finished the cakes and then took Sissy and Bubby upstairs to read bedtime stories. 

We rocked in the same glider, I sit in now. I snuggled my first two babies as we read, "Mike Mulligan and the Steamshovel" per brother's request. Just a few pages into the story, it came, water, flooding the cushion beneath me and flooding my heart with a mixture of relief, fear and excitement. We would soon be a family of five! 

I had Sissy go downstairs to get Daddy, I text Mimi who had only moments earlier arrived home in Maryland and Linda, our midwife, to let her know you were on your way! After cleaning up the chair and changing my clothes, I finished our bedtime reading and told your siblings that they would soon meet the baby they had been anxiously waiting for! It took them awhile to settle down after such exciting news, but soon they were asleep, dreaming of the new sister or brother they expected to meet in the morning! 

Mimi and Pop Pop decided to repack the car and make the one hundred and fifty mile trip back to the Garden State in hopes of making it here in time to attend your birth. Auntie and Bayleigh came, too. Daddy and Mama tidied the house and prepared the rest of the birthing supplies. Linda came to check for dilation and we listened to your sweet little heartbeat before she headed home to rest, giving us instructions to do the same and to call her when things progressed.

I drifted in and out of sleep as I waited for Mimi and Pop Pop to arrive and for more signs of labor to begin. Your big brother wandered in, wanting to sleep with Mama and Daddy so he snuggled between us and with each new hour, I awoke wondering when the contractions would begin. Around 3 AM, Mimi, Pop Pop, Auntie and Bayleigh arrived and I was once again surprised by the lack of progress considering the speed of my labor with your siblings. I rested well for the remainder of the night and woke on Sunday morning, shocked that you were still content within me. I didn't know then that the sleep I got was just the first of many provisions the Lord would make in order for me to bring you into the world safely and naturally. 

We all had breakfast and chatted about how much different this was than my first two labors. Linda came again, surprised by the pace of my progress or lack thereof, found that I was still only about 3-4 centimeters, and gave me instructions to take a walk to hopefully get contractions going. It was still a bit chilly outside so Daddy and I decided to drive to Home Depot (he needed to pick up some special screws to fix a broken door). I waddled through the aisles and picked out a tiny succulent to take home with me with plans to plant it as a reminder of your birthday. 

Returning home, Daddy fixed the door we had purchased the screws for as I sat and rested watching your brother arrange his cars in lines in the kitchen. The pace of the day was slow and unrushed. Londyn Grace playing in the floor with Bayleigh. Enjoying my favorite sandwich from Panera for lunch. Waiting and praying for progress.


Linda came and found that again not much had changed. After another exam, she felt like there was a bit more water between me and progression. She also discovered that your head wasn't in the exact position to break the rest of the water which would explain the lack of progress. As soon as she said that, I knew that I had felt that all along because I would always feel your hiccups on my left side. So she gave me instructions to walk more and to do exercises that would perhaps position you better. 
  
So Daddy and I walked again and during that walk I had a few sporadic contractions that were painful enough to make me pause from walking for a minute or two. We rejoiced that they were bringing us closer to meeting you, sweet babe! And Daddy wondered what he would do should you decide to come quickly while we walked! We laughed at the thought of him having to carry {a very large!} Mama home!

When Linda checked again, it seemed you had positioned your self better, yet the rest of the water was still intact. Tears welled up in my eyes, and I started to wonder if we'd get to welcome you into our family at home since New Jersey law states that active labor must begin within 24 hours of broken water, and we were getting closer to that time limit with no progress. We discussed our options and Linda mentioned the use of castor oil. She explained how it brings labor quickly in some women while not doing much but bringing unpleasant side effects to others. She also said she always struggles with suggesting it because she believes that babies always come at their intended time. Daddy and I discussed it and he even drove to two different pharmacies to find it, but we just never had peace about using it. Looking back, we see that the lack of peace was yet another mercy from the Lord.

A bit later, we decided to walk again, hoping it would bring on more consistent contractions. This time Pop Pop, Mimi, Auntie, Sissy, Bubby and Bayleigh came along and so did a few more pains that made me hopeful that your arrival was closer than it had been. 

Linda came once more and found that the walking hadn't done as much as we had prayed it would. I think it was around 5:00 at this point, and it just felt like we were at a standstill while the clock continued to speed towards the twenty four hour mark. She suggested that I rest and wanted Daddy and I to spend some time together before we made a decision as to what we would do next.

Around 5:30, Grandpap and Grammy arrived and as we started downstairs to greet them, it came. The rest of the water. You were finally ready. The rest of the water that stood between me and meeting you was no longer making a barricade between us, and i was so relieved, believing we would be able to welcome you into our home, at home. 

I text Linda, and greeted Grammy and Grandpap briefly as I made my way downstairs. They went upstairs along with Pop Pop, Londyn Grace and Liam to wait for your arrival. 

Daddy and Mimi spent the next hour or so warming water and filling the birthing tub as Mama ate a little dinner and wandered around the living room waiting for contractions to increase. I remember my excitement as I glanced at the clock. 8:30 PM. It seemed we might meet you within twenty four hours of the first signs of your coming! Linda asked if I wanted to be checked and I happily obliged her! I couldn't wait to know how close we were to holding you in our arms, but as she began her exam the look on her face told me that something was wrong before she even said a word. She whispered to herself as she continued to evaluate the situation before she explained the reason for her concern. 

The cord. 

The very lifeline connecting you to me, was wrapped around you in a way that could be devastating. 

In a way that would prevent us from continuing at home. 

Auntie called 911 per Linda's request and Daddy went upstairs to gather a few things we would need for the hospital. 

Minutes later, sirens broke the silence of what was a quiet Sunday evening on Cleveland Street and lights illuminated the darkness of the chilly March evening. The house was soon filled with police officers and EMTs evaluating the situation. 

They wanted to put me on a chair type stretcher to navigate the stairs and steep driveway easier, but Linda insisted that she didn't want me to be moved from the position I was in to prevent any sudden movement which could jeopardize your safety. 

The intensity of my contractions was rapidly increasing as they finally decided to move me from the couch to a tarp like stretcher  that could be maneuvered much easier than a regular one until they could get me to the ambulance. 

Several EMTs carried me out and I was almost sure they were going to drop all 190 pounds of me (and you!) on the pavement!  

In the midst of the craziness, it was decided that Linda would ride in the ambulance with me while Daddy and Pop Pop would follow in her car. Mimi would come to, but drive their car so that they would have a way to come home and be with Sissy and Bubby after you had arrived safely. 

In the ambulance, i lay as still as possible while feeling every bump and twist and turn the vehicle took as we sped toward Mountainside. I held Linda's hand as the pain increased and focused on her Apple watch which was receiving messages from the doctor letting her know he would meet us at the hospital. 

I prayed for your safety. Still unsure of who you were, but knowing that I loved you oh so much.

 I felt the disappointment of not getting to experience a waterbirth or introduce your siblings to you right after delivery, but mainly I felt fearful of the unknown, of how tightly you were tangled and of how tragic the outcome could be. I silently petitioned the Lord asking Him to protect you and allow me the privilege of being your mama. 

Arriving at the hospital, the EMTs quickly wheeled me through the vacant halls of the labor and delivery wing and into a room filled with several nurses. 

They immediately began trying to draw blood and simultaneously trying to have me answer the basic questions of name, address, etc. etc. while I labored through what was rapidly becoming my most painful labor yet. The anesthesiologist brought his paperwork in case of the expected c-section, and I tried my best to scribble my signature on the appropriate lines. 

Daddy arrived, and I was so thankful to have another familiar  face in a room full of strangers. 

I fought through the agony of each contraction, screaming "I can't do this." as I started to question whether or not I really could. 

Transition brought my dinner back up again. And again.

The doctor arrived to assess the situation and decide whether or not a Cesarean would be necessary. As he examined me, he found that I was nearly eight centimeters (an increase from being barely five when Linda had checked previously!) and offered an epidural. This was the first time in any of my labors that I hesitated before declining! 

He decided that he felt it was safe for me to proceed with a natural delivery so he gave Linda the go ahead to continue attending the birth. 

It only took minutes for me to go from 8 to 10 and for me to feel an incredible urge to push. 

The doctor entered the room again and joined Linda to assist her. 

In addition to them, I was surrounded by several nurses on my left side and then Mimi on my right, holding my hand through each wave of contractions. 

Daddy's place was near my head, encouraging me through the pain. 

 My oxygen levels were dropping, along with your heart rate each time I tried to push. My strength was fading quickly. 

A nurse placed an oxygen mask on my nose, only adding to the suffocating feeling that was overwhelming me. The temperature in the room had to be at least 80 degrees. 

The environment was nothing like the quiet, peaceful homebirth we planned.

I heard the doctor say something to Linda, but I couldn't quite make it out, so I kept asking your Daddy what he had said, but he wouldn't tell me. He just kept telling me to push with everything I had and that I could do what every thing in me felt like I couldn't. I found out later that he had said he would need to use the vacuum if I couldn't get you out on the next push, but finally, with another wave of contractions, I found the strength to push again. This was the twelfth or thirteenth time as opposed to only two or three pushes with both Londyn Grace and Liam. 

Then the ring of fire, and at last relief washed over me, the second you took your first breath. Your cord was indeed tangled around you. Once around your arm and once around your neck. 

Looking at your sweet little face, I saw your big brother right away, but your dark hair was so different. The sweet sound of your cry filled my heart with such joy, so much so that I had yet to even look to see who exactly you were! 

Finally, I lifted your tiny body and couldn't believe that my hope of having another girl was reality! 

That Sissy had a sister! That you had a big brother to protect you! And that I would get to use the bows and dresses Daddy let me take a chance on purchasing since he had a feeling we'd be adding more pink to our household! 

I asked a nurse what time it was, unsure of how much time had passed since we arrived at the hospital. 

11:01 PM 

Twenty six hours since my water had broken. 

My longest and hardest labor was now behind me, and I was so incredibly grateful to be cradling you in my arms as you nursed for the first time! 




At 7 pounds 4 ounces, you weighed in as my biggest baby yet, beating your big sister and brother by nearly a pound! Measuring at 20 inches you were longer than they were at birth, as well, but you still seemed so small. How quickly we forget about how tiny newborns are and how quickly they grow. 



You are nearly six weeks old, and every time I look at you, I'm reminded again of the Lord's graciousness. Gracious to give me a night of rest before a long day of laboring and my most difficult birth yet. Gracious to allow your labor to be long, for had you come as fast and furiously as Sissy and Bubby, the outcome could've been much different. Gracious to give us a midwife like Linda, who always handles each birth with patience and wisdom. Gracious to give me the ability to push through the pain and deliver you naturally and safely.



I could go on and on, but I hope you will always know how faithful He is, and how good He was to give us the gift of you!!