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Friday, November 19, 2010

The Whole Story

Many of you have already heard this, but this is how Sophia came to be born at 35 weeks...

On Tuesday, September 21st, I went in to the Maternal-Fetal Medicine office at St. Mark's for my routine Non-Stress Test.

Here I am, hooked up to the monitors:

This is the computer screen with the read out of Sophia's heart rate
(the squiggly blue line in the thick turquoise line)
The graph on bottom would show if I were having contractions.

At this appointment, they took my blood pressure and it was a whopping 207/127
(bear in mind that normal is 120/80).

The technician doing my NST tried a new blood pressure cuff, but the reading was still the same.
So, she called Dr. Sloan.

I was supposed to have had an appointment that afternoon with Dr. Sloan,
but she told the technician to take me down to Labor and Delivery and that she would meet me there.

They made me get in a wheelchair.
Then they wheeled me through the most crowded waiting room I had ever seen
- it had never been that busy before, but on the day I get wheeled out of the office,
there just had to be twenty people there to witness it!

We got down to L and D and they took me straight to a delivery room (yikes!) instead of the triage room.
They hooked me up again to the non-stress test monitors and began to take my blood pressure periodically.
Slowly but surely my blood pressure began to decline.

And then some random guy and girl walked into my room asking if I wanted to participate in a study about pre-eclampsia.  I wanted to, but my blood pressure jumped up 30 points once they came in, so we decided it would be better if I didn't participate. 
They came back 10 minutes later to tell me that they wouldn't be coming back.  Weird.

When Dr. Sloan saw that my blood pressure was coming down without the aid of medication, and that my blood work came back normal, she said she wanted a 24-hour urine test again, but that she thought I'd be able to go home the following day.

After a terribly uncomfortable night (those delivery beds are not meant for sleeping!) and only 45 minutes of sleep, I finally finished the 24-hour urine collection around 4 pm.  Thinking that they'd be sending me home as soon as they got the results back, they gave me dinner around 5 pm.  A few minutes later, the results came back and it turned out that the protein count in my urine had doubled in only four days. 

So, Dr. Sloan said it was probably time to induce labor, but since I had just eaten, they would need to wait several hours because I might get nauseous. 

They started the pitocin at 12:00 am Thursday, September 23rd.

By 8 am or so when Dr. Sloan came in, my labor had still not really started, and I was dilated to a 1.

Then Sophia's heartrate dropped dramatically.  They had me roll over on my side. 
Fortunately, her heartrate went back up.
They think she was laying on the umbilical cord.

But because her heartrate went down, they had to take me off pitocin.  And when they put me back on it, they had to start  me back on the lowest dosage.
It wasn't working.
I was having contractions, but was making no progress.
My body wasn't ready for labor.

I ate a lot of ice chips.







Dr. Sloan came back to the hospital around 5 pm. 
I was still barely dilated to a 1.

So she presented our options to us:
1- Deliver now by C-section
OR
2- Wait a few hours, then try to induce labor again with a different medication

I really did not want either option, but I especially did not want to go through surgery. 
Dr. Sloan left the room so Danny and I could talk about it. 
After 10 minutes of Danny and I telling each other that we had no idea what to do, Dr. Sloan came back.
We hadn't made a decision.

I asked her if there was a chance that I could do bedrest in the hospital for several more days
and wait until week 36 to deliver Sophia.
She said that it wasn't really the standard of care to do that,
and even if we did, it might not do Sophia any good to stay in any longer,
especially if my placenta was deteriorating, as it most likely was.

And at that moment,
a thought came to my mind.
It was:
The most important thing is doing what's best for Sophia.
It doesn't matter if I have a longer recovery or if I'm afraid of major surgery.
I need to have a C-section.

It was suddenly clear what I needed to do.
And I was no longer scared and unsure.
It was pure inspiration from Heaven,
and I am so thankful that it came
at the precise moment
I needed it.

Confidently,
I told Dr. Sloan that I felt like I should do a C-section.

So, we got ready for surgery.

Here I am:
Ready to go!

It was 6:00 pm when we decided to have a C-section.

By 6:45 pm, we had our Sophia:



Dr. Sloan said that the umbilical cord had been wrapped around Sophia's neck twice.
She thinks that if we had decided to induce labor with the different medication
that we still would have ended up in the operating room.

I know we made the right choice.

Thursday, October 7, 2010

Homecoming and Sophia's Second Week

Here are some pictures of Sophia's last two days in the NICU:

WEDNESDAY
29 September 10


So comfy in Daddy's arms:

Sophia loves being held by Daddy!
(Note the crib in the background that was Sophia's home for a few days.)



THE CAR SEAT CHALLENGE
In order to be discharged from the hospital, Sophia had to be able to sit in her car seat for two hours
while maintaining her heart rate, breathing rate, and oxygen saturation.


As you can see,
Sophia has room to grow into this car seat:
(A big thank you to Gram-gram Bokovoy for getting us this car seat!)
She passed the challenge with flying colors on her very first try!

Mommy feeding Sophia


Sometimes she needs a little persuasion to finish her bottle
Tickle, tickle!



Me want food!


A little more persuasion...

In the video below, Sophia demonstrates what we like to call
Crazy Eyes:


THURSDAY
30 September 2010
(One week from when she was born)
Mommy changing Sophia into clothes to go home in



I wonder what home is like ...


Sophia in the outfit that Grandma Saxton bought for her:
(It's "preemie" size, but still a little big)
What a sweet little cupcake


No more monitor wires!
She weighed 4 pounds 0.7 ounces at discharge

So, after we fed her, we bundled her into her car seat
and took her out of the hospital for the very first time.
6:45 pm Thursday evening, exactly one week from when she was born.


Here is Daddy, freaking out that he's driving our little girl home!

Sophia's first night at home:
(kind of dark, sorry.)

I took the next pic with the flash:




Bundled up to maintain body temprature


Getting ready for first diaper change at home:




FRIDAY
1 October 2010
Daddy thought he might be getting sick, so he wore a mask to protect Sophia:





SATURDAY
2 October 2010

She doesn't like the flash of the camera.



SUNDAY
3 October 2010

Sophia's first official visitors:
My Sister-in-law Melissa, nephew Parker, brother Dan, and nephew Hunter


Hunter loves Sophia!


Daddy burping Sophia


She loves her binky!


MONDAY
4 October 2010

Sophia's first Doctor's Appointment:
This was after the appointment was over.
We didn't take any pictures while she was being examined,
but we did find out that she weighs 4 pounds 6.7 ounces.
That means that she gained 6 ounces in four days!


TUESDAY
5 October 2010

This is the day that Sophia would have been 37 weeks in utero.
She's doing much better on the outside.


Daddy burping Sophia again


WEDNESDAY
6 October 2010

I think she looks a little like a prisoner in this striped outfit ...

but she's a cute prisoner!
Working on a double-chin


Here are a few videos (no sound);
we tried to get a video of her smiling.



Friday, October 1, 2010

She's Home!!

At 6:45 last night ... exactly one week (to the minute) from the time Sophia was born ... we took her out of the St. Mark's NICU.

It was a stressful 50 minute drive home, but Sophia did great and slept the whole way.

We are so happy and thankful to have her home already.  Thank you to all of our family, friends, and family-friends for your prayers and well-wishes on our behalf.

Sophia is doing very well at home.  She's eating better than she did in the NICU, and we have her on the same feeding schedule - every three hours.  Many preemies have to be woken up to feed that often, but not our little So-So.  She knows when it's time to eat!

We've established our own little NICU in our basement apartment.  We limit visitors and enforce strict handwashing policies.  Hopefully after a few months when she's bigger and stronger we'll be able to invite people over to see her and hold her.  But for now, we have to limit even how much we hold her because even being held is stimulation for a preemie.  And if she's getting stimulation, then she can't grow as quickly.

However, I promise to post pictures and video as often as I can, so check back periodically!

Wednesday, September 29, 2010

Sophia Marie



Sophia Marie Bokovoy

Born at St. Mark's Hospital in
Salt Lake City, Utah
on
Thursday, September 23, 2010 at 6:45 pm
3 pounds 14 ounces
16.5 inches

I'll post the whole story later, but I just wanted to get some pictures online.


Right after Sophia was born:
(yes, we decided to spell her name Sophia instead of Sofia)
Our first family photo!
(In the operating room)
I was able to see Sophia for just a few seconds
before they whisked her and Danny away to the Newborn Intensive Care Unit (NICU).


Sophia's first night...
Lots of wires and an IV in her head:


Here's a video ( 3 seconds) ... there's no sound.


Another video:
(couldn't get it to upload; check back later)


First night in her isolette in the NICU at St. Mark's Hospital:
Thursday
(Day #1)
Her hand is bruised from where they tried to give her an IV.
They couldn't get it in her hand, so they had to use a vein in her head.


Friday
(Day #2)
My first time holding Sophia
(I had to wait until Friday evening because I was on some powerful anti-seizure medication) 
It was miserable to have to wait until the next day to hold my little girl ...
But she was definitely worth the wait. 
Precious little baby!
We were quite the pair - I had an IV in my hand, and she had one in her head.
She also had a feeding tube up her nose;
she didn't need an oxygen mask or respirator though.


Saturday
(Day #3)
She doesn't like her feeding tube...


 Sunday
(Day #4)


 Monday
(Day #5)
No more feeding tube!
(She pulled it out herself)


Sophia in her isolette:

Snug as a bug!!


Daddy feeding Sophia 
It's hard to feed a baby behind an inch of plexi-glass.

 Tuesday
(Day #6)
Wearing clothes ... and in an open crib - you go girl!!



I took this next picture at a weird angle, but I love the face Sophia is making in it.

She's our sweet little angel baby
The wires that are coming out of little square stickers on her body
are the monitors that keep track of
her heart rate, oxygen saturation levels, and breathing rate.