Saturday, September 27, 2014

Day One at Primary Children's Hospital

On Friday August 1, just after putting the girls to bed, I began to feel stomach aches. The next morning it became clear that Paisley and I were both sick with some sort of stomach illness, making her puke and giving me diarrhea.

We still aren't completely sure how we both got the specific strain of shiga-toxin producing E-coli that caused Paisley's serious illness, but we have a pretty good guess. That same Friday before I began feeling ill Paisley and I went to the store together and ate some of the samples they were serving. I remember one particular chicken item tasted a little funny. Paisley and I were the only ones who went to the store and we were the only ones in the house to get sick. Turns out, other outbreaks of E-coli have come from this store's samples. Our best guess is that the E-coli came from eating these samples.

On Monday the 4th, after enduring a few day of Paisley puking and at the point where Paisley couldn't keep any food down, Paisley was acting pretty weak and tired. This makes sense because she had been sick for a few days, it seemed like normal stomach bug symptoms. As we were sitting on the couch watching The Goofy Movie, Paisley suddenly slouched over and went unresponsive. Her arms were contracted but the rest of her body was limp. She sort of flopped over away from me and at first I thought she was just weakly trying to get her drink. When I saw her foaming at the mouth I knew something was wrong, and turns out I was right. She was having a mild seizure.

As quickly as we could we got everything together and went off to the urgent care. Myles gave her a Preisthood blessing in the car, and blessed her that her body would recover completely. When we arrived the doctors checked all of Paisleys vitals and discovered her oxygen was dangerously low. They gave her an oxygen mask and the problem was quickly resolved, but she was still in very serious condition and the urgent care doctors recommended she ride in an ambulance to the ER just next door. Myles went with Paisley in the ambulance and I drove the car over.

At the ER they gave her an IV to help with her dehydration and took many samples for lab tests. She also had a CT scan to help unravel clues about her neurological symptoms. The doctors asked us many questions about her symptoms and events leading up to our arrival. They confirmed that she probably did experience a seizure and later informed us that their working diagnosis was HUS (Hemolytic Uremic Syndrome).

This is when I sent out a text to immediate family asking for prayers and we continued praying more fervently. I was still sort of in shock and it hadn't hit me how serious this was. I kept replaying all the details in my head, trying to think of any clues that might be helpful to the doctors, and help them heal my little girl. Next they recommended that we have Paisley Life-Flighted to the Pediatric Intensive Care Unit (PICU) at Primary Children's Hospital in Salt Lake City.

Myles rode in the helicopter with Paisley and I went home to pick up Laurel from the babysitter and get together everything we would need for an overnight stay at the hospital. I dropped off Laurel with my sister to stay overnight and I made the 51-minute drive to Primary Children's Hospital for the very first time.

When I first arrived, everything was pretty calm. Paisley was unconscious on the bed, hooked up to a few wires, and a nurse was caring for her. Sometimes she would start to cry out, but not really come back to consciousness, but she mostly looked really peaceful.
However, it wasn't long before her room was busy with doctors performing procedures and hooking her up to all kinds of medications and monitors. With all the IV fluids she was getting she started to look puffy and swollen. Soon she looked so ill that it was very difficult for me to look at her without getting emotional.
We settled in for our first night in the hospital, holding each other close trying to get some sleep on a tiny fold out couch-bed.

Update 8/4/2015 - One year later: Looking back on this day, it is amazing how much God was in the details, helping us along the way. Myles felt like staying home from work that day, and because of that the car was home when we needed to drive Paisley to urgent care, and Myles was there to be the level-headed hero while I was in shock. Coral was there to take care of Laurel when we left the house. Priesthood blessings were given (even before her seizure, thanks to inspiration) which brought us faith and hope. She was able to get all the care she needed in time, and we had great insurance through Myles' job. Our family, friends, and church community were there for us the whole way. God had prepared us in advance to be able to face this struggle with all the tools we would need to get through it, and I am so grateful for that.

Sunday, November 3, 2013

2 Years and 6 Months

Paisley just celebrated her 2nd birthday! I cant believe how big she is now! And she is more beautiful than ever. Some of her favorite things:

  • Daniel Tiger's Neighborhood (Gi-ger)
  • Candy (Kannee)
  • Blankie (Bay-kee)
  • Curried coconut chicken (Meats!)
  • Beans (Beens)
  • Her train set (Chuu chuu)
  • Her new trike
  • Her sister Laurel (Wa wa)
  • Baths (bafs)
  • iPad Games (geems)
  • Daddy (Da da)
  • Book of Mormon Stories (signs with her fist on her hand)
She knows so many words! She is learning new ones every day! She can do hand motions to songs and sign lots of words. She loves to run and dance and play. She has the biggest smile and the cutest giggle! She is learning to help clean up and get things for us. We have started letting her play with the potty a little and she got a special Winnie the Pooh potty seat ("poo seat") for her birthday so we will let her sit on it every now and then. Soon we will really begin potty training. I am so proud of her and how much she has learned and grown! 

At her birthday party



Playing in the autumn leaves

Riding her new trike!




Eating Halloween candy!

Dressed as Tinker Bell for Halloween



Laurel is now 6 months old! A few weeks ago she couldn't even sit up on her own but since then she has been learning like crazy! Now she can not only sit up, but also crawl, and pull herself to a stand! She is not very efficient at these things yet but she gets better every day! Standing is her new favorite trick to show off. She is still pretty wobbly and needs to learn better balance but she will get there. She loves to smile and giggle and play with her family. She doesn't need to be held quite so much now that she is learning to move so well. We have started giving her small bites of food. she doesn't eat much, but as they say about food in La Lechce League "Before one, just for fun". She still breastfeeds very well and is growing beautifully. I love her!!!
With Auntie Ashli at Paisley's Party

Eating Peas



Having fun exploring

Grinning with my hat on

A bumblebee for Halloween



Sunday, September 29, 2013

A Glimpse Into My Labor

This is a video of me while I was in hard labor with Laurel Jade, not long before I started pushing. I am wearing my swimsuit in the birthing tub. It was not as easy as it looks. Remember, I did not have any drugs during labor. I used Hypnobirthing techniques to help me be more comfortable. I wanted to share it so others could get an Idea of what natural labor can really be like. My Hypnobirthing instructor/doula was my sister Fiona Judd (you can see her helping me stay cool).




Tuesday, June 11, 2013

The Birth of Laurel Jade

Laurel Jade Porter
Born April 16 at 7:06 pm
8 lbs 10 oz, 22 in
What we were expecting:

  • To go into labor early, at least a few days before the due date (April 10). We expected this because Paisley was born right on her due date and first babies are usually later than second ones.
  • Less early labor and more predictable/regular contractions. 
  • Little to no back pain during labor, since we were actively monitoring baby's position and trying to promote ideal positioning.
  • A much easier and more comfortable birth than with our first.
  • A faster labor and delivery - about 8 hours.
  • More freedom during labor to do what feels right
  • Minimal monitoring
  • A perfectly healthy baby with plenty of time to hold her immediately after the birth.
Luckily, we got most of what we were expecting! But there was plenty unexpected. Here's how it went.

Sunday morning April 14 (4 days after my due date) I woke up early with some crampy contractions. I timed them for a little while and they were irregular and I knew it could still be a while before real labor started. Sure enough, they slowed down a lot as the day went on and we decided to go for a walk/short jog to see if it would help get things going. That helped a little and caused more birth show but not much else happened that night. 

Monday morning I woke up with contractions again and this time they were consistently 5 mins apart! Thinking this was the real thing, I decided to take a bath to help with the discomfort. Unfortunately, after my bath the contractions got very irregular again. I called my midwives to see if they had any ideas on how to get things moving again. They asked me to come in so they could check my cervix and see where to go from there. We took our stuff just in case. When I got there I found I was only dilated 1-2 cm. They asked if I wanted a "sweep and stretch" (stripping membranes) and I told them to go ahead. It was far enough past my due date and I had experienced enough early labor already that I figured it could only help! They went ahead and did it right there. It was very uncomfortable. After that I had more contractions but they were still irregular. The midwives suggested we eat a good meal and get some rest so we thought we might go out to eat, but the contractions were too close and intense so I decided not to leave the house. That night at bedtime I wanted to get as much rest as possible because I knew labor was coming soon. I took a bath and said a prayer that I would be able to get some rest that night and then have the baby the next day. I went to bed and managed to get about 4 hours of sleep.

Tuesday morning the contractions woke me up again, this time extra early. They were about 7 mins apart. This time they felt different. They were more intense and over time I noticed back pain with them. I knew these were the real thing. I went through all morning breathing through the contractions and timing them but they would not get closer!

I called the midwives again to update them on how I was doing and see if they had any advice. They were so great about answering all my questions and concerns and I felt like they really cared about me and were thinking about me even before I called. When I told them what I was experiencing they asked me to come in again so they could check me. We drove off to the birth center again, wishing they would ask us to stay but not expecting much. They told me that my pattern of labor suggested that the baby was probably posterior and then confirmed that she was indeed in posterior position. (Not again!) They checked my progress and this time I was dilated to 4-5! The midwives suggested that I get some rest while the contractions were still irregular. They gave me the option of resting at the birth center or at home. I chose to stay. It was about 3:00 and Myles and I slept on the couches (it was more of a doze for me since I was still having surges every ten minutes or so) in one of their rooms for an hour. They gave me a specific position to rest in which would help the baby turn.

When we woke we found that they had prepared a room for us and wanted us to stay! They said they could tell from my moaning during surges that it was the real thing. haha! I'm noisy. I tried resting a little but I was too eager to turn the baby and get the labor moving.

About 30 minutes later (4:30) I had my sister/doula/hypnobirthing instructor Fiona meet me at the birth center and things really started moving. She tried a few rebozo techniques to change the baby's position and it seemed to help things move along. Unfortunately the back pain persisted. I wanted to get in the big jetted tub but midwives wanted me to labor outside of the tub as long as I could until the baby turned. I labored on my hands and knees for a while to promote the best possible position. I asked again to get in the tub and then the midwives gave me the go-ahead but wanted to check me first. I was at an 8! I put on my swim suit and climbed in the tub.

As soon as I got in the tub I felt relief... But then the contractions started coming really close together and stronger! The tub was a large deep jacuzzi-like tub with a special system for sanitizing every little crack and crevice. I have a video of myself laboring in the tub and it looks a lot easier than it really was. Those contractions came with a lot of pressure and I was still feeling the burning back pain, not to mention that I only got a 30 - 60 second break in between them. However, I still felt completely capable and in control. Fiona was fanning my face and Myles was giving me cold wet wash cloths to cool off my face. It seemed like this time the water made things really pick up and get moving.



It wasn't long before I felt like pushing so I gradually started pushing a little with each contraction. I wanted to push harder but I was still worried that the baby was not in a good position for pushing. I had heard that pushing out a posterior baby is much harder than other positions. My midwives checked the position with the doppler and confirmed that she was not posterior and she was in a great position for pushing. Yay!

Then I started pushing with more force but not yet at full power. At this point my waters had not yet broken and I was feeling a LOT of pressure with each contraction. I reached down to see if I could feel the head and there it was! Well, it was the bag of waters around the head. As soon as I felt that I got really focused. I told the midwives I could feel the bag of waters. "Yep, that's the bulging bag of waters" they said. "OK... let's break it." I said with determination. I guess my tone of voice and confidence was surprising to everyone because they all laughed. "That was awesome. I wish we had gotten that on camera" they said. I was so focused and determined to get her out! It took the student midwife a few surges to break the water and I was pushing at full force during each one.

Once my water broke the pushing was easier. The pressure was relieved and I could make progress much faster. It was only a few more pushes before I felt the "ring of fire" telling me her head was almost out. I knew that if I slowed down at this point I would reduce the risk of tearing, but I was IN THE ZONE! Nothing was stopping me from meeting my baby! One more big push and her head was out! "Look at that hair!" I said breathlessly. Two more surges and the rest of her body was out.

Heaven! The midwives immediately put her on my chest with a towel over us. "Talk to your baby" they said and all I could think to say was "Hello", "I love you" and "you are so beautiful" over and over. I also felt so great that I had done it! I pushed out my baby completely drug-free! Myles came really close to meet her and I said "This is your daddy! You are so lucky, you have a really great daddy, one of the best!" Myles wished we had gotten that on camera! ha! Then we told everyone her name... Laurel.



While Laurel was on my chest the midwives rubbed her to make sure she could cry. She made noise but didn't cry much. That's ok! She was just so content to be with me that she didn't feel like crying! Then they started suctioning some mucus out of her nose and throat. I remember the doctors had to do the same thing with Paisley but they took her away to do it. I was so grateful that this time I could hold Laurel while they did everything they needed to.

Once the cord stopped pulsing Myles cut it. She had a lot of mucus in her nose and throat so the midwives had to spend a lot of time getting it all out. Eventually they did take her away to do it, but not until we had plenty of time to get to know each other and Myles got to hold her while they did it.



We moved out of the tub and into bed where they worked on my uterus and I finally birthed the placenta. They said my uterus was tired from having such a long early labor. I was tired too! They also checked for tears. They said I had one tiny tear they compared to a paper-cut then they triumphantly declared that I had a "intact perineum"! I attribute that to the water birth. It helps prevent tears.



Then I finally nursed Laurel for the first time. She did so good! She latched on like a little vacuum hose and her suck was so strong! I could definitely tell she was getting plenty of colostrum because I could hear her sucking and swallowing. I remember one of the student midwives looking me in the eye and thanking me for breastfeeding my baby because it was such a great gift I could give to her. *warm fuzzies* I so appreciated her taking the time to tell me that. What a great first experience nursing Laurel!

We spent the next little while just admiring Laurel and holding her and loving her... The midwives continued to monitor her vitals. Eventually they informed me that her respirations were a little high. They said if her breathing rate didn't go down she would have to be transferred to the hospital NICU. However, her rates were on the borderline where she might be fine, but she might not. I felt confident that everything was going to be okay and that Laurel was fine. However, the medical advice we were getting was very clear that it would be a big risk to take her home in that condition. We made the decision that we would take her to NICU if we needed to. I was disappointed that we would have to take her because I knew it would mean a lot less snuggling, skin-to-skin contact, more difficulty nursing, and of course the emotional struggles that come with being away from your newborn when she is not well.

Thankfully, the midwives came back and said that they would stay and keep an eye on her a while longer and see if her respirations would go into the normal range on their own. I loved that idea! Especially because I knew in my heart that she would be fine and I wanted to avoid going to NICU if possible. Sure enough, it wasn't long before her resps were normal and they told us Laurel would be perfectly fine. What a relief!






I finally took a shower and got into bed and the midwives left us to rest. Myles and I got a few hours of sleep in our nice big bed next to Laurel, then we took her home. Paisley loved meeting her that morning. She loves giving Laurel hugs and kisses. She is a great sister.

Overall, I loved the birth center, I loved my midwives, my doula, hypnobirthing, and I had a great experience while I was there. I did not love waiting till 6 days past the due date, my long early labor, and the back labor. However those things were completely out of my control. The experience at the birth center was much better than the hospital.

Now Laurel is exactly 8 weeks old! She is 24 inches tall (100th percentile!!! Wow!!) and 11 pounds 15 ounces (93rd percentile). She wont fall asleep or stay asleep anywhere but my arms or her swing. But she has more alert time now when she will laugh, smile, hold her head up, and push up with her legs! She is strong and perfectly healthy. We love her to infinity and beyond!