Wednesday, February 26, 2014

24 weeks, 6 days

Well, now that I suddenly seem to have SO MUCH MORE time on my hands than I did three days ago, I might actually get around to writing blog posts more often. So, here's the latest scoop -
I am officially on complete hospitalized bed rest (with bathroom privileges only) for the duration of this pregnancy. I am able to sit up and move to different chairs in my room, however, there is to be no walking. The more I read and talk to people, the more I have come to understand that the benefits of this limitation greatly aid in carrying the babies for as long as possible. In fact, my blood pressure has already gone down. :)
For the first night of my hospital stay, I was hooked up to all kinds of monitors. However, the babies were doing so great that they were able to be removed within about 14 hours. The current plan, as it has been explained to me, is -
1. My MFM meets with me weekly for evaluation.
2. My OB checks in with me just about every day.
3. Nurses monitor my vitals 3 times each day.
4. Nurses monitor the babies vitals 3 times each day.
5. Blood draws will be taken weekly to monitor any growing effects of the preeclampsia.
6. Sonograms will be performed twice each week.
I have also already had very informative meetings with the NICU doctor, the chaplain, the nurse navigator, several on-call doctors, and a host of nurses. While the risks are high, the goal is still the same - to keep these babies inside as long as possible.
While I am still learning all the in's and out's of preeclampsia, the basic premise is as follows. Preeclampsia is a disease that only occurs during pregnancy and is only cured by delivery. It is diagnosed by large amounts of protein in the urine. While kidney function and blood pressure are affected, the hope is that it does not progress to harm other internal organs. The primary concerns are liver function, headaches, changes in vision, lowered fetal movement, placental abruption, contractions, and bleeding. Cases can get so severe that the disease can cause stroke, seizure, and even death. I currently only have mild preeclampsia. The doctors have explained to me, however, that if things progress to the severe stage, they will deliver the babies immediately. Preeclampsia is quite common in multiple pregnancies and is monitored very closely.
I am feeling great! In fact, I was quite surprised when the nurse called with my lab results. I really have none of the symptoms or pain that can accompany this disease. Please pray that this continues!
"In everything give thanks, for this is the will of God in Christ Jesus concerning you." (I Thess. 5:18)
*Griffen's surgery went great. Rob bought him a little Lego set and by the time he got home he was putting it together.
    
*I was so happy to learn that Rob and the boys can visit anytime. They are even allowed to spend the night in my room. I think we might try that out this week sometime. They came last night and we all put together a 3D puzzle of the Empire State Building.
*When you cook as bad as I do, the hospital food tastes great!
*Our family is SO grateful for all the friends who have offered help during these next few months. From homeschooling, to child care, to laundry, to cleaning ---- ALL is very much appreciated!!!
*I am supremely grateful for all the prayers on my behalf and for a God who hears!

Monday, February 24, 2014

Prayers Appreciated

Well, bed rest has come sooner than we hoped. At about 5:30 this evening, I received a call from my OB's nurse with the results of my latest blood and urine tests. Due to my elevated blood pressure, they have especially been watching the protein levels in my urine. The numbers should stay below 300, however mine recently spiked to 430. Because of this, my OB and MFM agreed that I needed to check into the hospital immediately. So, Rob helped me pack a small suitcase and by 6:30 I was checked in at Wesley Medical Center in Wichita. Upon our arrival, I was hooked up to a multitude of machines and, after speaking with several doctors, was diagnosed with preeclampsia. While the babies are still doing great, preeclampsia mostly poses a risk to my health. These risks include stroke and seizure. All the doctors seem to agree that they would like me to stay on hospitalized bed rest for the remainder of this pregnancy. I was also given the first round of steroids tonight to help the baby's development in the event that they need to be delivered soon. I will get a second round of steroids tomorrow sometime. Our new goal is to make it to 34 weeks. We would greatly appreciate your prayers for some specific request.

1. That my blood pressure would remain below 140.

2. That my protein levels would go down.

3. That my blood work would come back normal.

4. That I would be able to carry these babies as close to 34 weeks as possible.

5. That God would give grace during these next few weeks/months as our family is apart.

6. Griffen is having surgery tomorrow morning to put tubes in his ears and to have his adnoids removed. Please pray that his surgery goes well and that he would recover quickly....without his mom.

Tuesday, February 18, 2014

Milestone #1 - 24 weeks!!!




We have finally made it to milestone #1. Twenty-four weeks marks the time at which a baby is viable outside the womb. While babies born at this period will likely need to spend months in the NICU and can face a variety of medical concerns, the national success rate for their survival is 50%. However, at the Wesley Medical Center, which is where we will be delivering, the success rate is 70%. So, while we do not want to deliver any time soon, this certainly provides some sort of peace and reassurance. Many have asked me when I am due. Well, that is a very tricky question. Since there are so many complications that can arise with triplets, we are just told to aim for certain milestones. They are -



  • 28 weeks (March 20) - While the babies would still need to be in the NICU for some time, the success rate of survival is near 100%.
  • 32 weeks (April 17) - The average triplets are born at this time.
  • 36 weeks (May 15) - At this point the babies are considered full-term and would hopefully need little to no time in the hospital. 



Today, we had sonogram #8. This was a longer and more intense appointment. The MFM (maternal-fetal medicine) doctor and the technician both did the scans and looked at just about every organ. As we sat and watched the blood flow through the umbilical cord and watched the 4 chambers of each heart pumping blood, I was amazed at what a mighty God we serve! He truly is a wonderful Designer! While the babies are moving and turning all the time, today all three of their heads were lined up together in a row. We just had to share this picture of them all together. (This picture labels each of their heads.) 



Each baby is doing awesome! Their current stats are - 
Keira - 1 pound, 9 ounces
Drake - 1 pound, 12 ounces
Taerik - 1 pound, 13 ounces

Beginning today, the MFM doctor wants me to come in for sono's every week. In fact, they handed me a printout of all my appointments through May.On top of that, he wants me to start seeing my OB every week, as well. His primary concerns are - 
  • My blood pressure - While I was given a prescription many weeks ago,  he told me I could hold off taking it until my blood pressure rose above 140. Up to this point, I have not taken any. However, starting tomorrow I will need to begin these meds. While my OB stated various concerns regarding my blood pressure, my MFM doctor is primarily concerned with my eyes. He says that high blood pressure can lead to certain eye problems and so he is handling my situation very cautiously.  
  • Preeclampsia - My high blood pressure could also be a sign of preeclampsia. So far, I have had no other symptoms of this, however they will be screening me regularly from now on. 
  • Preterm labor - So far, so good. However, this is a common cause of premature delivery. They will now begin measuring my cervix every week to monitor this. At whatever point early labor starts, I will likely be put on hospitalized bed rest and steroids.   

I so much appreciate your continued prayers on my behalf!!! We are excited to finally be this far along and continue to pray that God would allow us to go much further. One technician told us today that we are happiest parents of triplets she's ever seen. Well, we certainly have much to be happy about!!! 

Saturday, February 8, 2014

22 Weeks

What's new at 22?

Sonograms are now every other week! We had sono #7 on Monday. Of course, the babies are so crowded at this point, that all I see is a mass of body parts. But, the ultrasound technicians amaze me, as they seem to know what part belongs with which baby. While they do need complete concentration, they always start with the head and work down. If ever they get confused, it's back to the head and down again. It also seems that each time we go for an appointment, the medical residents are invited to sit in on our case. We were told that triplets only come along about once each year.

I have gained 40 pounds already! As astounding as this fact is, I am actually right on track with my weight gain schedule. So, praise the Lord! This is probably the only time in my life you will ever hear me cheer for weight gain.

At my OB appointment on Thursday, my belly measured 34 cm! Full term size for a singleton pregnancy is 37 cm. This, too, is right on track. I was told at the beginning that I would likely look full term at 24 weeks.

Due to some light cramping, I am now officially at the "limit time on feet" stage. All along, I've been anticipating various forms of bedrest (modified, complete, hospitalized). These limitations come as contractions come. I am so thankful to only have these minor limitations right now, and am hopeful that I will not have to add any more in the near future.


Baby, Baby, Baby Shower - February 1, 2014




Some dear friends in our church threw a baby shower for me last Saturday!!! They did such a beautiful job and really helped to make this journey extra special. I am also extremely grateful for how God continues to provide through the generosity of His people. We were overwhelmed by all the gifts!



In typical, non-traditional form, I was the "speaker" at my own shower. All along this journey, Rob and I have desired to make God preeminent. So, when asked who I would like to speak, I volunteered to share my personal testimony of God's leading in our family these past two years. The following video documents our journey and is approximately 30 minutes long. While I don't expect that many will have the time to watch it, I chose to record and post it publicly for several reasons:

  • Due to an ice storm the night before the shower, there were a number of people who were unable to attend. Some have asked to see it.
  • With all of our family living in Iowa, Minnesota, Wisconsin, and Michigan, I wanted to be able to share the experience with them. 
  • While I completed detailed baby books for Griffen and Rhys, I am fearful that I will not be able to keep up with such an endeavor for these three babies. So, instead, I am making a DVD that will serve as each of their memory "books." It will include this blog, numerous pictures, a song I wrote and recorded for them, and various other files I have on our computer. I do not care that they ever know the in's and out's of this triplet pregnancy, however I deeply desire that they are someday able to see God's supernatural leading in their lives. HE saw their unformed substance and planned out all their days (Psalm 139:16). 
  • In an effort to be transparent, and with a great desire to minister to others going through deep trial, I wanted to offer hope and encouragement. I do not for one second think that everyone is waiting with baited breath to hear what I have to say. In fact, if anything, this testimony actually highlights many of my weaknesses and insecurities. But, if it can be used to help even one individual, then it has been worth sharing!