Isabella's birthday was Friday the 13th, with a full moon that night...something that won't happen again until 2049. A special day, for an incredibly special baby.
There was so much anticipation leading up to the birth of Isabella. It was a bit bizarre going into the hospital for a planned C-Section with our first child. I know so many friends who had c-sections, but none of them were pre-planned for the first kid.
A part of me felt like I was missing out a little bit on going into labor, feeling any contractions, or the spontaneous-ness of having the baby, but when all was said and done, things went perfectly and I can't complain.
Rather than describe in detail the events of the day, Isabella Rae's birthday will be presented in pictures. Mostly because the day is largely a complete blur to me! I wish I could say that I remember every single detail, but really once I got the spinal block things got very fuzzy very quickly. And that didn't wear off until about the next day when extreme exhaustion of being up for almost 48 hours set in. So the combination of the two leaves a lot of "fill in the blank" moments for me. Which is why I treasure the pictures so much.
We arrived at Rush Copley Hospital at 6:00 am. I remember being about 75% nervous and 25% excited at this point. Or maybe it was 75% excited and 25% nervous excitement. Either way, it was a lot of excitement and a lot of nerves!
Once we were registered, we were taken to the pre-op room and 2 IVs were placed. Generally they just place one, but because of my complete previa and anticipated increased blood loss, they had 2. Good thing, because we would need both those bad boys in the OR!
One last belly picture before the big moment! The nurse we had was right up my alley and LOVED taking pictures. So she took about 45 before we went to the OR, and pretty much every picture from there on out until we were transferred to the Post Partum unit. Loved her!
I was wheeled into the OR at 7:49 for my spinal block while Jon stayed behind to get dressed in his bunny suit and fancy hat and boots : ) He came in and saw me like this. At this point I was trying to "escape to the beach" in my head, trying my hardest not to pass out or throw up all over myself.
About 30 seconds after the spinal was placed, I was laid down and then felt absolutely awful! I started sweating bullets, my heart felt like it was racing and pounding out of my chest, I was super dizzy and felt fuzzy, and thought I was going to throw up (which was one of the things I SO badly didn't want to do in the OR!).
I just remember hearing my monitors beeping, the doctor saying "push more fluid" and the anesthesioligist asking for the "pressor" to be drawn up. Apparently my blood pressure bottomed out, they gave me several boluses and then some medication for my blood pressure to come up when the fluid was working quick enough (which the APN in me wishes I was coherent enough to ask what it was!). After that, things were better. The nausea went away, I stopped sweating, and my heart felt normal again...thank goodness! It probably lasted less than 2 minutes, but it felt like an eternity of awfulness!
The c-section then started, and another round of the above happened. The doctor later told me that she had to cut through the placenta to get to the baby out, and I lost over 1 L of blood during that causing my blood pressure to bottom out again, and the same scenario to replay.
They had blood for me in the OR, but decided to hold off on giving it, and just replaced fluid instead. My hemoglobin going into the OR was 11.8, and the next morning was 8.1, so the doctor said the estimated blood loss may have been lower than what was truly lost.
Either way, with everything that could have gone wrong in the OR, it didn't. My placenta was easily detached from the uterus, and no hysterectomy was needed, which was my biggest fear.
And one thing I clearly do remember was hearing my doctor say "Wow, Dana, you really have no abdominal fat!" as she was starting the section. I still wasn't feeling great at that moment, but remember thinking 1.) yeah right, but 2.) can we get that on recording! : )
And just minutes later out came our precious little girl. Isabella Rae Lerma was born at 8:10 am. She cried right away, and it was the sweetest sound. It wasn't a boisterous, loud big baby cry, but something more like a petite, really mad sheep crying! Oh so cute!
The first time I laid eyes on my baby girl. This is one of those moments that I wished I had etched deeply in my mind, but other than thinking "Oh my gosh, she's really mine!? She really just came out of me!?" this moment is mostly blurry.
Jon got to cut the cord, which I was so proud of him doing. He was in charge of taking pictures of the OR, but when the doctor said he could stand up and take pictures, his eyes got barely over the blue drape, he saw "blood everywhere" and then promtly sat down, saying "No thanks, we're good." Thanks again to the RN who then took the camera back and continued to take tons of pictures.
Daddy's first picture with Bella just a minute after she was born.
Her APGARs were 9 and 9!!
She was 5 lb 4 oz, head circumference 11.8 in, and 19 inches long. which puts her at 5th percentile for weight and head circ, and about 25th percentile for length.
First family picture! I absolutely loved that they did quick APGARs, height and weight and we were able to do skin to skin within minutes in the OR. They literally didn't take her away from my chest until we had to roll back to the recover room. They even attempted breastfeeding there which wasn't super successful but I was grateful for the opportunity.
Back in the recover room, they placed her on the warmer to check her temperature, and because it was normal, they gave her right to me to try breastfeeding again. My temp was a bit low which is why there are mountains of heated blankets on me.
I loved how much emphasis they put on skin to skin, breastfeeding, and just mother and baby being together. I have to say, Isabella was a feeding champion. Despite being small, that girl can eat! She latched on almost right away and did great. I had to use a nipple shield, but as long as it helped her eat well I didn't care.
After about 2 hours (maybe more?) of skin to skin, she was given her first bath. She pretty much hated every minute of it. But honestly, the fact that she was healthy, in my room and not a NICU, and screaming was just music to my ears!
And once the bath was over, she melted right into dreamy newborn sleep : )
AND finally, Daddy was able to hold her for the very first time! Wow, I didn't share very well, huh!? What a natural he was though, right from the get-go.
I have absolutely no recollection of this picture what-so-ever. We have about 50 pictures after this in the recovery room that I have very little memory of as well. The spinal, and the morphine they added to the spinal at the end of the case made me so loopy and tired. I just remember I kept saying over and over "I feel like I can't even keep my eyes open!" for about the next 10 hours.
And after about 5 hours in recovery (we could have gone after 3 but there were no beds in post-partum for a bit), we were taken to the Mother/Baby unit. Isabella looked so tiny in her little bassinet, and was so wide eyed, ready to take on the world : )
That's where the adventure really began. As much anticipation as the c-section and day of birth were, the joys and absolute exhaustion of parent-hood started here. And we couldn't be happier!
So Happy Birthday sweet baby girl! We love you more than you will ever know Isabella Rae!