The NICU was called before Phoebe was even born. It became obvious to the nurse that there was some amount of fetal distress when she observed meconium in the amniotic fluid. We were allowed to spend around a half hour with her immediately after she was born. It was clear to us that there was something wrong with her breathing. She was coughing quite a bit and expelling a brownish fluid when she did.
Watching your first child be born and then seeing her be brought so suddenly into the NICU is something that would have stressed me out more if I wasn’t so exhausted. Over the next couple days the nervousness certainly climbed a great deal higher.
She was hooked up to a feeding tube, a breathing tube with 25% oxygen, an IV, a heartbeat monitor, a blood oxygen monitor, and a respiration rate monitor. The chest x-ray she received showed what we feared. Her lungs her clogged with something. The odds were it was some meconium she aspirated on the way out, but that might have brought some bacteria with it. The lungs are already the last organ to form in utero and then to add in pneumonia on top of it is an enormous strain on new lungs. She was put on a two day course of antibiotics and we were told that she’d be reevaluated Monday to see if she could be discharged along with Mom.
This is where I need to thank several people for keeping Mom and Dad sane during this time. Wendy, Natalie, and Nicole were some of her first nurses who really got us feeling situated with how to visit her and what we could do to support her even when we couldn’t pick her up or hold her. All of the NICU nurses were truly amazing people and I’m certain I’m forgetting someone there. All grandparents were ready at every hour of the day to offer support over the phone. We were extremely lucky to have lived with three people for a couple years in Iowa City and they drove the 18 hour trip to see us. Per, Becca, and Joe kept us distracted with their awesomeness and helped us to not pace holes in the floor. Christina Motilall, Jackie Moore, and Chelsea Day all deserve gratitude as well for their own contributions for keeping us from losing our minds.
Monday comes around and we’re told the frustrating news that Phoebe’s lungs aren’t clear yet and that she’ll be staying until the next Saturday. She’ll be given an additional five days of antibiotics. We’re reassured that she’s heading in the right direction, but isn’t quite there yet and they want to be certain. I completely understand being cautious and I agreed that it was the right decision. I’d be lying if I told you I was happy with the progress though. I wanted her home!
Her oxygen was being turned down to closer to normal air and her skin was turning a much healthier shade. It wasn’t something I noticed right away, but was becoming obvious now. We were also allowed to pick her up and hold her skin to skin even though that was tricky because it often dislodged a lead which set off an alarm.
As she was getting stronger, dislodging her various wires became a favorite past time of hers. In her first four days she went through five IVs. She also got so good at pulling her feeding tube out that the nurses had to rerun it through her nose instead of her mouth. The first time I held her against my chest she nuzzled me which I thought was the most adorable display of affection I’d ever seen until I noticed a much louder air rush sound. She had used me as a hard surface to dislodge the air tube. I put it back in place and she promptly got rid of it a second time even faster than the first. She didn’t cry or anything, just found something she didn’t like, executed a plan to fix it, and when she was met with a setback learned how to do it more quickly. I didn’t expect to see creative problem solving out of her before she even hit her 100th hour of life. Thank goodness our house came pre child proofed.
Finally it was time to bring her home and the rest of her adventure to begin. Every Thanksgiving though her health will be foremost on my list of things to be thankful for and I’ll always think back to Phoebe’sĀ first Thanksgiving which was spent in the NICU.