I found our meeting with the neonatologist yesterday more difficult than I expected. Dr. Bodani, who is very nice, talked to us for a full hour and presented a lot of information about what may happen when the baby is born. There are so many possibilities because, of course, no one can really predict how things will go. During delivery, the baby's heart rate will be closely monitored and some specialists will be there. After birth, the baby will be monitored in the neonatal intensive care unit, and they will have to give Digoxin to the baby because she won't be getting it through me anymore. We may have to continue giving the medication for some time after we take her home.
I wanted to know if I could nurse her soon after birth but it all depends on how she's doing. If she's immediately vigorous, then I may be able to, but in any other case, I won't be able to nurse her for awhile because they will want to monitor her closely and she'll receive fluid by IV in her hand or thigh. I will have to pump if I can't feed her for several hours or more (perhaps even days). Also, depending on what else the baby needs, they may have to put a tube in her belly where the umbilical cord is. I may be discharged from the hospital even if the baby has to stay in NICU.
Dr. Bodani also explained that if they decide she needs to be seen by a cardiologist in Edmonton, they'll fly her to Edmonton with a nurse and a respiratory person, but there's no room for a parent to go along. Glenys said we'd probably have to drive because it's quicker than trying to get a flight (even though it's a nine-hour drive). There are so many scenarios, and of course the doctor needed to explain all of the worst-case scenarios too. I'm not going to mention them all here (not that I could remember all of them anyway).
She said Neil and I should take an infant CPR course, and even though I had thought about that already, it seems more frightening that we were encouraged to do so. I don't recall that being mentioned during my other pregnancies. She also said I should start charting fetal movement on a daily basis (i.e., recording how long it takes to feel 10 movements). I'm not too concerned about that right now because Georgia does move a lot, but it's another thing to think (or worry) about every day. Fortunately, I'll have more time to do that every afternoon now that I'm only going to work mornings.
At the end of our meeting, Dr. Bodani said "Enjoy the rest of your pregnancy. Enjoy every little kick." Well, at that point, I started to cry. All I want to do is enjoy this pregnancy, but it's so hard. There are so many more things to think about than with a normal pregnancy. I don't want to think about all of these things that may happen when Georgia is born. I want to be able to feed her right away like I did with Sophia and Madeline. I don't want to leave the hospital without my baby. I can't stand the thought of not being with her all of the time during those first few days or weeks like I was with the other two. I don't want to have to give her drugs or watch for certain things. Basically, this sucks. (However, I must remind myself that Glenys said a C-section was done this week for a baby at 29 weeks gestation with a fetal heart rate of 70.* Sound familiar? That would be so much worse. We're lucky to have Dr. Cardoso because he didn't panic about the situation three weeks ago. *There may have been other factors or complications that we don't have though.)
I know it's good to be prepared and it's better that we know what to expect. Many people have to cope with newborn problems that were totally unexpected. I guess it's better to know, but at the same time, I can't help but think of the old saying "ignorance is bliss".
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