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Tuesday, May 18, 2010

Where We Are

In an attempt to keep friends and family updated on our pregnancy with Beana, we created a friends and family blog.  Because my baby loss blog is private and unknown to most of our friends and family, we decided to make a different blog about Beana that is completely separate from this one.  I wrote this entry to post there and thought that I would also post it here.  It is long, so save it for when you are suffering from insomnia.  :-)


I have been writing this post over the last few weeks, filling in bits and pieces here and there when the thoughts are clear.  I have written it because almost everyone we encounter these days wants to know how things are going and how we are doing.  They are such pure, innocent and well-intended questions, but it is soooo difficult for us to answer in one or two words at this point.  While some of this post is about our pregnancy with Jellybean and how it has been changed by Gracie's death, much of it is about our grieving and healing process since Gracie's death.   It is written from Susan's perspective, although much of it is applicable to pretty much both of us.  Although we have been relatively open about some aspects of our grief and healing over the last 9 months, there is much that we have not really disclosed or openly shared with others.  There are many questions that, for various reasons, people are afraid to ask.  So here are some answers in black and white.  It is meant to inform, not to offend...so please don't take anything that is said here personally.  This has been a very emotional process for us, and our emotions are still pretty raw...and sometimes raw emotions lead to blunt statements.  As we have moved through the early phases of Jellybean's pregnancy, there has been a surge of new and old emotions, and I am sure that the surging will continue.  But, in the meantime, here is a snapshot of where we are.....
 
First of all, I feel the need to extend heart felt thanks to those who have been there for us over the last 9 months.  Although many of you usually feel like you don't know the 'right' thing to say or do, you have nonetheless been there to offer support and love when it has been needed most.  Unfortunately, you are in the minority.  As we have come to learn, many of the people in our lives feel compelled to say or do something, but because they don't know the 'right' thing to say or do, they generally say and do nothing.  I say this not to make people feel bad, but to let those people know that they are not alone in their reactions.  I was in the same situation when friends of ours suffered a full term loss a few years ago - I desperately wanted to say or do something for them, but I simply could not relate to or understand the impact of what they were going through, and consequently said and did nothing to offer much support.  Now, more than ever, I feel like such a schmuck for that, but it has helped me to understand why people might react the way that they do.  The random (even if they are sometimes a little awkward) words of encouragement and acts of kindness and love are appreciated...please keep them coming if you feel so compelled, even if you are not sure they are 'right.'  You might be very surprised by how appreciated your gestures really are. (I have been surprised to learn that there are some people who are so profoundly affected by death in general, or who have been so profoundly affected by Gracie's death for one reason or another that they just cannot face it or address it.  If a time comes that this changes, you know where to find us.)

During a random conversation about 6 months ago, I told someone that what I was hoping for was not pity from other people, but sympathy.  The looks of pity were starting to get old at that point, but I was also having some frustrations in conveying my grieving process to others.  I said that I completely understand that everyone suffers the loss of a loved one at some point in life, and I am no different.  I acknowledged that I am certainly not the first person to lose a child or suffer stillbirth, and that our loss did not make us 'special' in that regard.  I also said something to the effect that no matter how much you think you are prepared to deal with death, when it comes, it just rocks you and in the long run it's very hard to be 100% okay with it.  She agreed with me, but then told me that she had lost her husband, an adult child and a toddler grandchild within a span of several years (I was unaware of any except the husband) - the last was about 5 years ago.  The loss of her husband was expected after extended illness; the loss of her son and grandchild were unexpected (and not connected to each other).  She told me openly that while she mourned the loss of her husband a long time (and still does), that she was prepared for it and relatively at peace with it, primarily because he was no longer suffering.  She said that the unexpected nature of death is a completely unique circumstance that can and will rock anyone that it touches.  She said that unquestionably, the unexpected death of her grandchild was harder to accept than even the unexpected death of her adult son.  It was an interesting conversation, full of insight and perspective...it gave me hope with regard to my own grief and made me feel a little better about the lengthy process that was still ahead of me.  It's a conversation that I will remember and appreciate for the rest of my days.

Unfortunately, we have encountered a some folks over the last several month who have had a different opinion about our loss... people who openly downplay the lasting effects of Gracie's death.  While this is not (thankfully) something that we run into on a regular basis, it is pretty bothersome when we encounter it.  Just as an example, a few months ago someone asked me if I didn't think it was creepy that I carried pictures of a dead baby with me.  Shortly after that, I was asked by someone else if I was "over" "the baby thing."  While the source of this particular question definitely must be taken into consideration, I was still floored.  I was shocked that anyone would have the gall to ask if I was "over it", and I was even more astounded that Gracie was being referred to as "the baby thing."   We think about and miss Gracie every day.  This will never change.  Her loss and her absence is something we will never, ever get over.  For the most part, the pain has dulled a little bit since August, but we will never get over it...and in our eyes there is no reason to get over it.  She was our child - our first born child.  She grew inside of me to a very viable age, and then she died.  Something was taken from us that can and will never be replaced.  Some people give the appearance of downplaying it because they don't know how else to address it - this does not bother us.  On the other hand, some people downplay it because she was stillborn; in all reality there is no difference between death coming 25 hours before her birth or death coming 25 hours after her birth - in the end I carried her for 36 weeks and in the end she is dead.

I have been told that we cannot live in the past forever.  (Most of this ties in with the people who view Gracie's death as something relatively insignificant in the overall scheme of life.)  These comments always leave me wondering and pondering, and I always come back to the same basic thought.  To the world you are just one person, but to one person you just might be the world.   There is no question about it - Gracie had become our world, and we were prepared for her to be our entire world forever (at least until she had to share the spotlight with a younger sibling - hopefully all parents out there can relate to this).  Then our world was turned upside down.  Everything had shattered...lightning had struck...we had hit the impossible odds...however you want to say it...  Ultimately, every expectant parents' worst fear was suddenly our reality, no matter how hard we wished otherwise. It was our reality.  So, based on this, we have an opinion on the whole living in the past thing.  We are not living in the past.  We are living within our reality, which spans past, present and future.  This reality started on July 31, 2009 and will continue until the days that we die.  We will forever live in the reality that one of our children will always be missing when we are gathered around the dinner table or Christmas tree.  We will forever live in the reality that our first born will never be here on August 1st to celebrate her birthday.  We will forever live in the reality that her siblings will only know that she existed because we will tell them so ... not because they live with her, know her and love her.  And, until we are done having children, we will live in the very real fear of lightning striking twice.  Sure, reality will get a little easier as the years pass, but it will always be reality - not the past.

All of that said, I can say that for the most part, we are 'okay.'  We have survived.  We have continued to put one foot in front of the other. So many people have commented on how strong we are.  Thank you for giving us this credit, but we want people to understand that there is a stark difference between strength and survival.  What we have demonstrated is our ability to function in work and survival modes - it is not something that we consider to be strength.  In the early days there was one decision to make: stay in bed and let this literally kill us or get out of bed, go on with life and grieve while we do it.   We have continued to get up every morning and go to bed every night.  The rest is simply a matter of survival, not strength.  There is a song that includes the lyrics "This is...How it feels when the sacred is torn from your life and you survive..."  It can't really be summed up any better than that.  That said, there are days that are much easier than most and there are days that are much harder than most.  There are still days that we wish the rest of the world could/would come to a complete standstill with us; instead we stand still and watch everything moving and spinning around us as if all is right in the world and nothing had ever gone wrong.  Some days require little effort to get through, but there are days that a complete meltdown is just around the corner.  Meltdowns generally come without reason, and many times without warning; they can be brief or they can last for several days.  They are fewer and further between, but the intensity is certainly no less.  

We continue to grieve every day because all we have left after 36 weeks (8 months) of pregnancy are a few pictures and small mementos.  We grieve every day for what we will never experience with Gracie...we will never see her roll over, sit up, stand up, walk, talk, go to school, fall in love, get her driver’s license...all of the things that you look forward to when you become parent.  We grieve because we never saw her open her eyes…because she never took a breathe…because she never felt our touch on her hands, back, belly or face…because we never had the opportunity to discover her personality other than what was evident while I carried her.  We grieve because we believe that Gracie could be here with us.  Please do not interpret this to mean that we place blame on anyone (our OB providers included) or anything for this, because we do not.  It was a culmination of very unfortunate circumstances.  Regardless of the reason, we grieve...forever.

This entire experience, as anyone might imagine, has impacted our view(s) on the world...in many, many ways......  I have a hard time accepting that “everything happens for a reason” (even though I am a believer that everything does happen for a reason) with regard to Gracie.  I have a hard time listening to people say that it was all part of God’s plan, and that she must have been needed more somewhere else - we needed her here just as much.  I have a hard time listening when people say that she is in Heaven with this person or that person – those are the people that were supposed to prevent this from happening in the first place.  I have a hard time accepting that Jeff, Gracie and I were destined for this long before Gracie was even a thought. I just do.

I also have a hard time with the fact that baby death is almost taboo.  No question about it, it's an unpleasant thing to think or talk about.  I have heard several comments over the last 8 or 9 months about 'unnecessarily freaking out' expectant parents by talking about it or educating about it.  Believe me, I get that.  I get it 100%, and to a degree I am on board with that mindset.  However I can say, with no hesitation, that I wish it was something that had been thrown in our faces during pregnancy.  I would have rather been a little freaked out by valid information than been blindsided like we were.  Because we have friends who lived this nightmare 2 1/2 years before Gracie's death, we had a very rough idea what would happen once we got the confirmation that Gracie's heart was no longer beating.  When I say a very rough idea, I mean we knew - before we even got to the doctor's office for confirmation - that labor would be induced and I would give birth to our dead baby girl.  Aside from that, we were completely blindsided.  After it happened to our friends, I should have known more about it, but I lived in the land of make believe - it wouldn't happen to us.  In the end, I wish we had known more about what is possible with every pregnancy.  I really, really do. 

Other people’s pregnancies and babies are generally a very weird thing for me at this point…and to a degree, this pregnancy with Jellybean is also a weird thing.  I would never wish this fate on anyone for any reason...and I am happy every time someone takes home a happy, healthy baby...but sometimes the ugly green envy creeps up.  My mind wonders why that girl and that girl...and that girl, who obviously can't even take care of herself, can go home from the hospital with living babies and I cannot.  The envy creeps up when I see someone with a pregnant belly...and then I remember that I have no idea what she has been through to get to this point, and no one knows what horrible unforeseen events might lie ahead of her.  Friends of ours are expecting a baby in June.  Somehow, my subconscious managed to push this info all the way into the back of my memory banks, and I actually 'forgot' for about a month and a half that they were expecting.  (Sorry, guys.)  When I realized this, I was mortified...absolutely mortified.  I felt like the most selfish, self-centered and self-absorbed person on the face of the earth.  After discussing it with a few other 'baby loss moms', I realized that I wasn't alone and that it was something that I really didn't have much control over. Still, it's pretty mortifying to me that this even happened.

I am horribly afraid for other pregnant couples, even those that we don't know.  I see them becoming more and more excited as they get closer and closer to their due dates, and the fear I feel is incredible.  I remember being in that same happy, excited and naive place as we crossed the 8 month mark, and having no idea what was only a few days around the corner.  I am so, so fearful that others will unexpectedly stumble upon the same fate and find themselves as the newest members of this awful club.   It is something that I cannot explain beyond this, but I ask everyone who reads this to understand and remember that no one is immune.  It happens...more often than anyone wants to admit...and often without warning.  It can shatter worlds and leave you feeling more alone in a crowded room than you could ever imagine.  I hope that our experience is the closest that any of you get to understanding this heartache. Please - talk to us or read more about stillbirth if you want to be at all proactive.  We will share our story with anyone who wants to know. 

With all of this said, I arrive at our pregnancy with Jellybean.  Suffice it to say that we are very excited, but totally petrified. It is easy to say that we have no reason to expect the same outcome with this pregnancy, but we really had no reason to expect that anything would happen to Gracie.  I want desperately to go back to the naive people that we were a year ago and enjoy every minute of this pregnancy with nothing but carefree delight.  We went through our pregnancy with Gracie knowing that babies could die, but lived each day with the mindset that it couldn't and wouldn't happen to us.  Life is different now, and we almost expect each day with Jellybean to bring disaster.  On some levels, it's almost easier to expect that disaster will strike with the hope that if it does, it won't be quite as devastating since we are expecting it.  Bad plan?  Yep.  Realistic?  Nope.  Does it help us to get through each day just a little easier?  Yep.  Speaking for myself, I am doing everything I can to do to not lose all enjoyable moments of this pregnancy to fear.  I look forward to feeling Beana move every day...I look forward to our next ultrasound and seeing her moving around...I look forward to watching my belly grow.  But with each passing moment, I am still afraid. 

We have learned in recent weeks that Jellybean is a girl.  This brings with it bittersweet emotions.  We were so ready to bring home a little girl in August...especially Jeff.  When we initially learned that Gracie was a girl I saw a some of the glimmer disappear from his eyes for a brief time, since he was really wishing for a boy initially.  It didn't take long for him to adjust to the idea of having a little girl, and he was so ready to bring home (and spoil, despite what he says) his little princess.  Having another little girl will certainly allow him to do just that, but it will be so much different than it would have been with Gracie.  We will always look at little Beana and wonder.  We will wonder how much of Gracie really lives in her...how many similarities or differences there really are that we will never be able to see.  For a long time I will look at her and think about all of the things that we missed with our beautiful first born.  She will wear the clothes that we bought for Gracie.  She will sleep in the bassinet that was ready for Gracie.  We will love her with all of our heart for who and what she is, but it will be a little bittersweet for a while.

Earlier in our pregnancy we learned that there is a higher than average possibility that Beana may have Down Syndrome.  While it is certainly not something that we sit around and hope for, if she does have Down Syndrome, it will certainly not be the end of the world.  This is something that we have gotten a lot of feedback about from the people around us, and I want to sound off a little bit.  Again, it's not meant to offend, just meant to express my opinion.  The odds of anyone randomly ending up with a dead baby are roughly 0.625%.  We ended up with a dead baby.  ~  The possibility/probability of Gracie having Down Syndrome based on the first trimester screen was 1:47 - this means that if you lined me up with 46 other women, there is about a 90% chance that I would be the one whose baby was born with Down Syndrome.  I completely understand that this is a screen, not a diagnostic test, and I completely understand that there can easily be false 'positives' with the screen.  I also understand that there are cases of Down Syndrome that this screen will not detect.  All of that said, the professional assumption at this point, based on the medical information available for review, is that Gracie very likely had Down Syndrome.  ~  Based on the first trimester screen, Beana's odds of having Down Syndrome are 1:39.  Everything that applied to the 1:47 probability applies to the 1:39 probability.  Does that mean that Beana will definitely have Down Syndrome?  No.  Do I understand that?  Absolutely.  Do I need people to point this out to me every time it's discussed?  Not really - being reminded that it's only a screen and not a concrete diagnosis doesn't help me feel any differently or more confident about the situation.  Why?  Because, as much as I would love to be an optimist at this point, I must be a realist.  We are 2 for 2 with regard to hitting the very slim and unlikely odds.  There is also a very good possibility that, if Beana has Down Syndrome, all of these events are connected to each other - not just random coincidence.  If that is the case, it is going to have a significant impact on further expansion of our family.  So, while it is certainly easier for me to assume that Down Syndrome 'won't happen to us', in my eyes it is not realistic to do so since we do have seats on the 'it did happen to us' wagon.  I would rather expect the 'worst' and hope for the 'best'  Some will say that I am going glass half empty on this one, and that is fine - everyone is entitled to an opinion.  With the way life has gone over the last year, I simply need to go with the realism over optimism on this one. (We are encouraged by the fact that there were no obvious markers for Down Syndrome seen on the the latest ultrasound, but we also know that many kids are born with Down Syndrome after showing no markers on ultrasound.  Right now, we simply take comfort in knowing that there are no obvious heart defects!)

As we prepare for Beana's arrival, I will spend (and have already spent) many hours thinking about all that lies ahead of us with regard to medical intervention.  I will put endless thought into weighing the fact that women have been having babies for centuries without medical intervention against all of the marvels of modern medicine against Gracie's demise.  We are firm believers that, while modern medicine offers such amazing things to those in the minority that need help getting through pregnancy and/or childbirth, for the most part women can give birth to healthy babies without significant medical intervention.  I believe that many women don't do enough to educate themselves about pregnancy and childbirth and do not make their own decisions, and in the end, many allow themselves to be turned into 'sheep' by the medical community.  We are now in the aforementioned minority and it sucks...and to be quite honest, I am sometimes pretty much still in denial about being part of that minority.  I still believe that I can give birth to a healthy baby without all of the bells and whistles, but I am scared to death to do so.  I am so petrified of lightning striking twice that I have purchased the sheep costume.  It's still in the package, but it's definitely here.  (And I am pretty sure that Jeff has also purchased one.)  So, while we will prepare again for Beana to arrive via a natural and unmedicated birth, we will also think every day about the fact that bringing home a living baby may require us to abandon our plan, as well as our medical standards and values...this really seems like a no-brainer, and it will be a no-brainer if it comes down to it.  But that doesn't mean that we will feel any better about abandoning our values...it just means that in wanting so desperately to bring a living baby home, there were chances that we weren't willing to take.

So there you have it (if you made it this far).  Whether you consider our 'position(s)' to be right, wrong or indifferent, this is where we are.  Perhaps it is nothing new to some of you, perhaps it is more than some of you wanted to know, perhaps it simply gives a clearer picture.  Regardless, there it is.





Thursday, May 6, 2010

Team Pink (20 week update)

We are exactly 20 weeks today.  Our appointment today was for a level 2 ultrasound, a Maternal Fetal Medicine consultation, and a midwife check.  The detail of the level 2 ultrasound was mesmerizing.  I am pretty sure that I saw every bone on Beana's body...every single bone...in absolute clarity.  We looked at the structure and flow of the heart, the aortic arch and the flow through it, the kidneys and bladder - and the arteries around them, several structures within the brain, the spinal column, the nose and lips...everything you can possibly imagine.  I never want to have a level 1 ultrasound again.  There is simply no comparison.  Everything looked great anatomically, so that was quite a relief.  And of course, we found out that I am housing a Beana as opposed to a Beano.  Heart rate was about 140 beats per minute and she was very active.  We will have a follow up with the Maternal Fetal Medicine docs in 4 weeks, as well as another ultrasound and a midwife appointment.  We will be doing ultrasounds every 4 weeks for now to monitor growth.







Sunday, April 18, 2010

THE BEST HUSBAND IN THE WORLD

It's official...I have the very best husband a girl could ever ask for.  I have always had a very unhealthy love of bacon, but try to avoid it during pregnancy (as well as hot dogs, sausage, ham, processed lunch meats, etc) because of nitrate content.  For some reason I have been struggling with the omission of my 'breakfast meats' this time around far more than I struggled when I was pregnant with Gracie.  This week my husband presented me with a slab of specially made nitrate-free bacon as an early birthday gift (my birthday is not for about 6 weeks).  I could not have asked for a better gift.  :-)   

I am pretty sure that I have been feeling movement for the last wee or so, but it's so hard to tell in the first couple of weeks.  Jellybean's Braxton Hicks contractions have started, right on time.  My BH with Gracie started around this time and continued steadily through the remainder of my pregnancy.  Last time around my midwife said that I have a 'sensative' uterus - we will see how sensative it is this time around.  I am actually hoping that it has calmed down a bit since July.

After the very long Down Syndrome / feeling sorry for myself rant in my last post, I am feeling quite a bit better about things.  Everyone keeps telling me that 'those tests aren't that accurate.'  But here's the thing.  The screen I had done is 85-90% accurate in detecting DS, and only has about a 5-6% false positive rate ('detects' DS when it really isn't there).  So, realistically, if you line me up with 38 other women, there is an 85-90% probability that I will be the one woman in the group whose child is born with Down Syndrome.  Here's the other thing - I am not dealing with just one 'positive' screen; I am dealing with two.  I am dealing with an increased risk this time as compared to last time (Gracie's probabilty was 1:47).  Last, but certainly not least, I am 98-99% certain that I already have one child with Down Syndrome (It's funny how so much now 'hinges' on the fact that Gracie's chromosomal analysis was never run...).  I want with everything I have to believe that this is a false positive screen and that Jellybean does not have DS, but I tend to be a realist.  I am looking at all of the 'evidence' and it certainly does not point in that direction.

All of that said, I am okay with things.  I will have no problem accepting a child with DS, but of course I think everyone would rather have a typically developing child.  At this point, I am going to assume that we are dealing with DS and hope for a surprise at birth.  If Jellybean doe have DS, I will just keep my fingers crossed that it is a chance chromosomal duplication and that we are not dealing with a chromosomal translocation passed on by one of us.  That is really where my biggest hang up has been - the possibility that one of us has the potential to pass DS on to each of the kids that we have.  But all in all, I am much better than I was a couple of weeks ago. 

It's kind of funny how people around us are split between two camps regarding this baby.  With the exception of our immediate family, there doesn't seem to be anyone who really sees Jellybean for what Jellybean really is.  People either feel the need to remind me that Jellybean will not replace Gracie or they feel the need to express that we'll be so much better after Jellybean arrives.  I mean - sure - we will be better in terms of not worrying about Jellybean dying, but we will certainly not be better in terms of Gracie's death.  Having a baby to hold and love and nurture will certainly fill us with love, but it will not 'make everything better.'  Sad thing is, my frustration with this just needs to be internalized since no one gets it, even when it's explained.  And quite certainly, no one has any idea what I am talking about when i tell them about the new rush of 'missing Gracie' emotions that will likely emerge when we bring Jellybean home.  At some point it has to get easier, right??

Monday, April 5, 2010

15.5 WEEK APPOINTMENT & UPDATE

Having a baby - I used to think nothing of it. I used to look at all the _______ (fill in your own unpleasant word) people walking around with a gazillion kids and think 'Gee, if people like that can have kids, I can certainly manage.'  I'm not sure what the hell I was thinking.  As anyone reading this already knows, many of the wrong people out there are having babies effortlessly while the rest of us get to sit and wonder 'WTF???'

I have a feeling that this post might be a little scattered - I will do my best to stay on track.

An update to the first trimester screen information that I posted a week and a half a go....  we have discussed the amnio option over and over and over and came up with a list of pros and cons...We beat the subject until it was dead - and it is dead.  We have decided that the cons far outweighed the pros, and we have decided against the amnio.  Although it would be nice to know now, rather than 5 1/2 months, whether or not Jellybean has Down Syndrome, knowing for sure will not change anything about this pregnancy or how it is monitored.  So, no big fat needle.  For those who are interested, our lists are below...

PROS:
  • Definitive answer an Down Syndrome, and the type of Down Syndrome if applicable.
  • Possible green light for genetic testing on us during the pregnancy - just to get it out of the way before the baby comes, especially if the baby is going to have additional needs due to DS (that will take 100% of our focus instead of allowing some for genetic issues).
  • Definitive answer on baby's sex without waiting for/relying on ultrasound.
  • Definitive answer on baby's blood Rh factor. Since I am Rh negative and Jeff is Rh positive, I will have to have a RhoGAM shot at the time of the amnio, but it would be nice to know for the rest of the pregnancy if the baby is Rh negative or Rh positive so I knew for sure if the RhoGAM shots were necessary. 

CONS:
  • 1:500 chance of pregnancy loss
  • big fat needle being stuck in my belly
  • RhoGAM shot necessary with the amnio
  • feeling like I have become a 'sheep' - let me know if you don't understand this and I will explain it. Some people know what it means, some don't. :-)

We had a midwife appointment today.  Jellybean's heartrate was 145 bpm and there was no trouble finding the heartbeat at all.  Yay!!!

Presently there are 3 OBs, 3 midwives, 1 PA-C and 2 CRNP in our practice.  There is also a MFM group from 90 minutes away who sees patients in this office every other week.  We are primarily seeing one specific OB and the midwives, with a few MFM visits somewhere in the mix.  The midwife that we saw today is the one who delivered Gracie.  I just have to say that she rocks, and I am going to be really pissed if she is not the one covering L&D when Jellybean arrives.  Anyway, she was supportive of our decision regarding the amnio, and she then gave me a hug and the most pitiful look when I told her that I was waving my white flag on ultrasounds.  She seemed a little surprised that I am now willing to agree to whatever ultrasound exams are recommended, but at this point I just want to bring a living baby home, so I can't really refuse much of the physically non-invasive stuff.  (This kind of goes with that whole sheep thing referenced above.  Seriously, if you don't know what it mean, ask!!!  :-)

After a little bit of discussion we decided that it would be a good idea to cancel the level I ultrasound that I have scheduled in 4 weeks and replace it with a level II ultrasound with the MFM folks.  This will give us a baseline to compare future ultrasounds to, and it will also allow them to switch over to doppler if they want to look at cord blood flow.  So, level II ultrasound in 4 weeks is the plan; I will see one of the MFM docs that day and then also follow up with one of the midwives.

No noted movement from Jellybean yet, but hopefully soon if I don't have another anterior placenta.  Oh - and I am stuck in that wonderful land of 'none of my regular pants close, but the stretchy band pants are still a little too big'.  We did Bradley classes the first time around, but after doing some reading and talking to some folks, I think that I would like to try Hypnobabies.  I got a fantastic deal on a gently used set of Hypnobabies home study stuff this weekend, and cannot wait for it to arrive so I can check it out!!!  Otherwise, things are uneventful.

Before I close for the night, I think I need to revisit the whole Down Syndrome thing, because for some reason it is really bothering me tonight in a greedy, selfish sort of way.  (I am not looking for a debate on wording, terminology or political correctness here.  I work with about 90 kids, all who have 'disabilities' of some type - some have Cerebral Palsy, some have Down Syndrome, some have Autism, some have Spina Bifeda, some have Muscular Dystrophy, some who have undiagnosed disabilities...you get the idea.  I am pretty fond of most of these kids and have developed some pretty strong bonds with a lot of them; I would never intentionally say something to insult them or lessen the importance of who they are.  Tonight I am just hoping to get some feelings out.) 

When we got Gracie's odds of having Down Syndrome (1:47), it didn't really phase me a whole lot.  Based on my experiences with 'my kids,' and speaking strictly in terms of 'disabilities,' I consider Down Syndrome to be preferable over so many other 'disabilities'. I knew, without a doubt, that bringing a child with Down Syndrome into this family might certainly be challenging, but it would certainly be managable and it would certainly be something that filled us with unending love.  Now I am feeling a little differently.  There is still no doubt that any living child will bring us unending love...but the rest is a little sketchy.  Raising a child with any disability can be quite challenging, above and beyond the normal challenges of raising a child, regardless of the disability.  While we don't know for sure if Jellybean has DS, realisitically it's a good probability.  Simply put, I am struggling with the fairness of it.  We have already had one child - that child very probably (we are about 98 or 99% certain) also had Down Syndrome and that child coincidentally died.  How many more challenges do we really need after having a dead child?  When do our challenges above and beyond 'the norm' end?  When is it someone else's turn to be challenged?  I worry, especially if Jellybean does have Down Syndrome that there is a genetic predisposition for all of our children to have DS.  If that is the case, it opens so many more questions and uncertainties about what the future holds for those children.  At what point might I get to bring a typically developing child home? 

Selfish, and pretty horrible thoughts, I know.  But I also feel like they are normal to a degree.  I love Jellybean, regardless of who Jellybean is destined to be.  But I seriously want the best that can possibly be for Jellybean, and I want a life as free from extra challenges as possible - for Jellybean and for our entire family.  I never felt any of this with Gracie, but now I am feeling it pretty strongly.  I think that some of it is anger still creeping up from our experience with Gracie, which is 'normal', but feeling this way still bothers me.  I hope it passes, sooner than later, and I can concentrate on all the upcoming positives of the rest of Jellybean's time in my belly and our anticipated homecoming!  Thanks for letting me vent, girls!

Saturday, March 27, 2010

MARCH FOR BABIES

Jeff and I will be walking with other members of Team Graciebelle on April 24th to raise money for the March of Dimes in memory of Gracie. We have set a realistic goal of raising $300 for this very worthy cause. If each of my Facebook friends, each of my blog friends and each of Jeff's Facebook friends donate just $2.00, we could collect a total donation of more than $800 (in addition to donations from friends and family who are not FB and blog addicts.) To make a donation, click on the widget in the top left corner of the page. :-)

Thursday, March 25, 2010

DEJA VU

I had a voice mail from one of the physicians in my OB practice yesterday afternoon requesting that I call him 'to discuss some stuff'. I knew what this meant, even before I returned the call. I knew what it meant the minute I saw the number on the call history on my cell phone. It meant that there had been some kind of 'hit' on the first trimester screen that we had done last Monday.

We are essentially right back to where we started with Gracie...the screening showed the odds of Jellybean having Down Syndrome to be 1 in 39. Again, it is just a screening, but this screening is becoming to be more and more accurate...to the point of being about 90% accurate in detecting DS. My OB had me talk with the Maternal Fetal Medicine group from Harrisburg that sees patients in our OB office twice a month; ultimately, I ended up talking with a genetic counselor for quite some time yesterday evening and this morning.

Our concern at this point is not really whether or not Jellybean has Down Syndrome, but getting to the bottom of the underlying issues (assuming that Jellybean does have DS...and assuming that the 99% certainty that Gracie had DS is correct). Once you have a DS baby, the odds of having another rise to 1%. Many second cases are simply flukes, but many are actually genetically predisposed. (I know that this may seem kind of obvious, but for further explanation of what I'm trying to say please check out Translocation Down Syndrome.) The genetic counselor's main concern at this point is helping us determine if one of us is carrying a chromosomal translocation that potentially predisposes our children to Down Syndrome.

The first step in her 'plan' is determining whether or not Jellybean has DS. In order to do this, she initially wanted us to have chorionic villus sampling done to determine the presence of DS. For several reasons, this would have to be done tomorrow or Monday, and we would have to travel to Harrisburg to have it done at their main office. We can get the same information from an amniocentesis, the risk for lost pregnancy is less with amniocentesis, and we could have an amnio done in Lewisburg instead of Harrisburg. So...CVS was immediately ruled out. We are still on the fence about the amnio. I really don't want to do it, but I honestly don't think I can wait until September or October to have answers to all of this. The plan at this point is to schedule the amnio now, simply because it won't happen for another 2-3 weeks anyway. That gives us time to talk to more people and gather more information. If we get information that seems positive and encouraging, we can always cancel the amnio.

I posted some questions on a couple Down Syndrome forums today, and one of the mothers suggested that Jeff and I have chromosomal analysis done without doing the amnio. If one of us tests positive as a carrier for a translocated chromosome, we can pretty much just assume that Jellybean does have DS. I like this option MUCH better, but I am already in the middle of a power struggle with my insurance and I suspect that the genetic testing may not be covered without the supporting affirmative diagnosis of Down Syndrome via CVS or amnio. But it is certainly worth investigating, especially if there is a chance that I can prevent a big, fat needle from being stuck into my belly.

So that is where we are...for now. Not really where we want to be, but there are certainly worse positions to be in. Updates to follow as we have them...

Sunday, March 21, 2010

12.5 WEEKS


We had the appointment for our Nuchal Translucency ultrasound on Monday morning.  The ultrasound tech said that we had apparently ‘brought a jumping bean’ with us, as Jellybean was moving and grooving all over the place.  It took a few minutes for the ultrasound tech to get Bean still enough to measure the nuchal fold - it was kind of funny, and somewhat comforting.

  
Everything looked good on the ultrasound, so we are just waiting to see what the bloodwork says regarding the probability of Jellybean having Down Syndrome.  It took just over a week for them to call me with Gracie’s 'concerning' results, so I anticipate hearing by the end of the week if there are any ‘problems’ indicated for Jellybean.  If we don’t hear anything by the end of the week, I will assume that things look okay, and then just about it during our next midwife appointment on April 5th. 

I knew that this pregnancy, in many ways, would be the same as my pregnancy with Gracie – but I also know that it would be much different.  So far the similarities are all there.  Physically, things have more or less been the same so far.  I am anxious to feel Jellybean move the way I was anxious to feel Gracie move.  I am anxious to be able to hear Jellybean's heartbeat with my stethoscope the way I listened to Gracie's.  I am anxious to find out if Jellybean is a boy or a girl the same was I was anxious with Gracie.  I am anxious for my husband to sit down and seriously discuss names with me.  And last, but not least, I want everything that I cannot and/or should not have...a big fat margarita, hot dogs - I only crave hot dogs when I am pregnant, and bacon...lots and lots of bacon.  (During college one of my roommates and I at quite a bit of Domino's pizza with ham and bacon - I haven't had it since college because the closest Domino's doesn't deliver here and I am too lazy to go and get it.  A new Domino's opened a few weeks ago that will deliver to where I live, and now I can't have the bacon...it's killing me.)  

That is where most of the similarities end.  Most days I am fearful of losing this pregnancy - for no reason other than the obvious.  Death, in general, has me a little spooked...again, for no specific reason.  And people....it’s amazing how different people are reacting to this pregnancy.  I am not allowed to lift a finger at the firehouse.  Yesterday I got 'yelled at' for carrying a regular household propane tank (the kind for a gas grill) about 40'.  Everyone there basically has me on a 10 pound lifting restriction.  And, as always, I am amazed by the stupid things that people manage to say.  Within the last couple of weeks, I have heard the following…

  • ‘You’ll be able to move on a little bit once this baby comes.’  
  • ‘Now you know that this baby won’t be able to replace your other baby, right?  Just like you can’t replace a dead dog with a new dog, you can’t replace that other baby.’  

    And my personal favorite… 
  • ‘Just think – if you have two babies in there, you’ll be all caught up.’ 
I totally get that most of the time these people really are just trying to say something nice, but I just wish they wouldn’t try.  I wish they would think about the way things sound once they are out and perhaps rethink what it is that they really want to say.  I think that I am aware, more than anyone else (with the exception of my husband) how much this baby will not be Gracie or replace Gracie.  I know that this baby will both fill a void and bring some added emotional pain, especially in the first few weeks and months.


Overall, things are uneventful and well.  We have two more weeks until our next midwife appointment, so unless something overly exciting happens, Jellybean's blog will likely be quiet.  Thanks for checking in!