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Tuesday, 19 April 2011

Isabella's Story

"To every thing there is a season, and a time to every purpose under the heaven: A time to be born, and a time to die; a time to plant, and a time to pluck up that which is planted; A time to kill, and a time to heal; a time to break down, and a time to build up; A time to weep, and a time to laugh; a time to mourn, and a time to dance."

We found out at a routine scan at 21 weeks that Isabella had died. I had wondered when I had a very early scan (due to hospital admission for hyperemesis) and they told me I definitely wasn't as far on as I thought whether there was something wrong as I knew for sure my dates were right but I half dismissed it on the basis that if I had hyperemesis everything must be okay and half didn't care since I was so ill. I wanted to ask about it but nobody ever discussed the scan with me and it was hard enough trying to get anyone to take how ill I was seriously so it was way down the list of priorities. Later I on in my pregnancy I became half convinced that I would go to the 20 week scan (mine was at 21 weeks because they said I wasn't as far on as I thought) and find out the baby had died. I was so worried about it at one point that I read quite a bit online about what sort of treatment options the hospital was likely to offer in such a circumstance.

On the day of the scan I seriously considered cancelling it. I hadn't felt movements for a few days but since I'd first felt them at 15 weeks I had sometimes gone a full week without feeling anything. I knew fairly soon after the scan started that there was something wrong. Instead of clicking away taking measurements, the ultrasonographer seemed to keep trying to get a better view. She did a femur length measurement and then asked me if I'd previously had small babies. After a little bit more time looking, she told us that she was sending us to have a scan with someone else on a different machine because she couldn't find a heartbeat. I was glad that unlike my eight week miscarriage, she spoke to us both and we were given a private room to wait rather than having to sit in the public waiting room.

After the second scan we had to wait for a while to see a doctor. He ran through the treatment options (which boiled down to induction or waiting to go into labour), talked a little bit about the option of having a post mortem and answered the few questions we had been able to think of in the short time. I asked if they had any information leaflets they could give us and they gave us an appointment to go back later that week to discuss things after we'd had time for the news to sink in.

When we got home I was disappointed to discover that I hadn't really been given any useful information. All but one thing was about post mortems and the one thing that wasn't was a printout about miscarriage treatment options which said it expired in 2004. It was actually about earlier miscarriages anyway as it included the option of surgical management which I had been told wasn't an option at the late stage I was at. I felt frustrated that despite their response to my complaint after my early miscarriage last year women are still not being given proper information about the practical aspects of what happens, what to do afterwards etc.

Searching online I was able to find some of the information I wanted but this was not without its downfalls. I found the Miscarriage Association website to be helpful to a limited extent but the SANDS website to be much more helpful. When searching for "late missed miscarriage" I would find websites stating that up to 20 weeks is a miscarriage and beyond 20 weeks is a stillbirth but in the UK legally if your baby dies before birth prior to 24 weeks, it is "just" a miscarriage. This was completely different both physically and emotionally to what happened at eight weeks and the term "miscarriage" to me does not communicate it accurately.

When we went back for my "appointment" they didn't seem to know why we'd come. Even though I'd said I wanted to opt for expectant management, they seemed to think I'd come because I wanted to be induced and we had to wait almost an hour for the on call doctor to come and speak to us. We did get some of our questions answered but it seemed to be very difficult to obtain any information about arranging for a burial. We were then sent away without another appointment and told to phone the PAU and come in when I was in labour. (I actually had no intention of going in until after the birth but we hadn't told them that.)

The following day I had contractions and thought that it was going to happen but after I went to bed, they gradually became less frequent and by the following afternoon had gone completely and nothing happened for just over a week.

On the Sunday morning I felt slightly achy in a period pain kind of way but only very faintly. We went to church and had planned to go for a drive and sit in the car somewhere nice to eat our lunch afterwards but my husband was tired so we ate at home and he lay down for a half hour rest to see if he would feel up to a drive later on. I decided I might as well lie down too and after lying down for a few minutes I felt so sleepy that I told him I wasn't bothered about going for a drive after all.

A couple of hours later I woke up feeling a bit more achy and when I turned onto my side it was fluctuating rather than constant. I wondered if it might happen that night or the following day and since I was due a bath to wash my hair, I thought it would be a good idea to do so before dinner. I started running the bath and sorting out a towel and clothes etc. Meanwhile my husband decided to get up to make the dinner and he brought me a cup of tea. I had a few sips and then decided to go to the toilet and get undressed to get in the bath so I put it down on the window ledge.

At that point, my waters broke and I somehow managed to get myself onto the toilet so that it went mostly down the toilet or was soaked into my sanitary pad (or on my hands). Fortunately my husband was only just on his way back downstairs so heard me shout to him to come and help and came back up. I told him I wanted to get in the bath so he needed to help me get cleaned up and get my clothes off as I had blood stained waters on me. We'd more or less got sorted out when I suddenly realised she was being born so I said, "She's being born." He asked me what I wanted to do and I said I didn't want her to be born on the toilet so under my instruction, he grabbed an old towel to put on the floor which I kneeled on and she was born into my hands at eight minutes past four. The cord was too short to put her down easily so he cut the cord and I cleaned her up a little bit. I laid her on a muslin and my husband took a few photos of her while I waited for the placenta to come out. After the placenta has come out, I wrapped Isabella up in the muslin and went in the bath while my husband tidied everything up and laid Isabella in a box we had prepared. After my bath we took photos of Isabella being held by each of us.

All this time (maybe 25 minutes in total) Little Girl had been happily (and loudly) reading about Noah's Ark to her toys in the downstairs hall and hadn't noticed or been troubled by our disappearing. Since she had expressed a desire a number of times to see Isabella, we had decided that as long as we felt she looked okay, we would let her see her once we had wrapped her up with just her face showing. (I had been worried that with having been dead for a while she might not be okay to see so I was relieved she was okay.) We went downstairs and told her and asked if she still wanted to see Isabella. We showed her a photo first before showing her and she held her on her knee. She wrapped up a teddy bear she had as a present for Isabella and then unwrapped it for her and showed it to her (and showed her a few of her own toys too).

We had dinner and then got packed up to go to the hospital. The PAU was closed because it was the weekend so we had to phone the labour ward instead who told us to go them when we got there. Annoyingly they seem to be incapable of reading your notes so I had to explain everything to the first midwife who was dealing with me. Both she and the next midwife (we arrived just before shift changeover) seemed to find it odd that I hadn't had time to get to hospital but everything happened so quickly that if I hadn't been in the bathroom already I wouldn't even have made it there. I was very glad we'd planned for it to be at home as it meant we were prepared when it did and it gave us space and privacy and time with Isabella after she was born which I don't think we would have had in hospital. We were also able to take much nicer photos than the ones the hospital took. After having various checks, blood tests and swabs, I was discharged about three hours after we arrived.

In many ways, the timing couldn't have been better. It happened on a Sunday which I was glad about. My husband was not only home but happened to be close enough to actually hear me when I called him as if he hadn't, he wouldn't have been there for the actual birth. He also had the day off the following day which meant he didn't have to either go to work or phone customers to cancel. We were able to sleep in the following day and I actually slept better than I had in the previous two weeks.

"And he said unto me, My grace is sufficient for thee: for my strength is made perfect in weakness. Most gladly therefore will I rather glory in my infirmities, that the power of Christ may rest upon me. Therefore I take pleasure in infirmities, in reproaches, in necessities, in persecutions, in distresses for Christ's sake: for when I am weak, then am I strong."

5 comments:

Humble wife said...

I am so sorry for your loss. I am without words, and find comfort in knowing you are leaning on Him.

Jennifer

Elena said...

I'm sorry for the loss of your little one Susan. I hope that you are feeling a little better. I'll keep your little family in my prayers.

Bernardeena said...

I am so sorry for your loss. It seems inadequate to say.x

Amanda said...

Oh no! I realized I hadn't been here in a while and thought I'd pop in! I am so so sorry Susan :(. I wish I had some comforting words of wisdom, but there are no words :(. Keeping you and your family in my prayers!

Susan said...

Thank you all for your thoughts and prayers.

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