The kids have gotten so big over the last couple of weeks! Caleb, Abby, and Elijah are all the size of full term babies now, and Ellie is trying her best to catch up:
Caleb: 6lbs. 11 oz.Abby: 6 lbs. 7 oz.Elijah: 6lbs. 7 oz.Ellie: 4lbs. 11oz.We have spent the last few days trying to figure out their feeding plans for when they come home. It’s extremely confusing, even for the hospital staff. Caleb and Abby both had Video Swallow Grams last week to see if maybe they needed their food thickened to cut down on the number of alarms and stem that they needed. Although they both passed it, clinically, the occupational therapist decided that they need thickener added to their food. Caleb has done extremely well with the change, and isn’t turning blue during feedings anymore! Abby, on the other hand, is still really struggling to eat. She just hasn’t done as well as her siblings. I think her feeding plan needs to be tweaked a bit more.
Elijah had a Video Swallow Gram on Tuesday and completely failed it. That sounds bad, but it’s actually a good thing. Now we know why the boy has been turning blue on us when we try to feed him. He has been aspirating his milk/formula. Now his formula is thickened to the consistency of honey, and he has drastically improved. He hasn’t turned blue while eating either. Thank goodness, because he was really freaking me out.
Ellie is a little eating machine! She didn’t need a Video Swallow Gram because she’s always done quite well with eating. She is still eating slightly thickened food since their formula comes that way, so that’s helping her get it down even faster. Now, if we can just get some of that food to stick to her little frame. J
The really hard part of this week for me has been the news that I can’t nurse the kids any longer. Due to their reactions on thin liquids, it’s just too dangerous to try to continue it. After working so hard for almost 3 months, it’s really difficult to just give it up. I feel like I’ve given up so much: a normal pregnancy, a normal delivery, a normal start to motherhood. Now I can’t even breastfeed my kids. I had no idea it would be this disappointing. I considered it a privilege and a bonding experience, and now it’s gone. I know there are other ways to bond, but in this moment, it’s just really hard. However, what I want obviously is not as important as what is best for the babies. There is a grieving process that goes along with losing some of these things. I’ve started the process to wean myself using the pump. I can’t physically pump and feed this many kids every 3 hours, so we decided that they had breast milk for the 3 most important months of their lives, and now it’s time to just let them have formula.
However, the good things that I need to keep in mind are that we have four beautiful babies that are breathing, feedings will go faster with everyone on formula (15-20 minutes per baby, rather than 45 minutes per baby), and I get to have a couple of full nights of sleep before they start coming home! I must admit, the sleep thing is really exciting, and I intend to FULLY enjoy them before the babies come home.
Yesterday, we had our Discharge Conference with the babies’ care team. Things are starting to come together very rapidly, and we needed to get the final list of what happens between now and discharge. For a couple of the kids, there are a few last things such as hearing screens, car seat tests, etc. and then they will be ready. We followed that conference up with Monitor Training, so that we know how to troubleshoot things when the alarms start blaring.
We also set up our rooming in dates. Tomorrow, we will head to the hospital and start a 24 hour cycle of us doing everything for the kids just as if they were home. The hospital is giving us a room down the hall that we can sleep in between feedings. So every 3 hours, we will walk to the NICU, each mix the food for and feed two kids, and then try to catch a little more sleep before the next round. (Thanks to my brother for watching the house while we are doing that!)
With all of that being said, next week is going to be a BIG week for us. As it stands now, if everything goes according to plan and no issues come up:
Ellie is coming home on Sunday.
Elijah is coming home on Monday.
Caleb is coming home on Wednesday.
(We don’t have a discharge date for Abby yet.)
We are excited, anxious, and a bit overwhelmed knowing that we could quite possibly have three babies home in less than a week. Yikes! We could still use some more help, so if any of you are at all interested, please let us know. I think I can handle two, but beginning with three, I’ll need an extra set of hands. We know that it’s possible the dates could be pushed back for them as has already happened a couple of times, but we are almost 100% sure that we will have at least Ellie and Elijah coming home.
Your prayers are needed now more than ever as we need to adjust very rapidly to our new lives. Thanks for keeping us before the throne over the next few days while we finally start putting our family together!
--Posted by Rebecca
The kids have gotten so big over the last couple of weeks! Caleb, Abby, and Elijah are all the size of full term babies now, and Ellie is trying her best to catch up:
Caleb: 6lbs. 11 oz.Abby: 6 lbs. 7 oz.Elijah: 6lbs. 7 oz.Ellie: 4lbs. 11oz.We have spent the last few days trying to figure out their feeding plans for when they come home. It’s extremely confusing, even for the hospital staff. Caleb and Abby both had Video Swallow Grams last week to see if maybe they needed their food thickened to cut down on the number of alarms and stem that they needed. Although they both passed it, clinically, the occupational therapist decided that they need thickener added to their food. Caleb has done extremely well with the change, and isn’t turning blue during feedings anymore! Abby, on the other hand, is still really struggling to eat. She just hasn’t done as well as her siblings. I think her feeding plan needs to be tweaked a bit more.
Elijah had a Video Swallow Gram on Tuesday and completely failed it. That sounds bad, but it’s actually a good thing. Now we know why the boy has been turning blue on us when we try to feed him. He has been aspirating his milk/formula. Now his formula is thickened to the consistency of honey, and he has drastically improved. He hasn’t turned blue while eating either. Thank goodness, because he was really freaking me out.
Ellie is a little eating machine! She didn’t need a Video Swallow Gram because she’s always done quite well with eating. She is still eating slightly thickened food since their formula comes that way, so that’s helping her get it down even faster. Now, if we can just get some of that food to stick to her little frame. J
The really hard part of this week for me has been the news that I can’t nurse the kids any longer. Due to their reactions on thin liquids, it’s just too dangerous to try to continue it. After working so hard for almost 3 months, it’s really difficult to just give it up. I feel like I’ve given up so much: a normal pregnancy, a normal delivery, a normal start to motherhood. Now I can’t even breastfeed my kids. I had no idea it would be this disappointing. I considered it a privilege and a bonding experience, and now it’s gone. I know there are other ways to bond, but in this moment, it’s just really hard. However, what I want obviously is not as important as what is best for the babies. There is a grieving process that goes along with losing some of these things. I’ve started the process to wean myself using the pump. I can’t physically pump and feed this many kids every 3 hours, so we decided that they had breast milk for the 3 most important months of their lives, and now it’s time to just let them have formula.
However, the good things that I need to keep in mind are that we have four beautiful babies that are breathing, feedings will go faster with everyone on formula (15-20 minutes per baby, rather than 45 minutes per baby), and I get to have a couple of full nights of sleep before they start coming home! I must admit, the sleep thing is really exciting, and I intend to FULLY enjoy them before the babies come home.
Yesterday, we had our Discharge Conference with the babies’ care team. Things are starting to come together very rapidly, and we needed to get the final list of what happens between now and discharge. For a couple of the kids, there are a few last things such as hearing screens, car seat tests, etc. and then they will be ready. We followed that conference up with Monitor Training, so that we know how to troubleshoot things when the alarms start blaring.
We also set up our rooming in dates. Tomorrow, we will head to the hospital and start a 24 hour cycle of us doing everything for the kids just as if they were home. The hospital is giving us a room down the hall that we can sleep in between feedings. So every 3 hours, we will walk to the NICU, each mix the food for and feed two kids, and then try to catch a little more sleep before the next round. (Thanks to my brother for watching the house while we are doing that!)
With all of that being said, next week is going to be a BIG week for us. As it stands now, if everything goes according to plan and no issues come up:
Ellie is coming home on Sunday.
Elijah is coming home on Monday.
Caleb is coming home on Wednesday.
(We don’t have a discharge date for Abby yet.)
We are excited, anxious, and a bit overwhelmed knowing that we could quite possibly have three babies home in less than a week. Yikes! We could still use some more help, so if any of you are at all interested, please let us know. I think I can handle two, but beginning with three, I’ll need an extra set of hands. We know that it’s possible the dates could be pushed back for them as has already happened a couple of times, but we are almost 100% sure that we will have at least Ellie and Elijah coming home.
Your prayers are needed now more than ever as we need to adjust very rapidly to our new lives. Thanks for keeping us before the throne over the next few days while we finally start putting our family together!
--Posted by Rebecca