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Wednesday, February 12, 2014

Sophia's Birth Story

It all started the night of January 23rd. I was 3 1/2 weeks from my due date, and very much ready for the pregnancy to be over. With months of Symphasis Pubis Dysfunction causing me constant pain in my pelvis, and claustrophobia setting in, I couldn't wait for it to be over. But at the same time, I did not believe I would be having little Sophia any time soon.

I was putting my other two children to bed, when all of a sudden I felt something warm in my pants. I immediately was annoyed because I thought I had just peed my pants, but then upon looking at it, I knew it wasn't urine. I couldn't believe it, could this be my water? I very much doubted it, and with company over to watch a movie, I decided to just wait and see if anything more happened.

After the movie, our friends went home, and I decided reluctantly to go to labor and delivery to check things out, since it kept on trickling, and my midwife encouraged me to go. I didn't bother packing a bag or bringing anything, and told my parents to not get excited, that we would more than likely just be coming back home in an hour or so. After all, even if I was in labor, my plan was to labor at home with my hubby and doula as long as possible, so I knew I wasn't going to be staying at the hospital. Wrong!

We got to L&D at about 10:45 pm, and was checked in to triage. They told us they would be doing a strip test that will automatically give you a good idea if it truly is amniotic fluid or not. The test came back looking like it could be, so then they did a more advanced test. As we waited, I kept thinking this was such a waste of time. I should be home in bed.

The nurse came back, and low and behold, it WAS amniotic fluid, and I wasn't going anywhere, I was going to have this baby within the next 24 hours! I was floored! I asked if I could go home, and come back when I was closer to delivery, but I was told that it would be against doctor's reccomendations, and could affect insurance coverage if I left and then something went wrong that could have been controlled had I stayed. So I made the decision to stay, even though my body wasn't in labor yet. I hadn't felt a single surge, or any indication that labor was starting. So after we were transferred to a L&D room, my job was to try and get my body started, with nipple stimulation and walking. The problem was, since I was going for a VBAC, they put me on constant fetal monitoring, which got in the way of walking, since it couldn't read it well. I thought this was one thing I could ask not to have, but apparently it is required in every hospital in Utah. I had less power than I thought, and I was a bit frustrated, but I knew that wouldn't help anything, so I stayed positive and decided to enjoy this experience as best I could.

After a few hours of trying so hard to start labor, nothing was happening. My midwife came in and talked to me about giving me pitocin, I was so surprised, because again, I thought pitocin was a no-no for VBAC patients. I guess I was wrong on a few accounts. She explained that it is used quite often and is safer than other forms of induction, because it is a controlled drip that you can shut off immediately, versus creams that cannot just come off if there was a problem. She told me it was my choice, but if my body didn't start progressing, eventually this baby would need to come, since the barrier was broken and the risk of infection goes up after 24 hours, and I could end up having a c section. So my options were labor with pitocin, or risk a c section. I reluctantly chose pitocin, and so we got started.

By early morning, my surges were becoming more consistent and stronger, and I decided to have Laurel come. I had been keeping her informed throughout the night, and I wanted her to get a good night's rest before she came. I also told my hubby to go get some breakfast, since I knew things would start getting intense, and I wouldn't want him to leave my side after that. So I found myself alone for a bit, but I felt calm and peaceful with Laura's tracks playing in my headphones, and the lights dimmed. I loved Your Healing Place, and the Birth affirmations tracks, and pretty much put them on repeat. When my surges started getting strong, I was fortunate enough to have an amazing midwife. She was very Hypnobirthing friendly, and was right there with me reminding me to breathe and moan low and drop my shoulders and jaw through each surge. She was there the entire time until Scott and Laurel came. I kept thinking how lucky I was, and how happy I was that I didn't choose a doctor, who I might not have even seen once until I delivered. She was just like a doula for me, and I just wanted to hug her. She made such a big difference. Once Laurel and my hubby Scott arrived, we all went to work. I needed them immediately. What a wonderful team I had. My mother was also there, and I think she felt a little out of place, but I was glad to have her mothering vibes in the room.

With each surge, they steadily got stronger and stronger. For anyone who doesn't know, pitocin is tough stuff. It is much harder than natural oxytocin that your body produces. My nurses kept upping the drip, and by the time it got to a 10, I was ready for the tub. Once we got all the monitors sorted out, I got in and immediately felt relief. Warm water is heaven in labor!! Laurel and Scott were there with each surge, and I felt a little break in between surges and we were able to chat a bit. After awhile though, apparently I was too comfortable, because they upped the drip again to a 12. This was hard, REAL hard to handle. I couldn't get on top of the pain. I couldn't relax anymore, and for the first time, I was dreading the coming surges. The water had lost it's magic, so I got out and tried other positions. By this time, my surges turned into back labor, and I felt an incredible amount of pain in my back and tailbone. It was unbearable, and after 20 hours of no food and no sleep, and over 12 hours of pitocin-induced labor, I was spent. I tried so hard to keep going, but once the tears started and my body started shaking, I knew I needed to rest, or I wasn't going to make it. I remember begging Laurel and Scott to not hate me or be disapointed with me for asking for an epidural. They both quickly said that they were very proud of me, and that I had made it through most of it so strong, and that I needed to listen to my body, and do what's right for me. I felt better after hearing that, and once the epidural was working, I had no regrets. My poor body needed a break. I fell asleep pretty quickly, and so did the rest of my team. It was a much needed break for all of us!

I'm not sure exactly how long, but I think it was only 3 hours before I was ready to push. The epidural had worn off enough that I could feel a decent amount of pressure. I could feel her pushing down, and after a look, the midwife said it was time! I remember right before she came, feeling a sense of anxiety, and fear, that I wouldn't be good enough, that I wouldn't be able to be everything my children needed with one more baby to take care of. Feelings of inadequatcy were mounting, and I started to cry. But Laurel, Scott and mom were all there to tell me everything would be fine. I could feel her crowning, and was able to control my pushes and not bear down too hard too fast. I used my breathing to breathe her down, and after only 3 pushes at 5:45 pm, her head was out, and I didn't tear a bit! Her body quickly followed, and she was put right on top of me, It was the most incredible moment of my life! All I ever wanted was to have my babies put right on me after delivery, and in this breathtaking moment, I felt an enormous flood of love. Hear she was, 5 lbs 8 oz and 16 in of beauty; my first daughter, beautiful and perfect in every way.  All feelings of self doubt, fear and inadequacy vanished in that moment, and I was soaring.


After delivery, they had to take Sophia to the nicu for a short while to help her breathe, so my husband followed her, and my mom and I watched TV while I (finally) ate. Laurel said goodbye and I thanked her a million times for all she did. She is worth her weight in gold!! My breastfeeding consultant, Wendy, showed up and was ready to help me as soon as Sophia was back. The staff commented on how I hardly bled at all, and were very happy with everything postpartum. After I was done eating, a nurse came to take me in a wheel chair to see my baby in the nicu. I got up from the bed, a little shaky from the epidural, and went to sit on the chair, when all of a sudden blood was dripping down my legs and on the floor, fast. My nurse was surprised, and then looked at the bed and saw much more had been pooling as I sat there and ate after delivery. I asked her if this was normal, and she said she was getting the midwife back in here, and that I needed to get back on the bed. Once my midwife came in, she took a look and started pushing on my uterus to try and get it to clamp down like it is supposed to. But pad after pad was soaked in blood, and I started to realize this was not normal. I was hemorrhaging. I found myself quickly being surrounded by lots of staff, and I kept asking if I was ok, and what was going on. My midwife was very positive and upbeat, but I could tell once they started weighing how much blood I was losing, that it was serious. I was so glad that Wendy was there, acting as a doula and helping me breathe and stay calm. She was the voice that kept me here. She was right in my ear, telling me I was going to be ok, that I was strong, and she used the shoulder press a lot to calm my shaking. Apparently I was shaking very hard.I vaguely remember this. But Wendy was my angel. If any of you know her, you will agree with me that she has such a calming presence, and I could feel her transferring that to me. I started feeling dizzy and could feel my body barely conscious. I could hear voices, but was too weak to keep my eyes open. The thought occurred to me the possibility that I could die. I said a prayer, asking my Father in heaven to let me stay, that I wanted to raise these kids, that I wasn't ready to go. I was glad that Scott wasn't there to see all this blood. They gave me pitocin, cytotec, (another one I never thought I'd take) and another I can't remember to contract my uterus to get the blood to stop. They worked, and after 1000 CC's of blood loss, they took my blood count and determined I didn't need a blood transfusion, but my white blood cell count was elevated. Almost immediately I felt the fever. I had an infection, so I needed to start on antibiotics. I felt horrible, and realized my ear hurt quite a bit. The midwife took a look inside, and apparently I had ruptured my ear drum! Oh my! It all happened to fast, but with the bleeding controlled, and the antibiotics flowing and pain medication given, I was ready for recovery. Feeling very weak and tired, I was super out of it. Sophia was wheeled back into my room, and all I wanted was her. I pulled her close to me, up against my cheek, and smelled and felt her warmth. She was all I needed to feel whole. She was my medicine. She made all this so worth it.


So although I did not give birth 100% without intervention, I truly feel that Hypnobirthing and Laurel and Wendy and my husband helped me make it so much farther than I ever could have without them. I feel like I did everything exactly the way I needed to, and I have no regrets. I felt very empowered and in control, and felt completely surrounded and supported with peace and love and joy. I never once felt alone like I did with my first birth. I am so grateful beyond words that I educated myself to know all my options, to listen to my body, and to know that I could trust it. I am in love with birth, and with the power that comes with it. It is not to be feared, but rather embraced and accepted as the most amazing miracle of our existence.

Friday, October 4, 2013

It's a GIRL!! And why I'm going natural...

I'm having a girl, and I just can't believe it! I was certain it would be a boy, but I get to have a beautiful daughter who is going to be my very best friend! YAY! I'm envisioning lace galore, and classic beauty. She'll be all decked out in this and this and this. And her nursery will look something like this if I can only afford it!! She'll be classy shabby chic to the max! And I wonder if anyone can guess my favorite name right now, based off of that...

I'm so excited! And through this pregnancy, as well as my last, I have been on a journey of healing and self discovery, that has lead me to realize my own strength and power. It's such a long story, I hope that I will write it all down someday. Right now, I will leave you with this essay on why I am attempting to teach and learn and trust my body to birth the way God intended. I won a birth package at the Empowering Fearless Birth event that was held a couple weeks ago. It included full midwife services, doula services, birth video, newborn photos, a photo keepsake box, and a breast pump. A $4,500 value, and I won! And it just so happens, that the same doula I already had decided on is the one that I won the free services! Fate? I think so!! Here is what I wrote down of why I wanted those services:

My name is Latissa Graham, and I am currently pregnant with my 3rd child. My first was delivered in a hospital with the use of pitocin and an epidural. If you would have talked to me then, I would have said that this is the only way a sane person would give birth. But after being so numb all the way up to my neck and not even being able to feel pressure when I was delivering, and then being unable to hold my baby because I was so drugged, and experiencing the epidural not wearing off for 2 days, I re-thought this method. I missed the opportunity to have my baby placed right on my chest after delivery, and instead have him whisked away with my husband and the entire staff right after I delivered. I felt so empty and alone, for a good hour. Breastfeeding never worked out, even though I tried for months. I ended up pumping my milk and bottle feeding for 8 months, because I was determined to give my baby the best I could. Postpartum depression also hit hard, and this was a hard time for me, with not many resources or info for support.  I ended up on Zoloft, but knew this wasn't fixing the problem, it was only a band aid.
My second pregnancy ended in a miscarriage after trying for 5 months. This was exceptionally hard on me, and I didn't have much time to recover. I got pregnant again a month later, and bought a house and moved all at the same time. My hormone levels went crazy. I found myself getting very depressed, but was terrified of taking any medication for fear of hurting my baby. I scoured the internet, searching for anything on depression during pregnancy, and found very little. Many studies done on medications used during pregnancy were inconclusive, and vague, and unreliable. I was so frustrated, and felt like I was the only one. There was much information about postpartum depression, but not during pregnancy. Was I the only one? I tried and tried everything, including therapy, but by the end of my 1st trimester, I was suicidal. The only thing keeping me alive was the baby growing inside of me. I knew if I hurt myself, I'd hurt the baby, and I would never do that. But that's when I knew I had no other option but to get medication. 
After being on Zoloft for awhile, it helped immensely, but I was still so concerned about the effects of medication. I started learning and researching birth, and came across The Business of Being Born. I watched, and knew that this is what I wanted. But with another major complication, that would be impossible for this baby. I had to have a scheduled C section at 35 weeks because of a very rare condition called Vasa Previa.  Basically, my placenta was split in two parts, and was connected by blood vessels that crossed over my cervix. These blood vessels were in direct supply to the baby, and if ruptured (due to labor, waters breaking, too much pressure) the baby would bleed out in a matter of minutes. I was terrified of a c section, but I was beyond grateful that my ultrasound showed this condition, because undiagnosed, the mortality rate for this condition in 90%. Thank God in Heaven for modern technology. But through this whole experience, I longed for a natural birth. I delved in to the world of midwives and doulas and water births and how our bodies know how to give birth. My whole life, I thought that the doctors knew everything, that I need not question them, because they had it all figured out. All I had to do was show up to my appointments and show up to the hospital and they'll give me my baby. I didn't KNOW that I needed to KNOW. That my body knows what it needs, and I need to trust it, above anyone else. 
After giving birth, and my baby being born alive and only needing 8 days in the NICU, I was so happy he was here, but I knew that next time I wanted to do things differently. Next time, I will empower myself with all the knowledge I can about birth and my body, and I will trust it, and give it a chance to do what it was made to do.
I am a massage therapist, and received this flyer in the mail for this certification done by Claire Marie Miller on Prenatal, Labor, and Postpartum massage. I immediately knew I needed to take this class. This class was beyond healing for me. Not only did I learn how to help pregnant women, but I experienced an emotional healing. A healing from all the heartaches I experienced in my pregnancies, the miscarriage, the severe depression, the fear of losing my baby, the guilt of not being able to breastfeed either of my children, feeling rejected, like something was wrong with me, and the knowledge that I am a powerful woman, that my body is a blessed creation, and that I am and have always been enough for my children. I forgave myself, and felt peace, for the first time in a very long time. Little did I know, that I was already pregnant again during that seminar! Only four months after having my last baby, I was pregnant again, and expecting the baby only 13 months after having my last! Hears the kicker- I was taking the mini pill perfectly on time every day, and fully breastfeeding (pumping) and I still got pregnant!! It was obviously meant to happen. At first I was terrified. Terrified of being so depressed again. But then I felt a very strong feeling of peace, that this would be different, that this was part of the plan, and that I can do this. Now at 18 weeks, I have experienced no depression, and very minimal nausea. I want with all my heart to do this differently, to have a dream birth, where my body is in charge, where my spirit is ready, and I have lots of love and support from an awesome birth team. I know I can do this, and I need to do this!  I can't wait to go to Empowering Fearless birth event, and soak up all the info I possibly can to help empower me with all the knowledge and training and support I can to allow my body to birth the way it was made to. This money would help me immensely, since the C section and NICU stay dug a huge hole of debt for us, and with my husband's new job, our insurance is not great. Please consider me, and help me have my dream birth!

I am currently taking Hypnobirthing classes that have helped me so much, to deal with my anxiety and sleep issues. It's basically just mind over matter, and it really works! I will post more on this later, but there is a taste of what I am currently experiencing!

Sunday, July 7, 2013

Ethan Scott Graham - 6 months already!

"Mom! You've been holding out on me! These bananas are AWESOME!!
My little Ethan celebrated his 1/2 year birthday on Independence Day! I can't believe how fast the time has gone, and how big he has gotten! I brought home a 4lb 14oz baby, and he is now 16 pounds!! Pretty much tripled his weight! This kid loves to eat. He wouldn't sleep more than 2-3 hours throughout the night, and I couldn't figure out what was wrong with him. Then finally, a few weeks before his 6 month date, I introduced solid foods; rice cereal and bananas. Not only did he LOVE eating, but he slept 6 hours straight! WOW!!! YAY!
 Now, he isn't perfect, but he does like a regular night time schedule, and if I keep him on that, he usually sleeps pretty well. But he is still a terrible napper! He loves cat naps, and just takes them all day off and on. He won't just go down on a schedule, like Carson did. Carson is my obscenely perfect sleeper however, so I can't really compare him to Ethan. I'm sure he'll get it down someday.

Ethan is my lover of kisses, hugs, cuddles, and being held. He just loves to be loved, and will let you know with a big smile and a sigh. He will also grab your face and pull you close and give you a big slobbery wet one. He loves to suck on daddy's chin. It's so hilarious to watch!! Ethan would be the absolutely most perfect baby if he could just be held all the time, and by anyone really. Anyone that will give him love and attention. He would never fuss. Too bad there is zero chance that is possible! He has an adorable giggle, and is ticklish under his chin and neck. He'll giggle like crazy when daddy nuzzles his face on his neck and chin with his whiskers. I love it!!!

He just recently started doing this whole body wiggle on his back, like he's trying to wiggle across the floor, like a snake. It's hilarious to watch, and I still haven't captured it on video yet, but I'll keep trying! Ethan hates tummy time, with a passion. He gets irritated very quickly, and then screams bloody murder, and then gives up entirely and falls asleep. This is very frustrating, and he still hasn't rolled over at all, and can barely push himself up in front. He also cannot sit by himself, but he is good at holding himself up in the Bumbo and on the swing. Carson was also crazy fast and ahead with reaching physical milestones, so it's hard to compare the two. Carson wasn't a preemie either. But I do worry a bit, and have been really working on building his muscles and trying to teach him how to roll, and I am seeing progress. So I think he'll be just fine!

Ethan is a beautiful, bright eyed baby, and I just love him to pieces! And I love that I can enjoy him without any more depression. What a relief. He was worth every dark second I had last year, and I'd do it all again just to know that I get to keep him forever and ever. He's my little miracle baby, and I just love him so much!!!



Thursday, April 4, 2013

26

It was a happy happy birthday lunch at Chili's with my family. And yummy fajitas and cake at my in laws that night. But I swear, I'm 22 at most!

Sunday, March 17, 2013

Ethan Scott Graham's birth story

10 weeks later, and I am finally posting Ethan's birth story. Holy cow. All I can say is that life is crazy with an almost 3 year old and an infant who's not great at sleeping! But we are starting to get in the hang of things around here, and I found a rare moment of peace, so here it is. A warning to those who are squeamish:  I have posted pictures of my unique placenta and uterus on here after many people requesting to see it.

Ethan Scott Graham was born via C section 5 weeks early on January 4th, 2013 at 7:52 am, weighing 5 pounds 7 ounces and 18 inches long. On the morning of the surgery, I was feeling anxious, but prepared and at peace. Here is a picture of me right before we left for the hospital:

I knew everything would go well. I had made it this far through the tumultuous pregnancy, and I knew I had finally reached the end safely. I had not been admitted to the hospital on bed rest as previously planned, and was able to be home not only for the whole Christmas season, but even New Years. This came as a huge relief, and surprise. We were all feeling very blessed, and I know it is because of all the many prayers and blessings we received. And also because of divine inspiration that lead me to the most amazing, knowledgeable Periantologist I could have gone to. Because of her rare experience and intuition with Vasa Previa, she felt I was able to be home, that it would be better for me and the baby if I less stressed and comfortable, and that as long as everything looked good at my bi-weekly check ups, she felt good about me being at home. I am so grateful I found her, because most doctors would have just admitted me at 30 weeks,  regardless of any tests, just out of pure ignorance and fear of this rare condition. 

I woke up pretty nauseated due to having to be up so early (4:30 am) and not being able to eat anything. I through up on the way to the hospital twice, and was given a zofran injection. After that, it was smooth sailing. I felt great, and at ease. So excited to meet my baby. I thought I would be freaking out because I have always been terrified of being cut open, but I had no fear. It probably helped that I had had 3 months to prepare for it, versus being in labor and having to do it in an emergency. I got pretty shaky, so my awesome anesthesiologist gave me something to calm my nerves and even rubbed my head. My whole team was awesome, and they let me know everything that was going on. Here is a picture of me in surgery:


After I got the spinal tap, everything went really numb. The sheet went up, and Scott was right by my head. They asked me if I wanted a mirror so I could see the surgery, but I said no. I didn't want to see what was going on at the moment it was happening, but I wanted pictures. So I told Scott to take some pictures. I know at first he didn't want to watch, but when Ethan came out, he looked over and from that point on, Scott was watching. It was quite fascinating  At one point, they had to completely lift my uterus out of my body cavity in order to remove part of my placenta from the wall. Here is a picture of that:

Ethan came out screaming his guts out. Boy did he sound mad! Can you imagine what it would be like to be in a nice, warm environment, and without any warning you are ripped out and exposed in bright lights and cold air? I'd be screaming too! My first thought when I saw him was, "Look at all that dark hair!I knew it would be dark." I was so relieved to hear that beautiful cry. It's amazing that all the hardness of the past eight months was all revolving on hearing that one, piercing first scream, and that it was all so worth it. Here is Ethan shortly after birth:

When my doctor saw my bi-lobed placenta, she asked me if she could take a picture. I said of course. After all, I had a very rare case! She came into my room after surgery and told me something I'll never forget. She said, "Latissa, I didn't want to tell you while you were on the table, but the veins that connected the two placentas were so large, that even if I were to have admitted you to the hospital on bed rest, and even if you were right next to the c section room, ready to deliver the baby the second they ruptured, I don't believe I could have gotten the baby out in time to save him. He would have bled out too fast." I am so grateful that this never happened. Here is a picture of my bi lobed placenta. those veins are huge!

Recovery was better than I thought, but still quite hard. Mostly revolving around the many trips to the NICU and all the walking involved. I also pulled a muscle in my obliques, and had to see a physical therapist while in the hospital. But I was taken care of very well, and had many visitors. Here is a picture of Carson and I:

Ethan was in the NICU for only 8 days. By the time he left, he was 4 pounds 14 ounces, and I remember thinking that I couldn't believe how small he was. He was so healthy and strong, and his doctor was surprised how well he was doing. We were so blessed!

When I came home, I walked into my room and discovered that it had been painted and all set up and clean. While I was in the hospital recovering, both sides of the family came together and did it all. Our room used to be this nasty green, and it was so depressing, and so my mother in law thought I would like to have a beautiful room, since I'd be spending so much time in it. I was so surprised, and grateful. I really am so blessed to have family and friends that love me and my family so very much. We have so much support. Life would be a whole lot harder without them.

Since we brought Ethan home, life has been a crazy blur until just recently. Getting used to two kids, one of which doesn't sleep well, and the other who won't sleep when the baby sleeps has been super hard. Also dealing with some post pardum depression, and a trip to the ER after a seizure scare with Ethan, (turned out to be a reaction to acid re-flux  January and February were pretty much a blur. But life has seemed to level out, and we are adjusting. I love my tow boys more than I could have ever imagined. I am so happy and fulfilled. So thankful beyond words that I have two healthy, strong, beautiful boys, and a steady, loyal, selfless husband who has supported me through all the light and darkness. Life is beautiful.

Wednesday, February 27, 2013

An Actual Solution for Insomnia

I need to blog about Ethan's birth, but this needed to be posted tonight, seeing as many of you have prompted me to share what I learned from the Sleep Therapist today. So let me start at the beginning...

For the past ten years, I have had chronic insomnia, and before that, as my mother has shared with me, I wasn't such a great sleeper either. I toss and turn for hours and hours, until finally I fall asleep, only to find that it's usually 4 am, and I usually have to get up for something or someone, and cannot get the amount of sleep needed. My brain just won't shut off. That chemical that turns your brain off and helps you drift to sleep, just doesn't function. I have always slept better in the morning, and been wide awake late at night. I can't pin point when and why this really developed, but I have been off and on sleeping pills since I was 16, but for almost 3 years, I have been on Ambien every single night. If any of you know anything about sleeping pills, you know you are only supposed to be on them for a few nights, never long term. They aren't made for a chronic problem, and over time, you eventually develop a resistance to them, and need a higher dose in order for them to still work. Sooner or later, you are needing such a high dose, way more than recommended, and you are faced with either running out of your prescription too soon, or going to the doctor and getting on a different kind. When you've been on sleeping pills for this long, when you run out of your meds, you don't sleep...AT ALL... for a couple nights. Your body can go through withdrawal, and insomnia temporarily worsens. By the third night of hardly any sleep, your resolve to quit the sleeping pills diminishes. You NEED the pills...you can't function without sleep. right? So you HAVE to be on them. It's just part of who you are, and what you need to function...right???  In an article I was reading, I found this quote. "The only effect sleeping pills have," says sleep expert Dr. Kripke at UCSD, "is they make you feel good about not being able to sleep." Even your doctor tells you it's fine that you need it, and if it isn't working, lets load you up with more drugs. It's a hole you feel stuck in. YOu just wish you could shut your damn brain off and sleep like the rest of the normal people out there, but no one has an answer, and REAL solution to your problem.

This is where I am at right now. My baby is finally starting to sleep longer stretches, and here I am, wide awake. And just as I'm finally falling asleep, I look at the clock and realize my toddler will wake up in a couple hours, and I'll have no choice but to get up and be his mommy, no matter how tired I am. Then someone offers to give me a nap, and I take it. I feel better when I wake up, but I find that I have the same problem later that night, and I can't sleep unless I'm heavily drugged.

I have been wanting with all of my heart to get off of these meds, but with desperation and a priesthood blessing, I was prompted to wait until I was no longer pregnant, since my pregnancy was so complicated. I was told that I would be able to find a solution, even though it may be hard to go through. So here I am, almost 8 weeks post pardum, and last weekend, I ran out of Ambien, and of course, I had been taking too much and couldn't refill it yet. I went to my doctor, and he said I could start on a different medication, but he advised that I figure out why I am not sleeping. I asked him if I should see a sleep therapist, and he seemed to think that was a good idea. So I did the hard thing. I went home without a prescription, knowing all too well that I would not be sleeping a wink that night. But I was done. I was done with being so dependent on these pills. And with my body going back to normal, I was ready to take this on. The weekend was rough. My hubby let me sleep in on Saturday and Sunday and Monday, after no sleep the previous nights. Then Tuesday night, I finally fell asleep at midnight and slept for 3 1/2 hours, then woke up and fed the baby and could not go back to sleep, even though I was utterly exhausted and the baby was sleeping. That was last night, and today I went and saw the sleep specialist. I told him my history, and after going through many questions, he first told me that he was very impressed that I wanted to find a solution, and that I was brave enough to get conquer my dependence on the meds, and that I wasn't there just to convince him I needed a higher dose. Then he proceeded to tell me about this treatment called Sleep Restriction Therapy.

First he started out by explaining that our minds can be compared to a computer. When you go to shut it down, you have two ways of doing so. You can shut it down the correct way by clicking the button, and then it proceeds to go through the normal procedure of closing programs and turning off correctly. Or, you can push the start button and hold it down, till you force it to shut off. Forcing your brain to shut off at night is exactly what sleeping pills do. You are not shutting down the normal way, you are just skipping that whole process and forcing it to sleep. Pretty soon, this is the only way your brain knows how to sleep at night, and it completely relies on it. So, you are up all night, and then you sleep in the morning, or take naps during the day, so then you aren't tired so you have to take a pill to sleep, and the whole process repeats itself.

So this is what you do. First, you have to figure out how much sleep you normally get without sleeping pills. Get and average over a few nights, and log it. Then you must do a "hard reset" on your brain, and you stay up for 24 hours straight. This means no sleeping pills. Sleeping pills will harm any chance of retraining your body to know when to sleep and how to stay asleep. Sleep fasting reboots your internal sleep computer. This resets your circadian rhythm, and starts a clean slate.

Then you must figure out when you need or want to get up every morning, and subtract that from the number of hours you normally sleep at night, and that is the time you go to bed. So for me, I usually only get 4 hours of sleep at night, and I have to get up by 7 every morning, so my bedtime after the sleep fast would be 3 am. I MUST get up at 7 am, even if I feel like sleeping in.

Next, you must use bright light therapy. You can buy these at stores, but my hubby actually made a light box for me after researching how and what kind of light you needed. You have to be near the light for a half hour right after waking every morning. Using light therapy is absolutely essential, and this whole process is not near as successful without it. This helps to teach your system when to sleep and wake at the right times.

Next, you gradually increase the amount of sleep you get each night.This is one of the most important steps, because if you jump back too quickly into trying to sleep all night, you'll lose any benefit you gained up to this point. Once you find that you are falling asleep quickly (within 20 minutes of lying down) and you are sleeping the full amount of time, you can add 15 minutes of sleep. So if my bed time is 3 am, I could try going to sleep at 2:45 am, and if that night is successful, then 2:30 am and so on. But if I find that I cannot sleep at 2:30 am quickly, then I must go back to sleeping at 2:45 or 3 am, and start at the time I could sleep for a few days, and try it again.

And last, NO NAPPING. This is extremely important. Napping messes up your circadian rhythm and you won't be able to sleep when you need to. If you have chronic insomnia, like me, you should never ever nap again, it's that important. This kinda makes me wanna cry. If you feel tired during the day, use your light box or get out in the sunshine and exercise until the drowsiness is gone, but don't give in to napping.

In reading Dr. Spielman's studies, most people gained at least a couple hours of sleep each night after doing this therapy. That can make all the difference. 6 hours of sleep is a heck of a lot better than 4.

When he explained this to me, it felt right. I felt peace that this is the course of action I should take in order to beat this problem. It's definitely not the easy route. It's going to kill me, I am sure. But in my mind, it makes perfect sense. This is the only real solution I have ever been given to treat my chronic insomnia, and I am so grateful that it exists.

I'm debating whether to start this tonight, or wait until after Ethan's baby blessing this weekend. I have so much I have to do, and I think I need to plan for this. It's going to be a week or two of hell. I'm not sure how my kids will survive, especially my poor 2 year old Carson. His mommy is going to be dead and boring, and I'm sure very short tempered. But I feel this is right. Now I just need the strength to do it. But I am blessed to have many people praying for me. My mother in law felt prompted to put my name on the prayer roll of 16 temples. Bless that woman. Her faith is unwavering. I look up to her in so many ways. And I know my Heavenly Father will not leave me alone. I know he will provide a way that will make this possible.

So whether I start tonight, or Sunday night, I will keep you updated. I'm going to log everything on this blog, and let all my fellow insomniacs see how well it works for me. 

Tuesday, December 18, 2012

A Christmas Blessing

I am overwhelmed at the blessings I have received this Christmas season. This year has been one heck of a ride. This was a time for a true test of faith, endurance, perseverance, and testimony. It is so hard to formulate into words all of the emotions I have experienced through this year. In reading over my previous blog posts starting in January, I think I have done a decent job at piecing together this year of enormous spiritual growth through trial. In my last post, I described the condition that I was diagnosed with during this pregnancy, and how I got to that point. Since then, I have been through much more. I will try to start where I left off.

After being diagnosed with Vasa Previa, I endeavored to find out any and all information that I could about this condition. I read countless medical articles, various websites, blogs, news articles, etc. I needed to know everything I possibly could about my condition, so I could make the very best decisions regarding my doctors, specialists, and hospital I'd now have to choose to recieve the very best chance at getting this baby here safely.

After lots of research, I chose to transfer my care to Intermountain Medical Center in Murray. It's one of the highest ranking hospitals in the nation, and has an excellent NICU and beautiful new accommodations for new mommies. I also noted it had a couple of Maternal Fetal  Medicine doctors that made the national list, and after praying a lot about it, we decided to go up there and see if we could take a tour. While there, I was able to talk to the best of the best. One mention of Vasa Previa, and she was called down to see me. I had my records transferred over there, and she took on my case. The very next week I was able to get in and see her, and after a thorough ultrasound and exam, she confirmed that it was Vasa Previa, but that she was not certain that the best course of action would be to admit me to the hospital for 5 weeks. She said it would depend on my body, and whether or not there were any signs of preterm labor or stress on the baby. Only time would tell. But she said to plan on being admitted at 30 to 32 weeks. I prepared myself to miss Christmas, to miss the entire month of December. This in many ways was difficult. I'd have to find people to care for my son while my husband worked. I would miss everything. I would miss all the traditions, the whole season. My son's face on Christmas morning. And I'd have to stop working, which meant money would be extremely tight. It might sound like a nice break to some, being able to go to the hospital and have no responsibilities: watch movies, read books, sleep, etc all day... but you know what? I want my responsibilities. As nice as a break is once in awhile, I would never ever want to stop being my son's mommy, my husband's wife, the homemaker, the Massage Therapist. I love my jobs. And I was about to have all of that taken away. Of course I knew it was for the best cause; to get this baby here safely. And I was willing to do it, no matter how difficult it would be.

So every week, I have to go in and "pass my tests," meaning the non stress test for the baby and the ultrasound to make sure there are no indications that my body is getting ready for labor. The deal is, that if I keep passing these (now twice weekly) tests, I get to be home. December came, and now at 33 weeks, I am still here at home. Every time I've had to go in, it has been an emotional roller coaster not knowing if I'd come home that day or end up being admitted. It has truly helped me to live in the moment as much as I can, and cherish every second I have with my son and husband. It's been a true test of faith, that the Lord would guide and direct both me and the doctor to be inspired to know when and if I need to be admitted. In many ways, it's been a game of chance, which has been the most stressful part. My doctor said that you never know what could happen. Worst case scenario, my water could break without warning and I wouldn't get to the hospital in time to save the baby. But the likelihood of that happening, with as good as I look is very rare. And after many blessings, I know the Lord will tell me if and when I need to be in the hospital. But like I said, this has been a true test of faith.

The prospect of being home for Christmas is absolutely unbelievable. I never even considered that as a possibility. I am so beyond grateful that I have made it this far, and been able to experience things I never thought would be possible this season, like seeing the Mormon Tab. Christmas concert, (even though I had to go in a wheel chair.) It's been a humbling experience to rely on so many for help. I am so blessed, it just amazes me. In looking back on this year, sometimes I have sat there and really wondered if it was even possible for me to make it through, if this wasn't too much to bear. I know, that there is no way I could have ever made it through without my Savior Jesus Christ believing in ME. He never left me, not once. Even in my darkest moments, He was the one constant flicker of light. He never asked me to do it alone.

Although I am not in the hospital, I have to take it very easy. This has been the hardest for me. I am such a do and go type of person. I am not a homebody. And I don't like a dirty house. I hate looking at the dishes, the bathrooms, the floors, etc. and not cleaning them. But I am trying to do my best. I still have to have a C section delivery. There is no other way around that, and it must be done early enough to avoid me going into labor, but late enough that this baby won't be severely premature. Between 35-36 weeks is recommended  so we scheduled it for January 4th, 35 weeks and 2 days. I didn't have a C section with Carson, and in many ways I am quite terrified of the whole procedure. I am not out of the woods just yet. But I do know, without a doubt, that I won't have to do this alone. I know that the Lord will take care of me and my baby Ethan, and I know I can put my faith and trust in him. I also know, that no matter what I go through, He will make it possible for me to get through it, and learn and become stronger in faith and testimony if I only trust him.

So here's to a good possibility of being home for Christmas, and a wonderfully beautiful new baby boy to kiss and snuggle in the new year:)