Monday 28 February 2011

When Maddy met Molly

This evening, Granny and Papa came over to see us and to introduce you to our dog, Molly.

Molly is our cocker spaniel. She's just over a year old and still quite excitable (well, very excitable) so she's been staying at Granny and Papa's with their dog, Tilly, while we were in the hospital and since we've been getting to know you at home. Obviously, we were also a bit concerned about having an excited dog around a young baby and a sore Mummy. Anyway, we decided that Molly needed to come home before Daddy went back to work and it made sense to introduce you both first.

Molly was very good - a little confused and very curious but no licking or jumping at you so we were happy and relieved. You had a few cries and Molly just sat with head cocked to one side. She did insist on smelling you a few times but seemed satisfied that you're safe :o)



Midwife: 17 days old

Jacqui came to see us today and I'd managed to make it downstairs for her visit! Yay! She checked you over (your cord stump - which had been bleeding a little bit and had scabbed over - is absolutely fine, we just need to let the scab fall off in it's own time) and you're doing really well. Your colour is normal and you weigh 3220g (which is 7lb 1oz). That's 180g (about 6.5oz) more than last week.

She checked my scar and said that it was dark red (which meant recovering from the infection) and that as all the stitched layers were linked, she'd be reluctant to remove any in case she pulled on layers below. If they're still visible by my six week check, the Doctor might remove them.

So Jacqui signed me off (I can call her if I need her) and we'll be taken over by a health visitor.

Two weeks old

You were two weeks old on Friday - where's the time gone?!

You're being really good, my biggest frustration (aside from not being as mobile and healthy as I'd like) is when you're hungry and despite having a nipple in front of you, insist on looking over your shoulder for it. Funny during the day, drives me mad at night when I'm tired! You wake once or twice in the night for feeds but other than that, you let us get our sleep - we even get lie ins of sorts most mornings. Lovely!

You're having more alert time. It's awesome to spend time talking to you and seeing you interact with us - even if some of that time is at 3am!

After we saw Jacqui and I had my nasty dizzy spell on Monday, we had visitors. First, Nanna arrived to spend a few days with her beautiful Granddaughter and then Auntie Laura came up from St. Albans to meet you for the first time. Nanna bought Welsh cakes and nappies and Auntie Laura bought mini muffins, flowers and presents - two lovely sleepsuits, one that reads Granny Magnet that made us giggle lots.

On Tuesday, we just relaxed with Nanna.

On Wednesday, Auntie Rosie came to visit with your cousins India and Amelie Boo. Auntie Rosie bought a tee that was Amelie's when she was a baby but it's more like a dress on you at the moment! They were very excited to meet you.








Daddy took you to work afterwards to show you off and to borrow some photography equipment so we can take photos of you.

On Thursday, Mummy noticed that her scar was looking a little angry and asked the Doctor to come and look at it. He said I said a slight infection and prescribed antibiotics. That would explain why I've been feeling dizzy and sore! In the afternoon, Granny, Papa, Auntie Rosie, Auntie Lora and your cousins came to see us in shifts. You had lots of cuddles.

On Friday, we were supposed to see Sally and her little boy Jake but Mummy was too ill, something gave me a funny tummy so I didn't have much energy.

Friday 25 February 2011

Midwife: 10 days old

Jacqui came Monday morning. She felt my tummy and weighed you. You were almost back to birth weight five days ahead of target; you weighed 3040g or 6lb 11oz.

She didn't stay long and will be back to see us next Monday to check your colour and weigh you again.

I had a funny spell later that morning and passed out so we also saw the Dr (home visit). She couldn't find anything wrong but did warn me that a c-section is major surgery and that I should take it as easy as possible. Oh and eat and drink more than I had been.

Saturday 19 February 2011

One week old

Busy week for you my Maddy.

On Sunday, you came home and we introduced you to Uncle Rhys, Daniel, Hannah and Adam. Auntie Lora was there too but you'd already met her in hospital.

On Monday, we had a nice quiet day as a family together. The midwife checked us over too - everything was fine.

On Tuesday, you had your first bath (with Auntie Lora's help) and Granny and Papa came to visit.

On Wednesday, we saw the midwife and she weighed you - 2870g (6lb 5oz) - and took your blood to check you don't have any conditions we need to treat.

On Thursday, you got to meet Auntie Rosie! So pleased she came up, she's been dying to meet you but needed to take care of Uncle Nick when you were born. She's smitten - I think she nearly took you home with her! She's here next week with your cousins, India and Amelie Boo so you'll get more time with them then.

On Friday, you turned one week old and Auntie Hannah came up from London to visit. She was coming to see you on the Sunday after you were born but stayed at home with a cold so we didn't get poorly. She was very happy to have lots of cuddles. I managed a little sit in the car and Auntie Kerry spent the evening with us.

This morning, Saturday, you woke up on Daddy's chest (as opposed to Mummy's) and you'd lost your cord stump! You met Grandad and Great Gran at lunchtime and we're relaxing just the three of us now.


You're a good girl: feeding regularly, only crying for a definite reason, opening your eyes for time with mummy and daddy - or one of your visitors if they're lucky. You tend to sleep on my chest (or Daddy's) at night - you can be a real fidget but you're so adorable, we don't mind.


We only have a few clothes that fit you - we've had loads of clothes as gifts but you're just too little to fit them so they'll have to wait til you're a bit bigger. You're wearing size 1 pampers new baby.

Thursday 17 February 2011

Midwife: 5 days old

Jacqui came to see us yesterday afternoon for our check. I'm healing well (the pains in my tummy are a sign of nerves reattaching) and everything I'm experiencing is normal (reassuring to your emotionally fuelled mother) and you're doing really well adjusting to life outside of my tummy.

You had bloods taken to make sure you don't have any conditions we need to pay attention to and were weighed (now weighing 2879g - that's 6lb 5oz). Your cord is healing well and you're losing the yellow tinge. She's happy with the breastfeeding.

Jacqui is so happy with us, she won't be back until Monday to see us (we can call in the meantime if we need anything).

Well done Maddy! Clever little thing.

Madeleine Elise Coombes or Maddy

Well my darling little one, you're here! You arrived at 12.04pm on Friday 11 February 2011, weighing 3080kg (6lb 12oz) and you're absolutely gorgeous.

Last week, after the appointment at Mr Afifi's clinic, was a mad rush of lists and anxiety. Should I be mentally preparing for a section or concentrating on thinking positive for the ECV to work? Should I actually stop panicking about completing all the things I had planned to do pre baby (in my head, expected w/c 21 February) and sleep and relax in case I have a baby on Friday? (in hindsight, I know the answer to this one - it's a definite yes) Was I ready to meet my little one?

I think we managed to get the critical stuff completed and Daddy made sure I relaxed at least a little bit more than I thought I would be able to.

After a very late night, we got up very early on what felt like no sleep at all and headed to the hospital, stopping at Granny's on the way to collect my Caesarian birthing wishes, just in case. We were told at the front desk to head to the delivery suite and eventually herded into a waiting room. I'm not sure they knew what to do with me. Beverley, the midwife who'd looked after me at 25 weeks when I lost some fluid, showed us to our room and helped me get ready for the ECV. I was changed into a gown (left my leggings on though) and hooked up to monitor with big bands of elastic around my bump so they could take a reading of your heartbeat. I was given a thumb clicker so I could help them track movement at the same time. Daddy and I tried to chat normally but I was nervous and very, very hungry. I assume Daddy was at the least, nervous - probably hungry too cos he'd only had time for half of his porridge.

A senior registrar arrived and introduced herself, I think her name was Katy. She explained the procedure and went through the consent forms with us for ECV and C-Section. Katy removed the monitor and scanned my tummy (Daddy could see the screen but I couldn't) and you were definitely still breech and she could tell us that you weren't tangled up in your cord. With the assistance of a registrar watching the procedure, she adjusted the bed to the right height and reclined me so my head was lower than my pelvis and my body was tilted on the bed. Not terribly comfortable.

Katy explained that she was starting the procedure and that she'd have head on your bottom and head to try and rotate you the shortest possible route. I was to tell her if I needed her to stop or if I felt dizzy or sick. I utilised my hypnobreathing techniques - just as well, if you ask me. 'Uncomfortable' is not quite accurate. It wasn't agony but it hurt. I could feel you moving and visualised you turning head down. Katy monitored you with the scanner periodically and kept reassuring me and Daddy that you were happy. 30 minutes and two dizzy spells later, Katy asked me if I minded her getting the consultant on duty to try - sometimes a slightly different technique was the key and besides anything else, she was losing the feeling in her hands from the pressure! She was getting you halfway (transverse) but you weren't flicking yourself round so she was sure you would turn and knew how much I wanted you to. She told me she was gobsmacked that I'd been so calm and relaxed during the procedure and kept telling me how impressive my pain threshold is (I blame tattoos). I agreed that I'd be happy to call the consultant and continue.

I think the consultant's name was Nina but I remember her looking more like a Jane. Katy introduced us and gave her an overview and, after a quick scan, Nina took over. Ten minutes later, the consultant praised my resolve, reassured me that baby was fine and said that her recommendation would be to proceed with the C-Section as she didn't believe you would turn. Everyone in the room was lovely, praising me and apologising for the need to send me to theatre. Although I was quite nervous at the thought of the operation and shaky after the ECV I was much calmer than I thought I'd be at the news - excited to be meeting my baby. I had a small cry and a cuddle with Daddy and then let Beverley prepare me for theatre. Daddy tried to get hold of a few people to let them know what was going on - I can't remember how successful he was.

The anaesthetist (Chris) came in to introduce himself and run through the anaesthetic (pronounced you definitely a baby girl as you were so stubborn). The theatre midwife came in too (Maddy). She'd be looking after us and ran through our wishes with us. Some things weren't possible (dimming the lights and Daddy cutting the cord after it stopped pulsing) but they did as much as they could - we were allowed our playlist and they suggested they leave a length of cord on you so Daddy could "cut the cord".

Once they were ready, I donned my uggs (yes, mummy didn't pack slippers in her convenient just in case I need something before an operation bag, they were in the case) and walked to the operating theatre. Daddy was given a gown and a lovely hat and bootees (I think he successfully avoided a photo) and we entered a very bright, white theatre. I was introduced to the people there (theatre nurses, midwives, four anaesthetists, two surgeons) while Daddy and Maddy sorted out the music. Maddy asked if I was happy for you to be popped in a little, knitted, yellow hat when you were born and I agreed. Before I knew it, I was sat on the bed for my cannula and my spinal. The spinal is a funny sensation, it almost hurts to have the injection and then they move you quickly before you lose the feeling from your rib cage down. Your feet, legs, bottom and torso go warm and tingly - I think it started in my bottom, like being in a car with heated seats. I was hooked up to monitors for heart rate and blood pressure and they inserted a catheter.

Chris talked to me and was very kind throughout. In fact, they were all very lovely to us. The screen was raised just below my boobs and Chris checked my feeling with a freeze spray. Once he was sure my spinal was effective, he must have given the go ahead. I didn't realise they'd started but I could see bits of the operation in the overhead lights.

I went dizzy a few times and Chris had to give me medication to raise my blood pressure but other than a bit of pushing on my tummy (just felt like palpating), it was uneventful. Chris kept me up to speed with what was happening - the fluid being drained, your bum appearing, your feet and legs and then the rest of you at 12.04. Maddy asked that noone announce the sex of the baby because we wanted to see for ourselves but asked them to lift 'her' up for Mummy to see so we knew before they brought you closer to show us we had a little girl. You went to be checked quickly (and Daddy cut the cord) before going to Daddy for first cuddle and then straight onto my chest for skin to skin. You were covered in vernix but so beautiful with a lot of dark hair (an old wife would tell you that would explain my heartburn). Daddy and I gazed while they stitched me up and then Daddy was taken through to recovery with you while they gave me additional anaesthesia in my sides and moved me across to a moveable bed. Daddy and I had agreed on first sight of you that you were our Madeleine Elise.

I was wheeled into recovery to be greeted by a very smiley Daddy and a very beautiful baby daughter. It was such a wonderful moment and I'll cherish it forever.





You came back to me for skin to skin and managed about 35-40 minutes of breastfeeding, which I was very happy about. Amy (a student midwife assisting Maddy) brought us tea and toast and Maddy weighed you and measured your head and length. We have a photo of you on the scales and the tape measure Maddy used to measure you.

They were a little concerned about me losing blood into my urine so I stayed I'm recovery for a little longer than usual. Granny spoke to Daddy who was busy letting the world know you'd arrived. She was in Birmingham already so came straight in to see us - you were only three hours old. Granny stayed with us for visiting (3-4) and then walked up to the ward (Ward 3, Bay E4) so she knew where we were to come back later.

I don't remember much about the next few hours, I think we were so amazed by you that we didn't do much else but grin at each other and stare at you. Granny, Papa and Auntie Lora came that evening to visit you - they're all besotted. I was very sad that Daddy had to leave but we had an amazing first night together. I asked for you to be dressed at about 10pm but you wouldn't go down so you stayed on my chest, sleeping and feeding.
























The following day, I lost my catheter, managed to get up and shower. Daddy was in at 12pm and he helped me get dressed. He was joined by Nanna, Uncle Rhys and Auntie Jo at 3.30pm (they stayed until 5pm!!) who all brought you beautiful gifts and Granny and Papa popped in too. Auntie Kerry and Uncle Mark met you at 7pm for an hour and spoilt you rotten!

In between visits, you saw the paediatrician, who checked your colour (tiny bit jaundiced possibly), your hips, spine, mouth, eyes, heart etc. Your hips are fine and you don't have mummy's heart murmur. We went through family history and there was nothing she was concerned about. You'll have your hips scanned around 6 weeks because you were a breech baby.






After everyone had gone, you and I spent Saturday night much like Friday night, together. I tried to manage without the morphine so I could be discharged the following day; I just wanted to be home with my new family.





On Sunday morning, you had your hearing test; all as it should be. We came home Sunday afternoon (you weren't keen on your first trip in the car seat); it felt like we were in hospital a very long time but writing this now, in hindsight it was only two days - which is quite amazing. I am quite sore and feel a bit like I've been hit by a bus. The all over ache is unexpected but in my less emotionally fueled moments, reasonable considering you're five days old and five days ago I was undergoing major surgery to give birth to you. I didn't think I'd feel much more than tired with localised pain around my scar and across my stomach. I spend most of the time upstairs because the stairs are quite difficult.






You're feeding well - Jacqui came to see us on Monday and was very pleased with both of us. You had your first bath on Tuesday at four days old (Auntie Lora came to show us) and you're feeding every three hours or so and sleeping in between feeds.






My boobs doubled in size on Monday night (I actually do resemble Dolly Parton), Tuesday was painful but with some massage and warming gel pads, it's improving today (Wednesday).

I'm so happy to have you here and to be your mummy.

Wednesday 16 February 2011

39 weeks

On Thursday 10 February, I went to Fawsley Hall for a spa day and afternoon tea with Granny, Auntie Lora and Auntie Rosie to celebrate Granny's birthday. I had a facial and they tinted my eyelashes for me so if you arrived the next day, I wouldn't look too awful without make up.

We had some time chatting in the relaxation room before decamping to the pool area. I went in the pool on the off chance it might help you to move, but I resisted doing handstands and forward rolls. My mind was made up by then I think; if the ECV didn't work the following morning then you should be in my arms that afternoon and I should stop pressuring myself to try and change the outcome to fit a set of birthing aims that were ideals and not set in stone and follow advice for best outcome for you and for me.

Our spa was followed by a scrumptious afternoon tea.


Just what a mummy to be needed to help her to relax.

After the spa day, Daddy and I set about creating some memories of our most treasured first bump using some high tech photography equipment borrowed from one of Daddy's colleagues at work. The results are yet to be seen - Daddy hasn't had a chance to work his magic with the images yet. We had a chuckle doing it though - I even did some naked shots!

Time for one last panic before the procedure then - not very sensible for Mummy and Daddy not to go to bed until 1am Friday morning, especially given that we had to arrive at hospital for 7.30am. Unfortunately, I decided that there were things needed doing and needed doing NOW! Bit of manic nesting perhaps?

Pre-Op clinic: 38+6 weeks

On Wednesday afternoon, Auntie Lora took me to the pre-op clinic. As per normal, we had a bit of a wait: firstly for a nurse to give us an overview (arrival time, what to bring, where to go, general overview of the procedure etc) and take my bloods. I was first on the section list for Friday morning but I was still hopeful that the lady after me would get bumped up the list. She swabbed for MRSA and took bloods as part of the pre-op.

We returned to the waiting room after the nurse to wait to see an anaesthetist. He ran through the anaesthetic for an elective section - preferred choice is a spinal block (last resort, a general anaesthetic).

We ran through how the spinal block worked (regional anaesthetic directly into the spinal column, numbing me from the rib cage down) and the risks associated with the anaesthesia (none worth listing now I know I'm not effected). The anaesthetist was a nice man (shame he wouldn't be on duty on Friday). He even checked they could avoid my tattoos with their needles!

He sent us on our way with his hope that the ECV would be a success and with two tablets to stop me being eaten alive by stomach acid (I wasn't allowed to eat from 10pm the night before the procedure - even drinking was limited!)

Tuesday 8 February 2011

Ante Natal appointment: 34+4 weeks

Yesterday, Daddy and I went to Mr Afifi's follow up clinic for an appointment to discuss breech birthing. We didn't have too long a wait to see one of the senior registrars.

We had a brief discussion (explaining that we'd like to avoid a section if possible; that we'd tried acupuncture and hypnotherapy) and then he palpated my bump - you were still breech.

I've been doing the hypnotherapy daily so my gut feel (and Daddy's) is that you need to be breech for a reason. We discussed natural breech delivery and although I've done lots of research, having a doctor outline the risks to me and risks to baby gave me serious second thoughts. An emergency elective section was simply not practical. His recommendation was to book in for an ECV followed by a section if unsuccessful. That way, we still kept a small chance (50%) of turning you for a natural home birth but if it wasn't successful or distressed you in any way, I was prepped to have the elective to meet you. We discussed the risks of the ECV and there is only a tiny chance of it hurting you.

So, I'm booked to have an ECV possibly followed by a Caesarian section on Friday 11 February (11/2/11 is quite a cool birth date).

I'm not sure how I feel about it - every emotion from very excited to meet you to petrified of the operation or something happening to you. I'm also still having period painy surges so maybe you're ready to come and meet us anyway and I should stop worrying so much.

You're having big wriggles this morning.

Love you precious xxx

Sunday 6 February 2011

Photo: 38+2 weeks





Photo: 37+3 weeks





38+3 weeks

So what's new, sweetie?

Tomorrow, we have an appointment with Mr Afifi at the Ante Natal clinic to discuss our options. I'm hoping you've turned but just in case you haven't, I want to make sure we select the best possible birth experience for you - be it a natural breech delivery, an 'emergency elective' section (where we wait for labour to start before the section - some babies turn early in labour and if you don't, at least you'll have told us you're ready to meet us) or a straight forward elective section.

My bump is a different shape than it was and I have a lot more pain and pressure in my pelvis (not to mention your kicks being in different places now and even the occasional surge that I need to breathe through). We're hoping this is a good sign that you turned when I thought you did; I'm still doing my hypnotherapy just in case.

My feet and legs are puffy and I've noticed that my remaining rings are tight so my hands must be swollen too. As moving is becoming harder (despite me not having the biggest bump), I'm starting to feel a bit fed up.

Daddy has almost finished your nursery so I'm looking forward to being able to nest and complete your mural this week. I might also see the NCT ladies and babies (they're all here waiting to meet you) this week and I'm seeing Granny, Auntie Lora and Auntie Rosie on Thursday for some spa time, a facial and afternoon tea.

There are two belly photos on the camera ready to be uploaded and Daddy is going to do some arty shots this week too.

I've dreamt about having a baby girl for the past two nights and last night I dreamt you turned the right way for a natural home birth - I felt you move in my sleep. I don't mind if you're a baby girl or a baby boy (we will love you very much either way) but I really hope I'm right about you turning :o)

Granny has almost finished her latest knitted creation (a beautiful cream cardigan) and has started on a lovely pram blanket. Nanna gave Daddy two beautiful white sets she'd knitted yesterday (he popped to Wales to be measured for a suit for Uncle Rhys' wedding). I'll take photos and pop them on your blog tomorrow.

I think that's probably it, my darling. Everyone here is so excited to meet you so if we're allowed a natural delivery, don't hang on too long. Love you very much xxxx


Tuesday 1 February 2011

Hang on!

Did my hypnotherapy for turning breech babies today and I think you might have listened to the hypnotherapist or my body or both...

I'm not 100% sure but I think that the significant shift afterwards was you moving into a vertex position and I'm hoping the dog walk when Daddy got in might help you stay there.

I need to call Jacqui and see what she thinks but fingers crossed!!

Love you xxx