Thursday, July 14, 2011
The due date
At last the month is nearly over
I ran into my midwife in the weekend (talk about timing) and she gave my a huge hug and a look of 'how the hell are you doing - concern' as she knew what had happened with the hospital muck up and the timing of this month. She was great to talk to but the whole time I just felt like bawling! And to top it all off while talking to her a work mates sister walked past with her newborn baby girl and a couple came up to see my midwife with a newborn baby.
I try my best to be positive about all these other babies born around me and I am happy for the people who recently had babies (and all girls too).
I am going to see 'P' tommorow night so no doubt that will be a bit hard and emotional but we are in the 'same exclusive club'.....the one we didn't sign up for, are members for life, cant be removed from the list, don't ever have to pay memberships fee's for, the list keeps increasing over time and one that we didn't have a choice about being in! We are both supporting each other and both need support in different ways and it is good for us to be able to share things with each other also.
Things will get easier, this is just the hardest part and I am riding the storm as such and making it over the waves that keep crashing at the moment!!! Really looking forward to getting away later this week and being with B and my kids! Roll on Thursday 30th September.......
Dear baby girl
Family support
A very long month
Wednesday, July 13, 2011
Any time now my Grace would have been born
I am so very lucky to have people around me who do care, have shown concern and asked how I am or have been happy to talk about Grace. V emailed me to check up the other day also with a lovely message and this is just something that I often get, people showing concern and making me get through this with support. I went to see my Aunty yesterday and she had given me a book a while ago "children of the spirit world" and she hugged me, told me to never ever feel guilty and that Grace will be watching over us and with us every day! People don't have to say much, or do much to get me misty eyed but it all means so much! I really am very lucky to have such wonderful people around me and my family and with everyone honouring Grace as 'real' baby that did have life and was important.
Facts about CMV
Well went on a mission yesterday to find out some information about CMV the virus I caught and what led us down this track. I was hoping not to find any 'good' information which sounds weird I know but makes me feel better about what we did and the course we took. Basically after a while reading and searching, I did feel better and know that Grace really had no chance in her lifetime as a healthy baby, which is what the specialist told us, but I wanted to confirm things for myself I guess as a reassurance. I guess this is all part of me seeking some answers and part of the grief process, have been through the anger and the constant searching for someone/something to blame and that does not help at all. I did refine my search to where I probaly go the virus from and once again that really does not help in anyway, it is just me being me and searching out for answers.
Transmission of CMV can occur at any stage of pregnancy, and severe
damage to the developing fetus occurs when CMV
circulates in the mothers blood, and reaches the uterus
to infect the placenta and the baby. Placental and fetal
infections frequently cause stillbirths, or maldevelopment
of the fetus, depending on the time of infection. The virus
damages host cells by entering the cell with specific
surface viral proteins that bind to particular host
proteins.
Cytomegalovirus (CMV) is an opportunistic pathogen
that can cause infection at any time during the course of
a lifetime and constitutes an important cause of
intrauterine infection and death in newborns
Cytomegalovirus (CMV) is a common viral infection that usually causes no symptoms or mild flu-like symptoms in infected children and adults. CMV is a member of the herpes virus family. It is most common in young children. About half of pregnant women have had CMV in the past and most do not need to be concerned about it during pregnancy (1). However, an infected woman can pass the virus on to her baby during pregnancy and breastfeeding. Most infected babies have no serious problems from the virus (1, 2). In a minority of cases, though, infected newborns develop serious illness or lasting disabilities, or even die.
How is CMV spread?
CMV can be passed from person to person through contact with infected body fluids, such as saliva, mucus, urine and blood. It also can be transmitted sexually or through infected blood products.
Pregnant women can pass the virus to their babies before or during birth. Breastfeeding moms can pass the virus to their baby through breastmilk. However, babies who become infected from breastfeeding rarely have any serious problems from the virus (1, 2).
Up to 20 percent of babies with CMV symptoms die (3, 4). About 80 to 90 percent of survivors develop serious disabilities, such as mental retardation, cerebral palsy, or vision and hearing loss
Which women are at highest risk of passing CMV on to their babies?
A woman who contracts CMV for the first time during pregnancy has about a 1-in-3 chance of passing the virus on to her fetus (1). A woman can pass CMV on to her baby at any stage of pregnancy. However, studies suggest that babies are more likely to develop serious complications when their mother is infected in the first 20 weeks of pregnancy
Like other viruses in the herpes family, CMV stays in the body after symptoms disappear. Occasionally the disease reactivates. However, only about 1 percent of fetuses become infected when their mother has a recurrent infection (1, 5). When these babies do become infected, they rarely develop any serious CMV-related problems
How can a pregnant woman help prevent CMV infection?
Women can help reduce their risk of CMV by practicing careful hygiene. This is especially important for women with young children at home or those who work with young children (such as child care workers). As many as 70 percent of children between 1 and 3 years of age who attend day care may have the virus in body fluids and can pass it on to their families or caretakers (2).
To help prevent CMV, pregnant women should (1):
• Wash their hands thoroughly after any contact with urine, nasal secretions and saliva of young children, including after changing diapers, wiping noses or drool, and picking up toys
• Avoid kissing young children on the mouth or cheek
• Avoid sharing food, drinking glasses and eating utensils with young children
Pregnant health care workers who may be in contact with infected patients, including newborns, also should practice good hygiene. They should follow the universal precautions recommended in medical settings for handling potentially contaminated materials. Medical or child care workers may want to get tested before pregnancy to see if they have had CMV in the past. If they have already had CMV, they have little cause for concern during pregnancy. Child care workers who have never been infected (or have not been tested), should try to limit close contact with children younger than 2½ years of age (1). Routine screening for all pregnant women is not recommended
Tests and treatments
Pregnant women who have previously been infected with CMV, do not necessarily have immunity against future CMV infections. However, the unborn baby is less likely to be affected if their mother has been previously infected. Testing for CMV during pregnancy is difficult. A blood test for IgG and IgM antibodies may show 'positive' shortly after being infected, with the IgM disappearing several months later (the IgG antibody stays positive forever). If you test positive only for IgG, but not IgM, that means your infection happened more than several months ago. If you test positive for IgG and IgM, then your infection was more recent. A single high IgG level (or titre) does not show if the infection is new (primary), or a re-infection (secondary), but a rising titre shows the infection has been recent. It takes about 24-36 hours to get results. A current infection may also be detected through laboratory testing of a urine or saliva sample.
There are no treatments or vaccinations available for CMV.
Clinical Case
A twenty-seven-year-old primigravid woman had an ultrasound examination at twenty-four weeks gestation because her uterus was smaller than expected for dates. Of note, the placenta was moderately thickened, measuring 4.8 cm in diameter. The amniotic fluid volume was in the low-normal range. The estimated fetal weight was in the 15th percentile for gestational age, and the fetal bowel was highly echogenic.
No other abnormalities were noted. Upon detailed questioning, the patient indicated that she had had a prolonged “flu-like” illness at approximately fourteen weeks’ gestation. No treatment had been administered for this illness. The patient presently works as a pre-school teacher.
What is the most likely explanation for the ultrasound findings noted above? What are the most appropriate steps in the evaluation of this patient?
If fetal infection is confirmed, the stage of pregnancy at which it occurred, viral load in the amniotic fluid and evidence of fetal abnormality or growth retardation on ultrasound examination may aid in considering termination of pregnancy.?
Of the approximately 40% of fetuses that become infected, 10% of
neonates show symptoms of congenital CMV infections after primary
maternal infection at birth. The brain, eyes, liver, spleen, blood,
and skin are at risk for problems. Long-term effects may include
sensorineural hearing loss, mental retardation, developmental delay,
and visual impairment. Of the remaining 90% with asymptomatic (no
evidence of disease at birth) congenital infection, 5-15% are at risk
to develop some of the long-term effects.
I have made a link previously to a lady who's website I was following all about her journey through her loss of a baby and A my sister in law has brought the book and handed it on to me. Check out her tribute to her daughter on u-tube link:
http://www.youtube.com/watch?v=J2CnUtVY35o
Also written by this mum and performed by her husband and family friend is the song that is on the video and the lyrics for the song are as follows; bit religious, but beautiful and so well written
THE LYRICS FOR THE SONG: I will carry you by Selah.
There were photographs I wanted to take
Things I wanted to show you
Sing sweet lullabies, wipe your teary eyes
Who could love you like this?People say that I am brave but I’m not
Truth is I’m barely hanging on
But there’s a greater story
Written long before me
Because He loves you like this
So I will carry you
While your heart beats here
Long beyond the empty cradle
Through the coming years
I will carry you
All my life
And I will praise the One Who’s chosen me
To carry you
Such a short time
Such a long road
All this madness
But I know
That the silence
Has brought me to His voice
And He says…
I’ve shown her photographs of time beginning
Walked her through the parted seas
Angel lullabies, no more teary eyes
Who could love her like this?
I will carry you
While your heart beats here
Long beyond the empty cradle
Through the coming years
I will carry you
All your life
And I will praise the One Who’s chosen Me
To carry you
I read this book entirely in three hours and spent the time relating to her pain and her suffering, while crying about my own loss. One of the biggest differences between myself and this lady, was her decision to carry the baby until the end of the pregnancy knowing that they may only have a few short minutes with her baby that was going to soon after pass away. I am in awe of her strength and determination and recognised that her dedication to God was what got her through that.
I however choose a different path to this and with B's support and no other judgements from anyone, we went for the medical termination which I hate the idea of, the fact we went through it and the entire situation was just awful. However we were told that the chance of carrying Grace until full term would not happen, and that medical intervention would happen once she was 24 weeks and to me seeing a baby fight for her life with all the damage she had done, would have been harder and more heart wrenching that what we actually did. We were told that there was such a slim chance she would survive with her growth restriction, heart, bowels and brain damage she would have had many issues in life. I have worked with children who have special needs and I see the daily struggle that their families and the child go through, and although in most cases there is a tremendous amount of love there is also constant decisions, medical requirements, stress, cost and devastation which I felt I could not put my family or a baby through.
I had a choice, not a very good one and by no means an easy one, but we choose what we did and now I have to live with that forever.
I will always question if we did the 'right' thing and will never ever know, just like I will never know why we had to lose a baby. I cant accept that 'everything happens for a reason' as there as so many other caring wonderful people out there suffering and facing loss every day and other 'shits' who cause constant kaos in the world.
I know that B and I gave Grace a beautiful farewell and are doing everything possable to keep her memory in a special place for us. I thank all the people around me who allow me to talk about Grace and ask how we are doing. I am grateful for the short time I did have with Grace and for the photo's we have and the beautiful little gifts we have to keep as reminders of her short life with us. It is amazing that I can love someone so much, have had her touch my life so much and those around me, and for me to miss Grace so much considering the short time that I carried her. I only have memories of my pregnancy and the few short days we had with Grace, however she will forever be my child, my daughter, my baby and my angel.
A poem and a bead from T
Well the other night I was happy but sad after a beautiful gesture from T. I received a poem and and a present. The poem was written by T along with some 'help' as T puts it, from Grace. She felt that she really wanted to write a poem, and after sourcing some of the wording, T wrote the second half and then presented me with it, along with a beautiful bead that is pink and sparkly and has slights twists in it. T described the bead as being not perfectly round because life has its twists and turns and she wanted me to have the bead as a special gift for the time that Grace is due.
I will include a photo of my bracelet, with the beads that I have on it now; pink hearts relating to Graces birth and actual life, a G for Grace, ballet slippers from S and R linking to Grace and that she would have done ballet, pink twisty bead from T relating to life having its twists, the letters C and M linking to C and M, a ring linking to Band a pretty pink bead I brought myself for my birthday.
Thank you so much T! Even just putting this onto the blog, has brought a tear to my eye with the wording!
Dear Mummy
Angels called my name so gently, that only I could hear.
No one heard the footsteps, of angels drawing near.
Softly from the shadows there came a gentle call,
I closed my eyes and went to sleep, and quietly left you all.
But don’t forget I’m always near, I always hear my name,
I feel the pain that saddens you, but I’m still so glad I came.
The feeling of undying love, which I always feel from you,
I love your smile your special touch, in everything you do
The angel box, our special stone, my footprints on the wall,
These things I love so very much, my memory to recall.
About this time I should have been held within your arms,
Staring into your bright blue eyes soaking up your charm,
Instead I’ve left my memory for everyone to share,
A life of love and tenderness and a thousand tears
My love for you will never die; it will blossom year by year
And when your time on earth is up I’ll be waiting here.
Love you Mummy xxoo Grace
I give you this to put the sparkle back in your eye
And every time you think of me you will smile and not cry xxx
A family holiday
I am finding it a bit tough with up-coming babies being born that were all due around the same time, people I know and they are having baby girls also. At work I have three mums that are having their babies and also one that just had hers five weeks early. I don't have any resentment against any of 'pregie people' as this was something I was asked, I just wish them well and hope they know how lucky they are to be having a baby, along with the sleepless nights, challenges and all the joys of a newborn and years to come!
I could have been having my baby anytime from early September (going from the two boys being early with placenta problems) through to my actual due date of September 30th 2010. So I have also planned weekends with things to do and places to go so that we are busy and keeping the time enjoyable and family focused.
With that all said, Grace is never far from my thoughts, I still wish every day I had her back and would give anything to have her back, however I know that she could not have survived with the damage that was done to her tiny body from the infection. I still ache for her and wonder about how she would have looked, how she would have been with her brothers and how she would have grown and changed. C did a beautiful and very special scrapbook page about Grace the other day and I will share that once I have taken a photo of it. Really awesome!
So I am not really looking forward to the roller-coaster of emotions I know I will not be able prevent over the next few months, however I am looking forward to the family holiday and some time away just focusing on being a family and taking care of each other!
Hand and foot moulds
Audrey Caroline
I cannot believe how much this hurts.
I don't know how to even get out of bed in the morning, or to answer phone calls, or explain to my children for the 100th time why baby Audrey will not sleep in the crib that we have had set up for months. I feel like I may not get through this pain in one piece. And all the while, I don't want to burden people, I don't want them to feel like they have to make it better because that is a losing battle. It won't be better.
It's easier to let people feel the strength than it is to be in pieces, begging for mercy.
It's easier to talk about the possibility of healing than it is to face the fact that she may not be healed.
This sweet baby girl, so much a part of our family, we want to respect her life in the most glorifying, beautiful way. We want to choose the best for her in any situation where we have a choice. We are all in love with her...how do you plan to lose someone who has already become a part of you? As we near what may be the end of the journey, we weep for our loss and heaven's gain. I ordered a "resting gown" for Audrey the other day because I suddenly realized that we would have nothing to bury her in.
I think she wondered how someone could be going through all of this and not be hysterical. It's not that I don't cry...I cry several times a day. Sometimes to the point where I can't breathe and I just feel like I am drowning. But not here. Not about this. She asked a few more emotional questions to lead me into the "deep place" where they must try and help people get to. As we flipped through catalogs, it started to make sense in my mind..somewhere between the gravestones and the "cadillac of caskets," I felt that voice rising up within me that doesn't settle back down until it is heard.
We are all just doing the best we can, minute-by minute, to love our sweet Audrey well. We talk to her all day long. Sometimes I just take a bath and tell her all about what swimming is like, or what it's like to be on the beach in the hot sun. I tell her about my favorite poets, my favorite memories of childhood, my love for God and for her daddy. The two of us have covered much ground in this sacred dance we call pregnancy. I feel bonded to her in a way I never did with my others, because I know this is all I have. And yet there is so much I can never give her.
I want her to know that I was funny. That I would have come at 3:00 in the morning if she got scared and needed a ride. That I would have loved to have had the sound of her children floating through my house as I got older. I wanted to try and fit a lifetime of love into a few short months, and as we approach the end of the road, it occurs to me that there isn't enough time to tell her everything.
Today I am broken. I feel like I am in the midst of intense spiritual warfare. The Blogger people unfroze me yesterday, and I sat down to write after the kids were in bed. I stared at the screen for about an hour, just crying and trying to stretch my fingers across the letters to form something that would tell you what I am feeling. I finally closed my computer and went to sleep, only to toss and turn for most of the night. When I did sleep, it was filled with images of Audrey, but they always unfolded differently. In one, I was screaming at the sky while people all around me told me that I wasn't loud enough. They kept telling me that if I screamed at the top of my lungs, God would let me have her back. He would drop her from the sky. And so, in my dream, I stood with my arms outstretched to the heavens, believing. Then I remember crumpling up on the ground in tears, knowing that I wasn't enough. I couldn't do what I needed to do to save her. I woke up in the throes of helplessness, my bed soaked with sweat. In another dream, I was away from home and had a feeling that something was wrong with her. I called Todd to check in and he told me that she had died, and that we had both missed her memorial service. I would wake up every few minutes, sometimes grabbing at my stomach to see if she was still there, or if any of it was true. Of course, on every occasion, I eventually remembered.
I feel like I am constantly releasing her, reminding myself that it is really happening. She is gone.
What I have in that moment is the blanket that she was wrapped in for most of her life.
What I have are the pictures of her sweet face.
What I have is a beautiful necklace that a stranger sent to me with all of my daughters' initials on it.
What have is a scar, five inches long, which tells me that she lived here not so long ago.
What I do not have is my daughter. And that loss is deeper than anything I could put on paper. It is concrete, definitive, gaping. It is my new life.
There is much too much to fit here…I feel like I am walking around in a dream most of the time. The last 2 weeks have been some of the hardest I have ever experienced. I am still sifting the moments, the memories, and the loss. Trying to figure out where it all goes in my life, and how in the world I am supposed to watch my kids play at the park and not just blurt out, "I just lost my daughter" to all the other mommies. What is this new life I have been given? In time, I know it will begin to make sense. We will learn what to say when people ask how many children we have. We will learn to fall asleep on a dry pillow. We will remember how to love fully, without fear of losing the one thing we can't stand to lose. We will.
I Will Carry You
There were photographs I wanted to take
Things I wanted to show you
Sing sweet lullabies, wipe your teary eyes
Who could love you like this?
People say that I am brave but I'm not
Truth is I'm barely hanging on
But there's a greater story
Written long before me
Because He loves you like this
So I will carry you
While your heart beats here
Long beyond the empty cradle
Through the coming years
I will carry you
All my life
And I will praise the One Who's chosen me
To carry you
Such a short time
Such a long road
All this madness
But I know
That the silence
Has brought me to His voice
And He says...
I've shown her photographs of time beginning
Walked her through the parted seas
Angel lullabies, no more teary eyes
Who could love her like this?
I will carry you
While your heart beats here
Long beyond the empty cradle
Through the coming years
I will carry you
All your life
And I will praise the One Who's chosen Me
To carry you
I will permanently bear the mark of a woman who has lost her child. There are many of us walking here...in the grocery store, at the neighborhood barbeque, at the movies. We walk without necessarily recognizing each other, side by side and a million miles apart. If you are one of these women, I want you to know that as I write these words, I am praying for you. I am mourning what you have lost in this life. I am praying that God will fill you as only He can, and that in time, you (and I) will be with our daughters and our sons again. Know that I hurt with you tonight.
This family showed such strength, determination and love that I really needed to include them in this blog to credit them for what they have survived and endured.