I haven't felt this scared since the first few terrifying days after she was born.
Yesterday was a very difficult day but I will bring you up to speed with the rest of her progress before we get started on yesterday. Since not being able to manage on CPAP and going back onto BiPhasic CPAP she has struggled with her oxygen saturation in her blood. This is most likely just a coincidence as all swapping ventilation will have done is made her a bit more tired for a little while, and they increased her oxygen when she went back onto being assisted to give her a bit of a rest anyway. None the less, she has been struggling more than usual since then. Over the week, she managed to reduce her supported breaths from 60 per minute to 30 per minute and her oxygen was pretty stable at around 30% so the doctors continued to be very pleased with the way she was progressing, she was even managing to breathe entirely on her own for a minute or two when they changed her mask or took her out of the incubator to bring her over for a cuddle with me. Seeing as were talking about her mask being removed I will tell you all about seeing her little face for the first time..... obviously we can see some of her face all the time, but we have never seen the whole of her face all at the same time as she firstly had a tube covering her mouth, now she has a mask over her nose, and she always has a hat on her head covering all the way to her eyebrows, and sometimes even that falls down over her eyes! Due to the fact that Holly has got a little sore underneath her nose from the oxygen mask rubbing her skin, they have to put little plasters round her nose to create a barrier to let the sore heal, this needs to be changed every so often and we got to see the nurse doing this one day. She took the mask off and at first I didn't really realise that I hadn't seen her whole face before and then as I was looking at her, wandering how she could have all these little squidges and squadges from the ties on her hat keeping her mask tightly in place and still look like the most beautiful and perfect little girl I have ever seen, it clicked that this was the first time I, or Matt, had seen her face. I mean REALLY seen her face. Although all you may be able to see when you first look is the little dents in her face (which will smooth back out when she doesn’t need the mask anymore) and her funny shaped head, and squashed nose, there is so much more there when you really look.... like her beautiful big eyes and her little nose, and lovely mouth and cute chin and ears.... look past the unusual things that you wouldn't normally see and you will find the most adorable & perfect baby girl looking back at you (even if it is only with one eye sometimes!).
Yesterday.
When we arrived, Matt and I both felt unsettled but we couldn’t really find a reason why. I knew some how that Holly wasn’t ok. As the day continued lots of different things started to go wrong….. when I changed her nappy that morning I noticed she hadn’t dirtied it, and remembered that she hadn’t when I changed her the night before (our Holly bean is normally a poo machine!!) so this was very unusual, I mentioned it to the nurse who didn’t seem very concerned and said she would keep an eye on it. Later on when the doctors came to examine Holly, they noticed her belly was fuller than usual but just put it down to being on CPAP and air getting pushed into her belly, this an unavoidable side effect of ventilation unfortunately. She then started to have apnea again, which we thought she had left behind her a few days ago, this is where she stops breathing completely and needs to be stimulated to get going again (by rubbing her chest or giving her belly a bit of a squeeze) but seeing your 4 week old daughter stop breathing and turn blue is the scariest thing I’ve ever witnessed. I imagine I went a shade of blue at that moment myself as my heart stopped beating for a moment until I saw her tiny body start wriggling around and she threw her arms up above her head like she loves to do! As if she is in the middle of a Mexican wave at a football stadium somewhere! They warned me that this could happen (the apnea, not the Mexican wave) often through out her stay in hospital so its something I will have to learn to get used to….. not likely. She struggled with her breathing for the next few hours, and they decided to do an x-ray of her lungs as they thought maybe part of one of them had collapsed. Thank god that wasn’t the case. How ever this still left us with no answer. They did a blood test to see if she was expelling her co2 effectively, which she wasn’t. She had another blood test done to check to see if she had an infection, which she didn’t. The doctors did a final blood test to see if she had become septic, which she hadn’t. They did see that her pH level was too low how ever, as well as her co2 being high, these 2 things combined mean she may have to be re-intubated (have the breathing tube back down her throat) as she isn’t breathing effectively enough on her own.
At some point in the evening a doctor came back round to see us and asked about her bowels, and if she had had a poo during the day, which she hadn’t. He explained this might be causing her belly to restrict the amount of room her lungs have to expand and cause her difficulty breathing. They made the decision to give her more caffine (she already has caffine every day to keep her brain stimulated to ensure she remembers to breathe), reduce the amount of milk she was having to stop her tummy getting too full, and give her a suppository to get her bowels moving again to try to empty what was in her full little tummy and see how she was in the morning. So, she is now on 40% oxygen and a rate of 60 breaths per minute supported, so quite a big step backwards and an unidentified problem with her breathing. This made for a very hard day.
That night, when we eventually got home, we phoned the hospital before we tried to get some sleep and they told us she was doing a lot better, everything was sorting it self out and she was getting back on track. She was still in high oxygen, and on supported breathing but wasn’t having any apnea and her tummy had gone down a bit. This was good news, it meant things were moving forward again and our little Holly wasn’t going backwards, she had just stopped moving forwards for a little bit and stood still. She is already so far ahead of where the doctors thought she would be at this stage that I think we can give her a break, and let her off for that little scare she gave us all for the day……
x
| Holly with her eyes open and nothing covering her cute little face! |
| Holly's head of hair (she has a plaster round her nose) |
| Holly and Daddy having a cuddle |
| Holly keeping an eye on Daddy! |
| Holly waving her fist at Daddy, telling him what for! |
| Holly's pretty little face |
| Holly winking at the doctors! |












