Happy Birthday Silas & Liam

Liam Douglas and Silas Robert entered the world today at 1:21 and 1:23pm, respectively. Silas measured 5lbs 5oz, 18.5 in and Liam measured 5lbs 6oz, 18 in. Both boys are in the special care nursery, but are doing well on room air.




K is recovering well from the c-section. She was already up and walking around by 4:30pm and met the boys for the first time around 5pm. K really is a true ROCK STAR!! J and I are so in love and can't even begin to thank K enough for these two precious gifts. We are so very blessed!

An overnight stay at Labor & Delivery

We thought we were going to meet our boys last night, but they weren’t quite ready for the world just yet! On Saturday K lost her mucus plug, which can be a sign of labor. Yesterday she began having contractions throughout the day while at work and wiped a little blood, so she called the clinic and they had her come in. The ob checked and she was 3 cm dilated (unsure about effacement because her cervix was high), so he sent her over to Labor & Delivery for monitoring. K had contractions throughout the night that ranged from 3-10 minutes apart and would go up and down in frequency. The boys were highly active (“wild” in K’s words) and had great accelerations and heart rates on the monitors.

K stayed at the hospital overnight for monitoring, so they could evaluate her contractions and recheck her cervix this morning. Her cervix was dilated to just under 4 cm this morning, but the contractions overnight were mild. Therefore, the ob took her off work and sent her home on modified “bed rest”--she has shower and bathroom privileges and is allowed to attend her son's P-T conference this week. K didn't get much sleep last night, so she was going to nap this afternoon. Her contractions are irregular, but she's still having the "vagina ache" as she likes to call it. The ob said he’d like to see her get to February 1. Now we just wait and see what happens!

I am in a weird place of high anxiety and confusion. I'd love for the boys to bake a little longer, but I'm also anxious for their arrival. The not knowing when they'll come is extremely hard for me as a Type A planner. You would think that infertility prepared me to be patient, but I guess I've forgotten that lesson! Also, I worry that we've come so far to let some freak event like a cord accident or placental abruption to take one of our babies. This is why I'd rather have them here with us. I know that they would be born premature and I'm not wishing for preemies, but I also know that over 5lb, 34 weekers will do well in the NICU. After having had a micro-preemie under a pound these boys are going to seem giant! At this point they'd be among the feeders and the growers in the NICU. I feel that if they were here in the world we could control more than we can with them inside the uterus. Please don't lecture me ... I know the boys are best in the uterus, but I also know how in the blink of an eye tragedy can strike in utero.

Okay, as I tell my students when they are anxious or rowdy and need to calm down ... breathe in deep and slowwwwly release!

33 weeks

The 33 week appointment was eventful, but it went well. K is doing great--bp is still perfect! Both boys had strong heart rates and are growing right on track--Liam's weight was estimated at 4lbs 14oz and Silas' weight was estimated at 4lbs 12oz. I'm thrilled that the boys are nearly 5lbs each!



K had a biophysical profile (BPP) just like last time. Liam easily passed the BPP scoring 8/8. Silas on the other had refused to cooperate. He was very active during the scan, but didn't do enough practice breathing. The u/s tech had K roll on her side to try to get him to cooperate, but he just didn't feel like showing us his breathing. Silas would practice breathe for a few seconds, but not for the minimum 20 seconds at a time that is required during the scan. Therefore, he earned a 6/8. I was a little stressed and worried about Silas not passing the test, but K's ob and the u/s tech didn't seem too worried. They tried to reassure me that all was likely okay.




Because Silas didn't pass the BPP K had to have a non-stress test (NST). During the NST both Silas and Liam were monitored in addition to K's contractions. In order to pass the NST the babies need to have at least 2 accelerations of heart rates during a 20 minute time period. The nurse gave K some apple juice to give the babies a sugar boost to get them going. Liam who's normally the calm baby was bouncing all over and had his 2 accelerations almost immediately, but the little stinker, Silas, decided to take a nap. Finally towards the end of the time period Silas had a couple of small accelerations, which were enough for the ob to call it good, and let K go home. As soon as K got home Silas "went into overdrive" with his activity. I guess we have one little boy who's already strong-willed and does his own thing.

K's having mestrual-like cramps

Since yesterday K has been having menstrual-like cramps. They aren't contractions (although she's had B-H contractions on and off for weeks), but rather feel like period cramps. She called the on-call ob who told her that the cramping could continue and then quit (irritable uterus) or it could lead to contractions (pre-term labor). He told her to take it easy and call if anything changes. It's not surprising that K's uterus is irritable from Liam kicking down on her cervix and all the pressure from two babies, but it has me worried. K has been relaxing with her feet up, which is tough for her as she's always on the go, and has been hydrating well. I'm guessing that her ob will want to see her before our scheduled appointment on Friday and will check her cervix to make sure she isn't dilating. I'll feel better when we hear back from our ob because I trust his judgement better than that of the on-call ob. Please keep K and the babies in your thoughts and prayers. We'd love for them to keep baking for at least 12 more days--34 weeks is the initial goal!

Feeling Discouraged Already

For those of you who don't know I'm using Dr. Newman's Regular Protocol for inducing lactation. I started the protocol around 10-11 weeks gestation and just last Tuesday (12/29) stopped the hormones and began pumping with the Medela Symphony. I pump every 2-3 hours for 15 minutes (plan to start pumping for 20 min) and take domper.idone 30mg 3x/day. On my first pump I had droplets of milk on my nipples, which continued throughout day 1, and on day 2 I had droplets that dripped into the bottles (probably about 1-2mL total). I've seen a similar pattern for the last few days--I get droplets that drip into the bottle, but don't amount to much more than a 1-2mL. I certainly don't see any spraying of breast milk and although my breasts are larger I don't think they swell with milk. I don't know what to expect as I don't know anyone else who's done this and I'm already feeling discouraged and down.

I am worried that my hormonal imbalance caused by PCOS is going to prevent me from getting a good milk supply. I was able to pump for Myles, but never produced very much. I took out my pumping book and discovered that I was pumping about an 1-2 oz per pumping session for an average daily pumping total of 14 oz per day. I know this is a low supply and I think this fact coupled with my response from the first few days of pumping is making me think that I'm not going to produce much again. It makes me think that I'm just wasting my time in addition to the money I'm spending on renting the pump, buying the domperi.done and herbal supplements.

I just started drinking Mother's Milk tea 3x/day and tomorrow will begin using More Milk Special Blend at 1/4 tsp 4x/day.

I was in tears tonight thinking that I won't be able to do this for my boys. I couldn't bring them into the world, but was hoping that my body would do something for them. I feel bad for whining when I'm so fortunate to be expecting two babies. This is the first time during the entire pregnancy when I've felt bad for not being able to physically do anything for them. Maybe the hormone drop from stopping the birth control pills and the rise in my prolactin levels is making me emotional, but whatever it is it stinks! I honestly feel a little bit like a failure--I feel like I'm failing my boys already and they aren't even here yet.

31 Weeks

K is still doing amazingly well! Today at 31wks she's measuring 43wks. Her blood pressure is great and swelling minimal. Both boys had heart rates in the 140s and appear to be growing based on K's ever expanding belly. We didn't have an ultrasound today, so we'll have to wait until 1/15 to see them.

K has been having contractions periodically, but mainly seem to come after she's been standing all day at work. Even these are few and far between and don't seem to be anything to worry about. Yesterday was the first day that K was a little worried about contractions. Liam is still breech and kicks down on her cervix hard. While kicking down yesterday he was causing some painful contractions that spread upwards from the cervix. Fortunately Liam settled down and so did the contractions. The ob said that this often happens when the uterus becomes irritable from the direct kicks to the cervix and didn't seem slightly phased by this news. He did mention that he can probably schedule the c-section for 38wks, which would be 2/19, but doesn't seem too optimistic that she'll get to that point because according to the ob over half of of twins are born by 37wks.

The ob does feel quite confident that the boys won't come before 34wks, which is encouraging to us! If they do come before 34wks, K will be transferred to a different hospital with a Level III NICU. I asked to have her transferred to a different hospital than the one where I delivered Myles--too many memories. I think the NICU care Myles received was wonderful, but I just don't want to go back to that place. The ob and K understood and were fine with that. We're feeling confident that this won't even be an issue because these boys are going to bake for at least 3 more weeks! Keep your fingers crossed for us! It seems surreal for me to think that in a month I could have two babies! WOW, WOW, WOW!! It makes me teary to even think about. K you are AMAZING and my angel on Earth!

Happy New Year's Eve! I can't wait for 2010 ... it's going to be an AMAZING year!

The Nursery

Lactation Induction: Pumping Day 1

Yesterday I picked up the Med.ela Symphony pump I'm renting from one of the local hospitals. The lactation consultant who helped me was fabulous! She was thrilled to hear that I was able to get Domperi.done and that I'm using it to induce lactation. Apparently it's difficult to get a prescription for the meds from local docs, so she said to consider myself lucky. We discussed my previous experience pumping and she mentioned that new research suggests that PCOS causes low milk supply, which they think has something to do with failure to develop mammary tissue early on in development, but the supply troubles can range from mild to severe. The lactation consultant palpated my breasts to feel for mammary tissue and she indicated that I have a "good amount", so she doesn't think that should be an issue. However, I didn't produce a ton of milk while I was pumping for Myles, but there were so many factors (prematurity, magnesium sulfate, preeclampsia) that could've affected my supply. I'm going into this realistically and am aware that I will likely have to supplement with formula, particularly because I'll be feeding two, but I'm going to do my best to produce what I can.

When I pumped for Myles I used the Med.ela Lactina and the standard in the NICU, but decided to rent the Symphony because it's extremely quiet and has a new two-phase expression (starts fast and then slows), which is supposed to simulate the natural sucking of a baby. Being that I hadn't used this pump the lactation consultant asked me if I wanted to try it in front of her, so I did. Within a couple of seconds I already had milk droplets pooling on my nipples. I can't tell you how excited I was to see that and the lactation consultant was just giddy!

Today I officially began the pumping phase of the lactation induction protocol. I pumped for 15 minutes and will do that every 3 hours. It went well and again I produced several droplets of milk from each breast. I didn't really have anything to collect, so I just rubbed the milk into my skin as suggested by the consultant. I've read that I should start to see the my milk supply come in and increase over the next few weeks. I'm hoping this is true because it's going to be tough pumping all the time if I'm not seeing any results. I will just have to remind myself that it will get better when the boys come and that I'm doing this for them!

Something Fun

I just bought a set of 12 of these stickers called Picky Sticky that you put on your baby's onsie each month to chronicle their growth through photos. My friend, J, recommended them, and I thought they were so adorable that I had to buy them! I think they will make for some cute scrapbook pages! I ordered a set for each of the boys (Watch me Grow - Mister Fister) and a girly set (Watch me Grow - Missy Fissy) for a friend who's expecting a little girl around the same time the boys are due (if you are reading this S.H. don't go buying yourself any because yours are on their way!).

Thinking ahead ...

On Friday night we picked up the 2nd crib and mattress in addition to the two extra car seat bases, so we officially have all the big stuff now. Although we probably won't use both cribs right away, we're going to put it up sometime this week. Once the 2nd crib is up I'll hang the names above the cribs along with the custom paintings that match the bedding. At that point the nursery will be completely done and I'll take some photos.

Tonight I made a list of things I still need to get to be ready for the arrival of these boys. I just need a few small things like cloth diapers to use as burp rags, two extra mattress pads, a couple of extra crib sheets, butt paste, baby laundry detergent, a big can of formula, and a stockpile of diapers (NB and Size 1) and unscented wipes. I also made an Ex.cel spreadsheet to use as a daily log for each baby's feeding and diapering. This chart includes columns for the following: date, time, nursing (right), nursing (left), breast milk (oz), formula (oz), pee, poop, and comments. Is there anything else I should add to it?

I haven't talked much about it here, but I am inducing lactation. I have been on the meds (birth control pills and Dom.peridone) since around 10-12wks gestation and I'll begin pumping next week. The meds have been quite easy to take and the only thing I've noticed is an increase in my breast size and occasional tenderness. According the protocol I should start pumping 6 weeks prior to the EDD, but they advise expectant twin moms to begin pumping at 30wks instead of 34wks in case the babies come early, so technically Friday is my pump start date. However, I decided not to begin this process while I'm at the in-laws for the holidays (that would be uncomfortable not to mention stressful) and will actually start on 12/28. Although I pumped with Myles, I'm a little nervous to start the pumping phase of the protocol. I guess it's because I don't know what to expect with inducing and I'm a little worried about how it will go while I'm working. I'm supposed to pump every 3 hours, but won't be able to do that in the morning at work. I teach 1st through 4th periods, so I'll pump at 7am and then at 11:30am (lunch). It's not ideal, but there's not much I can do about it. Carrying the rented hospital grade pump (Med.ella Symphony) back and forth to work isn't going to be much fun either. I have to keep reminding myself that this is the one thing that my body can do for my babies and the bonding while breast feeding will be wonderful, so all the hard work will be worth it!

Last week I made two appointments with local pediatricians to "interview" them. We have to choose a doctor for the boys and wanted to find the perfect fit, so we are doing 20 minute "meet and greet" appointments with each one. Both of these doctors come highly recommended by friends and family, so I'm sure one will be the person to oversee our babies' care.

On the legal front we're moving forward as well. Our attorney will be going to court soon to obtain our pre-birth order (legal document to get our names on the birth certificate as soon as the boys arrive). We were fortunate enough to get the judge who's familar with surrogacy and open-minded. Next week our attorney is meeting with the judge to make sure she has everything she needs in order before the appearance in court. We're excited to have this important issue squared away!

**K are you happy now? ;) K was tired of logging onto the blog and seeing her beautiful pregnant self, so she wanted me to post something. Of course I'll happily do anything for K, so I posted something!

28 wk Appointment

K is doing an amazing job all the while looking absolutely beautiful! K joked that I have to tell her that, but the ob agreed and said he doesn't have to say it. Everyone who sees K agrees that she wears pregnancy so well and even carrying twins she looks amazing! K's belly round and so big--she's measuring 40wks! Her blood pressure was great around 112/62 and her weight gain was right on track. K had the gestational diabetes test today and will find out the results in a couple of days. She now starts every other week appointments, but we won't have another scan until 32wks.

Both boys are doing great! They were practice breathing and both scored 8/8 on the biophysical profile (BPP). The boys are measuring on target for their gestational age! Liam (Baby A) is 2lb 7oz and is in the 39th percentile whereas Silas (Baby B) is 2lb 11oz and is in the 50th percentile. I was concerned that both aren't closer in weight and that Liam is no longer in the 50th percentile, but our ob reassured me that there is nothing to be concerned about. Once again he's very pleased with how everything is going with the boys and K.

Liam was cooperative right away and showed us his face in a 2D image, but when we wanted to get a 3D look at his face he wouldn't turn around (he's breech facing K's body).

Silas was extremely active during the scan and flipped from a transverse position to a head down position. Silas gave us a sneak peak look at his face in 3D, but kept his arm covering half of his face. I think he's absolutely adorable and so does K, but we are a bit partial! Silas' round nose is so cute! K says his lips are kissable and I couldn't agree more. I'd like to think Silas gets the lucious lips from his mommy!

Feeling Anxious

Today I had a snow day and I spent the entire day writing my sub plans. I plan to take the rest of the school year off, so I had to do plans for almost an entire semester for two different courses. It's a ton of work to say the least, but its done now and I feel great about it! On another good note I found a great long-term sub, so I won't worry about my students for a second while I'm gone (not that I'll have time to).

Tonight I've started worrying about K having the babies early. I don't really have any reason to worry about this (no contractions, pain or anything), but I'm still worrying. I am hoping for at least 6 more weeks of baby baking!

All of a sudden I'm starting to feel very anxious about becoming a mommy to twins. I feel like there's so much I don't know about babies and I worry that I won't be a very good mommy to them. I worry that with two of them and only one of me things are going to be very tough. I worry that they'll both need me at the same time and I won't be able to do what I need to for them both at once. I asked one of my close friends how to hold two newborns at once and she said "I don't know. You'll have to tell me." This makes me nervous that none of my closest friends will be able to provide any advice because they haven't had twins. I love these boys so much already, so I'm not worried about not bonding or anything like that. I simply worry that I'll do something (or more likely many things) wrong that will somehow hurt them. I guess the logistics of two babies and my ignorance of babies/baby stuff are really causing me anxiety right now. I wonder if this is normal for expecting moms? I didn't get to this point in my pregnancy with Myles, so I didn't ever feel this way. And when he was born I had a whole different set of worries. Please tell me if you felt any of these things.

Today's Nursery Project: Crib #1

Tonight J and I assembled the above crib--we made a good team and had it together in about an hour. This crib is a baby shower gift from my two best friends, L and J(the mattress is a baby shower gift from their moms). J and L are hosting the "big" baby shower (#5) this coming Sunday at my parent's house. They figured it was easier to deliver the crib to our house rather than taking it to my parent's for me to bring back to my house with all of the other gifts I'll have. I am so lucky to have such wonderful friends and can't thank them enough for such a generous gift! L and J you both know I love you dearly!

I was excited all day to put the crib together and couldn't stop staring at it when it was done. I immediately put the bedding on the crib to get the full effect. Unfortunately, my matching mobile doesn't fit on the crib, so I won't be able to use it. The crib is beautiful and very sturdy. After the showers this weekend we will order the other crib even though we could probably get along with just one for awhile. I like to have everything in order, so I want to get ther other one now too. The boys are really going to love them!

Baby Shower #3

My mother-in-law, K, hosted a baby shower for me yesterday. Many of the family was there to celebrate our expecting with me. The party was quite a lovely event. We played some fun games, Name the Baby Animal, Baby Babble (word scramble), and a game where you had to mate the baby socks as quickly as you could. The photo below shows the basket full of cute, little baby socks we used for the sock mating game. I clearly need some practice mating socks as I only got 4 in the alloted time.

I received many wonderful gifts: baby outfits, many onesies, diaper pail, diapers, wipes, vaporizer, health care kit, bottles, bottle cooler, bibs, space saver high chair, baby food, spoons/forks, burp cloths, car seats, pacifiers, books, picture frames, lullaby CDs, and toys.



I am so grateful for everything I received, but the best gifts of all were the two handmade quilts my mother-in-law gave me. She quilted both blankets with love for us and her future grandbabies. Although they are each quite different, both are absolutely beautiful! One has safari animals on it and the other is a pinwheel quilt with fun, bright colors.



Today I spent about two hours in the nursery putting things away and trying to organize it. Although I still have to wash all of the baby clothes, I did cut off the tags and organized them by size and type. The outfits are hanging in the closet, the onsies, sleepers, and gowns are folded in the dresser, the newborn diapers are placed in a basket next to the changing table, and the toys are in baskets. The room is starting to look more and more like a nursery. Here's a sneak peak ...

25wks 4days

Today K is 25+4wks pregnant, which is a significant point in this pregnancy for me, and I'll be very, very happy to move past this point. 25+4wks is the exact day when I gave birth to Myles. I am crossing my fingers, begging the universe, and hoping with all my might that these babies don't make such an early entrance into this world. I'm somewhat comfortable with the boys coming a few weeks early, but not any earlier than 34weeks! I do get the real possibility of them being born prematurely, particularly with twins, but I know that I just can't have two more micropreemies. And I definitely don't think I could survive the loss of another child. Tonight I will drink some wine with "my girls" and try not to think about it...

Baby Shower #2

Today was my 2nd baby shower and it was perfect. This was a quaint luncheon hosted by my sweet Aunt B. We met for lunch at a small gourmet diner in a small town along the Mississippi River. Our table was near the window, so we could look out on the river and watch the fishermen enjoying the beautiful fall day. Aunt B wanted an intimate gathering to celebrate the upcoming arrival of the twins. There were six of us in attendance (K couldn't make it) and it was perfect! I was able to chat with my Aunt, her mom M, my cousin H, my Mom, and my soon to be sister in law, T. I'm very happy that we were able to do this because my cousin, H, is due to have a baby in a few weeks and likely won't make the big baby shower on 12/6.

Cousin, H, and her dear husband, T, spent time making a beautiful diaper cake composed of diapers, onesies, bottles (hidden on the inside for support), spoons, and baby toys. Aunt B brought a beautiful flower arrangement too. In addition to great conversation we enjoyed delicious pasta, wine, and sinfully delectable desserts. To top off a wonderful lunch the weather was in the upper 50's, which is something to celebrate in WI in late November. It really was a perfect afternoon! Thanks Aunt B for making me feel so special! I love you!

24 Week Growth Scan

The growth scan went very well today. Both boys are growing right on target--weighing in at 1lb 10oz each, which puts them in the 54th percentile. The amniotic fluid levels are great and both boys are still boys! ;) Baby A was more than happy to show us his face, his boy parts, and the rest of his anatomy, but Baby B didn't really want to show us his face. He was lying face down for the scan, but we did manage to see his boy bits after a little maneuvering and by angling the probe the u/s tech managed to get a photo of his face.


K is doing awesome and all is well with her too! She really is a rock star! K's blood pressure was 110/60, which was a huge relief to me, and her weight gain is ideal for twins. Her belly is very big and absolutely beautiful! Suprisingly with that big belly K doesn't have one single stretch mark. K's twin baby belly is stunning!