Well, we're here at the St. Luke's Labor and Delivery wing. I'm all hooked up to an IV, wearing a very flattering blue hospital gown, a baby heart monitor, a contraction monitor, and basically enjoying the comfort of a night in the hospital. Jake has a nice little bed/couch to sleep on and we are settling in for the night. Today was a long and stressful day and tomorrow will prove to be much more so.
Here are some of the things that were discussed today.
- Since Julia is currently in the birthing position (head down) we are going to try for a vaginal delivery. If my uterus is smarter than it is being given credit for and it can not be tricked into thinking that we are 40 weeks along, then we will eventually give in and do a C-section.
- Tonight they will give me medicine to soften my cervix and tomorrow morning they will break my water and give me pitocin to start labor.
- Julia will be born one way or another. Dr. Lee assured us that he has never had a patient that stayed pregnant forever. Good thing -- we were worried. LOL
- Dr. Chirney, the neurosurgeon, looked at the ultrasounds and believes he can do a shunt operation as early as one day after she is born.
- There are many risks that come with surgery on a baby born so early: infections, tearing of the skin, inability to heal, incorrect growth of the skull bones, subderal hematoma, just to name a few.
- One of the NICU doctors came to visit us. He does not believe that 30 weeks will be too little to survive in the NICU.
Those are the facts. Unfortunately we are still dealing with an uncertain future. Dr. Chirney, the neurosurgeon, believes that she has very little brain matter. He will know more after he does a shunt surgery to relieve the pressure from her brain. Jake and I will have to decide how far we are willing to go to keep her. The doctors do not seem worried about keeping her alive, but they do seem concerned that we may have a baby with no ability to function as a person. So we must ask ourselves the following questions:
- Are we physically capable of caring for a vegetable: someone who may be ten, fifteen, twenty years old and still in diapers, unable to feed herself, dress herself, or recognize her own name?
- Is it morally right to do everything we can to save her, if her life is going to be like that?
- At what point do we say "enough is enough"?
- How do we live with the decisions that we make in the next few weeks?
We were able to discuss this by ourselves for about a half an hour today and the conclusion that we came to is that we are not capable of making that decision alone. We do not know the future, we do not know what is possible. If God gave her this body, if she was born in this day and age with the technology currently available to us, and if she survives through all the ups and downs of her first few months of life, then we must believe that surely she will have a quality of life that is better than is being predicted now. I can not, and will not, believe that Julia will suffer a long and terrible life. I personally believe that with all the things that could go wrong in the next few days, if she does not make it, then she was not meant to make it. I don't think that God would have given her to Jacob and I if He didn't think we would make the best possible choices we could make with the information given to us. So, we will go forward with the first shunt surgery. It will be a temporary shunt, until she is a few months older, then she will be given a permanent shunt. After the temporary shunt we will have to reexamine our thoughts and feelings with the added benefit of having seen exactly how much brain matter she has. I can't say that we'll be able to make a better decision then, but I have to hope. We also have to hope that Dr. Chirney is wrong. If she has more brain matter than he thinks, the outlook could be more positive.
I am no longer saddened by the thought of a baby with mental disorders. I have already mourned the loss of my perfect baby. Now I must face the realities of a non-perfect baby. Physical handicaps can be accommodated- anything from learning sign language, getting a seeing eye dog, or buying an electric wheelchair are all possible adaptations to physical issues. Learning disorders are more complicated because it is impossible to know to what extent they might be. However, I am willing to deal with that too. I am being selfish. I am willing to raise her no matter what her life would be like. Basically, I find myself thinking that I will do anything to not have to let her go. Jake is less selfish than I am. He worries more about her quality of life, and he knows that despite my optimism neither of us are trained care takers. We may not be able to care for her in the ways that she needs. Luckily, we have been sealed in the temple as a family for time and all eternity. So no matter what happens we will be able to raise her, hold her, and really get to know her in the next life, no matter how brief or how limited our abilities here in this life.
I'd better go to bed now. I'll be woken up in about two hours so that they can check on me anyway. I guess I'd better get as much sleep as I can. Tomorrow is going to be a big day!