Monday, January 31, 2011

23 Weeks 3 Day

Jared's day began by getting Nathan, Daniel, and Eliza off to school and then dropping Isabella and Samuel off at Wade and Liz's home where they will be staying for the rest of the week.  Jared spent the day with Nanette and did a little work using the WiFi in the room.

Dinner was entertaining.  When Nanette lifted the top cover from the main entree, she was surprised to find a completely empty plate.  It goes to show, you should always be nice to the nutritionist!

Two neonatologists came by today to discuss with us the scenarios of birth at different weeks.  We are still very early and the scenarios are not good if we go into labor this week or the near future.

23 Weeks 2 Days

Nanette has made it 72 hours beyond the rupture and has not experienced the onset of labor or infection.  These are good signs that her pregnancy will continue to progress.  22% of PPROM patients have a latency between rupture and birth of 4 or more weeks.  If Nanette falls into this lucky 22% she will make it to at least 26 weeks and 4 days.  The rates of mortality and morbidity change drastically between weeks 22 and 26.

A couple from the LDS branch at the hospital came and administered the sacrament.  The sister shared a quote from Elder Holland's talk, "Cast Not Away Your Confidence".

Nanette's family fasted and joined in a family prayer at 5pm.  Nanette's sister Julie had sent out an email requesting the family to fast from Saturday at 5pm to Thursday at 5pm.  We believe---but who can be sure with Julie---that she meant to type Sunday.  We are grateful to all those who fasted and joined in prayer (and we are especially grateful to anyone who took Julie literally and are still fasting for Nanette).  :)

Jared went home to see the kids and stay the night there so Lynette stayed the night and was a great comfort to Nanette.

23 Weeks 1 Days

Nanette is still pregnant and doing well.  She is out of the flattering hospital gown and back into regular clothes and pajamas.

Best part of the day:  All five kids came to visit Nanette and had a great couple hours together.  They watched "Cloudy with a Chance of Meatballs".

Also nice today was finishing the nausea-inducing antibiotic and getting the IV removed from Nanette's arm.

We continue to meet incredible doctors and nurses and truly appreciate their expertise and devotion to their professions.

Here are some pictures of the kids' visit.  Notice the details in Nathan's drawing.



23 Weeks 0 Days

Nanette had an ultrasound today and both babies are larger than normal at their gestational age.  Babies A and B  are at the 67th and 65th percentiles, respectively.  Still, they are about one and a half pounds and are in the previable state.  This means that we will not intervene if the babies are born this week.

Jared spent the night with Nanette on the wonderful contraption that can only be described as a "pseudo-bed". They have received a tremendous show of support from family and friends.

Since Nanette was stable and not in labor, she was moved to the Women's Special Care unit---just a place where all sorts of troubled pregnant women hang out.  The best case scenario is for Nanette to remain in this unit as long as possible.

22 Weeks 6 Days

On January 27, 2011 at about 5:30pm, Nanette's water broke.  The technical term is preterm premature rupture of the membranes (PPROM).  Her husband Jared was returning from a business trip to California and when he landed in Salt Lake he had a message to call a neighbor.  He went directly to the American Fork hospital, where Nanette was being treated.  She was transferred to the University of Utah Hospital because they can care for extremely premature babies.  Both hospitals ran tests to confirm that Nanette's membranes truly had ruptured.  However, she did not progress into labor and both twins were showing no signs of distress.