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April 5, 2009
Sarah Claire - Sarah Makes it home

112 days, 16 weeks later and Sarah makes it home!!!!

Well finally after 16 weeks we made it out the door. It was the happiest day, I really couldnt believe that the day had come!

I cant believe where this journey has taken us, its seen good days and bad days, emotional turmoil, joys, hope, tears and tantrums and huge signs of relief. Its seen so many tears - Tears of hope and joy and tears of sadness.

On the 28th November 2008 I went to the hospital for a routine CTG less than 30mins later I was being knocked out and Sarah was going to begin her fight for life, and my god fight she did.

Everytime a Doctor said "its not looking good" she heard them and proved them wrong, she wasn't going to give in that easily.

First it was the first 72 hours are critical - then 48 hours after birth, her Dr came to my room, her face full of fear as she delivered the news that my girl was critically sick and a specialist team had been called to come and retrieve her, she needed specialist care above what they could give her.

Then we meet with the Dr's at the RCH and they had that same look. Don't get our hopes up you say, well Miss Sarah heard you and she has proven you wrong.

At just 735grams you operated on her, found the issue with her bowels "Malrotation of the bowel" Ive learnt a lot of medical terminology on this journey and I hope never ever to hear it again.

At 2 weeks of age I meet with her consultant - she was recovering from surgery but she was "failing to thrive" , why they didn't know they were running every test under the sun to get an answer.

A nutrition drip was keeping you alive, you were only getting 0.6ml per hour of Mummy's milk, how does one even measure that out!

You developed an infection called NEC, while most recover not all do and we again held our breath not knowing what the next hour would bring. You feeds were stopped and you were on an array of antibiotics.

Ive sat by and watched a ventilator breath for you, Ive seen you so still due to morphine, Ive seen you graduate to CPAP and then finally to completely breathing on your own.

I waited 11 long days just to hold you in my arms, the longest 11 days of mine and Daddy's lives, I waited 21 days to change a nappy and 25 days to put clothes on you for the first time.

Your first bath was in a steel bowl inside your isolette at 8 weeks old. The following week I bathed you for the very first time in a baby bath and I was crying tears of joy, there were days when I didn't think Id ever get to bath you as a living child.

You spent your first Christmas and New years in hospital, while I should have still had you in the safety of my womb. You made it through to 2009 and this gave us hope, such small things bought us hope.

You reached the 1kg club on the 27th of December, must have been the Christmas Feast original.

At 6 weeks we were finally told of your diagnosis. "Born without a Pancreas and Neonatal Diabetes", your prognosis was not good. It was advised that we go home and get a video camera and make as many memories as possible. There were only 13 other children in the world like you and the survival rate was only 31%. We started making memories, everyday I woke up and asked myself would this be the last day. I didn't want you to be in pain so I was forever checking to see if you were in pain. They expected that you would pass away within a few weeks.

I searched the net for story's of success I desperately needed some hope. I managed to find another family in NZ who's son was born with the same condition with the same prognosis and he was now 11 months old and that gave me hope, then I would read of the 11 that didn't make it and again I held my breath.

I sat beside you for 16 long weeks, Ive watched your struggle, Ive watched you so still but as the weeks passed I just fell more in love you as the days went on. I begged God not to send you to me only to take you away again, as you approached 8 weeks your vital signs were improving, we were closely watching you for liver failure as we knew that would be the start of the finish for you, but as the days went on and the weeks passed it looked like your Liver had been spared any serious damage.

We have watched you being poked and prodded day in and day out.

Finally at 10 weeks it looked like you had turned a corner and you have flourished, you jumped every hurdle, road block, detour and speed hump.

You came out of the isolette the week after your Due date, finally after 11 weeks!, you lost all your drips, tubes and monitors - Well all except one.

At 12 weeks of age we put you on a insulin pump and you are thriving my girl, your diabetes has the best control it ever has.

Your daddy loves you to the moon and back, he sits in with you at night and just looks at you in awe

We started breastfeeding at 12 weeks as well and it was great to reach that milestone, its one I wasnt sure we would ever reach with you.

I think you have surprised a lot of the Dr's and Nurses, you have taught me some of the greatest lessons in life and I'm glad I have been able to travel this road with you, our family has been through so many emotions and somehow we have managed to hold it together for the most part.

Ive met some truly inspirational people on this journey, Ive formed close bonds with people I would never have met otherwise.

You have so many "Auntys" out there that too have ridden this roller coaster with us, they have picked us up when I thought all hope was lost, they are my NICU angels. They have hoped and prayed and urged the higher being not to take you back and it worked.

At 13 weeks you were to undergo another surgery, this time it was to reconnect your bowel, you are yet to have a "dirty nappy" so I was dancing with joy after your surgery when you did your first poo. You only needed to be ventilated for 2 days after your surgery and you seemed to be making a good recovery, however late on day 2 after your operation you started developing Stomach distention, the Dr's were not too concerned at that point. That night it got alot worse and you had alot of gas buildup, you had xray after xray and the next morning the Drs called us in to tell us that you had NEC, I couldnt believe it, you had got NEC a second time!!!

The battle was on again, but you battled through and finally after 7 days of Antibiotics you were ready to start feeds again, it was a slow process starting off at 3ml/s every 2 hours, but after 5 days you were back up to full feeds

A few days after your operation, mummy arrived in the morning to see you and you were surrounded by Cardiologists and cardiac surgeons and an Echo had revealed that you still had a large PDA and they were worried it was causing your heartrate to be low, but due to your tiny size the only way to repair it was via open heart surgery. You had just been under a general and you were currently battling another NEC infection so it was decided to watch it and repair at a later date, hopefully when you are bigger and stronger and it can be done in a less invasive and risky way.

So after 16 weeks, 112 days we got to walk out of the hospital with you in our arms, it was the longest 16 weeks of my life that saw us all go through many many emotions, we have met some absolutely inspiring people along the way

Sarah - You are my miracle, my darling angel how you came through I have no idea, but we have now had you home for 2 weeks, finally we can stop holding our breath and jumping when the phone rings in the middle of the night.

Next Sunday on Easter day you are being Baptised, so are your 2 cousins who were born on the 27th Jan, you are 2 months older than them and although still so small you are definetly a little miracle, it will be a very special day indeed and one we never thought would come.

Love you my "sarebear" to the end of the world and back again

Love Mummy

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April 5, 2009
Sarah Claire - We Should be home but the rollercoaster continues

Saturday, March 14, 2009

We should be home but the rollercoaster continues

Well last Update we were home and hosed, infact we did have Sarah home, all for one day.

We then returned to hospital for a Simple Surgery, well I guess with Sarah you can never really say anything has been simple thus far.

This time Sarah actually went down to theatre and atleast wasnt operated on at the bedside, watching her go through the doors to theatre and being left holding her bunny rug was really hard, through this whole journey Ive been able to hold her hand so that she knows mummy is right here, but this time I couldn't and my child's life was literally in someone else's hands, reminded me of the day she was born, it was totally out of my control and up to the surgeons and Sarah herself.

So Surgery started at 830am and I was told it would take 1.5-2 hours, 930 came and went, so did 10am and then 10.30am. I was expecting to see the surgeon any minute, but then it was 11am and no news. Finally at 11.30 I got the news that all went well and she was on her way back to NICU.

I followed her up there and once back on NICU, a wave of emotion hit me, it didn't even look like Sarah, I had left her all wide eyed and now she was ventilated and sedated on painkillers. It was a pretty emotional day all round but she had made it through yet another surgery and her little body was getting some well deserved rest.

A friend at the hospital who's little boy is also in NICU kept me company most of the day, she came in to see Sarah later that night and commented on how "good" she looked, so I took that as a good sign as she herself has seen her little boy through a few surgeries.

Wednesday and Thursday were probably the toughest days - the tried quiet a few times throughout the day to take her off the ventilator but she wasnt able to breath on her own, so I continued just sitting there and watching. On Thursday they started turning down her Morphine infusion and she started waking a little, it was so good to see her eyes open again!

Friday morning I called early to see how she had gone overnight and was relieved when they said they had extubated (taken her off the ventilator) at 6am, I was so relieved - she was breathing all on her own again!!!

I spent the day with her not leaving her side much that day. Michael stays at the hospital on weekends to give me a break and so I can spend a few days with the other kids at home, and I was emotionally drained, in a week Id gone from having her home to seeing her back on a ventilator and a machine breathing for her.


When I left on Friday night I had spoken to the consultant on the ward. We were heading for home and Sarah had been waiting for about 2 weeks for a repeat echo, a previous echo had shown that her PDA in her heart was still open and I didnt want that causing any delays in getting home. The consultant assured me that while yes her PDA is still open it is not causing her any issues and was "insignificant and not an issue"

She also passed a bowel motion on Friday afternoon and I was so excited, after 98 days I had finally changed her very first dirty nappy.

Overnight Friday night and Saturday morning her tummy began to distend, this was our one fear, she had xray after xray and alot of bloods taken. Friday night when the distention was not looking good they started treating her for NEC and I was thinking "here we go again", she was started on 3 Anti-biotics and they were aspirating her stomach contents every hour, this was helping, along with her Antibiotics to bring down the distention. The surgeons were called to review her and were not convinced that she did indeed have NEC but the consultant were not convinced she didnt have NEC so she was to remain Nil By Mouth for another 7 days and Anti-biotics to continue.

By Saturday night she was quite unsettled and very very hungry and the nurse gave her a dose of Morphine and she slept the whole night.

The next week was to go so slowly, sitting there watching her suck the life off that dummy and by Wednesday she had almost given up ever getting fed and it was again an emotional week to go through.

On the Tuesday however I arrived at the hospital around 8am to find her surrounded by heart surgeons, she had some episodes of Bradycardia - the same as she did following her first surgery. The consultant that had come on Tuesday was of the opinion that the PDA was the cause and called the cardiologists in view of doing surgery. I spoke with the cardiac team and they advised that due to her size the PDA could not be done as closed heart surgery.

Everything had happened too quickly, Friday night her PDA was "insignificant and not an issue" and almost overnight without her "clinical state" deteriorating we were talking about open heart surgery. To say the least my head was spinning. While all this was happening the surgeons had come in to say yes lets start feeds, only for the Neonates consultant come in saying - No feeds, Sarah has NEC.

I was so confused with different Dr's saying different things and bu 1030am that day I was a ball of tears.

Already having one child with a heart condition I guess I know more than the average bear, if Sarah's PDA was an issue she would be having regular desats, she would be lethargic and having probs with weight gain, but she had none of these signs, infact she was sating at 99% most of the weekend. Sarah has had that PDA since she was born, there had been plenty of opportunity to act on it.

So I asked to speak with the care manager, I felt as if everyone was being reactive instead of proactive and I was not prepared for Sarah to undergo another surgery so soon, certainly not a surgery that is no medically indicated and a life or death situation. So I said well you can send the heart surgeons down here all you like but I will not be signing any consent forms.

I had a chat with the social worker and then finally at 630 that night the Neonates consultant came to speak with me. After an hours of discussion it was agreed that the PDA closer was not something that needed to be done urgently and we would re-assess in 3 months, if it is still open then I will consider the operation, but she will be bigger and stronger and able to have it done as closed heart surgery.

I was eager for Friday's ward round, Friday was scheduled feed day!!!!! There was also change of consultant so I wanted to make sure I was there and there was no more change of plans. I was so relieved when he said lets start back on EBM with creon and start as 2 hourly feeds. They were to start at such a small rate - only 3ml/2 hourly, but it was a start, or so I thought so.

Dietican then came and said Sarah cant have EBM she cant digest it, I explained that for the last 15 weeks she has been having EBM with creon supplements to aid digestion and she has thrived, I mean obviousiy she has grown from 735 grams. She said she would talk to her boss and get back to us. Well at 430 she still hadnt come back to us. The afternoon ward round was on by this stage and the consultant said lets just do what they want over the weekend, we were then told we couldnt get the formula until monday, I was furious - how could this be happening, Sarah has been on no feeds for 10 days, surely this could have been sorted in that time so when the go ahead to feed was given she could start feeding immediately. The consultant then said I dont care where you get it from just get it and get it now!

So Last night I came home for the weekend and Michael has gone in. What a week it has been.

Feeds are going well. She is now on 9mls every 2 hours and hopefully once she shows she is tolerating they will increase the feeds at a much quicker rate than 3mls every 12 hours.

We are aiming for home next weekend, what a day that will be.

I am meeting with her consultant on Tuesday and will be making it clear that I would like her home next weekend and hopfully he will work with me to ensure that happens.

Well I shall sign off here, I really should update this more often so its not so long to read in one hit!





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April 5, 2009
Sarah Claire - Srah's Final Surgery and Discharge Home

Tuesday, February 24, 2009

Sarah's Final Surgery and Discharge Home

Well finally after almost 13 weeks we are on the way out the door.

I cant believe where this journey has taken us, its seen good days and bad days, emotional turmoil, joys, hope, tears and tantrums and huge signs of relief. Its seen so many tears - Tears of hope and joy and tears of sadness.

13 Weeks ago I went to the hospital for a routine CTG less than 30mins later I was being knocked out and Sarah was going to begin her fight for life, and my god fight she did.

Everytime a Doctor said "its not looking good" she heard them and proved them wrong, she wasn't going to give in that easily.

First it was the first 72 hours are critical - then 48 hours after birth, her Dr came to my room, her face full of fear as she delivered the news that my girl was critically sick and a specialist team had been called to come and retrieve her, she needed specialist care above what they could give her.

Then we meet with the Dr's at the RCH and they had that same look. Don't get our hopes up you say, well Miss Sarah heard you and she has proven you wrong.

At just 735grams you operated on her, found the issue with her bowels "Malrotation of the bowel" Ive learnt a lot of medical terminology on this journey and I hope never ever to hear it again.

At 2 weeks of age I meet with her consultant - she was recovering from surgery but she was "failing to thrive" , why they didn't know they were running every test under the sun to get an answer.

A nutrition drip was keeping you alive, you were only getting 0.6ml per hour of Mummy's milk, how does one even measure that out!

You developed an infection called NEC, while most recover not all do and we again held our breath not knowing what the next hour would bring. You feeds were stopped and you were on an array of antibiotics.

Ive sat by and watched a ventilator breath for you, Ive seen you so still due to morphine, Ive seen you graduate to CPAP and then finally to completely breathing on your own.

I waited 11 long days just to hold you in my arms, the longest 11 days of mine and Daddy's lives, I waited 21 days to change a nappy and 25 days to put clothes on you for the first time.

Your first bath was in a steel bowl inside your isolette at 8 weeks old. The following week I bathed you for the very first time in a baby bath and I was crying tears of joy, there were days when I didn't think Id ever get to bath you as a living child.

You spent your first Christmas and New years in hospital, while I should have still had you in the safety of my womb. You made it through to 2009 and this gave us hope, such small things bought us hope.

You reached the 1kg club on the 27th of December, must have been the Christmas Feast original.gif

At 6 weeks we were finally told of your diagnosis. "Born without a Pancreas and Neonatal Diabetes", your prognosis was not good. It was advised that we go home and get a video camera and make as many memories as possible. There were only 13 other children in the world like you and the survival rate was only 31%. We started making memories, everyday I woke up and asked myself would this be the last day. I didn't want you to be in pain so I was forever checking to see if you were in pain. They expected that you would pass away within a few weeks.

I searched the net for story's of success I desperately needed some hope. I managed to find another family in NZ who's son was born with the same condition with the same prognosis and he was now 11 months old and that gave me hope, then I would read of the 11 that didn't make it and again I held my breath.

Ive sat beside you for 13 weeks, Ive watched your struggle, Ive watched you so still but as the weeks passed I just fell more in love you as the days went on. I begged God not to send you to me only to take you away again, as you approached 8 weeks your vital signs were improving, we were closely watching you for liver failure as we knew that would be the start of the finish for you, but as the days went on and the weeks passed it looked like your Liver had been spared any serious damage.

We have watched you being poked and prodded day in and day out.

Finally at 10 weeks it looked like you had turned a corner and in the last 2.5 weeks you have flourished, you jumped every hurdle, road block, detour and speed hump.

You came out of the isolette the week after your Due date, finally after 11 weeks!, you lost all your drips, tubes and monitors - Well all except one.

A week ago we put you on a insulin pump and you are thriving my girl, your diabetes has the best control it ever has.

Your daddy loves you to the moon and back, he sits in with you at night and just looks at you in awe

Over the weekend I was able to start breastfeeding you and it is the most wonderful feeling, I didn't know if I would ever been able to do that for you.

I think you have surprised a lot of the Dr's and Nurses, you have taught me some of the greatest lessons in life and I'm glad I have been able to travel this road with you, our family has been through so many emotions and somehow we have managed to hold it together for the most part.

Ive met some truly inspirational people on this journey, Ive formed close bonds with people I would never have met otherwise.

You have so many "Auntys" out there that too have ridden this roller coaster with us, they have picked us up when I thought all hope was lost, they are my NICU angels. They have hoped and prayed and urged the higher being not to take you back and it worked.

Tomorrow you are going for a CT Contrast study just to check that your bowel is all good to be reconnected, they are 99% sure it will be.

On Friday you return to surgery. This time you are going to go to theater!, last time you were so small, fragile and sick that theater came to you and they operated at the bedside!

Once your surgery is over with you are going to bolt for the door! Today they organised Hospital in the home, they contacted our GP and MCHN to say you should be going home by next Friday.

Sarah - You are my miracle, my darling angel how you came through I have no idea, but within 2 weeks you are going to be at home, finally we are going to bring you home and we can stop holding our breath and jumping when the phone rings in the middle of the night.

Love you my "sarebear" to the end of the world and back again

Love Mummy

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April 5, 2009
Sarah Claire - Almost 12 weeks old

Wednesday, February 18, 2009

Almost 12 weeks old and Insulin Pump fitted

I was talking to a friend last night, she also had a little premmie, her DD was born at just 26 weeks and weighed a tiny 568grams.

We were thinking back to when our angels were only hours old and how very fragile they were, how absolutely tiny there where.

I was initially disappointed that I had to be knocked out for the C-section, it wasnt what I had planned and I really wanted to see Sarah being born, I was going to get the screen lowered as she was pulled out, I was going to get photos of her being born.

I dont think that I have written this detail before but I am now glad that I wasnt awake for the c-section. Once sarah was pulled out she needed to be "bagged" for 3 mins, it doesnt seem like long but had I had an epidural 3 mins watching them trying to get my daughter to breath would have felt like a eternity and it would have broken my heart. Now I know that Dr's have a duty of care but I do wonder at what point do they stop and say this is not working? Do they look at each baby and say yep this one will make it? or this one just isnt strong enough. I dont wish any mother to ever witness the OB's and Paed bagging or doing resus on there newborn, tiny incy wincy child.

Sarah is almost 12 weeks old, its unbelievable how far she has come and the hurdles that she just kept jumping and jumping, its like she has been on a obstacle course jumping this and weaving this!

On Monday morning they installed her Insulin pump after some teething problems the first day we seem to have it working. Her levels were down between 5-7 last night for about 8 hours but climbed back up to 20 about 4am this morning, so they have made an adjustment to her insulin base rate for the next four hours and we will see if that helps her.

The surgeons have been around as her Stoma has prolapsed which means that more of the bowel has come out so surgery has been booked for ASAP possibly Friday or Monday next week.

I cant wait to change a dirty nappy! Now that is something that I thought Id never say, but Im excited. Sarah has never had a dirty nappy in her life so far, and its amazing what things you get excited over on this journey through NICU. I remember changing her nappy for the first time when she was about a week old, something so simple yet to me was such an exciting thing, just one of those things that you take for granted with a full term baby.

She is also taking oral feeds really well, last night had 5 oral feeds in a row, which is quite alot for a baby her size and she is on 2 hourly feeds so does tire more quickly. Hopefully today we are going to 3 hourly feeds which will be better for Sarah!

Well am signing off for now, am staying at Ronald MCDonald house this week, which is great to only be across the road from my girl!

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April 5, 2009
Sarah Claire - Becoming a parent in NICU

Monday, February 2, 2009

Becoming a parent in the NICU

Becoming a parent to a baby in NICU is so very different to becoming a parent in the comfort and privacy of my own home, I find it difficult to act and feel like a parent when so much seperates me from my newborn.

From the very start I wanted to touch her, to stroke her face and her skin, but I was afraid of pulling something out, I felt like I had to wait for instructions from the curses. I so desperatly want to be involved. I pumped milk from day 1, have seen her every day, touched her and held her, Ive read stories and sang lullaby's, but still there is that empty feeling when every night I go home to a babyless house, there are flowers and balloons and cards and gifts from friends and family but no baby to wake up several times a night, the only thing I awake to is a breastpump..

Suddenly I was no longer pregnant and yet I am far from being a mummy again, where did all of this fit into the glowing dream of motherhood, where did I fit into it? What can I do for my baby but look at her tiny body, covered in wires and tubes and tell her I love her and Im sorry I couldnt bake her longer.

Sarah is doing remarkably well, yet day in day out I watch over this child, always frightened, always waiting for something to go wrong, wondering what the next day will bring, always just one step ahead of exhaustion, hoping today will be the day where I feel like her mother, wanting to be able to do more for Sarah, wanting to feel like I am worth more in her life than a couple of bottles of breastmilk.

At night I go to sleep and dream I am pregnant and wake up full of hope - and then remember I am not, I lay in bed at night wondering if she is settled and peaceful, is she calm or is she agitated, does she need her mummy or daddy and instead of peeping in her cradle which is all set up next to my bed, I have to call a nurse and ask.

Each evening I blow my child a kiss through her plastic house and walk away, every nerve in my body is screaming at me that this is wrong, this isnt what it should be like, every fibre in my body wants to hold my child and never let go, and yet night after night I leave.

I just look to the light and hope that one day that I do get you pick you up and never let go comes around soon.

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April 5, 2009
Sarah Claire - My Baby has lost weight

Sunday, February 1, 2009

My baby has lost weight

Well last Thursday we made some progress in getting Sarah of her TPN an Lipid infusions, was a big step as until now these had prevented sarah from suffering from Malnutrition.

She is weighed every 2 days.

Monday she weighed in at 1900 grams, we thought we were only about 2 days off the magical 2kg mark

Wednesday she had a loss and dropped to 1844grams

Friday she only had gained 4 grams taking her to 1848

Today was weigh day and I was really hoping for a big gain. However its another loss, so she is now only 1832grams

The cant fortify her milk due to her Stomas, all they can do is up her feeds to be 200mls per kilo, so about 15mls per hour. Currently she is on 12mls per hour

Her sugars are still fairly erratic, they are better than what they were though so that is a positive

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April 5, 2009
Sarah Claire - When Will The Journey End?

When will the journey end

Well here goes, I need to write down my feelings somewhere.

I am tired, exhausted, anxious, emotional, teary, angry all in one day.

I cant sleep, its 1am in the morning and I cant sleep, it will probably be 3am before I nod off and then Ill be up at 7am. Thats 4 hours sleep, how does one survive on 4 hours sleep day in day out.

I know that Sarah is in the best place right now, but my heart is aching, its aching to be a family under the one roof. Some weeks things seem to be the same in regards to her progress, weeks go by and it appears that she is no worse, but no closer to coming home. I need her home.

The hospital is depressing, its full of sick children, every corner I turn lately I see a parent crying or a child suffering and I know that what to expect in a hospital but after weeks seeing it, its really beginning to effect me.

Birth is not meant to be like this, you are meant to fall pregnant, sail through pregnancy, have that glowing look, wear maternity clothes, have people guess how far you are along by the size of your belly, feel your baby doing somersaults inside you. You are meant to feel the agony of contractions and your baby being born into this world, you then are meant to rest in hospital for a few days, feeding your baby and getting to know them before coming home. That is how pregnancy and birth should be and its not how it was for me at all.

I feel as if none of that happened to me, I barely felt any movememnts, not like with the other kids, I was barely wearing maternity clothes, I just looked like I had put on some weight, not that I was cooking a precous baby in my tummy. The end of my pregnancy was full of stress and tests, tests and more tests, what ever happened to enjoying pregnancy.

I knew I was going to have a c-section delivery and I was fine with that, but I didnt even get the chance to discuss my birth plan with my OB, I thought I had plenty of time. I really wanted the screen lowered so that I could have seen my child being born, I missed that the last 2 times and it was something I really wanted to happen, instead I was knocked out not knowing what I was going to awake to, I woke in agony, the pain was indescribable, worse than I had ever felt in my life.

I dont feel like Im a strong person, I feel like I am crumbling, inside I feel like crawling into a hole and not coming out till this journey is over, realistically I know I cant do that but boy do I want to.

So when will this end, or will this ever end, when I think I can see some light at the end, that light gets dimmer and dimmer.

I want my own health back, I imagine because I am barely sleeping that my own energy stocks are depleted, so I seem to forever have a cough, or a rattly chest, or a sore throat, its always something!

Today I was cleaning the bedroom, I twisted the wrong way and felt a tear in my abdo, now I have this stabbing pain right behind my scar. Normally Id be back to playing netabll and physically feeling fantastic, right now I feel really fragile.

Anyway thats enough babble for tonight, might sign off and try and get some sleep

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April 5, 2009
Sarah Claire - Dear Sarah

Friday, January 30, 2009

Dear Sarah

Dear Sarah,

Today you are 9 weeks old, that is 63 days in hospital.

When I think how much you have endured it breaks my heart, why oh why did this have to happen to you, I have asked this question over and over and over and I still don't have an answer I'm afraid.

Shit when I look back over the last 9 weeks lets see what you have faced

* You entered the world at just 735grams
* Day 2 you were ventilated, placed on Morphene and transferred to the Childrens Hospital
* Day 6 - Your bowel was malrotated and you were operated on
* week 3 you got NEC and your feeds were stopped
* You spent your first Christmas in hospital
* At 6 weeks old you were diagnosed with "No Pancreas" and "Neonatal Diabetes"
* We were told that your prognosis wasnt good and to prepare to say goodbye over the coming weeks
* You were not ready to give up so you proved them wrong and kept on going and going

Now you are 9 weeks old, you now weigh 1848 grams and anyday now will come out of your humidicrib, you are also about to have another operation to put your bowel back into one peice.

You are one amazing little girl, through everything you have held on, some days its been touch and go and we have been prepared to say goodbye. You are definetly a gift sent from heaven and there is som gaurdian angel up there watching over you, I dont know who it is but they are one special person for letting you stay with us

Love you to the moon and back again

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April 5, 2009
Sarah Claire - 6 weeks and counting

Monday, January 12, 2009

6 weeks and counting

Sorry its been a few days between updates.

The Diagnosis almost a week ago really hit us for six as a family. I remember driving home from the hospital that day, the thought of loosing my daughter had me in tears the whole way home. I called my Mum and tried not to cry but I simply couldnt stop the tears from flowing.

I knew it was bad news as soon as we got to the hospital and we were directed to the "quiet room", I didnt cry in the meeting, but as soon as the Dr and nurse left the room I just broke down, and as always Michael was there to tell me that somehow we will get through this together as a family.

The future for Sarah is so unclear, I wish to wake up tomorrow and this has all been a dream, but I know that isn't going to happen. Some days are easier than others, some days I am just an emotional wreck that just keeps on putting on foot in front of another just to get through the day.

I saw my OB today for my 6 week postpartum check, it was such a sad day for me, usually I am attending this appointment with a baby in tow, sitting in the waiting room with my baby and so it was fairly emotional, then came the news that as my bleeding still hasnt stopped that I need to go back to theatre for a curette to clean out my uterus, good thing is he can put a mirena in at the same time. So its booked for Friday, I am sure that he thought I was abit crazy when I said I cant possibly go back to the Mercy on Friday to have it done, I just cant go back there right now, its where life threw me on this road and I just cant go there, not yet. Quite possibly a very irrational thought, and its something I will work through with time, but right now I just cant.

Had my mum and sister down on the weekend and that was great and they were able to hold Sarah for the first time so that was pretty special.

Ive had alot of people ask how is Sarah going and the short answer is she s hanging in there, there really is no change in her conidton, she is still only on minimal feeds, still on TPN and they continue to chase her sugar levels.

Medically speaking they are doing everything they can for Sarah, they will manage her symptoms and keep as as comfortable as possible, right now she is not showing any tell tale signs of Liver damage and her LFT's are still within a normal range, she was looking slightly yellow yesterday and this is being monitored, it cant be too bad though as she is not under lights yet.

Jessica must have overheard Michael and I talking though cause she came into my room on Thursday night and said "Mummy is Sarah going to die" I didnt know what to say so I just said Im not sure, I just dont know how much to tell the kids and even how to tell them so for now I am avoiding the subject.

Its a hard road thats for sure, its a road that I wish we were never on and a road I wouldnt wish on anyone at all.

Sarah darling - Mummy and Daddy love you very much and hope and pray that you prove everyone wrong and go on to live a happy and healthy life with us

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April 5, 2009
Sarah Claire - The Diagnosis

Wednesday, January 7, 2009

The Diagnosis

Well where do I start.

Its been a very emotional day for all of us.

As you know this pregnancy and birth has been a rollercoaster ride and a half!

We spoke with her consultant in length today.

They have confirmed that Sarah has no pancreas and she also has Neonatal Diabetes.

There is only a handful of people that have this condition, Sarah is as far as they are aware the 9th person to be born, only 3 are still living.

The issue for Sarah lies in a few places the main one being with her liver. Of the existing Children know to have this condition the 6 children that had liver damage all passed away within the first few months and the neonatalogist has suggested this will be the likely outcome for Sarah and for us to prepare for that.

As you can imagine this is all still sinking in and we are yet to talk to the other children about it as we are just not sure how and when to discuss.

For the moment we are thankful for the almost 6 weeks we have had with Sarah and will treasure what time she has left however long that may be.

I have managed to contact one of the other living Children, a little boy that lives in New Zealand. Drs had the same concern for this little boy with his Liver, thankfully his liver turned out not to be damaged and he is now 9 months old and thriving.

As you can imagine its all still sinking in, I am meeting with the Endo Team today to discuss things in more detail.

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April 5, 2009
Sarah Claire - reflections

Saturday, January 3, 2009

Reflections

Rule One - Never read back over your own blog entries, its plain scary!

This is the first time I have ever written a blog, and its mostly my random thoughts, how I am feeling in the moment that I write.

During this journey, so many people have said how strong we are as a family, but I can tell you behind the words I have struggled at times.

The last 4 weeks of my pregnancy I was an emotional mess, my poor husband he must have thought what happened to my happy go lucky, go with the flow wife. My dear friend in Sydney, not sure how she heard my though the snuffles some days.

I worked up until 3 weeks before Sarah arrived, the day of my Amnio test was the last day I was there, I had work that was unfinished and I was still in the middle of training my Mat Leave replacement - poor girl

Then the day of the 27th of November I actually wrote an entry in here that I had a feeling of dread, I have no idea really what is was but it had me upset and emotional and searching for answers, it was like I could feel my child slipping away, there were no physical signs, it was just a "feeling" Mothers intuition maybe.

I spoke indepth that night to a few friends online, told them that I had this utter feeling of dread, was I going crazy, the reassured me I wasnt.

The next day I woke early still with that uneasy feeling, my child was slipping away from me, I spoke to a few people that morning and that feeling of dread got less and less.

I think up until this point I was in denial to a point, maybe I didnt comprehend just how small and sick this baby was, Id had a small baby before, my 3rd child was just on 2kgs at birth and he was fine, so was telling myself it will just be like last time, Drs/OB's always prepare you for the worst. This baby would have a growth spurt and everything would be fine, id make it to term you wait and see.

That feeling that something was wrong was gone, like a weight lifted from my shoulders, I casually said to my friend well I better run, might go to the hospital for the CTG early today, its Friday and its always a madhouse up there on Fridays.

What was to unfold I never expected, it came out of left field and hit me for 6! You would think by reading my blog, surely you could see it coming but I couldn't. Had it happened a week earlier, or 3 weeks earlier when I had that gush of fluid I could have seen it coming.

I had been taking belly shots the whole way through this pregnancy, had I known I would have taken a final one that morning, hence the last one was taken 2 weeks prior to Sarah's arrival.

I was even relaxed when I got to the hospital, there was a midwife there that use to see me all the time for my CTG's, her name was Renee and she was so lovely, She would call Sarah the pesky baby!, as she was so small it was hard to get a decent trace, she would keep on moving the bugger! Only Renee didnt work on Fridays, pity about that as we had some weird conversations as she sat there and traced buggalugs.

I loved hearing my babys heart beat away it was so soothing. As the midife was trying to pick it up on that day I wasnt even that concerned when she was having trouble, then she left and came back with another midwife, she asked me again where do we normally pick it up? She had a feel around to see if she could see what position bubs was in, she had a go and no luck either, she did pick it up briefly but I think she picked the placenta up and not the baby. She too left the room not saying much, at this stage I became worried and that feeling of dread from the night before returned. I reached for my phone and sent my dear friend in Sydney a SMS "at hospital having trace done, they cant pick up the heart". Even though I had that feeling of holy shit what is happening, if only Renee was here, I as still calm expecting another midife to come and pick it up. Instead they came back and said you are due for a bio-physical scan today so we will do that first and check where bub is laying.

I was taken into a ultrasound room with a Dr, why wernt the midwives doing like they normally did, this thought didnt actually cross my mind at the time, I just hopped up and went along with it. I could hear them whispering, it was kinda like I as watching a movie, it wasnt me actually laying there, surely this was all a dream. Then the questions "When was the last time you felt baby moving" I had to think, I didnt really know, kicks had just become part of daily life, crap need to think "Yes Im sure I felt movement this morning, maybe last night though.

I should have grabbed for my phone and sent DH a message telling him to hurry and get to the hospital but I thought oh its all ok, they are just going to monitor things for abit longer today.

More whispering, more questions. Then she tells me can I move on my side abit, she is pointing at the heart beat on the screen and saying oh its coming up abit now. Then she tries paging my OB, she wasnt really talking to me, it was more conversation between her and the midwife. Finally she comes and says that your baby isnt doing to well, her heart rate is awefully slow and we cant detect any flo to your baby. I as shitting myself, oh God please dont take this child, not now, Ive come to far, I was trying so hard not to cry, I dont know why Im sure any normal person would have. Alex isnt answering the page, they are not taking the probe of my stomach they are watching the heart rate go down, then it comes up then drops down again. Finally the Dr says I know he is in the hospital I saw him only about an hour ago. She tells the midwife to make sure that heartbeat doesnt get much lower and tells me to lay on my side and not to move. I want to reach for my phone but Im too scared to move. Se leaves the room and returns after a few minutes, behind her is Alex, finally they have found my OB, he will tell them that is all ok, mayb want to admit me for observation.

Alex and the other Dr talked for a few seconds, he then took over the ultrasound. I could see by the look on his face that he wasnt going to say its all ok. He just said very calmly "Your baby isnt doing so well, her heartrate is very low and there is no blood flow to her. We need to deliver this baby now. I could feel the tears welling up. The only thing I managed to say was can I call my husband first, but the reply that came back I wasnt expecting, Im sorry there is no time. He then turned to the other Dr and said we need to call a "Code" "call it as a green".

Ive never been in such an emergency situation - my DD was born by "emergency c-section" but certainly not the emergency this had turned out to be.

On the outside I was trying to be strong, dont cry Karina, if you start you wont be able to stop, but on the inside I was shaking, I didnt want to do this alone. Here I was surrounded by people they were getting IV lines into me, getting my into a gown, asking me if my baby would have a religion, asking me to verify my name, my allergies, what medications Im on, what time did I last eat. I didnt know, oh shit people I had my clexane injection at 11am, now I am going to have to have a general. I didnt want these people around me, rushing around. My OB had disappeared, presumably to getting ready to deliver this baby. Here I as about to have this baby and noone close to me knew of my situation, noone was aware that this baby was to born into a world she was simply not ready for.

As I was being wheeled out I somehow managed to get DH's mobile number to the midwife and she promised she would call for me, how I hoped he was just around the corner and could get there pronto. As it happened he was on the other side of Melbourne and he said it was teh first time in his life that he was scared to walk into a hospital, all he was told was that I had been rushed to theatre and that the babys heartrate was extremely low.

I get into theatre where they confirm due to my injection of clexane they are unable to do a epidural/spinal and it would have to be a general. At this point I was crying, Alex was trying to reassure me but here I as about to have the mask put over my face and I didnt know what I was going to be facing when I woke up, was my baby going to be with us still or was I going to get the "Im sorry we did every thing we could" Would Michael be there, could they contact him.

So off to sleep I went. this must have been about 140pm by now.

I woke at 3pm and OMG the pain was worst than I had remembered from previous c-sections. I as no longer pregnant just in intense pain, they came over and said press this for pain relief, I was pressing for dear life. Then they said you have a stunning baby daughter 735 grams, she is doing well, your husband is with her did you want him, "oh yes I did, the tears were coming again, I think tears of Joy - my baby had held on to meet her mummy.

That night as the longest night so far. I as hooked up to a PCA with a cathetor in and clearly not able to just jump up and go and see my child. I have never prayed so much in my life for her to hold on, please bubby girl hold on till mummy can come and meet you.

She did, she listened to me and she fought through the night. the first time I saw her I was shocked alittle, she was so tiny but she as alive, somehow she managed to just hold on.

How she did Ill never know, She definetly has a guardian angel looking over her, she had so many people praying for her, praying for her to hold on

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April 5, 2009
Sarah Claire - 5 weeks old
Dear Sarah,

You are 5 weeks old today.

Each day seems to go so slowly, the day drags on while I sit beside you in your incubator, I just sit there and watch you, I listen to all the machines, I watch the monitor, I stare at you and every day that passes I fall more in love with you each and every day, you are amazing and your strength is also amazing.

You had some visitors today, your Aunty Glenda came to see you. She saw you when you were 2 days old, you were fairly sick, infact she came to the Mercy on the Sunday, your stomach was distended and you were in pain and had been placed on Morphene and ventilated, you wernt moving or responding to touch, you were there resting and gathering all your strength to fight the battle ahead. Today you were so much better, you were opening your eyes, you even turn your head towards me when I talk to you, its a feeling I cant describe to know that you know I am your Mummy and that you are getting to know my voice.

In the last week you have had a few up and down days. You had trouble tolerating your feeds and you had really high fluid losses over 2 days, unfortently all that weight you had put on to get to 1190grams you lost over a 24 hour period, so it dropped you back to 1040grams.

On New years eve you needed another blood transfusion, but boy did it help you, I went to see you on New Years Day and you were so much more alert and so much more pinker!

You get weighed tomorrow again, it will be interesting to see how you go. I can tell you have grown, you are still a tiny little dot but you are starting to fill out. You are taking shape and really starting to look like a "baby"

Some good news came today. Last night your lood sugar levels went up to 21, normally they would increase the amount of insulin they are giving you, but they decided to try something different. You are receiving nutrition through a drip until you are on "full feeds" the nutrition drip has 15% sugar in it, so they have reduced the rate at which you are getting this and your sugar levels have come down to between 5-8 and they have been stable all day, the nurse seemed to think that you were getting too much sugar and that your pancreas may be starting to work and maybe now that you are over a kilo its deeloping abit more.

Well baby girl I am heading off now, Im about to come back in and see you an deliver some more milk!

Love Mummy and Daddy!

Oh I forgot, I am going to add some photos from birth to today so people can see you are growing!




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April 5, 2009
Sarah Claire - 4weeks old and now a member of the 1kg club
Sorry I havnt updated here in so long.

Wow though what a roller coaster this ride has been.

My last update I think she was about 11 days old. On day 11 we got to hold our miracle of a daughter for the very first time, it was such a special moment for Michael and I. Its hard to comprehend until you have been there, watching your child through a plastic house that is basically keeping them alive, hearing them cry is just aweful and heartbreaking as my motherly instinct is to pick them up and comfort them but I wasnt able to, I wasnt able to comfort my childs cries and that was really hard.

Here is a pic of our first hold of our miracle daughter.



I think it was day 14 in which they started her on feeds, finally she was able to have some EBM, what a relief for me, it was progress and we hadn't had much of that up until now. She started on 0.6ml per hour, not a lot but it was something, then she went to 1ml, then 1.5ml, then 2ml and finally 2.5ml.

On Sunday the 14th December at 16 days old we received a phone call, Sarah wasn't doing to well, her stomach distended, her breathing erratic, temp up. They had stopped her feeds and suspected she had a NEC infection. They did a lumbar puncture on her tiny body and were awaiting the results, in the meantime feeds would be stopped for 10 days and she would need antibiotics and possibly surgery if it got any worse.

By Thursday she had made some improvement so it was decided that she would be able to restart on some feeds. She restarted at 1ml per hour.

By day 21 they decided that besides her sugar levels she was stable and would move to a Special care nursery room of the neonatal ward, well done my girl another step forward, I was getting positive that one day I will be able to bring you home.

Unfortunately the move was short lived and she was moved back into a NICU room about 20 hours later, this happened on Christmas Eve.

Christmas was so hard, everyone around us is celebrating and quite simply its a hard time for us to be happy. We did the best we could to give the older kids the best Christmas but there isn't much for us to celebrate at the moment, this year the Christmas spirit is on hold.



Everyday I feel like I am holding my breath, every hour, every day, every week in NICU I am holding my breath. Each time the phone rings at night I jump and hope its not the hospital asking us to hurry back in.

Sarah has a definete problem with her Pancreas. They have done a scan and it was not seen, our Pancreas has 2 fuctions one that breaks down the fats etc in our food so that our intestines can digest the food, the other as most people knows is responsible for creating Insulin. Presently Sarah's pancreas is not doing either of these fuctions so she is on oral enzymes that breaks down her food so she can digest it and she is also on a Insulin infusion to regulate her blood sugars. The oral enzymes are not a problem, however being dependent on insulin is quite a problem for discharge planning.

Weigh gain is slowly getting there, she now weighs 1044grams, so up 309 grams on her birth weight.

Sarah has had a few visitors which she loves! She had her Aunty Jac yesterday and what good timing as we had her out for a cuddle yesterday so she also got a special hold of the princess. Today another friend came to visit, last time she saw Sarah she was surrounded by Doctors at the Mercy and was in the process of being ventilated so she was looking alot better this time and it was alot less dramatic

I am going to sign off here as this is probably a lot to digest, I thankyou for reading and will update more frequently as I know that there are a few people/family following her progress and thinking of us all.

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April 5, 2009
The First 10 Days - Sarah Claire
It all started 10 days ago and wow what a journey so far

I guess it all started at 30 weeks.Bub had been measuring small since 24 weeks so I was on fortnightly growth scans. first it was 3 weeks behind, then 4 weeks, then 6 weeks. So at 30 weeks it was recommended that I have an amnio done. That night I had a gush of fluid and contractions a few hours later, they managed to stop them with nifedipine. Then 2 weeks later sitting at home and again the contractions start, back to hospital start nifidipine again and labour is stalled once again. Have a groeth scan and we are at 728 grams at 32.6 weeks. Discharged from hospital on the Friday night my the OB covering for my OB. See my OB on the Monday, feeling great again. He puts me on daily CTG's and twice dialy Bio-Physical profiles.

Tuesday CTG is great, Wednesday CTG and Scan are perfect, Thursday CTG is again great, Friday is where it all unravelled.

Go for CTG midwife tries for 30 mins to pick up the heartbeat to no avail, suggests that bubs may have moved position and we shoul do the scan first. Taken round to the Peri-Natal Dr to perform the scan, measures AFI and S/D Flows, then starts prodding my tummy trying to get the baby to move, I could see the heart beating so was not at all worried. She then tells the midwife to get my OB on the phone and quickly. She tells me that my baby isnt doing to well and she is going to find my OB as she had seen him in the hospital earlier and to lay on my side and not to move, the midwife then holds the probe on me and watches bubs heartbeat.

OB walks in the room they look at a few things and then he says Im sorry but we have to deliver now, the bloodflow to your baby is absent and she is in distress.

he calls a code green and people coming running in, I want to call my husband but they tell me there is no time and they will call for me.

At 1.15pm I was having a scan, at 1.54pm my tiny daughter is born by c-section.

Welcome to the world Sarah Claire, you weight just 735g, 37cms long and HC 24cms.

You are breathing, you are on CPAP whisked straight up to NICU. You are enjoying you little nest in your incubator.

After a day they change you to low flow oxygen, you are doing fantastic or so I think. The Drs then tell me that your adbo is distended and they are starting you on anti-biotics.

On day 2 mummys dear friend comes to meet you. We go downstairs for a coffee then I take her up to meet you. As I walk over to your corner, there are doctors everywhere, they come over and say we are putting her on the ventilator and morphine, her stomach isnt getting any better and she is starting to feel some pain from it.

later that day they come and see me on the post natal ward, its not good news I can tell. You stomach is becoming more distended and they are worried that you have a bowel obstruction. They tell me they have called the NETS team and they are coming to get you and taking you to the Royal Childrens Hospital. I call your Daddy, tell him to come quickly so he can go with you.

You get settled in, after 4 days they decide they cant wait any longer, your not getting better so they are going to operate.

They operate and find that your first poos are blocking your bowel its very thick and sticky so they clean you out and due to your size they cant re-attach your bowel so you have a stoma, when you reach 2kgs they will be able to reattach it.

You are now 10 days old, you are off your ventilator and back on CPAP and your bowel is now working.

Tonight you are having your very first milk feed and that is very exciting for your mum, you are taking baby steps, small steps to the path to home where you belong.

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April 5, 2009
The Rapid Arrival Of Sarah Claire
When we got our BFP and learnt that we would be adding our 4th and final child we were both very excited. The first trimester travelled along fairly well, i did have some bleeding and morning sickness was really bad between weeks 8-12. I went for my 12 NT scan and the results were excellent. I started feeling fantastic at this stage and loved watching my tunny grow.

At my 19 week scan, I was showing as only 17 weeks, so was told to come back in 2 weeks.

I was put on 2 weekly scans as OB was concerned that this baby was developing growth restriction. By 29 weeks it was oficially diagnosed as IUGR (Inter uterine growth restriction)

I had an amnio done at 30 weeks to rule out infection and chromosomal abnormalities, the results came back all clear. The night of the amnio I had a gush of fluid and starting having contractions a few hours later. Was admitted to hospital where they managed to stop my labour.

2 weeks later started contracting again, so another visit to hospital and luckily they managed to stop things again.

By this stage I was put on daily monitoring having a CTG done every day and a bio-physical profile done every second day.
On Friday the 28th November at 33.6 weeks I went in as per usual for my CTG and bio-bysical profile. I sit on the bed and get ready to hear by baby's heart beating away. After 30 mins the midwife still could not pick up the heartbeat. I was starting to worry at this stage so they said we will go and do the bio-physical profile first ad see what position bubs is in. Normally the midwives do the scan check for a few things to indicate that bubs is still happy.

On this day they took me into the room next to the one I usually go into, there they introduced me to a perinatal Doctor and said she was going to assist with the scan.

I was so happy when I saw my babys heart beating away, but she wasnt moving around, maybe she was just sleeping I thought. The Doctor wasnt saying much, but I could see my baby and see her heart beating away so I figured she would tell me at the end that all was ok. She then said to the midwife we need to get Alex on the phone now (Alex was my OB), she then told me that there was a problem with my baby and had I noticed that she hadnt been moving much. She had been a little quiet in the last day, but I also have an anterior placenta so dont feel all the movements. DH had actually asked me that morning if I wanted him to come for the scan, but I said no its only ever very quick so dont stress and I will ger a pic printed out. Had I knew what was going to unfold I would have told him Id love him to come.

They were still trying to get Alex on the phone, the Dr then told the midwife to hold the probe and make sure that the heartrate stays relatively stable, and she told me to lay on my side and try not to move. A few minitues later she returned with Alex, he was actually in the fete monitoring unit checking up on anotherpatient. He came in and said "Your baby isnt doing to well today and we need to deliver this baby as soon as possible, her heart was bradycardic and she had not moved at all during the scan despite them trying to get her to move. He then explained that there was no flow at all through the Umbilical cord so there was no choice but to deliver now.

I asked if I could call DH, but he said there was no time, but would get one of the midwives to call him for me. They then pressed a emergency button and called a Code Green, people came running in the room and I was quickly changed into a gown and rushed downstairs to theatre.

It all happened so quickly. At 1.15 pm I was having an ultrasound thinking look all is good, the heart is beating away.

At 1.54pm on the 28th November my daughter was born by emergency c-section. She weighed just 735g, length 37cms, HC 24cms.

I woke up in recovery at about 3pm, they went and got DH and they bought me in a photo, she was so so tiny, she was in NICU and they said she was doing well. I kept asking DH are you sure she is ok, have you seen her?

It was then time to go up to the post natal ward, they took me past NICU on the way. I was so grogy and my vision was really blurry and they said can you see her, I said yes but I couldnt, all I could see was bubblewrap, apparetly she was under all the bubble wrap to keep her warm.

It was 18 hours before I was able to see her again, she was in a incubator by now and on CPAP. She seemed to be doing well. On the Sunday she wasnt doing so well so NETS team was called and she was transferred to the neo natal unit at the RCH Sarah is 6 days old today, she has already overcome a few obstalces but has been taken off her ventilator and put back on CPAP and seems to be gaining some strength.

Welcome to the world to my wee little daughter Sarah Claire. .

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chasity miller

Feb-15 10:13am

Hello! I just wanted to give you some hope and faith. My daughter was taken at only 24 weeks she was very sick, had 3 surgeries and was in the nicu for 2 1/2 months then went back to the picu for more surgery. At 2 years old she was diagnosed with epilepsy and asthma, however now she is almost 10 years old, playing basketball and very healthy and smart. Please don't loose faith. She will grow to be a beautiful, healthy and smart young lady.




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