AnnahLilly update: Blood concerns

Thursday, May 20, 2010


It sure was love at first sight with AnnahLilly.

Every eye flutter. Every cry. Every squeak noise. Every little thing she does is magic. Sorry, Sting.

She has, however, given us, the nurses and doctors cause for concern.

It started around noon on her first day when her hands and feet started getting really deep purple in color. This condition, known as acrocyanosis, is common in newborns. What is not common: the discoloration started going up to her knees. She was put under the baby warmer and pinked back up, almost immediately. A batch of blood tests was ordered.

What we learned from those tests: She has a high blood count, and very thick blood. (The latter was evident when they tried to draw blood from her arm and couldn't get any. In and out the needle went, with no luck. AnnahLilly was a trooper; Daddy felt nauseated. So they slowly and painstakingly filled several vials from a single heel stick.) She also was found to have a high white cell count (an indicator that she was fighting infection) and a high red cell count (a precursor of jaundice).

More repeat tests, including another needle in her other arm; blood made it out of her arm that time, thankfully.

By that point, she had not gone to the bathroom, either, a sign of dehydration. So that was another BIG concern, and they had us use formula to supplement the little fluid she was getting from nursing.

More fluids = thinning out her blood = good thing.

A few hours later, more blueish-purple color was becoming more prevalent in her extremities, and our nurse called the neo-natologist on call. Dr. Lilly (how ironic is that!) got to our room after midnight and checked her out. His main concern was her thick blood and the likelihood that she also had Mommy's Factor V blood clotting mutation.

Blood clotting disorder + thick blood = bad thing.

So he decided the best thing would be to draw out some blood and put in saline. So AnnahLilly and Daddy headed to the nursery, where the doctor had to stick her twice in the right hand to get a good entry point for the saline. Then he had to stick her twice before being able to draw out blood from her opposite arm. She cried and Daddy felt a continuous punch to the gut. He was only able to draw 8 cc's of her blood.

So ... fast forward to now: 16 hours later. Things are looking up.

The coloring in her extremities is good. Test numbers are coming our more in her favor. A new worry, though, is jaundice. They're going to do some bilirubin tests soon, so we'll see if we'll be able to take her home tomorrow morning. That's the gut feeling and the hope.

More importantly, throughout all of this, AnnahLilly has been a trooper. Sure she's shed her fair share of tears, but who wouldn't being poked and prodded as much as she's been.

Hang in there, little one. We be home soon.

Hello, Savannah Lilly Conklin

Wednesday, May 19, 2010

Born 4:57 a.m., May 19, 2010, at 6 pounds, 11 ounces, 19 inches long.






The evening in photos

Tuesday, May 18, 2010


Baby's first binder




Drip, drip, drip




Up, down




The asterisk in the room




Mom




Room 117: 9 p.m.




Drip machine




Hospital baby blanket




A lone little diaper waits




Baby warmer




Baby warmer




Contractions at 2:30 p.m.

The day so far in pictures








Room 117, 6:30 a.m.




Jen's "jewelry"




Lillian Rose, our guardian angel, is watching out for mommy and AnnahLilly




Room 117, 1 p.m.




Jen's drips




Thanks to Angie and Bryce for the pretty flowers





Jen made candy bar thank yous for nurses

A gem inside Jen's purse

Monday, May 17, 2010

We got this fortune while dining with friends Angie and Bryce at Pei Wei in Kansas City a while back. Jennifer's been carrying it around in her purse ever since.



On Baby Eve, some recent bump photos



The waiting game

The amnio was about two hours ago and here we wait. Jen's napping. And me, I'm waiting for the call.

Our OB (the high-risk one) said initial results should be back in a few hours. So hopefully soon. ... If the initial results are not certain, then they would need to send out for results; that would take a day or two. So obviously, we're hoping for the initial test results to come back saying yes to lung development. One positive sign of maturity that we saw: the amniotic fluid that they did take out was cloudy. More transparent would mean less mature.

As for the needle, Jen says, "It hurt." And she would know, being that she's gotten Lovenox shots everyday for the past seven months, plus four finger pricks a day to check her glucose levels. She's become quite the expert on needles. But I tell ya, words can't even begin to describe her strength. I'm in awe.

As for baby, she moved her foot just as the needle was making its way in, but Dr. Baron was watching simultaneously on the ultrasound, and was able to get what she needed: about 20 CCs of the 400 or so she said was in there.

Before the amnio, they did some measurements and she clocked in at 6 lbs, 11 ounces. That's 74th percentile at this point in her development. Good girl.

So now we wait for the call. As for after that, then there's another OB (normal OB) appointment at 3:45. If amnio results are good, then they'll tell us if they want to get the process going tonight or early in the a.m. tomorrow. We shall see.

Now if only that phone would ring.