Tuesday, June 25, 2013

Perinatologist Q&A + Name & Gender Reveal!

We are back from the world's longest doctor's appointment.  Whew.

Today we met with the perinatologist, which I will refer to as MFM from now on (maternalfetal medicine) because it's quicker to type, for the first time.  And had our 20 week level II anatomy ultrasound.  AND had bloodwork drawn.  All in the same afternoon.  I was gone for 5 hours while my sweet friend Virginia stayed at my house and played with all 5 of my kids while our sweet friend Amanda stayed at HER house and watched Virginia's kids so that we could go alone and no one would be at risk of catching last weekend's bug in case it's still lingering around here somewhere.  And Virginia scrubbed out my fridge while I was gone.

Isn't that amazing?  I know you're here to hear about the appointment, but none of it would have been possible without those two, so....well...super love and prayers for them!

Okay, MFM.  I kind of don't know where to start.  This might be a long one...

Ultrasound

We didn't realized we'd be getting the full level II anatomy scan today, but we did and we were glad.  Do you know what's hard?  Using an ultrasound machine with no fluid around the baby.  But luckily the u/s tech was pro, pro, pro and managed to find and measure almost every single body part and organ.  Incredible.  One of the only things she was a little iffy on was, you guessed it, the gender.  Dagnabit!  But she kept trying and after a bit she said "If you maaaaaaaaaaaaade me guess, like if I HAD to say one or the other right now, I would say this is a boy."  Insert arrow onto screen.

And then I was all "I see it!  Yes, I agree."

Of course this probably means it's really a girl and she'll throw another loop into this story on her birthday, but until then little dude will be named Nicholas Robert Borobia.

Niiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiicholaaaaaaaaaaaaaaaaaaaaaaaas! (like those Ricola commercials, claro que si.)

As for fluid levels, they were basically nil.  Like, immeasurable at the beginning.  But even in the span of the ultrasound, they increased enough that she could have measured almost a centimeter (AFI level of 1).  Pee baby, pee!

The other bummer is that he has, until now, measured right on with his gestational age.  But now he is starting to measure small because it is difficult for him to grow against the sides of uterus as opposed to growing against fluid- too much resistance against his itty bitty body.

But otherwise he looks totally healthy.  Look at all those little organs!  Look at that beating heart!  Look at all them brain sections! It was so fun to see.  I could have watched him all day long.  Happy happy.

MFM meeting

After the ultrasound of many many moons, it was time to chat with our new specialist.  It's hard for me to remember the order of how things went, so maybe I can just give you my list of questions and the answers he gave afterward?  Bueno?  And then maybe if one day someone with the same condition (PPROM) is reading this, they can have some questions answered, too.

Q: Is there a cause or a way to prevent subchorionic hematomas, the devil behind the ruptured membranes?
A: Unfortunately, and fortunately, no.  You did nothing wrong to cause them and there isn't anything you can avoid doing in the future to prevent them.

Q: What are the best things we can do from now until viability and then beyond?
A: Fluid.  Hydration, hydration, hydration.  If you had no other children at home to take care of, I'd tell you to lie down during the day.  There's no guarantee that will help, but it certainly wouldn't hurt.

(NB: so even though I have 5 children at home, I'm going to do this as much as possible anyway)

Q: What are the health challenges we can anticipate if baby is born after 24 weeks?
A: The biggest concern is going to be respiratory problems.  Aspirating the amniotic fluid is mandatory for proper lung development.  If baby can aspirate enough in the next four weeks (by week 22), then a steroid injection at 24 weeks will help baby be ready to breathe outside the womb.  If the lungs are not physically developed to begin with, a steroid injection won't do anything.

Q: Is there likely a single tear or an overall degradation of the amniotic sac?  Is it possible that it will heal itself?
A: When PPROM is caused by a subchorionic hematoma, the reason the sac fails is because your body sends white blood vessels to break down the blood clot.  In breaking down the blood clot, the white blood vessels also break down the amniotic sac, which the clot was pressed up against.  Because of this, there is probably no chance that the hole in the sac will heal itself.

Q: Will I have to be hospitalized?
A: Yes.

(insert hyperventilation followed by catatonic state here)

 Viability day, 24 weeks, is August 2nd.  If we make it that far, and I can't imagine why we wouldn't given that we've already made it THIS far, mama (that's me) and baby (that's Nicholas) will be admitted to the hospital until delivery.  

Oy.

Two things I do not like: 1) being trapped and 2) being away from my family.  I hate that growing in holiness, in any way really, requires doing the things you don't like to do.  You don't get fit by lifting weights that aren't heavy for you, ya know?  And man....these are my heavy weights for sure.

But we have a good 6 weeks before all that happens.  So I have to just take one day at a time.  Figure things out.  Get things in order.  And you know what else?  The amazing laundry room project you guys have going on doesn't really seem as much like a luxury now as it did a few days ago.  You know why?  Because if in 6 weeks my husband is single parenting 5 children (somehow.  I don't know how.  We'll figure it out.) and people and family and friends and someone is going to be helping with the laundry, I can't really also ask them to empty a dirty water bucket, can I?  Or tell them there's no dryer, you know?  It's enough that they're going to be doing our chores for us!  OR, my kids can actually do the laundry on their own, which they cannot do now with said bucket + potential electrocution situation.  Providential, my friends.  Providential.

Alright, this is getting long.  What have I missed?  Oh!  We were stoked to confirm that the MFM is proudly a pro-life Catholic- he announced as much during the meeting before we ever mentioned anything about it.  That gave me a lot of peace, knowing that he wouldn't bat an eye at us having our priest visit or on hand to baptize the baby or anything like that.  Aaaaaaaaaaaand he prayed for us at the end of the meeting.  It was very sweet and wonderful and I've just never had anything like that happen before.

So.  Deep breath.  Heeeeeeeeeere we go!

unrelated photo of Mary eating her first cupcake on her first birthday....



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100 comments :

  1. Many prayers, Dwija! Thanks for keeping us all updated!

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  2. Praying. I could tell you all about how your kid must be a fighter but you already know that. I'll just pray. HARD.

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  3. I'm choosing to see all the WONDERFUL news in this post! You guys will do great...:) I just wish I lived closer so I could keep an eye on your little ones some of the time. Love and prayers to Borobias great and small!

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  4. Hope springs eternal! Adding Nicholas to my prayers by name. Praying God gives you the strength and support you need in these coming weeks and months!

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  5. Hope springs eternal! Adding Nicholas to my prayers by name. Praying God gives you the strength and support you need in these coming weeks and months!

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  6. Oh we will keep praying! My niece was born at 26 weeks after PROM (though within hours of the PROM). Today she is a small but perfectly healthy three-year-old. Praying the same for your dear Nicholas!

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  7. You will get through this, as much as it is hard. I am asking the Communion of Saints to keep someone pestering God day and night until Nicholas is safely delivered.

    On a separate note: can you take as many horrifying "before" pictures of your current laundry room as possible? So that we can all revel in the amazing amazingness of the afters?

    For what it's worth, we set our laundry room up so that we have a white shower curtain bar with white plastic hangers above the machines. This lets me air dry certain things without having to pull out the big clothes rack. We also have a shelf built over the machines that lets us keep the detergent in place when we use the spigit (sp?). And lots of bins for lots of things that we don't want to look at all the time.

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    1. Oh, good idea. Maybe even a video? I should take a video, yes.

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  8. Wow, this is so amazing!!! Nicholas the miracle baby!!!

    Dwija we both have St. Paul the Hermit and my engagement came on St. Nicholas day, so I am going to step up my prayers for you guys to those to holy rollers!!!! (And, when we were little, my funny funny father once declared those ricola horns "phlegm horns" - get it, cough drops?! - and made us giggle to our toes - I will never forget it. So I always get a tickle out of seeing the Ricola package or commercial!)

    SOOOO happy for you guys, you are going to make it. Hospital will be a challenge for sure - but grace will get you through. SO glad he's healthy thus far!!!

    Prayers.

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  9. Thank you for the update - it helps me to pray for you. It sounded like a lot of good news, really, and I thank God for that.

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  10. Thanks for all of the details - you knew we'd have questions! This all sounds very hopeful. A boy! How fun and what a lovely name. You have such a good attitude, Dwija, and many prayers will help bolster you when the sledding gets tough.

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  11. I'm with Paige - I was seeing all the good and hopeful things in there. We will all keep storming the heavens for you and Nicholas. Sure wish I lived closer and could help.

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  12. Wow! Sounds like wonderful, encouraging news! I'm a fairly new reader and I'm hooked following your story! Wish I could help some way! I know exactly what you mean about having a catholic doctor/specialist, it just feels so reassuring when you are on the same page about things! Good luck with everything and God bless!

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  13. Praying for you and NIIIIIIICHOLAAAAAS and all.

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  14. Angadrisma of Beauvais
    Calamanda of Calaf
    Catald of Taranto
    Eulalia of Barcelona
    Godeberta of Noyon
    Gregory Celli of Verucchio
    Heribert of Cologne
    Hermengild
    Honorius of Amiens
    Modan
    Solange of Bourges
    Swithun
    Trophimus of Arles

    -All patron saints against drought. May they bring water to little Nicholas in the desert he inhabits now, in God's great Name! :)

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    1. Patron saints against drought! What a great idea.

      And thank you for keeping us updated. We are praying for you and baby Nicholas here at our house!

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    2. The desert has a way of making saints. And he's in his cell in his HERmitage, so... :-)

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  15. Because of this, there is probably no chance that the hole in the sac will heal itself.

    With God, all things are possible!

    St. Nicholas, pray for Dwija and baby Nicholas!

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  16. Thank you for this update. You & baby are on my mind and in my prayers. I kept imagining your little one was a girl... now I know to pray for Nicholas! Great name!

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  17. I see a print of an icon of St. Nicholas in your future!

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  18. And I've got your name and now Baby Nicholas's name underneath the tiny statue of Our Lady of the Angels over my kitchen sink praying both of you all the way to August 2nd!

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  19. Hang in there! Prayers, prayers and more prayers! Grow little one...GROW!

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  20. Miss Courtney and I are on it. Know that we will be saying a rosary everyday for you and Nicholas. EVERYDAY!! "Courtney" means "strength of God" so know that she and I are well prepared for any heavy lifting. So you rest and watch others do laundry. Court and I will pray!!
    Hugs from VA!!

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  21. Oh sweet Nicholas! Praise God for a good doctor and continued prayers for this baby and you and your family and all those sweet people who step up to help. May God continue to be praised and honored in this fight for Nicholas' precious life!

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  22. So much to be thankful for...continuing to pray hard for you and Nicholas.

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  23. I just KNEW it was a little guy in there! St. Nicholas, hear our prayers! St. Girard, pray pray pray!
    Keep up that breathing sista. And Happy Birthday to your sweet little girl. :)

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  24. You are so sweet to update all of us when I am sure all you want to do is cuddle and love on your family. Nicholas is a fighter already, and he will keep on doin' it! Just like his momma!

    Of course, prayers for all of you. :)

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  25. Thanks so much for the update! Will continue to pray for you and Niiiiiiiicholaaaaaas. We'll have to think of ways to help keep you entertained while you're on bed rest. I can't wait to see before/after laundry room photos! It will be such a dramatic change!

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  26. Awesome, awesome news! And hooray for your doc being prolife AND Catholic AND praying for you. God is so good.
    Prayers for you and your sweet little Nicholas. You have a fighter in there!

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  27. Praying for you and sweet Nicholas. <3

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  28. Hi Dwija. So much good news (in a keep on keeping on way). I just wanted to say that although I was hospitalised with PPROM I was allowed in and out. I was allowed home when I got to about 28 weeks, with a list of conditions, and came in for monitoring as an out patient every couple of days. If anything ever changed they kept me in for a night or two, and when everything was going fine I was allowed home again. Your hospital may be different of course, but there is hope that you won't be stuck there for 16 weeks (because Nicholas is going to make it to 40, no bother). Especially if they know that you have plenty of help at home so you won't be tempted to concrete the driveway or anything. I think it depends a bit on how far you live from the hospital though, as the main danger they're trying to avoid (I think) is having a prem baby born quickly and not in hospital. If it turns out to be a girl will she be Nicola Roberta?

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    1. Praying!! This is what my question was. Why the hospital stay? And why 24 weeks? I know that's considered viability (even though younger babies have survived) so is it just that they want to monitor 24/7 and induce right away if they think baby is struggling? I wonder if it would be safe enough to have something like Melanie where you and baby were monitored intermittently so you could keep up with your vitamin and supplement regime and be at home. Are they worried about labor starting early and you not being able to get to the hospital? Sorry for all the questions...just trying to understand :) Love you!

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    2. Don't apologize! I know how it's easier to pray about something you understand :) So the reason for hospitalization at viability time is so that baby can be immediately delivered or I can be immediately treated at any sign of distress and he will have a better chance of survival. We are "out in the boonies" and I have a history of fast labors, so if there is placental abruption or something like that, getting into the hospital and getting a c-section going would take quite a while. So it's not that being in the hospital will magically help the tear heal but rather that they can tend to him the second that things go south.

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    3. Ah, gotcha! That makes sense. How hard to be in the hospital that long! But I love your attitude and at the very least, it's good that you got some warning so you can plan! God bless baby Nicholas and you!!

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    4. I am so glad you found an MFM who is pro-life and proud of it! Thanks for clarifying the hospital stay, I was wondering that too. For the sake of informed decisions, I wanted to share something I read recently. Obviously every case is different, and your reason for (semi?) bed rest may not fall into the category mentioned in the article, but here are some thoughts about bed rest, why and why not:

      http://www.alignedandwell.com/katysays/bed-rest-outdated/#sthash.9P2ocRQD.dpbs

      You and your family are in our prayers!

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  29. How wonderful that you know that you MFM understands life. We will continue to hold you and Nicholas in our hearts until his safe arrival.

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  30. Love the name. Our little Nikolas is 4 months old, so we'll include yours on our nightly litany. :)

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  31. I am so, so, so happy for all of the good baby news, but also that you found a doctor who shares your beliefs! That will make all the difference in the quality of care you receive.

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  32. Hydrate Hydrate Hydrate! Grow little Nicholas grow! Prayers!

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  33. Chills and tears of hope and joy. St. Nicholas, St. Gianna, St. Gerard, pray for Dwija and baby Nicholas!!!

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  34. How amazing that your MFM is a devout Catholic!! What a miracle, so many miraculous events!!

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  35. Prayers for you and baby Nicholas, and all your family! Stay strong and faithful. Blessings to those wonderful people in your life who are there to help you. Take care!

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  36. We are praying hard for you and baby Nicholas in our house. God bless you and your sweet family!

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  37. Praying so much for you and your family. Thank you for the update!

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  38. I have a Nicholas Robert! And my anniversary is August 2nd! Lots of continued prayers for you, baby Nicholas and family! I wish we lived closer so I could help out in some way. Thanks for the update!

    Oh, and we totally do the Ricola commercial thing. ;)

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  39. Still praying! Thanks for the update.

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  40. I will continue to storm heaven for you and sweet baby Nicholas. God bless you, dear Dwija!

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  41. Lots of prayers for you and baby Nicholas!

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  42. Congratulations on your boy! Continued prayers and I'm so glad you have such a good MFM.

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  43. Praying for you and little Nicholas!

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  44. Dear Dwija,

    first time commenter here (long time reader). I have 6 children. Almost all of my pregnancies were high risk, but I used Lourdes water in all of them. Can you get some Lourdes water for yourself and your baby? This water does work miracles. And since your baby is in need of water, why not give him this miraculous water that our Most Holy Virgin showed saint Bernadete in Lourdes?
    I have a little bottle that I could send you. But I am in Brazil and I fear a little bottle of water won't reach you due to US customs issues.
    Please, let me know if you can get some of this water. If you can't, I can try and send you a little bottle anyway.
    I'll keep praying for you and all of your children.
    In Christ,
    Patricia

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    1. I might have some! Somewhere! Need to hunt it down. That is an excellent idea and I had totally forgotten we had it...

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    2. Great!!!! I am glad you have it! :D

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    3. Dwija, if you can't find it, I have some I can send you! I have a jug of it!

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  45. Thank you for the VERY encouraging update, Dwija! We will continue to keep you and baby Nicholas in our prayers! Much love to you and your family!

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  46. You are such a trooper! MUcho prayers for you and baby Nicholas!!! You can do it Mama!

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  47. Thanks for the update. I will continue to pray for you ALL! And I love the name.

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  48. I will be continuing to pray for your whole family!

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  49. SO glad that you have a faithful and prayer filled doctor!!! That makes a huge difference alone!! We are keeping you in our prayers -- for health and peace and grace and sanity when you need to go into the hospital!

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    1. Yes, YAY for good pro-life doctors who value babies!!!! I'm so happy for you Dwija, and for little Nicholas. Let's keep the prayers and good news coming!!!

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  50. Wow,Dwija, the last part about the Dr. being pro-life, Catholic and praying for you at the end of the appointment made me tear up a bit. I wish I lived closer, really because my husband could watch my kids and I could do your laundry (emptying bucket included), but I don´t even live in the same country, so prayers it will be :D
    P.S. I love his name.

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  51. Prayers, prayers, prayers!

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  52. Hooray for all the wonderful news, especially the blessing of a pro-life doctor - how encouraging is that?!? Keeping you and Baby Nicholas in our prayers! Blessings and Peace be with you.

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  53. I am praying for you. And, I have a (possibly stupid) question. And I work in healthcare, so I should know this but I do not. Can they not put artificial amniotic fluid inside of you? I guess not, but is this something that has been attempted in the past or being researched for the future?

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  54. So many prayers for you and baby Nicholas! Glad to be able to pray for him by name. Hang in there and know how much people love to be able to help you!

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  55. Praying and thinking about all of you daily! Is it just me, or does having an MFM who is pro-life and Catholic seem like its God's way of giving you a good sign? He could've been anything! God bless baby Nicholas and you & your family, Dwija.

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  56. The fact that you've made it this far gives me so much hope! I'll be praying for you, the baby, and even more good news!

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  57. August 2- Feast of Mary, Queen of Angels, AND the feast of the Portiuncula, courtesy of St. Francis. :) As a Franciscan, I consider both of these things very auspicious indeed!

    Have you considered baptizing little Nicholas now? The holy waters of baptism poured over him could only have a profound and blessed effect.

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  58. Thank you so much for keeping us updated. Still thinking of you and praying for Nicholas. So beautiful to be able to pray for him by name. Where is Tom Thumb when you need him to plug up a hole!?

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  59. ::big sigh of relief:: SO wonderful! My husband and I are greatly relieved at your news—and are still praying, of course. Love "Niiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiicholaaaaaaaaaaaaaaaaaaaaaaaas"! So much joy! So many prayers! Oh, Dwija, you are really helping me spiritually!

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  60. Ok so here is my story http://lonetater.blogspot.com/2011/11/hardest-thanksgiving.html My waters broke at 23 weeks. Not viable at my hospital. I went 11 weeks with little to no fluids. He was born at 34 weeks. They docs took him then because of another problem I had. I think he would have gone all the way. If you have gotten this far, then chances are great that you will go way long. I had complete rupture of the membranes after leaking for more than a week! I will be praying for you! Bed rest was hard but I did it. I ended up in the hospital for the full 11 weeks 74 days plus 7 days recovering from surgery. Baby stayed 13 days in NICU and is a healthy 5 YO! Blessings to you!

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  61. Thank you for the update! Praying always, of course , for you, your husband, Nicholas (great name!) and the rest of the family (including the chickens and goats). So wonderful that your MFM is Catholic and pro-life!

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  62. Glad to hear that Nicholas is still doing okay. We will continue to pray for the best possible outcome, as well as strength and grace for you and your family. You can do this!

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  63. Will continue to offer prayers for Nicholas! (Love the name!)

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  64. Okay, I am ROFL at praying to the patron saints against drought, I love it :)

    Thanks so much for the update, I've been asking Mary to intercede for both your little baby (now I can add his name, love it btw!) and my friend's little baby in her high risk pregnancy. I'll keep the prayers coming, you guys can use them! The low amniotic fluid levels do sound scary but how encouraging to have a faithful doctor and you've made it this far so surely little Nicholas can keep on for the rest of the pregnancy until his little lungs are ready. Keep off your feet and take care of yourself, no lifting buckets for laundry anymore, everyone donating over at Cari's blog has got you covered with a proper laundry room now :)

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  65. Thank you for the update !I'm so glad things are looking hopeful, even if in small ways. We'll keep praying for you all!

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  66. Thank you so much for keeping us updated. I am so excited to see your miracle unfold! And, I'm so glad to see people sharing their stories with you. My daughter's friend's water broke at 20 weeks, she carried her son for another seven and he was born at 27 weeks. He's still in the hospital but is expected to be fine. We're praying for you everyday.

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  67. Hospitalized until delivery does not sound fun at all. BUT you can do it. God will give you the grace you need then, just right when you need it and in the perfect doses. He is the best physician of all. Prayers and hugs.

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  68. So glad that the Dr was willing to spend the time with you that you needed/wanted ... but no way is it the longest Dr's appt ever. In 2012 I was diagnosed with Endometrial cancer. My first appt was scheduled for 1:00 PM -- got in to see the Dr at 10:40 PM (Subsequent appointments had me leaving his office at 1:00 AM and 2:35 AM! -- lucky for me I'm a night owl.)

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  69. I am so, so glad that you found such a great doctor! Praise God for that and for Nicholas' healthy development. I am so sorry that you and your family are undergoing this trial but so thankful that you're willing to share it with us. You are an incredible witness as you love as Christ does!

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  70. Praying for you and sweet Nicholas!!

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  71. So glad to hear, and so so happy that your doctor is an encouraging believer. I will continue praying for you and little Nicoooolaaaaaas!

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  72. Keep telling us how we can pray! Thankful for the good news today!

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  73. A boy? How fun! I think Nicholas knows how hard his momma is fighting for him, so he's going to keep fighting too. I'm so glad you have such a wonderful doctor helping you through this. I would have trouble with the hospital stay too, but I hope you find it works out better than you thought. Maybe it will allow you to rest and just focus on growing that baby Nicholas! Keeping your sweet family in my prayers.

    Jennifer @ Little Silly Goose

    P.S. Sorry for the delayed response. I read your post last night but was unable to comment until now.

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  74. So so happy that your MFM is so wonderful!!! What a blessing at this time. Sweet Nicholas sounds like such a fighter, as his story has unfolded I have been impressed time and again with the thought that he will bring great glory to God, just by his very life. You and he and your whole family are continuously in my prayers!! !

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  75. Hi Dweej, so happy to read that you found and agreeable MFM and that little Nicholas is doing well. I have learned first hand this year how things are miraculously provided when you need them. I am sure that your laundry room will come together and coordinating the hospital stay/family care thing will work out. Big hugs to all of you!

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  76. Wow. All I can say is wow. I am SO glad your MFM is Catholic and pro-life, especially after your OB's comments, and how hard all that must have been. Praying for you and Nicholas -- I love that name so much I decided to make it my last name about sixteen years ago. (Well, yeah, the name as great as it is, actually had less to do with it than the love of my life I was marrying, but I have always really appreciated the name!). Hang in there!

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  77. Praying so much for you and your family! I can't imagine how hard this must be for you, but this baby is definitely a fighter!

    It's so great that you found a doctor who is willing to work with you and give you hope!

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  78. So sorry to be out of the loop and just now starting to pray for your intentions!! May God continue to protect your little boy! And you!

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  79. Ok I got goose bumps and I'm gonna cry! Go Nicholas go! We are all praying for you ! Thank God for this precious baby and the time you have with him!

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  80. Saint Nicholas, patron saint of children, pray for us. You, sweet baby and your family continue to be in my prayers. Thank you God for the blessing of your MFM and all those people supporting your family through this hardship. Whew-hang in there-you are enveloped in love.

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  81. I am doing some "catch up" reading because I have been busy this week, and I wanted to let you know that I am still praying for you, your baby, and your family. So exciting that your MFM is Catholic and pro-life. My prayers continue for all of you.

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  82. Dweeja, your last paragraph about your doctor choked me up. Thanks for showing me how to bear my cross today.

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  83. God Bless you! I truly believe in miracles and feel that I'm witnessing one every time I read your updates. (I'm new to your blog and already I want to take notes on how to be as positive as you!) I'm going to say a Divine Mercy chaplet tonight for you and your sweet Nicholas (will that name turn into Nichole if it ends up being a girl ;-)). And please be assured of my prayers for your special intention throughout the month of July. Have you heard about takethemameal.com? I'm wondering if you can set that up so that people can take you meals so you can rest easier at home? I know that I would gladly sign up if I lived next to you.

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  84. This is awesome news! You can totally do this--one hour at a time. I've got so much hope for your Nicholas. I've seen so many micro-premies really make it thanks to those NICU doctors. So many prayers for the Holy Spirit to protect and heal his lungs. Lots of hugs and encouragement.

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  85. Another stranger here praying for you. I have an almost 4 months old baby Nicholas Jose, so I specially sympathize.

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  86. Seguimos rezando por vos y Nicolás en Costa Rica.
    August the 2nd is Our Lady of the Angels day here in CR. We make a pilgrimage to the Basilica in Cartago to visit Our Lady on its eve. I'll have you, Nicolás and your family in my prayers

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