When I was 32 weeks and 3 days pregnant, my sister in law went into labor with her twins. She was only 21 weeks pregnant. The twins were born in a hurry and she nearly hemmoraged. We rearranged our lives and rushed down to Fort Worth to be with them. We met the twins, Luke and Levi. We hung out, tried to practice the ministry of presence, and help our family process what was going on. We couldn’t stay long - they were born on Wednesday, we came down Thursday and went home on Friday. I was in charge of a swing dance event that started Friday night and so was out, distracted, at that all weekend. On Friday we learned they had pretty bad brain bleeds. By Monday, they were both gone.
I was devastated, and I was scared, and I was sad. I was also full of awkward questions and awkward feelings. My baby shower was planned in Norman for the next Saturday. What were their plans for a funeral? How do you ask those questions? What’s selfish? Why did there have to be this cloud over my happy day?
We ended up having the shower on the scheduled day, May 5. The memorial service was the following Saturday, May 11. We travelled to Fort Worth for the service and I hated being there. I was 35 weeks pregnant at this point and its really awkward to be pregnant at a memorial service for babies who were not supposed to be born yet. I didn’t want to sing any of the songs. I didn’t want to get sad. I couldn’t put my brain in what it felt like to be James and Carley. I desperately wanted nothing like this to happen to me.
So, we went home. On Thursday afternoon I remember working on my computer and feeling Frankie move in my belly. Then later we had dinner, and she didn’t move during dinner, which was odd. I told my husband and laid down after dinner to see if she’d move, but she didn’t. I was scheduled to babysit not one but two different sets of kids first thing in the morning, so I thought I would wake up early and see if I could get her to move. If not, I’d call the doctor and have to cancel on my friends. I went to bed mildly concerned, but was able to fall asleep. Then I got up to pee at one in the morning and she didn’t move then, either. I started googling and that’s when I got really freaked out. I don’t remember what I read! But I knew it was serious and potentially involved going to the ER.
I had set an alarm for 6:30 but I shot out of bed at 5:30 am. I grabbed a bowl of cereal, sat down to take a bite, and almost immediately Frankie moved a handful of times. (I think I wrote originally it felt like 30 times.) There was a flurry of movement, and I burst into tears. Elliott was up getting ready for work so he had a limited capacity to talk with me, but I cried and he held me while I explained that I was really afraid and didn’t know how afraid I’d really been.
I switched, then, to relieved and went about my day. I told my friends what had happened and we talked about how scary that must have been. I wanted a Sonic drink between babysitting gigs, and called my sister to tell her what had happened. Right before we got off the phone I remember she said, “Yeah I know stories of people who waited like three days without movement and their babies died.” Well that was HARSH and SCARY and I wished she hadn’t told me that! But it planted the thought in my brain that something could be wrong because, if I stopped to think about it…I hadn’t really felt much movement all day since then.
Here’s what I knew about baby movement: I remember the rule that baby should move 10 times in 2 hours, and “a moving baby is a healthy baby.” I know my nurse practitioner asked every appointment if baby was moving, and the answer was yes. I also knew that my daughter generally didn’t move 10 times in 2 hours. I also knew that I was working VERY part time, and I didn’t have two hours to lay down and count kicks. It felt like a ridiculous expectation that moms should be counting kicks like that, and so careful and unrealistic that I filed it under “scare tactics and fear mongering.”
The other thing was: I had no idea what I was supposed to do if I noticed she wasn’t moving, and when. A plan was not ever communicated to me. I didn’t even know that there was such a thing as an on-call nurse that you could call at any time of day. I thought that if my doctor’s office was closed, my only other option was to go straight to the emergency room. I’d also heard stories of first time moms who showed up at the ER thinking they were in labor, when actually they were just having gas pains. There seemed to be a general sense of stupidity floating around the stereotypical first-time mom, and I did not want to be that girl.
I don’t like telling the next part of the story, and I’m not sure why.
I was talking over the whole thing with Alex when she got home from babysitting, and we brought up my at-home doppler. I had a doppler that I never used, because I didn’t have any petroleum jelly. We decided I’d feel better if I could hear her heartbeat, and so I almost bought some at Walmart, realized they didn’t have any, and ordered some on Amazon instead that was to be delivered the next day. I felt better after that - I could just hear her heartbeat on Saturday, and if anything was still weird I’d call the doctor on Monday.
The other thing on my agenda was to cook dinner for friends who’d just come home from the NICU with their baby. So I went home and got to work on that. While the food was cooking, I called Erin and told her what was going on. She’s the first person I remember telling that my daughter hadn’t really moved all afternoon, or at all that I could remember since that morning. We talked in circles about what could be wrong and what steps I should take. I was toying with the idea that I should go to the ER - but Elliott was at work, and he wasn’t responding to my text messages, and I was afraid he would think I was irresponsible or overreacting if I went without talking to him first.
I actually don’t remember what happened first - I think that, after my food was in the oven, I sat down and got back to googling “office closed baby not moving” or something. I found a PDF that said to call the office or go to the ER and do NOT use an at-home doppler, because it can give a false-positive impression. There can still be a heartbeat but the baby can be in distress.
So I called Erin and basically it came down to money and looking stupid. She said “Elle you will meet your deductible this year, so it’s really okay if you go to the ER. If something is wrong, you want to go. I don’t think anything is wrong, but even if there isn’t anything wrong you’d get peace of mind!” That convinced me to go - after delivering food to my friends.
On the way to deliver food I called my Bradley instructor, and she said that she can’t give medical advice but yes generally baby should have moved by now, so going in was a good idea. I delivered food to my friends and they were the ones who told me that the nurse line existed. She said, “She’ll tell you to go straight in, but go ahead and give them a call.” So I left and went on my way to the hospital. Elliott was at work upstairs, and he hadn’t seen my text message, so I went upstairs. When I got to his unit, the nurse called me back and explained that their measure for an ER visit is ten movements in ten hours, which I hadn’t had at all. She said yes I should go in. Armed with that, I went and saw Elliott and explained I was going downstairs to check in.
To back up: I had the eeriest feeling walking into the hospital, and I’ll never forget it. I looked cute and had my little black purse. I felt fine, aside from the low anxiety in the bottom of my stomach. It was sunny and around 6:15 pm. Everything looked normal and I felt totally normal but I thought as I walked in that maybe everything was about to change…and I was right.
The eerie feeling came back after I left Elliott’s floor. I walked out of the elevator and, instead of turning left to go to my car, I turned right and approached the ER from inside the hospital. I walked up to the desk, totally fine, and said, “I need to check in, I have decreased fetal movement.” They brought me a wheelchair and pushed me to the other side of the hospital. Red-headed Riley met us halfway, the OB ED nurse, and took me to her unit. She had her hair braided cute and I mentioned it during our small talk. She said, “Yeah, I shouldn’t have done it this way, usually when I do things don’t go well.” We both laughed.
We arrived at the room and I felt like a phony. I felt so normal that I expected them to start laughing at me at any moment. I just knew that she was fine and I was overreacting. They had me get into a hospital gown first thing, and I needed to go pee. They did a quick check to hear her heartbeat and they found it. Then the doctor came back and said she wanted to start an IV (and admitted that this might sound a little over-kill) to get me some electrolytes. They kept asking if I had eaten recently (I hadn’t, and I was starving!) Riley had a really hard time getting my IV set up. They were concerned that I was by myself. I kept explaining that my husband was upstairs and he’d be down just as soon as his shift was over.
The doctor ordered a Bio-Physical Profile (BPP) and I was elated. I got to see my daughter for the first time since 20 weeks! I oohed and aahed and made small talk with the ultrasound tech. I asked about my placenta. I learned that she was breech - folded up like a lawn chair. Her head, hands and feet were all right next to each other, and in some ways that made it even more strange that she wasn’t moving. We watched as she just continued to not move for thirty minutes. After twenty minutes, the tech pulled out the duck call. She put it right at the top of my tummy and that crazy loud sound did nothing - still no movement.
With three minutes left on the 30 minute clock, Elliott finally arrived. I think I gushed to him about how beautiful Frankie was. He jumped straight in after meeting the tech and asked if anything looked abnormal (oh, why hadn’t I thought to ask that?) She said something about the amniotic fluid, I think that there was slightly less than you’d expect for this stage of pregnancy. The test ended and the tech went to report that she hadn’t moved. I heard them talking in the hallway with resigned, urgent tones of voice.
They turned the lights on. I was freezing and shaking from the electrolytes. The doctor came in and two nurses and they gave me a mask. The doctor said, “I know this isn’t what you want to hear, but we need to have a baby right now. We don’t know what’s wrong, but she is giving us every indication in her ability to tell us that she is not well and her environment is not good and she needs to come out.” Elliott asked if we could induce but I knew from her facial expression and tone of voice that that wasn’t going to happen. It had not occurred to me until this very moment that a c-section was a possibility. Never crossed my mind. And suddenly I realized how grave the situation was, and the reality that I was about to have surgery. We fumbled through a couple of words - I think I said, “Oh shit” - and then I said, “You’re waiting for me to say okay, right?” And the doctor said yes.
I did not want to say yes. I did not want to choose to have surgery. I was terrified. It was one thing for a scary thing to happen to me, but it’s another to have chosen it. And yet, I knew it was the only choice. How could I choose anything else?
So I said “yes” and started signing a bunch of forms. I asked what the mask on my face was and learned it was oxygen (my first thought was that it was laughing gas, but I really wasn’t sure.)