Wednesday, November 20, 2019

Sailor's Birth Story

During my 3rd trimester I would always get really strong Braxton Hicks like clock work starting around 5pm. All through dinner, kids bedtime routine and when I would lay in bed they would be really strong! However, on the morning of Monday, July 29th I had them right when I woke up in the morning.



I had mentioned to Sean that I had some really strong Braxton Hicks going on while we were feeding the kids breakfast and getting Harbor ready for school. He even said, "Huh really? You usually just have them at night." Sean brought Harbor to school that morning and then he headed to his carpet jobs for the day. It was a really nice, warm, sunny day so Cove and I spent most of our morning and afternoon in the backyard. I just felt SO tired and didn't feel hungry. I tried to lay down and relax outside while Cove played (HA like that's even possible taking care of a toddler!)


I put Cove down for his nap at around 1pm and I figured I should try to lay down and take a nap too since I really wasn't feeling 100% (I never nap but so glad I did!).  I dozed off on the couch and woke up to Harbor's daycare teacher calling me at about 2pm. She called me to tell me that Harbor wasn't feeling well and was throwing up at school :( I told her I would be there right away to pick her up. My poor Harbor. So I had to go wake Cove up from his nap (he is a cranky boy when he gets up from his naps, so I knew this was going to be fun) and hurried to get him into the van. While driving to Harbor's daycare the contractions were STRONG. I remember sitting at a red light and having to clench the steering wheel while another contraction came on. Okay, am I in labor? I started to watch the clock and sure enough they were coming around every 3-4 minutes. I called my mom and sister during the drive just to let them know what I was feeling and both of them were saying, "Ash call Sean!" It was almost as though I was in denial. I just couldn't wrap my mind around being in labor at that moment! I had to go pick up Harbor and make sure she was okay!

While I was walking into Harbor's daycare I had a contraction so strong that it stopped me in my tracks and I had to breathe through it. I picked up Harbor (poor girl just didn't look like she was feeling well at all) and I started heading home. I texted Sean saying that I was getting constant contractions and that he needed to come home. So now I had 2 crying toddlers in the van while driving home with painful contractions. Cove was crying because he was cranky from being woken up and Harbor was crying because she didn't want to leave school and she kept telling me she wanted "Bubbly" (sparkling water). I don't know why exactly, but I just pulled over to a gas station that was right on the corner and told the kids OKAY I will get you some bubbly! (again I think I was in denial and just wanted the kids to stop crying and I was a little bit in panic mode!) I literally thought my water was going to break while standing in line to check out. O.M.G these contractions are REAL.

Once we got home Cove wanted to be carried inside and Harbor was throwing up onto the floor as soon as we walked into the door. It was pretty chaotic. I just wanted Sean to get home!! I headed upstairs with the kids to put Harbor into the bath and then thank goodness Sean came through the door and took over. I went into our room and started a bath for myself to labor in. Sean told me that he called his parents to let them know that I was in labor and to start driving to Kelowna! (Sean's parents were at the family cabin which is 6 hours away and they were on standby for if I went into labor before my sister flew into town to be with Harbor and Cove!) I felt SUCH a relief when Sean told me that his parents were on their way to Kelowna and would be here in 6 hours!

Sean called one of our babysitters to ask if she could head over, but she didn't answer. He called the other babysitter and she didn't answer! I started to panic a bit. THIS was the exact scenario I had nightmares about!! I was so stressed out about when the moment came that I went into labor that we wouldn't be able to find someone to watch the kids! Sean stayed calm and I freaked out a bit and said to please call his aunt! Thank goodness Sean's aunt just happened to get off work and said that she could head over right away. One of our babysitters ended up calling us back soon after and said that she could head over right away as well. Phew. So in the end we had help on the way with the kids until Sean's parents arrived.

Then Sean called the midwife and she was going to be right over to check me. The midwife arrived and said I was between 3-4cm dilated and to go ahead and meet her at the hospital!

While saying goodbye to Harbor and Cove I could feel the emotions coming over me. I just felt like I didn't want to leave them. Especially with Harbor not feeling well it broke my heart to have to leave her. I deep down knew she would be okay though and was in good hands. Saying goodbye to your babies when the time comes to head to the hospital to bring a new baby into the world is just a very emotional moment.

(had to stop to breathe through a contraction while walking into the hospital)

We met my midwife in a labor + delivery room and it all just seemed so surreal. I always thought I would go into labor in the middle of the night like I did with my other two, not in the middle of the day! It was calm and bright in the room. I just wanted to stay relaxed. I changed into my robe, Sean turned on my music playlist and I labored in different positions. I had a lot of back labor and intense pain in my tailbone area. It was very painful to lay on the bed so I felt like sitting on the ball or being on my knees and hugging the back of the hospital bed felt best.


I had asked my midwife if I could start to use the laughing gas and of course she said yes. I really find this helps relax me a bit. It sure doesn't take the pain away, but it helps me focus on my deep breathing. She asked me what my thoughts were for an epidural. We had talked about this during my prenatal check ups that I wasn't opposed to getting an epidural, but that I wasn't 100% wanting one. I didn't have an epidural with Harbor or Cove, but they were both very long, difficult deliveries and both ended up having to be vacuumed out while I pushed. This time around I wanted a different experience. Now, I know NO delivery is easy and painless, but I just wanted this delivery to be more enjoyable?? I know that sounds kind of weird, but I truly just wanted to be able to enjoy the birthing process and not be in so much pain. Sean has always encouraged me to get an epidural. He made good points about how IF baby #3 got stuck and needed to be vacuumed out then it would be a good thing that I had an epidural. I guess in my mind I just thought I have done it twice now, I can do it again. However, I kept reminding myself how badly I wanted this to be a different experience so I said yes to trying the epidural.

(he's amazing support during labor & delivery)

I was so nervous.. I hate needles. I really tried not to think about the fact that a needle was getting put into my spine. It wasn't too bad though. Felt like a bee sting. I did it. It was over. Now PLEASE kick in and let me feel some relief!

After the epidural my midwife broke my water (my water has never broke on it's own during labor) and then I instantly felt the urge to push. My midwife explained to me there was meconium when she broke my water so would need the pediatrician in the room when baby is born. I knew this was common, but since I never experienced having meconium with my first two, I felt kind of nervous. I continued laboring on the ball and with every contraction I could feel baby girl getting lower and lower.



I started pushing while laying back in the hospital bed, tried to focus on the music playing in the background to relax and listened to my husband and midwife's encouragement. I couldn't continue breathing in the laughing gas once I started pushing (dang it) and I honestly was just waiting for the epidural to kick in because I could feel EVERYTHING still. I remember a nurse walking past my bed saying something about "Oh gosh need to start this".. and I am pretty sure it was the epidural. I don't know how giving the epidural meds work, buuuut I am pretty sure I just got the initial dosage and then it was just too late once they gave me the actual meds?! I'm sure I am not wording that correctly! But I gave birth to 2 babes with no epidural and know how it feels and this felt the exact same. Worst pain EVER.



I pushed for 30 MINUTES and baby girl was born! Sean was able to catch and help bring baby girl into the world. He has always wanted to do that, but with Harbor and Cove needing to be vacuumed out he wasn't able to. I think it's so amazing how involved Sean wanted to be with baby girl's delivery and literally helped pull her out when she was born. Sean placed baby girl onto my chest and that surreal, feeling of relief and joy came over me. She's here! The pediatrician came over to look at her right away and before I knew it she was taking her away. She needed to take a closer look at baby and brought her to the NICU. I felt so scared. I barely even got a glimpse of her! Is she okay?! Sean went to the NICU with baby and said he would come back to give me an update.

(We taped my labor + delivery with our GoPro. I'm so glad we taped all the kid's births so we can watch them!)

My midwife was so empowering. She kept saying, "YOU did it! YOU did that! 30 minutes of pushing! No vacuum needed!" I loved her. She's exactly who I needed during that delivery.

I'll never forget feeling a LOT of pain down there and asking my midwife if I tore :( I was scared to hear her answer. I could just feel where it was. She explained that I did, however it was just a first degree tear and shouldn't need a ton of stitches. Thank goodness! So while I was getting stitched up I had asked if I could breathe in the laughing gas again (clearly I wasn't feeling any relief from the epidural) so I tried to just focus on my breathing while that was going on. All I could think about was how baby girl was doing. 

Sean popped back into the room to let me know that baby girl was okay and doing well! He said that she had swallowed some meconium so the pediatrician needed to suction it out of baby and her oxygen levels were lower than they should have been so she was given oxygen, but was breathing fine now and will be back in my arms soon! Thank God!


Once baby was back in my arms I was so in love. I felt so thankful. She was perfect. A new place in my heart was filled.



We were moved to a postpartum room shortly after. While being wheeled to the new room the nurses rang the "new baby" charm that rang over the speakers and the bridge outside lit up pink! I think that's so sweet that they do that when a baby is born.



We were in the hospital for a quick 24 hours and then headed home! Sean and I were so excited for Sailor to meet her big sister and brother at home!


Sailor Rae Murphy thank you for choosing me to be your mama.
I love you more than you'll ever know.

xo



Wednesday, June 26, 2019

PECS

I had talked to Harbor's speech therapist about starting to use PECS for Harbor (this is back when she was completely non verbal) and I started looking into them more since I had no idea how it really worked. What I DID know, is that I wanted to try everything and anything to help her communicate with us and be able to tell us what she wanted. A lot of Harbor's frustration and meltdowns were due to her not being able to communicate with us and tell us what she wanted/needed.

PECS 
Picture Exchange Communication System

PECS allows people with little or no communication abilities to communicate using pictures. By using PECS it helps the individual initiate communication, use eye contact, request something and practice saying the word of the picture. 


My biggest concern with starting to use PECS was if it would actually make Harbor NOT use her words and make her rely on PECS instead of using her words and trying to talk. Her speech therapist explained that it's actually the complete opposite! Using PECS would help Harbor with her development of spoken language. It's easier to just say the word (once she can) than to go find the picture and hand it to someone. Which makes sense!


I was told how some children might take a while to learn and understand how PECS work and some may only be able to make sense of PECS that are actual pictures of their actual items (ex: a picture of their own bed, a picture of their own backpack) but Harbor seemed to be able to understand pictures that weren't HER own things (ex: a picture of drawn blue shoes) and she understood they were shoes. So we skipped taking photos of everything (it's very time consuming!) and I searched online for a place to order PECS from.


I found a store on Etsy called Smile4Autism and felt like it was exactly what I was looking for! Here's a link to the shop: https://www.etsy.com/ca/shop/Smile4Autism?ref=search_shop_redirect


I wanted to dive right in and get started so I ordered the binder that had organized tabs and 156 PECS. 





I also ordered the Daily Schedule


Along with the binder of PECS came with a removable velcro strip that is great for allowing Harbor to form sentences on and make requests while handing me the strip...



At around the same time of receiving the PECS in the mail was when Harbor also started making HUGE progress with her speech! I really do believe using the PECS though helped her even more! Harbor has learned to say new words as well as how to say, "I want ___ ". Which is HUGE! 

I would say the Daily Schedule has made a big difference in our daily routine as well! Harbor (and Cove) really enjoy seeing what is on the "chart", completing the task and then removing the picture and placing it into the "All Done" bin. Harbor gets excited to go see what's next on the chart and seems to really help our morning and night routine go more smoothly. Now this Daily Schedule chart isn't just for children with autism. It can be used for ALL children and is a great visual guide! All children like to know what is going to happen next and not be caught off guard by the unknown. So I really do highly recommend a Daily Schedule for all toddlers!!

 Our very first "trip" away was really hard on Harbor and when we returned home she went regressed. Her separation anxiety was through the roof, her behavior and meltdowns got worse and she showed a lot of sign of just overall stress. So with our trip to Mexico coming up in 6 weeks I was REALLY nervous about how Harbor would respond. I wanted to make sure we did more in prepping her for us to be leaving for a week and grandma and grandpa coming to stay with her and her brother.

Harbor's Behavior Interventionist (BI) created a Social Story with using real life pictures to create a story about Harbor's mom and dad leaving on vacation, grandma and grandpa coming to stay at Harbor's house and then mom and dad returning home! We started to read this Social Story to her every night before bed a little over a week before we were going to be leaving on our trip. I couldn't tell if she actually understood the story, but we kept reading it to her and she liked it!


We also had her BI create a calendar with pictures on it to show Harbor the day that grandma and grandpa arrived, the day mom and dad left on an airplane, the days she went to school, the days she had soccer practice and the day that mom and dad came home! It was a great visual schedule so she could SEE what was actually happening everyday. While we were on our trip grandma and Harbor would look at the calendar every morning and night and cross off the days that passed. I didn't get a picture of the calendar unfortunately to share, but it was a very simple, large calendar of the month of May and had the pictures printed on each day.We will continue to use PECS with Harbor and hopefully we will one day get to the point that we don't need to, but until then we have been finding a lot of success with them! If any mamas have any questions please feel free to reach out to me. I hope this helps!                                                                                                                                                         xo Ashley







Friday, January 4, 2019

Harbor Amelia Part 2

On our way to Harbor's assessment we kept positive vibes and didn't want our nerves to get to us so Harbor wouldn't feel it. We played some of Harbor's favorite songs during our drive and Harbor kicked her legs with joy and looked out the window. When we arrived my heart started racing. While walking into the building Sean and I held Harbor's hands, counted to 3 and swung her into the air as we walked. (We wanted to keep her mind off the fact that we were walking into this business building and her not get freaked out.) It was working! 

Once we walked in the Psychiatrist greated us and lead us to a room that was filled with toys. We started to show Harbor some toys to get her interested in playing. The room had a one way viewing window with a little room on the other side where Sean went to sit in and watched the assessment.  The Psychiatrist explained she would like just one of us in the room with Harbor for less distraction. I sat in a chair along the side of the room and only was involved in the assessment if Harbor came to me to interact. The assessment consisted of different evaluations and the Psychiatrist took notes and filled out her forms as she interacted with Harbor. Harbor did great! She wasn't nervous at all. She played very well and listened to the instructions. It was very interesting to see the different activities the doctor wanted Harbor to do. From putting coins into a piggy bank, throwing balls, blowing bubbles, having a tea party, pointing out objects in books, listening to two, three step commands and playing with play-doh. The assessment with Harbor was about an hour and a half long. While watching Harbor interact with the doctor I felt so relieved that she was being herself, not nervous, or freak out and spin into a meltdown. I was just really nervous they wouldn't be able to get a good reading of Harbor.
Then Sean and I went into the Psychiatrist's office for an interview while a staff member stayed in the assessment room and played with Harbor. Our interview was almost an hour long. We started from the very beginning talking about my pregnancy with Harbor, my delivery, any complications after birth, when we started to notice red flags and felt concerned, the progress Harbor has made in the last few months and just about every little detail of Harbor's likes, dislikes and behavior. The Psychiatrist took notes on her laptop as Sean and I talked and would ask us more detailed questions.
At the end of our interview she said she would like about 30 minutes to review all of her notes and then will meet with us to discuss the results.



We walked to a near by coffee shop, grabbed a coffee and Harbor a treat. We both felt satisfied with the assessment and were so proud of Harbor and how well she did! I told Sean that I felt relieved it was over, but now felt nervous to go hear the results. I felt nervous like I was going to go hear the results for a big test! I deep down in my gut knew what we were going to be told, but then I would find myself thinking about how well she did during the assessment, how well she interacted with the doctor and how well she listened to instructions. It was like a back and forth game in my head (and has been since Harbor was 18 months old) that maybe she does show signs of autism.. but gosh she is so smart and GETS it. She is just a busy toddler! The ping pong mind game just needed to end.

We went back into the assessment room so Harbor could play while we talked with the Psychiatrist about her results. She began reading off all of the things Harbor shows "typical" scoring for and then listed all of the things that she was "below average". Honestly I don't remember everything she said. I was too nervous. But she said a sentence like, "Harbor does fall on the Autism spectrum." And my heart stopped. I remember in that moment just having SO much rushing through my mind. 
Okay.
We have an answer.
It's going to be okay.
Harbor will be okay.
We can now get her the help she needs.
I didn't tear up. Sean and I knew deep down this is what we were going to be told. I would have been MORE shocked at this point if the Psychiatrist would have told me Harbor was NOT on the spectrum. But deep down that's what I wanted to hear. No parent wants to hear there is something "wrong" with your child. Or have them be given a title.

The doctor then started handing us a lot of paperwork and forms. A LOT. She started to explain our next step, how we will receive a detailed assessment evaluation summary in the mail in a couple of weeks, how to register for Autism Funding, where to find out which therapy providers were available in our area and lots of information to read about autism.

OVERWHELMING. That's what it was.

It's like this new gate opened and we have to hit the ground running. And that's exactly what I did. I wasn't waiting a minute to get everything started for Harbor. I felt like so much time had already been wasted. I started researching, looking up providers, filling out forms, setting up an appointment for registering her for the Autism Funding that BC provides for families (which is HUGE and such a blessing).

Within 2 weeks we had Harbor's funding applied for and in process, weekly speech therapy appointments scheduled, Harbor's first Occupational Therapy appointment scheduled, a meeting set up to talk with a Behavior Consultant and Behavior Interventionists and I discovered a lady that lived in our city who was a huge advocate for families living with autism. She sends out emails with information about autism and local autism programs in the community.

After our first appointment with Harbor's Behavior Consultant and Behavior Interventionists I cried. For the first time ever I felt relieved. I felt like Harbor now had this amazing team behind her. I felt like Sean and I didn't have to figure it all out on our own. I didn't have to sit on Google for hours. I had actual people to talk to and ask questions to who KNEW and understood my child. I can't even explain what that feels like. Things are happening.



We now have a plan for our babydoll. We know what we are focusing on and what she needs for support. I'm not going to lie, the unknown still kills me. We just have to give her the best support possible to help her succeed in life.

They say once you've met one person with autism, you've met one person with autism.
Everyone is unique. Everyone shows different signs. 

There are many different symptoms for autism:

Very little or no eye contact                    
May not respond to their name being called
Toe walking/awkward movements        
Head banging, hand flapping, rocking
Picky eating                                          
Odd behaviors/repetitive behaviors
Lining up objects or toys                        
Interacting with the same object or toy over and over again
Speech delay                                          
Pressure seeking or avoiding 
Lack of interest in others                        
High energy- goes from one thing to another
Delays in gross and fine motor skills    
Sleeping issues
Over/under response to sensory input    
Inappropriate responses to unexpected change in routine

That's just to name a few signs of autism.

https://www.autismspeaks.org/what-are-symptoms-autism

For Harbor her autistic characteristics were/are:

Lack of eye contact              
Speech delay/regression 
Picky eater                            
Stimming- humming. Harbor has always hummed while she eats.
Under response to sensory input- could fall and scrape her knees and show no reaction. Very high pain tolerance.
Movement seeking- the faster, higher, more movement the better. Her body seeks movement.
Tip toe walking
Sometimes responds when her name is being called
Some odd movements with her hands
Some meltdowns due to change in routine
Chewing- Sensory seeking of chewing on something. You may notice Harbor often has a necklace on (Chewlery) which is jewelry made to chew on.




We now have the help and resources to help Harbor with these behaviors. Our schedules are very busy between Sean's work shifts, my work shifts and Harbor's schedule.

Mon, Wed, Fri - Daycare 
Harbor has a BI (Behavior Interventionist) that assists her for a few hours at daycare to help her with her goals. From sitting at the table with friends during lunch to interacting with her friends and sharing toys.

Tues + Thurs- Activity 
Harbor was in swimming lessons, but we are now going to enrol her into another activity to keep her busy and having fun! She's a busy girl and needs movement.

Tuesdays- Speech Therapy 
Working on speech (obviously) but also finding what works for Harbor to communicate with us as she is non-verbal. We are starting to use PECS (Picture Exchange Communication System) so she can tell us what she wants/is trying to tell us using pictures.

Wednesday- Occupational Therapy 
Working on her picky eating and ways to get her comfortable with trying new foods as well as sitting still at the table to eat. We also work on Harbor's sensory issues (humming, chewing, seeking movement and interaction with others)


We are all learning as we go, that's for sure. I learn something new every therapy appointment. After some appointments I do find myself feeling overwhelmed with all the information and what we are supposed to focus on for the week, but it feels great to have Harbor on the path she needs to be on.

One fellow autistic mom I follow on Instagram wrote a sentence that I really loved and hit me hard..

"We make them succeed."

It's so true. I will do everything in my power to help Harbor succeed. I will research for more answers and resources. Being in denial will only hurt her and hold her back from the help she needs. It's hard to accept and still scary to me, but I have to be strong for my daughter. It's our job as a parent. We will give her the therapy she needs. We will push her out of her comfort zone to reach her goals. And we will support her with love and strength through it all.

She will succeed.


If you see signs of autism or any red flags from your child my biggest advice to you would be, don't wait. Early intervention is best. If you (or maybe others) have questioned your child being on the spectrum have them be assessed. There is only GOOD that will come from being assessed. So maybe your child doesn't end up being diagnosed with ASD.. you can still find other answers to the questionable symptoms that brought you in for the assessment. But, if they do end up being diagnosed with autism or any other diagnosis then you can now be given the resources and support your child needs to succeed.

xo Ashley