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Family Spotlight with the NICU

with the Brown Family.

In this video, the Brown Family discusses their personal experiences with the NICU.

Transcript

Hi, I’m Stacy Brown, mother of five, the last of whom were unexpected triplets, born at 28 weeks, 5 days. Altogether we have four girls and one boy. Howdy, I’m Eric Brown, the proud father of the five, including the one boy who I like to call my Lone Ranger. 

How long did your baby stay in the NICU?

So with multiples comes a multiple of factors, no pun intended. We were told that there would be the possibility that they could all come at the same time. Two could come home, one would be there, one could come home, two be there. Just all the varieties of ways in which they could come home. What ended up happening is one of the girls came home at 55 days and then the other two came home at 73 days. 

What were the procedures for visiting in the NICU?

So the NICU did have controlled access for both to control security and exposure for not just our babies that were in NICU, but all the babies that were in the NICU. There was a phone that you’d call and the charge nurse would answer it and you would tell her who you were there to see, and then she would buzz the door. You’d go in and it was a room with big sinks and you have to wash your hands for three minutes and then you could go into the NICU. This was a procedure you had to do every time. So even if I had to step out into the hallway to take a phone call, when I go back in and had to call the charge nurse and wash hands again and that was just for safety, security of not only our children but all the children in the NICU. 

So another thing to note was that we actually had a list for our family that was maintained by the nurses and each family represented in the NICU or each baby represented in the NICU, you could put I believe it was ten people on your list who were approved to go in and see your babies and it as our time in the NICU progressed that dwindled a little bit as some precautions got tighter due to flu season and RSV season. But, our older children were able to go in and see the NICU and see the babies. We all had to wear the yellow gowns when we were going to hold the babies and typically each person was only allowed to hold one baby a day, which was very difficult for me as mom going in to see three babies. But I definitely understood the reasoning why we were not near our home so we couldn’t go and shower or clean up between babies. So there was always the chance of spreading germs and they didn’t want that to happen and of course, neither did we. So it was important that we maintained those sanitary procedures. So the gowns in addition to also shoe covers, I believe were also necessary. 

How did you deal with the emotional aspect of the NICU, and what ways were you able to bond with them?

So for me, one of the best things about our particular NICU experience is the nurses and doctors. The staff as a whole was amazing and welcoming. Oftentimes you hear about dads not necessarily being treated equal to mom. However, that was not our experience. And as I’ve actually come to find out through volunteering with March of Dimes that we actually had a very great and positive experience that a lot of dads don’t get. But me as a father, the nursing staff, doctor staff, treated me the same as mom. They always, we had primary care nurses who whenever they would call and check in, since they knew I was living back home in College Station and the girls were in Houston, they would do the daily report for Mom, who was generally at the hospital at the time. But then the evening report, they would always call me and give the girl stats, how they’ve done that day, what their feelings were like. And then also they would just check in and say how’s the week been going for you Dad? How are things going with the older two? So they really focused on providing a whole health care for us, not just from the physical aspect, but checking in on our mental health as parents and to see how we’re doing. With the hospital and the visitation, they had 24 hour access, which was nice because again with our children they were actually only limited to 20/30 minutes of time during their visit and oftentimes on weekends whenever everybody was down, I would wake up like at three in the morning and just go to the hospital and hold babies for two or three hours and. Luckily I had a lot of button up shirts and so what I do is just sit there, unbutton my shirt, put them in and do the kangaroo care and just hold hold babies, you know? It was a tough experience but loved every minute of it. 

We also were blessed to be able to access some resources that the hospital provided for us. There’s a child life specialist on staff there who was able to, when our older children did come visit, you know, she would come in and do visits and explain to them what those wires were for on their sisters, why they needed to wear those, that they weren’t hurting them, this is how we put it on. You know, when you’re holding them, make sure that it stays where it’s supposed to. And so that was great to have that explanation, not just for them, but for me too, for me to understand why they were wearing things and to know that those weren’t so scary and that it was okay if one got bumped off here and there and one could pull tubes out. And she did. And so having that explanation of those resources was really great for us, as well as family support from the hospital itself. OK, quick pause. Falling off again. 

How did you manage two children at home and three babies in the hospital, and how difficult was that?

It was a juggling act and then some. You know, I was working full time, had to, no choice. The children had school. We were very lucky in that we are public educators. We know the system and have friends that work in all districts and their teachers. We were friends with the counselor at their school that our older two would go with. So she was on top of them as far as making sure all their needs were met. And we’re able, kind of knowing what we would be facing that year, she very specifically picked out all of their teachers for them, knowing that they would just need more than an education that year. For me, as dad, just did a lot of driving. For two months, I had logged think roughly 7000 miles. Driving back and forth to Houston was worth every minute. Would have to say that family and friends came out from everywhere. Her sister lives in Houston. My parents, both of our parents, are from Waco, so we had family very close by. We have lots of friends from having been in the community for the amount of time we have. We had friends all the time doing stuff. Like I would come home Wednesday from my midweek visit to the girls and would find gift cards under our doormat. We would, Sunday evening when I was driving back with the older two kids, be getting phone calls, say, hey, I know you are headed back from Houston, what time you going to be back? And that I expect to be back around this time. Like okay, well, dinner will be at your house by this time. 

It was a very, very coordinated effort of the community around us I would say, that kept things going back at home, and kept me in Houston. Truthfully, I was very lucky. When the girls were first born, we immediately began planning. I said I’m not leaving them here at the hospital without me, and we didn’t know how we were going to make that work. And our community around us really rallied. And through the kindness of friends who reached out to their friends, I ended up moving in with a sweet retired couple in Houston who had never met me and I had never met them. And they said she can come live with us. And they became our surrogate grandparents and would drive me back and forth to the hospital and pack my lunch box every day and just were amazing. And Eric would come when he would come midweek, he would also stay with them. When he would bring the older kids up on the weekend, they would come and stay with them and swim in their pool. And we just became family. And so, knowing that there was such a coordinated effort from our church family and our community back home, who really, like Eric said, rallied around and made sure every need that we had was met from the lawn being mowed, to the house being cleaned, just laundry, everything, we could rest assured that if anything came up that needed to be taken care of, they were going to be there. Including when the girls were transferred from Houston back to the hospital and College Station, we had a team community of people who were waiting outside the hospital to meet them and pray over them as they walked inside. So it was really, we learned a lot about our community during that time. Which was very important because you hear about the quote unquote “pregnancy brain” and things that happen, well NICU brain is about 1000 times worse. 

What kept you going while all the babies were in the NICU? At any point, did you feel like losing hope?

I think for me, because I was there really every day and seeing the babies around us who were not as blessed as we were and whose moms and dads couldn’t be there with them every day and who had to go back to work. And there was no other option. They didn’t have, they weren’t blessed with the community that we had. So knowing that I needed to take advantage of the fact that I could be there and just be so thankful that I could be helped me a lot. And knowing that it wouldn’t be that way forever. And that all my babies were healthy and that they were going to go home when so many around us were facing such harder trials than we were. And babies who were so sick and had been there already for so long and just had, they didn’t know when they were going to get home. And so being able to appreciate my situation but also walk through with other families really meant a lot to me in my journey. And knowing that my kids were in such good hands with their dad back home. 

Say the theme “fight like a preemie”, the girls showed it every single day. The good thing that the NICU nurses and doctors do is they celebrate every single milestone, no matter, no matter how big or small. I mean, if it was today they went from 8 millimeters to 10 millimeters of feeding. They were celebrating. It’s today they kept their feeding tube in for the whole feeding. As you mentioned Sylvie did not cooperate with that and we had a friend that had to crochet an octopus which we will bring one day. But every single victory no matter how big or small, the NICU staff made sure we were aware and celebrated. And so it was, it was very good because it showed that progress is progress no matter how big or small it is and it just showed that they were improving, they were getting healthier day by day, bit by bit and that there would be an end to the journey. They couldn’t tell us when. And didn’t want to tell us when to not get our hopes up, but they could always assure us that hey, this is progress, we are moving forward. Every child is going to move at their own pace, but we are moving forward. And so just having that constant, not only having that constant, hearing that constant reassurance, but seeing it, seeing them grow. Remember the first day that she sent me pictures like, “Look real clothes” and like, “Oh my goodness, that’s so amazing.” Now they are preemie clothes and they still swallowed them up, but it was wonderful because they had only been swaddled up to this point and couldn’t wear real clothes. And so now that they’re big enough to actually put up real close, it’s like it was a huge thing for both of us to see them, like now they’re almost they’re real, they’re real babies. 

What aspects of the NICU surprised you?

The bedside manner. Doctors and nurses, as I’ve spoken on many times, that’s one of the things that I will admire, brag about, tell everybody about till the day that I die is that the care provided by the doctors and nurses, again, not only for our babies, but again, how much they focus on what I tell people as a whole family care and they’re they’re concerned for my health, my mental health, my well being. Their concern for moms, mental health moms, mental well-being. The NICU nurses, you know, we were in there for several holidays, so like two of our primary nurses both made these amazing goodie bags for our older children for Halloween. They, just their, you know, our doctors experience that one just been minimal because. We’re both healthy had never had really any surgery and things so didn’t know what to expect but we had been told we do have friends who had been babies in the NICU and one of the things that one of them told us was actually one particular friend. Whenever we found out that she was being life flighted and she came to visit me at the hospital before I raced to Houston, she hugged my neck and she told me the last thing she told me was you’re about to meet the most amazing medical people in the world and. It’s definitely true. 

That being said, I think it’s, I’ve talked about how lucky we were and we’ve heard so many stories from other families who had children in the NICU who didn’t have the same experience that we did. So we do realize that every experience is different. But ours was incredibly blessed. We were also blessed in that our babies were such fighters and were so healthy to begin with. And like I said, we didn’t have surgeries, we didn’t have sickness, you know, and so many other families dealt with so much that was so hard. And so I think that that maybe was the most surprising for me. I guess within NICU families, there’s a saying that the NICU is a roller coaster and some days you’re at the top and you can get to the bottom just as quickly. And we, we did have days like that, especially early on where you know when things weren’t so sure and they weren’t so strong and they weren’t so healthy yet and we would be doing really well and then the next day we would tank. And we were having a lot more episodes of apnea and breathing stopping, and a couple of times when they did have to be resuscitated early on, or caffeine things, things like that. So I think that maybe was the biggest shock for me of the NICU, I guess, is how different one day can be from the last. You can leave one day thinking, okay, we’re doing great. Like they were awesome today. There were no problems. I remember talking to Eric at 11:00 o’clock at night sometimes and being like, yeah, they were all doing so good today. They looked great. And then I would get there at 8:00 in the morning and they would be like, yeah, we had 14 Bradys during the night and it was like, oh, but I thought we were doing so well. And, you know, the same with other families around us that, you know, one day was great and oh, they’re talking maybe we’ll go home this weekend, but then, you know, go home day would come and it was no, we’re going to be here another week. So just how different I think every day could be, and riding the NICU rollercoaster, quite literally, I think was a shock for us. 

Along the same lines, when talking about the NICU roller coaster, one of the surprising things, which is good, is how serious they do take their health care, and the apnea and the breathing and the heartbeat. Sylvie, who is the one that discharged first, her initial discharge date, she actually had an episode of that and they said no, she’s not going home today. We want to keep her for three more days to monitor and make sure that this doesn’t happen again. So while at that time it was very disheartening because we were so excited already had taken off from work and we were ready to bring her home, but that happened. But at the same time we know that there’s a reason for that happening, that it’s good that it was there and that they’re professionals are taking it that serious, and they weren’t going to waive because we could get home and she could have it and we don’t have any of the fancy monitors or machines hooked up to her and something could happen while she’s sleeping and we would have no clue. 

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Overcoming Post-partum Depression Acceptance is Key

with Tara Maxa.

How did you deal with feelings like fear and apprehension during and after each pregnancy?

In this video, Dr. Tara Maxa, MSN, RN, RNC-OB, C-EFM, CNE, RNC-IAP, CHSE, discusses overcoming Post-partum Depression.

Transcript

My name is Tara Maxa and I am an RN, but I’m also an MSN. I teach nursing students at the School of Nursing for Texas A&M, but I’m also by trade a labor and delivery nurse and I have practiced for about 12 1/2 years now.

How did you deal with feelings like fear and apprehension during and after each pregnancy?

That’s a hard thing to do because as a new mom, you just want to take on everything yourself and you’re going to take care of the baby, and that’s, you know, that’s the job we were told we were going to do. And so, you know, it was very hard for me to just admit to myself that something was wrong. But also, you know, understand that it wasn’t anything I was doing wrong. It wasn’t anything I’d caused. It was just how my hormones were regulating themselves after the delivery of the baby, how my brain is and, you know, that was okay. So really asking my support people for help really, you know, allowing them to help me get through those times, I think, is really what helped me go through those, those challenging times. But then also I think it has allowed me to help take care of my friends and my family better because, you know, those people may not always ask for help. It’s going to be very hard for them to. But to say, you know what, I’m going to come bring you dinner tonight or I’m going to help do your dishes or I’m going to help, you know, watch your baby while you take a nap. Those kinds of things, they just make it. This has given me the opportunity to kind of see it from a different point of view. So now you know my babies are older, I don’t have postpartum depression or anxiety anymore, I will mention that if you have a history of anxiety, depression before or any kind of mental illness in your family or you’ve you know kind of been going through some struggles or times, you may be more at risk for postpartum depression and anxiety. So to know that about yourself, to know that it’s common and there are things to help you, I think that is a huge advantage going into this and knowing that there is help out there, that you know you’re not alone if you do experience these feelings and that, you know, try not to shut people out. Those people who want to help you, let them in. Let them help you. Because you know you’re wanting to take care of this baby and you want the best for your baby. But you’ve got to take care of yourself too. You’ve got to make sure that you’re healthy so that you can provide the best care for your baby. 

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Personal Experience with Post-partum Depression

with Tara Maxa.

How was the transition from the first pregnancy to the second, the third, and the fourth?

In this video, Dr. Tara Maxa, MSN, RN, RNC-OB, C-EFM, CNE, RNC-IAP, CHSE, discusses her personal experience with Post-partum Depression.

Transcript

My name is Tara Maxa and I am an RN, but I’m also an MSN. I teach nursing students at the School of Nursing for Texas A&M, but I’m also by trade a labor and delivery nurse and I have practiced for about 12 1/2 years now.

How was the transition from the first pregnancy to the second, the third, and the fourth?

Thank you for asking because I do feel like this topic is not talked a lot about or talked enough about, and for me personally, I do have four children and when we had our first little girl, the feelings that I had, I was very worried. I was very anxious. I couldn’t sleep because I was worried about her. But I didn’t identify that as depression. I just thought that was normal or I just thought it was something I was going through. When we had our second baby, which was less than two years later, I noticed that those symptoms came back and they were a little bit more pronounced. I was not wanting to sleep. I was always worried about the baby. I, you know, there was a certain time at night, usually, you know, 5:00 or 6:00 PM in the evening that I would just get this really bad feeling, this feeling of dread, this feeling of grief, couldn’t really identify it, but I knew that it was going to happen every night. And it just kept happening. So, after a couple of months, those feelings started to go away and you know, I took care of my babies, stayed busy with that, but didn’t really identify it as a problem at that time. 

Now, in between my second and third, I went to nursing school and we talked about depression and we talked about anxiety and I realized that I was showing some of those symptoms but couldn’t identify them at the time. When I had my third baby, I started to have some of those feelings of anxiety and depression towards the end of my pregnancy and I was very worried about the baby. Those feelings that I had with my previous started to come back and they, again. were more profound. So every time you have a baby, these symptoms of anxiety and depression are going to get more intense with each pregnancy. So I went ahead and talked to my provider after delivery and said, you know, I’m feeling very bad. I feel sad. I’m worried about the baby all the time. I don’t wanna eat, I don’t want to shower. I don’t really want to take care of myself. All I want to do is take care of this baby and I don’t want anybody to help me. So she said it sounded like I was having depression and some anxiety and so she went ahead and prescribed me an antidepressant. 

So after I started taking the antidepressant I, you know, those medications can take a couple weeks to kind of start working. So I would say by about four to five months is when I really started to feel a lot better on the medication. I wasn’t worrying about the baby as much and I was getting back to my normal self. So when we decided to have our 4th baby, I knew those feelings were going to come back and I was very worried about those feelings. That actually gave me some anxiety to know that I was about to go through this very big change and have those feelings again. So I went ahead and talked to my provider and I was started on an antidepressant my third trimester, about 36 weeks before I delivered so that the medicine could get in my system and then hopefully help with some of those feelings after the baby was born. Unfortunately, the feelings came back very strong. I was in the hospital with them and I’m very thankful that I was started on the medication early because I don’t know how bad those feelings would have gotten without the medication. But, I would say it took me about a year to start feeling myself again after everything. 

As far as the transition, as far as maternal anxiety and depression, I would say the symptoms became more pronounced, but I was able to identify them more with my third and fourth pregnancy. And I also recognize what I needed in that time to help me get through those things. I think with my first and my second. I didn’t want to talk about it. I couldn’t identify it. But I also realized that I was feeling very different than what most, or what people tell you you’re supposed to feel like, right? So you are supposed to be happy, and you’re supposed to be excited about this baby. But I was feeling quite the opposite. And so I felt like I was doing something wrong. That was not something I wanted to talk about. That was not something I wanted to share. I was embarrassed. And I kind of wanted to know what was wrong with me that I wasn’t excited.

Now, absolutely I loved my babies, adored my babies, but I still had this feeling that just kind of loomed. So when I went into my third and my fourth, I was more aware. And I wanted to make sure that I talked to my family and my support to make sure that they were there for me when I was going through this. You know, the first two pregnancies, it was very hard to let people in. But then I realized that that was exactly what I needed to do. So my husband was a great support person getting my health provider, you know, to let her know that I needed extra help. And that was OK and I had to, you know, give myself a break, that it’s OK to ask for help, which it can be very hard for a new mom to do.

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Signs and Symptoms of Maternal Anxiety and Depression

with Tara Maxa.

What are some signs and symptoms of Maternal Anxiety and Depression at distinct stages of pregnancy?

In this video, Dr. Tara Maxa, MSN, RN, RNC-OB, C-EFM, CNE, RNC-IAP, CHSE, discusses signs and symptoms of Maternal Anxiety and Depression.

Transcript

My name is Tara Maxa and I am an RN, but I’m also an MSN. I teach nursing students at the School of Nursing for Texas A&M, but I’m also by trade a labor and delivery nurse and I have practiced for about 12 1/2 years now.


What are some signs and symptoms of maternal anxiety and depression at distinct stages of pregnancy?

So when we’re talking about signs and symptoms of anxiety and depression, you know, it can be very individualized. Somebody may experience one symptom and their friend right next to them may not experience that symptom at all. So when we talk about anxiety in, you know, prenatally or after delivery, which we refer to as a postpartum period, that anxiety can look like extreme worry. So it’s very normal to worry when you have a new baby that you want to make sure you’re doing everything okay. When we talk about maternal anxiety, we’re talking about thoughts that become very intrusive, thoughts that keep replaying in your mind over and over. This worry that won’t go away. So it prevents you from sleeping, it prevents you from eating, it prevents you from doing those things that you would normally do on a daily basis because you’re so consumed by those thoughts. Depression, on the other hand, is going to be maybe extreme sadness or guilt, you know, just wanting to sleep all the time or not wanting to do those things that you would normally do that you enjoy like going to the park or you know reading a book or something, you don’t feel like yourself. So again those symptoms can be very versatile depending on who the person is. but that’s kind of a general idea of both of those.