The surgeon came to check on David again today and wrote an order to take his stitches out! YAY!
He also seems a bit less agitated since he opened his eyes - as if a major goal has been accomplished. He is tolerating weaning of the vent rate and they are thinking of reducing the pressure and possibly starting to wean the nitric oxide today. His oxygen supplementation has been reduced as well.
Mary Louise is tolerating the breast milk very well and they were deciding between doubling her intake and spacing feedings farther apart or leaving her intake the same and giving her more frequent feedings (which by the way, would give her the same amount).
So my pumping will continue and is going well. The nurses actually asked me to stop bringing it in for awhile because I've overflowed my section of their freezer! So, we've taken to freezing it at home and I would like to keep them on exclusively breast milk for as long as possible.
As of this morning, Mary Louise's cultures were negative. She needs to have 3 separate cultures, negative over 72 hours each to declare her infection free. Her vent settings are a little higher since her extubation stunt but she is doing well overall and I think the plan to try again with the nasal cannula next week is still in effect.
Both babies have been at the same weight for a bit now. Mary Louise's lipids were discontinued a few days ago in an effort to obtain a negative culture so that could explain her lack of gain. If she continues to progress with her feedings, she will resume weight gain soon. David was switched from vent to oscilator to vent which causes fluid shifts. He looks a little less swollen each day though and hopefully will put on "real weight" again soon. If they are able to start feedings next week on him, that will help once they get to a fair amount.
So, progress continues!
Hugs,
Heather
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Yay for progress!!! I vote for more frequent same feedings for Mary, then raising the feeding amount with the same frequency for the most weight gain. Great she tolerated the breast milk well. Yay for David's successful surgery and the leveling out of everything. What a balancing act! What a wonderful breast feeding Mother you are! Fairly soon they will both be on the Special Heather Formula for Healthy Leblanc Babies. Happy Mother's Day! Many blessings. Love and Huge Hugs Always.
ReplyDeleteYou and your babies seem to be making real progress. How exciting about the breast milk going down so well! Well done you (and Mary Louise)
ReplyDeleteHeres hoping for continued progress!
Wow, so so very happy that things seem to be going well right now. And props to Heather for keeping up the breastfeeding. I know it can be very time consuming. Yay LeBlanc babies and parents. Keep it up!
ReplyDeleteYay for improvements! I'm also so proud of you for keeping up the pumping- I did it with both my preemie babies (without success) and I know it is such a time consuming and difficult thing. Hope the rest of the weekend is full of good things!
ReplyDeleteYour first mother's day! How fortunate your babies are to experience your loving presence and nurturing love.
ReplyDeleteNanaste' susan
Yay for Mary Louise tolerating her feeds. Remember, once the breast milk gets to 80ml/kg/day, they will discontinue lipids from the TPN!
ReplyDeleteSuper news about David!