Monday, May 19, 2014

a prayer for our daughter

I'm sorry for the lack of writing over the past year. Having two kids and moving across the country I suppose is enough excuse for not blogging... I'm lucky to get a shower in, let alone sit down and write or journal!

The reason for this entry is to ask for prayer and give an update on what news is happening in the Tack Family.

No, I'm not pregnant, for those who I'm sure are curious ;)

I added Brielle's birth story to our blog today, to remind myself of how BIG our God really is, and how He remained in control of every detail of my pregnancy and delivery last Christmas 2012.

Just because Brielle is now outside the womb, does not mean He is any less concerned about the details of our lives and how He cares for His precious creation, specifically, our daughter.

We adore Brielle! She is a precious gift from God. She lights up our life with her sweet smiles and bright demeanor, and occasional spunky attitude.

Brielle has shown exceptional health, with no major concerns from day one, aside from typical colic, sniffles, and teething, etc.
However, we started noticing around 9-12 months that she failed to reach significant developmental milestones as she grew. She mastered rolling over, got her first teeth, etc. at six months... but then didn't seem interested in continuing on from there. At first, we assumed she was just slow or lazy (and with our experiences with Judah, we didn't want to overreact, so we gave her time), but after a while, red flags started to go up that there was something else amiss. No sitting up, pulling up, crawling, talking, walking, etc.

Brielle is now almost 17 months old, and severely behind in many areas developmentally. She lands on the chart at about an 8-10 month level in most areas, and is considered "severely globally developmentally delayed" for "unknown reasons". She is also fairly small, weighing about 18lbs. But that's not necessarily a concern, seeing as we are small people too. This was quite the shock to us, however, seeing as how everything went picture-perfect with her birth (full term and natural) and no major illnesses to speak of. Of course, with her brother being so premature, we expected delays from him. He spent 3 years in physical and speech therapy before he was fairly "caught up". (Now we can't stop him!). But no indication that Brielle would seem to have similar issues! I always imagined she would be quick to reach milestones, in effort to keep up with her brother.

We have seen numerous doctors and currently have her enrolled with physical therapy (and speech & occupational therapy will come soon too). We also are in process of seeing a developmental pediatric neurologist. Yet, so far no doctors have given her a specific diagnosis as to WHY she has so many delays. However, the good news is, every doctor has assured us that they see no signs of major intellectual disabilities, such as retardation, downs syndrome, autism, etc. We are hoping to avoid any expensive testing that could very well be inconclusive, and that the answers will be clear and easily-resolved.

She is still happy and healthy, bright and content, and we just love her to pieces. We are doing all we can to encourage her in her development, and praying that God will continue to direct her path and give us the wisdom to help her grow and thrive. We know He has a perfect plan, and that He cares for her immensely more than we ever could. Please pray with us as we walk down this road with our daughter!


How the Lord orchestrated the birth of Brielle Julianne Tack

Jonathan and I quickly realized how much of this birth story was really about how the Lord answered prayer after prayer the entire way through my pregnancy, and specifically through labor and delivery. This is not my birth story, this is God’s birth story for our little girl. All of your prayers played a key role in this story, too! A true and precious gift to us. I hope you will be encouraged by our testimony to His goodness.

In case you need the back story to why Brielle’s birth is so different and exciting for me, read about our son Judah’s birth story http://the-tacks.blogspot.com/2010/10/road-to-judah-emmaus-our-birth-story.html (which is a miracle in itself!), and also http://the-tacks.blogspot.com/2011/03/rite-of-passage.html about my feelings of being ‘cheated’ out of the birth that I desired.

Many of you know how strongly I desired to delivery naturally via VBAC (Vaginal Birth After Cesarean) this pregnancy. I wanted nothing to do with a repeat cesarean or a medicated birth, which I am convinced can often lead to a downward cycle of unnecessary medical interventions.
Doctors and other well-meaning people warned me of the ‘dangers’ of having a VBAC, throwing out numbers and statistics and telling me not to get my hopes up. At the time, I wasn’t even sure I’d carry my baby to full term, so it was hard to focus on the end when you’ve grown accustomed to just hoping to make it to the next day and next week in your pregnancy. However, it was difficult to not let those fears consume me. I had to constantly renew my mind with positive stories, statistics, and information about natural birth.

Fortunately, this little girl stayed in until 39 weeks and 1 day. A stark contrast to her brother’s mere 25 weeks and 5 days. Now I was getting nervous she wouldn’t come out, I would go overdue, and be pressured to have a cesarean (because induction was not an option due to increased risk of uterine rupture). I quickly started shifting gears mentally from “stay in baby” to, “come out baby!” at around the 36-37 week mark.

We semi-selfishly prayed that we would have her before the end of the year. We didn’t want to have to meet a new insurance deductible if she arrived after January 1st. Pregnancies for us are already expensive! And I didn’t want to have to fight doctors to let me go to 42 weeks before scheduling a c-section.

To help prepare and/or encourage labor, I started drinking red raspberry leaf tea almost daily, as well as taking baths almost every night (mostly due to difficulty sleeping). We had intercourse several times after 36 weeks, after the cerclage was removed and the doctors took me off any restrictions.

The night I went into labor we also had intercourse and I took a bath at about 11pm before going to bed. I slept well for about 3 hours, then woke up around 3am feeling like I had some constipation so I went to the bathroom and sat on the toilet for a while trying to pass a bowel movement when I realized my ‘gas pains’ were forming a pattern and quickly became intense enough that I started timing them. After about 15 minutes I realized that my ‘gas pains’ were 2-3 minutes apart! Holy moly I think I’m in labor! I woke up Jonathan at around 3:30am and calmly told him, “I don’t want to panic but I am pretty sure I'm in labor and contractions are really close together so we probably need to leave soon”. I was already getting to the point where I had to stop whatever I was doing and breathe through contractions as we were packing the car. I was very unprepared emotionally for labor to get so intense immediately. I was certain I would labor at home for a while, and expected a few false alarms. For me to wake up out of a dead sleep and be in active labor was a bit of a shock and it was hard for me to transition mentally into managing pain and breathing techniques.
We called the hospital, a bit concerned that we should even make the 45 minute drive. We had switched hospitals/practices at around 33 weeks so I could deliver with a midwife, and so we could financially save hundreds of dollars by not being charged an hourly ‘doctor standby fee’ during labor. That meant a longer drive outside of town, as opposed to the ten-minute drive to our local hospital. We took the risk of making the drive, praying the whole way that we would make it in time. All I kept thinking about was stories (including one from my friend, on the same day our son Judah was born) about delivering on the side of the road or in the car!

With it being Christmas Eve morning, many of our ‘standby babysitters’ were out of town, so we reluctantly had to take our son Judah with us, praying that someone would come available while we waited for Jonathan’s mom, Mary, to drive up from North Carolina, expecting to arrive at about 10am.

We made it to the hospital at about 5:30am and the midwife on call, Mary, arrived within minutes of my arrival. She immediately read over my birth plan and chatted with me. Another small answer to prayer… this hospital/practice was much more open to birth plans than the other one. I was never questioned or belittled when noting my preferences (minus a random insensitive nurse), and they honored every one of them for both the baby and myself.

Shortly after arriving, they hooked me up to a monitor. Another thing I was really hoping for was being about to walk around and be mobile during labor. Being a VBAC, I was required to be consistently monitored, which I understood… but the hospital was being stricter on VBAC patients for some reason, not even allowing them to use the wireless telemetry unit. I was warned by the midwives that it may not be available to me. I fully expected to have to negotiate and be a difficult patient in attempt to have more freedoms during labor.
When I asked if I could move around a bit more, even though the nurse sounded crabby, no one said a word in opposition as they switched me over to the ONLY telemetry unit the hospital owned!
Ironically, contractions were getting a bit more intense, and I had little time to even know what positions felt better than others, so I just leaned over the bed most of the time and breathed through them. I had no desire to walk, squat, or stand. I ended up not even wanting/needing wireless monitoring.
When Mary checked me after being admitted, I was already 7.5cm and 100% effaced! I couldn’t believe I was already that far along. Jonathan held half-asleep and confused Judah while she rubbed my back through contractions, which is exactly what I needed and felt good. She was very ‘hands-off’ and respectful about my labor, gently offering suggestions and being present and available, but not wanting to take over in any way. Out of the four midwives available, I am certain the Lord picked the one that fit my personality and needs the best. My only experiences of hospital staff in the past has usually been one of intrusiveness, so to have someone come in that is there to assist me personally, and direct gently and patiently was a breath of fresh air.

Thankfully, our friend, Mary, who was on our babysitter call list returned my call at about 7am and graciously offered to drive down and pick up Judah. We were starting to get concerned that he would be with us for all of my labor, and a few nurses started telling us, “you know he can’t be here during delivery”, as if we had a choice in the matter!
From the time I arrived at the hospital, until I started pushing, time seemed to blur together. It certainly didn’t feel like I was in labor for over 2 hours before I started pushing.
I labored on hands and knees on the bed for quite a while, moaning through the contractions the way I had been reading and learning from birthing classes and Ina May’s Guide to Childbirth. It did help during that phase. Not once during labor did I even think about the risk of uterine rupture or the possibility of having a c-section. I had peace that there would be no complications. I reminded myself often to breathe deep to make sure the baby was getting enough oxygen, too.
At one point a nurse asked me THE stupid question, “on a scale of one to ten, how would you rate your pain right now?” and I replied, “I would prefer not to answer that!” Several people chuckled and my midwife said, “yeah we don’t like that question around here.”
After that two hour period, I was on my back for most of the rest of labor and delivery, which I was certain would be the last position I’d ever choose, but I was getting tired and no other position felt comfortable, even though they would have allowed me to push/deliver the baby in any position I wanted. I was getting increasingly uncomfortable, and in my mind I often was frantically searching for that ‘happy place’ I could go to in order to manage pain better. Like I said earlier, I was not mentally prepared to progress so quickly, and therefore was not handling contractions as effectively as I think I could have.
At one point, shortly before the pushing phase, I started losing energy and I told the midwife I wasn’t sure how much longer I could do this. She responded with, “That’s called transition.” I immediately perked up and regained motivation, realizing I was nearing the finish line, and Mary could see the end was near.
After dealing with an anterior lip in the cervix, which Mary graciously (yet painfully) helped resolve, she told me I could start pushing. Now, in my mind, pushing meant the baby was almost here, ready to crown, and I just had to give a good 10-20 minutes of pushing or so in order to deliver the baby. I was not mentally prepared to push longer than that. I’m not sure why I had that in my mind. I guess the way everyone kept encouraging me with ‘you’re doing great, she’s almost here, you’re so close’… made me think she was really just on the verge of being born. Though I am thankful for the way Jonathan and Mary did keep my morale up with that encouragement, it really was the motivation I needed to keep going.
About 20 minutes in to my pushing, Jonathan had to take Judah down to be picked up by Mary…
Side note: By the way, did you notice a trend there? How sweet and ironic that on Christmas Eve, three very key people present to help with our daughter’s arrival were named Mary.

While Jonathan was away for that 10-minute period, I got very nervous I would deliver the baby without him. Some of the nurses thought I slowed down just to make sure he made it back in time. But little did I know it would be another 30 minutes or so before she was born. When he returned, I started losing concentration and control. I found myself, after pushing through two contractions, losing control on the third contraction. Not breathing right, not pushing well, feeling panicky, and losing motivation, screaming in pain instead of using low guttural groans.

Meanwhile, Jonathan was completely fascinated with the experience. He watched the baby progressing, he kept a cool washcloth available for me, and Mary made sure to keep him involved. He was a wonderful labor partner, even though for the majority of the time there was little he could do to help. Mary coached me on how to push most effectively, which I really appreciate. They noticed that my best progress in bringing the baby down further was pushing three times and then taking the last bit of energy from the contraction and pushing a fourth time. Once they told me how much progress that was doing, it motivated me to put all my effort into that fourth push each time.

The only annoyance I had while pushing was (and this might be TMI), I would poop a little quite frequently during pushes, and the nurse EVERY.SINGLE.TIME would make me raise my butt off the bed to change the pad under me. I could have cared less if I was sitting on or near a little bit of poop to be honest. She was using my precious recovery time in between contractions to make me change the bed pad. I was getting really annoyed with that.

Finally, at 9:01am, I made those last pushes as our baby girl entered the world.

Brielle Julianne Tack joined our family, weighing 6lbs 15oz, 18” long, and 13” head. I’ve already thanked her several times for being a small baby, hah!

As they immediately put her to my chest to bond for a while, I honestly could only think about how much relief it was, physically speaking, to be done with pushing and labor. She was HERE. It wasn’t extremely emotional but it was extremely satisfying and I felt full of gratitude.
Jonathan cut the cord after it stopped pulsing, then I delivered the placenta in two pushes. I wasn’t sure I’d want to see the placenta, but she showed it to us and we were both fascinated by it!
I had a few second-degree superficial tears that needed stitching, and some hemorrhoids, but otherwise no complications. One of the most uncomfortable things was when they would push on my stomach to check for blood clotting.

This was truly a story of emotional healing and redemption for me personally. For all that I missed with my firstborn, I feel the Lord gave me this precious gift with our daughter's birth. As intense as it was, it all happened with such fluidity and calm, that it could only have happened by careful orchestration from our Creator. People ask me if I got the birth I hoped for, and if things happened according to my birth plan. I can honestly say it was above and beyond my expectations. I couldn't have asked for a better birthday for Brielle. The timing, the people involved, the emotional and physical encouragement I received, and especially and most importantly, the outcome of health for everyone and a successful VBAC.
I take no credit, but glorify God for His gift to us, just hours before we celebrate His most precious gift that He gave us by sending His Son, Jesus, that Christmas Day. I also have a whole new outlook and respect for Mary delivering that baby in a stinky stable all by herself. Major props to her! ;)

Meaning of her name:
Brielle is the feminine form of the name Gabriel, one of the angels in the Bible, which means “God is my Might”. Julianne means “Youthful” and “Full of Grace”, and is taken from several family members names: Julia after my Great-Aunt Dorothy Julia, and Ann after Jonathan’s mother’s mother, Ann, and Jonathan’s mother, Mary Annette.

Friday, September 7, 2012

An uncommon pregnancy

This is a raw and honest mix of thoughts right now. It's long, it rambles and jumps around, but I hope in the end you will be encouraged in some way. I don't want to to paint a 'proper' and rosy picture of my emotions and experiences, but I do hope you see God's hand through it all.


If you were to take a peek in my world at 23 weeks pregnant with my firstborn two years ago (almost to the day, actually), things at first glance would look awfully familiar to what you would see right now. Hello bedrest, hello weekly progesterone shots.
However, the Lord has been faithful to our prayers for a distinct change in my second pregnancy. Though things on the outside look pretty much the same - plus the addition of a little guy running around the house, and a tornado of toys in the living room - there is one very important detail that is different. No longer are we fearing from day-to-day if our little one will stay put inside the womb. At this point in my first pregnancy, I had no cerclage (cervical stitch), no experience or education, and was dilated at 1cm with no idea when things would change. Thank the LORD that I had my weekly check up on the morning I started going into labor (which I was completely oblivious to, mind you). 25 weeks and 5 days into my pregnancy, and all of a sudden I was 3cm dilated with mild contractions. After a whirlwind of helicopter rides, monitors, fearful discussions and decisions, and some hurried desperate prayers, my tiny son was born via c-section that evening.

Being only two weeks from that mark again, you would think I would be fearful again. But miracles happen daily in my life these days it seems. Our check-ups have all been 'uneventful', with no surprises or concerns. And much to our awe, my cervix has fully lengthened to 37mm (the lowest it got was 25mm about a month ago)! The trends have certainly changed, and I can't help but laugh that God, perhaps, is showing off - you might even hear Him saying, "see, I am ALWAYS in control. I was with your son, and I am with your daughter!" God is predictably unpredictable in the way He shows Himself. He showed Himself in many ways through our son's preemie journey, and now He is showing Himself through this pregnancy.
He is so faithful, through difficult trials, sorrows, frustrations, and also through miracles both big and small, surprising joys, and when things are going well. We are trusting this baby and pregnancy in His hands, regardless of what happens. But we have faith that our little girl will be healthy and full term this time!

I joke with my doctors and friends that two weeks from now I will be in uncharted territory again. It will be a first-time pregnancy experience once I hit 26 weeks. People have warned me of the miseries of going full-term, and how uncomfortable and anxious you get at the end... but I usually respond, "If I get to 40 weeks, I will be happily miserable!" I would take that kind of misery over an early birth full of unknowns and endless hospital visits ANY DAY.

Even though this is my second pregnancy, I have no idea what contractions, or even Braxton Hicks contractions, feel like. I have never taken a birthing class, gone through labor, or enjoyed those first bonding moments with my newborn fresh out of the womb.
I don't even know what it's like to truly 'enjoy' being pregnant, and am admitting I sometimes get jealous of that woman who walks (or waddles) around with a glow on her face and a beautiful round belly, as she carries on her daily life with her biggest concerns being what color to paint the nursery, and if she can tie her own shoes.
I've concluded that I don't handle pregnancy well. I'm miserably sick the first 3 months, then tolerably uncomfortable for a short window of time where I feel like leaving the house and smiling again, and then comes the drama of bedrest and doctors appointments, not knowing from week-to-week what we will find.
I find myself saying things like, "why did I want to go through this again? How did I forget so quickly how awful morning sickness feels all.day.long? I'm so tired of feeling this way." and just wanting to be done, but reminding myself to try and enjoy it. I've held on to the thought that, "this, too, shall pass", and my hope lies in the fact that pregnancy doesn't last forever. Whew! I've gained sympathy for those who are terminally or acutely sick, those who lay in hospitals and nursing homes for weeks and months unending. I have to remind myself that it could ALWAYS be worse.
I don't want pity, for this is where God has me, and I have learned countless lessons through these moments. Really.
I find it funny when people ask how I'm feeling on bedrest. The answer is, "I feel fine!" and that's what's so frustrating. I KNOW I need to be here to care for the baby, but I "feel" normal, so it's hard to remember that I'm sitting here for a reason. I'm not sick, I'm not hurt, I'm just... waiting. I've learned to be patient, with myself. I've learned to accept help, which is hard for the control-freak in me. I've learned to humble myself and admit that I can't do this alone. I've learned a lot about myself, and where I find my worth. Not making my family meals and caring for the house makes me feel useless. Can I just BE a wife and a mom without DOING wife and mom things? How can I show my love and appreciation? 'Thank you' seems so inadequate. How can I contribute? With my attitudes and words alone... and boy, that takes work (especially when you're already pregnant and hormonal). I've learned self-control, to NOT get up and do a load of laundry when I know I am technically capable of doing so. I've learned that I am NOT in control, and that is a good thing, because it allows me to rest with the peace that comes from God, who IS in control. But it's not always easy.
...Just for the record, bed rest is not all its cracked up to be. It is not restful, nor is it all that productive. No, I don't have all the time in the world to read books because books make me sleepy when on bedrest. If I read, I fall asleep, and if I fall asleep, I won't sleep at night. Being up at all hours of the night (and not being able to walk around and do things) is NOT fun. At least this time I have my son to keep me entertained (and ocassionally annoyed) ;)

Ok, ranting of self-pity aside, I do know it's hard to see the forest through the trees. The end result will be a beautiful one. We're having a baby! And in the grand scheme of things, a not-so-fun pregnancy, a few months of bedrest... it's such a short time in our lives. We can learn to see the beauty in small things. Like the generosity and servant-heartedness of my family and friends. Having time to reflect on the Lord. Getting ultrasounds and pictures of our healthy little girl frequently. Watching my son grow into the little man he is becoming, with his silly antics and contemplative personality. Being grateful for a supportive husband, who selflessly picks up the slack without so much as a complaint or grumble. He is truly a blessing to me. I am blessed.

And one look into that precious little girl's face on her birth day, and I'm sure I will say, "that was SO worth it."

And you know what's ironic about all this? You know what I call God's sense of humor? The miracle of pregnancy amnesia. Give it a few weeks, months, perhaps a few years... and I will have forgotten all the silly little annoying things I had to go through. I will consider it pure joy, I will look back and remember only the best memories, and then I will say, "let's have another one!"
So THAT'S how God ensured we would be fruitful and multiply... sneaky ;)







Monday, May 14, 2012

reflections on the first weeks of pregnancy with baby #2


-morning sickness hit hard literally the day after I took the test, though I'm managing it a bit better than my last pregnancy. hoping it ends quickly so I can function again.
-it never ceases to amaze me how much one tiny little pea-sized baby can affect my bladder so dramatically.
-cravings are also in full swing, and are similar to my last pregnancy: anything mexican, watermelon, chips & dip, waffles, and ice cream cake to name a few ;)
-I fully expected to be thrown on bed rest or given all sorts of restrictions right away, but so far I've been told to treat this pregnancy as normal, and I will just be monitored more closely. There may be some adjustments made in the second trimester, but I am SO THANKFUL I can still take care of my son, travel, and do everything I normally do (while still being cautious of course).
-I think judah suspects things are changing, but the true test will come after the baby is here. I predict some jealousy and obvious adjustments, but I think in time he will become an loving and protective big brother :)
-judah and baby will be 26 months apart, though they were conceived exactly two years and two weeks apart ;) ...that was unplanned but sort of cool how God worked that out!
-we get to see the baby on Wednesday! I've never had an early ultrasound, so I am excited and hope we can hear a strong heartbeat, and witness such a tiny miracle of life :)
-incredibly blessed and thankful for God growing our family, and we're trusting in Him for a healthy full-term pregnancy and a safe labor/delivery in His perfect timing! please be praying with us that things go a bit smoother and less traumatic this time around. we would love to ease into being a family of four without complications. :)