Check out
part one and
part two.
Jacob was born about three weeks early, at 37 or 38 weeks, which is still considered full term. His mother smoked during his pregnancy, and was in a drug treatment program, both of which led to low birth weight. He was being monitored closely for any possible side effects, but at the time was behaving normally.
I was at the hospital meeting the social worker, the birth mother, and, finally, Jacob. Meanwhile, Brian was getting us checked in to a hotel and dealing with three children who had not had much sleep in the past 24 hours. After I got things straightened out at the hospital and settled in with Jacob (the hospital was a little confused about what was going on, since the birth mother kept saying that we were coming, and we didn't know when we were going to get there, and the delivery was unexpected, and no one knew out last name) Brian was able to join us up in the maternity ward. The hospital was very accommodating and gave us a room so that we could stay with Jacob.
The kids were able to meet Jacob for the first time, and Brian was able to meet Jacob's BM. It wasn't until Brian arrived that I was able to finally take in all that was going on, and at that point I nearly had a breakdown, realizing that we were ten hours from home, staying in a hotel with three kids, and splitting our time between a newborn in the hospital. Thankfully Brian has an amazing family. He was able to call his sister, who dropped everything to come to KY to help us out. She rented a car from the airport, and came out to join us. Day one for Jacob was that of a typical newborn.
Day two everything started to change.
We knew there could be complications due to the drug treatment. A normal newborn goes home on day three. This means that day two was critical for Jacob. If he was discharged, he could not be readmitted to the NICU. For a non-adoptive family, this would not be an issue. The infant would be readmitted to a nearby hospital and cared or there. But in Jacob's case, this could not happen. He could not be readmitted to this nearby hospital, because though it was only 15 minutes away, it was across state lines. An adopted child cannot be taken across state line until the ICPC (adoption agreement) was signed by both states. This could take 5-10 days. So if Jacob was discharged, then needed follow-up care, we would have to drive several hours to Louisville to get treatment for him. Thus, the decision to discharge was critical. The nurses all felt he should stay, but the dr had plans to discharge as normal. The dr and the nurses were aware of our situation, and that we would be staying in a hotel for up to 10 days. I told them that I was uncomfortable with him being discharged unless they were sure that he was not going to go through withdraw.
The night of day two was when Jacob crashed. He was up the entire night, only calm when he was being held. He was not eating, and his scores were rising. By the morning, it was clear that we were not being discharged that day. By that evening, Jacob had been admitted to the NICU and it was clear that we were not leaving any time soon.
After he was evaluated by the NICU and had been there for a night, he was doing much better. He was put on medication and was being monitored. We were told to expect a stay of anywhere from two weeks to two months. Getting the ICPC signed quickly was suddenly not so important. It was looking like the ICPC would come through before Jacob was even ready to be discharged.
Though we would have loved for Jacob to be discharged, his being in the NICU actually made our stay easier. We no longer had a room on the maternity floor, which made it possible for both of us to stay the night in the hotel, which was better for the older kids. Visiting hours were limited, so we spend a little free time in the hotel pool, the mall, and the park. And, of course, spent lots of time talking with lawyers and the social worker.
After a few days it became clear that while Jacob was baking great progress, and his meds were being lowered every day, it could be a month before he was discharged. And we had three kids who really needed to be back on a regular schedule, eating and sleeping at home, and going to school. We decided thatched best choice for our family would be for me to head back home with the older kiddos while Brian stayed behind with Jacob. The hospital had a hospitality house where Brian could stay (but there were no children allowed there) and his job would allow him to work remotely and do half time FMLA. Not the first time I have been grateful for how pro-family Brian's work is. Peggy would return with me, then fly home from there. We had no idea how long it would be before our family would be reunited again.