Arianna's Second Mommy

One of our biggest fears about bringing Arianna home was how our cat Gypsy would react to her.  Would she be jealous?  Would she try to retain our attention by acting out?  Or, in the extreme might she do something to the baby?  So for the past two weeks since we came home we have been watching her like hawks.  We have discovered to our joy that Gypsy has adopted Arianna and acts like a second Mom to her.  She watches over her in the Bassinet and Pack N Play, she comes to get us when Arianna is crying and generally keeps an eye on her whenever she is doing her floor time.  She also is very careful around her and seems to know that this is a new member of the family that she is also taking care of.  She has definitely imprinted on her as one of her own.

Happy Thanksgiving

A very Happy Thanksgiving to everyone.  In honor of her first Thanksgiving, Arianna is wearing her Thanksgiving onesie from Johanna and Brent Bernard and is looking forward to the turkey and stuffing her mom will be eating later today.  We are getting Thanksgiving dinner from a local restaurant Chicken Chicken which today is going by the name Turkey Turkey in honor of American Thanksgiving.  Katie is a bit under the weather with a cold so we aren't doing too much today beyond me going out to get the food and resting.  Of course the big Texas-Texas A&M game is on later tonight so I have to show the colors.

Visit from Great Grampa Gene

This morning we had a chance to introduce Arianna to the only living great grand parent on her Daddy's side Grampa Gene.  Gene was on island for a few hours off a cruise ship he was on with his daughters and grand daughter.  After Scott picked him up at the ship terminal, Gene had breakfast with us at the house and then we took him and Arianna to see the college that Arianna's Great Granny Maude had helped when its library was in need.  After that we took him for a tour of the island and had lunch up on the Northside.  We had a great couple of hours with him until it was time for him to return to the ship.  It was a happy coincidence that he had planned this trip several months ago and thus got chance to meet his great grand daughter.



Arianna prepares to be loaded in the car



Parents on our own

For the first ten days of Arianna's life we have been very fortunate to have some much appreciated assistance from Katie's grandparents Bruma and Brupa (Joyce and Chuck Carlisle) and her parents Russ and Gail.  We also had a visit from my father, John, who was in town for a groundbreaking ceremony at the college.  John only got to see his newest granddaughter from a far (thus no pictures of him as we had with the other grand parents and great grand parents) as he had a cold and as a result ended up staying at another place.  He ended up only stopping by briefly to minimize the chances he might pass on what he had to Arianna. Yesterday we put John, Russ and Gail on their flights home and for the first time were a family of three and just the three of us in the house. We have about three weeks before my Mom comes and are both excited to have it be just us and at the same time a little scared.  There is a comfort level of having others around to help and to call on with questions as new parents.  We want to pass on our sincerest thanks to the great grand parents and grand parents who helped us these past ten days and wish Gail a very speedy recovery from her hip surgery that she goes into later today in Dallas, she will be in our thoughts.

Wreck of the Geneva Kathleen

This afternoon Russ and I headed out to do some snorkeling.  The excuse was to give the ladies some "girl" time but we all knew that this was a chance for Dad and Grandpa to get out and see if we couldn't find the holy grail of snorkeling for us since we got down here, the Wreck of the Geneva Kathleen.  Back in June of 2007 when we first moved here we saw a snorkel site on the map for the Wreck of the Geneva Kathleen near the Reef Resort on the north side of the island near East End.  We asked where the site was and never could get a straight answer.  We never did find it and over the years several attempts to locate it have gone unfulfilled.  It even became a running joke that there was no such thing as the Geneva Kathleen.  Then about two months ago I found a website with explicit directions about how to get to the wreck site from a beach we had been to on Northside. 



Lion Fish swimming
 around the wreck



So today when Russ wanted to do some snorkeling, this was the perfect excuse to follow the directions and see what we could find. We headed out into some strong swells and the waves crashing into the shore. The wreck was supposedly next to some cliffs and so we had to be extra careful not to get caught in a wave.  After swimming about a hundred yards along the shoreline we came upon the first wreckage and exploring led us to discover three or four distinct sites where wreckage could be found.  At the end of this post are some photos of the wreckage and above and below this paragraph is a lion fish we found swimming at the site along with a juvenile.   



Very poisonous spines so no touching and
pictures only from a safe distance



Lion fish are not native to the Caribbean but are actually invaders from the Pacific.  They are dangerous so we give them a wide berth whenever they are sighted.  It is believed that some escaped from an aquarium in Florida during Hurricane Andrew back in  the 90's and they breed so quickly that they have expanded through the Caribbean.  This fish is actually quite bad for the local waters as they are in large numbers and they eat off all the young of other species so they are not a welcome sight even if they make for pretty interesting photographs. There are lion fish tournaments held quite often down here for the expert divers who are the only ones that can catch them since you must have a license to do so.  This is part of a concerted effort to cull the herds of them now in Cayman waters.

Arianna's Birth Story

This is a pretty long post, a more condensed and somewhat more rhyming one is on the baby blog. Scott had three jobs during the labor and delivery: provide support, make note of all the people and events that happened, and take pictures.

Arianna Macias Cummings’ Birth Story

Sunday night, November 7, 2010, while out at Deckers, I started to have contractions. At first we weren’t sure whether they were contractions but when a particularly hard one hit me on the way to the car, we started to get excited. To test them for staying power we decided to go to Camana Bay for lattes and hot chocolate and to walk around.

At Camana Bay the contractions continued even through the walking so we headed home to see what would happen, convinced that we would be calling Dr. Richter to come to the hospital. However, like the previous Friday the contractions died down when we went to bed.

On Monday after picking up Bruma and Brupa and then dropping them off at Smith’s Cove for a sunset, Scott and I headed to Dr. Richter’s to get the catheter put in. We learned that Tanya and Ian, a couple from our Lamaze class, were also doing the same thing!

There were two babies about to be born so Dr. Richter had to head to the hospital which meant that we had to wait. Around 6:30, Dr. Richter returned and we got the catheter in. The plan was to go out to eat afterwards but it was pretty uncomfortable so Scott ran out to get Chinese takeout and we went home to eat.

While eating, I started to cramp. When we went upstairs I gushed blood which made us very worried. Bruma reassured us that it was perfectly normal and a good sign. I called Melanie and Stephanie (we’d called Mom and Dad earlier) and settled in to try to get some sleep.

At 6:00 the next morning we got up, showered, and got dressed. Bruma and Scott made a breakfast of scrambled eggs and oatmeal and, at 7:15, we left for the hospital. After first going to the wrong entrance, we made it to maternity to check in at 7:30. Tanya and Ian were already there so we chatted some with them. They’d also had blood and cramping but Tanya’s cramping had stopped the night before so we thought maybe it was a good sign that I was still in pain.



Hooked up to the fetal monitor

At 7:40 we were moved to room 8 and met the midwife who was going to be helping us, Mairead. She got us hooked on the external fetal monitor at 7:55 and left us to listen to the baby’s heartbeat. We had to do the monitor for a bit longer because on one of the contractions her heart rate dropped to 90 and they were worried that the contractions were impacting her. After the extra time everything was okay so they think she just moved away from the monitor for a bit (wiggle worm!).

Mairead and Marion

We started to go for a walk but ran into Dr. Richter so we turned back. He inspected me and said that I was around 3.5 cm dilated, pulled out the catheter and put in the prostaglandin gel. We had to be on the fetal monitor for an hour so we watched a Blue Planet episode. After the fetal monitor showed that everything was good, we walked around and explored. The contractions started to get more intense as we walked.

When we returned to the ward to eat lunch the contractions seemed to lessen. Another walk got them going again so we kept that up in hopes that we could really jump start labor. After a while, I started to get very tired so we returned to the room for a bit of a rest and to watch some episodes of “How I Met Your Mother”. I had a few contractions about seven or so minutes apart while we watched the episodes and found that getting on all fours on the bed helped them feel better.

At 2:00 p.m. we were moved to Delivery Room 3. Dr. Richter inspected me and indicated that I was somewhere between 5 and 6 cm dilated. He broke my water which is when we realized that she had passed her meconium inside which would change some of the procedures when she was born. Since they wanted to avoid her inhaling any of the meconium, they would do their best to keep her from crying when she first came out. She would also be moved to the care unit before we could hold her as the midwife worked to suction everything out of her nose and mouth. We wouldn’t be able to hold her until they made sure that everything was okay.

After the water broke while hooked on the fetal monitor

The contractions started to come more frequently. We tried watching more episodes but I couldn’t focus very long because of the contractions. We decided to put on some music and look through vacation pictures. We also started trying our comfort measures. We found a few positions that helped like standing with my elbows on the bed and rocking. Scott also used the tennis balls to massage my lower back. I sat on the birthing ball which helped in between contractions but didn’t feel good at all during contractions. The contractions were starting to last about a minute and I had only a minute or two in between them so we were excited that things were moving along. Mairead said that I should be between 7-8 cm at the next check and Scott joked that with how things were moving I was going to be at 9 cm.

That’s why it was really disappointing when I was still the same dilation at 4:15 when Mairead checked. She tried moving the baby’s head out of the way to release more of the amniotic fluid so that the baby could move further down and help open up the cervix. Scott says that I passed a “lake” and Mairead said that with the size of my bump and the amount of fluid I was passing, this was most likely going to be a small baby (didn’t quite turn out that way).

I was laying in bed at that point because I was getting tired being on my feet all the time so Mairead told me try laying on my left side. She warned me that the contractions would feel different. I was offered pain medication at this point but I wanted to wait even though the contractions were coming pretty quickly. After working through about 5 contractions on my side on the bed, I realized that I DID NOT like lying down. The contractions were starting to come almost one on top of the other. I had only about 30 seconds to a minute between each one. Scott wanted me to try pain medication but I really wanted to exhaust all of the comfort measures that we had in our arsenal before we went for the pain medication. One of the things that we hadn’t tried was water so we got into the shower (no baths in the hospital). The hot water felt very good and helped for about 30 minutes before its usefulness wore off.

We returned to the room and tried a few more things but none of the comfort measures that we had did anything to ease off the pain. At this point the contractions were just about constant and I was barely getting time to breathe in between. Each single contractions wasn’t very long but they were very frequent. We were trying to work through a contraction standing with my elbows on the bed when my legs buckled. Scott caught me and had to hold me to get through the next contraction. I didn’t want to get in bed because I knew that it hurt more when I was lying down but I no longer had the strength to get through the pain on my feet. We tried doing things on my knees but my legs were spasming too hard to allow me to keep myself up. Mairead came in to check and I was only at 7 cm. That meant that after four hours of labor with contractions one on top of the other I’d moved only about 1 cm. That was a disappointing blow.

After a series of particularly painful contractions that were about 1 minute to 1.5 minutes long with less than a minute in between and sometimes only about 20 seconds in between, we decided to talk to Dr. Richter and Mairead about an epidural. Dr. Richter indicated that he thought I had until at least midnight before I was going to have the baby and I was still far enough away that I could get an epidural. We decided to do it.

It took nearly 45 minutes for Dr. Anwar (the anesthesiologist) to get the epidural in because the contractions were so intense that my arms and legs were shaking uncontrollably during the contractions and there was only about half a minute in between each one which wasn’t long enough for her to get it in safely. First Scott held me up and tried to keep my body still during the contractions so that Dr. Anwar could work but when his back gave out from supporting all my weight, Mairead had to do it.

Resting after the epidural

When the epidural went in, it wasn’t working well on my right side so Dr. Anwar gave me another shot and told me to lay on my right side to help the medication work there. Dr. Richter came in to inspect me again for Dr. Anwar’s records. An hour after Mairead’s last check and the hour of intense contractions that caused all the trouble with the epidural, I was still only at 7 cm dilated. At 7:30 I was resting well and was ready to settle in for at least the next four and a half hours before this baby was supposed to come. I was hungry but wasn’t allowed to eat anything so Scott took my dinner but threw most of it away because it wasn’t any good. At 7:50 we watched a Blue Planet DVD and, at 8:00, we were introduced to our new midwife Hamerika.

Hamerica checking the fetal monitor

Dr. Richter wanted to use Oxytocin to try to get labor moving some more since I’d seemed to stall. Hamerica came in at 8:10 and got the Oxytocin started. Within 5 minutes I started to feel pain even with the epidural. By 8:30 I was really pushing for something because the contractions had returned. Although much less intense than they had been without the epidural, the pain was starting to slice through my right side. Before Dr. Anwar had left at 7:30 she had mentioned an infusion of the epidural medicine so that the medication would be continuous but no one had given me one yet. I pointed that fact out to Hamerica. As she was getting the infusion ready, the pain started to spike back to where it was before.

At 8:45, Hamerica examined me and said she must call Dr. Richter because I am ready to give birth; the baby is right there! I didn’t believe her because the pain in my right side was pretty constant, intensifying with the contractions but lingering the whole time, and it felt similar to when the baby would move and kick into my side during the pregnancy. I didn’t think she was in the birth canal; it felt like she had moved up into my rib cage in protest! All throughout labor she had been moving a lot and kept moving away from the monitors when we were hooked up and kicking and punching me in between contractions. I hear that is pretty rare as most babies settle in for labor and stay quiet; she has always been a wiggle worm!

Dr. Richter arrived at 9:15 and said that it was time to start pushing. He gave Scott the option of looking down the birth canal to see her head. Scott had indicated before that he was going to be a strict above the waist guy during the delivery but the temptation to get the first glimpse of the baby was just too much! He was able to see her right at the beginning of the pushing and watched throughout the delivery as the baby got closer and closer to coming out. It was amazing watching the excited expression on his face as the baby got closer and closer!

The pain in my side was so intense that it made the time in between contractions much worse than the contractions themselves. I would push with each contraction and as soon as it ended my leg would start shaking violently again and my side would feel like it was being ripped apart. Dr. Richter held that leg and told me to focus on what I would do with pushing on the next contraction instead of on the pain. He said that the pain would go away as soon as the baby was out so it was important that I get the baby out.

Dr. Richter was on my right trying to keep my right leg from going crazy, Hamerica was on my left holding the leg that was still partially numb from the epidural, and Scott was close to my face on my left counting for the pushes and encouraging me. At some point he said “Just one more push” and I stared straight at him and said “Liar!”

After an hour of pushing Arianna Macias Cummings was born at 10:12 p.m. They pulled her out, suctioned her immediately, then took her over to the care unit and laid her down to clean her off. She was screaming her head off. While I pushed out the placenta and Dr. Richter stitched me up, Scott was able to be over by Arianna talking to her and taking pictures.

Arianna screaming her head off in the care unit

Dr. Richter, Arianna and I after Hamerica cleaned her up

They measured and weighed her while they worked to get all the messy amniotic fluid off her. Arianna weighed 7 pounds 13 ounces and was 52 cm long (about 20 inches). She was in the care unit for 30-45 minutes, screaming the whole time. Arianna was not pleased to be out of her nice warm home and all by herself while they checked everything out. Finally, I was able to hold her. After some time breastfeeding and being together as a family, Arianna was taken by Hamerica to be washed and changed. Per Scott’s instructions, she was put into the Texas Longhorn receiving blanket.  She was then taken from the delivery room and met us in my regular hospital room. It was an exhausting day but we had a beautiful baby girl by the end of it!

Arianna's first step on U.S. soil

This morning we headed over to the U.S. consulate to register Arianna's birth with the US government, get her a social security number, and order her a passport.  When we crossed the threshold I said to Katie well here is Arianna's first taste of U.S. soil and the consular officer inside chuckled.  We were very lucky that the consular officer from the Embassy in Jamaica is on island this week and so we could turn in all the forms without having to send them off island for processing.  It was an extremely fortunate coincidence as otherwise our paperwork would not get processed as quickly as it would have to be shipped to Jamaica for processing instead of being sent directly on to the U.S. 

Arianna got her picture next to the flag and amazingly enough, Katie's roommate from the maternity ward was also in to register her child so there was a happy sharing of first week at home experiences.

Arianna's day trip to Northside, Rum Point and East End

With a successful excursion under our belts last night to Camana Bay we decided today to get very adventurous and take Arianna around the Island.  The morning actually started with Katie and I going to the General Registry to register her birth and get her birth certificate.  Today was the first day we could do it since yesterday was a national holiday and Friday we didn't get the necessary paperwork from the hospital until too late in the day.  After getting home from the Registry, we packed the two vehicles and headed up to the Northside of the Island where we had lunch on the water at the Over the Edge Cafe.

After finishing lunch we headed on to Rum Point and took Arianna out on the dock to a gazebo where we got the photo's of four generations of the Carlisle, Loski and Cummings women and four generations of the Macias middle name.  After an hour or so at Rum Point we headed east to the Wreck of the Ten Sail Monument and the Blow Hole.  Arianna had been fed some expressed milk while we were at the registry and that knocked her out as she was asleep almost the entire four plus hour excursion waking only to be fed at the Monument and again briefly at the blow hole.  She is still struggling with the whole when is day and I should be awake and when is night and I should be asleep concept.

Katie is furiously working on the birth story and will cross post it both here and the baby blog.  We kept pretty good notes of everything that happened on November 9, 2010 and so she has a lot to write about. 

Grandma Gail and First Outing to Camana Bay

Tonight we packed up the cars (we have to use both our car and a rental this week since we cant all fit into the Yaris or the rental) and headed over to Camana Bay for Arianna's first outing.  We got her in the stroller and walked all around even taking her up to the top of the observation tower where we all got to see the sunset over seven mile beach.  The clouds were kind enough to be just high enough over the water that we saw the sun come out from under them and sink into the sea.

FAQ's

In talking with various relatives we have gotten some questions that seem to be on the minds of a lot of you so in the spirit of the web age here are some Arianna FAQ's.

1. Is Arianna a US citizen:  YES, she was born of two US parents and was born as and has an absolute right to US citizenship.  We are filing a record of birth abroad with the consulate and getting her a US passport and social security number later this week.

2. Is Arianna a Cayman Islands citizen: NO, even though she was born here, the Cayman Islands doesn't give citizenship based on being born here.  You are only a citizen of Cayman Islands by right if you are born of a Cayman Islands citizen mother in the Cayman Islands.  This is because of the high number of ex pats who live here and because they don't recognize all the children of Cayman Islands males who marry foreigners.  Those children are allowed to remain on island as dependents of their dads but must apply for Cayman Islands citizenship when they reach the age of 18. We have a couple of students at ICCI who are currently going through this process.  Even if you have a Cayman Islands mother if you are born abroad you must apply at 18 for citizenship.

3. When will Arianna be visiting:  Her first trip is planned to Miami in March for the winter seminar, Mommy and Ari will accompany Dad to do some shopping.  She will be traveling to Denver and Chicago in June when Katie graduates from DU with her Masters and we visit family.

4. Who does Arianna look like:  At first she looked like her Mom but in comparing photo's of her parents at her age she seems to favor her father according to her grandparents.

5. How is she sleeping: Her days and nights are still mixed up so she sleeps during the day and is up and active at night.  We trying to work in walks and other daytime activities to get her reset and sleeping normal hours (as normal as a newborn can have).

Katie proudly noted this morning that she gained 21 pounds during her pregnancy and when she weighed herself this morning she had lost 17 pounds of that gain.  The Doctor had said at the end that she had a lot of water weight and it would go away quickly and it has.  We expect it to go up next week as she resumes normal life but it does indicate how all her hard work to stay healthy during the pregnancy paid off. 

Grampa Russ; First Bath and Swing

The two best purchases we have made came off of E-Cay a sort of Cayman version of Craig's List.  The first was a swing we picked up the week before Arianna was born.  The swing sits downstairs next to the couch and gives us something to put her in to get the movement feeling that helps calm her down.  The second is the bassinet we got on the day Arianna came home and that is pictured in an earlier post.  Here are some shots of Arianna with Grampa Russ, getting her first bath last night and enjoying her swing. She also went for her first walk this morning to the end of Selkirk Drive and back. 

Russ and Gail Arrive

Russ and Gail arrived this afternoon for a week.  Scott chaired a session of the Healthcare 20/20 conference being put on by the Ministry of Health in his role as Chairman of the Board of Directors of CINICO all morning and afternoon.  Arianna still has her days and nights mixed up so she is sleeping during the day and staying up most of the night.  Yesterday we found a bassinette on E-Cay so Arianna now has a downstairs bed to go with the pack and play bed upstairs.

The Cummings Women

Arianna comes home

Katie and Arianna were released from the hospital this morning and right at Noon we arrived home.  Katie is working on her birth story and will post the full tale in a few days.  She has been introduced to gypsy who was a bit startled that there was a new young human in her house.

Pictures from Arianna's first full day

Katie and Arianna are still in the hospital and will be through Friday morning.  In the next few days we will do some longer blogs on the birth but for now here are some more photo's from yesterday.

Arianna Macias Cummings

Arianna Macias Cummings was born at George Town Hospital Grand Cayman last night at around 10:15.  She weighed seven pounds thirteen ounces and is 52 CM long (hey its a British colony they measure in the metric system).  Mom and Baby are doing very well.  Will update with full story when Mommy gets out of hospital in a few days.

Bruma and Brupa

Katie's grandparents from North Carolina, Joyce and Chuck, arrived this afternoon and are going to be around to help this week after the youngster arrives.  Tonight we went to the doctor who started the process of induction and we are supposed to be at the hospital tomorrow morning at 7:30 to see if it worked and if Katie is dilated enough.  Katie has taught Brupa how to use Skype and he will be calling our parents with the news and they will then chain out to the rest of the family.  Hopefully that will mean that when everything happens it should get out quickly.  God willing, by this time tomorrow our family will be three.

Dinner at Deckers and Walking Camana Bay

With the weather somewhat threatening tonight we decided not to head out to East End but instead do dinner on Seven Mile Beach.  We decided to go to Deckers and get some Caribbean Lobster.  It was a fantastic meal and afterward we went over to Camana Bay and got some hot chocolate and then walked around the shops and out to the island in the sound.

Walking Seven Mile

This morning we decided to head over to Seven Mile Beach for a long walk to see if that would get Katie into labor.  We started at West Bay Public Beach and walked north about a quarter mile before doubling back.  We ran into one of our instructors who's wife had just given birth and after taking a picture of the three of them got him to take a picture of the two (three) of us. The winds have been really up this weekend so the waves were crashing into the shore around us.  Afterward we got some Popeye's spicy chicken for lunch but our future daughter seems to like spicy food so it didn't phase her at all.  This evening we may head out to East End for dinner depending on the weather.  Regardless of when our daughter decides  to make her appearance, this is our last day together just us as even if the little one doesn't come tomorrow, Katie's grand parents arrive in the afternoon for two weeks.

Gypsy's Verklemptness

Today was a beautiful day. The sun was out, the skies were a vibrant blue, a breeze was blowing, and the temperature actual got down to the low 80s. It was beautiful!

It was time to open the windows and let some of the beautiful fresh air in. This sent Gypsy over the edge!

She would go sit by the back door. Then she walked in, yelled at us at things were different and moved to the front windows. Our afternoon was punctuated by her cries that things were just not like they normally were.

Yesterday we changed some things around in the house (see baby blog) and she was not happy with that. Today the windows were just too much. She was very verklempt. It wasn't that she didn't enjoy having the windows open but everytime she moved from inspecting outside one she insisted on reminding us that they were open!

Good news for us (not so much for Haiti)

Hurricane Tomas made his long slow turn to the the north some 150 miles east of Jamaica and is not going to impact us at all, instead crossing Hispaniola on the Haitian side and then heading north into the Atlantic through Turks and Caicos and the Bahamas.  The hurricane is as close as it will get to us today and it is a bright sunny day here on Grand Cayman.  With Katie hitting 39 weeks yesterday the last thing we wanted was weather excitement and it seems our prayers have been answered.  Today is my last day of work as I go on Paternity leave starting Monday joining Katie who went on maternity leave this past Monday.  I am off until mid-December and we have set up Katie to be off through February between her legally mandated maternity leave and vacation/sick days.  Katie's grandparents arrive Monday afternoon and Monday evening we see the Doctor for the catheter with an eye toward inducing Tuesday morning.  Next Saturday I am chairing a conference as part of the Healthcare 20/20 Conference for the Government of the Cayman Islands but obviously only if all goes well with mommy and daughter early in the week.  Katie's parents also arrive next Saturday followed closely by my father who arrives on the 18th so we are enjoying our last weekend alone for a while this weekend.

Nothing new to report

Haven't posted this week but only because I have been lazy.  No news on baby front just a lot of hurry up and wait.