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The Miracle of Christmas

“…they found Mary, Joseph and the baby who was lying in a manger…but Mary treasured up all these things and pondered them in her heart.” Luke 2:16-19

Moms-to-be. . .take a moment to ponder the miracle growing inside of you. Consider Mary and the unfathomable joy she experienced knowing the life she bore would save mankind. The life you are carrying may not be the Savior but with his help, you can guide your child to an amazing destiny. Praying for him to prepare your hearts to steward the life you will bring into this world. Amazing!

Waiting mommies-to-be. . .I know that holidays can be hard, thinking about your longing for a little one to share the joy with. I remember those days. They could have ruined me. I pray you will allow the peace of Christ to dwell in you this holiday season and as you consider the awesome miracle of his life, be filled with the HOPE this tiny baby brought to Earth. That HOPE is for you.

And may we all experience true peace and joy leading up to Christmas this week. I want to honor the savior by choosing HIM instead of busyness and stress. It’s a daily choice I am trying desperately to make. Will you join me?

Today I am linking this post up with a new blog I recently discovered. Check out Imparting Grace this week to read lots of other encouraging posts about Christmas!

Imparting Grace

Merry {week before} Christmas!

Jessica

We Believe. . .{w/ a giveaway!}

christmas-dvd

What do you believe?

{UPDATE: The winner for our What’s In The Bible giveaway is Kristy C! Congrats Kristy!}

This year we have a new stocking holder on the mantle adorning a complete set of stockings that I’ve waited to display for a long time now.

What might seem like a simple and traditional piece of Christmas decor actually means the world to me for all it represents.

BELIEVE it boldly states.

As I sit peacefully in our dimly lit living room – brightened only by the light of our tree – I am asking myself what this bold statement means to me…to our family.

BELIEVE.

I’ve asked myself a similar question a lot lately as I begin to try to instill family values in our preschooler. It’s been easy to go about our lives – just my husband and myself – knowing deep down what we believe to be true about life and faith without ever really vocalizing it. I pray that our actions and our words have expressed those beliefs and while I think what comes out of you is the most powerful expression of what you believe, I know it’s not enough. Especially when trying to teach a wee one.

I am working to put into words the truths we hold in our hearts so that daily we can live them out in our lives. Christmas is such a wonderful time to do this because after all, it all started with Jesus…he is the reason we can believe in anything.

WE BELIEVE

in Jesus

in ourselves

in each other

in others

in grace

in love

in hope

in giving

in serving

in encouraging

in forgiveness

in redemption

in perseverance

in laughter

in prayer

in miracles

What do YOU believe? What do you want YOUR CHILDREN to believe? Make a list and challenge yourself to make sure your words and deeds match up with what’s on paper. Use the list to daily guide your actions and decisions allowing your children and those around you to see that you truly believe in those values. I am challenging myself to do just that. I know I won’t live up to it 100% of the time but 5th down from the top “we believe in grace” means I’m covered and so are you.

{GIVEAWAY!} This week we have the privilege of giving away the amazing What’s In The Bible: Why Do We Call It Christmas?* DVD. If you are looking for a fun and creative way to teach young children about what you believe, this series by Veggie Tales creator, Phil Vischer is a must have. Using fast-moving, catchy animation, puppets, music and more, What’s In The Bible shares biblical truths that may even teach mom and dad a thing or two.

To enter, simply leave a comment sharing a value your family believes in. Like The Pregnancy Companion on Facebook or follow us on Twitter for extra entries. Just leave a comment saying you did so. *Visit the link above for all kinds of great Christmas printables and resources!

Believing in the joy and wonder of the season,

Jessica

TPC’s Top Tips for Relieving ‘Morning Sickness’

The majority of women will experience at least occasional nausea during the first trimester, with about 2% experiencing severe daily vomiting. Symptoms usually peak at around 10 weeks as pregnancy hormone levels peak and then slowly improve over the next few weeks.

Because morning sickness is usually at the top of a mommy-to-be’s list of concerns, I wanted to offer my best advice for dealing with this unwelcome side effect of pregnancy.

As a starting strategy, eat small meals throughout the day. Stop before you are full, and try to eat again before you are hungry. High carbohydrate meals seem to be the most helpful. Sucking peppermint candy has been shown to reduce nausea after meals. Keep crackers beside your bed so you can eat them before you get up in the morning. Getting up very slowly can also be helpful.

Some women will have specific foods or smells that trigger the nausea. If you know what the troublesome foods are then you can plan ahead and avoid them. In general steer clear of spicy, rich or fried foods. Other women will experience nausea with brushing their teeth (but please don’t avoid this one!) or other activities like pumping gas.

Try to to take your prenatal vitamin at night with a small snack.  If the vitamin still causes nausea, then switch to one without iron.  It is very important to get adequate folic acid during the first trimester. So if you can’t hold down an entire vitamin, try a folic acid supplement.

If the nausea is not improving, the next option would be a combination of Vitamin B6 (10 mg) + doxylamine (10 mg…like Unisom) taken every 6 hours as needed. It is safe and is available over the counter. Obviously a sleeping pill may make you tired, but it does help the nausea. Natural ginger supplements have been shown in some studies to reduce nausea. A product that some of my patients have found helpful is  Tranquil Tummy Crackers. These are saltines with added ginger.

Another great option is the Prima Bella.  It is a medical device that is worn on your wrist that feeds an electrical impulse through the nerves in your arm that modulate the nausea centers of your brain and stomach. It is FDA approved and drug free. You do need a prescription from your provider.  Several of my patients have gotten significant improvement from this device.

If you’ve tried these tips and you’re still vomiting regularly or find your nausea incapacitating, then please call your doctor’s office. There are several prescription medications that can help reduce the nausea.

Reasons that you may need to be seen urgently are: vomiting blood, dehydration that results in decreased urination, or not being able to hold down anything for 24 hours.  Please let your provider know if you have these symptoms.

I found nausea to be the most challenging symptom in my own pregnancy. I found that keeping snacks close by during the day was helpful. At times, I took the anti-nausea medication in order to function and found it helpful. I would love to hear from our readers about any other helpful hints or products they found beneficial.

As always, we encourage you to discuss these remedies with your doctor so together you can determine what is best for you.

Dr. Rupe

Keeping Christmas Bright

Christmas Lights

Happy Black Friday! I’m sure many of you are out braving your local shopping stores and malls, eager to find the best deal of the year on just about everything. I’m saying a quick deal-lovers prayer for all of you. May your brave ambition lead you to great money-saving discoveries.

But not me. No, you won’t find this shopaholic out there in the wild today. I’m writing this post as I stay home with the kids so my husband can go golfing with his dad. He’ll be home in time for me to grab an 80 minute massage before dinner time. {Don’t think for a moment we can afford these luxuries. Both were obtained from Groupon. Oh, how I love thee Groupon!} Yes, we chose today, instead of the craziness of American commerce, to relax.

I finished my Christmas shopping last week. I’m sure many of you are closing this browser window or cursing at me right now. This is not meant to be a bragging post. I simply want to share why I purpose to finish my shopping before Thanksgiving when I can. That may not be possible for some like my sweet sister in law who has her busiest working season of the year up until mid-November. And some may love the thrill of Black Friday or the last-minute Christmas Eve hunt. Whatever method you are able to use and allows you to enjoy the holiday season is what I recommend.

I am a task master who loves crossing items off of my “to do” or “to buy” list. I’ll be honest and tell you that is my main motivation for getting the shopping done early. But obviously that is a personality trait and not a good enough reason to encourage others to do the same.

You might wonder why I am waiting until Black Friday to write this post. I defintely believe in celebrating one holiday at a time. I didn’t want to take anyone’s focus away from it. And while I felt led to share my thoughts on the subject, I didn’t want to put any unneeded pressure on your already crazy lives. Think about these reasons that I am sharing and then decide if they resonate with you and your family. There are plenty of Christmas seasons to come should you decide to adopt a similar strategy.

Three reasons for getting the Christmas shopping done before Thanksgiving:

1. Avoiding the craziness of the mall, Target, Costco, etc… Crowded places stress me out. The thought of fighting over the last sale priced princess doll makes we want to throw up. For me, there is nothing like shopping stress to take all the joy out of the holidays. With my shopping done, I can use the month of December to build up all the joy and wonder of the season without having it stripped away by mall parking lot road rage.

2. Focusing on others leading up to the season… Instead of seeing me run around like crazy trying to snag gifts for our family or for them, my kids will hopefully see me focusing on others in need. With my family shopping complete, we can now focus on programs like the Salvation Army Angel Tree and volunteering for local holiday related efforts. True, shopping for an angel will require a trip to Target but let’s face it, I can’t avoid Target for a whole month. I’m bound to be there and with only a bright eyed and hopeful child or two to shop for, I can focus on teaching my children how to give to others.

3. Having the time and head space to really teach the little ones about the true meaning of Christmas… This year we will start using an advent calendar to share the story of Christmas with our children. My hope is that having this activity in the forefront of our days {instead of running from place to place to buy all sorts of things}, my kids will begin to understand that Christmas is not about presents. It is about Christ and he should be at the center of it all.

Last year around this time I did a post about our 3 gift simplicity strategy. This is yet another way we try to keep things simple and focused on others. Several people have asked me to repeat that post so I’m linking to it here.

Each child receives three gifts {plus some stocking stuffers}:
Gold – the big gift they’ve been wanting
Frankincense – something for their body
Myrrh – something for their spiritual or personal development

That’s it. Simple and purposeful.

For us, these things help keep the season merry. Less stress, a more central focus on the savior and others in need are sure fire ways to keep Christmas bright.

How does your family try to keep your Christmas merry and bright? We’d love to hear your ideas.

Praying that this next month is full of joy and wonder for you and your family,
Jessica

Firmly Planted

Firmly Planted

“So neither the one who plants or the one who waters is anything but only God who causes things to grow.” 1 Corinthians 3:7

Firmly Planted and Growing. . .

This morning I had the privilege of speaking to the women at The Gate in Franklin, TN. What a precious group of girls. So much life represented there. One hopeful mommy is now expecting after several miscarriages and we had a sweet time of prayer for another still believing for her miracle. Here’s a little bit of what I shared after I told my story. This has been on my heart for some time now. Nothing completely earth-shattering but I believe good reminders for us no matter what it is we are walking through.

I’ve always said, we never know what the Lord is going to require of us because he is more concerned with our growth and his glory than any outcome here on earth. I never imagined how true that would be for me. I’m sure many of you can say the same. We never start out on the journey expecting it to be hard. We are wide-eyed and hopeful. I know I was.

Throughout my journey to motherhood, I kept asking the Lord to spare me any more heartache so I could see how deep my relationship with him would go apart from sorrow. But I realized, the heartaches and the sorrows are the rain that cause our growth. Without them we would remain stagnant and unfruitful.

And growth requires both sunshine and rain. Too much sunshine without the rain leads to drought. Too much rain without sunshine leads to flooding. We need to seek him for balance but hope for both sunshine and rain to nourish us. This is how we become firmly planted and ultimately grow.

This Thanksgiving season I challenge you {as I am also challenging myself} to ask the questions:

What things are sunshine in my life?
What things are the rain?

Acknowledge and thank him for it all. Your life and it’s growth and fruitfulness require both.

Thankful for sunshine and rain,
Jessica

My Adoption Story

Last year I posted the story of our adoption journey in a series of posts leading up to my son’s birthday. Since we have so many new readers I wanted to repost it this year and add some updated pictures.

I struggled with telling this story, in the sense that to really tell it properly, I had to be more open with the details of my life then I would normally be on “the internet.” To truly appreciate God’s faithfulness; though, you need to understand the struggle of my journey, gritty details and all.

Part 1:The Call

My adoption journey began on January 21, 2004.

My life up until that point had pretty much been about me. Focused and driven, I had conquered college and medical school. OB/GYN residency was hard, but I had given it my all and was doing well. I loved my career choice and knew I was following God’s calling for my life. As I went through training, our desire to have a child grew stronger, so in my 3rd year I got pregnant. We had always wanted kids in a kind of vague way, not really sure what to expect.

Then on January 21, 2004 Ryan was born and my life has never been the same. Holding my son for the first time was truly an amazing experience. In those moments, I realized that this little guy had suddenly become the center of my world and my heart.

Over the next few weeks, I felt depths of emotion that I had never felt. Joy that seemed almost palpable. Even during the sleepless nights, I knew one thing for sure: I couldn’t wait to do this again. I would make mental notes of parenting techniques that worked that I could use “next time.” I carefully saved every item of clothing, in overly organized bins for use with the next child.

The first year of Ryan’s life was a challenging year for me, I had to work a lot, and it broke my heart to be away from him so much. But I cherished every moment that I got to be with him. Even now as I write this, I begin to cry as I think of all the special moments of that first year: first smile, first giggles and all the grandparent visits.

When Ryan was 18 months we moved to Tennessee where I began private practice. While my schedule was still busy, it was nothing compared to the rigors of my residency. I was finally able to spend more time with my son and be closer to family. Life was good. After awhile, we began to think about #2.

On Christmas day 2006, I opened an e-mail. It was a test result that essentially told us that having additional biological children was not an option for us. I heard Sally Fields voice in my head from Steele Magnolias, “It’s not that she couldn’t have a baby, but that she shouldn’t. While I hadn’t “loved” pregnancy like some women do, I didn’t have a terrible pregnancy either. Despite my discomfort, I still worked 90 hours a week, right up until delivery (including 12 hours the actual day I delivered). While the morning sickness did stink, I loved the bonding of feeling my baby wiggle inside me.

There was time of mourning in my heart as I realized that pregnancy would not be an option for us, but then something awesome happened in my heart. The desire to be pregnant was completely lifted and the desire to adopt a baby was overwhelming. As Russ and I prayed, we felt strongly that we were supposed to adopt domestically. So I went out and bought a zillion books and called every adoption agency in our area.

I remember being so excited and peaceful about our decision. As we began to research the process, I really felt like God was saying that our adoption would be “an example.” Great! I thought. It will be an example of how smoothly things can go, and how we can disprove all the adoption myths.

Part 2: The Process

After we decided on an agency, the next step was to get a home study. Before we could get signed up for a home study, we were required to go to an “Adoption Orientation.” Sounds like a good idea I thought, then I noticed the date: an 8 hour class on a week day, with no childcare available. Hmmm. Well. OK. So I cancelled my office for that day, located a babysitter and went to an 8 hour session on adoption. This was my first clue that it was not going to be an easy process.

The class was really helpful. It talked about the process and tried to prepare you for all the unknowns. It also made me realize that adoption is far too much like a real estate transaction. As adoptive parents you fill out pages of questions about what type of baby are you willing to adopt: Different Race? Special needs? Twins? What if the mother smokes? Drinks? Drugs? It feels a little weird to go through and check those boxes. Then you make up a portfolio that is given to the birth moms that they use to choose you, kind of like a house showing. The portfolio has pictures of your life/home/family and a letter you write to her about why she should give you her baby. No pressure there!

They also discussed open adoption, where the birth mom has continued contact with the child during his life. There were several testimonies from families who had open adoptions. I think most prospective adoptive parents go into the process thinking open adoptions are less desirable, but after the orientation I realized how this can be truly beneficial for both the child and the birth mom. He can grow up with a biological connection. The child can always know that his birth mom did not in any way “give him up” but instead loved him so deeply that she choose to give him to family who could give him a life that she couldn’t provide.

So after our orientation we filled out a ream of paperwork, got background checks and letters of reference from just about everyone we’ve ever met. One of my favorite stories involved getting fingerprinted (for our FBI background check). There are only a couple of places in our area that do official fingerprinting and only during weekday business hours, of course. The closest place to us was a 30 minute drive away. By the time we got there (after getting lost 3 times), Ryan had fallen asleep in the car, so Russ went in first to get his, while I stayed with Ryan. He came out 30 minutes later, told me where in the building to go and we switched off. I waited in line for about 30 minutes. When it was my turn, the lady closed the door in my face. Closed for lunch she said. She was essentially the live action version of Selma Bouvier. But I’m next in line…. AND THERE’S NO ONE BEHIND ME! She just shrugged, pointed to clock and said come back in one hour. Seriously? So, we did.

Additionally, we were required to read several books and attend a 12 week class that met one night a week for an hour and a half. It was a good class, but again we had to get a babysitter and my call coverage switched each week. As we went through the process, we began to pray about the different options. We felt open to adopting a child of a different race. So, we took additional classes on interracial adoption. On a positive note, with interracial adoption the wait is usually much shorter, only 4-6 months on average. Awesome, we thought, we should have a baby by next Christmas.

The final step was the actual home inspection, which was not that big of a deal. From what I remember, I was pretty nervous that first time (I think we’ve had a total of 5 home visits now). I cleaned the base boards and bleached the bathtubs. Our social worker was great and overall the visit was fairly painless. She made sure there was no hazardous material sitting around or no meth lab in the garage. She checked to see if we had baby proofed and that we had enough room for another child. Our house was deemed acceptable.

We finished our profile, turned it in and became an official “waiting family” in July of 2007.

Part 3: The Wait

One of the things that adoption books advise, is to share your desire to adopt with all your friends and family, so that they can help network for you. So we did just that. However, having all those people ask weekly if you heard any news can be quite frustrating.

Our wait was three years…. But I’m jumping the gun a little bit.

After the first couple months we began to look back fondly on the home study days. At least at that stage there was something to DO: paper work, classes, books, homework. There were tasks to accomplish towards our goal. Now there was nothing to do, except check our messages.

We had great support from our Life Group (what our church calls their small groups). Dave and Jessica were our life group leaders and every meeting they faithfully prayed for us and encouraged us. After awhile, I felt lame presenting the same prayer request time after time after time, but they always prayed without ceasing (yes, the whole 3 years).

We continued to live and enjoy our lives. Work was going well. I felt like God helped me to understand my infertility patients on a whole new level, as I myself was going through this journey of waiting for a child. Over time it did become increasingly difficult to not get frustrated with patients who weren’t happy with their pregnancy or got disappointed in their baby’s gender. I wanted a child more than anything, there was nothing worse than listening to people complain about being pregnant.

We continued to cherish our time with Ryan. As he got older, his requests for a sibling became heartbreaking.

Our lives were tinged with a constant sense of uncertainty. As we would plan vacations, we would wonder, but what if we have a baby then? Holidays were challenging. That first Christmas we bought new stockings with an extra blank one for the future baby. After Christmas, I bought these really nice Christmas cards on sale, with the plan of sending them out next year with our family picture in them. I just knew we would have a new baby by then! I spent a lot of time scripting in my mind how I thought our adoption journey would perfectly play out.

About a year into our process we matched with a birth mom. We were beyond ecstatic. After calling all our friends and family, we quickly set up the nursery and gathered up all our baby stuff. She was a month from delivery, so we didn’t have a lot of time. Everything was falling into place.

Hours before she delivered, we found out that because of a legal glitch involving the birthfather, it wasn’t going to happen. We were devastated. The loss was gut wrenching. It made no sense whatsoever. We mourned. If there was any doubt in my heart that I would be able to genuinely love a child that wasn’t from my uterus, it was completely dashed. I had already fallen in love with the idea of this child and my heart was utterly broken that he would not be ours.

As a step of faith, we left the nursery set up, and prayed that soon our child would be in our arms.

That May I got the privilege of delivering Jessica’s daughter Hope, who is a miracle baby as well. A few months later Jessica approached me with the idea for writing a pregnancy book. “Sure, why not?” I thought. We can at least do a proposal right? Seems like a good idea. I figured it would be a good distraction from the process.

Then a few months later, we met birth mom #2. We were more guarded this time after our recent loss, but she seemed very sure of her decision to choose an adoptive plan for her baby. When she was about 5 months pregnant and began feeling the baby move, she changed her mind and decided to parent. We were disappointed. However, I had not let myself get as attached this time and we had only told a handful of people.

It was getting hard not to become frustrated and impatient with the amount of time that had passed.

That Thanksgiving at church, I very specifically remember Nate and Sarah Sallie giving their testimony of their journey to have their second child. She talked about how God had told her to “contend to be content.” I knew as soon as she said that, it was a word for me, as well. I clung to it. It was NOT easy. I was not content. I wanted another child, like REAL bad. My job was to help other people have babies, it seemed cruel sometimes to always have that it my face. I so very much wanted to focus on the future baby, but I realized that I needed to focus more on my relationship with God and on being content with all the many blessing I already had. This was in no way going to be accomplished by my own efforts, but through His grace and mercy.

That fall we decided to put our house on the market. We were hoping to need a bigger house someday and thought we would take advantage of a buyer’s market.

We were 2 years into the process, and it was about this point that people began to make lovely suggestions: “just go to China”, “get a second medical opinion” “try another agency”. Anytime we would pray about what we should do we continued to only feel at peace with domestic adoption. So we stayed the course.

Christmas was hard. Seeing the blank stocking at the bottom of the pile made me want to vomit. But, I didn’t. I contended to be content. I enjoyed every minute with the blessed family I did have.

Part 4: Again? No, Really God, You Have to be Freakin’ Kidding Me

In spring of 09 we were matched with another birth mom. There we no birth father issues, she was sure of her decision, and she was 3 months from delivery. Oh, and by the way did I mention she was having twins? We were so happy! So, this was why we had to go through the other loses…because God wanted us to have 2 babies, not 1! Shortly after being chosen by the twins’ mom, we got contacted by our agency that there was a different baby available. She was already born and we could essentially have her right away. We were torn. We had already told this birth mom yes, but this other situation was a “sure thing.” After a lot of prayer, I really felt like we were supposed to stay with the twins’ mom. After making this decision, I felt a genuine sense of peace.

A few weeks later we bought a much larger 5 bedroom home and began boxing up our things. We read books on having twins, bought a double stroller and picked up some girl clothes.

Then we got the 3 am call: she’s in labor. We were there to witness their birth. They were perfect and healthy. Being premature, they went to the NICU, where we were by their side for the first week of their tiny little lives.

When they were a week old, the birth mom changed her mind and decided to parent. It hit me like a ton a bricks. After getting the news, I was so upset I couldn’t drive home. Even now, it’s difficult to think about that time. With the move only days away, there wasn’t really time to process.

I returned to work a few days later after reopening my schedule at the office (I had previously blocked my schedule for a maternity leave), and moved into a very big and very empty house. Jessica and Donna (Hawkins) were kind enough to come over and box up the baby stuff so we didn’t have to go through it. And that’s where it remained: in boxes.

The hardest part was going back to work. The babies were still in the NICU… at my hospital… yards away from where I stood. I had to pretend they didn’t exist, while I sat and listened to all my pregnant patients complain about their back pain and yeast infections. I ‘happily’ delivered other people’s babies, while all the time my own heart was broken.

Time, prayer, and Hope slowly began to help me heal. Instead, of resenting the new house, we loved it. It was our proverbial “dream home” and we kept busy decorating and meeting the new neighbors (who we neglected to mention our whole adoption drama to). As the months went on, I truly forgave all those involved in our previous hurts and losses. I had never “blamed” any of our birth moms, but there were supporting players in the various dramas who I realized I was still harboring resentments against. Slowly but surely with time in the word, prayer, life group support and running (lots and lots of running), I finally grasped contentment. Not always. It was a daily decision. Sometimes it escaped me, but more days then not I was content…. Well, until kindergarten.

When Ryan started Kindergarten that fall, it was difficult on many levels. I had never, in my wildest dreams thought we would not have another baby at home by then. For Russ, it was difficult for additional reasons. As a stay at home dad, he essentially lost his job when Ryan started school. While he had other projects which kept him occupied, the uncertainty was frustrating. I cried the first week of Ryan’s kindergarten. On my Mondays off I missed Ryan, but soon Russ and I came to realize that we had a unique gift: time. A balance was reached of expectant faith while still enjoying getting to spend extra quality time together.

Ryan in Kindergarten

Part 5: The Good Part

On November 3, 2009 as I was reading my bible a scripture stood out, actually it more like jumped off the page and screamed at me:

Heb 10:36 “You need to persevere, so that when you have done the will of God, you will receive what He has promised”

Despite 3 years and 3 failed adoptions, I felt my faith soar on that day.

This was my verse. Afterward, I took our dog for a walk, praying as I went along. I felt very strongly that God was saying to me that it was time to set up the nursery. There was no doubt in my heart that this is what God was telling me to do. I hoped it meant that a baby was coming soon, but I wasn’t sure. Maybe it was just another step of faith. I came home from my walk and told Russ what God had told me. I wasn’t exactly sure what his response would be, but he said OK.

So the next day we pulled our crib out of storage and put it together. We dug out all the carefully saved bins, and sorted through the baby stuff. It was not easy. What if I was being silly? What if we were disappointed again? But the more I worked on the nursery the more I felt my faith rise. I called my mom, Donna Hawkins and AnnJanette Toth to tell them what we were doing. I didn’t get a chance to talk to Jessica that weekend to tell her.

That Sunday, one of the pastors from our church dedicated their adopted sons. When babies were dedicated at church, it was often hard for me to watch. I will admit to taking a bathroom break occasionally so I didn’t have to sit through it. This dedication was so special though because it was awesome to see how God worked in their lives through adoption. Also our friend Justine Foster was visiting us that weekend. She too was in the process of waiting to adopt a child. I felt so encouraged.

November 10, 2009 was a Tuesday. I was on ER call. That means that if a patient comes in that doesn’t have a doctor at our hospital they would be assigned to my care. I get assigned to this call about once a month. Shortly before lunch I got a call from one of the ER doctors. There’s a patient here in labor, she not from around here, and by the way she didn’t know she was pregnant.

After getting the patient admitted, I stepped out to do some paperwork. Later, as I came back to the room to check on her, nurses looked at me and one said in a very slow, deliberate voice, “Dr. Rupe, the patient wants to give her baby for adoption.” The entire room turned to see my response. The unit had watched us go through our loss, they knew what we had been through and how much we wanted a child.

At that moment I could feel my heart pounding out of my chest. I managed to ask, “Would you consider my family, we have been waiting a long time to adopt a baby?”

“Yes” she simply said.

I then turned over her medical care to one of my partners and stepped into my office to hyperventilate. I called Russ and told him about the possibility. Then I picked up the phone to call Jessica to ask her to pray (remember I hadn’t told her about setting up the nursery), and I noticed that I had a voicemail from her. Her message said, “Heather, I had a dream last night that you had a baby. You have been on my heart and I‘ve been praying for you all morning.” Wow. I was shaking as I put down the phone, tears began to flow.

After the baby was born that night, our profile was given to the birth mom by the social workers. We prayed hard. The next morning, we met with the birth mom and she told us that she wanted us to have her son. I wept. We talked for awhile and I asked her why she came to our hospital since she lived several hours away. “I don’t know,” she said, “I really had no reason to come here. I just got in my car and started driving… I drove several hours up 65 until I saw this hospital.”

Later that day we got to meet Carson. We brought Ryan to the hospital and we all held him. He was so perfect and perfect for our family. There were so many happy tears on the unit that night.

It was a life group night and we got there a little late. When we walked in, Ryan told everyone the news, “For a long time there has only been 3 people in our family, but we prayed for a baby, and now we have 4 in our family.”

Let’s just say there was great rejoicing that night.

The next day we brought him home. As we left the hospital the nurses put me in a wheelchair and wheeled me out to the portico like a “real mom.” It was so special. I could feel all the love and support. He has been our son since that day and always will be.

A few weeks after Carson was born we were at a Christmas party and I overheard someone ask Russ, “What was the biggest surprise after you got him home?”

His answer warms my heart even now, “How quickly we fell in love with him. I thought it would take some time, but it was immediate.”

So that’s my adoption story: After 3 years of waiting, a women drives for hours in pain, not even realizing that she is pregnant, to a hospital where I happen to be on call, a week after God told me to set up our nursery and a day after Jessica has a dream that I have a baby.

P.S. Three days later we got this book deal and I find out I have 4 months to write a book.

Our First Christmas

When Bottle Works Best

{Notice that I said, “When bottle works best”? Dr. Rupe and I both agree that breast milk is best for baby. But there are some moms who are not able to breastfeed for one reason or another. This post is for those moms.}

Photo obtained from istockphoto.com

I know that breast milk is best for my baby, but I had surgery several years ago that removed most of my milk ducts so this mama is a dry well. I gave breastfeeding my best shot when Hope was born and again when Joshua came this past summer, but I knew all along that I was likely not going to nourish them. Due to poor milk supply, I had to supplement with formula very early on. After a month of juggling bottles, breasts and pumping I decided that it was best for me and my babies if I switched exclusively to formula. I am thankful for a pediatrician who supported me in this decision. Since I am a formula-feeding mom, I felt compelled to do a post for other moms in my (or a similar) situation. There is so much information out there regarding breast feeding, I felt it was time to give a shout out to other bottle-feeding moms like me.

This is not a post about whether or not you should breast or bottle-feed. I ain’t goin’ there! That decision is very personal and circumstantial so I would be a fool to address it in a blog post. Again, we believe breast milk is best but we acknowledge that some women struggle to make breastfeeding a reality. It is my hope that we can encourage and empower those women.

TPC’s Top 10 Tips for Bottle-Feeding Moms

Get rid of the guilt. There is no reason for you to feel guilty about formula-feeding your baby. I repeat, there is no reason for you to feel guilty about formula-feeding your baby. Formula has come such a long way and there are many wonderful options that will completely nourish your child. I understand that not being able to do what God created you to do is disappointing. You may need to grieve the fact that you cannot breastfeed but once you work through those emotions, move on and don’t look back. You are doing what is best for you and your baby. Don’t let anyone make you feel like less of a mother for bottle-feeding.

Find other bottle-feeding moms. You know the saying, “misery loves company”? Well, minority loves company too. In this day and age, formula-feeding is the minority and understandably so. But no one wants to feel alone in anything they are doing, least of all how they are nourishing their child. Seek out other moms in your community that are formula-feeding and support one another. Discuss bottle options. Swap formula coupons.

Research your formula options. As I said, there are many wonderful formula options on the market today. Talk to your doctor about what formula they recommend. If you have friends that bottle-feed, ask them what brand they use. You may go through some trial and error figuring out which one is best for your little one but remember, you should discuss any sudden change in formula with your doctor. It’s usually best to stick with one brand for at least a week to allow baby’s digestive system to adjust to it.

Research your bottle options. Just like formula, there are many bottle options on the market today. Most, if not all bottles are now BPA free which should put your mind at ease. Take into consideration the bottle’s shape and parts. Many bottles have very intricate systems for relieving gas and bubbles. The jury is still out on whether or not these systems actually work. It really depends on the baby so once again you may need to perform some trial and error here. The bottle I used with my first baby had several parts that had to be cleaned and reassembled but it worked well for her. With my second baby, I found a bottle that didn’t have any extra parts. It also worked well and was much easier to clean!

Sign up for brand programs*. Companies such as Similac or Emfamil will send you great materials to guide you through baby’s first year as well as valuable coupons. You may even receive a gift in the mail from time to time. I have found the information in their packets very helpful in guiding me along the baby-feeding journey.

Do what you can to save money. Formula is expensive! But there are ways you can save money. Collect coupons. Ask your pediatrician for coupons. Chances are she has them (and some samples) lying around. My doctor gave me a stack of 20 $5 off coupons! Combine store deals with manufacturer coupons. Stores like Babies R Us and Publix may offer $5 off 2 cans of formula. You can combine that offer with a manufacturer coupon to save even more! Shop price clubs. Stores like Costco and Sams offer larger cans of formula at discounted prices {*please note, Costco and Sams do not accept manufacturer coupons but they will accept the coupon checks you will receive in the mail from formula companies}.

Create a space on your kitchen counter (near the sink) as your bottle station. Let’s face it, the worst part of bottle-feeding is cleaning all those bottles! Create a system in your kitchen that makes bottle cleaning faster and easier. Having a well organized bottle area will take the frustration out of feeding time when you would otherwise be scrambling for a clean bottle while baby is screaming. We use a separate tub {I can’t stand the thought of baby bottles touching the same sink I dump gooey chicken parts into} that fits right into our sink. After a bottle is used, we rinse it and throw it in the tub. When we are running low, we add soap and soak the bottles. Then we rinse them and hang them on a bottle drying rack, ready to be used for the next feeding. I end up washing bottles once a day {we keep seven on hand}.

Plan ahead. True, as a bottle-feeding mom, there’s more to it than simply pulling out a boob when baby gets hungry. That’s why it’s important to plan ahead. When you are out and about, bring 2-3 bottles full of filtered water and a formula dispenser filled with enough formula for each feeding {this is for those who use powder formula, if you use the ready made variety, it’s that much easier for you}. Our bottles have a great system where the formula holder fits right down into the bottle of water. When it’s time to feed, I open the bottle, remove the dispenser, dump it in the water, mix and feed! At home, you can either use filtered {nursery} water purchased from the supermarket or fill bottles ahead of time {so they come to room temperature} using your own filtered water. It is not recommended that you heat water or formula in the microwave due to possible hot pockets that can be created. If you choose to use a bottle warmer, water can be cold to begin with. We found it much easier however, to plan ahead and use room temperature water than to warm every bottle.

Share the load. That’s right. It doesn’t have to be all on you. Those poor breastfeeding mommies never get a break in the middle of the night. But YOU CAN! Look at this as an opportunity for daddy or grandma to bond with your baby. Ask for help so you can get longer stretches of sleep or a shower at least once in a while. This is one of the advantages of bottle-feeding so enjoy it!

Hold your baby close. One of the hardest things for non-breastfeeding moms is thinking the bond with our little one will be less because they do not receive their nutrition directly from our bodies. While their source for food may be external, the fact that YOU are the one providing everything your baby needs is the reason he or she will know you are mommy. Still, with all the craziness that comes with a baby {and your deep desire to keep some sort of order in your life} you may be tempted to perhaps, prop up a bottle for your munchkin to drink while you get the dishes done. I encourage you not to do this. Hold your baby close to you as you feed. The bond that comes during feeding is real whether baby receives their milk from your breast or the bottle in your hand. My sweet boy holds on to my fingers for dear life as he sucks away at his bottle. It is one of the sweetest things to have him holding my hand.

I’d love to hear from other formula-feeding moms out there. What tips and strategies have worked for you?

Off to make another bottle,

Jessica

The Wait

We are not exactly doubting that God will do the best for us; we are wondering how painful the best will turn out to be. CS Lewis

My husband and I have been married 9 years this week. As we celebrate, I can’t help but think back 5 years when we suffered our first miscarriage shortly after our 4th anniversary dinner. Although we were aware of our fertility issues, after a somewhat unexpected pregnancy (in that we never expected it to happen so quickly), we never dreamed we’d be facing such a loss. In a way it was the beginning of our wait. Sure, we knew from the get go that pregnancy would likely not come easily but we were wide-eyed, hopeful and a bit naive having not ever walked this road before. It wasn’t until we lost our first baby that we understood how hard the journey might be.

I love this quote from CS Lewis because it gives voice to what I felt in my heart all along my journey. I never doubted God. I never really feared he wouldn’t allow me to be a mother. What I feared was what he’d require of me before he fulfilled that longing. Not because I think he is a cruel God that requires payment for his blessings but rather because I know that he is more interested in my growth and his glory than my immediate happiness.

But if we hope for what we do not yet have, we wait for it patiently. Romans 8:25

It wasn’t until shortly before I became pregnant with my son that I realized that I’d been going about the waiting all wrong. I’d been waiting on God to hear my cry and decide I was worthy of that which I was asking him for. I prayed. I confessed. I declared victory. But there wasn’t a magical formula that caused him to open the fertility floodgates. Then, when I hit rock bottom and thought there was no hope yet continued to hope (which I believe was finally, pure hope), he answered YES. . .a yes that ultimately brought him glory. All along I was waiting on him when I should have been hoping in him. I know it sounds simple but this is a paradigm shift in thinking that could greatly affect how we wait.

If you read Isaiah 40:31 in different translations of the Bible, you would find this. . .

{NIV} Those who hope in the Lord will renew their strength. . .

{KJV} They that wait upon the Lord will renew their strength. . .

Those words are definitely interchangeable when it comes to this verse. But if we are not careful, we will find ourselves waiting without hope and that will lead to weariness, frustration and despair.

What are you waiting for? A family? Your dream job? Healing? Finances? Are you waiting on him or hoping in him?

Let’s refocus our hearts to hoping in him as we wait for his response to our requests. As we do, I know he will daily renew our strength.

Praying for you and whatever you are hoping for,

Jessica

When the G’s and P’s do not Align

It was 3 a.m. on a Saturday night, midway through my intern year, when the impact of pregnancy loss first slapped me in the face. As intern, I was in charge of doing the paperwork for all those being admitted to the hospital that night. The last patient on my list was a pleasant 50 year old women being admitted for pelvic pain.

In my rush to finish the paperwork and hopefully get an hour of sleep, I began hammering her with my list of questions. I started with, what every good OB/GYN intern starts with, the “G’s and P’s”.  G=Gravida,  which stands for the number of pregnancies. P=Parity, which stands for the number of deliveries. Each piece of the  gynecological medical record starts with this bit of information.  Yes, OB/GYNs start first by judging the ability of your womb to accept and carry a child.

“How many times have you been pregnant?” I ask hurriedly, pencil in hand.

“Only once.. but … he didn’t make it.” She said, her voice shaking, with a single tear quickly wiped from her cheek.

I was taken aback, both by her response and my own. This loss had occurred years ago, yet still stung so deeply. That night I learned to ask this question more tactfully.

A couple years later, I learned another lesson in the pain of pregnancy loss when my own joy of conceiving was quickly mired by seeing  blood stained toilet paper.  My loss was early, but the pain was deep and real.  Time has healed my hurt, but I am frequently reminded of the pain of loss as I am often the bearer of bad news.  Sadly, miscarriage is extremely common and something I had dealt with on a regular basis.   I had not truly appreciate the level of loss experienced until I was on the other side of  the stethoscope.

Over the years I learned to look differently at the G’s and P’s on the medical record. My heart will ache when I see a G6P2, realizing the painful reality that the 4 losses must represent.  I cannot fathom feeling your heart sink so deep with disappointment, not just once, but 4 times.

October 15 is pregnancy and infant loss day. A time to remember and acknowledge the loss and pain that occurs when the G’s and P’s do not align.  For those of you who have experienced this loss, I cannot say I know how you feel, for everyone processes loss differently.  I can say that I acknowledge that your pain is real and I  pray that in your journey  you find peace and healing.

Family Prayers: Part 1, The Idea

This week, I have been compelled to write specific prayers for each of my children and my husband in an effort to focus on the blessings they are and the unique qualities and purpose of their lives. It’s got me thinking that this is something I should do on a regular basis. As seasons and circumstances change, having prayers that we pray over our family that are specific to what they are going through or perhaps struggling with can be a very powerful tool as a mother and wife desiring to nurture her family. I plan to follow up this post next month (as we get closer to the end of the year because the new year is always a great time to start something new) with a Family Prayer Challenge to encourage our readers to think about implementing a similar strategy. In the meantime, I thought I’d share the prayers I’ve been led to pray to cover my children and my husband and to keep the many blessings of life in perspective.

For my daughter…
Dear Jesus, thank you for the gift of Hope. Her sweet smile warms my heart. Please help me to be exactly the mother she needs. I know you will continue to give me wisdom and patience to lead her well. May I remember to access your love and grace in each moment. Help me to celebrate and nurture the unique qualities that you’ve given her…even when they frustrate my selfish plans. Show me the areas I need to tame through gentle guidance and grace. May she be a testimony of your love as her lively spirit spreads joy and hope to every life she encounters. Amen.

For my son…
Dear Jesus, thank you for my sweet boy, Joshua. His joyful spirit is like life to my sometimes weary soul. Please help me be exactly the mother he needs. Although the infant stage can be hard, I pray that I would remember to soak up each tender moment with him in my arms for they will pass too quickly. May I focus my heart on loving and nurturing him instead of merely surviving the craziness of each day. Open my eyes to see who you’ve made him to be, even now, so that I may guide him towards the plans you’ve planned for him. May he be a testimony to the miraculous work of your hands. Amen.

For my husband…
Dear Jesus, thank you for my perfect partner, Dave. Every day I am blessed by the strong character he possesses. His servant leadership in our home is the foundation of our family. Help me Lord to recognize how I can bless and serve him each day. He isn’t one to come out and say it so show me holy spirit just what he needs. Father, give me eyes to see the plans you’ve planned for him so I can encourage his growth.  May the words of my mouth and the meditations of my heart toward my husband be pleasing to you Lord and uplifting to him. Amen.

What are some ways you have been led to pray over your family? We’d love to hear your ideas about how to keep prayer at the forefront of our minds in the midst of very busy lives. . .

Praying always,

Jessica

P.S. As I’ve thought more about it this week, I wanted to encourage women who are currently waiting for God to bring them a child (we have several in our community) to begin praying specific prayers for your baby, even now. For some it may be too hard to do (I completely understand) and that’s ok. But if you feel your heart can. . .offer up prayers of faith for your baby yet-to-be. I believe that doing so will help faith rise up in you as you wait. And I know our gracious God will honor your faithfulness in prayer.

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