Friday, April 12, 2013
Luke's beginning
Wednesday, March 20, 2013
'You can still wind up with an emergency C-section that is a GOOD EXPERIENCE'
I found out I had gestational diabetes at my first OB appointment. It was so early it wasn't even the OB I saw, but a nurse educator. I failed the glucose drink test and was sent for a 3-hour fasting to confirm. I also have PCOS, so insulin resistance from that coupled with a ridiculously strong family history (both parents, an uncle with Type 1, aunt with GD, all grandparents …) and the fact that I was not in optimal physical condition when I finally got pregnant (depression due to the difficulty conceiving from my PCOS led me to gain weight, and I was obese at the time) all combined to make me a perfect GD storm. It was definitely GD though as my A1C was fine; I had a hard time convincing some not-exactly-well-informed nurses that I wasn't a Type 2, but that's another story.
I started out on oral meds within a couple of weeks of my diagnosis, in addition to receiving nutritional counseling, upping my exercise intake, and put on a minimum 4 times daily blood glucose monitoring regimen.
Throughout all this, I knew I wanted a vaginal birth and blindly believed I would be a good candidate for it. I studied child development and early childhood education in college, which focused heavily on attachment parenting and all the choices that tend to go along with that, and was pretty upset the option of even TRYING a midwifery was stolen from me (GD is considered high risk, and midwives don't work with high risk patients).
My pregnancy was not a healthy one. I blessedly avoided severe morning sickness, but had a whole domino effect of complications and illnesses. I had repeated UTIs and yeast infections. I had thrush on my skin for most of the entire pregnancy. I had bad acid reflux (a preexisting condition due to my obesity but was managed with Nexium) that continued to require treatment. I developed respiratory problems and had "pregnancy induced asthma" — I had asthma as a child of two smokers, but hadn't needed treatment or been symptomatic since I was 10 - which required 3 different inhaled, oral steroids that I had to be on for the duration of my pregnancy (steroids raise blood sugar, you can see how this is a vicious cycle.) I came down with the regular seasonal flu (after getting both the flu shot and H1N1 shot — my OB said to be thankful I got the vaccine before I contracted the illness, since the way it reduces the severity of the symptoms is probably the only thing that kept me out of the hospital!) and then required oral steroids and Tamiflu and Ciproflaxin. While I managed to avoid hospitalization for the flu, I was pretty seriously ill and took multiple courses of the steroids to get well - all of which aggravated my diabetes.
Basically, I was getting sicker and sicker the further my pregnancy progressed. I saw a regular OB and a maternal fetal health specialist for high risk pregnancies. I had to send in my blood sugars once a week for the entire time I was pregnant. I had about 80 appointments for the whole 9 months or so. I had so many ultrasounds I lost count. Throughout ALL of this, I still planned on having a natural, unmedicated birth. I don't know WHAT I was thinking - clearly it was wishful thinking, not reality-based thinking!
My son was thriving and doing very well despite the medical hell and overall lifestyle of a senior citizen that I was living. He didn't start to measure big until the very end of my pregnancy. All of a sudden, my fluids were measuring very low, he shot up to an estimated 8 pounds, and I was having severe edema and borderline low blood pressure. At 37 weeks, I asked my doctor about induction. At that point, I had been on four-times-daily injectable insulin (which I had to inject myself right into my baby bump!) and was just so ready to be done.
She reviewed my current numbers and agreed that I was a good candidate for induction. 3 days later, after a nice dinner out together the night before, my husband and I showed up at the hospital at about 7 at night. I should have eaten before I got there! I just sort of assumed they'd feed me, but I had missed dinner time and all they had was a vending machine sandwich. I spent my entire labor asking everyone who came in the room what they had eaten most recently and then salivating over what they told me!
That night I got a pill to dilate my cervix inserted vaginally and an Ambien to sleep. I didn't sleep at all as I was woken up a lot for monitoring — at least my husband slept that night. In the morning I had progressed well, so I got to start pitocin (no breakfast though — sob!). After a few hours of that, I was still progressing well but they wanted me to walk around to help things along. I had not one but TWO IV trees hooked up to me (six different medications/fluids being needed at once! The nurses told me that it was the most they had ever seen for an induction. I was a very sick woman.), so my husband had to push one and I pushed the other as we walked around. His best friend came by to visit while we were walking and I remember distinctly telling him to LEAVE, NOW because the walking had kickstarted active labor with a bang.
The contractions started out at a manageable level. The labor nurses I had were great and very supportive. At first I wanted to just curl up in bed through them. They suggested I try the labor ball, the tub, etc. The tub was heavenly — but they made me get out after 30 minutes or so I think for monitoring. They were concerned about my son's heart rate and I had been hooked up to an external fetal monitor since they had started the pitocin earlier in the morning. Once I got out of the tub, all of a sudden, the intensity ratcheted up to an 11, at least. The contractions were UNBEARABLE. I think I stuck it out for something like four hours from the start of labor, and then I asked for an epidural. I have never been so happy to see a man in scrubs in my life.
There was one issue with administering the epidural — they had to do something with my multiple IV sites — I seem to remember I had one in each hand. At some point one of them just got removed and I looked down as I felt wet — blood was GUSHING out of the port on my hand. All while the anesthesiologist was in the middle of doing the epidural. I just closed my eyes and sort of turned my head away while the nurses apologized, stopped it, and got me cleaned up. It was all over in a few seconds, thankfully! After the epidural I felt MUCH better. I was able to get some rest (I hadn't slept the whole night before) with the only really annoyance being the blood pressure cuff I had to wear constantly. Some of our family showed up to visit, and I could chat with them (chat = ask them about what they had for breakfast). I got to have some crushed ice. It was overall a pleasant, dreamy time of waiting and resting.About 14 hours after labor had started, I was at a 10, 100 percent effaced, and ready for pushing. The first few pushes were thrilling. I was so excited — my son would finally be here soon! Pushing soon got exhausting, though. I started vomiting with every contraction and push. Two hours of pushing later, I was screaming in exhaustion and pain. Even though I had had two epidural bolsters, I was still able to feel about half of my body — not as intensely as I would have otherwise, but enough to feel pain. The vomiting had really taken a lot out of me. I started screaming that I was done and that I wanted a C-section. The OB on call (my regular one had to leave in the middle of labor!) was so sweet and gentle — she told me 10 more minutes of GOOD trying and then she could call it. I did my pushes dutifully, while watching the clock. When it hit 10 minutes I screamed, "I'M DONE!!!!" — haha. My husband thought I was "giving up" because we both knew how much we wanted a natural birth experience, having read about how much more beneficial it is with breast feeding, health, bonding, etc.
The anesthesiologist came in again I think, gave me much more medicine, thank God. They gave me IV anti-nausea medication that I was SO RELIEVED to get — but later on we realized I had a bad reaction to it. It was Zofran and it basically knocked me out completely. The rest of what happened is a blur — I had to fight to stay conscious and only remember glimpses here and there. I remember how cold the OR was, one of the medical personal by my head singing along with the music that was playing in the room (it was the radio or something, and an '80s song). I remember them saying something like "Why is she so sleepy?" I remember the sensation of being pushed and pulled on when they removed my son. I remember the way my husband's face changed as if he'd been slapped — he went from being tense and disappointed to utterly shocked — my son was about 2 full pounds bigger than they had estimated. He was just HUGE and we were totally unprepared for him to be that bi g… and, also, no wonder he had not fit through the birth canal! After that, it's a blur.
I woke up in the recovery room and was shaking badly. I felt awful but it was quickly fading. I nursed my son, sleepily, and mostly just sat there while the nurse and my husband held him to my breast. I asked if he was latching on (something I was very concerned about due to the C-section) and the nurse said he was a champ, then I passed out again. I later found out that he had some blood sugar issues and that my husband had given him some of the colostrum we had brought with us via a syringe while I was in recovery sleeping.
We got sent to a regular mother-baby room at that point, which was about 4 a.m. the next morning. I had checked in at 7 p.m. on a Tuesday and had my son at 1 a.m. on Thursday — we were all EXHAUSTED! Of course family started coming a few short hours later. My husband and I were both on cloud nine, though — other than being tired, we were elated. The lack of oxytocin I was so worried about with a C-section was not a problem. I was soooo happy I had had a C-section, and that my son was now in my arms, healthy, safe, and sound. I was so thrilled to EAT!
My son nursed great from the beginning, other than being a little sleepy due to being a late-term preemie. Also because he was so large, he tended to stay asleep longer than normal. He lost a bit more weight than they wanted (but, honestly, he was HUGE …) so I had to supplement him for about two days with formula — which at the time was upsetting and I cried, but in hindsight no biggie and I was obviously hormonal!
The nurses and CNA's I had were all SO WONDERFUL and nice and sweet and caring. They helped me have the best shower of my life. They helped us with everything, really, and were just such kind, nurturing presences that we were very grateful to have. I was doing well and so was my son (other than the weight thing). I had one bad lactation consultant — but that seems to be par for the course with them, there are bad ones and good ones and most mothers experience a little both of both. The majority of staff we had were just lovely though.
The hospital was a brand-new one and the rooms were gorgeous and hotel like. The food was good. There was cable TV. We had round-the-clock assistance with anything we might need and free snacks. I was in the hospital for three days after giving birth (the maximum stay covered by our insurance) before we went home. The whole experience was calming and relaxing and I would recommend it to anyone — who wouldn't want room service and a maid while you are dealing with the biggest transformation of your life!?
My incision healed wonderfully. Honestly, the stretch marks are much worse than worrying about some tiny scar! The worst part about the surgery was the itching from the leftover adhesive from the bandages. My son started gaining weight again within a few days after my milk came in (which took five days). I was able to start exercising after 6 weeks and eventually worked my butt off and ran my first ever half marathon last summer (when my son was 17 months old).
Now I am pregnant again with our second and last child. Despite being in much better physical condition, I have contracted early-onset GD once more. It seems to be going better this time though — I'm 15.5 weeks and no meds yet! I'm hopeful that I will be a bit healthier, but my husband and I both have MUCH more realistic expectations for pregnancy and birth. We are going to be scheduling a C-section this time and couldn't be happier about it. I am actually LOOKING FORWARD TO IT! I am hoping for a much calmer, more aware experience. I know now to stay away from Zofran … I can't wait to just be conscious and present for birth!
I hope you can use my story. I think it's great for women to know that even in a high risk complication-ridden birth, you can still wind up with an emergency C-section that is a GOOD EXPERIENCE.
Friday, February 8, 2013
The Amazing Truth About Hospital Birth, Part II
Tuesday, February 5, 2013
The Amazing Truth About Hospital Birth: A Pictorial Display
Thursday, January 24, 2013
What's really routine?
Monday, December 31, 2012
Quinn's beautiful hospital birth
Before jumping into my second child’s hospital birth story, let me give you some background. Our first child was born at home with a certified professional midwife who, although she was highly recommended, ended up being a big bully and pushed many “natural” interventions on me by playing on my fear of the hospital. I am thankful that my daughter and I are safe despite the midwife’s mismanagement of my labor. That experience with the midwife led me to search out why my experience was so different from others who have homebirths, but then I learned that it wasn’t so different and I realized that there are birth bullies everywhere.
Fast forward to when I became pregnant with my second child. I was so sick at the thought of calling our former midwife for my files that I made my husband do it. I couldn’t bring myself to even talk to her on the phone. We talked to many people during our search for an OB/GYN (which began before we got pregnant, but continued for 12 weeks into it). We finally settled on a doctor who was highly recommended by friends, strangers (on the internet), homebirthers, and hospital birthers. She was from Ghana and didn’t bat an eye when she heard our first birth had been at home, instead she asked why we were choosing to use the hospital this time. She made no judgement of anyone after my story was shared, simply said, “Well, we’re going to make this birth a good one.”
On to the birth story! My labor began early one morning. We were using Hypnobabies for our “birthing method” so I chose to remain still and utterly relaxed in the quiet house. For 5 hours I labored this way, enjoying the quiet, and believing that I was still in the very early stages of labor since my contractions were no worse that strong menstrual cramps. When I finally started timing the contractions, I was surprised to see how regular they were: lasting 1 minute and coming every 5 minutes.
I finally forced myself to get up and start collecting things for our hospital bags and our 2.5-year-old girl’s bag. Within minutes of getting up, the contractions severely intensified and I started feeling sick. My husband woke up in the midst of this and I informed him of what was going on. The lucky man was only aware of my labor for the last quarter of it. ;) Somewhere in the midst of packing, contractions, dealing with my fear of labor, getting our girl up, fed, and off with the child care I lost my center and couldn’t regain full control of myself. There was no where to retreat to hide; I had to keep going forward and I didn’t want to.
After what seemed like an eternity, we finally arrived at the hospital. I had been laboring for 6.5 hours at this point. As the nurses cheerfully checked me in, they tried to comfort me. When I expressed my desire to be left alone, they quieted down and stopped touching me except for necessary things (which is exactly waht I wanted--I can’t stand being touched while in labor). One of those necessary things was an IV for antibiotics since I was GBS+. It took several tries to get the IV in because I was mildly dehydrated from not drinking much over night and because I kept moving during contractions. I was never scolded, but eventually the nurses figured out a way to help me hold still long enough to get the tricky IV in.
Once most of the business was taken care of (I later learned they totally ditched the intake interview and paperwork), they finally checked my dilation. At that point, I learned that--yay!--I was almost 8cm dilated but, sadly, that meant that there wasn’t time to set up the birthing tub. I had been looking forward to a water birth. Guess we should have gotten to the hospital sooner, but I thought I still had hours and hours to go.
As soon as they were done with those checks, I was off that hospital bed as quickly as I could move. They brought me a birthing ball that I draped myself over and rocked and moaned. At some point, they fastened the baby heart monitor onto me and that thing proved to be a pain. The baby did not like staying on the monitor and that made the nurses (and therefore, me) nervous. If there were one thing I could change about the whole birth, it would be the monitor alarm. I understand they need to know the baby’s doing OK (they were just trying to get the baseline at this point so they could switch to intermittent monitoring) but if only they could have turned off the alarm sound I could have focused so much better. The alarm kept going off and it would startle me out of any focus I had been able to find.
Otherwise, the nurses were great. They brought me hot rice packs, took the clock off the wall so that I couldn’t see it, rearranged the room so that I could labor on the floor, and were otherwise very helpful and sweet. Sometime in all this, my OB arrived and sat quietly in a corner doing paperwork and observing. About 40 minutes after arriving at the hospital, I started feeling the urge to push. My OB commented on it and had the birthing stool brought in but didn’t do anything else except encourage me until my water broke.
My water broke with a very loud snap. As the nurses cleaned it up, they realized I was bleeding with it. I was bleeding steadily, though not heavily. They moved me up to the bed to get a better look and after a pushing contraction, they guessed that I must have torn inside the birth canal though they couldn’t tell for sure at that point (this did turn out to be true, thankfully). At this point, the OB requested that I remain on the bed so she could keep a closer eye on the bleeding and asked me to push as hard as I could with each contraction--I believe her words were, “Time to get this baby out!” They allowed me to get comfortable and change positions for pushing, they just wanted me to stay up on the bed for now. Somewhere in a lull between contractions, one of the nurses joked to me that she was sad I was up on the bed now, she had been looking forward to seeing the OB get down on the floor to catch the baby. This lightened the mood, which was helpful.
Within 10 minutes the baby was crowning, and the OB asked if I wanted to catch the baby (I had expressed this desire in my birth plan), I didn’t care at that point and just wailed, “I don’t care; I just want the baby out!” Our baby boy’s head was born with the next contraction and the OB said very calmly, “The umbilical cord is around his neck twice. Not tight but not loose. Don’t push just yet, Regina.” As soon as the cord was unlooped, his body was born and he was handed directly to me.
I was surprised when our son didn’t cry right away. He waved his arms around a bit and kind of mouthed at the air. It seemed strange to me, so I started rubbing him. The nurses started rubbing him as well almost as soon as I had started, so I assume that was the right thing to do. He started crying within a few seconds and everyone left us him alone again.
I kept him on my chest for almost an hour before anyone asked to examine him. Because I was GBS+ and had delivered only an hour after getting the IV started, he needed separate antibiotics and some blood drawn for culturing (I know some people call this ridiculous, but I didn’t want to mess around with GBS). I hated to do it, but they promised to hurry. He was away from me for about 5 minutes and was in my husband’s arms or the bassinet (hospital liability rules) for the whole trip. After he was returned, he was weighed and measured in our room, the hospital bed was exchanged for a queen-sized murphy bed, the much-delayed intake interview was finally conducted (which the nurse giggled through because the questions were ridiculous post-birth), and then we were left alone.
About 5 hours after the baby had been born, I finally called a nurse and asked her when they would wash him (I wanted to feel my baby’s soft hair--it was still matted with blood and mucus or vernix). The nurse said they’d do it in a while. So, 8 hours after birth, he finally had his first bath with both my husband and me in attendance. That night, I snuggled in bed with our finally-clean baby and no one batted an eye when I kept him there with me rather than putting him in the bassinet.Overall, this was a nice experience. Sure, I don’t like giving birth, but I don’t think it could have gone much better with all the small things that went wrong. This hospital was just a small hospital in a small town but they did a great job taking care of me and my baby. It was like staying at a nice hotel. Oh! And the food? It was delicious! The meals were good-sized and the kitchen delivered extra snacks to the new mothers throughout the day. It was great! I was ready to go home after our 48-hour stay, but it was a nice, restful time there and I would be glad to deliver there again.
Saturday, November 24, 2012
It's OK to be broken
Saturday, October 27, 2012
Laboring under misconceptions
"Can I labor over there?This is in no way representative of my three birth experiences in a hospital, or of the stories submitted here, and it irks me that this is being passed around as what typically happens at a hospital. (I'm not saying that it never does, but I have yet to have a woman relate an experience like this to me that happened more recently than the 1970s.)
Can I labor on the chair?
No! No labor over there!
Don’t labor on the chair!
Sit there, sit there, you will see,
You must labor with this IV!
I do not like this sharp IV!
I need to move, to dance, to pee!
...Doctor, Doctor, let me be;
Say, get your pesky hands off me!
No! You can’t move, or dance, or pee!
You must labor with this IV!
Not over there, not on the chair,
Not with the ball, you’ll have a fall!
Can I labor with a doula?
Can I use some calendula?
Can I labor on hands and knees?
Can I birth just how I please?
No! Not with a doula!
No – what’s calendula?
Lay back, lay back, count to ten,
Breathe – he he hoo – push again!
No thank you, doctors, nurse, and crew,
I’ll go and labor without you.
I’ll labor here, I’ll labor there!
In the shower – everywhere!
I’ll labor standing, squatting, sitting
I’ll labor on my couch while knitting!
I’ll have a doula –I’ll have three!
They’ll let me eat and bring me tea.
Try them! Try them! You will see!
You can go shove that darn IV."
- author unknown
The part that struck me as funny about this is that I specifically did all of those things in my last labor, with Natalie -- I asked for a birth ball, and they brought me one promptly. I asked to be in the shower, and they happily unhooked my IV (I was GBS-positive) so I could go stand in there as long as I liked. I didn't have a doula, because I didn't want or need one, but I had one at my first birth, and everyone was very welcoming of her. I don't recall sitting in a chair, but I DO recall doing some bellydancing-type hip circles quite a lot. I pushed when and how I wanted, in the position I wanted. And yes, I most certainly peed. (Good lord, where is this hospital that doesn't let laboring women PEE, for crying out loud?)
If you are passing around this sort of thing, please call and find out what your local hospital actually DOES. If they are not allowing laboring women out of bed, and most particularly if they are not letting them even PEE, then take it up with them -- please. You have my blessing. Heck, drop me a line, and I'll write them a letter, too.
But please be aware that hospitals that have these sorts of policies are the tiny, tiny minority nowadays in the U.S., and you are in great likelihood spreading misinformation in the name of "educating" women.
Tuesday, July 3, 2012
Join me on Facebook!
Sunday, July 1, 2012
My talk with Kelli of Birth Stories on Demand
You can check it out here or download it here on iTunes. No making fun of our Upper Midwest accents allowed!
Thursday, June 28, 2012
Baby Evan's birth by C-section
Monday, May 28, 2012
Baby Cary's birth
Saturday, April 28, 2012
Eris' hospital birth
I had the textbook-perfect pregnancy, from the winter solstice to the autumnal equinox, despite having polycystic kidney disease. I was extremely physically active throughout, including taking a Dancing For Birth prenatal class. Since I was Group-B Strep positive, I was instructed by my Family Physician to call as soon as my water broke, which it did with an audible popping sound at 1:40am in the morning on my due date. After calling my doctor to describe the orange fluid leak, I woke my husband at about three in the morning to head to Swedish First Hill hospital in Seattle, Washington state, USA. After we checked into triage, more amniotic fluid gushed out in their bathroom, causing me to be responsible for closure of their bathroom for bio-hazard clean up for the rest of the night.
I napped between mild contractions until 7:33am in the morning, when I was checked and my cervix was found to be 3-4 centimeters dilated and 70% effaced already, qualifying me for a Birth Suite! At this point, the nurses asked me to rate my pain on a scale from one to ten, where ten was the worst pain I'd ever experienced. I was sorta sore from the internal exam, so I said three or four. They said, "So, five or six?" My husband and I laughed. My doctor told me to walk around for two hours, which I did, and by the time I was checked again in the Birth Suite at 11:10am in the morning, I was 4 centimeters dilated and 100% effaced with the baby at 0 station. They asked me about my pain again, and I was doing fine as long as I wasn't laying around, so they just intermittently monitored my daughter's hear rate with a hand-held monitor.
I danced during contractions, later retreating to rocking in a rocking chair between them. The port on my hand for my occasional IV antibiotics was not restrictive in the least. My doula arrived on the scene and pampered me with back-rubs and cups of tea for the rest of my labour. As the endorphins kicked in, the world seemed surreal, and reality melted away, but not in a bad way; more like in a "Yellow Submarine" sort of way! By 2:09pm in the afternoon, I was 6 centimeters dilated after sitting in the rocking chair listening to movies, and my doctor recommended the jacuzzi tub, which slowed contractions but made them far more productive! At 3:29pm in the afternoon, my uterus simply started pushing on its own. My doula whispered softly that she was going to tell my doctor I was having the "urge to push" and that I would then be surrounded by a lot of people and noise and to just stay inside myself. I was surprised to be found to be 10 centimeters dilated, since I was expecting the feeling of "giving up" or wanting pain medications that was described during transition in all the books I'd read. Those thoughts had never crossed my mind, and I remained relaxed and in great spirits.
They put up a support bar over the bed so that I could squat and push. My doctor donned booties and joked that she always regretted it when she didn't. Foreshadowing of the splashy event about to take place! At a potty break to reduce the physical barrier of my full bladder, my external intermittent fetal monitoring briefly registered a heart deceleration, which frightened me, but switching to a hands-and-knees position solved it. The two and a half hours of pushing really didn't hurt until the last minute, and felt good, albeit tiring! Strangely, I did decide to yell during this stage, despite the great reduction in pain, sort of like a war-cry! My husband dozed in spite of it all.
In between contractions, I shouted for somebody to order me some oatmeal, which I ate after the birth. At 6:32pm, all 6 pounds and 13 ounces of her shot out like a baby horse! She was 19.5 inches long. My first words to her were, "Hi. I built you. I guess that makes me your mom." Then, my husband said something like, "I think we'll keep her" and I looked up at him with tears in my eyes and said, "I'm so relieved that I love her!"
Unfortunately, she had swallowed a bit of meconium, and I had significant tearing that needed some stitches, but we recovered quickly and we still got out of there after our standard 24-hour watch period. My daughter also punched a nurse right in the face during her first bath!
My hospital experience was terrific, and I look forward to another great hospital birth of my son, Orion, coming this May! It is funny because during the last labour's potty break described above, my doctor told me, "We should do this again sometime!" Sure enough, we will!
Wednesday, April 4, 2012
Hey, check it out!
(Sorry I haven't been updating more frequently -- Miss Natalie has been crawling for a few months now, and is THE biggest troublemaker! I'm getting quite a backlog of stories, so I'm hoping to get some up here soon.)
Friday, March 2, 2012
Baby Blair's happy hospital birth
I would like to tell a little about my daughter Blair's hospital birth. The hospital staff was just fantastic, and I cannot thank them enough. I hope this story will help dispel the lies that all hospital births are horrible and traumatic.
I am a first-time mother. Like any parent, I was nervous and excited when my boyfriend and I found out we were having a baby. We chose an Ob-Gyn recommended by a neighbor. The office staff truly made me feel welcome and at ease, and my doctor was so warm, caring and helpful the whole way through. When I was about 24 weeks along, we took a tour of one of the two hospitals in town. I fell in love with the tour leader -- she reminded me at once of my grandmother and my kindergarten teacher. We saw how clean, secure, calm and quiet the maternity ward was. I liked that mothers were guaranteed private rooms.
My boyfriend and I went home to work on a birth plan. I like the idea of a birth plan, because it allows you to express how and what you think will happen, and what you think you might like or not like, and your doctor can offer imput and suggestions. I knew I did not want an episiotomy, and my doctor assured me she rarely, rarely performed them. She informed me I was positive for Group B strep, so I would need to arrive early at the hospital so that I could receive IV antibiotics. (Funny thing, I was actually more scared of the needle than the pain of childbirth!) As far as pain management, I wanted to try without any, but I told myself I wouldnt feel guilty if the pain was too much and I decided I needed them.
Months later, once my contractions were 5 minutes apart, we drove to the hospital. The admitting nurse was very friendly and helpful. Of course, with Blair being my first baby, labor took a while. We arrived around midnight, and Blair was born at 8:45 that night. So, I went through several nurses and both of my on-call OB's. (The delivering doctor ended up being an affiliate of my OB's. She was also just wonderfully helpful.) The staff were all immensely caring and helpful, I really felt cared for. Everyone made an effort to answer my questions, address my concerns, explain what was going on.
I really could not have asked for better care or people to help me give birth. There were no complications for me or for Blair. I am so grateful to the entire maternity ward staff! One especially wonderful staff member was the lactation consultant, the lady who had given us the tour earlier.
Friday, February 24, 2012
Lisa's baby stories
It was January 26th, and I was 9 days past due. My OB had scheduled an induction to be started the following morning, so in addition to being tired of the pregnancy, I was worried about being induced. I very much wanted to have a natural birth, and was afraid I wouldn’t be able to accomplish this if I had the induction. For a week I’d been trying everything I could think of to bring on labor, except eating spicy foods since I have a huge aversion to them. It was four in the afternoon, and my husband was heading out to his evening classes. We had just tried one of the more…intimate ways of bringing on labor, and I was having some mild contractions, but I figured they wouldn’t last since I'd been having them on and off for a week, and they always went away after an hour or less. So off to class my dear hubby went, and I promised to call if things picked up and became regular.
When around 5:30 the contractions had not yet gone away, and seemed to be fairly regular, I started timing them. They were 10 minutes apart and lasted about 20 seconds or so. Nothing to get excited over, but excited I got since this was the most that had happened in weeks. I had a snack and watched some TV trying to distract myself so I wouldn’t get my hopes up to high if this didn’t turn into real labor. I timed them again at 7, and they were 7 minutes apart, lasting 35-40 seconds. Now I did get excited. But I didn’t want to call my husband yet, just in case. Besides, they weren’t close enough to go to the hospital. I double checked that my bag had everything I wanted/needed in it. I spent about an hour fiddling with baby clothes and planning what I would put my baby in for his first pictures. At 8:30 I timed my contractions again, and they were 5-6 minutes apart lasting a solid 40-45 seconds. So I called my husband. He got home about 9 pm, and was raring to go to the hospital. We timed my contractions again, and they were still about the same as before, so I said we’d wait. He spent the next hour and a half timing my contractions, and asking me if I was ready to go yet. He was so anxious. At 10:30 they were a little less than 5 minutes apart, still lasting about 40 seconds. Off to the hospital we went.
The hospital wasn’t far, and there was no traffic since it was late at night. But in the span of that short car trip my contractions actually slowed down. When we checked in they were back to being almost 7 minutes apart, lasting only 30 seconds or so. Luckily, I was dilated 4 centimeters, 100% effaced, so they let me stay. I would’ve been really bummed if they had sent me home, which I was afraid they would do considering how much my contractions had weakened. It was a little after 11:00, and I’d now been in early labor for about seven hours.
The hospital was great about my desire to maintain mobility during labor. They put in a Hep-lock so I wouldn’t have to be attached to an IV, and they put it about midway up my forearm so that it wouldn’t interfere with my ability to use my wrist or elbow joints. They told me that since I was still fairly early in labor, they would wait until I thought things were really picking up before they did another cervical check, and attached the monitors. After that, they wanted to attach monitors once every hour or so for about 15 minutes, so that I wouldn’t have to be continuously monitored. I spent most of the next couple hours walking back and forth in my room.
Sometime after one in the morning, maybe closer to two, I got really nauseous very suddenly, and threw up everywhere. I was also beginning to feel pretty miserable in general, and decided I was going to lie down. They hooked up the monitors, and checked my dilation. I was 7 centimeters, and I think they said contractions were about 3 minutes apart, lasting for about a minute. After monitoring the baby and I for a little bit, they removed the monitors so I could move about as I liked, but I did not want to get up again. At this point, I remember there was a wonderful nurse who would sit with me for a while and help me through contractions. She didn’t stay in the room all the time, but when she came in she would stay for several contractions, and talk me through them. My husband spent most of the remainder of the labor alternating between pacing, and asking me if he could do anything for me. I remember he also had a wet washcloth that he would hold to the back of my neck or wipe my face with when I asked. I remember being really hot, and not wanting the sheets on my bed anymore. At some point, they had hooked me up to continuous monitoring. They gave me an oxygen mask, which I didn’t want to use. I think they gave it to me because of the baby’s heart rate, but I’m not sure. I also remember that the thing they put on my finger to monitor my pulse was for some reason seriously getting on my nerves. At some point, after asking the nurses several times if I could take it off, I just removed it myself and told them I wasn’t wearing it anymore. They didn't make a big deal out of it. The nurse just put up her hands in a sort of placating way and said, "OK, sweetie, that's fine." I think that was around the time I was dilated 8-9 centimeters. Somewhere in all of this they broke my water, since it hadn’t yet broken on its own.
I spent a lot of time thrashing about in the bed trying to find a comfortable position, and I didn’t want to get up. I was crying because it hurt so much, but I dozed in between some of the contractions, that’s how tired I was. Finally, I felt like I couldn’t take it anymore, and asked for pain medication. I had been at 9 centimeters the last 3 times they checked, and I was frustrated and tired. They called the anesthesiologist, and then that wonderful nurse came back in. She told me I needed to get up from the bed and go pee, which I didn’t want to do, but between her and my husband they got me to do. Then she had me stay standing leaning against my husband while she changed the pads that were on the bed. Finally, when I got back in the bed, she said, “Let me just check you one last time, dear, before the anesthesiologist gets here.” Lo and behold, I was at 10cm. I think I laughed I was so happy. She cancelled the anesthesiologist, and a few minutes later, I felt like pushing.
They say I only pushed for 20 minutes before my baby was born. I remember that during the pushing stage, the contractions didn’t hurt. My husband helped support me sitting up in the bed, and he rubbed my shoulders in between contractions. I vaguely remember the “ring of fire”, but it didn’t last long, nor did it hurt nearly as badly as I’d been told it would. I remember the awe in my husband’s voice when he said, “I can see his head.” What I remember most is the doctor telling me to reach down and grab my baby, as he guided my hands under my son's arms, and allowed me to pull him the rest of the way out and onto my chest with the final push. I remember my son’s eyes locking with mine as I greeted him, and those few seconds of silence and recognition before he resumed his cries.
My beautiful boy was born January 27th, 2010, at 6:37am, 8 pounds, 1 ounce.
Birth story two
So I was 10 days past due, again, and still no baby. I went to bed cranky and uncomfortable. With my first, I went into labor at 9 days past due, and he was born at 10 days past due. I’d been having pro-dromal labor on and off for days, but so far no real labor. At my appointment four days prior, I was 4 centimeters dilated and had really expected to be in labor by now. After all, second babies are supposed to come sooner, right? Not.
I woke up at 2:30 a.m. needing to use the restroom. When I got up from the toilet, I felt my water break. Yay! I was having contractions, but they didn’t feel any different from the false-start contractions I’d been having, so I waited. They started becoming regular around 3:30 or so. This is when I woke my husband up. We took our time getting ready. I made sure I had everything ready to go for my toddler when he woke up so it would be easy for my dad to take care of him. We were about to head out at 4 a.m. when my boy woke up crying. I laid back down in bed with him to try to get him to go back to sleep. It difficult at that point to lie next to him through a contraction without him knowing something was different. But I did it, since I didn’t want to scare him.
At 4:45 we finally headed to the hospital. By now my contractions were 3 minutes apart, and really hurting. The hospital is typically a 45-minute drive over the mountain, but there was no traffic, and hubby sped a little. We arrived just after 5 and were checked in to L&D at 5:20 a.m. They hooked me up to the monitors for 20 minutes, put in a Hep Lock. Hubby fetched me some ice water to sip on in between contractions. They checked me, and I was 6 centimeters. After 20 minutes, they took me off the monitors and told me I could walk around if I wanted. I had originally planned on laboring in the tub for a while, but at this point it just seemed like too much trouble. I didn’t even want to get out of the bed really. I don’t know how far apart the contractions were or how long they were lasting at this point. I was no longer paying attention to the clock.
I got out of the bed anyway since usually that helps speed things along. Hubby was basically holding me up during contractions. At some point, the midwife (CNM) arrived. She suggested squatting during contractions, but I couldn’t. It hurt too much, and my legs were shaking just trying to stay standing. Shortly after this, I wanted to get back in the bed. Hubby says it was just after 6 at this point. I was feeling a lot of pressure, so the midwife checked me and said I was at 9 centimenters. I started crying. I was upset because I’d gotten stuck at 9 centimeters for almost an hour last time, and I was immediately anticipating the same thing happening this time. Hubby was holding me, and telling me, “It’s ok, you’re doing great, that’s 3 centimeters in an hour, etc.” The next contraction came, and I told the midwife I had to push. She asked me to try not to, but I couldn’t help it, so she checked me again. She said I had just a little lip of a cervix left, but that I could go ahead and push past it.
I only pushed for about 10 minutes total. I started out pushing on my side, but then things got scary. First of all, this was completely different from my first in that the pushing stage hurt, a lot. With my first I stopped really feeling the contractions while I was pushing. This time was the opposite. The contractions hurt worse. I heard the midwife say, “He’s stuck, go get the on-call doc, now.” A nurse ran out of the room, and I think a couple more came in. Apparently we had a shoulder dystocia. They had me turn on my back. One nurse was doing compressions on my abdomen just above my pubic bone, kinda like CPR. That hurt like hell. It hurt more than the contractions and pushing. Another nurse was helping my hubby push my legs back during contractions. Whatever they did worked. He wasn’t stuck for long. I was told less than a minute.
As soon as he came out they rushed him over to the little warming table and gave him some oxygen. Apparently oxygen deprivation can be an issue with a dystocia. So I wasn’t able to hold him immediately like I was with my first. But everything was fine. He didn’t suffer any complications. Once they were sure he was ok, they handed him to me so I could hold and nurse him. They had to cut the cord quickly to get him to the table with the oxygen, but they still handed my husband the scissors to cut it down further once it was clamped. I thought that was nice. Everyone left the room for a while to give my family some privacy. We spent over an hour bonding before they took him to weigh him and clean him up.
And so, my second son was born at 6:29am Sept. 20, 2011, 9 pounds, 4 ounces, after just over an hour in the hospital.
















