Delivery
Mood:
happy
Topic: Announcements
It all started on Tuesday. I had my 40 week check-up with my OB, and instead of seeing the daughter in the father/daughter practice, I saw the father MD. Trust me, there is a significance to this. Anyways, much to my dismay after a week of lots of Braxton Hicks and random bouts of diarrhea, I had not progressed at all! Still 1 cm and about 50% effaced. I noticed that his internal exam was WAY rougher than his daughter's and I left the office pretty sore and very unhappy. (little did I know that he probably stripped my membranes without me knowing!)
In fact, I almost cried on the way back to work. It was getting so hard to go in every day and have everyone ask the same questions over and over: "Wow, you haven't had the baby yet?" and "Why haven't you had the baby yet?" As if I had any control over it whatsoever.
Tuesday night Walter was actually home, and I came home feeling pretty down-hearted and like Mia was going to stay in there forever. I said to Walter, "Tell her that she can come out now, please!" She seemed to listen to him already. Sometimes at night she'd be kicking me like crazy, and I'd tell him to talk to her, because the sound of his voice close to my belly always made her relax. So he bent over to my belly and said, "Okay little mama, Daddy's home from work so you can come out now!"
That night I got into bed early and fell asleep quickly. I was still feeling pretty sore from that vicious internal Dr. Singer had done. At 12:24 a.m. I woke suddenly to a contraction. I just rolled over and thought that it was another "practice" contraction like the ones I had had all week. 7 minutes later it happened again! I laid in bed tracking these contractions until about 2:30, when they were coming about 5 minutes apart.
I rolled over to Walter and said, "Honey, I think I'm in labor- for real!" He said, "Okay," and got up and started getting my bags ready. I had not packed everything because most of my clothes and things I was still wearing. I had made him a list though, so he worked off the list while I lay and tracked the contractions. I tried to get into the shower at first, but I had chills and felt so shaky that I thought I might pass out if I got in there alone. Walter helped me get it the shower and helped me to drink some water. I kept having to go to the bathroom and whilepeeing I heard this funky "plop" noise- my mucus plug had come out. Mmmm, delicious. Not!
After the bags were packed, we made a couple bagels and sat and ate them before calling the doctor. I called my mom and let her know that my contractions were now about 3-4 minutes apart. She and my dad decided to wait until after I had gone to the hospital and been checked out before heading out to us (they live an hour and a half away). We called the doctor and I distinctly remember them asking all kinds of questions right when I was in the middle of a contraction, which by this point was challenging to talk through. They told us to come on in, so at about 5:15 a.m., we got in the car with all of the paraphernalia, and headed to the hospital. We walked slowly in- I had to stop every time I had a contraction to breathe, and they brought us up to the room across from the tub room that I had requested. I got into a johnny and had to pee in a cup, then they laid me down on the bed and hooked my up to the fetal and uterine monitors. After a few minutes, the nurse checked me to see if I was dilated and to my horror...
I was still 1 cm and only a little more thinned out!
They had me stand and walk for an hour before checking me again, and I only thinned out just a little bit more, so to my dismay, they sent me home. Before I left at about 7:30 a.m., the nurse offered me an Ambien to help me sleep through some of the contractions and to help me get my energy back up, since I had been up all night. I took it, and by the time I was parked in my driveway I was completely out. Walter had to walk me upstairs and help me into the bed!
Around 10 in the morning, I woke up feeling the contractions just as strong. I sat on my physioball and talked to Walter, watched a little TV, and ate some toast with jam. For some reason I was fixated on the fact that I needed to eat. The contractions got stronger and stronger and closer together, and I was finally convinced that this had to be it. I called my doctor's office and let them know that these things weren't going away. They told me to come in to the office and get checked out at 1 p.m., so I laid in bed, sat on the ball, and breathed and tried to relax until the time came to get back in the car. Once at the office, they tooko me right in and my regular OB checked me. I had progressed to 4 cm! She said, "Okay, this is it! We are going to admit you!"
This part is a blur, but Walter walked me upstairs to the birthing center and they brought us into the room with the tub. After answering a whole bunch of annoying questions (like "are you safe at home? Does anyone hit you?" What? As if I'd let them!), and after Walter made all his calls and went to the car to get the stuff, I changed into my bathing suit top and climbed into the tub at about 2-2:30 p.m.
Let me tell you- I could have stayed in that freaking tub for 4 years! That felt so good!!! I was so relaxed and the pain diminished to maybe a 3-4/10 from a 6/10. I was able to chat and gently breathe through the contractions, while eating grape popsicles that my mom brought me and sipping water from my Nalgene. Either Walter or my mom had to keep constrant pressure on the baby's heart rate monitor because it wasn't fitting tightly to my skin for some reason. About 3:30, my OB came up and made me get out so they could check to see how much I had progressed. When the water came down over my belly, it felt like a knife in my stomach! The change in pressure from being underwater to out of water was drastic and very painful. I did get out and laid on the bed for the first check. I had progressed to 5-6 cm dilated already!
They refilled the tub for me and I got back in for about 45 minutes before the nurses noticed that Mia's heart rate was climbing into the 180s-190s. They took my temperature to make sure that I didn't have a fever, but I was fine. Unfortunately, the doctor came in and made me get out of my tub :( Again, I prepared to get out, and this time it REALLY hurt as the water went down over my stomach. I climbed into bed, still with my bathing suit top on, and they quickly inserted an IV for fluids, had me lay on my left side, and gave me an oxygen mask. Mia's heart rate went right down and they all figured that the water was just too hot for me and she wasn't tolerating it any longer.
I got into the bed at about 5:30-6, and was then measured at 7-8 cm dilated. For about a half hour, I was able to tolerate the contractions with breathing and just focusing on relaxing, but once I hit a full 8 cm dilated, I started feeling out of control. My water broke in a trickle at first, then it kept coming out in little gushes every contraction. Once when I was rolling over, I heard a pop sound and it all came out in an absolute flood! Even the nurse said, "Wow, that's a lot of amniotic fluid!"
After my water broke, things really picked up. The contractions got more intense and it took all of my energy to deal with them. I spent the next hour or so rocking back and forth, crying every so often, blowing out rapidly, praying for the end of it, basically. I had this little mantra during the contractions that kind of helped. Its funny, but it was "Oh boy, Oh boy, Oh boy." Walter and my mom were actually saying it with me at times, which made me almost laugh, but not quite. I did have a moment where I totally lost my shit and said, "Get this fucking baby out of me!"
I was scared and tired... very very tired by the time I finally hit 10 cm, but as soon as I got the go ahead to start pushing, I went into work mode. I started off flat on my back with Walter and my mom holding a leg each. I couldn't seem to coordinate my breath with the pushing at first. I kept letting my breath out halfway through the push. It felt very unnatural to be doing a Valsalva maneuver while pushing and I kept thinking that if I kept this up my eyeballs were going to pop out of my head! However, like a dutiful patient, I did as I was told. One horribly embarrassing moment was when I started pushing and pee came shooting out across the room like a Super Soaker! My nurse had asked me if I had to go, but I honestly didn't know, so I told her I did not. Well, I guess I did!
I moved from lying on my back to lying on my side for a few pushes. That wasn't working out so well, and at that moment, the covering OB, Dr. Mills popped his head in to check how we were doing. After a quick check, he suggested we try squatting with the squat bar to have gravity help out. They attached this bar thing to the bed and I kind of stood straight up on the bed accidentally scaring the shit out of Walter and the nurses. Walter said I jumped up there like I was Nadia Comaneci! The bar and my position on it were like this:

(edited to add: This is NOT me. I don't care how much that pony tail looks like mine, do you actually think I would allow Walter or anyone to take a photo of me pushing? Not a chance in hell!)
Getting up on that bar was an act of gymnastic excellence alright. My mom and Walter had to hoist me up into position each time. It hurt like hell for the first push, then the next two were a alittle easier. I definitely felt her coming down better. I also tried pushing with my feet up on that bar and my hands gripping these handles on the bed. That worked really well too, because I could use the strength in my arms to help me pull myself up into a more curled position. In between each series of pushes, I would collapse back, completely exhausted and wait it out until the next contraction. My mom thought I looked like I was sleeping, but actually I was trying to relax and gear myself up for the next effort. I had an odd pattern of contractions, where I would have three contractions in a row, and then I'd have a 5 minute break in between. I needed those 5 minute breaks, let me tell you! I was having a hrd time during the last 20 minutes or so before she crowned because I was so tired, hungry, and just emotionally spent. I honestly thought several times that I might pass out. It was a scary scary feeling.
After an hour and 45 minutes of just pushing, Mia started to crown and the doctor came back in. With a whole lot of Astroglide and some coaching from the doctor, I finished pushing her out at 10:36 p.m. She came out as a compound presentation, which means that her hand came out alongside her face, making the crowning and pushing out phase a bit more challenging given the extra width of her. Oftentimes this kind of presentation means you need an episiotomy or even a c-section, unless you have a super-wide pelvis, which apparently I do. Yeah for me. The doctor basically reached in and grabbed her hand to help her out.
When the doctor took her out, I cannot tell you how much relief I felt to have her warm slippery body up on me! I thought for sure that I'd cry, but I was just so happy, all I could do was smile down at my baby girl and thank god that she was okay. When she came out, she pooped on the table as the doctor was suctioning her mouth, and then she pooped all over my stomach! It was a huge massive amount of poop too. Quite impressive. They let her lay on my for a while, and then they took her away to clean her up, weigh her, measure her, and simultaneously clean me up. I needed a small repair of the tear. It was a 2nd degree tear, but only needed a couple stitches. The doctor said that I wouldn't even have torn had the hand not been up by her face. I remember to doctor saying, "I am going to give you some Novacaine- this may hurt a bit." I did not even flinch, and when he stitched me up, he said, "Can I bottle up your pain control?" While he stitched me up, I woofed down a granola bar because I was STARVING! I had to delivery the placenta (so not a big deal) and the most painful of all- the doctor kind of dug his fingers all around and pressed on my stomach to "get out the blood clots." When I asked him why he was doing what he was doing, he just said, "Better out than in." I'm still confused about it, but whatever.
All the nurses then praised me and the doctor told me that I was made for labor. I guess that's the nice way of saying I have "baby-making" hips :)
Here she is when I got my hands on her:

And here she is looking at her Daddy lovingly:

Everyone came into the room to look at her and check her out. She went from my mom, to my dad, to her Auntie Crystal, to Auntie Jaime, to Auntie Sarah, to Uncle Petr, and then back to me and Walter. The nurse took her and cleaned her up really well for us, and Auntie Jaime stayed and took pictures of her first bath and watched as I tried to breastfeed for the first time (Mia was great at it right away!)while Walter hit Denny's for a turkey club and a milkshake for me. Finally, everyone had to leave (most people had to go to work the next day), I ate half of my club and all of my shake. The nurse helped me into the shower, showed me where the peri bottle, pads, and super sexy mesh underwear were, and then Walter helped me back into bed.
That night was punctuated with frequent baby and mommy vital signs checks, attempts at breastfeeding, and lots of loving glances at our daughter. I can't really explain in words how painful and overwhelming natural childbirth is, but I can tell you this. Its been almost a week now, and I'd do it again.
Stay tuned for tomorrow, when I fill you in on the rest of the hospital stay and our first few days at home!

Posted by Jamie
at 7:05 PM EDT
Updated: Saturday, 17 May 2008 9:24 AM EDT