WARNING: THIS POST CONTAINS GRAPHIC DETAILS AND MAY NOT BE SUITABLE FOR ALL READERS! TOO MUCH INFORMATION IS GUARANTEED TO BE GIVEN, SO READ AT YOUR OWN RISK!
The disclaimer provided I shall now begin. It's taken me a month to gather the time and energy for this post. As I had said in prior posts, I am excited to finally have my own personal labor and delivery experience, and it is my intent to share 100% of the details as I remember them. There is a good chance that this post will have to be written piecemeal; if this is the case I will even share with you the when and why I had to stop and come back to it. At this particular moment my adorable jelly bean is sleeping peacefully in her front pack strapped to my chest. What an amazing journey this has been. I am going to back track briefly to the two weeks leading up to my daughter's birth for some much needed information.
November 21st / Week 36: My one an only doctors appointment NOT with the OB/GYN I had been seeing for the entire pregnancy. I do not like doctors to begin with and the one that I was slated to see is one that I had heard not a single positive thing about. I was already anxious so needless to say my BP was reading slightly higher than normal; what exacerbated the issue was the fact that the people trying to read it would not listen to me about the best way to take my vitals WITHOUT causing any pain. Luckily, at the end of the appointment my regular OB's nurse happen to be available and was sent in to re-check my BP... It was fine.
November 26th: First NST, they hooked me up and listened to the baby. She sounded great, and she kept kicking where the monitors were on my abdomen. They took my BP with an auto inflation machine with a cuff that was too small; this gave me off the wall high readings. Since my weight loss, the excess skin on my upper arms makes BP readings sooo much fun... After the NST we retook the BP with a manual manometer and the correct size cuff, and shocker! it was normal.... I apparently also had trace amounts of protein in my urine which with the BP readings gave concern of potential pre-eclampsia. So they had me do a 24 hour urine sample... Yea, I had to collect my pee for 24 hours and then turn it in to the lab. So much fun when you have a full time effing job...
November 28th / Week 37 /Thanksgiving: As I place the turkey in the oven Kaiser calls me. They wanted me to come in so they could induce me that day. I said, "No, I want to see my regular doctor on Tuesday before I proceed with anything unless I go into labor naturally." I had no other symptoms other than the false high BP readings and my 24 hour urine came back "slightly elevated." The normal range is 300mg or less for proteins; mine was 314mg... o_0 They did request I at least come in for an NST which I said I would but not that day.
November 30th: NST; again the BP was jacked until they FINALLY listened and located a manual manometer and correct size cuff. Then after doing serial readings they agreed that my original plan to wait and see my doctor was okay. I also had blood work done at the appointment on the 26th, and again at this visit; it was ALL perfectly normal.
December 3rd: NST and doctor's appointment; NST went perfect except for the damn auto BP readings, and still same trace proteins in my urine. My doctor was concerned and requested that I allow them to admit me and induce or at least monitor me overnight. Collin and I talked through it and agreed to at least allow them to do the monitoring and talk to the Labor and Delivery staff about what they thought.
That night I was admitted and after talking with the doctor agreed to be induced (which it was hard for me to agree to this and put my trust in the medical staff). Collin ran home and got all of our stuff while I read up on all the options for induction. I had planned on having a natural birth (well, as natural as possible), so I wanted a method that was less drugs and more my body taking the cues to do its job; even if it wasn't ready to.
I chose to go with the most natural choice for beginning labor; the Foley Bulb. This method works by inserting a balloon inside the cervix and slowly filling it with saline to begin softening and opening the cervix (there is a smaller balloon that stays outside the cervix to keep stuff in place). It was crampy at first and did begin causing some sporadic but manageable contractions. The bulb was inserted at 10pm.
December 4th: Bulb inside me, mild contractions, and tons of walking. Sixteen hours after the bulb was inserted (around 2pm) it came out when I went to the bathroom to pee; it felt so weird... They checked me and as expected I was about four to five centimeters dilated and about 60% effaced. I had managed to doze off and on overnight; they were continually taking my BP, which was completely normal throughout so I won't really be mentioning that again. At this point I was hooked up to an actual IV line (they place the catheter and a saline plug at admission) and they started pitocin to really kick shit into gear. The contractions became much stronger but I was still managing them fairly well. As the pitocin was upped they got stronger but it wasn't unbearable, just frequent and annoying. Oh and did I mention that as of 2:30 that day I was on liquids only? No food... I dozed as I could, but never really got any rest.
December 5th: This is the eleven hours when shit got real. At 2:30am (twelve hours after the pitocin was started) I was still at about five cm, but effaced to about 70%. They opted to break my water and really get this show on the road. And let me tell you, it was the weirdest and most disturbing sensation as what felt like GALLONS of fluid came flying out, and then after the fact more would come out as I moved or had contractions... Yea, the contractions got beyond intense at this point. Mind you I was already starving and completely exhausted having essentially been "up" since 4:30am on the third. I tried all the different positions; the birthing ball, standing, squatting, and nothing gave a bit of relief. I made more noise during this phase than when I got to the end of the ordeal. By 6am I was shaking so bad from exhaustion and the contractions were literally a minute or less apart. I requested to speak to the midwife at this point.
I had her check my progress and almost lost it when I was told that I was about six cm and 70-80% effaced. At this rate I felt like the baby would never come out, and I admitted to myself that I was at my limit. With comfort and assurance from Collin (who was amazing through the whole process and I may have to do a total separate post to do his awesomeness justice) and the midwife, I decided to have an epidural. It wasn't part of my plan, but I knew that I couldn't go on like this for (potentially) another twelve plus hours.
At 6:30am the anesthesiologist came in and set me up. Within fifteen minutes I couldn't feel the contractions and passed out into blissful sleep. I don't hardly remember the staff checking my vitals, or turning me, or anything really.
Next thing I know (I later learned it was about 10:30am) I woke up to my contractions, and what truly felt like the baby's head trying to come out on it's own. I could hardly speak through the pain so I was unable to get Collin's attention (he was passed out on the couch across the room), but I managed to find the nurse button. I figured I had pinched my epidural line or something and it had worn off. The person who responded asked what I needed over the intercom, and I just asked to speak to my nurse (that was all I could coherently think to say).
Suddenly my nurse was there along with about half a dozen others including the delivery doctor, the midwife, and the L&D surgeon. They turned me onto my other side and were putting the oxygen on my face as Collin came awake to them discussing an emergency C-section. The baby had had a really long d-cel and her heart rate had dropped into the fifties during it. Thankfully, it came back up to normal, and they decided to check me. While checking me the doctor was like, "You are completely effaced and at nine cm. Oh, here comes a contraction (as her hand is all up in my business), and wow, you're completely dilated now. Her cervix literally just melted away with that contraction."
With that they decided to try and let me deliver without a C-section, but had forceps ready in case I couldn't push hard enough and needed help.The nurses grabbed my legs and helped me hold them (they were completely numb after all), Collin took position at my head, and the doctor was at ground zero. I began pushing with the next contraction. I don't recall how many contractions there were, but I do know it was awkward and odd pushing the baby out of my body. These are flashes that I do remember: I made less noise pushing than I did during the contractions prior to my epidural. The doctor asked Collin and I if we wanted to touch the baby's head as it was crowning and we both responded no. I figure I would have plenty of time to touch her head once it was completely out of my freaking vagina.
After thirty seven hours of labor (of which I really only count the final thirteen as being rough), which only included twenty minutes of pushing, my tiny adorable daughter was placed on my chest. She had all her digits, a full head of hair, and the most luxurious eyelashes that all the nurses and doctors swore she must've paid for falsies in the womb. After hearing her cry and watching her open her eyes for the first time, Collin cutting the cord, and them "delivering" my placenta, I had one question for the doctor. I asked her if I tore at all. She told me yes, but only very little, as is common with a lot of first time moms. I ended up getting two tiny stitches, which I didn't feel thanks to the local anesthetic used.
So, on December 5th, 2013 at 11:08am PST Collin and I welcomed our precious jelly bean, Emma. She was born at thirty eight weeks...
And she just woke up so I will have to finish this later...So it is now the next morning and she is mid meal as I attempt to type this up.
She weighed in at six pounds on the dot and was nineteen and three quarter inches long.
Due to the way everything played out in delivery there were some interesting and frustrating issues after her birth.The first being her having a hypoglycemic reaction to one of the medications they had to push before I began pushing. In turn they had to monitor her blood glucose levels for the first twelve hours, which meant a heel poke every time they tested her glucose. We also had to supplement breast feeding with formula via an SNS tube.The way this worked was that Collin would get the tube in once she was latched and slowly push the formula through while she nursed. It was weird but later proved to be helpful.
Finally, four days after being admitted we were released on December 7th, and were able to enjoy twenty four hours at home before we made a decision that meant returning to the hospital, but I will save that story for the next post in which I will share the ups and downs of the first couple weeks after birth.
For now I will tell you this, as rough and unexpected as my experience ended up being I wouldn't change a single thing... Well, except for the needing the two stitches... LOL.