
My last picture as a pregnant woman.
2nd child guilt has finally hit me! Thus far, baby Nathan has little record of his birth and first 3 weeks whereas Helen has an extensive catalog. I'm trying to make things right by blogging about his birth story and how we have been surviving these past 3 weeks. This is more like a journal entry, so that I don't forget what happened :)
My pregnancy with Nathan was very different from Helen's. To start, I was sicker in the beginning, more anxious in the middle, and downright terrified at the end. The anxiety all began when I was told I had a low-lying placenta that would possibly cause the OB to give me a c-section at 36 weeks. Fortunately, after many ultrasounds that was cleared up by 35 weeks. Then, the fun really began.
I went to my regular 37 week appt on Tuesday, Oct 13th. I was feeling very positive that day and was planning on grilling the doctor about how I wanted a natural birth with no iv, no pitocin after delivery, etc. etc. I had my demands about how I wanted this birth all charted out. The doctor walked in, immediately said that I had too much protein in my urine, gave me a gigantic orange jug to do a 24 hour protein test, and walked out. So much for me being in charge!! I dropped off my jug on Thursday (very glamorous) and mentioned that my blood pressure monitor at home was giving me high readings. Naturally, the monitor must be wrong as I bought the cheapest one available. The nurse decided to take my blood pressure...145/93 later and I was put in a room to see the doctor post haste. The doctor came in and told me I would probably be induced that day as they take no chances with preeclampsia. All I could stammer out was "I don't want to be induced." Dr. Cook replied, "I can see that." I imagine my expression was one of pure fear! Fortunately, my cervix did the talking for me as it was definitely not ready to go through an induction. Dr. Cook made sure to mention that I had I seen the 2 youngest doctors in the practice I would have already been rolling on the gurney on the way to the delivery room. He was willing to give me a little more time in order to get more test results back.
Thus began the weekend of the high blood pressure. Also, known as checking it every 10 minutes! On Friday, my urine test came back at 429. There was no denying that I was preeclamptic at that point. However, in the medical world nothing happens on the weekends. I was told to go the office first thing Monday morning and/or go the ER if my bottom number got over 105. I spent the weekend frantically googling preeclampsia, checking my blood pressure, and trying to get things ready for a baby to come home. Alan helped by keeping Helen very busy and telling me to stop taking my blood pressure. Our doula, Caryn Fontaine, checked in with us many times and advised me to take Evening Primrose Oil in order to dilate my cervix. We called in the troops, ie Alan's mother, as we were fully expecting induction on Monday.
So, on Monday morning 10/19 with bags packed full of comfort items and snacks, Alan and I went to the doctor's office. Not only was my blood pressure still high (mid 140s over mid 90s), but my protein had gone up. The doctor who saw us said I was an easy case that day as she sent me straight to labor and delivery.
We made it to L&D around 10 and the pitocin was started around 11. I was hooked up to what felt like a million things and was told I could only get up to go the bathroom. Our doula arrived to help us out and we began the long process called "waiting for pain." We waited and waited. We watched the Sex and the City movie, I listed to the i-pod, Alan surfed the internet, and Caryn sat patiently in a chair. Yes, that is how the majority of my labor went....nothing happened. I was finally told that I was at the max amount of pitocin and that if I didn't start having contractions I was going to be in trouble. Dr. Cook said he intended to wipe the smile off my face throughout the multiple times that he checked on me. I started praying for pain. All I wanted was to feel pain! Meanwhile, my pressure continued to stay high.
My water was broken around 3:30. Per Alan's careful documentation, my contractions finally started at 4:10. That's when the party really started. I had always heard about the pain of pitocin contractions. Now, I know exactly what everyone meant!! The pain was off the charts. The strange part is that my contractions were never longer than 30 seconds (same as my labor with Helen.) But, the hard part is that they came every 2 minutes like clockwork. I had always prided myself that "anyone can handle pain for 30 seconds." That was out the window after an hour. No one can handle that pain, whether it is for 5 seconds or 30! God bless those poor women who have 60-90 second long contractions!!
The screaming must have begun around 5:15 or so. By screaming, I mean screaming at the top of my lungs, every single contraction, every 2 minutes. Sweet Alan just said "shhhh." Caryn said, "let's use your energy in a more positive way." I said, "screaming is the only thing that helps. I'm screaming." Each time a contraction began, my vision of a natural labor went out the window. Epidural repeated in my brain over and over and over again. Finally, I said, "epidural and now. Not later...now. Nurse, I want an epidural now. Not later...now." The CRNA poked his head in and told me that not only was he at the end of the hall but behind a closed door, and he still heard my screaming. Then, he said that he would be right back. WHAT??!! I want an epidural and I want it now. I told the nurse to go get him back! The blessed anesthesiologist came in and the epidural was in by 6pm.
This is the ironic part...as soon as the epidural was in, I felt the overwhelming urge to push. The doctor had no intention of checking me, but since he was in the room and I was asking, he checked me. I was 10cm. Yes, that's right. 10cm. But, I can have no regrets about getting the epidural. Prior to getting it, my blood pressure was at least 159/106. Afterwards, it was 117/73. Not to mention that the pain relief was magnificent! All of my fear of having a needle in my spine is so 2007! I kept having the urge to push, but no one was paying much attention to me. The doctor was planning on going to eat dinner, but I kept saying "I really need to push. The baby is coming out right now." Dr. Cook sort of chuckled and said it was going to be a long time, but he would let me push and then check me. So, I pushed, he checked, and his dinner plans flew out the window. Once Nathan was ready to be born, he was ready...end of story. So, at 6:39, he was born.
Caryn encouraged us to do delayed cord cutting, so the little guy was thrown onto my chest (not as gross as I thought it would be.) We waited a little bit and then Alan cut the cord (very different from his look of bewilderment he had with Helen). I held Nathan for what felt like forever before they took him to be cleaned up. Then began the other reason I was happy to have the epidural. The placenta decided it did not want to come out, so it took a lot of trouble to finish up the labor process. Caryn made sure I got a good look at the thing that had caused so many problems. First being low-lying and then causing pre-eclampsia. Good bye and good riddance!
Unfortunately, because my pressure had gotten so high, Dr. Cook decided to run magnesium in my iv. So, I was attached to the iv until the next morning.
Bottom line is that precious Nathan is healthy and thriving. For all the medical intervention I had, I am happy of proud of his birth story!!