Jonathan is happily cuddling Isla on the couch. Actually, to be specific, he’s making faces at her to see how she reacts. She had a good feeding an hour ago, so we’re all content at the moment. Once I get my photos processed, I’ll be posting lots and lots.
I figure there’s no time like the present to write down the birth story. If you’re not interested in gruesome details, now would definitely be a good time to stop reading!
Yesterday, I was taking a nap at 3 PM in my bedroom. Jonathan was out chatting with the neighbors, and I was mentally telling Isla I hoped she would arrive soon. Then, all of a sudden, I felt a small gush. I though, Oh my God, did my water just break? People’s water only breaks in 10 to 15% of pregnancies before labor starts, so I thought it was pretty unlikely to happen to me. I also figure she’d show up on her due date, not 2 weeks early. Anyhow, I went into the bathroom and determined that I was leaking fluid, and I figured that my water had in fact break. I told B that my water might have broken, and he assumed that it didn’t really happen. I went back in the bathroom and experienced a second gush, and I informed B that my water had definitely broken. I started freaking out a bit. I wasn’t feeling any contractions but I knew my doctor would want the baby out in 24 hours, and I was just really scared and not wanting to go through labor. The physics of it are just too unreasonable!
We called our doula, and we agreed to get ready in a leisurely fashion, then call the hospital, as my doctor had told me to do. I hadn’t finished packing my hospital bag, and B hadn’t packed his; this was all planned for this weekend. We bustled about doing this and that. After about half an hour, I got in the shower, and I was in the shower when I felt my first contraction. It was so mild, it really wasn’t any worse than Braxton-Hicks. I was happy to feel something, since I’ve been afraid of Pitocin the whole time, but unsure if it would turn into anything. I finished my shower, and B and I kept getting ready. Meanwhile, I started having contractions. They were uncomfortable, but definitely bearable. Basically, after a fairly short time, I was having contractions at least every five minutes. Every other contraction was much stronger – they alternated hard, easy, hard easy. The hard ones were also longer – 30 to 45 seconds, and the easy ones were 15 to 20 seconds.
About an hour and a half after my water first broke, I called the on-call doctor, and she told me to come in, and if my labor hadn’t started, they’d start it for me. The latter was exactly what I didn’t want, but I was pretty sure that I was going into labor on my own by that point.
We got out the door in another half an hour, about 2 hours after labor first started. The contractions continued to get stronger and closer together, continued to alternate between hard and easy, and by this time, the hard ones were very painful. In addition, by the time we got to the hospital, I was having contractions every 2 to 3 minutes.
Check-in was quick and painless, and we went straight to triage. I was strapped onto a very uncomfortable thing that was a cross between a stretcher and a bad. I was in significant discomfort / pain on the stronger contractions by this point. Initially, my coping mechanism was cursing like a sailor. This gradually morphed into a lot of moaning and groaning as labor went on, until the I couldn’t handle it anymore and went back to cursing.
Anyway, they did a visual (as opposed to internal) examination of my cervix and estimated that I was 5 cm dilated. I should mention at this point that the groin pain I’d been dealing with for the last 20 weeks of pregnancy got MUCH worse when labor started. I found I was uncomfortable in basically every position except lying on my back, sitting reclined, or sitting on a birth ball. Even the process of rolling from my back to my side was excrutiating; standing was terrible as was walking and so on. Hence, the moving around usually advocated during labor was definitely not on. As a result, being stuck on the terrible triage bed was not the end of the world.
Apparently, there was some kind of baby boom on 2/4, and I ended up getting stuck in triage for about an hour and a half, until I was at 8 cm. During this time, contractions continued about every 2 minutes, alternating hard and easy. Both the hard and the easy became progressively stronger, longer and more painful. By the time we reached 8 cm, I was not a happy camper during contractions and was starting to request an epidural. Basically, I’d be very unhappy during the contraction and then recover between. I was still able to rest between contractions, and was somewhat holding it together with lots of help from B and my doula.
At that point, though, the pain started getting to the point that I was very unhappy. They finally found a room for me and wheeled me to the room on the stretcher thing. I started to demand an epidural, but my doula convinced me to try a hot bath. She filled the tub and I got in. I think the tub helped for one contraction, and then the pain just started steadily increasing to the point of being unbearable. Basically, I was in significant pain continuously, and the pain of contractions peaked, AND, the pushing sensation started. The last was the straw that broke the camel’s back. I’ve heard some women find the urge to push a relief, but for me, it was just one sensation too many in combination with the contractions. I demanded an epidural at that point. They checked me, and I was at 9.5 cm – basically fully dilated except for one corner or something.
I was still having alternating hard / easy contractions, and got through another easy contraction, and the anesthesiologist came in and gave me the epidural. The speed from which I request it to when I got it was actually incredible. The doc was very quick in giving it, and the relief was immediate.
Now, I don’t regret getting the epidural. I guess I don’t see the point of pain for the point of pain; to me there are good reasons to avoid an epidural if you can, and my experience made it clear why you’d want to avoid one if you could. By the time I got the epidural maybe 3.5 or 4 hours had passed since my water had broken; 3 or 3.5 hours at passed since that first B-H contraction. I was fully dilated, and even through the epidural, I felt the desire to push. At this point, however, they just told me to relax and let the baby “labor down.”
Unbeknownst to me, my blood pressure had dropped low with the epidural – down to about 105/40. I remember feeling lightheaded after receiving the epidural, but I didn’t say anything because I was just so relieved the pain had gone. Anyway, they gave me one drug, which didn’t work to attempt to raise the BP. After an hour or so, they tried another longer-acting or more powerful drug or something, which they injected into my muscle. It worked, but it had a known side effect of raising my baby’s heart rate from the 130s to the 160s. Not cool.
Since I wasn’t actively pushing, I’d guess it took about 2 hours for the baby to labor down and the nurses to decide it was time for me to push her out. I pushed for about half an hour or so, and they called the doctor. Unfortunately, they then found out the doc was busy, and 3 pushes away from having a baby, we had to wait a full hour for the doctor to show up. During this time, the baby regressed up the birth canal. Obviously, without the epidural I wouldn’t have been able to wait and would have had the baby with or without the doctor. It disturbs me that baby was forced to wait with her elevated heart rate and so on. That can’t have been good for her!
Anyway, the doctor finally showed up, and I pushed for another 20 minutes or so and got back to where I started, pushed a few more times, and out Isla came.
They put her on my bare chest, still covered with vernix (sp?). She cried basically immediately, and continued crying and crying. I guess this is an indication of health, but I didn’t really know what to do. Basically it was an overwhelming but wonderful period of time. The doula told me to talk to her, and I tried to calm her down. She and Jonathan and I were together for maybe 45 or an hour without them really bothering us – they maybe did some things to her while she was on my chest. I waived the Hep B shot and the eye ointment, but we accepted the Vitamin K shot. She eventually stopped crying, and they wiped her off a bit. After an hour or so, they weighed and measured her with Jonathan watching over her. She was 7 pounds 1.5 ounces and was 19.5 inches long. She has an incredible head of black hair which they kept telling me about through labor. She gets this from Jonathan, I think.
Anyway, overall our hospital experience was actually good. We had great nurses, didn’t experience any interventions I didn’t ask (um beg) for, and both Isla and I are in good shape. Next up – the first couple of days.