So here is the birth story! names/places edited out, and not shortened any for blog purposes. I'll edit it later for permanent babybook purposes but the goal tonight was just to get as much down as possible, from memory and our notes.
It's getting late- I think the naming and "about us" updates will have to come in the morning. sorry!
Tuesday at 4 I had my 38-week midwife checkup. I had gained 46 pounds, my blood pressure was my usual 100/60. I had been increasingly uncomfortable and limited in my daily activities for a couple months and was counting the days to delivery, though I expected the baby would come late like Em had. The midwife mentioned the next day was a great one to give birth, because she had no office hours and could really be there for me. Being so frustrated with my physical limitations in pregnancy I asked her to strip my membranes, hoping that would trigger something. She did, and surprisingly this took about 10 minutes, including her doing some reflexology massage and guiding my deep breathing. So it was nothing like the brief maneuver I expected. At the end I was dilated to 3cm, and I drove home, feeling about the same. At 7 we put the kids to bed and I began to feel cramping. It was a light sensation, not painful, but faint cramping that came and went, lasting maybe 20 or 30 seconds each. I started timing the sensations and noticed they were regular and 4 or 5 minutes apart. This was interesting, but not too exciting, since cramps are a common side effect of the stripped membranes ( a procedure which has a 50-50 chance of labor within 24 hours, IF you’re full term and your body was ready anyway). So the cramping may not have been meaningful. At 9:30 we decided to go to sleep, and we’d have our verdict- either they’d go away, or they’d strengthen overnight.
At 4:30 I was awakened by a stronger contraction. I got up and timed a couple (3-4 minutes apart), and then I called my parents and told them to drive up to tend the kids because there was a good chance this would be real labor now, and we needed to be free to leave the house without worrying about the childcare situation. Then I woke HorninF. We got up, got some things together, he called in to work. He called the midwife who wanted us to come in immediately. E woke up and began talking to us from his sleeping spot. These contractions were clearly “it” but were still easy to cope with if I was standing up. They hurt more if I sat or laid down, but standing and swaying they were no problem at all. At 6 my parents arrived and after brief instructions, we left for the hospital at 6:15, arriving there at 6:30.
X is a busy urban hospital, delivering an average of 20 something babies a day. We are arriving as they prepared for six scheduled cesareans, and the floor is noisy and bright. Luckily the midwife has expedited us through their check-in beurcracy and we skip the “triage” room to go right to an L&D room, where I get IV antibiotics and unexpectedly HornInF feels very faint seeing the IV. I am 4 centimeters dilated at 7AM and at 7:15 we put on the fetal monitor strips. The contractions are painful but still reasonable as long as I stand and sway through them. In between I am still relaxed and happy, feeling excited about the baby, but they are hurting more and more. I worry that the anesthesiologists will soon be stuck in operating rooms for all those morning cesareans, if they’re not already, and this is my chance ask for an epidural before things become unbearable. Surprisingly, the anestisiologist arrived quickly, at 8:15. He got me set up and pain free faster than expected (usually, deciding on an epidural means a half hour of IV fluids, plus waiting for the Dr, plus his work time, plus another half hour for drugs to take effect.) So, I was comfortable, pain-free, and excited about the baby. I could still move my legs and feet and change positions on the bed without help. Only 2 hours after the birth, I was able to walk around as normal. So it was a good epidural.
At 8:45 a nurse checked me and said I was 5 or 6 centimeters. At 10:30, I was 6 or 7. At 12:10 I was 8-9, and the midwife predicted the baby would be born within the hour, maybe half that. But it wasn’t quite that fast- soon I was complete, but with a rim of cervix left, and she worked to fix that so I could get tp pushing. Pushing last time had taken just one try, so we were expecting a quick task. But this baby moved down much slower. She realized that my pushing contractions were very short- lasting no more than 20 seconds, and she worried my uterus was tiring out, risking hemorrhage like in E’s birth. So I got some pitocin, which strengthens contractions and prevents hemorrhage (Pitocin is what stopped it last time, when lesser interventions had failed. Even homebirth midwives carry pitocin for this reason, though it is more commonly known for artificial labor induction purposes)
Anyway, I continued pushing for about a half hour before baby shocked us all by being born face-up! He sputtered and cried before his body was even born. This position explains his slower arrival, both in the labor’s total length and the pushing time. The midwife put him on my belly and nurses helped towel him off. He was especially goopy and had lots of bubbles and mucus in his mouth. One eye was stuck shut. He was bright pink with dark hair and scrawny legs. I needed only one stitch for a “little skin tear”
He was 8 pounds and half an ounce and 20.86 inches
He wouldn’t open his mouth to nurse until he was 12 hours old, but once he did, that went fine.
Because he was born at 1PM, and we weren’t ready (or rather, persistent enough) to check out that evening, we had to spend the night. We came home at 9:30 the next morning.
I have a hundred complaints about the hospital experience. Loved my midwife, loved our pediatrician, got a really good epidural, just as I wanted. But all the other hospital baggage- the noise, the nurses, the paperwork, the patronizing and micromanaging attitudes, just the beurocracy of it all, was SO annoying, SO frustrating. I’ve kept all my gripes out of the birth story. I suppose they deserve their own story in a journal somewhere. But I’m trying to let them all go so they don’t become part of his birth story.