Monday, July 18, 2005

Julian's Birth Story (Novel)

Background
Just a brief history on my pregnancy with our son who was due on 7.13.05. It was pretty uneventful although several false alarms, mainly due to inexperience and an overactive imagination. At 35 weeks pregnant I was measuring the size of 44 weeks and was taken out of work and told to rest for fear of a premature delivery. An ultrasound ended up showing everything was normal and that a funny position at the time of measuring must have been the cause. The u/s did show he was a little large for his gestational age so I was prepared to be giving birth to a big boy.

Early Labor
There wasn’t much, if any, progress at all prior to my due date at my weekly appointments. I wasn’t dilating and the baby wasn’t moving lower in the birth canal. There was a concern that the reason may be he wouldn’t fit. Finally at my 39 week appointment the doctor concluded that my cervix wouldn’t dilate because of some scarring and that it would probably have to be manually opened. At that point the baby had dropped to station 0 so some slow progress was beginning. Because of his size the doctor didn’t want to go past my due date and an induction was ordered for the morning of Monday 7.11.05.

Finally Sunday evening came around and I was trying to get some sleep. At midnight, which is now 7.11, the day of the induction I felt what could be a contraction. It was pretty painful, beginning in my lower back and moving around to the front where it felt like a bad menstrual cramp, along with the tightening of my uterus. Since I wasn’t sure if it was a contraction or not, I didn’t think much of it. Almost exactly 3 minutes later I had another one…and another one…and another one. They were all 3 minutes apart although I was loosely timing them. I didn’t want to wake Bryan until I was certain that’s what they were and that they weren’t going to stop as soon as I woke him. I got up several times trying to walk out the discomfort and finally at 12:45 I told Bryan I thought I was having contractions. Prior to waking him I had gone to the bathroom several times. Because of how often I get up to go to the bathroom, I never turn on the light and honestly don’t always flush (gross I know.) But after I had told Bryan about my contractions I went once more. This time I heard a plop which instantly alerted me. I turned on the bathroom light and looked in the toilet where I saw a lot of blood. I knew the mucus plug or “bloody show” could happen up to a couple days before delivery but the amount seemed so much. Plus I had always read it described as spotting or even an actual mucousy glob type thing which I didn’t see and I felt it was more than spotting. I immediately called Bryan in and we stared at the toilet for a while and began to analyze it. Was this a lot? Is there a plug in the toilet? Did my water break? Is there something wrong? By this time the contractions seemed to have slowed down to about every 5 minutes. I called the doctor and was instructed to go to the hospital. I was reassured that the amount could be a lot which is still normal and although my contractions were slowing they would just keep me since I was scheduled to be induced in 5 hours anyway. At that point I was really looking forward to getting into the hospital. I knew that people could walk around for weeks contracting like that with bloody show so it really wasn’t urgent that I get to the hospital. For my sanity I wanted to get there ASAP.

By the time I got to the hospital my contractions had really slowed down and I was very lightly spotting. The nurse reassured me that even if you add a teaspoon of blood to water it looks like a lot so there probably wasn’t as much blood as I thought. We got set up in our room and hooked up to the external contraction and baby monitors. I was contracting about every 2 minutes but the real productive contractions were about 7 minutes a part. That isn’t really considered active labor and since that could go on for days I probably would have been sent home under normal circumstances. But the good news is that my body was making progress on it’s own and I even started to dilate a little with no manual intervention! We talked to them about holding off on the 6 am induction to see if it would happen naturally. Leave it to my little guy to wait until midnight of the day of induction to decide to start some action.

Active Labor
We both got some sleep since we had a couple hours until induction time. I started contracting a little more strongly but they still weren’t that close together. They were becoming rather painful. After realizing it could be a very long day we decided to go with the original plan and start the Pitocin. Since the contractions were getting pretty bad and I knew once the Pitocin kicked in they would only amplify I requested some Stadol pain medication before the Pitocin. I was warned it would feel like I had a couple drinks. As soon as it hit my IV the room started spinning and I felt drunk. Not a couple drinks...but drunk. The fun kind of drunk. I was having a ball, even playing air guitar which is so embarrassing to admit. We have it on film though! It did dull the contraction pain a little but I was still very aware I was having them. At 6:45am they started the induction and hooked up the Pitocin. The contractions started coming a little more frequently and a little more intense. The Stadol was becoming less effective. About 7:30 am my doctor checked me and I had only dilated to 2 cm and the baby was now in station -1. Because of the slow dilation he broke my water. Let me tell you, that is A LOT OF WATER. I was starting to ask if he did it yet and in the middle of asking it suddenly felt like a dam had been broken and we were going to get flooded out of the room. It was crazy.

Instantly my contractions became so intense, an intense I can’t describe. And very frequent. It was all in my back where I was then informed I was having back labor. I couldn’t talk through them, I couldn’t breath, I couldn’t do anything but cry out in pain. Bryan putting counter pressure on my lower back helped a lot but the pain was still so intense. They were getting worse by the minute and the counter pressure no longer helped, NOTHING HELPED. I began to snap at my mom and at Bryan which only then made me more upset. My doctor said with the back labor and the fact my cervix was scared the contractions would be worse than normal. Not to mention how they are more intense with inductions anyway. I was in tears with each contraction. I didn’t know how I would make it through. I think I was crying more for the fact that nothing would help the pain. I asked when I could get an epidural and my doctor said there is no reason to wait. I was still only 2 cm dilated and thought I’d have to wait longer. Thankfully I didn’t. I wish I could describe the intensity of the pain but there are no words to describe it.

The anesthesiologist came in and he started to ask me the same questions every other nurse, tech and person asked me. What is my date of birth, did I smoke, did I ever smoke. I finally snapped and said why I am being asked the same questions! I was contracting so frequently it was hard to respond to the anesthesiologist and he was very impatient. Bryan put him in his place, thank goodness. They were getting my prepped and I was once again in tears from the pain and nerves of getting the epidural. I had the best nurse in the whole world. If it wasn’t for her I never would have made it through the epidural or the day. I jumped out of my skin when they did the 2 shots to numb me. That scared me even more since jumping was the last thing I wanted to do while the epidural was being put in. Finally it was in and relief was on its way.

I can’t describe how amazing the epidural is. The only word I can think of is miracle. I still don’t want to be a big advocate for it because I think that many people could work through the pain naturally plus everyone handles pain differently, everyone has a different labor. I think there were a couple factors that maybe made mine more painful than in an ideal situation. All I knew is that I could not have done it without it. I am not exaggerating I do not think I could have gone on without it. Once I had it, I felt nothing. Nothing at all. I had to keep asking if I was still having contractions which I was, I couldn’t even tell. It was amazing and the relief I was waiting for.

Very shortly after receiving the epidural Bryan left for a breather and my mom stayed with me. Suddenly the nurse turned to me quickly and started moving around the baby monitor which watches his heart rate. She looked a little panicked and quickly put an Oxygen mask on me. She paged my doctor and started having me flip to my left, flip to my right, lay on my back, I was flipping so quickly like a pancake. She was shaking my belly and immediately the roomed filled up with hospital staff. I just remember my nurse saying “come on baby” and my heart could have stopped. It was then I realized that his heart rate sounded way too slow. I looked at the monitor at it said his heart rate was 70 which his is normally anywhere from 140 – 160. I was shocked but it was kind of a blur I was just doing whatever they told me to do. I yelled through my Oxygen mask to my mom to get Bryan. He was with me the whole time but the minute he leaves the room is when something seems to be terribly wrong. I don’t think I was ever so scared in my life. Scared for my son, not myself.

They finally got his heart rate up after what seemed like hours but in reality was only minutes at most. I was told that the combination of the epidural and 2 really strong contractions back to back may have been a little too much at once for the little guy. I was so relieved. But I did notice that his heart rate was still only about 120 which I thought was pretty low for him. I questioned it and was reassured it was OK and the staff didn’t seem alarmed. Once that excitement was done I felt nauseas and needed to throw up. I took off my Oxygen mask and out it came. To this day I am still not sure what made me sick if it was the epidural or the fact that I had been fasting since 10pm the night before and was only allowed to have ice chips. I was starving by 3 am and at this point it was about 9am so I could have gotten sick from the lack of food. I thought throwing up would have made me feel better but then I was getting sick regularly. The only time I felt OK was when I was able to sleep but as soon as I was woken up for a check or anything I would get sick. It was not pleasant.

My nurse secretly checked my cervix again because it seemed like forever since I was last checked. She wasn’t supposed to but knew that’s what I needed since I hadn’t changed from 2 cm. I was happy to hear that I was now 4-5 cm dilated. I was still starving, still getting sick and still resting in between everything. Every time someone came in the room and heard I was sick they would all say “Oh that’s a good sign” since many get sick as they get close to delivering. My nurse informed them not in my case since I had been getting sick since I was only 2cm. My doctor came to check me again and I was now 5-6 cm. Things were starting to move along and I noticed that the baby’s heart rate was now back up to near 160.

At about 4:30 pm the doctor came in for another check and I was so happy to hear I was now 8 cm dilated with only 2 more to go. But now a new problem. I was getting a low grade fever, the baby was still in station -1 and at this point he should be a lot lower and he was a little sideways. There was concern again he wouldn’t fit. He wanted to monitor my contractions internally to make sure they were strong enough and also have me change positions to encourage gravity to take over and help the baby drop and turn around. When I started labor he was in the OP position which is what was causing the back labor. He was now a little OT (I think this is what it was). Ideally he should be OA when being delivered, it’s where they come out facing the ground as opposed to the OP where they come out facing upward with the back of the baby’s head against the mother’s spine. Hence back labor. So this was an attempt to get him to the OA position. The doctor also explained to me with my low grade fever and the baby’s heart rate increasing (it was now about 180) that I could be getting a mild infection. They were concerned about the baby’s heart rate but because it was slowly increasing throughout the day it wasn’t anything urgent…yet but it needed to be closely watched.

I was also worried that my contractions weren’t strong enough since I couldn’t feel a thing since the epidural but they turned out to be very strong. Meanwhile I was getting more and more upset at the thought of having a cesarean delivery and more concerned about my baby’s well being. Our wonderful nurse helped me see that while a C-section delivery isn’t usually the preference, we came there with one goal in mind, to have a healthy baby. And we would do whatever it took to have just that. I did feel a little better. The doctor came in for one last check, the one that would determine a vaginal birth or C-section. The news was a little saddening. Not only did the baby not drop anymore, he was now back to the OP position and to make matters worse I was no longer 8 cm dilated, I was even less. The doctor had me give one good push just to confirm and he concluded I would not be able to get the baby out. Because of those factors plus my temperature and the baby’s heart rate an immediate C-section was ordered.

Delivery
I was very upset over the news and still I am not sure why. I was scared about the procedure, I thought about not being able to immediately hold my baby once he came out along with many other fears. I was in complete tears as they wheeled me in the operating room. The anesthesiologist came in but he was like a different person. He was so comforting and supportive. Everyone was great, I can’t say enough good things about my nurse. I was still getting sick and it was pretty upsetting since it’s extremely difficult to throw up while laying flat on your back so I had to put all modesty aside (like I had any left at this point) and just let the vomit run down the side of my face into the pan. They did clean me up and fortunately it was the last time I got sick.

Bryan finally got to come in the room decked out in his scrubs and we were both pretty nervous. Suddenly the sadness lifted and I was excited that we’d be meeting our son in 5 minutes instead of after what could be another 5 hours of pushing. I couldn’t wait for them to get started. My doctor was very concerned about the tattoo on my stomach so he made sure to go under it even though they would normally have gone right through it with that location. I didn’t care about it at that point I just wanted my baby. I was also pretty out of it from all the drugs I had, being sick, not eating and just a long rough day. I could hardly see straight.

Everything went pretty quickly, Bryan was right there holding my hand and I couldn’t even tell they were operating on me. Finally the doctor got to the baby and immediately said “oh yea you could never have gotten him out.” I was kind of happy to hear that a c-section was necessary and not question later if it really was or not. The doctor told Bryan to get his camera ready and he got up and saw the doctor take the baby out. I just heard Bryan tearfully say “Oh my God, he’s beautiful.” I immediately begin to cry and the doctor held him over the sheet so I could see him. Unfortunately I was pretty foggy and couldn’t focus but knew he was perfect. Bryan came back to me and we just looked at each other and cried. I still hadn’t heard him cry and I finally asked why he wasn’t crying yet. Just then he began to cry. I was later informed it was only seconds he didn’t cry but to me it felt like hours. Bryan also told me he looked like our dog Valentine, all wrinkly with a big head. Bryan went over to be with the baby as they closed me up. This was the hardest part, I wanted to see and be a part of everything they were doing and I couldn’t, I had to just lay there and try to listen amongst my haze. They finally weighed him in at 8 lbs and 15 oz and 21 inches long. Almost 9 lbs of pure heaven. I just couldn’t wait to hold him and see him up close, it was breaking my heart.

Recovery
We then got moved to the recovery room where Bryan got to hold him. They needed to put me back on Oxygen and I tried to hold him but I felt so uneasy and nauseas still I had to give him back to Bryan. They informed us because he was large for his gestational age they needed to do several blood sugar tests over the next few hours. Babies that are large, or even small often have trouble regulating their sugar and we were told this has nothing to do with diabetes. He was rooting around, clearly wanting to eat but I was told he couldn’t eat until they checked his sugar. And I wasn’t sure if I could physically handle it at that moment. It was saddening to see him want to nurse so badly and not be able to. We got to bring our parents in and finally reveal the name, Julian Ridley. After the Grandparents left we were alone again with our son. I kept asking when I would be able to eat and was repeatedly told I still could only have ice chips. Before I knew I’d have a C-section I had requested someone go out and get me McDonalds so I could scarf it down immediately after the birth. Unfortunately with the C-section I was limited to ice chips until the following day when I would get moved up to clear fluids. I was told I wouldn’t be able to have real food until dinner the next day. That was a bummer!

Finally the recovery nurse helped me try to nurse Julian. It didn’t come easy and we couldn’t get him to really latch on. At this point he was extremely tired so it was hard to keep him awake. I was pretty sad, I felt like I missed the best opportunity, immediately after birth when they are most alert. He then went off for his first bath and I was moved to my room. He was finally back in our room where he stayed with us the entire time and slept in my bed.

Mental Check
My labor and delivery were everything I didn’t want. Although the end result is the same, it can be tough to deal with at first. In the big picture, I didn’t care if they needed to rip my ears off to get him out but when you have 9-10 months to think about your delivery, you tend to play out your ideal situation in your head a million times. So when it turns out to be the complete opposite, it takes some time to accept that. One of my disappointments was that we didn’t get to film the birth. We were allowed to but everything happened so fast at that point. Bryan had the camera all ready for the vaginal birth. (We did get some before and after thoughts recorded though which is still priceless).

I cried and cried like I’ve never cried before the first 2 days we were home. I couldn’t explain why I was crying and I nor Bryan didn’t feel prepared for it to be that extreme. I knew of the “Baby Blues” but I was bawling almost non-stop and had no reason as to why. Hormonal shift, huge life adjustment, mourning the end of the pregnancy and a less than ideal birth are a few reasons to blame. The Baby Blues typically go away within a couple weeks (unless it does become PPD). For me it was really bad for 2 days then became much better. The entire time I was in the hospital I was fine even when the pain was pretty bad. It just hit me when I was released into the wild with a precious baby to care for on our own.


Adjusting to Home Life
We’re still trying to get into our routine but we’re doing pretty good. The dogs are very good around the baby, we still keep an eye on them. The cat is a little too obtrusive for my preference but hasn’t bothered the baby at all. Julian has been sleeping really well in the co-sleeper but he does sleep much better when he’s held during the day. I’m quickly learning to function with one arm. Once I’m all healed up I’m going to venture into the world of baby wearing and will probably be able to get a lot more done. Now that I’m physically feeling a little better I’d like to take him out for walks a bit more but it’s just so hot and humid out, it really isn’t a good idea. I’m still nervous to venture out. I can’t drive for 2 weeks which I’m OK with, I don’t feel brave enough to take him and I for a drive alone.

Today is my first day alone with him and it’s going rather smoothly. I was really nervous last night but feel really comfortable today. It’s still hard knowing you can’t take a break even if you wanted to.

There you have it

The story of how we got from there to holding our beautiful son. Looking back I wouldn’t change a thing and really look forward to each day ahead.

3 Comments:

Anonymous Anonymous said...

Dear Cara:
Glad you are getting along much better. It will get better, probably in a month or two you'll be taking your little boy for many walks (it should be nice weather by then). Glad it is all over and everyone seems to be doing OK. You to Bryan. love Aunt Barbara

6:42 PM  
Anonymous Anonymous said...

Cara, I am sure I speak for many that have had a baby you don't have to even try and explain the pain!!! A lot of your experience brought back my own like it was yesterday thanks for that by the way : ) including the fever. You are absolutely right, all that matters is the end result is a healthy beautiful baby boy. It is still hard for me to take my baby sister is a mom now. Makes me realize how old I am getting. Thanks for that too : ) I am so happy for you both and it is times like this I just hate being so far away. I just can't wait to see him. I am so glad you are all doing well and mentally you are feeling better. I am so happy for you and Bryan. So will there be a baby X #2? :)
Any way, love you all
Kristy

10:38 PM  
Anonymous Anonymous said...

I haven't had time to read the delivery story yet, but I just wanted to say I cant wait to meet my new nephew!! He is adorable! Erica and Johnny look forward to meeting their new cousin too. You guys are going to be great parents!! I am so happy for you both.
See you soon!
Love
Shala

8:22 PM  

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