So monthly updates lasted um, not long. The past month, I have been in babyland, and I'm finally posting birth stories. I wrote Jameson's and saved it as a draft after he was born, but never posted it, so now I'm posting both. They're lengthy, just like the boys' gestation periods.
Jameson
Jameson wanted to soak a little longer than I thought was necessary, so we scheduled an induction on December 12, nine days past my December 3 due date. Since my doc didn't think that pitocin alone would be enough to kick things into gear, he asked me to come in to the hospital on Sunday night for some medicine so soften things up before laboring all day Monday with the use of pitocin, and possibly, a c-section.
I was a little nervous, because my mom and a couple of her sisters are c-section ladies out of necessity. I was worried that I would be pumped full of contraction-inducing drugs for 24 hours only to have a c-section later.
Well, on the Wednesday before induction I got a shot of energy somehow and decided to scour my entire house. Somewhere between scrubbing a bathtub and disassembling/hand washing/re-assembling the dining room light fixture (doesn't deserve to be called a chandelier), I started having contractions. I felt them in my back and radiating down my legs. It hurt to walk. I thought this might be "it." As luck would have it, we had our last O.B. appointment that evening and I thought "hey, maybe he'll examine me and exclaim, 'what are you doing here? You're at an 8! Run to the hospital! Run!'"
We went to our appointment and I was dilated a half a centimeter. and 60% effaced, just like I had been for three weeks.
I went home and proceeded to have hard, frequent contractions for the next three days. They were never close enough together or long enough for me to feel like I needed to go to the hospital, until Saturday night at about 11:30 when I downloaded the contraction timer app on my phone. Yes, there is an app for that. It showed that my contractions were averaging a minute long and five minutes apart - BINGO! Time to go!
I started getting nervous and contracting like crazy. I had to tell myself to calm down so I could finish packing my bag and take a shower while Mark had a snack and gathered up all the things we thought we'd need and load up the car.
We got to the hospital and they monitored me for an hour in a tiny triage room. I ate a popsicle and breathed through a bunch of contractions while watching Jameson's little heartbeat on the monitor. Since I didn't progress in that hour (I was dilated to a 1 at that point - a half centimeter's progress in four days was not making me feel great about what lie ahead). Since my doctor wasn't on call that night, they called one of his partners who told the nurse that it was their practice not to induce other peoples' patients and to give me a bunch of morphine and send me home till the previously agreed-upon time.
The nurse, who was so nice, gave me the drugs and told me "I'm pretty sure you'll be back before tonight."
I was worried about getting morphine and how it might affect the baby, but the nurse told us that all it would do was just make both of us relax. On the one hand, I didn't want to relax! I wanted to dilate! On the other, since I was going to be in the hospital all night the next night, I figured I might as well sleep while I could. She also told me not to get discouraged about slow progress and that the hardest labor your body does is getting to a 3.
By the time I got down to the car, I was seriously loopy. I could barely stay awake enough to get into bed and eat a piece of toast before sleeping off and on all day on Sunday. I won't lie - sleeping felt great.
My mom came over on Sunday evening before we went to the hospital and the morphine had worn off. I was feeling miserable. Every move I made, made me contract. The thought that I was definitely having a baby tomorrow at the latest did make things a little easier to handle. I ate a grilled cheese sandwich and we went to the hospital. I drank a real Coke from a glass bottle on the way to the hospital. I don't like real Coke, but the night before I saw it at the store and suddenly needed it.
By the time I was all suited up in my hospital garb and ready for my softening medicine, I had dilated to a three and was 80% effaced. I was so excited! I had done the hardest part on my own! My doctor was calling to check on me, but my nurse was busy trying to get an IV in me for about, oh, 45 minutes. (9 days later I still had a gnarly bruise. In fact, once I got my epidural, the IV site was the only part on me that hurt for hours.)
My doctor said that they should just monitor me throughout the night to see how I did - no drugs yet. Well except the epidural. My nurse and I were talking at 10:30pm about when I wanted my epidural, knowing that it could slow down labor. I wanted to wait a little. Then I got another contraction and I changed my mind really fast. By 11:00pm, it was in and I was feeling fantastic.
I slept off and on all night and kept progressing well. The only concern were small decelerations in Jameson's heart rate, and I was put on an oxygen mask, although my nurse didn't seem to intense about me wearing it. They also put an electronic monitor in his scalp to better monitor him.
My doctor came in at about 7:00am on Monday and I was at an 8 and totally effaced. He said that he had planned on going to do something else, but decided to stick around. At that point I finally believed that I was going to be able to have the baby. I had a painful spot in my right hip, so the anesthesiologist came and gave me an extra boost of medicine to get me through the last bit before pushing.
The extra shot combined with nerves made me shake like crazy. Mark had called my mom earlier that morning to let her know we were close, but he called her again to tell her I was going to start pushing very soon. A scrub tech came in and set up the table with all the instruments and a tub that I assume was used to catch my placenta and they turned on the big light.
I was kind of freaking out a little. The nurse came and taught me how to push. The doctor and my mom walked in at exactly the same time, and we were set to go.
Mark and my mom each held one of my legs while I pushed. At first, I couldn't feel it at all, but after a while, my epidural started wearing off and I could feel my contractions and wanted to push through them. It felt like a huge waste to be feeling the pain of a contraction without pushing.
A little while into it, my mom yelled, "he's got hair!" That made me excited. For some reason I thought it was awesome that my baby had hair, and it was really motivating.
Mark, my mom and the doctor kept telling me I was "almost there" and "so close." I finally told them to knock it off. If I had been that close for that long, we'd be done already. Other than that, I don't think I did or said anything mean to anyone, but I may have just forgotten and they are too nice to remind me.
In all, I pushed for about 90 minutes and Jameson was born at 9:25 am. It was such a relief! They put him right on my chest while my doctor pushed out the placenta (can I just say ouch!?) and my mom suctioned out his nose and mouth while a nurse gave him his Hep B, Vitamin K and erythromycin while he was right on me. Mark cut the cord. Jameson was squirming and crying like a champ. I guess he had passed some meconium on his way out, and they took care of that, too. It happened after his head had been delivered.
He weighed 7 lbs 6 oz and was 20 inches long. He had no vernix caseosa and was super peely - definitely overdue!
Blake
Blake was born on August 19th, 2013 at 8:09pm. He was 21.5 inches long and weighed 8 lbs 12 oz.Throughout my pregnancy, we had prepared and planned for an unmedicated birth, partly in hopes of a better recovery than what I'd experienced with Jameson, partly out of curiosity and partly to save money on an epidural (epidural medication is billed hourly, and given the fact that I'd had mine for 11 hours with Jameson, that is quite a chunk of change, especially when you are self-pay, like we are).
Since we wanted an unmedicated birth, I really didn't want to be induced. Contractions with pitocin are a lot more intense than natural contractions, and being induced requires continuous monitoring, and so being induced just kind of sets you up for more IV fluids and a more "medical" birth experience.
My body, once again, decided not to go into labor (a tradition of mine). With Jameson, my labor started at 40 weeks and 4 days, so when my due date passed, I hoped things would get going soon, though I did hope to skip the whole five-days-of-contractions thing. My mom came into town on my due date, and with the hope that Blake would be born before she had to turn around and go home again, we scheduled an induction for Wednesday, August 14th.
At my appointment on the 13th, my doctor worried that I hadn't progressed enough on my own to have a successful induction, and that trying to force things the next day would lead to a c-section. So, we decided to wait. I should mention that my doctor wouldn't let me go past 41 weeks, "and then at that point, if you have a c-section, you have a c-section." It was frustrating and seemed arbitrary, but I wasn't really surprised at the lack of progress. I had a feeling it would happen this way. I knew I could have fought to wait until I went into labor and complied with whatever non-stress test schedule they push you in to to pressure you to just get an induction already, but I was tired and my resolve for a totally unmedicated birth had started to crack as I got used to the idea of being induced.
I went back to the doctor to have my membranes stripped on Wednesday (did nothing) and again on Friday (made me crampy, but ultimately did nothing).
On Monday, August 19th, we called the hospital and they told us to come in at 11:00am for the induction. We got to our room and sat there for a full hour before our nurse came in. Apparently Utah girls are prompt about full moons (which the next day was) and they were very busy.
My nurse got me all set up. Since I was GBS+, I needed an IV right away. The doctor came in to check me. I was a "tight 2" and 65% effaced, which is weird, because they had been telling me I was 80% effaced for the past month. When I told the doctor this, he asked me which doctor had made that determination and noted several times how "optimistic" the other doctors had been. They started pitocin and my antibiotics together at 1:00pm. Less than an hour after starting fluids, the doctor came in and broke my water, commenting again how thick my cervix was. The reminder was super encouraging, *sigh*.
Contractions at first were easy. The nurse came and cranked up the pitocin every 20 minutes. I don't know how it's calculated, but they start it at 2 and turn it up until it's at 20. I was encouraged by how manageable the contractions were for the first couple of hours. The only concern at this point were small decelerations in Blake's heart rate. When this would happen, I would need to switch positions until he was happy and his heart rate stayed in the normal range. Eventually this meant only laying on my side, which made contractions a lot less comfortable.
Little by little, things got tougher. By about 4:00pm, I got in the bathtub, monitors and all, hoping that the water would help relax me. It did, for a while, and then I needed my second round of antibiotics. Those antibiotics sting. My whole arm was on fire. It did distract me from the contractions, but it was really painful. Eventually, I wasn't able to relax through contractions anymore. The pitocin was up to 18, and I didn't get any breaks between contractions. It felt like I was having one constant contraction with peaks every two minutes. And they really were every two minutes. My sense of time is foggy when I'm in labor, but that timing was confirmed by all my handy continuous monitoring made necessary by the pitocin.
At 5:15pm, I decided it wasn't worth it anymore. I told Mark I wanted an epidural and he went to tell the nurse. She checked me and I was dilated to a 4. A FOUR! Ugh. A measly two centimeters in four and a half hours was super discouraging. At that rate, I could have 16 hours left, and I didn't care at that point if I had to sell all my clothes and work at McDonald's for years to pay for my epidural. I was getting it.
This is where I start to lose sense of all time and space. I was out of my mind in pain, the baby's heart rate was going nuts, and the anesthesiologist had to poke me three times before he got it right. I was preparing a speech in my head for Mark about the fact that we would be having no more children and that two was enough. There was no way I was going through this again. On top of it all, it was shift change for the nurses, so my night nurse was introducing herself and performing a cervical check (WHAT?!) in the middle of it all. I knew that my epidural was properly placed because I started to shake uncontrollably. I was dilated to five centimeters. This was about 6:15pm.
I continued to shake and feel all my contractions, so I self-dosed twice. Finally my pain was gone, though I could still feel all my contractions and the shaking never stopped. Blake's heart rate was getting scary low, so I was put on oxygen (another tradition of mine, I guess) and my nurse shut off the pitocin, mentioning that the cord could be around the baby's neck. I could not stop shaking. At 7:15pm or maybe 7:30pm, I could tell I was complete. I told the nurse, who checked me and lo and behold, 10 centimeters! Yahoo! Now I just had to stay in a position that let Blake's heart rate stay as stable as possible and breathe as deeply as I could into my oxygen mask while we waited for my doctor to finish another delivery.
They started setting up the room for me to push. I could feel Blake's head the whole time and I knew that if I didn't have my epidural, I would be pushing uncontrollably. He was *right* there.
The doc was ready for me and came in to chat with me about how pushing would work. I reminded him that I was keeping my placenta (placenta pills - love them - I don't care if that grosses you out), that I wanted delayed cord clamping, immediate skin to skin, and NO episiotomy. I started pushing at 7:50pm. Again, my sense of time was totally gone, because I swear I pushed for only 3 contraction before his head was out, but I know it actually took longer. His head emerged, purple, with the cord draped around his neck. Not only was Blake purple, he was stuck. Everyone in the room rushed over to me, yelling at me to push, while they pushed on my pelvis, my stomach, everywhere, yelling things like "staff assist!" calling for reinforcements. I was pushing as hard as I could, and less than a minute later, he was out. Mark told me later that he couldn't watch during this part. I was so focused at the time that I didn't realize how badly things could have gone until I looked back on it.
I learned later that I had an episiotomy, which given the circumstances, I was completely fine with. When you have a purple baby with a cord around its neck, you get that baby out as soon as possible. Because of Blake's scary delivery, we didn't get immediate skin to skin or delayed cord clamping. Instead we got rushed with everything and Blake was wisked over to the warmer, where nurses worked on him with total focus, speaking in hushed tones. He finally cried, and they said his apgar score was 7. His breathing was grunty, so he finally was able to lay on my chest, and in a few minutes, his breathing was fine.
Holding Blake after that scary 15 minutes of pushing and not knowing was the best feeling in the world. We instantly bonded. It felt like we were both breathing a sigh of relief and that he knew I was his mom and that he was safe. I never wanted it to end! After just a few minutes, his breathing was normal. All that "two kids is plenty" talk went right out the window. In that moment, it was all worth it.
Blake is the sweetest little boy. He nursed like a pro from the beginning, is putting on weight steadily, loves to snuggle, and so far has survived his big brother. We love him so much!