Birth Story – Baby Joe
February 28, 2013
For the first eight months, I had a really uneventful
pregnancy. I didn’t have morning sickness or terrible fatigue. I was mostly
just hungry and cranky, which isn’t too different from my usual demeanor. I
started exploring birth options early on in the pregnancy, and it was my hope
to have a natural unmedicated birth at the hospital. Dr. P supported this plan,
and my husband and I hired a doula to support us. I prepared the best I could
for this…books, hypnobabies, chiropractor visits, etc. I felt confident I could
do it.
At my 34 week (2/8) appointment, my blood pressure measured
high for the first time. I also had some early signs of pre-eclampsia. At the subsequent appointment, my blood pressure stayed high, so we picked up the visits to two per week. I also had lots of other tests done to make sure there wasn't anything worse going on. I was put on "rest at home" on 2/15, but I was still able to work.
Dr. P expressed concern, because
even though my other test results were ok, there is an increased risk of
problems with the placenta when you have high blood pressure. She said Joe would likely need to join us
around week 38. Knowing first babies
don’t often come on their own at week 38, my hopes for a natural unmedicated
birth were dashed.
I had a growth ultrasound on 2/22 and another follow-up with
Dr. P. At the time, they said Joe was measuring around 7 lbs., and his organs
looked good. At the follow-up, Dr. P scheduled the induction to begin the
evening of 2/27, about 37 weeks gestation. I know there are probably some
people who would have refused the induction, but I was less concerned about
adhering to my ideal birth plan and focused more on baby Joe’s safety. Dr. P
said it was the best thing for Joe.
I wasn't ready to head out on maternity leave yet, so I worked like crazy to tie up as many tasks as I could between 2/22 and 2/26. Then I spent
Wednesday 2/27 mentally and physically preparing for the induction. I had one last
chiropractor visit, a prenatal massage, and finished packing the hospital bag.
My instructions said to expect a call from the hospital
between 5 and 6 pm to tell me what time to arrive at the hospital. That time
came and went, so I called the L&D check in. They said that all beds were
full and to call back at 7:30. I did, and all beds were full at that time also.
Then, they asked me to call back at 9:30. At this point, I was exhausted from
the day, and I took a nap. Clay woke me at 9:30, and I called L&D. They
asked when we could be there, and I said, “10 PM.” They said, “See you then!”
And we were on our way…
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Expanded Mel - Max Capacity. 37 w 4 d. |
We arrived at the hospital at about 10 PM, and checked in
with security and headed to the L&D floor of the hospital. At the nurses’
station, we met our nurse for the night. We showed her
our revised birth plan, and she was confident she could help us meet those
goals for the night anyway. She put in a hep lock (instead of an IV), and
started some of the induction medicine 11 PM. Around 2 AM (2/28), I was startled awake by some
nurses who were asking me to roll on my side, and they inserted the IV into the
hep lock. Joe’s heart rate had dropped pretty significantly with a long
contraction, so they needed to intervene. Overnight, my contractions were pretty regular – about one
minute long with 3 minutes in between them.
Dr. P arrived at 0800 and checked me, but very little progress had been made. The day nurse, J, came in and asked if I
needed anything for pain. I said, “No, ma’am,” and they started a different medicine, Pitocin, at 10
AM. She transferred my care to a second nurse, A, who was fantastic,
supportive, and kind. My doula (L) arrived late morning, and assisted me with
some early labor coping techniques. I had to alternate between the bed and the
birthing (yoga) ball, because my blood pressure would increase when I got out of bed.
The contractions felt awful in bed, so I wanted to spend as much time on the
ball as possible. The nurses increased the Pitocin throughout the morning, and
my contractions started to increase in intensity.
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At least the popsicles weren't sugar-free. |
Dr. P arrived at noon and asked to check me. I
was discouraged, and I told her I didn’t think there could be much progress,
because I wasn’t feeling anything more than menstrual cramps. She said we have
three options: 1) do another round of cervidil overnight on 2/28, or 2) continue with
increased Pitocin if signs indicated it was working, or 3) do a c-section. At
that point, I consented to the check, and it showed I actually had
made progress! This brightened my
spirits (as did the multi-fruit popiscles A kept bringing me). So we continued
on our journey with increased Pitocin. I was still able to cope without any
medication for pain. Ms. Gayle (Clay’s mom)
arrived at about 12:30, and it was great to see her.
At 2:30, Dr. P came back, and asked to break my water. She
said it may help Joe descend, as he was stuck at -3 station. I consented, but
Joe didn’t comply. Instead of descending, his head actually moved up in the
canal. Dr. P thought this was odd. From this point on, I spent most of my time
on the birthing ball. I felt the contractions more, and they became longer with
shorter periods of rest throughout the afternoon. I had some nausea, and L
provided some peppermint oil to help combat it. That totally worked. I need to
have some of that at the house!
Dr. P came back at about 5 PM, and noted that she had to go
home for a little while, and Dr. L would see me at 8:30 PM. Because of the BP
and his lack of progress in moving down, she said that at 8:30, we would make a
decision on how to proceed. If he didn’t move from -3 station in this window of
time, he was unlikely to do so on his own. Because I had to be continuously
monitored on the Pitocin, I couldn’t move too far from the bed. I did have an
area to move between the bathroom and my bed and I was free to use the ball. I
did every exercise I could feasibly do to try to help him move down.
Contraction pain worsened through the afternoon, and by 5:30
PM, I found it difficult to speak during them. For pain management, I continued
using the birthing ball. I also was more comfortable standing and rocking
through contractions while Clay or L applied counterpressure to my lower back.
L also applied some essential oils to my back to help relax the muscles. I
tried singing and listening to music, too. All of it made the pain more
bearable. The one place that I didn’t enjoy was the bed. I couldn’t get
comfortable at all. When I had to lay down for BP checks, the pain was
incredible. I resolved to stay out of bed as much as possible. Ms. G monitored
the start and end time for each contraction.
As the Pitocin was increased, the contractions got longer
and stronger. There was a shift change at 7, and I got a new nurse. She asked
why I wasn’t on the 15 minute BP monitor, and she made me get into bed for a
while. Also, she noted Joe’s heartbeat was decelerating a bit more than usual
with each contraction. The contractions in bed were horrible, and I started
talking crazy. I kept muttering how much I hated the bed. After the nurse left,
I told Clay I didn’t like her. He told me that she turned down the Pitocin drip
from 26 to 22, and I said, “Ok, I like her.”
After a little bit, I got back out of the bed, and tried to
keep the monitor still enough to be allowed to stay there. The birthing ball
was no longer comforting, and I stood through most of the contractions between
7:30 and 8:30 PM. With each contraction, I tensed my shoulders, and Clay and L
had to remind me to breathe deeply through them and relax my shoulders. It
helped to know there was relief in between, but that window became much
shorter. The contractions were on top of each other, and I didn’t think I could
do it without pain medicine for much longer.
Dr. L arrived to check me, and I was relieved. I told myself
I could make it to 8:30 without pain meds, and I made it. I was confident that
I had made some progress, because all that pain had to be for something, right?
Wrong. I had made a small amount of progress, but
he was still stuck at -3. Kid wasn’t moving. Dr. L recommended a Cesarean
section, and I consented. I had a good hearty cry about it while waiting for
Dr. P. The anesthesiologist, Dr. O, came by and let me know what to expect for
the epidural/spinal. The nurse turned off the Pitocin drip, but I still had
some wicked contractions. Those were the worst ones – the ones that I knew
weren’t doing anything.
Within a half hour, I was being wheeled to the operating
room, and Clay was given a giant blue gown and two masks – one for his mouth
and one for his beard. I was given the epidural in the OR, and prepped for
surgery. I did feel pressure at some points, but it wasn’t painful at
all. The one thing I did notice was that I was freezing cold, shaking, and my
teeth chattered nonstop.
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Joseph Carroll W. at 9:51 PM, Feb 28. |
Clay was brought into the OR after the surgery began. I was
lying on my back and he could only see my head and arms. At 9:50, Clay was told
to get the camera ready, and that he would be allowed to take some photos. I
heard Dr. P say, “Oh, he’s just a little guy,” and, “Wow, he’s cone-headed.”
Our son, Joseph Carroll W., was born at 9:51 PM. He
let out a good cry, and Clay and I both cried, too. Clay said, “He’s
beautiful.” They held him up for me to see. Clay took some pictures, hugged me,
and went with Joe for his monitoring and cleanup. He weighed 5 pounds 13 ounces.
At about 10:15, Clay and Joe left the OR to go to the
C-section recovery area. On the way, they stopped by the waiting room to see
Ms. Gayle and L. They continued on to the recovery room to wait for me.
I was stitched, transferred to a gurney, and taken to
recovery. This part is all really fuzzy, but I was well-cared for in the
recovery area. I was able to bond with Joe and feed him for the first time. I was transferred to my postpartum room at around
1:30 AM on 3/1. Joe spent some time in the nursery and he came to us around
3:00 AM. At last, our little family was all together. Exhausted and happy.
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Happy dad and son. |
Our care at the hospital was very good. Joe had a pediatric
nurse, and I had a postpartum nurse for each shift. Recovery went pretty well, and Joe and I eventually got the hang of feeding. I was really grateful for the help from the hospital staff. The stay flew by, and by Sunday we were ready to go home. We have all made it through the first
week and a half, and we are so happy to have baby Joe in our family. He really is a
fantastic baby. He gets fussy for about an hour each day, but otherwise he
sleeps great and is eating well. At his first pediatric appointment on Tuesday 3/5,
Dr. E noted he had gained back 4 oz., and he is doing very well.