Showing posts with label Natural Child Birth. Show all posts
Showing posts with label Natural Child Birth. Show all posts

Monday, February 20, 2012

Birth Story, Part II

Just to warn you - this is HELLA long. 

So we pull into the main parking lot and head towards the long term area. We were laughing because though our bags were packed and ready to go - they were at home and the only thing we had to bring up to L&D was an 8 pack of Frost Glacier, Gatorade that I'd been too lazy to bring into the house.  For the record I was always planning to bring that Gatorade to the hospital, but I left it sitting in my trunk for like two weeks.

So let that be a lesson. In case you are as dumb as me, the hospital bags that you have packed and ready to go, are pretty much useless if you don't put them in your fucking car.

So we get up to L&D and the woman at the main desk asks for my name. I begin to say my last name when a smiley face nurse pops her head around the corner and says "Oh, Brian and Melissa, right?". Our midwife had called over and gotten the only Charge Nurse who was not a replacement due to the strike. She had been with that hospital for years, and tried to work during most of the strikes so that things wouldn't fall apart completely with different staffing. So Susie (our midwife) called and spoke with this Charge Nurse, named Sharon. She told Sharon our whole story and sent her the detailed Birth Plan we'd hoped to follow.

Sharon took us to a room toward the back of L&D, and showed us in. I was grateful she'd been able to get us a room with a laboring tub, like we had hoped for. We started to explain to her that we understood Susie's concern, but really didn't want to use Pitocin unless it was totally necessary. She listened to all of our concerns, and agreed to stall on it for a bit. Her main focus was getting me on the monitor to see what my contractions were looking like. As it turned out, though they weren't super heavy, they were indeed consisten and just about three minutes apart. Sharon happily explained that since my contractions were steady, she would be able to postpone the Pitocin. 
That's about when it dawned on us that this was really it. We were not going to be able to go home now, and the next time we did, we'd have a baby in our arms.

I called Teresa and let her know we'd been admitted and asked her to bring our stuff up to the hospital on her way. When she got to our room, we hugged and laughed. It was a really good atmosphere, and we were all pretty amped. Brian and Teresa started chatting excitedly about "the baby" and how amazing this all was. I stopped them in their tracks and announced that they were not allowed to get cheerleadery or mushy. Those thing detracted from my focus and I wasn't able to get through my contractions properly because they made me cry. Which made me sound nuts, but I didn't care.

At this point my contractions were all still back labor, but very manageable. Since I've struggled with lower back issues over the last few years, I have learned how to deal with that type of pain quite well. So I felt very comfortable getting through each wave.

 Here we are hanging out, joking around and looking for something good to watch while we waited for my hooha to put on a show.


 45 seconds later, me, having a contraction. And Brian taking the "lets find something good on TV" thing too seriously. (my belly looks all weird because of the monitors.)

At this point it was close to 5pm, and Sharon came in to check on things and make sure we were getting settled in. She told me that Susie would be coming to the hospital around 6pm to check on me and would probably do an internal then, so she wouldn't bother putting me through one herself. She sat and chatted with us, and we were just telling her how glad we were to have her and that she was really great and we were worried about what kind of staffing might be here to cover the stike. That's when she smiled and told us the other reason she came in was to let us know that her shift would be over in two hours and she'd be going home... But, her being the kickass Charge Nurse that she was, she scoured through all of the nurses on staff and found two that were experienced with Natural Child Birth. Turns out that one of them had even done two home births of her own, so she was particularly well versed. 

As promised, just after 6pm Susie came strolling through the door. She greeted us all and asked how things were going while she felt around my belly. Then she told me we'd have to do an internal - bleh- what she didn't tell me was that the baby's head still had not dropped and she was about to move it down manually. Umm yeah, Ouch. It was smart of her not to say anything in advance because I think it would have ben harder on me physically had I been aware of what she was about to do. But in doing so, she most definitely got an expletive filled talking to from me. She forgave me though. And during her poking and proding around she broke my water. 

Shortly after that, my contractions became much more intense. And I decided that standing for a bit was the most comfortable way to get through them. With each contraction I sucessfully zoned out and exercised my breathing techniques. I leaned into Brian while Teresa rubbed my back. 

Teresa noticed that my demenor was changing a bit, which indicated that my labor was really progressing. She filled up the tub and suggested I get in. The water was perfectly warm, and was extremely relaxing. It not only completely took the edge off my contractions but it slowed them down a bit too. Which was great because I was able to get a little rest. 

And it was a good thing I did because the moment I got out of the tub they started back faster and stronger. To the point where I could barely hold myself up. It was about 9pm. I moved to the bed and layed down on my side. I also began vocalizing through the contractions. A low, and long moan from start to finish. Teresa came to face me, she held my hand and she and Brian both would tell me how great I was doing. Brian stayed on the other side and rubbed my back. He was using the palm of his hand to apply pressure to the small of my back. It helped a lot, though my contractions were all in my abdomen now. And that, I did not handle as well as the back labor. There were probably three or four contractions where I lost my focus and they got away from me. Holy shit did those fucking hurt. I cried through each of those ones and told Teresa and Brian I couldn't do it anymore.  

Well before my labor we had discussed the possibility of me not being able to do it naturally. What if I was too tired or felt like I couldn't hack it... I told Teresa and Brian to stall, to divert my attention or even talk me out of it. But instead, they talked me through it.

Teresa would say "I know, I know, it hurts. But there - you're done. You never have to do that contraction again!" And Brian just kept encouraging me, telling me how proud he was and how great I was doing. These contractions were hard. And relentless. And if it weren't for Brian and Teresa working as hard as they did to support me, I don't think I could have gotten through it without medication. 


This is right about the time I started puking. With each contraction I started to feel more and more nauseous. I think I threw up about four times. But I barely noticed it, to tell you the truth. 

I started feeling like I had to pee. Really bad. So I asked for them to walk me to the toilet. It was about ten feet away. I sat down on the toilet, but everytime I would relax enough to be able to start to pee, I'd have another contraction. And they hurt a whole lot more when I was sitting, than if I was standing or laying down. So Brian was standing in front of me, and he'd lift me off the seat each time. By now, I was putting my whole weight on him through each contraction. Poor guy, the only comfortable position for me at that point was very hard on him, but he sucked it up and didn't complain once. And the contractions were so intense that I couldn't do anything but breath and vocalize. This is when I had my bloody show. It was thick and sort of stringy.  I had to have someone help me wipe it off my legs. Which I know sounds embarrasing, but believe me modesty had gone bye-bye hours ago. I couldn't have cared less. Teresa began to tell me that my urge to pee may just be the pressure of the baby, and that maybe I didn't have to go afterall. And in that instant my next contraction hit me like a Mack truck. I did my thing breathing and vocalizing, except at the end of it, my moan turned into a grunt. The nurse who was there checking my monitors, swooped in and shouted "Get her on that bed, right now!"

I was starting to feel the need to push. It was the most overwhelming and primal feeling I have ever encountered.

I was on the bed very quickly and a nurse began to check me. I know it hurt but I didn't care for some reason. The nurse looked across the room to the other nurse and stated firmly that I was "complete". 
Fully dilated. 

They put an oxygen mask on me to help give me a little more energy to start pushing. They also had me sit partially upright. It wasn't long before the urge to push would come on like a wave again, just as the contractions did. But for some reason it didn't hurt anymore. All I could feel was the pressure and need to push. Brian and Teresa stood on either side of me with big silly grins as they talked me through each wave and watched to see my progress. 

After ten minutes of pushing, they were able to see the top of the head appear a little more each time I pushed. The nurse reminded me to put my chin to my chest, and decided to have me hold my own legs for leverage. Shortly after a small problem arrose. Even though I still had monitors on my belly they couldn't get a consistent reading on the baby. Which actually meant they weren't able to find a heartbeat at all. Since I was crowning they asked to put an electrode on the baby's head to monitor it's heart rate. The reason they had to inform us is because the electrode would actually pierce the baby's scalp. I wasn't entirely coherent at this point so Brian had to make the decision. He told them to go ahead. 

I continued pushing and though they had the electrode hooked up they couldn't figure out how to make the computer work with it. They said they hadn't used that type of equipment before. Had I been able to even remember my own name at that point, I probably would have been scared or pissed off by this scenario.

Evidentlly once I started pushing the nurses paged my midwife, who lived about five minutes away. A new nurse had come in to help set up for baby when she'd been told that Susie was still not here. Considering my progress at that point she shouted across the room to tell the nurse to have me stop pusing. 

WHAT?

Yeah, I know. I ignored her.

I later learned that the nurse she was speaking to leaned over to Teresa and said "I don't even know how to explain to her that a woman who hasn't had an epidural, can't stop pushing." 
Word.

As it turns out, Susie was down stairs but security wouldn't let her in through the front door. During a strike, any staff that crosses the picket lines must go through a special entrance. But my midwife wasn't havin' that. She told him to call whomever he needed to, but she had a patient delivering and didn't have time to go to the back of the building. He eventually let her in. And just in time. I think she got there within four or five pushes of Leah being born. There was a point during this stage where I felt the burning sensation, but it didn't last long. I definitely complained about it though!

Earlier on we had asked Susie, if conditions were optimal, would it be possible for Brian to catch the baby? She said sure. So once the baby's head was out, she told Brian to grab some gloves. In the short time that he had turned around to get a pair of sterile gloves I had the urge to push again and the next thing we knew she was out! Let me just say, with that last push and the feeling of her finally coming out of my body was the biggest sense of physical relief I think I've ever experienced. You know how in the movies when the baby comes out and the woman falls back with a big sigh. Yeah, it's exactly like that.

They quickly put her on my chest, and all I remember feeling was udder disbelief. There was a baby on my chest. And all I kept saying was hello. 



It seemed like a few minutes had gone by when Susie turned to Brian and said 
"Well, what do we have, Dad?" 

The funny thing is, it totally hadn't even occurred to me to ask if it was a boy or a girl. I was like "Oh... Right!"

Brian walked around to my right side and lifted up the baby's leg. It took him a second but he finally exclaimed "It's a Girl!"

But not in a "Hey, it's a girl" kind of way. More like in a HOLY SHIT, IT'S NOT A BOY?!?!?!" kind of way. Don't get me wrong, he wasn't disappointed. He was just surprised. And I was just as shocked as he was. Secretly, we both would have bet money that it was a boy. 

Lesson one in parenting: prepare to be surprised.






Brian, putting her on the scale

She had only been on my chest for a few minutes when they told me they were concerned by her lack of crying. They wanted to check her out. Reluctantly I allowed them. Only to find out later that baby's who are delivered without medications cry less... In an attempt to distract me, Teresa demanded to know the name we'd kept secret from everyone throughout the pregnancy. Our daughter would be Leah Marjorie. Brian and I both liked the name Leah, but Marjorie is my paternal Grandmother's name. We are very close. (Hannah, was our second choice {for a first name}. But we wanted to see what she looked like before deciding)


Anyway, everything was fine with Leah and they got her back to me quickly.  By now, Susie had me up in the stirrups so that we could deliver the placenta. The moment I felt another contraction I was able to get it out with one push. Susie then began cleaning and sewing me up. They ended up having to give me pitocin post delivery because I was losing too much blood. 


Surprisingly, I didn't cry at all. And I'm a crier. But I was just too high I guess. I felt like a million fricken bucks. 
No pain, all euphoria. 


Brian's family was waiting out in the hall, but I wanted to try feeding her first. I spent about 15 minutes feeding her and then we let them in. They were beside themselves. (My family came the next morning).  Things started to wind down. I was settled in, the room had been returned to it's previous state (sans delivery equipment). Brian and I had said goodbye to his folks, and we sent Teresa home to be with her boys and husband. Brian laid down on the couch across from me and was starting to drift off, Leah was in the bassinet, next to me. I couldn't take my eyes off of her. I wasn't even remotely tired...


A nurse came in a few minutes later and told us it was time to bathe her. I had asked that Brian be the one to give her her first bath, and that it be done in our room with our own soap. Brian had been asleep for about 10 minutes at this point, so he wasn't thrilled to be woken up, but he knew how important it was to me. During her bath she had her first poop. Good timing baby girl!


When they finally finished Brian got back in bed. I asked the nurse to hand the baby to me. I laid there with her in my arms and took turns staring at her, then Brian, and back to her again... The nurse came back in to check on me and asked if I wanted to keep holding her. I told her I wanted to, but that I would probably sleep better if I didn't. Which turned out to be wrong, because from the moment they put her back in the bassinet, I just kept peaking over to check on her. I couldn't sleep. So the next time a nurse came in, I asked her to hand Leah to me again. 






The next 24 hours flew by, and by noon on Christmas Eve we were being discharged and sent home.


Me being wheeled out. 
This is when I finally started crying. 
I'd waited for this particular moment for a very long time.




I cried here too.


Can you see now, why it took me two months to get all that down? 
No, I know. I'm lame. 


So yes, our labor and delivery when very well. One thing I would really like to say is this; Yes, natural child birth is hard and yes, it hurt. But it's doable. I think  if all women were able to prepare for how to deal with contractions and are able to have a strong support system, 95% of them would be able to do it without meds. 


If you have any questions about the birth or labor, please feel free to ask. 

Wednesday, January 4, 2012

Living On Love

Holy Crap you guys. Our little girl is amazing. I am so unbelievably in love, and not only with Leah but there is a whole new depth of respect, admiration and plain ol' squishy love that I feel for Brian and our relationship.


Not every day is easy, we're definitely elbow deep in "On the Job Training". Getting sleep when and where we can is always the number two priority over feeding, changing and comforting the baby, but all in all I feel lucky - she seems like a fairly mellow baby. We've found that working in shifts seems to ensure that each of us gets a few solid hours of sleep. Brian goes to bed early and gets up early, while I stay up late and get up a little later. For the overnight feedings, Bran gets up with Leah, changes her and wakes her up just enough so that I can get a good feeding in. While he is changing her I get myself a glass of water and arrange my pillows accordingly. Grab blankets and anything I'll need to keep us both comfortable. Once I'm set and feeding her, he goes back to sleep. Start to finish feedings take anywhere from fifty minutes to an hour and a half.


I've started several posts, but I struggle with wanting to spend every waking second with my husband and our daughter, over writing things down here so I can remember it all.


I've been working on our labor and delivery story, but I'll at least tell you now that things went pretty well and we were able to deliver naturally. Brian and I feel really lucky that my body didn't do anything too crazy and that my labor went as smoothly as it did.


I can't believe Leah's going to be two weeks old tomorrow. It's been a total blur. Knowing how close our due date was to the holidays, Brian and I had repeatedly discussed how we don't want Leah's birthday to ever be trumped by Christmas festivities. Funny thing is this year Leah's birth completely blew Christmas out of the water on both sides of our family. We haven't even opened any of our presents yet... They're all just sitting in a pile until we can figure out different nights for Brian's family and mine to come over for a Christmas redux.


Well, I need to go sneak in a shower while the sleeping baby window is still open (Brian had to go in to work for a bit).  So I'll leave you with a few pictures until I can update again. 


Happy New Year Everyone! I really hope this year brings us all prosperity in life, love, family building and finances! I say finances because we all know how much building a family really costs...




Brian, Leah and Parker


Little Leah on the changing table!
(p.s. we keep a heating pad on there to prevent ear piercing diaper changes)

Monday, November 14, 2011

Here's What I'm Thinking....

“We Plan, God Laughs”


“Life is what happens while you’re busy making other plans”


“Don’t make plans, just planned to be surprised”


Between the books about birthing, and the medical professionals I’ve spoken with. Not to mention plain ol’ life experience, I’ve learned that making plans can often backfire on you. After all, I assumed that by the age of 32, I’d be pregnant with my second kid. At least that was my plan four years ago. 


This post is going to be about my “birth plan”, but I don’t want to call it that. Because even my super mellow, very open minded Midwife cringes at the concept of a birth plan. Her reason being that a small percentage of births are ever actually “text book”.  I’ve heard other doctors say they are concerned with patients having Birth Plans because if things go off course, the patient can get very nervous, agitated or even disillusioned. 


Which is another reason I love my Bradley Method classes. It’s not just about natural childbirth. It’s about being informed. They talk to about epidurals and C-Sections, and they are not viewed as failures, it’s just what happens sometimes. The important thing is that you’re educated on what your options are.


So here’s what I’m thinking I’d like from the hospital staff during the birth of our child, if circumstances remain ideal: 


(I'll be giving this letter to my midwife for my chart, and bringing several copies to the hospital on the big day.)


Hello! We are Melissa and Brian G, impending parents to a wonderful baby whom we don't know the sex of yet (and would love to keep it that way until the birth, please!) We spent over four years trying to get to this point, so this baby is very long awaited. We are practicing the Bradley Method and barring any unforeseen complications, hope to have as little intervention as possible. 


During Labor we would appreciate:
  • No visitors (not even Mom's) :)
  • Lights and voices kept low
  • Minimal Staff interruptions
  • A nurse who is open to or experienced with natural birthing
  • No IV if possible.
  • No pain scale questions or offering of pain medications
  • Minimal Internal exams
  • Please do not rupture membranes (break my water)
  • No Episiotomy - Perineal Massage is preferred
  • Freedom to move. i.e. walk, shower, use birthing ball, and laboring bar
Delivery: 
  • Minimal coached pushing: we are hoping to use a method to breathe the baby out
  • Skin to Skin time: Please place the baby directly on to the mothers chest or abdomen and leave to breastfeed and bond with the parents for at least the first 30 minutes. 
    • Please delay cleaning, weighing or measuring
  • Refrain from clamping or cutting the umbilical cord until it has stopped pulsing
    • Father would like to cut the cord when the time comes
  • Allow up to an hour before the placenta is delivered. No Pitocin if possible. 


A good portion of my labor will be spent meditating and focusing inward on myself and my body. Letting it do what it needs to do. I’ve been working on meditation for a few years now and hope to use the techniques I’ve learned to help me get through the most difficult parts of labor. Brian will be there to help and support me emotionally and physically. By giving massages, walking with me, helping me balance while squatting either on the birthing ball, or laboring bar, or in his arms, and offering encouragement and praise as I progress. He will also make sure that I am drinking reasonable amounts of water, and snacking as necessary to maintain my strength. 

I know the snacking thing is controversial. Our Bradley teacher advises snacks that are very easily digested, because your body will require so much energy elsewhere. So apple sauce, soup broth, a banana, juices – great, now I want apple sauce- you get the picture. This will mostly be done at home, and the plan is to labor there as long as possible. My understanding on the whole reason hospitals won’t let you eat:  in case they have to put you under general anesthetic. Which is rare during child birth, they mostly use epidurals. And it’s really just a precaution to prevent other complications. From having full intestines during surgery, or in case the GA makes you nauseous and you throw up and aspirate while on the table... And various other unpleasantries.  The truth is, they have other measures to combat this – what if you’re in a car accident on your way back from a pie eating contest and they have to stop your internal bleeding? They’re not going to wait 12 hours for your system to clear out, right? So yes, it’s safe to snack during labor, maybe just skip the meatball sub. 

Brian and I have also asked our friend Teresa to be in the room with us acting as a Doula. She will be there to support and advocate for both Brian and I. Aside from being a very dear friend, her qualifications include: Three completely natural, uncomplicated births. The last one being at home (yes, on purpose). We think she will be a very good asset for the outcome we desire, and we’re so glad she accepted. 

If any of you have a similar birth plan (Hi Josey! Hi foxy!), and see something I forgot, feel free to mention it in a comment. If you think I’m ridiculous for not wanting an epidural and would like to remind me “there’s no points for pain”,  feel free to kiss BOTH SIDES of my ass.

Tuesday, August 9, 2011

You're Fired.

Well the appointment I had yesterday sealed the deal. I’m done with my OB. Nothing explosive happened, but the in-depth conversation I had with him regarding childbirth plans pretty much gave me all of the ammunition information I needed. 

O.V.E.R. 

He’s a lovely doctor, and I’m sure that our baby would be delivered safely in his care, but I evidently wouldn’t have much of a say in it. So here’s the first part of what you should know and where things went wrong. 

I’m hoping to deliver this child naturally. With no epidural, and minimal medical intervention. 

What my dinosaur doctor heard was: I hate Doctors and hospitals and I plan to be as uncooperative and insubordinate as possible during my delivery, so good luck with that. 

He started off by suggesting I stay away from reading materials. Explaining that they can be quite dogmatic and contradictory to other sources, and that my body will really know what to do because it’s programmed into our DNA. Okay, I get that school of thinking. I can appreciate the theory of the power of suggestion, and I just so happen to agree 100% that delivering a baby is probably built into my DNA. But I also believe that you can prepare yourself for something like this. I will be experiencing a level of pain to which I have never known. Not even after sitting through the entire showing of Sex and the City II. I think I should know what’s coming. And the more I sat there listening to him, the more it sounded like he was saying “This is what can happen if you let women learn how to read…” 

When I say I want to deliver with no epidural and minimal medical intervention, I do not mean: in a barn. I am not Anti- Doctor, or medicine. Obviously, we did IV-fucking F. I’ll do whatever means necessary to get my desired result, savvy? And I am also not stupid. I realize that I can make all the birth “plans” I want, and things could end up 180 degrees differently. (Hi Murgdan!) So aside from preferring a completely natural delivery, our other plan is to know our options. So in Scenario A, B, C, or Q, Brian and I will have some kind of idea of what my preferences are so I won’t have to deliberate a life changing decision in the midst of a contraction. Or if I’ve checked out completely, (not dead, but incapacitated) Brian and I will be on the same page. 

When I mentioned this to him a few months ago, I’m guessing he yes’d me on the au natural part. But today when I talked to him about studying The Bradley Method, the mood all changed. He told me that the Bradley Method was somewhat “Anti-Doctor”. Which is interesting because so far what I’ve gotten out of the book, is that it’s really about husband/partner coached labor. When I explained that my main idea’s behind using this method is that it took so much medical intervention to get me pregnant, I really like the idea of giving my body back the control. Not to mention taking some of the work load off of my poor kidneys. On top of that I think this could be a really amazing experience for Brian and I as a couple. I don’t believe that labor has to be scary and dramatic. I know it will be painful and hard work, and potentially very long. (that’s why they call it labor, no?) But I also believe that I am capable of doing it without much involvement from medical technologies. 

I asked him how many of his patients delivered naturally, he said 20-30%. And then he said the percentages were lower with his Bradley patients, and that I might want to consider getting a doula to assist us. (Which I’m totally not opposed to, I’m actually trying to find one that will take my insurance) And continued on that ‘no one really wants medical intervention, but sometimes it’s just necessary’. I interjected with: I actually know women who would sign up for an epidural now, if the release form came with their hpt kit. True Story. And then what I should have said but wasn’t quick enough to think of is: Odd though that if no one really wants medical intervention, how come 70-80% of your patients end up with
 it???? 

Please know, I am not against Medical Intervention. Epidurals. Hospitals. Doctors. Nurses. Vaccines. America’s Got Talent being renewed for yet another season, even though I truly believe it is a crime against humanity. DO WHAT IS BEST FOR YOU. To each, his own. All god’s children, yada yada... I’m just saying this is my preference and I’m going to find a licensed medical practitioner who will do their damnedest to help us prepare for it, and hopefully see us through a delivery the way we’d prefer, while in a safe and legal nature, resulting in an insanely healthy live baby being born. If there are one hundred and forty two things I've learned from Infertility, number two on the list is being your own advocate. Good day to you, Sir.