Monday, March 23, 2009

Drew's Birth Story

Sunday, March 23rd (Easter Sunday 2008)
• My water broke around 5:45 a.m. but I was confused about whether I might have wet my PJ’s or whether my water had broken because there wasn’t very much leakage, and most of the water-breaking stories I had heard involved gushing. I changed PJ’s and went back to bed. About a half hour later it happened again, but again it was more like involuntarily peeing a little instead of the gushing I was waiting for. So I woke Mike to discuss and consulted the What to Expect… book. Even then I was still confused—especially because I wasn’t due until April 10. So I changed PJ’s for a second time and we went back to bed with the plan that the third time would be the charm…no matter what we would just go to the hospital should the same thing occur again. Just a few minutes after we settled back into bed, more water came gushing out, and we were 100% sure that this was it!

• Because I wasn’t experiencing contractions, we prepared very calmly to go to the hospital. I had already packed my bag a week or so prior, so I finished some last minute stuff around the house while Mike took a shower. Interesting enough, the battery-operated candles, relaxing music CD, and back massager were all packed...but never even used. But I’m jumping ahead. So, we snapped a picture of me right before heading off to the hospital (not so pretty). We even dropped off the Easter ham & baskets to Mike’s cousin Becky’s house on the way to the hospital since clearly we wouldn’t be able to make the Easter dinner that day. No screeching tires or flying over railroad tracks were necessary en route.

• We arrived in emergency around 7:30 a.m. and got checked in triage to make sure that my “bag had ruptured.” It had indeed ruptured and I was dilated to just 1 cm, but cervix was thinned out—good news and bad news, both. I was hoping that I would be dilated much further, but I was glad that my body was progressing on its own. Once our labor and delivery room was prepared, we were carted off to spend the majority of our day there.

• As soon as we had the medical 100% that we would be admitted and having a baby, we called each of our parents. That was probably the most fun call to make since we had announced our engagement.

• Until 11:30 or so, we didn’t do too much. My nurse, Sheryl, monitored me and checked things out periodically, but since nothing much was happening in the contraction department, Pitocin was started and increased every half hour until contractions were going well. This is where my birthing plan (that I had even typed out on the computer, printed and put in a plastic page protector) took a turn. Of course, Pitocin would be where we got off track with the whole letting my body do its own thing. But since I was getting ready to meet my baby for the first time after nine long months, I sort of nodded my head and agreed to everything once we entered the hospital because no one was there to tell me otherwise.

• From 1:00 p.m. to 3:00 p.m. the Pitocin was increased in small increments and by 3:00 p.m. I could definitely feel a difference enough that I had to concentrate on the ceiling and breathing to make it through each contraction. However, at 3:00 p.m. Baby Drew wasn’t liking his position or the Pitocin and caused the nurse to come in and turn off the Pitocin, as well as have a resident doctor try to insert an internal HR monitor—TWICE. Yet ANOTHER situation that we had learned about that we were adamant against, and yet again we found ourselves nodding OK--twice. Because the first time the monitor came off. And I had to go through the experience a second time, which involved someone’s whole hand inside me sticking prongs into our child’s head. Not enjoyable whatsoever, causing me to have to breathe through the process because it hurt SO BADLY. The monitor never did work properly and luckily Drew responded well to the fact that the Pitocin was turned off. By this point I was dilated to 3 ½ cm and contractions were becoming difficult to breathe through.

• Contractions continued from 3:00 p.m. – 5:00 p.m without the Pitocin, coming closer together and getting stronger. Breathing turned to whimpering and moaning/crying. I remember feeling embarrassed that I was being too loud but it was all I could do to manage the pain for 60 – 90 seconds every 2 - 2 ½ minutes. Literally 30 - 60 seconds of down-time before the next contraction began. Mike was a good coach, but there wasn’t a whole lot he could do, besides hold the throw up bucket when I got sick—another side effect of the pain that I didn’t expect. I remember telling him to please be quiet and not say a word, and then he would say "you're doing great" and I would tell him emphatically--please don't even say that!!!!

• Finally finally FINALLY I was checked and dialated to 6 cm – good and ready for the epidural. Between dealing with contractions, throwing up, and bleeding from the internal heart rate monitor insertion experience, I thought I couldn’t make it any longer and I asked for the epidural. The worst part of the epidural was trying to be still while having a serious contraction and a procedure that could be dangerous if not administered properly.

• Following the epidural procedure, I was in heaven compared to what I had just gone through. I could still feel when I was having a contraction, but the intense pain was absent, as was the vomiting. Shortly after the epidural had taken effect (around 6:00 p.m.) I was checked again and surprised to find that I was dialated to a NINE. In one hour 5:00 p.m. – 6:00 p.m. I had gone from 6 cm to 9 cm. Was it that I was transitioning or was it that the epidural caused me to relax and allow my cervix to open? We will never know. I asked the nurse if she was joking--but she wasn't. She said she was on her way to call the doc because I was ready to push and she really thought that I would deliver before her shift ended at 7:00 p.m. What a feeling of utter excitement and joy!

• From 6:00 p.m. – 7:00 p.m. I pushed my heart out, but unfortunately Drew was “posterior” or face-up instead of face-down. We learned that it is much more difficult to deliver babies that way, so my pushing wasn’t making a lot of progress. And then…at 7:00 p.m. came the nurse change. I had really been impressed with my first nurse who had taken care of me all day. She was calm, encouraging, quiet, and seemed to really be on my side. She gave me great advice about how to push and her words and tone were just perfect. I really HATED the nurse who replaced her. She was annoyingly chipper, didn’t give good advice, and she had a “scolding” sort of encouragement. I think the worst thing about her is that she didn't seem sincere. An hour of her and when the doctor suggested we opt for a C-section, I’m sure one of the reasons I agreed was to get away from her. Actually, because I had a high blood pressure scare during the last couple of weeks of pregnancy, the doctor didn’t want to “take any chances.” He explained that since both Drew and I were in a non-emergency situation, though not making progress, it would be a SAFE idea rather than risk an emergency situation and end up with an emergency C-section anyway. It sounded like a reasonable explanation.

• Mike and I didn’t even really talk it over. I was all drugged up and we were both so ready to meet Drew, that why would we go against the medical advice? (I’ll answer that question in a future post). So we got prepped for surgery and off we went to deliver Drew. The anesthesiologist was UNBELIEVABLE. He basically narrated every single move that he and the doctor were making so that at NO point did I feel scared or think that something was wrong. He kept reassuring me and telling me how great everything was going. Just as Drew's head was being delivered he positioned a mirror so I could watch. Nothing short of a MIRACLE. At 8:58 p.m. our most beautiful gift entered the world. We thought Drew was just amazing and beautiful and perfect. Mike said in excitement, “He’s got four arms and legs!” I love that line--such a cute husband-y thing to say! Michael was videotaping the whole procedure so we have been able to relive the excitement and joy several times since--including the "four arms and legs" comment--hee hee.

• We watched as they checked Drew over and soon after the surgery, they gave Drew to me and wheeled us together to the recovery room where we could not stop saying how beautiful he was. I was “high” on all the medical drugs, but certainly more "high" on motherhood already. Drew got his first bath and I was given a bath, too! Until this experience, I had no idea what nurses do, because (thank goodness) I have never spent time in a hospital. Other than the one LD nurse who I didn't like so much, every single nurse that came to take care of me was absolutely phenomenal. Anyway...

• There is a short period after which a baby is born when the baby is alert but quiet. It is the most amazing couple of hours that you could possibly imagine. I believe that there is some medical explanation (and maybe even a name for it, which I can't remember), but it's clear: nature created a time for bonding, before the baby and momma start their rest and recovery from the birth process. Drew, Michael and I just stared into each other’s eyes. We made our first attempt at breastfeeding and were fairly successful. I was relieved that even though I had a C-section, Drew’s sucking instinct was strong. Around midnight we were finally cleared to return to our room.

• And that is the story of how precious Drew came into our world and made us Mommy and Daddy.

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