Tuesday, March 2, 2010

Birth Story...or...don't bother with a birth plan!!!!

So, I knew going into all of this that a birth plan is really a "best case scenario" so don't really "plan" on it. Knowing that, I'm glad I wasn't dead set on what Teagan's birth was going to be like. That made me slightly less emotional when everything took its own course and allowed me and Brett to totally roll with it when things did not at all go as planned... (this is a long post)

We went to the hospital at 5:30 to check in for 6:00 as the nurses said to do. As we checked in, we found out that we were early and that L&D was swamped so we had an ice cream in the hospital cafeteria, waiting on pins and needles. At about 6:15, we went up and got our room. By 7:30, they had administered the first dose of Misoprostol up into my cervix and had me lying flat on my back for the next hour. Let me first state that putting the crushed pill type thing up there is PAINFUL. My cervix is in a very difficult position apparently, so it is very high up and towards the back, so they have to manuever a gloved hand with some gel on it, with something that felt like Comet bathroom cleanser all over it, up into that area...ouch. But, okay, I was in L&D, so didn't expect soft fluffy feelings. Anyway, the Misoprostol not only softens the cervix but it also starts contractions. I had some relatively painful ones but was handling things okay, I think. The game plan was to get more "mispro" inserted every 4-5 hours. 4 hours later, they were supposed to check me and do it again...they didn't. 5 hours later, I called the nurse, they said they were busy. 6 hours later, Brett went to the nurses station to find them all sitting around with the resident who was supposed to be giving me the mispro and basically chatting and hanging out. He insisted they get in and continue the induction. They did. Nothing had changed. However, I did find out that my doctor lied when he said that we would be in Monday for a few cervix softeners overnight and likely have the baby Tuesday morning. No, every nurse said inductions like this (especially those over 40 weeks) can take several days to work. Anyway, they put another Misapro in. 4 hours later, same thing...but the contractions were getting much more painful and it was very hard to lay flat on my back. I was obsessively watching the fetal monitor during each of these contractions but Teagan seemed to be doing okay. Well, long story, we made it to Tuesday. Brett was incredible and supported me through everything, trying to get me to breathe through the contractions while I refused and got cranky. They decided to keep up with Misopro. We had an awesome nurse at this point who did everything for us and actually allowed me to finally have some lunch (since I wasn't progressing and hadn't eaten since that ice cream the night before) and then ran around to find me a portable fetal monitor and batteries for it so that I could walk around a little and try to let gravity work on my body. Brett and I walked the halls. We were ready and they put another one in at 3:15PM. By this point, I was literally holding on to the bed and crawling up to the headboard when they tried to insert it. Contractions started really bad...so at 3:30 they gave me a shot of demerol. The contractions still hurt but I felt more relaxed (because amid all of this there were several violent crying bouts in which I was terrified we were not progressing and things were going to turn bad). So, demerol, and the mood got better.

At 4:30 my OB showed up and checked me. He said I was still at around 1-2 cm and 50% but that he decided we might as well try to break my water. He did. It was slightly meconium tinged which had me a nervous wreck (even on the demerol, so you know I was a nut) but he said it is very lightly tinged and totally normal for a baby at 41 weeks, 3 days. So, 4:30 the water broke. At about 5:00 I was begging for an epidural. The misapro makes contractions very strong and then when my water broke, my body kicked in its share of nice contractions and I was having them very fast and strong and long. The epidural doctor was received into the room with cheers (not once did I regret my birth plan saying hopefully no epidural). He gave me enough of one to prevent the pain but I still totally felt my legs and was able to move them. He said I would absolutely feel it when I needed to push and delivery would still likely be painful, just not horrible. The nurse put in a foley catheter so I didn't have to get out of bed to pee. About 3 hours later, they came in to check me and I was at 4-5 cm. About 1 hour later, I had to call in the nurse because I felt like I had to pee. She said it is impossible and checked the catheter and then left. About 15 minutes later Brett ran out to get her because I was crying I had to pee so bad. At the nurses station, another nurse said she's never heard of that unless a woman had progressed past 7-8cm and was on the verge of delivery (so the baby's head was slamming into the inflated bag in my bladder), which we were sure I wasn't. The nurse was incredible and I finally convinced her to take the catheter out to see if I could pee. I couldn't...but they decided to call in the resident to check me. I was at 9 cm and he could barely feel cervix at all. They decided to call the OB. Within about 5 or 10 minutes I was writhing on the bed insisting that I had to poop now (great, right...but seriously, this is what it felt like). I couldn't physically stop my body from pushing. The resident came back in to check me and said he couldn't even find cervix and we absolutely had to deliver. They pumped up the bed, (much of this I don't remember because to be honest, the hardest part of all of this was to try NOT to push, I was in agony over it), got me ready and held my legs, nurse on one side, Brett on the other. And they waited. It seemed that once I was up and ready and everyone said I could push, those contractions slowed down, so I was insisting I didn't have to push but luckily, a contraction started, I pushed 2x...the doctor asked if I wanted to feel the head with the next push...I was like "seriously????". I pushed again, and felt her furry little head. About 5 more pushes and she was fully delivered and they plopped my beautiful squishy baby on my lap. Brett cut the umbilical cord and took pictures of everything. He was awesome and so excited!

I was almost sobbing with relief and love. However, within a minute, she stopped moving in my arms and just felt lifeless. I screamed, "she stopped moving, is she breathing?" and literally football tossed her to the nurse who was about to call the NICU when an older nurse said not to...she was fine. Just a moment of shock, apparently, where she needed to catch up to being born. Scared the crap out of me. At this point, my OB came in...and delivered the placenta, sewed up 2 very small tears, one of which he labelled on the chart a "skid mark" indicating that he thinks she knicked me with a nail on the way out, lol. They cleaned her up right there, and put her on my lap and within 20 minutes of being born, she was nursing happily. I truly couldn't believe how fast the birth part actually happened. It was a truly amazing experience...the beginning of labor was very hard (mostly emotionally and because it was taking so long, it was exhausting) but the end was beautiful. They say you forget the pain eventually...it seems I forgot it immediately b/c I really am already looking forward to hopefully doing this again one day. In the meantime, I can't believe how beautiful she is and how good she is.

Last night, her 6th day of life, she let me sleep a total of 7 hours!!! I nursed her before bed, put her down for 2.5 hours (set an alarm to nurse). I woke her up to nurse for 1/2 hour and then back to sleep for 2.5 hours, woke her up to nurse, put her down for another 2 hours and we were up this morning. She rarely cries, but I also know that both me and Brett have been here every minute waiting on her hand and foot...its just she is such a pleasure. We can both sit on the couch and watch her facial expressions all day!

13 comments:

Jill M. said...

So excited to see your birth story!!! Sounds like a rough beginning with a beautiful ending! Yeah for no c/s! Great job mama! Can't wait to hear more about little Teagan and see some new photos. Hugs!

Kate said...

Boy do I ever hate it when nurses say they're "busy" and they're sitting around chatting or off on break.
The L&D charge nurse got so pissed off at me once during training that she nearly ripped my head off. Some poor woman came in at 5cm, writhing in pain. I did the anesthesia assessment in triage so that she could get the epidural as soon as she was put in a room. And then they waited. Her husband came out to the desk to ask (politely) when the room would be available, and was told that there was no nurse available and she couldn't have the epidural yet because the bloodwork wasn't back. I didn't want him to panic and told him that with no history of bleeding problems, I would do the epidural without the bloodwork if she wanted, so it was just a matter of waiting for the room. The nurse tore a strip off of me for making her look bad. My thought: if you lie to the patient/husband, it's your own fault! Turns out a bunch of nurses were off sleeping in the small back hall L&D rooms for their 2-3 hour breaks. And even though things were crazy busy, they wouldn't get one of them up to deal with the latest patient, instead making the triage nurse see her in triage and then become her nurse in the L&D room. It was pathetic.
Anyhow, I'm so glad your delivery went pretty well in the end after such a rough beginning. I'm dreading induction if this one doesn't make her appearance soon. Congrats on the fantastic pushing and beautiful baby!

Barefoot said...

Congratulations again. So sorry for the rough beginning, and the nurse issues. We had a few ourselves....it's so hard to advocate for yourself when you're in pain!

lastchanceivf said...

It all sounds wonderful--even the parts that didn't go as planned. She's here, she's yours, and you have made it COMPLETELY over to the other side! Enjoy!

PJ said...

Oh Sue, I am so happy for you! Thanks for sharing the story. Sounds like the rocky beginning ended beautifully! Enjoy this time with her. :)

Hope in Virginia said...

Wow! You sound like Superwoman! I am so glad that baby Teagan is here safe and sound and doing so well. And you deserve a medal!

Sky said...

What a story! Wow!

The fact that you had no c/s is the one great part. As for the terror of her not moving in your lap, I would have fainted. But so glad all was well within a second and your girl is such an easy baby.

So....are you actually thinking about another trip to CCRM to bank some more embryos soon?

Not Your Aunt B said...

What a story! I am surprised they thought miso took days...I had never heard that and have friends with experience more like yours, especially once they rupture the membranes. Hooray for walking epidurals! And why is it they NEVER believe you when you're about to deliver? You think you would be the one to know...

So happy you all are doing so well. I love that dreamy sleepy honeymoon newborn phase. it is lovely as is Teagan I am sure.

Lost in Space said...

So glad she is here safe and sound and that you are all head over heels in love. Congrats again!!

Kris said...

Thank you so much for sharing the birth story! Good job Momma!! SO sorry it took so long and got off to a rough start, but I am so glad Miss Teagan is here and that she arrived safely.

Mo and Will said...

Oh! Congratulations! Thank you for sharing the birth story with us. So glad everything turned out so well.

Mo

Jo said...

Congratulations! Sounds like the birth was a doosy but boy is Teagan beautiful! Glad it all ended up fine and can't wait for updates!

Caroline said...

Hey Sue,
Wow - I am envious of your awesome birth experience! It sounds like it was beautiful.
It's funny, but despite my difficult delivery I would love to give birth again....Time makes you forget the pain and focus on the joy of meeting your baby.
I'm also glad to hear how good she is. She is gorgeous in her photos! Can you email me some more pictures when you get time?
C x