I left that appointment feeling like a HUGE weight had been taken off my shoulders. I also felt like I could focus more of my mental energy on actually preparing for the birth itself instead of being stressed out about WHEN it was all going to happen. Wow, I should have scheduled this sooner, it would have made the last couple weeks much less stressful.
On Thursday, July 5th, I met Charles at the hospital at 4pm. We got checked into a triage room and monitored the baby for about the 10th time. My fundal height had been measuring 2 weeks behind for the past 6 weeks. They were concerned so referred me to a high-risk doctor for ultrasounds every 2 weeks since May 25. They said the baby was measuring small at about the 9-10% percentile and they encouraged me to be induced early which was ridiculous to me. Shouldn’t the baby stay inside my uterus and grow to full term if he’s measuring small?! I’m so glad we pushed back against their advice and that my primary OB also felt that there wasn’t a problem.
After the monitoring, which looked fine as usual, Dr. Hudson came in around 5pm to place the balloon in my cervix. It didn’t hurt, but it did feel uncomfortable. I definitely waddled out of there. During the placement, my mucus plug came out. Shortly after, I started to feel contractions. During dinner at home with my parents, they started to come every 10 minutes or so and I started to worry that I might not get any sleep that night. My dream has always been to start active labor in the morning after a good night’s sleep and that had never really happened. After dinner, they fizzled out a bit and I was simultaneously relieved (maybe I could sleep!) and also worried that maybe my body wasn’t responding well and the balloon wouldn’t dilate me at all. Birth brings out all my anxieties!
Around 10pm, we headed to bed. The contractions were sporadic and random and I was feeling grateful that I could finally *maybe* get a good night's sleep before active labor!
We woke up at 5am. I went to use the bathroom and the catheter had fallen out. I wasn’t sure if that was a good sign or not. They said once you were dilated to a 3, it falls out. So, I either thought I was at a 3 or more or that it had fallen out before I had the chance to dilate. So much anxiety, so many unknowns and so much possibility for pain! Looking back I know I added to my physical pain by me resisting the pain. Yet, even after the 4th time of practicing breathing into the pain and discomfort of labor, I still resist and cannot relax. It is just too intense for me to be focused on anything else except for when it will be over.
Charlie made me breakfast. Scrambled eggs with veggies and toast. I remember feeling starving during previous labors (because they wouldn’t let you eat) so I wanted to make sure I ate enough and had enough fuel to labor for who knew how long.
Sunrise as we left for the hospital |
40 wks 3 days |
We were supposed to check in at 7am and Charlie joked that I was going to be late since I frequently am. We woke up at 5am and my bag was already packed so I was confident that we’d have enough time. After we pulled out of the driveway, I remembered that we had forgotten the birth ball so we had to turn back. This took about 10 extra minutes so when we were about a mile away from the hospital, Charles pointed to the clock in the car that read 7:00. I was mad. This was no time to be joking about me being late when I was about to go through a really intense day!
As we got checked into the hospital and waited for our room to be ready, I told him I was angry about it and he apologized. I didn’t want to start this experience being angry. Gotta love pregnancy hormones!
They finally called us back and a kind nurse got me all set up. We monitored the baby and everything looked fine. I needed Charlie’s help to get the heplock inserted. How I hate those! Dr. Hudson finally came in at 8:30am. She checked me and I was at a 6! (and 90% effaced) I was not expecting that. I wasn’t really sure what to expect, but already being at a 6, without any pain, gave me the assurance that this was actually gonna happen TODAY and that I wouldn’t be laboring into the night and giving birth tomorrow.
At 8:35 she “ruptured my membranes” which I interpreted as “stripping my membranes” but, she actually broke my water, which I didn’t realize until I don’t even know when? After the birth? It’s all a blur.
Even though technically my cervix was dilated to 6, my body had not caught up to that fact since it was done by the balloon catheter. But, once the Dr broke my water, my body got the message.
For the next hour and a half, I had regular, moderately strong contractions. They were definitely manageable. I ate a second breakfast, posted on social media, listened to my birthing playlist, and tried to get baby anterior since he was posterior (like all my boys!). I told Charlie to have my parents drop Azure off to the hospital as she was going to be attending the birth and I had a feeling that things were about to get real. He went to the front of the hospital to meet them.
Shortly after, Marie, my doula arrived around 10:00am. We talked about how her sister knew our sister in law in Texas (small world). All the sudden while we were talking, the contractions got much more intense. I was trying to breathe and stay calm while she asked me what birthing affirmations I wanted to focus on. Then she asked if I wanted to take a walk to get things moving. I wasn’t sure if that was a good idea as I was starting to get really uncomfortable. As I braced myself for the next contraction and closed my eyes to get through it, I think she realized that wasn’t necessary.
Azure and Charlie finally came back around 10:30. He had been showing her his office down in the basement. I was relieved to see them. Everyone from my birthing team was here: Charlie, Azure, Marie. I was ready to get into the zone.
Back labor hit and with it, a dose of PTSD. Here I was, experiencing back labor for the 4th time. Even after all I had done to prevent it throughout all 4 of my pregnancies. Intentional sitting and posturing, inversions, special seats to keep my pelvis higher than my knees, nada. Clearly, it must have something to do with the shape of my uterus/pelvis as apparently nothing can prevent me from having back labor. Though I had originally thought I could possibly give birth without an epidural this time, the power of that back labor whispered something different to me. I knew I wasn’t going to last very long without some relief.
I leaned over the hospital bed while Marie and Charlie massaged my back and Azure held my hand. I was so grateful to have Azure there and a bit concerned about how she was feeling seeing me in such a vulnerable state.
My playlist did bring me some comfort as I inhaled deeply, focusing on the words to the music I had chosen: In Your Grace by Ajeet Kaur, Aap Sahaaee Hoa by Nirinjan Kaur, Ra Ma Da Sa by Snatam Kaur, Ad Guray Nameh and I Am.
Around 11, Marie asked if I wanted to get into the tub. I said yes, hoping a change of something would help. Maybe I could relax more in the tub? I took the hospital gown off and they helped me change into my sports bra so I could get into the tub with no bottoms. I had no qualms about being naked in front of everyone. I got in the tub at 11:20.
Unfortunately, the tub did not help and the back labor was getting more and more intense. I do remember resting my head on the edge of the tub and having Azure stroke my hair and rub my arm. It was a sweet moment between the pain I was feeling. I felt a few urges to push while in the tub, which was surprising and kind of exciting that it was progressing so fast, and also terrifying at the thought of what was to come. I started thinking about how I wanted an epidural for sure. I needed some respite from this pain. I got out of the tub at 11:45.
I had mentioned to Marie and Dr. Hudson before the birth that I wanted to try out the nitrous. Charlie didn’t think I’d like it much as I don’t like having out of body experiences. I think it was Marie that suggested we try the nitrous next. At 11:50 the nurse checked me and I was still at a 6. I felt as if I was about ready to push so this news stalled me a bit. How long was I going to have to go through with this? I was ready to try the nitrous, and if that didn’t help then an epidural for sure.
Even though I knew logically that nitrous doesn’t help with pain relief, I was disappointed that it wasn’t helping with my pain... at first. My back was killing me. I don’t know how to describe it other than it’s like an earthquake rumbling inside your body and all the pain is directed at my lower back. I started to panic. I had 4 people there helping me- my husband, my daughter, my doula, and the nurse. Even still, I felt completely alone. They were all trying to help me manage my pain, but no one could actually take the pain away, and I started to sob.
At 12:20, the nitrous not helping, I cried for an epidural. The nurse told me it would be a while as I had to have at least half the IV fluids beforehand. She hooked up the IV and I started to calm down a bit knowing that relief would soon be on the way. In the meantime, I started getting the hang of the nitrous mask and as I inhaled, the mask vibrated. The rhythmic nature of the vibration every time I inhaled calmed me and I was able to focus for a little bit. I started taking really deep breaths and thought that I could make it until the epidural came.
This focus only lasted 10 mins or so. I was holding myself up on my knees with my arms at the top of the hospital bed and I started to shake. I just wanted to lay down and rest. I was getting so tired. So, I switched positions lying upright on the hospital bed. As soon as I did that, I got a horrendous pain in my back and screamed out, “NO, NO, NO!” It was so disappointing thinking I might find relief here in this position only to find out that it was way worse. “Where is the anesthesiologist!? Are they coming!?” Apparently, I still needed more fluids. I looked at the IV bag to see if it was halfway yet, but I wasn’t wearing my glasses and everything was literally fuzzy. I couldn’t concentrate on anything because of the intensity of the pain.
At 12:25pm I finally told them that I was feeling the urge to push. They called for Dr. Hudson and I went back to the rhythmic vibrating of my nitrous mask, the only thing that helped me focus somewhat and take my mind off of the pain. Dr. Hudson came into the room and was observing me. I was getting really irritated that I didn’t have the epidural yet. She tried to check me in between contractions and I was so mad that anyone was putting their fingers up inside me at a time like this. It was so uncomfortable. I wanted to scream, “Stop! Get out of there!”
At 12:40, I was full on pushing (and pooping! whoops, shouldn’t have had a 2nd breakfast). At 12:51, I was fully dilated pushing on my hands and knees and sometimes holding onto the back of the hospital bed. I began groaning and Marie coached me, telling me to make the sound lower as I think I was doing it a little too high pitched? It wasn’t until I started groaning on hands and knees that I realized I wasn’t going to get the epidural and this was the home stretch. Baby was almost here and it was almost over. Praise God!
Azure in awe of all she's witnessing |
Dr. Hudson reached between my legs as I pushed, checking his head. I actively pushed for about 12 minutes. I could feel his head crowning and don’t even remember if I felt the ring of fire. I tried to ease him out so I wouldn’t tear as I had with the boys, but it’s so hard for me because I just want it all to be over. I can’t process emotion in the moment when things are so intense. My throat began to burn from the groaning, and I was shaking. At 1:07, Jozef slipped out of my body and into this world.
It took me a while to stop moaning after the birth. I was so exhausted, it took me a minute or two to react to him being born. He was crying and then he peed on me lol. The maternal instincts took over as I tried to quiet and comfort him. As soon as I could, I sat down on the bed. I was still on hands and knees that whole time. I put him on my chest and finally looked at his little face. “You did it,” I said to him. I could strongly feel that he had been waiting a long time to come to Earth and to our family. There are 5½ years between him and Zeke and there were 3 miscarriages during that time. I don’t know if it had been him that whole time trying to come and gain a body, but I did feel that he was triumphant to finally be here now. Marie said, “You both did it!”
While I recovered, Azure helped Dr. Hudson cut the umbilical cord as I kind of sat and stared in a daze. That was so intense! The nurse and Marie and everyone kept saying how awesome I did and all I kept thinking was, “I’m never doing that again.”
They took his vitals while he was lying on me. He was 7lb 6.5oz. And, they had said he was measuring small! Dr. Hudson said I didn’t tear my perineum which was a first for me, but I did have a small labial tear.
I am so grateful that Azure witnessed the birth of her little brother. She cried as she watched him be born. And, once Vince came he cried, too. And, Zeke was so excited to see his new brother. What a miracle birth is.