Evan is 8 weeks old (edited to add: keep reading, only the first part was written at that point!), so it's high time I get his birth story documented. I did take notes on my phone during labor and the beginning of our hospital stay, so I do have some details documented, but I want to type it all out and have it here for prosperity.
Someone from L&D called at 8:45 Saturday morning, October 8th. She said they were pretty busy, and that someone would call back later in the day with an update about when I should come in. I explained my preference for a Sunday delivery (see previous post for explanation as to why), and offered to come in late in the day or even Sunday morning, if they needed to delay someone. Someone else called back somewhere around 10-11am and told me to come in for induction that evening at 8pm. Perfect!
Jordyn and I spent most of the day at home, and at one point we ended up doing a huge clean-out of her toy/play area. It was totally spontaneous, as she stepped on or tripped over something, and I said something like, "That's it! We have to do someone about this big mess!". In hindsight, it was like nesting suddenly kicked in big-time, the day I was going in to be induced. Ugh. But, we totally cleaned up, cleaned out, and organized her play area, and I brought some things over to my parents' house later for my dad to bring to their town's garbage and recycle center (which we affectionately call "the dump") to be put in the give-away area. He's constantly bringing things home for Jordyn from there, so it was time to give back.
We had dinner at my parents' house, and then as planned, Jordyn stayed with my dad when my mom and I left for the hospital. It was a little tough saying goodbye to her, knowing it was the end of our two-some forever, but we were running late and so thankfully it wasn't too drawn-out. My mom and I arrived at the hospital around 8:30, and a security guard walked us up to L&D from the ED, and took us in a back door, which I think was supposed to be just for employees.
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Well, that's as far as I got waaaaaay back when Evan was 8 weeks old. I kept meaning to get back to it, and would think about it on and off, but it never actually happened. I eventually promised myself that I'd finish his birth story before he turned a year old, and, well... tomorrow is his first birthday! So, let's see if I can make it happen before he wakes up from the one nap he usually takes per day already...
We met my nurse, Morgan, and the midwife, Vera, who I'd never met before. She was great, though. I was put on monitors, but Vera said she wasn't going to do a cervical check because I'd had one the day before, and it hadn't been long enough for it to have changed much, and it wouldn't change the plan, anyway. I remember Morgan saying something like that she had to remember how to set up for an induction, because she always worked the night shift, and it wasn't often they had someone come in at 8pm for an induction; it usually started earlier and she took over from someone else who'd started the process. It took a while, and three attempts by three different RNs to start my IV. Vera explained that they'd give me one dose of cytotec (misoprostol) - which involves simply swallowing a pill - every 4 hours for up to 6 doses, and if that doesn't do it, then they'll start with IV pitocin. So that means you can hang out for 24 hours just swallowing a pill every 4 hours before they do anything else.
Well. That may be the case for some people, but certainly not for me! I took the first dose of cytotec at 10:00pm, and it was like my body then said, "Oh, so that's what we're doing today?! Ok, I got this!!" And the contractions kicked in, and that one pill was all it took for my "induction". By 11:30 my water had broken, I was 4cm dilated when Vera checked at 1:25am, I got an epidural around 2:00am, Vera checked me again at 3:10-15am and I was fully dilated!
But let me back up and give more details... After I took the cytotec, I watched tv and surfed Facebook on my iPad, and maybe texted a little. At one point, I stood up to go to the bathroom but stopped and watched the monitor first because there was a long contraction. They were somewhat painful but not so much that I couldn't handle it yet. I lay down on my side and thought I felt a small bit of fluid. Morgan came in and I asked for an extra pillow, and I shifted positions. At that point my water definitely broke (it was 11:30pm), so I stood up to change and put on a pad. I could feel fluid continue to leak out. Around 12:15 the monitors were turned off (they have to be on for 2 hours after taking cytotec) and I changed the pad. There was meconium, which while not too big of a deal, it means there will be a pediatrician in the room for the birth. I think I remember that they also put the monitors back on, because once there's meconium in the fluid, they monitor continuously.
Vera checked me at 1:25am and I was 4 cm. I was feeling a lot of rectal pressure with contractions, so started to ask for the epidural. I was doing ok, but really wanted to get the epidural before I was in absolute agony, because I remember that feeling from Jordyn's birth and had no interest in repeating it! I had to wait for a bit because the anesthesiologist was doing another one. The contractions were pretty painful now, but I hung in there ok. They had my mom leave the room (she'd been in the room the whole time, either on her iPad or sleeping most of the time), I sat up and hugged a pillow and held Morgan's hand. She was great about telling me what was happening, like when I would feel the pinch of the lidocaine needle. I didn't feel the big needle (for the actual epidural), but it felt like it hit a nerve - it was a really weird feeling for a few seconds. They asked me if I felt anything on the right or left side. First I only felt it on the right but then on both sides, so they said it was in well. I had a contraction during it which was the worst part of the whole thing.
The epidural made my feet tingle, which turned into a pins and needles feeling, before getting numb. That feeling worked it's way up to my thighs and then belly and even the bottom of my ribcage. The nurse said it was a great epidural because I could still move my feet and legs some, but they were numb. I also still had some rectal pressure on the right side, but it was much better than it had been. My mom came back in the room once the epidural was done.
Vera came in and said my contractions were in a pretty regular pattern, and that if they continued like that we wouldn't need to do anything else. She said we'll watch for two hours and see if the pattern continues, but that it seems like my body may do fine on its own now, but we could do another dose of cytotec if the contractions slow down or stop. A few minutes later, Morgan came in to place the foley cath. I barely felt it. She said she thought the baby's head was lower because she had to push past it with the cath. Once the cath was in, I shifted positions and lay on my right side, which made the rectal pressure better. I could still feel that it was happening, though, so I knew the contractions were continuing.
At 3:05, Morgan came in to fix the baby's heart rate monitor, and she said the contractions were coming pretty frequently. I asked if it was maybe transition, and she said, "that's what I'm thinking" but we can't know for sure without checking. So Vera came in a few minutes later (around 3:10-3:15am) and checked me, and I was fully dilated!! She also said the head is "right here" (I guess she meant at the cervix?). She had me do a couple of practice pushes just to see what happened. She then gave me a choice of either pushing or "laboring down" to just let him move down on his own with the contractions for 30 minutes or so. Since I was feeling pretty much nothing - that epidural was AMAZING!! and I don't understand why everyone doesn't just get one, every time, as a matter of course! - and was just hanging out mostly on Facebook, I decided to try laboring down. They sat me up a bit, had me open my hips to open my pelvis, made sure I was comfortable, and left the room. It was a very weird position to be in, but it makes sense, because you're using gravity along with the contractions.
About an hour later, around 4:20am, Vera came back in and had me start pushing. I had the mirror placed so I could see, and she said I was doing good pushes. I remember thinking that it was SO different from the last time, because I wasn't panicking. It was quiet, and calm. It felt so much more controlled and was just a much more pleasant experience all around. I kept pushing, and I kept thinking I was going to see his head crowning any minute, but it wasn't happening.
Around 5am Vera checked me, and said his head hadn't budged since the last time she'd checked me two hours earlier. She thought with all the laboring down and pushing, and for a second vaginal birth, that he should be delivered by now, or at least be crowning. She also discovered, though, that he was sunny side up. I'm not sure if he always had been, or if he'd moved, but this was definitely the first time I'd heard that! She also said that his heart rate was taking a bit longer to recover post contractions/pushing than she'd like. She said it certainly wasn't emergent, and that I could keep pushing for a while if I'd like, but that she'd been doing this for 23 years, and that in her experience, if he was going to fit to come out vaginally, he would have by now. She wanted to have an MD come check, but that that was her opinion.
My mom had three kids vaginally (and unmedicated), and had always been told she was "built to birth babies", and I'm built like my mom. I'd had Jordyn vaginally (and unmedicated), and so the thought of needing a c-section had never crossed my mind. But here I was, seven hours into (somewhat induced) labor, fully dilated, having labored down, and pushed, and c-section was first put on the table. I'd known he was a big baby, having been told he was measuring big pretty much all along, but I'd still never for a minute thought I'd need a section.
That said, I totally took it in stride. I declined continuing to push; I didn't want to end up needing an emergency c-section. I'd rather do it earlier and non-emergently, and I just wanted to end up with a healthy baby regardless of how he came out. My mom was worried, of course, I think partly because it's major surgery, and partly because she'd never had a c-section and didn't have any experience with it. She was given the option to come in the OR with me, and she couldn't decide if she wanted to or not. First she said yes, and then when they gave her the scrubs to put on (over her clothes, maybe?) she decided maybe it wasn't such a good idea and changed her mind. We talked about it and went back and forth, but eventually I realized that if she came in the OR, *I* was going to be reassuring *her*, and that was definitely not how it was supposed to be! I told her it would be best if she didn't come in, and that then she would be able to go with the baby if he left the OR before me. That was the plan all along, for her to stay with the baby if he needed to leave my side, so I wanted that to still be the case.
The foley cath had been taken out for pushing, so the RN put another one back in now that I was having a c-section. It was really no big deal, because of the epidural. Later, I was very happy to have that foley and be able to drink all I wanted and not have to get up to pee!
The OB came in at 5:something and said he didn't even feel the need to check me. He said he trusted Vera, and I decided I did, too. She's been doing this for 23 years, so obviously has a lot of experience. He asked me what questions I had about the c-section. I don't remember if I had any, really, but I know I joked about how young he seemed. I asked if he'd done a lot of c-sections, and he asked me what would be "a lot" to me. I had no idea and guessed 100, and he said he's probably done six times that. I think I eventually said something about how young he looked. I didn't ask, but I think he said he was 34. The next thing I knew, another (older) OB had been asked to assist him! I felt bad because I certainly hadn't meant to offend, and I said as much, but everyone just kind of laughed and said it was no big deal.
Somehow, I knew I could request a clear plastic drape, along with immediate skin-to-skin, and delayed cord clamping, if possible, and had the presence of mind to actually do so. I was told that was all fine, but then everyone was looking for a clear drape and couldn't find one. They said they were out of them, and gave me the option for them to keep looking and to check the main OR, but I said the regular drape was ok. I was disappointed, but I didn't want that to hold everything up, and it seemed that it was, or would have been.
I got to the OR around 6am, or maybe a little before 6. It was totally surreal!!! I think it felt that way because I'd never given a c-section a second's thought, and now here I was in the OR, being prepped for one. It just felt so surreal, there's no other word to describe it! Since my mom ended up not coming in, Vera came with me as "my person". Before we went in, I took the lock off my phone and gave it to her so she could take pictures. They gave me a stronger med in the epidural, which made me more numb, I couldn't move my feet or legs at all anymore, and even my hands and arms got pins and needles and some numbness. I'm pretty sure I asked about that, because I was a little worried that I was getting numb too high up, and that I was going to have trouble breathing or something. I think the anesthesiologist said it just meant they weren't going to/didn't need to give me any more (of whatever the med was).
Evan was born at 6:22am after a lot of pressure/pushing on my belly. They held him up quickly so I got a quick peek for a second or two, and one of the OBs said, "that's not a small child!" (I don't remember when, but eventually I was told he weighed in at 9 lbs 3 oz). Evan didn't cry right away, and I can still picture him looking pretty limp and I think blueish/not pink when they held him up. It made me nervous, but they said he was ok. They took him over to the bassinet thing and worked on him for a bit. I honestly don't know exactly what was happening, but the paperwork I got later said something about delivery room "resuscitation". He wasn't intubated, but he did get blow-by oxygen, and maybe some suctioning, I guess? Vera and the anesthesiologist both kept me updated that he was pinking up and doing better. His apgar scores were 5, 8, and 9. Eventually, I heard him make some noises, but never a robust cry.
About ten minutes after he was born, Vera left my side to take some pictures of him in the bassinet. About five minutes after that, someone brought him over and held him next to my face so I could see him and kiss his cheek, and she took some pictures of that, too. The first few of those pictures he's not getting oxygen, but the next few show a blow-by oxygen mask by his face, so someone must have noticed he needed it and brought it over. After about a minute or two, I started to get really nauseous, and said so, because I was afraid I was going to throw up on him! He was taken away, and I dry-heaved into a basin, but nothing came up because I was so completely empty. I was given something to help with the nausea, which worked pretty quickly, and I didn't have any more issues with that.
Evan must have been taken to the nursery at that point, because I didn't see him again until way later, but I know he was ok. I was in the OR for an extraordinarily long time, apparently. I was told the two OBs doing the surgery were both very meticulous and were taking their time with each level of closure. I was also told that the baby's head had been so low down for so long that it made the uterine tissue in that area very thin and friable, so they were taking their time and doing it slowly and carefully. There was a lot of pressure on my abdomen both before and after the baby came out, on and off. Someone told me the baby had been head down and sunny side up, and they had to flip him to get him out, and he ended up coming out breech - butt first!
Vera was fantastic - she stayed with me the whole time, except for when she walked away to take pictures of Evan in the bassinet, and when I requested she give my mom an update when I was in the OR for so long after he was born. She held my hand, stroked my hair, got me a warm baby blanket to put on my neck when it got stiff, rubbed my neck, etc. She was very supportive and I was very appreciative. At some point, she disappeared, I think because she was going off duty and I was almost finished in the OR. I never saw her again, because I guess she wasn't in the hospital the next few days. I do wish I'd gotten so say goodbye to her, and to thank her. The anesthesiologist was also fantastic. He answered my questions, gave me updates, and was just really friendly and supportive, as well. At one point when they were closing me up, I couldn't keep my eyes open any longer (I'd been up all day and all night at that point!), and closed them for a while and dozed, and I think he reassured me that that was ok to do.
It was 8:something when I finally left the OR, about two hours after Evan had been born. Apparently it usually doesn't take nearly that long to close someone up after a c-section. I was finally off to recovery, where I also spent quite a bit of time...
... to be continued in part two, just as soon as I can get it typed up! This took me Evan's nap and also quite a bit of time after bedtime tonight. Exactly one year ago right now I was in labor with him! Crazy!