Jon and I had been preparing to have a natural, unmedicated, low-intervention birth. We read books, took a Bradley Method class, and practiced relaxation techniques. Well, things didn't quite go as we had hoped.
At one of our ultrasound appointments near the end of my pregnancy, it looked like the baby's growth had slowed down. We started doing non-stress tests and amniotic fluid checks, and every time we came in the amniotic fluid was lower, and lower, and the baby was definitely measuring small. On September 17th the fluid level was below 5, and they recommended an induction the next day, at 37 weeks. We talked it over, consulted with our childbirth instructor, and asked for another fluid check, which this time was below 3. I desperately did not want an induction, knowing that there would be greatly increased risks of interventions, fetal distress, and c-section, but we agreed that there was now a medical need for it.
I was admitted to the hospital for the night, and my OB placed a foley bulb to ripen my cervix overnight. At 7am they started Pitocin, and at 9:30 my OB took out the foley bulb and broke my water. The nurse gave me low doses of Pitocin, gradually increasing it and then turning it off to see if my body would take over. In the afternoon, it worked! I didn't need any more Pitocin, my body was able to take it from there. After some decelerations in the baby's heart rate, they put in a tube to pour fluid back in.
I started to have very painful back labor. Earlier in the day I had been able to walk around, but now the discomfort from everything I was hooked up to combined with the back pain made me prefer to stay put. It was hard to use the relaxation positions we had learned, because the monitors would slip and the nurse would have to come in and fiddle with them to find the baby's heartbeat again. Jon was an amazing coach and helped me through each contraction.
My OB went home and was replaced with the on-call OB. She came in around 9pm and checked me, and I was at 6cm. I was elated to have progressed so far, but the new OB told me I hadn't made much progress, and maybe I should get an epidural because it might speed things along. Yeah right!! Thanks for the vote of confidence, and for ignoring my birth plan! I told her no and she left, saying she'd be back to check on me. Shortly thereafter I went into transition, and before the OB even came back I was pushing.
I was told not to push until the doctors arrived, but we ignored that and I pushed anyway. The baby's heart rate was having decelerations again, then they lost it on the fetal monitor so they put in a fetal scalp electrode. I heard someone ask the OB, "Are you going to try vaginally??" She answered "Yes" but that question had told me how close they were to doing an emergency cesarean on me, so I pushed as hard as I could and in just a few contractions, our baby was born. She was placed on me for only a moment while they had Jon cut the cord, then she was taken across the room to be checked out by the team of neonatologists that had attended the birth. They took some of the cord blood to do a genetic test to determine whether she had CF. The OB stitched up the two tears I had acquired from all of that overly-hard pushing.
Our little Gwena weighed just 4 lbs 13 oz, and was born at 12:59 am, September 19th (Talk Like a Pirate Day!). Her Apgars were 8 and 9. They gave her back to me and let me warm her with skin-to-skin contact. They wanted to take her to the NICU for observation, but we asked that if nothing was wrong that she remain with us. As hard as they looked to find something wrong with her, they just couldn't! During the next two days we would spend at the hospital, they checked her blood sugar, her weight, jaundice levels... and everything was fine.
The week after she was born, Jon finally found a new job! Everything seemed to be going well. Our only clue that something might be wrong was her frequent poopy diapers. It wasn't until more than 2 weeks after the birth that her genetic results came back, showing that she did have CF.
We ended up with many interventions during Gwena's birth that we had hoped to avoid. However, I am proud to say I made it through without an epidural or any other pain meds. I believe if I had gotten an epidural, that since it would have slowed my labor and taken away my control of pushing, it is very likely I would have ended up with that c-section. I am also convinced that with drugs in her system at birth, Gwena would not have done so well and would have been taken away to the NICU.
Even though we didn't have the birth we had hoped for, and there are a couple of things I would do differently if I had it to do over, I am satisfied that for the most part we made informed decisions and did what we believed was best for Gwena's safety and for mine!
Good job Kelly! You're my hero :)
ReplyDeleteThanks Er, that really means a lot to me!
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