Showing posts with label labour. Show all posts
Showing posts with label labour. Show all posts

Tuesday, June 11, 2013

Archer's Birth Story

Disclaimer: This birth story includes some graphic detail, adult language and birth pictures

If you have been reading my blog then you are very familiar with my pregnancy and how over it I was. I firmly believe babies are born when they are ready, but what with being on pelvic rest and experiencing constant pain I was VERY ready for this baby to be born.
Before I really begin this story I cannot stress enough how different my two birth experiences were. They were chalk and cheese, in the best possible way. If you haven't already read Leopold's Birth Story you can find it here http://the-littlest-teacup.blogspot.com.au/2013/04/leopolds-birth-story-part-1.html and here http://the-littlest-teacup.blogspot.com.au/2013/04/leopolds-birth-story-part-2.html.

I'd been in pre-labour for weeks and was totally fed up. My contractions, which came and went sporadically, had often been painful and they were definitely doing something (I was slowly dilating), but i
t was still incredibly frustrating. I remembered all the pre-labour I had experienced in the 10 or so days leading up to Leo's birth and the similarity made me fearful that I was looking at another long, 'stop and start' labour. I was not coping emotionally and had to keep reminding myself that I WAS going to have a better birth and be able to move past the trauma I had previously gone through.
On Friday the 10th of May at around noon my doctor performed an s&s at my request (my second in the last week), I was 3cm dilated and we booked my induction date. My doctor (R) reassured me that I would more than likely have this baby well before my EDD (May 12th). I went in for a CTG at 3pm due to slightly high BP (high for me anyway) and the monitor was picking up tightenings, but as I'd been contracting for so long I didn't read much into it. The midwife remarked that she also didn't think I'd make my EDD.
At 4pm a family friend popped around, I was contracting regularly, but ignoring them. By 5pm I thought "Maybe this is it?", but didn't allow myself to get my hopes up. She left at 5.30pm and my surges got intense straight away. As soon as she was out the door I was on my hands and knees groaning. Gaz had had no idea the contractions were this strong and we were both laughing at how ridiculous it was that I hadn't made a peep while we had had company!


I got in the shower and asked Gaz to call MIL (Sue) and her partner and let them know things might be happening. Not 10 minutes later I yelled for him to get them here now because by 6pm I knew I was definitely in labour. They came over, we put on my TENS and I laboured at home for awhile, making casual conversation and cuddling Leopold between the surges. I was very aware that these may be the last hours he had as an only child and that saddened and excited me. I remember lying over the gym ball and Leo came up behind me to rub my back and give me a big hug. It was a gorgeous moment.
I started leaking and thought my waters had broken so at 7pm we decided to head up to the hospital, not knowing if bubs was engaged or not. I kissed Leo goodbye (he was happily watching 'The Little Mermaid with Sue's partner, his poppy) and burst into tears at the thought of leaving him.

The ride to the hospital was awful. I had two contractions on the 5 minute drive so knew things were moving along. We arrived at hospital and the midwife (E) did an internal. I was 3-4cm, fully effaced, bubs was slowly engaging and membranes intact. I wanted to go home at this point despite the pain, but they asked me to stay for a 15 minute CTG. I HATED being attached to the monitors, especially as it brought back horrible memories of Leo's birth, and within minutes was screaming for a shower. They hurried the CTG along, I think I was only on the monitors for maybe 10 minutes, I took off the TENS, and hopped under the shower (this was at around 7.30pm). At first it was bliss and seemed to ease the pain, but it wasn't long before the shower wasn't cutting it and I was demanding a bath.
R arrived at this point and I was suprised to see him given the fact that I was only in 'early' labour. We exchanged pleasantries (I was barely even aware of my nudity!) and he left me to do my thing.


Finally the bath was ready at about 8pm and I could feel the baby moving down through my pelvis, my hips felt like they were on fire and each contraction was beyond agonising. I kept asking why it hurt so much, thinking that I was only in early labour with hours to go. I remember saying I couldn't do it if it was going to be a 31 hour labour like my first time and E urged me to put all negativity from my mind and focus, commenting that she doubted I had much more than an hour left. I did my best to breathe properly and found myself getting dizzy and frustrated. This was obviously transition and while part of my brain was aware of that and I was so happy to feel my body doing all the right things, another part was being completely irrational and ridiculous.
I was definitely NOT quiet or demure during labour, especially transition, I was very, very loud and obnoxious! E told me the contractions were coming every 3 minutes to which I declared "3 minutes my arse!" and asked for an epidural. Everyone in the vicinity (R, E, Sue, Gaz and another midwife, C) just laughed. The hospital doesn't even perform epidurals and even though I was under the impression I had forever to go I was clearly close. I think I just wanted a way to express how painful it was because I never even thought about asking for pethidine or gas and air. Excluding the brief CTG monitoring when we first arrived at the hospital, the only monitoring I received was via a doppler every 15 minutes or so and E timed my contractions by observing my stomach's tightening. While in the bath Gaz and Sue were such a huge physical support for me, allowing me to squeeze their hands to pulp and placing cool cloths on my forehead.

Then I started feeling an urge to push. I freaked out, unsure what was happening. This was at about 10 to 9pm. I had a bright show and got out of the tub. I was starting to bear down involuntarily with each surge, but still was in denial I was about to have a baby. I managed to hobble back into the birthing room with the assistance of Gaz and C and saw R standing there grinning at me, already in his apron and gloves. This puzzled me. Surely I wasn't fully dilated? There was no way in Hell things had happened this fast! I said something to the effect and once again there was laughter and E said that they could write a textbook on my labour and my noises and actions let them know this baby was coming now.

I knew I wouldn't be getting on the bed to deliver so stood at the end of the bed, naked, wet and clinging to Gaz saying "I need to poo!" (isn't labour glamorous?). R was behind me and for the first time since my shower spoke directly to me and said "You do whatever your body tells you. It knows what to do. That's your baby you're feeling". I reached down between my legs and thought I got feel something. I did my first real push and felt him move even lower. Just after declaring that my waters hadn't broken with the second push they did (poor Gaz's feet got soaked). Third push I felt him crown and I looked up at my midwives to say "I can feel his hair!. I was in a state of shock. He was right there. He was about to be born. Everyone in the room was laughing and smiling. No one was touching me except Gaz, I was practically hanging off his neck (Sue was jumping around taking pictures). With one last big push from my body (and what I can only describe as roaring from me), Archer was born through my hands and into R's. As I was standing to deliver I had to turn around and scooch up onto the bed to properly hold Archer. He was tiny, covered in vernix and asleep! He soon woke up though and was already so peaceful and alert. I had very heavy bleeding straight after birth and started passing big clots so sadly didn't get the physiological third stage I wanted. I also had a second degree tear that required stitching, probably one of the most uncomfortable parts of the whole experience as my local anesthetics didn't work properly, but it was completely bearable as I was holding my little boy in my arms and focusing on his first feed. Other than that my labour was perfect and we were home within 19 hours of delivery.

Archer was born at 9.01pm on Friday the 10th of May, 2 hours after arriving at the hospital and less than 5 minutes of pushing. He weighed 6lb 8oz/2.96kg, was 49cm with a 35cm head circumference. It felt awesome to have such an empowering, natural birth with an amazing support team. No IVs, no drugs, no one telling me to push (in fact I never really had to push, my body just did that for me).
I cannot really describe the feelings I experienced. Knowing my body and my baby worked so well together and being able to achieve the healing birth I wanted was so incredible. Gaz also has remarked how much he loved Arch's birth and he felt respected as my partner and like he was actually able to contribute to the delivery and provide the support I needed.
It was truly the best experience of my life :)























Wednesday, April 24, 2013

37 Week Update

Term, oh my goodness I'm term! This pregnancy has really flown by. I cannot wait to have him here, but every day that his arrival draws closer I get more and more nervous. Not about giving birth, not even about having a newborn again. I'm nervous about how I will cope with two little boys. I'm nervous about how Leo will cope with the change. I'm just scared. Excited, but scared. Someone reassure me? Haha


How far along?: 37 weeks
Total weight gain: +7kg from pre-pregnancy weight
Maternity clothes?: I wish I could wear no clothes! I get overheated so easily. But my maternity singlets are getting a good work out
Stretch marks?: A couple of teeny tiny new ones this week! Right at the top of my belly
Sleep: Between the hourly toilet trips and pelvis pain, not much sleep is happening
Best moment this week: Becoming 37 weeks and knowing the end is in sight haha

Miss Anything?: Being comfortable, I am pretty over being uncomfy
Movement: No real movement changes, he is still as active as ever. He has a very specific routine that I am familiar with. Curious to see if he will be the same once he is born
Food cravings: Smarties
Anything making you queasy or sick: A little nausea in the mornings

Gender: Boy
Labour Signs: A few, I don't want to get excited though
Symptoms: My usual pelvic issues, stabbing pains in my cervix, frequent BH contractions, fatigue, nesting, grumpiness...Poor G, he must be getting so sick of me!
Belly Button in or out?: Loving my little outie, I dread to think what it will look like post partum
Engagement ring on or off?: On
Happy or Moody most of the time: Lots of mood swings this week
Looking forward to: Labour and being able to see my beautiful little boys interact :)

Thursday, April 18, 2013

36 Week Update

I'm a little behind the times as I'm actually 36w4d today (almost full term oh my goodness!!)
This week has been quite rough. My pelvic issues are not getting better, they are getting much worse so I'm on almost full bed rest and crutches 95% of the time. As much as I am not ready to have this baby yet, I am SO ready to not be pregnant anymore. Looking after Leo while in this much pain sucks for both of us. Thank God for G and MIL (my two saviours), they have been amazing.

We've spent this week checking things off our "To Do" list and it's quite exciting to see everything coming together. I can't wait until I can sit back knowing there is nothing left to do except give birth :) Hopefully we are fully organised before he decides to arrive.


How far along?: 36 weeks
Total weight gain: +6-7kg from pre-pregnancy weight
Maternity clothes?: Just pjs this week, perks of being house bound!
Stretch marks?: As you can see my old ones are still pretty faint
Sleep: Not much sleeping being done at the moment
Best moment this week: Accepting a counter offer we made on a house! Eeek, very grown up :)

Miss Anything?: I miss not being in constant pain
Movement: Getting a bit cramped now it seems. He is still very active though
Food cravings: None
Anything making you queasy or sick: I actually vomited this week and have had lots of nausea. Lovely

Gender: Boy
Labour Signs: A fair few early labour signs, but nothing that sets of warning bells
Symptoms: Pelvic instability, leg cramps at night, lots of pressure on my cervix. No heartburn!! So relieved, he must have dropped
Belly Button in or out?: Outie all the way!
Engagement ring on or off?: On
Happy or Moody most of the time: I'm still happy despite everything. I'll be happier still when he is here haha
Looking forward to: Labour! I had such an amazing response from people after I shared Leo's birth story it has really renewed my faith in my body and my ability to birth this baby

Thursday, April 11, 2013

Leopold's Birth Story Part 2

Labour: Part 2-

Slowly, but surely my contractions moved closer and closer together. I stayed in touch with the midwives at the hospital and when the surges were coming every 2-3 minutes we were told to make our way in to get checked out. I was still very calm at this point, as I had been my entire labour so far minus my 'freak out' when everything first started. I think I was kind of in denial that anything was happening. Some of the contractions were quite intense, but none were so painful I couldn't handle it and I began to question myself and my body.
At 10.30pm we hopped in the car to make the 20 minute drive to the hospital. It was so windy, I remember thinking that we would be blown off the road. The trip seemed to quieten my contractions, although I was very uncomfortable.
As soon as we arrived, I froze up. I didn't like this big, scary building. I didn't like the thought of delivering with doctors and midwives who had no real idea who I was. I didn't want to give birth. I think I actually felt myself stop dilating, so strong was my fear. Our booking in appointment at this hospital was actually scheduled for the following day (it was abundantly clear I wouldn't be needing it) so I really did have no idea what to expect from this place or my care providers.
We were taken through the Emergency Wing and shown to a stark and sterile delivery room. I was still on edge, I don't know why exactly, but I had such a strong feeling that things weren't going to go smoothly. Thank goodness for G and MIL, if they hadn't been there I don't know how I would have coped.

A midwife and student midwife soon came to talk to me. They informed me that they were having a very busy night, the wild weather was making lots of babies arrive apparently! The midwife performed an internal. I was 3cm. 3cm. After 19 hours of regular contractions that was all there was to show for it. I was of course completely disregarding the fact that Leo had been transverse so most of my labour would have been spent turning him and getting him into a good position.
Then came the second disappointment. The midwife was sure bubs was breech. I protested this saying I could feel him kicking my ribs as we spoke. She kept painfully poking and prodding my stomach, all while I was contracting. An ultrasound was ordered. I was so uncomfortable lying on my back and having the ultrasound technician (who was the creepiest man I have ever seen, I got very bad vibes from that guy) perform the scan. People were just walking in and out of my room by this point. No one introduced themselves or asked my name. They referred to me as "mummy", which although I am sure was meant to be comforting just really pissed me off!
Of course Leo wasn't breech, he was head down and in the perfect position. I disliked this midwife already. I then had an IV put in and was put on the bed for constant fetal monitoring to check on my contractions and Leo's heart rate. I had only been at the hospital for an hour or so at this point.
We waited and waited. G and MIL kept the mood light and their presence definitely made things easier. I'm a little hazy about things at this point. There was a lot a sitting around, a lot of dealing with less than caring hospital staff, a couple of internals and a lot of monitoring.
Neither Leo nor I were in any kind of distress, but not much was happening progress wise. I remember G having a snooze on the couch. I remember texting my dad a few times to update him on what was happening. I started to get very, very intense hip pain during this period and each contraction G had to apply counter pressure by digging his thumbs into my pelvis.
I was still barely progressing and getting quite disheartened. I was also not very active at this point as I was on fetal monitoring most of the time and found moving around while attached to all those machines challenging.

At 4am the decision was made to break my waters. I will never forget the look of shock on the midwife's face when in three huge gushes I had practically flooded the room. So much amniotic fluid it was crazy! I had some incredibly painful contractions just after and decided to hobble into the shower. In hindsight I wish I had stayed in the shower for a lot longer than I did, but pain and exhaustion took over and I was soon on my back, on the monitors once more. Not once during my labour did any one advise moving around to help aid my progress. They were starting to get fed up with me I could tell. They told me they wanted to give me something so I could rest. Pethidine was administered. At the time I had no idea what they were doing and was pretty frustrated as I had gone so far without any pain medication, but it did enable me to get a bit of rest.
Another internal was performed. Still only 3-4cm. Why was my body failing me? Why was I in this much pain with nothing happening?
A c section was mentioned. Further induction methods were mentioned. No explanation was offered for my failure to progress except "He is a big baby", no practical advise was given. At some point during this time there was a change of shifts, difficult, "bitchy" midwife was gone and replaced.
I continued contracting and contracting. They were practically on top of one another now and the pain in my hip was agonising. At around 8am the decision was made to start syntocin and administer an epidural. This was not what I had wanted. This was not a choice. They told me that they no longer had time to watch me labour slowly so it was this or an emergency caesarian.
Getting the epidural was probably the most painful part of my labour. I remember it as the only time I swore and was particularly vocal. By now I was aching all over from the contractions and having been confined to the bed for so long, the surges were coming thick and fast and every movement hurt. It was difficult to keep still and sit upright so G and MIL took turns supporting me while the anesthetist did his thing (he was actually very lovely from what I recall).

What I now recognise, and what my doctor and midwife should have, is that I was already exhibiting the signs of 'transition', meaning I was likely 6-7cm dilated, but no internal was performed due to the high number of unnecessary ones that had been done earlier in labour and the risk of infection.

Not long after this my father, brother and G's father arrived. They kept us company for awhile, gave their support and then went to go and wait. I rested and G and MIL joked around. No one was expecting any progress, we were all sure that a c section was coming. To be honest, by this point I had had enough. I had been talked down to be hospital staff, handled roughly with lots of internals, gone through well over 24 hours of regular contractions, I think I would have leaped at the chance to have this baby out.

10am rolled around. I was 10cm. I had gone from an estimated 3cm to 10cm in approximately an hour. The midwives were stunned. My epidural was still turned up very high (I'm fairly sure this was done as they had been so sure I would be heading into surgery) so I could not feel a single contraction. No pressure. No urge to push. Only the aching in my hip lingered.
I don't recall how many hospital personnel came and went during my pushing stage of labour, at one point it felt like there was about ten people in the room, all of them yelling at me to push. There is nothing worse than being exhausted, lying with your legs in the air and having strangers constantly walking in and out of what is meant to be your private birthing suite. They say all sense of modesty goes out the window when you are at this stage in your labour, but I hated it. I really wanted it to be an intimate time, but there was going to be all these strangers witnessing the birth of my son. MIL asked me if I wanted her to leave (she was there taking lots of photos and being much more helpful then any of the 'care' providers) and I told her she better not leave me now. G and MIL were so fantastic, trying to help me push, but after nearly 2 hours of being told what to do and how to do it I still had no feeling whatsoever and was sure I was failing miserably.


A doctor came in and despite Leo being crowning and my epi finally low enough for me to feel how to push properly she decided that a low forceps delivery was the only option. For Leo's birth as well as myself, G and MIL present there was also 3 midwives, the doctor delivering him, a 2nd doctor and the steady stream of random people walking in and out of the room. Beyond caring all I could say was "No I don't want to see his head!" when the midwives rushed to find me a mirror, it took G yelling at them before they realised I was serious. I told the doctor I did not want an episiotomy, I'd rather tear, but she performed one anyway. I reached down and caught Leo (after his head was out he literally fell out of me) and put him on my chest. The best moment of my life. He was 7lbs 1oz/3.24kg (so over 3lbs smaller than estimated), 50cms with a 36.5cm head and born at 12.04pm on the 21st of June 2011. He was perfect except the ugly forceps marks, not that I noticed until well after his birth :)


After I was stitched up, G had cut the cord and Leo had been weighed/measured etc, MIL took a few more photos then left to give us some space and allow me to breastfeed (which I loved from the second he latched on).
We had a lot of visitors that first day (especially once I was moved from delivery into a room), truthfully we had way too many visitors. It's one of the main things I will be doing very differently this time around. After such a long, exhausting labour it was hard having to deal with having photos taken, multiple congratulations etc. Leopold was having a little trouble regulating his temp so was under a heat lamp for a lot of this time and I was actually quite glad that he couldn't be passed around the room and held by everyone as it was very overwhelming.

My labour was nothing like what I wanted or what it should have been. The aftermath was just as bad when my catheter was left in for over 24 hours (as the midwives didn't want to have to help me to and from the toilet) so I ended up with a bad UTI and G was kicked out of the hospital at 9pm that night as was 'hospital policy' (a policy we had never been told about). So he missed his son's first night and I had to do it all by myself, still mostly confined to a bed and in pain. We were transferred to our local hospital the following day at our request. Not before a "helpful" midwife had forced Leo's head onto my breast during some skin to skin cuddles, causing him to pull away and creating some, thankfully only temporary, breastfeeding issues. I will never set foot in that hospital again. They treated me like a piece of meat, not a birthing woman and never cared once about what I wanted or needed. I still struggle hearing about positive birthing experiences as they make me feel disappointed in myself that I wasn't able to achieve the same sense of satisfaction and happiness.

I would go through everything a million times over to get my son, he is the love of my life and I don't regret him for a second. But I know I can achieve a 'better birth'. I know I can come away from birth with a sense of pride. And I know I can overcome my PTSD, in time.
Birth is always an unknown, but educating myself, educating my partner, teaching myself to have faith and picking my care providers wisely has already made me feel so much more positive about what is ahead of us. I cannot wait to share my second birth story with you all and hope that my experience has shown that just because the mother and baby are fine physically does not mean that the way you deliver and the feelings you come away with afterwards aren't just as crucial for your overall health.

Labouring
 




Finally here!



First feed

Just after...
...and then a couple of hours later