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

Wednesday, April 10, 2013

Leopold's Birth Story Part 1

So I have mentioned a few times on this blog that I had quite a traumatic birth experience with my first and that I am planning a natural, "healing" birth this time around, but I have not actually told the story of what lead me to have PTSD and to want a very different birth.
First time pregnant mummas, I really advise you don't read on. Of course, my idea of what is traumatic may differ dramatically from yours, but I never liked hearing the negative birth stories while pregnant so completely understand if you feel the same.


I really want to write this story down in full, partially for anyone interested in reading it, but also for my benefit as I have often avoided retelling it. Warning; this will be a long blog entry.

Pregnancy:

I fell pregnant when I was 19 years old. Although bubs wasn't exactly planned, he was not a surprise either.
I carried very big in my first pregnancy (I will post a series of photos at the end of this blog post), at the time a larger than average baby was suspected to be the cause, but we now know I had a lot more fluid than most people have. I showed early and just kept getting bigger. I had little to no morning sickness and to be honest I really loved being pregnant. I loved my bump, I loved my bigger breasts. I loved the feeling of growing my child within me and how womanly that was.
Unfortunately in my first trimester I did some ligament damage at work (I was a childcare worker) and as my pregnancy progressed and my ligaments stretched this damage got worse and worse. By 20 weeks I was in constant pain and had started regular physio. I also had issues with sciatica.
Despite this, things progressed well and both bubs and I were healthy. I had a low lying placenta that moved up by 32 weeks and was not an issue. I gained 14kg all up, the maximum weight gain for someone of my height and felt every kilo of it.
At 32 weeks I started having very regular and quite painful contractions. The hospital suspected I was in early labour and we had to discuss some very frightening options of what would happen if Leo arrived so prematurely. Thankfully everything stopped on it's own and that was our only real scare the entire pregnancy.
My doctor was sure that a) baby would be big and b) I wouldn't make it to 40 weeks. At 37 weeks pregnant Leopold went from being fully engaged to transverse so our birth plans changed completely. Now considered 'high risk' due to baby's position and my doctor's fear of him being an ill fit for my pelvis I was going to have to deliver at the bigger hospital near us, as opposed to the small, local one that had been my first choice.

Labour: Part 1-

Despite my doctor's predictions I was nearly 40 weeks pregnant and very much fed up. For the last 10 days I had been experiencing regular, but bearable contractions. I wanted them to either go away entirely or amp up and neither of these things seemed to be happening. The night before my EDD I accepted that he would not be arriving any time soon and enjoyed a lovely night with G's family, laughing lots and eating good food.
I went to bed at around 11pm that night feeling tired and happy. At 4.30am I awoke to a very big contraction. I got up to go to the bathroom and realised I had lost my plug (actually the second time I had lost it during pregnancy) and had my 'bloody show'. Suddenly I was very aware that I would be having this baby, and soon, and my nerves really set in. Crying and scared I woke G up to let him know that things were happening. I had another contraction at 4.45am and decided to call my MIL to tell her what was going on. She was very excited and told me to give the midwives a quick call to ask their advice. After being informed by the midwife to rest while I could, I hopped back into bed nervous and excited and got a couple of hours broken sleep between 5am and 7am, contracting every 15 minutes or so.
G called into work in the morning to let them know he would be staying home with me. It was Monday the 20th of June 2011, my EDD and we relaxed at home all day, pottering around and getting some things finished like packing my hospital bag and cleaning. My contractions gradually got closer together and stronger. MIL brought over some lunch at around noon and I was contracting every 8 minutes or so, but still able to talk through them. To be honest I think we were all a bit more excited than we should have been and thought that my contractions would be helping me progress well regardless of how strong (or in this case 'weak') they were. I was determined to stay home until I felt Leo turn from transverse, the one thing I was sure of was that I did not want a c section, and after an hour or so of time spent crawling around on my hands and knees I felt him make one big turn and settle into my pelvis.
At 4pm we decided to go get checked out at our local hospital to ensure his heart rate was good and that I was still contracting regularly. The hospital confirmed everything was fine and the contractions were coming every 4 minutes. They were getting a little more painful now, but still not really that strong. We went to MIL's house with the plan to hang out for awhile and have a nice dinner then head from there to the hospital when they were coming every 3 minutes or so.

Birth story to be continued...

13 weeks
20 weeks
23ish weeks
37 weeks
39 weeks



Tuesday, April 9, 2013

35 Week Update

We had our growth scan last week and everything looks perfect with our little man. Definitely no IUGR issues so yay! He is measuring steadily along the 34th percentile and his estimated weight was 5lbs/2.3kg. I think if I go to 40+ weeks he will be a bit bigger than Leo, but still in the 7lb range. I have a feeling he may arrive earlier though :)
His head is measuring a lot bigger, but as Leopold was a big headed babe that does not surprise me in the slightest. Every day that goes by I am getting more and more excited to give birth and meet our beautiful bubba. I definitely need every one of the weeks I have left to get things ready for his arrival, but I am more excited than nervous.

Squishy Bub at 34w4d gestation. Look at those pouty lips!
35w1d
How far along?: 35 weeks
Total weight gain: +6.5kg from pre-pregnancy weight
Maternity clothes?: Not really, still squeezing in to all my normal clothes
Stretch marks?: No new ones surprisingly!
Sleep: It's not always comfy, but I seem to be getting enough
Best moment this week: Our growth scan results being all good and of course seeing Squishy Bub again

Miss Anything?: I miss not being pregnant! I'm still trying to enjoy it, but this is the hard bit now
Movement: I definitely don't experience movements slowing down like a lot of women do at the end of pregnancy, still as strong as ever
Food cravings: Cocoa Pops this week
Anything making you queasy or sick: Early mornings

Gender: Boy
Labour Signs:I get a very "real" contraction every day or so. It's intense and I need to breathe through it, it last about 1.5 minutes and builds to a peak then dies off just like a normal contraction. I have faith it's just my body preparing itself for birth and things are slowly happening
Symptoms: Pelvic issues are still causing me some grief. And my acid reflux/heartburn is awful, but an easier week this week
Belly Button in or out?: Outie all the way!
Engagement ring on or off?: On
Happy or Moody most of the time: Sore, sore and happy
Looking forward to: Wearing my Blackmilk clothing again haha

Monday, April 1, 2013

Birth Plan


Thought I would post my birth plan for anyone who is curious. We are planning a very natural, healing birth and hopefully everything will go smoothly.

Birth Plan // Wishes List

I wish for these people to remain with me/the baby throughout the labour and delivery unless stated otherwise by me.
Thank-you for the care you have provided for my baby and I so far. We understand that birth and the post birth period can be unpredictable, however, we would like you as the care providers to respect and support the following as closely as possible.
LABOUR:
  • Other than medical staff, and my support team, I do not want any other family or friends to enter the birthing room at any stage of labour, delivery, or post partum unless stated otherwise by me. 
  • I would like to have suggested to me all forms of natural pain relief throughout my labour, I would like to be encouraged by all your staff to try all natural forms of pain relief you know of and can use. 
  • I would like to have an active labour, possibly using TENS and I am agreeable to using the gas if required.
  • Under no circumstances do I want to be offered pethidine! 
  • I would like to keep as active as I wish to be, during labour to help me through the contractions. To ensure this I want to be free from any monitors and/or IV lines throughout my labour and birth. Unless I become dehydrated. 
  • I would like the environment to be kept as quiet as possible, with dimmed lighting.
  • I would like to be reminded to eat, drink and empty my bladder.
  • I would prefer that vaginal examinations are kept to a minimum, and that permission is sought from me before all procedures. This applies even if procedures are routine such as blood pressure, temp taking etc.
  • I want to be given maximum time for decision-making and for staff to leave the room while all decisions are being made. Once I have come to a decision, at some points I may ask my partner G or (other support person) to voice my decisions for me.
  • I do not want an internal monitor unless the baby have shown some sign of distress.
  • I would prefer that no students are present at either my labour or birth.
  • I would like my amniotic sac to be allowed to rupture on its own. 
  • I would like photos to be taken during labour and the birth especially in the event of intervention eg caesarean section etc., which (OSP) or my partner G will take for us. 
  • I often find water is a great pain reliever for me and would like to use this option whether it is a bath or shower as much as possible. Even a wet face washer or ice blocks to crunch on. 
DELIVERY: 
  • I would like to deliver our baby in a position of my choosing including a shower birth if possible.
  • I do not want to be in the position on my back to deliver the baby as this position in general is extremely uncomfortable for me, and leads to fainting and vomiting. 
  • I would like to be reminded that I can touch our baby as he/she is born.
  • I would like our baby to be placed on my chest immediately after birth. 
  • I would like to assist if the delivery of my baby (if my chosen delivery position allows).
EPISIOTOMY:
  • I would prefer not to have an episiotomy.
IMMEDIATE POST-DELIVERY:
  • The cord is to be cut only after it stops pulsating. And I would like the cord to be cut by my partner G.
  • I would like a physiological third stage and for the baby to remain on me during this stage.
  • We would like the baby to remain with us while his/her checks are performed.
  • We decline the Hep B vaccination as we wish to wait until our baby is two months old before it is administered.
POST-PARTUM:
  • Unless absolutely necessary we do not wish to be separated from our baby. If for some reason it does become necessary, please allow my partner G to remain with our baby at all times while he/she is away from me. 
BREASTFEEDING:
  • I wish to breastfeed in recovery and do not want my baby to receive formula.
  • I wish to use the baby led attachment method of breastfeeding. And am open to help and assistance if available. 
CAESAREAN:
  • Unless it is absolutely necessary I would like to avoid a caesarean.
  • If unavoidable I wish to be fully informed and involved in all decision making.
  • I would like G to be present at all times. 
  • I would like a running commentary of the surgery process.
  • I would like the screen to be lowered as our baby is born so that I can view the birth.
  • I would like the birth to be recorded with photos and video.
  • If there is no contraindication I would like the baby to be given to me immediately after the birth.
  • Our baby is to be kept unwiped and placed on either mine or G’s chest for skin-to-skin contact as soon as possible.
  • I would like the baby to remain with us while I am being stitched.
  • I wish to breastfeed in recovery and do not want my baby to receive formula.
  • We strongly request to not be separated from our baby. If it’s absolutely necessary then we wish for G to be with our baby and for our OSP, to remain with me until I am transferred to the postnatal ward. 

33 & 34 Week Update

Oh my gosh where to begin! So much has happened the last two weeks.
Well, I am 34w2d today (seriously?!!!) and feeling every one of those weeks. The last month or so I have been having pelvic issues, lots of pain, tenderness and trouble with mobility. Finally get in to see a physio (actually the same physio I saw during my first pregnancy) and what do you know? My pelvis has almost completely seperated and become unstable. So lots of exercises and physical therapy for me! And I have to wear a special pelvic belt. Hopefully we can minimise the damage done and help the pain, but I'm looking at a 6-12 month recovery post-partum so need to take it very easy. How easy can one take it when they have a toddler and newborn? I guess I'll find out!

Also my doctor is a wee bit concerned about Squishy Bub's growth so we're off for another growth scan this week. I have suspected bubs is small, and last growth scan he was measuring 30th percentile (I'm very aware ultrasounds can be inaccurate in estimating size), but my doc is worried he isn't growing effectively and dropping percentiles. If that's the case I will be looking at regular monitoring and possible early induction. That really scares me. A) Because I feel like I need every single one of the weeks I have left to prepare for bubba's arrival and b) because I want a very natural birth experience this time around and am worried how an induction will effect that. Of course,  a healthy baby is my main priority, but I hate this unknown element. Everyone please cross your fingers for me that it all looks good and Squishy is growing. I'll be sure to update here as soon as I know :)

33 weeks (and poking his bum out!)
34 weeks
34 weeks
How far along?: 33-34 weeks
Total weight gain: +5-6kg from pre-pregnancy weight (huge gain the last fortnight!!)
Maternity clothes?: Just bought so super daggy trackies. Hells yes!
Stretch marks?: Oldies definitely more visible, but no new ones *yet*
Sleep: Not too bad suprisingly
Best moment this week: The birth of a good friend's baby boy (early yesterday morning). I'm so happy for her and so excited! But also really nervous now because that means of all the preggos I know IRL I'm next eek!

Miss Anything?: Being able to eat without heartburn
Movement: Very, very painful now. He's strong even if he is little!
Food cravings: Cucumber sandwiches! I really, really want one. Now. Please
Anything making you queasy or sick: The sight of my untoned thighs is not pleasant

Gender: Boy
Labour Signs: The last 24 hours, just quietly, yes. But I think we're still awhile away (well I HOPE we are) from anything serious happening.
Symptoms: Pelvic issues, heartburn/reflux, nausea, constant need to wee, fatigue, Braxton Hicks contractions...you name it I have it!
Belly Button in or out?: Cute little outie :)
Engagement ring on or off?: On
Happy or Moody most of the time: Still happy, but going to be totally honest, I'm getting a little over it now haha
Looking forward to: Being able to kick a ball around the yard with Leopold again