Saturday, June 19, 2010

Birth story

My due date came and went on 18th May. We waited.

On Wednesday the 26th, my midwife Sheena “swept” my membranes to try and get labour started. She did that again on Thursday.

On Thursday night I woke up at 12:30 with a contraction. And another one 10 minutes later. And another one 10 minutes after that. They say try to go back to sleep if labour starts at night, but who can sleep at a time like this? The boy is coming!

The timing was good, we thought – he was going to arrive on Friday the 28th. This happens to be the 1 year anniversary of our arrival in New Zealand. Perfect.

Contractions continued through the night. I managed to sleep for 5 or 6 minutes between each contraction. But at about 9 am, they suddenly stopped. We were gutted. Sheena said this was normal and not to fret, but we had waited so long already! She advised walking – the very last thing I felt like doing. But needs must. So we went to the mall on Friday afternoon and did a few laps, me waddling along, Gareth asking every few minutes if I was feeling anything.

We’d been told that labour often happens at night when women feel safer, and sure enough, this was the case for us. Almost as soon as the sun went down on Friday, my contractions started up again. We were back in business.

I don’t remember a lot of Friday night. I remember Gareth made pizza, because we took a photo of it.

Contractions were painful but manageable. We were just so excited that he was on his way. I really can’t remember if I slept at all on Friday night. I remember rolling off the bed and having contractions on the floor next to the bed, and then climbing back in, and repeating this process over and over again for several hours.

It became useless trying to sleep so we got up real early on Saturday morning/Friday night.
Gareth busied himself getting things ready – he hauled supplies out of the garage and turned our living room into a first class birthing suite. Birthing pool, tarps, blankets, hot water urns set up on a camping table. We were so ready.

I got into the pool really early Saturday morning. It felt fantastic! But it also made the contractions slow down. Out of the pool.

Later Saturday morning, I discovered that whenever I used the toilet, I’d have a contraction. But sitting on the toilet is no way to labour comfortably! We moved blankets into the bathroom and started a new routine – sit on toilet until contraction starts, fall onto knees on floor to get through it, get back on toilet. Not glamorous, but it got things going again. It got us closer to meeting the boy.

Contractions were getting closer together and more regular. And more painful. We called Sheena to let her know that I was having at least 3 contractions in each 10 minute period. She offered to come over, but we told her we were doing alright still and would call her later.

I got back into the pool about 2pm Saturday. The water didn’t make the contractions any less painful, but it did help me relax in between. That part – the in-between-contractions part – was really nice. The contraction part was less nice.

About 3pm we called Sheena to request her presence and she and Kate (support midwife) came over about 4pm. Sheena did an internal exam to see how I was getting on – I was 5 or 6 cm dilated.

The next 6 to 8 hours are kind of a blur. Contractions were coming faster and often came two at a time. I remember hot towels on my back. Water in the pool getting murky. Out of the pool. Shivering on the floor. Warm and dry again. Hot water bottle on my back. Horrible pain. Darkness. Grogginess. Gareth, Sheena, and Kate watching me quietly.

Every half hour, Sheena or Kate would check the baby’s heart rate, sometimes in between contractions, sometimes during. Baby was doing fine.

Around 7pm Sheena said the baby had moved into a position that was not optimal. She told me to lie in bed on my side, leaning forward a bit to encourage him back into a better position. Staying in this position during contractions was damn near impossible. My morale was crumbling quickly at this point. I did some crying and moaning. It was just getting too hard. I was getting tired.

I carried on. We had a new routine now – contraction starts, fall to knees in front of exercise ball, Gareth applies heat and pressure to back, grip pillows on top of ball until pain subsides, climb into chair to recover, repeat. We did this over and over and over. I think I passed out in between some of the contractions. I remember that any noise or light was incredibly irritating. I needed quiet and darkness.

At about 11pm Sheena said it seemed I was in ‘transition’ (nearly fully dilated) based on the strength and frequency of my contractions. She said I’d probably feel an urge to push any time now. She asked if I’d like her to do an exam to check this out. I said no, I’ll wait for the urge to push.

Another hour went by. No urge to push.

Another hour went by. No urge to push.

At 1am, Sheena said she’d like to check me. It was bad news – I was only 7 cm dilated. I was absolutely crushed. From this point, contractions became completely unbearable. Pain leading to a baby was one thing, but pain that was not producing results was another entirely. I could not cope with this unproductive pain. I remember wailing on the floor during the next contraction. It was just too much now.

Sheena explained the baby had moved into a bad position again – his head was not making even contact with my cervix. She said it might be time to go to hospital.

This was the hardest part. We needed to make a decision, but I was in no shape to be making decisions. Should I carry on toward our goal of a home birth, or should I give up and go to the hospital? I was leaning toward hospital and the sweet allure of pain-relieving drugs, but could not know if this decision was based simply on the pain and exhaustion or if it really was a good decision. I started to dream of an epidural. Gareth said it was up to me.

We decided to go to the hospital. Gareth quickly packed a bag, we packed us into the car, and we were off. We got to Christchurch Women’s at 2am.

Here begins a whole different birth experience. No more dark, peaceful living room. Suddenly I was in a sterile hospital room. Bright lights. Hospital gown. IV drip in my left hand, blood pressure cuff on my right arm. Fetal heart rate monitor and contraction monitor strapped to my belly. A catheter up my urethra. Machines clicking and blinking all around. Lots of people.

Dr Dan came in to administer the epidural. Dr Dan had 3 days of stubble on his face and a funky coloured hair cover that said, “I’m a professional but I like to have fun too.” I wasn’t sure I trusted him. Dr Dan casually explained how he was going to poke a hole in my back and make my legs numb. I was scared shitless. I got into position and he gave me the most important instruction: “If you start to have a contraction, say ‘I AM HAVING A CONTRACTION.’ When you are done having a contraction, say ‘I AM DONE HAVING A CONTRACTION.’” Easy enough. I was shivering with fear but managed to hold still while Dr Dan put a hole in my back.

The epidural took effect pretty quickly. Oh my god, the relief. The sweet relief.

It’s amazing to me now that what I was doing at home, and what I was doing in hospital, are both called “labour”. They are nowhere near the same thing and should possibly be given different names. A few hours earlier, I had been actively giving birth (or working toward it). Now, I was passively waiting for the baby to be delivered. They said I was having contractions, but I felt nothing. It was like I wasn’t even participating in the birth of my child anymore.

For the next few hours I met a lot of people. Katherine the midwife was the only one who stayed in the room the whole time. Others came, assessed me, left again.

At one point, 10 people rushed into the room at one time. All of them were touching me and talking in concerned tones. I had no idea what was happening. Dr Chris, the obstetrician, said he needed to put an electronic heart rate monitor into the baby’s head. I said no. I did not want this. Dr Chris gave me a look, like, “good god, woman, let me do my job!” Everyone else looked at me like I was crazy. What was going on? I looked over to Gareth who nodded ‘yes’, we needed to do this. I didn’t understand why, but said fine. Do it. Put a hole in my baby’s head if you must. Bloody doctors.

It wasn’t until later that I learned what had happened. Apparently, my blood pressure dropped suddenly and the baby’s heart rate dropped dangerously low. They pumped a bag of saline into me but the heart rate monitor strapped to my belly was not giving them a consistent reading. They needed a better read. Gareth saw it all happening but I somehow had no idea.

Once the electronic monitor was attached to the baby’s head, his heart rate was broadcast into the room, like in surround sound. Da-dunk, da-dunk, da-dunk. We all listened. It came back to normal. All was fine. Everyone left again.

Katherine the midwife explained that they had been giving me syntocinon (called pitocin in the States) to get my contractions going. She said it was very normal for contractions to stop when the woman has an epidural. She had been slowly increasing the dosage, and it seemed maybe the baby did not like the higher dosage and the harsh contractions it caused. When they stopped the drip, his heart rate had returned to normal. Dr Chris came back to check and said to go ahead and slowly start increasing the “synto” again.

A couple hours later the baby’s heart rate dropped again. Ten people rushed into the room again. I was told that I was being taken in for an emergency c-section. Dr Dan came back and put stronger drugs in my back. A nurse took Gareth out and returned a couple minutes later with him in scrubs. There was some discussion about stopping the synto. They were about to wheel me out. Suddenly, the baby’s heart rate started climbing back up. Everyone stopped, listened, waited. We were ok.

This was just getting insane. Gareth and I were not going to be able to sustain this kind of birthing for much longer.

It was around 8:30am when Dr Chris did an internal exam and reported the bad news – I hadn’t dilated any further. Things were not going all that well, really. Dr Chris told me his shift was over now, and introduced me to Dr Jana and her team. Dr Jana explained what had become obvious - things were not looking so great for us. Even if the baby could withstand more synto, and even if I dilated more, I might not be able to push him out. I should maybe have a c-section, she said.

Gareth and I discussed this and immediately agreed – YES. Get The Baby Out. NOW.

Things happened pretty fast from here on out. Dr Jana gave me consent forms to sign and I was wheeled away for surgery. It would seem that the operating theatre at Christchurch Women’s doubles as a meat freezer. It was ridiculously cold in there. I was shivering a lot. I was moved to a table where bright lights shined down on my belly. I was splayed out like on a cross – my arms straight out from my sides with needles and a blood pressure cuff. Dr Daniel – the day shift anaesthetist – introduced himself and explained the serious pain-blocking drugs he’d be injecting. Someone turned on the radio and asked if there was any station in particular we’d like to listen to (are you kidding me?) A young woman introduced herself as a student doctor and asked if I minded if she assisted with the surgery. Whatever, I thought. What's one more stranger in the room? All that mattered now was that we were going to meet our baby soon. Finally.

Dr Daniel and Gareth discussed the A-Team movie coming out soon while Dr Jana prepared to cut into me. It was all pretty surreal. I felt the pressure of the knife cutting across my belly, and someone moving their hands around my insides. Dr Daniel said it would feel like someone was “rummaging in a handbag” and that was pretty spot on.

It only took a couple minutes. Then, at 10:04 a.m., we heard his first cry. Quinn Diego was finally here.

7 comments:

  1. Wow...I have anxiously been awaiting this post and WOW, is all I can say!! What a crazy experience. I am sorry you had to go through all of that, but he is "oh so cute!" and well worth the struggle, I'm sure!!! Happy that you are all well and enjoying having a beautiful son. Congratulations, and I hope only the best memories will remain with you and the other scary part will fade into the distance! =)

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  2. I hate to say this but your experience completely confirms my belief in modern medicine. Thank god you could get to a hospital. Think about all of the women and children who needlessly died before? What if you hadn't been able to have a c-section? I don't even want to think about it. We love all 3 of you and are so happy that you are okay. Ugh - regardless, Quinn is a doll, you are okay, all is well with the world!!! I can't wait to meet that little baby!

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  3. You iron woman you!! I'm so glad to hear of Quinn Diego's final entrance into the world. He is very welcome indeed!! Don and I look forward to meeting him, and giving you a hearty pat on the back for a massive effort. Forget all that other stuff, he's here and you're healthy and safe. Angela and Don

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  4. Congrats!!! I've been waiting with bated breath to hear your story. I'm sorry it didn't go as you planned but you got the best present in the world!! He's so cute and perfect! You are a trooper and you tried!!!! I'm here in NZ now and going to start work at the cold hospital (smile) next week!
    Congrats again!
    Carmen

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  5. Congratulations on the safe delivery of your son! It was just over two years ago that I had a similiar experience where my son was delivered via c-section. While I did not opt for a home birth I was hoping to avoid the c-section. Two years later I don't dwell on it so much though. Ultimately our son was born safely and we do still like our doctor. I thought you might this article' posted on msnbc.com today' interesting. Here's the link "Who controls childbirth - expectant moms or doctors?
    A holistically minded movement says women should control childbirth - and that doctors are going about it all wrong. An expectant mom reexamines which side she's on."

    http://www.msnbc.msn.com/id/38129344/from/toolbar

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  6. Amazing story! I'm so glad you put this up because Susie was keeping me posted on what was going on for you but I was so curious to learn how you went from a home birthing to a c-section. You've inspired me to blog about my birthing experience! However, mine is not as exciting as yours.

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