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Birth

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There are a lot of things that change the second time around in pregnancy and birth. The biggest of the changes for me was…. well, me. I’d become much more laid back with my ideas of how things should go in childbirth. I’d become much less concerned with a LOT of things. I think it shows in the difference between the births of my two children. The description of my first birth was nearly as long as the birth process itself (DAYS) and scans three posts. This one was not nearly as painful and therefore, won’t be nearly as daunting to read. 😉

There are some fairly descriptive parts coming and if you’re not a fan of oversharing in the birth experience then thank you very much for reading, I’ll see you later this week with my new post that is less graphic.

The tale of a second birth

So, you like reading birth stories… so do I! The first time around with pregnancy I devoured each and every story I could read. This time around, not so much. As a matter of fact, I didn’t really even think of the birth as much as how I’d handle the weeks home after having the baby.

My first pregnancy I was very concerned with having an all natural process. That didn’t work out as planned. I knew my second kiddo would not be medication free, but I certainly didn’t realize that it would include induction. My first child came 5 days early and with a gestational diabetes diagnosis it was highly believed that kiddo number two would also come early. Three weeks before my due date my doctor said that I was already effacing and beginning to dilate. I told her I had too much to do that week and really needed him to last the week. Her response? “Well, I hope that happens for you.”

People were worried to be around me during our move, Halloween party and at work. Nearly every day at work I heard, “Jenni’s here!” I was thankful for the extra time because I had a ton of little projects going that I needed to wrap up before D-Day.  The weekend before my due date I was SURE that would be the time to have the baby. I was having regular contractions, had work wrapped up, had all my bags ready and in the car… I was ready. Contractions slowed down to a stop and I went to work that next week. Suddenly it was the day before my due date and my last day at work.

My doctor and I had decided that if baby didn’t come on my due date we would be inducing the next day. I know a lot of people are against induction, and I certainly wasn’t excited about it, but I decided it was best for me and baby after many months of being swollen and in pain. I spent all day on my due date trying to get things going. The morning of my induction my contractions began as I was getting ready to head out to the hospital. These were most certainly the contractions of an impending birth. Evidently baby agreed that it was the day to come.

Two excited parents the morning of induction

Induction

 

They let me naturally contract for about three hours at the hospital after eating a light breakfast and settling in before checking me and discussing our plan. I was only dilated to a two though I had been contracting for some time. My first birth was a very LONG experience, and I knew enough about my body to know that I needed to relax as much as possible to really get this going.

The doctor laid out a few options for me including breaking my water to see if we could get things going fast or starting a small dosage of Pitocin. I opted for the Pitocin because I knew that once that water broke things got… PAINFUL and there was no guarantee it would speed things up. They started out the Pitocin on the lowest dosage and watched it as contractions began to mount. I bounced on the birthing ball and watched episodes of How I Met Your Mother in those early hours.

The plan was that I would labor with the lowest dosages of Pitocin that still kept things going until I couldn’t handle the pain, then I would get an epidural and then break my water if it hadn’t naturally broken. (My water never did break naturally after three days of labor with my first, so I wasn’t really expecting it to happen this time around.)

So many machines!

 

I knew I wanted a hospital birth from the beginning, even with my first kiddo when I wanted to have him as naturally as possible. I’m glad too because the first baby had seriously scary moments of very low heart rates and I don’t think I would have handled the situation well without a team of professionals nearby. The one thing that comes with hospital births that, while understandable, was also extremely annoying in the whole process was that there are a lot of machines monitoring things.

I had my IV, a monitor for my heart and for the baby’s heart. I was also being monitored every few hours for my diabetes, fever, and blood pressure. Eventually due to the drugs that were going in I had to have the blood pressure cuff on me for the duration of birth and it was going off every few minutes. (OUCH) I had to try to stop and be still in contractions to be readjusted one way or another with the monitors. There were straps, stickers, cords and more coming every which way out of me. It was insane. The nurses were SO kind and helpful with the whole process and explained things to me so I knew what each machine and cord was for, but it was overwhelming in combination with contractions to say the least.

Okay, it’s working now…where is the pain medication?

 

The whole process went so fast compared to the multiple days of labor I had with my first son. The pain mounted much quicker and to my already swollen and sore body, well, I didn’t last long before I was hoping for pain management. I knew that I wanted to utilize the tub for pain management before getting my epidural. Getting into the tub was a big ordeal. (See above about machines.) It was totally worth it however when I hit the warm water. The water and jets made the pain much more manageable… and, by that point, it was BAD. When I finally knew I couldn’t handle it anymore and the team began prepping for my epidural. They checked me prior to getting the epidural and I was dilated to a six.

***Note: I had heard that laboring with Pitocin was more painful, but I didn’t quite understand how that could be possible after my three days of very painful natural labor. However, I think it is more about how quickly the pain surmounts. When laboring over days the pain gradually got worse and worse and my body seemed to adjust to it. This time around, not so much. ***

The first time around my epidural came as a last ditch effort before heading into C-section because my body was slowly tiring of three days of labor and I just wasn’t progressing. It was as if the heavens opened up when I got my epidural that first time. All of my body relaxed, I was happy, and suddenly the baby as here. AMAZING. I was hoping for the same experience this time around. Like most things with this pregnancy… it was completely different.

They couldn’t get the epidural in due to the swelling that was happening all over my body, including my joints. They poked my back several times trying to get it in and—between the contractions, my fear of the epidural, and the swelling—it just wasn’t happening.

This is about the time that I nearly lose my sh*t. I’m apologizing to just about anyone who will listen because I just can’t do it and my body hates me and etc. etc. etc. The nurse then suggests that they give me some sort of drug to relax me a tad. I wish I had the name of that drug, because holy cow, it sure did do the trick. It was quick acting. I could still feel the contractions and they still hurt in my belly, but that pain just wasn’t making it to my head.

The head anesthesiologist came in during that time and between his skill and the calm that had come over me, well, they finally got the epidural in. They had to place it higher in my back than it was placed in my first birth, and it made a difference for sure. With my first son I could feel nothing of a contraction. I still felt pressure and pain even with the epidural with this birth. However, I did not feel the ring of fire nor were the contractions quite as bad as they were prior to the epidural.

Then things went fast!

 

The biggest benefit for me with the epidural is how quickly my body relaxed and did it’s thing! I was feeling pressure like crazy and the nurses got my doctor to check on things and break my water. The baby was still pretty far back, but the rest of my body was pretty much ready to go with this whole birth thing.  They checked me soon after the epidural was in and my water had been broken (mainly because I was telling them, “I feel like I need to push!”) and I was a ten and nearly completely effaced.

Time to push! My office were waiting an update about the baby nearly all day, knowing I was being induced. Because it was nearing the end of the day I asked my husband to text my office to tell them that the baby was going to be some time off yet because it took me 45 minutes of pushing my first time around.  Six minutes later I had him text them back, “The baby is here!” The office emails were quite funny that day.

Our little guy came out in 4 pushes. Each push a gush of water came out with it because the water was still all surrounding the baby. My little guy was over 8lbs and just slipped right out! The doctor actually commented on the fact that the liquid missed the bucket and sort of splashed everywhere.

Birth Story of Our Second Child

This little guy was perfect. He had a beautiful round head (benefit of not being in the birth canal very long) and rosy cheeks. I did receive 2nd degree tears from the whole ordeal. However, my first son gave me 3rd degree tears…so, really this wasn’t bad! All in all my larger child was a much easier birth and recovery. I would have loved for birth to come on naturally and all that. However, this ended up being a much easier and enjoyable experience and my son was just fine. Every pregnancy and birth experience is different. This one was a hard pregnancy and easy birth while the first kiddo was a relatively easy pregnancy and hard birth.

I’m over three months from the birth and this experience has been so different than the first time around. He is a lovely kiddo and easy baby. I’m so very much in love. Seriously, look at that chin.

I’ve split my labor story into three parts. These are long posts…if you aren’t into reading them all then jump to the end for pictures and quick synopsis!
Part One: Laboring the Day Away
Part Two: Tired and Gross, I love him the most
~*~

Part Three: Pushing Through and Meeting My Little Man

After two days of labor in the hospital my midwife ordered an epidural for me. She said my body was giving out and if things didn’t progress soon I’d need a C-section. And, while I really wanted a natural child birth I wanted to avoid C-section even more. Surgery scares me. At this point I was rejoicing… I was tired and my contractions were happening faster and closer together. I couldn’t wait to get the epidural. But, wait is exactly what I had to do.

After what seemed like a lifetime the anesthesiologist came in. I had to try to hold still through my contractions while she put in my epidural. My husband said that it was a scary needle. I didn’t see it or feel it. At one point the anesthesiologist asked me if it felt like it was in the middle or on the left or right. It felt like she was turning a dial in my back. I answered, “feels like the center.” Then my entire right leg felt like it was on fire. I screamed louder than I had screamed in all my contractions. She said, “well, I’m glad we didn’t put it there because there could have been nerve damage.”

Gee, just what a girl wants to hear.

But, then all of the sudden it was bliss. There was no pain anymore. I felt a little numb and most likely couldn’t stand… but, I could feel my legs and was able to move myself with ease.

I went from tired and in pain to tired and deliriously happy. I joked with the nurses. I called my mom and said, “epidurals are GREAT!” I think I might have even updated my Facebook status. I know I at least checked the feed. My midwife then checked me again and put an internal monitor on my son’s head so that we could better gauge his heart rate (it had been low most of the time at the hospital).

She said that I should rest and told my husband to go get himself something to eat. I loved that she took the time to make sure he was okay as well. We had been laboring in the hospital all day and while we brought snacks for him we didn’t think about entire meals. My midwife said that it would probably be about 5 hours before time to push and that I should get as much rest as possible. She also said that because they gave me an epidural I would need to have pitocin to help my body continue with labor. I didn’t care at this point in the process, but had originally wanted to avoid that route.

The next two hours were sort of a blur. I slept for about half an hour. I couldn’t feel a single contraction. The pitiocin arrived soon after my husband got in with his food and sat down. As they were hanging the bag they told him it would be a few more hours. Then, a minute later, my midwife and a bunch of nurses come charging in saying, “It’s time!”

As my midwife was getting me ready to push she gestured to a team of nurses that came in and said, “They are here for the baby.” I replied, “How about that… I am too!”
Man, the epidural was amazing.

Because I had the epidural I had to give birth lying on my back. I was however able to have the bed angled so that gravity could help. My husband and nurse helped to hold my legs. I thankfully only had to push for 45 minutes. They asked me if I wanted a mirror. “NO!” I could feel my son coming out, but I didn’t have to feel any “ring of fire” or stretching of any kind.

And, then, all of the sudden. He was here. He was on top of me. He was amazing and so expressive. He latched on to nurse without much trouble. And, we were a family.

Becoming a Mom for the first time

My birth story pt 1

Becoming a mom for the first time

 

One of the bigger surprises was how small my son ended up being. Throughout my pregnancy I was told several times that he was a big boy and I’d probably have an 8-9 lb baby on my hands. He was tiny… he just got big really fast after birth!

Later they told me that my body had only needed to relax in order to have the baby. So, I ended up not needing the pitocin (until after birth to avoid hemorrhaging since my labor was so prolonged). Maybe if I had been better about relaxing during contractions I might have avoided the need for an epidural. Maybe if I had rested in between contractions instead of cleaning my house during early labor I could have had a natural birth. Maybe, but maybe not. My nurses were impressed that I did without for as long as I did and they said I’d have no problems during a second childbirth going without the drugs.

Synopsis:

After two days of labor, a therapeutic rest and finally an epidural my son was born. He had to have an internal monitor to help better gauge his low heart rate. I only had to push for about 45 minutes! And, in the end… I loved my epidural.

weighing 6 lbs 8 oz My son— Born at 39 weeks and 2 Days
20.5 Inches Long

Thank you for reading my birth story. I’d love to read yours as well! Leave a comment, link or e-mail.

This is the story of the day (or, in my case, days) my little man came into this world.
It is a story of things not going to plan.
It is not a pretty story. And, it is a LONG story.
So, I’ll understand if you just want to jump to the end to see pictures and read the synopsis of how things went.

Check Out Part One: Laboring the Day Away

~*~

 

Part Two: Tired and Gross, I love him the Most

 

After 36 (or so) hours of labor and one dose of antibiotics I sat in the hospital and cried when I heard my midwife say that I was only dilated to 5.5 cm. Everything so far had been to plan. I labored most of my early stage of labor at home, I had no pain medication, I wore my own clothes and I even felt like I looked pretty. But, I was also extremely tired. My hand was sore from the IV used for antibiotics. My son’s heartbeat was hard to find so I was restricted to the bed several times throughout this process. I hated lying down during contractions… it was so painful! But, it was one of the only positions that they could keep a monitor on me to hear my son’s heart rate.
Five and a half cm was disappointing to say the least.
My midwife told me that I could choose to go home to continue labor (as I stipulated I wanted to do in my birth plan) or I could consider a therapeutic rest. I had stipulated that I didn’t want to be offered drugs unless it was deemed necessary. My midwife and nurses had been great with following my wishes, so I was surprised when she talked to me about the therapeutic rest. She felt that my body could not actually handle laboring much longer without rest and she was concerned about my son’s low heart rate. She said that I might consider a small dose of morphine and a antihistamine to help me rest. Otherwise I was still allowed to try to continue laboring at home and that maybe being in my familiar surroundings may help me rest enough to make some real progress.
After laboring for 30 + hours at home and not being able to sleep I knew that there was no way I’d be able to sleep at home. I didn’t want to have them take out my IV just so I could get it put back in later. I was extremely tired. I was scared about my son’s low heart rate. So, I went ahead and got the morphine and antihistamine. The dosage was low enough that I still felt the contractions, but they were much less painful. When the antihistamine kicked in and coupled up with my extreme exhaustion I was actually able to fall asleep in between contractions. I was also able to lay on my side and not be as uncomfortable as I had previously been. It was exactly what my body needed. In those four hours I was able to rest and I dilated from a 5 to an 8.

That is when things got GROSS.

 

I knew things were finally happening when my contractions went from being painful to being gross and painful. I threw up and my nurse jumped for joy. I started heavy bleeding and she gave me a high-five. I screamed a guttural scream and my midwife and a team of nurses came running in swearing to me that it must be time.
Prior to this I had been laboring in the rocking chair, leaning against my husband, laying in the bed, and squatting. After I hit 8 cm I started laboring on the birthing ball, my hands and knees, on the toilet (sounds gross, but totally useful spot), and in the shower. The shower was AMAZING. When my back hurt my husband could put the water on my back. When it was my stomach that is where the water would go. I refused to leave the shower at one point when my contractions were super close together.
Passing out in between contractions during active labor
Not a super flattering photo… I was so tired that I was passing out in between contractions. I didn’t even know I was doing this until my husband told me after birth.
My husband was amazing in all of this. He rubbed where I needed rubbed. He was quiet when I needed quiet. He supported me both physically and emotionally. I couldn’t have imagined that I could love him more than I already did… but, during labor my heart grew to love him even more.

After many hours of laboring my midwife checked me again and I was only dilated to 9 cm. One cm in HOURS of very hard labor. At this point my water still hadn’t broken. I had stipulated in my birth plan that I didn’t want my water broken. But, at this point I was so tired that I just wanted everything to be over. So, when my midwife said that normally at this time they would suggest breaking the water. I said, “Do it.” She did it… but, there was no gush. There was hardly any water coming out at all. My son’s head was so far down that breaking the water didn’t really help things. It did however make labor ten times more painful. This is when I started shaking. But, I kept with it. After another hour my midwife checked me and found that I had actually swollen shut some and was now a 7.

If ever in my life I feel disappointment I hope that I remember what that moment felt like and realize that things could be worse. This was a bad moment.After countless hours of labor, my midwife ordered an epidural. She said I didn’t have a choice because my son’s heart rate was slower than they’d like and because my body was going to physically give out soon. She said I would end up having a C-section if I didn’t have the baby soon. And, I rejoiced. Waiting for the epidural was the longest wait I’ve ever had. I kept saying, “where is it?” My contractions were happening every minute and lasting for a minute.The anesthesiologist arrived saying, “I heard you were trying to do this without me.”

Synopsis:

After 30 or so hours of labor I had a therapeutic rest that included a small dose of morphine and an antihistamine. It relaxed my body enough to let me sleep and let my labor progress. Then, after many more hours of labor, I finally reached 9 cm. My water water was broken by my midwife with hopes of making things go faster. It didn’t work. So, two days after going into labor my midwife decided I had to have an epidural or I would risk my body not being able to handle the delivery.

**While my hopes were for a completely natural delivery I was not disappointed in myself because I felt that I did what I could. I believe that child birth is an extremely natural event… but, I also know that before some of our medical discoveries have come about child birth also had more risk of death and infant death. I believe that these medical advances are often overused, but if used correctly they can save lives. I was in pain. But, I could handle the pain. It was the exhaustion that did me in. I could feel my body giving up, the contractions were not actually progressing my labor, and my son’s heart rate was getting slower the longer I was in labor. So, I’m not in anyway disappointed with not being able to have a drug-free delivery. **

The story continues…

Check out the final part of X’s Birth Story: Pushing Through and Meeting My Little Man