So, I went in Monday late afternoon for my checkup. I was sad because my regular OB was on vacation, and I had to see someone new. Anyway, I went in for my NST and again my fluids were low- lower than they had been the previous week. I was confused and frustrated because although they had been a little low the previous Tuesday, they were plenty high on Friday, and now they were at their lowest point. Anyway, after a very prolonged period of testing, the Dr. came in and told me I'd have to go to the hospital and be induced- that I was already 39 weeks and it just wasn't justified to continue to risk the baby when he was having questionable heart rate dips and low fluids. I was allowed to drive home first to pick up my bags, but was told I needed to be at the hospital within an hour. He told me there was a possibility the Dr. at the hospital would have a second opinion and allow me to go home, but that wasn't his recommendation. Anyway, so Gerard and I drove down to the hospital while I chugged 3 bottles of water hoping to impact my fluid levels. It didn't work. In fact, now my fluids were even lower. The biggest pocket they found was, I believe a 3.6- well below the worrisome cutoff of 5.
Before being induced, they told me I was .5 cm dilated, 50% effaced, and Solomon was -1. None of those numbers actually correlate on the tables, but that's what I was. It was about 9:30 or 10pm when they hooked up the Pitocin. With it came and IV of fluid- it took the nurse multiple attempts to get the IV in, which irritated me. The put the fetal monitors on my belly, which made it next to impossible to move independently. So I hung out there for a little bit, and my contractions started, although I couldn't yet feel them. The nurses would come in and check on me and seemed surprised or impressed or something that I wasn't feeling the contractions yet. Everyone kept saying everything looked great. They told me they'd keep the Pitocin low throughout the night so as to let me sleep, and then they'd rev up things in the morning.
That was a lie. I think I got about an hour or two of sleep before the contractions got too strong. But I was handling them well. I was using a lot of nonfocused awareness that we had learned in our Birthing From Within class, and everything seemed manageable so I let Gerard sleep through most of this. At maybe 2 or 3 in the morning they decided to 'move things along' and ruptured my membranes. About this time, too, they acted like they were going to do me a favor by putting in internal fetal monitors and allow me to take off the external monitors and be a bit more mobile. This sounded fair enough, but I immediately regretted it once the process started. It was an extremely painful experience that seemed to take forever. What's worse, one of the two monitors didn't take so they had to go back in a third time to insert it.
Anyway, I'm hanging out for a while and the contractions kept getting stronger and stronger. The nurse kept asking me if I was ready for the epidural, which really annoyed me so I told her to stop asking. She apologized and obliged. I'll stop here to try to explain how incredible Gerard was being. I was overwhelmed with his ability to tune into exactly how I felt and what I needed. He had internalized everything from classes, everything we had talked about what I might like or not like during labor, and everything from his own intuition about what to do. He cuddled in the bed with me, gave me kisses, massaged my neck, back and legs just enough to offer relief but knew exactly when he needed to stop and give me space. He said everything right. I honestly think if I could play back a recording of my labor and give a play by play of exactly what he should have said or done, it would not have been as good as what he actually said or did. I know I sound corny, but even amidst all the pain of labor, I could not get over how incredibly grateful I was of Gerard's presence and how lucky I felt. There was about 5 seconds when he was trying to update someone on the labor over the phone- and I wanted to throw it across the room. But other than those 5 seconds the whole time I was taken aback by how perfect and comforting he was being.
So anyway, the morning continues and at some point it was discovered one of the internal monitors was no longer working. So I had to put back on the external monitor. After all of that I was back to the external monitors. Also, the nurse kept coming in worried because Solomon's heart rate kept dropping during contractions. For a while this was worrisome enough to make me wear an oxygen mask. I got to take this off eventually, I don't remember the exact timeline now.
So we get to the late morning and my contractions have paralyzed me with pain. I had been sad during my earlier labor that I couldn't move around and practice all the labor poses I'd learned in yoga and our classes. But by this point I couldn't have moved even without all of my leashes. I was screaming out in pain but making a concerted effort to keep the tone very low, as this was supposed to aid in muscle relaxation and encourage your cervix to dilate. I remember at several points being worried my voice would go out. I was feeling overwhelmed at this point, but gained some strength by noticing the contractions were getting closer and closer together. They felt like they were almost on top of each other. So by it being so uncomfortable I knew it at least meant I was making progress. Gerard kept telling me I was in transition, which encouraged me. The nurse came in and kept asking me if I felt the urge to push. I didn't. She moved up my Pitocin level from an 11 to a 12 despite me begging her not to. She came back in and seemed perplexed I still wasn't feeling the urge to push. She started prepping the bassinet and getting things ready for delivery so I thought the game was almost over. Then, she checked my dilation and told me I was 3cm and 80% effaced. I was absolutely crushed. Devastated. It was really hard for me to wrap my head around the fact that I had worked that hard for only 3 cm. It was even harder to wrap my head around the fact that the pain would undoubtedly increase in the next 7cm. All of these realizations crushed down on me hard and I was begging for an epidural within seconds of her saying 3 cm. I felt disappointed and embarrassed, but really didn't see any other way. Gerard was wonderfully supportive with this decision, even though beforehand I had told him to refuse me if I were to ask for an epidural. He knew enough to know I really meant it and wasn't giving up prematurely. I'm tearing up right now just remembering how comforting and supportive he was through the whole process.
The anesthesiologist came soon (I believe this was about 11am), and I remember him and the nurse being impressed I could remain so still and calm through the pain of the injection. And I was all 'dude, I can barely feel that relative to what I've been going through.' Anyway, at first I just felt numb and tingly in my toes, but soon I could barely feel when I was having a contraction. I was given a little button I could push to control how much drugs I'd receive. I could push it up to once every 20 minutes. I was told to get some rest, which wasn't hard after what I had been through, and the fact I hadn't slept the night before. At about 2pm I woke up. I still hadn't pushed the button, and was getting the slightest bit of movement back in my legs. At this point I could feel my contractions a bit in the upper portion of my abdomen- but I knew the real pain was lower, blocked by the epidural. But I felt comforted by at least being able to feel my contractions a bit and being more aware of what was happening to my body. For the next 30-40 minutes I was awake but relaxed while Gerard slept. My pitocin level now was a 14- only 2 units more than they were when I asked for the epidural. At about 2:40 I was checked again and 8cm dilated. This comforted me and I felt energized to have the baby. Minutes after that they said 'whoa whoa, baby's coming- wake up Gerard!' So pretty much he woke up and I started pushing. Apparently, Solomon didn't enjoy this phase too much, and started getting bradycardiac with each contraction. So again I was on the oxygen. I remember a nurse asking the OB if they should page a pediatrician to be here for the birth, which scared me a lot that he might need extra attention right away. I was also pretty disturbed at the OB's demeanor. He barely looked me in the eye- he stared at the monitor the whole time. He looked very solemn and not especially encouraging. I was scared enough to know Solomon needed to get out asap. I still didn't really feel the urge to push, but I was grateful I could feel enough of my contractions to know when to push. I think it took about 3 or 4 contractions and then he was out! He cried for a minute or so, but stopped almost immediately after being given to me. I was so grateful that he looked strong and healthy from the get-go and didn't need to be taken from me to make sure he was okay.
I immediately started crying, overwhelmed with gratitude and love for this little guy. I won't get into all of the emotional aspects of the birth yet. I wanted to record this story now, while I could still remember most everything. I can write about everything else later. What the nurses said and did I stand to forget, but how I felt is something that could never fade from mind.
I'll never know why or how my contractions got so strong and fast without dilating properly, if I would have progressed the way I did from 3-8 without the relaxation that came from the epidural, or if there was something I could have done differently in the labor progression to have changed its outcome. In the end it really doesn't matter. I had really wanted to not have an epidural, and while I do feel a slight sting of disappointment and maybe even embarassment that I couldn't do it naturaly- it's honestly something I've thought of extremely little since 3:01 when Solomon came out. He was happy and alert and so was I. Neither of us nor our bond seemed at all interrupted by the epidural, and in the end I'm just so happy and relieved to have a healthy baby that the way in which it happened is of extremely little importance now.
Ok, I've spent too much time staring at a computer screen instead of Solomon's beautiful little face!