You know the drill...birth story with details. Skip the post if you want to. If you love birth stories, here is a link to Nora's. :)
When I last wrote, I had just had my 38 week and 4 day appointment, where it was discovered that I was a terrible induction candidate (at 0 cm dilated).
Nonetheless, the induction was still scheduled for 39 weeks exactly...no excuses or exceptions.
Here we go:
Wednesday evening - I am told to report to the hospital at 7:30 pm. Dan and I decide to leave the house around 3:30 pm...because 1) the hospital is an hour away, 2) we don't want to get stuck in rush hour traffic, 3) we are going stir crazy with apprehension, and 4) I have been told to eat a good dinner before arriving (I should mention that "good" was a relative term since they also warned me that they would check my blood sugar after I arrived at the hospital).
We go to the mall close to the hospital and decide to walk around for a while before eating dinner. While walking around, I am very uncomfortable..with crazy "random" pains and pressure. Looking back, I should have known something was going on, but I had been trying to hard to get labor going before my last appointment..that when I found out that I had made no progress, I just assumed there was no possible way I was going to start labor on my own. It wasn't even on my radar.
I ate a "sure fire" good meal to get a decent blood sugar reading (a salad with lots of protein and a small cup of fruit) for dinner...not exactly the giant piece of cheesecake I had been dreaming of as my pre-induction meal. :)
7:15 pm Wednesday - we report to the hospital. It is SO weird to just walk up to labor and delivery and ask to be admitted for an induction.
8:30 pm Wednesday - we are in a room. All of the necessary blood work (UGH) and prep stuff have been completed. The nurse checks me - 2 cm dilated, 80% effaced...contracting ON MY OWN every 4 to 6 minutes. Watching the contractions on the monitor, a light bulb goes off in my head as I realize they are lining up exactly with the "random" pains and pressure I've been having all afternoon. Brilliant.
The nurse administers Cervidil to get things going, but she warns that she may have to remove it if my body takes over too much since I'm also contracting without the medication.
The nurse also now informs me that I have to stay in bed for the next two hours...no getting up to go the bathroom. AGH!
Contractions increase to every 3 to 4 minutes.
11:05 pm Wednesday - 3 cm dilated, 80% effaced. The plan was to leave the Cervidil in all night, but Maggie's heart rate is dropping with each contraction and some of the contractions are becoming painful. The nurse removes the Cervidil to try to let my body take over and take the stress off of Maggie.
I get a snack (turkey croissant and a graham cracker with some peanut butter) and half of an Ambien to try to help me sleep.
11:15 pm Wednesday - lights out. Trying to get some sleep.
UTTERLY UNSUCCESSFUL at sleeping. I continue contracting every 3-4 minutes, with some of the contractions becoming painful...and Daniel snores ALL. NIGHT. LONG.
5:30 am Thursday - Wake up. Take a shower.
6:00 am Thursday - start IV fluids
6:20 am Thursday - 4 cm dilated; 80% effaced. Start pitocin (this is the second time I've had pitocin for an induction now, and I still have to say...the pitocin contractions for me are no worse than my "normal" contractions. I'm very grateful for this, since most people say it is instant torture).
8:14 am Thursday - Daniel seems to think that I'm being difficult about refusing an epidural at this point. So does the nurse. Harrumph. I try to explain to them that the pain has to be bad enough for me to forget how scared I am of getting the epidural...they both seem to think I've lost my mind.
9:07 am Thursday - The doctor comes in for his first check. Still at 4 cm dilated; 80% effaced...despite 3 hours of pitocin. He declares that since I'm not making progress, we'll "talk about breaking my water."....and then the man breaks my water without another word. Did I miss the conversation? Grrrr. I go ahead and ask to start the extra IV fluids in case I want an epidural soon.
9:45 am Thursday - I request the epidural. The nurse has declared that she is going to have to continue upping the Pitocin, since my contractions are not increasing in frequency despite have upped the dosage every 15 to 30 minutes since 6:20 am.
10:40 am Thursday - Epidural is in and working. Let's hope it stays that way this time. :)
11:40 am Thursday - Doctor is back. STILL at 4 cm; 80% effaced. The doctor also starts asking me questions that are making me
nervous..."How big is the baby supposed to be? How big was your first
baby? How long ago was that growth ultrasound?" I'm convinced I am
headed for a C-section due to failure to progress. The doctor says
he'll be back in a little while to check on progress. I "might" have cried at this point a little bit.
12:05 pm Thursday - I start shaking, and I get REALLY nauseated...nauseated enough to be holding one bucket while another sits on the table next to me. Let's all take a moment and be grateful that I had not been allowed to eat since the night before. :) The nurse gives me a little bit of medication for the nausea, and she mentions that I could possibly be starting to make some progress based on the symptoms.
12:35 pm Thursday - 6 cm! STUPID SHAM OF AN EPIDURAL FAILS. Seriously? We are in the same damn situation I was in with Nora. I can feel EVERYTHING. I start to panic. Seriously panic. I do NOT want to do this again without the epidural. No thank you. NO way. I've done it once; I have NO desire to do it again.
Thankfully, this nurse listens to me (unlike the ones when I was pregnant with Nora who assured me that I only feeling pressure). She calls the anesthesia team back in, and she changes my position to sitting up. Anesthesia changes the dosage on the medication...and that change, plus the change in position finally gets the epidural working again. WHEW!
1:05 pm Thursday - 8 cm! The nurse notices that despite making progress, Maggie is not descending like she should. She suggests that I try laying on my side with a peanut-shaped exercise ball between my knees to see if it helps. I am willing to try anything. It is without a doubt the weirdest thing I have done in a while. :)
But...IT WORKS. :)
1:50 pm Thursday - lots of pressure, 9 cm dilated, 100% effaced.
3:00 pm Thursday - 10 cm dilated! 100% effaced! Time to get ready to push.
I can feel NOTHING. I can't feel the contractions...I can't feel my legs...I can't tell that I need to push. This is very weird compared to the total driving pain and pressure I felt with Nora.
3:10 pm Thursday - 5 practice pushes with the nurse. Thankfully, I can still push correctly, despite not being able to feel anything.
3:20-3:22 pm Thursday - 2 pushes with the doctor present. Maggie's head comes out with the first push (but the doctor has to tell me it is out...no "ring of fire" this time). :) The rest of Maggie comes out with the second push. WHEW!
Margaret Lynn Whitehead is born at 3:22 pm. She is 8 lbs 5 oz; 20 3/4 inches long.
- Maggie weighed 1 lb and 15 oz more than Nora...yet pushing her out was infinitely easier. :)
- I had 3 stitches after Nora was born (I felt every single one since they still didn't believe that the epidural had failed). I had a second degree tear with Maggie. I am so grateful that I didn't feel all of those stitches.
- The cord was wrapped around Maggie's neck (just like it was with Nora).
- I don't think I ever wrote about it, but I hemorrhaged after Nora was born. They were able to get it under control after a while, but it was scary (partially due to the fact that a resident delivered Nora, and she was panicking also). This time, I told them about what had happened with Nora...and sure enough, I hemorrhaged again. In the doctor's words, my uterus just doesn't like to cooperate after the baby is born. Their strategy for dealing with it was a bit different though....the nurse ended up giving me a huge shot in the thigh...and as she was plunging the needle into my leg, she said "aren't you glad we got that epidural working again?" Yes. Yes, I am extremely grateful. :)
More updates to hopefully come soon...including the delightful post on how I ended up in the ER when Maggie was 11 days old. It has been a crazy 18 days so far.