Monday, April 21, 2014

How she got here - Rosie's birth story

I've rewritten this post over and over as I've oscillated between wanting to honestly share my experience of Rosie's birth and worrying about over sharing. But one of the things I have learned about myself recently is that I am not very good at being open with my emotions, especially in the last few months while I've had some hard emotions to handle. But that's another subject; the point is, this is going to be relatively long and detailed, so if you prefer to skip to the photos, I don't blame you. 

For Rosie's birth, I wanted to have the natural birth experience I didn't get to have with Georgie, and to do that, I really needed to go into labor on my own. Being induced again was my biggest concern and even though I knew that 2nd babies usually come a little earlier and faster, I was still worried about it. I also really wanted the midwife who delivered Georgie to be there but she was out of the country for most of March so I knew that probably wouldn't happen. At the beginning of March, I did everything I could to get my labor going (pineapple, walking stairs, heartburn-inducing food, hypnosis tracks, etc.) but to no avail and we missed our window for my midwife Dena to be there. At my last appointment with her, I wasn't even progressed far enough for her to strip my membranes - super disappointing. Anxiety reigned supreme during the first two weeks of March as I waited for any signs that it was baby time. Once we passed my due date, my anxiety lessened considerably. I wasn't surprised to go late again and it meant that one way or the other, I would have a baby soon. 

A few days after my due date, I was able to have my membranes stripped at my appointment and that night, I started having some good contractions - finally! They continued the next day, slowed down the next, and stopped altogether the day after that. Super disappointing, again. As per medical standards, we went to the hospital the next day (Friday) for a stress test and ultrasound to make sure the baby was okay. We weren't worried; for us, after doing that twice with Georgie, it was just business as usual. And everything was fine (though every person we talked to was pretty insensitive to the whole natural birth/no induction thing) and I asked the nurse to check me. No progress but she did a "very thorough check" (aka stripped my membranes again) so we left hopeful that we'd have a baby that weekend. And on the up side, our other favorite midwife was on call all weekend and Dena would be back in the country on Monday, so we didn't have to worry about running into the midwife we didn't like.

The rest of Friday was very laid back - Tim took the day off, his mom was in town so we got to hang out with her, and my mom came over for dinner. I had no contractions at all but by the end of the day, I was aching down my legs and back and just didn't feel good. We went to bed at our usual late hour and I remember telling Tim that I felt really hopeful that having a newborn would be better this time around, especially with the warmer weather coming and living in an apartment above the ground with lots of light.

I woke up about 1:30 with strong contractions that were about 10 minutes apart. I tried to go back to sleep but around 2:00, I gave up and got up, cautiously excited that this might be it. By 3:00 the contractions were 5-6 minutes apart, so I woke up Tim just to let him know but told him to go back to sleep if he could. About five minutes later I decided I needed Tim to help me through the contractions and he got up. I got in the bath and Tim timed the contractions; by 4:00 they were 2-3 minutes apart and we decided it was time to head to the hospital. We called Tim's mom to come over and stay with Georgie and called my mom and best friend/doula Natalie to meet us at the hospital. We got there around 4:30 (the fourth couple in an hour to come in), got checked in, and when I was checked, I was at a 5+. We didn't get into our room until 5:30 but we got one of the biggest rooms that was also further away from the noisy areas. (Contrast that to my first delivery in a very small room that was directly next to the nurses' station, and this room seemed amazing!)

The rest of the labor is a bit blurry in my mind. I remember moments, things I said, things other people said. I remember small details but the overall progression of the morning feels very dreamlike to me. I was on my birthing ball for awhile, then I stood for a bit, then I ended up kneeling on the bed and bracing myself against the back. I tried listening to one of my Hypnobabies tracks but it got annoying (we had some jokes going about some of the things on there) so I switched to my compilation of calming songs from my BYU Women's Chorus choir CDs. Natalie talked me through the contractions, especially as they got harder and lower and "pushy", and Natalie, Tim, and my mom took turns giving counter pressure and holding my hands. The nurse offered to check me but at that point, the thought of changing positions was overwhelming, so we waited. I remember getting through some of those harder, pushy contractions and feeling confident, even empowered to realize that I was doing it and getting through it.

By the time Sue came in, I was losing steam. She checked me and I was at an 8; she suggested breaking my water in order to get things to finish and I agreed. The next contraction after breaking my water was so much stronger without that cushion that I started to panic about getting through the rest. There were about 20 more minutes of transition, which I got through on the back of the bed, and then about 20 minutes or so of pushing. I was very embarrassed to find myself getting through the contractions and pushing urges very loudly, but everyone assured me that I was doing great. 

Looking back, I think it was the feeling of being totally out of control that overwhelmed me the most. Everything was so intense and I really lost my ability to be logical for awhile there. I remember screaming, essentially, into the back of the bed for a couple of contractions, and I remember Natalie having to verbally slap me back to myself (aka she spoke sharply enough that it got my attention and she could help me calm down). I remember thinking several times about asking for an epidural but I never said it out loud, so no one knew how much I was thinking about it! Pushing was almost a relief, especially because there was a break in between contractions.

Rosie was born at 8:48 am and as soon as she was out and I was done, it was like my body just quit. I don't think I've ever been so exhausted and wiped out so immediately. I actually couldn't process what people were saying to me for a minute, I was so spent. Rosie was very purple upon arrival but she pinked up quickly, cried loudly, and had good Apgar scores. I loved holding her for those first few minutes but I didn't mind handing her over to be cleaned up so I could just be exhausted. 

Getting me stitched and cleaned up took a long time so it was actually quite awhile before I got to hold Rosie again, but after she was bundled up and handed over to her daddy, she quit crying and just looked around and around. She was just awake and alert and totally calm for hours after her birth - I couldn't believe how calm she was.

Several people have asked how this unmedicated birth compares to a medicated one. One person even asked me just a few hours after Rosie was born when I was still beyond exhausted and I was like, "Well, at this point, I'm never having another baby again, so...." But in all honesty, there are pros and cons to both. Unmedicated was more exhausting and more draining, both physically and emotionally. The pressure of the contractions and the pushing there at the end was so intense that I couldn't keep it all in, hence the screaming like a crazy woman (though I have been assured many times it wasn't nearly as loud as I think it was). But the recovery has seemed much easier this time and I really loved how alert Rosie was afterwards. I think part of what made it so hard was that once I had an epidural with Georgie, I slept until it was time to push and even though I could feel the pressure, there wasn't any of the pain. So this time, I didn't have a frame of reference for where I was in the process; I kept thinking I had to be almost done and then I'd realize I wasn't. It's like hiking and thinking you're almost to the top, only to get there and realize that was just one hill and the actual top of the mountain was still a steep, uphill climb away. And that was incredibly hard on me, emotionally and mentally. So would I do it again? I can't say yet, but I know that next time would be easier, if only because I would know what to expect with more accuracy.

Now for the pictures!







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