LisaAnne --aka Galen's Mom 12.8.99
A week later--our birth story
Tuesday, 14 December 1999, at 4:41 p.m.
I have my reservations about writing such a very very very
long birth story, but I hope it helps someone else. I come
out of this with two pieces of advice: 1. hire a doula. 2.
believe what your body is telling you. It knows what it's
doing, even if you don't.
Wednesday morning started as usual: my alarm went off at
6:40. I was a little more uncomfortable than I had
been the day before, but that was not unexpected, and my
prenatal appointment the previous evening had made it
sound like I would definitely be able to work the rest of
the week. I did the usual morning stuff and Dh and I drove
to work together.
Wednesday was the first day of our end of the semester
portfolio reviews for all of our majors. On 15-minute
intervals, we meet with each student and discuss all of
their work for the semester. During the first session of the
day, I discovered that the chairs, which I normally find
uncomfortable, were absolutely intolerable so I moved to a
table as my seat. As we finished the review and walked to
the next room, I suddenly felt a sharp cramp-sharp
enough that it caught my breath. One of my colleagues turned
around and asked me if I was okay, I told him,
"Yeah, I think so-don't worry about it." And we walked into
the next room and started the next student's review. My
water broke five minutes later, in the middle of the
discussion, but in a way that nobody else noticed, so I
excused myself as everyone else went to the next room.
A quick check in the bathroom told me that it was definitely
amniotic fluid. But still I had nothing I would have
described as contractions-I was just really crampy, like I
had been for about a week. I called Dh and put him on
alert, then called my doctor's office. The doctor was out,
and the nurse wanted to page him before telling me
exactly what to do, so I settled into my office to wait for
the return call. A small group of people started gathering,
and I delegated work, handed out grades, and conversed with
them as I waited. Finally the nurse called me back
and said, "We haven't heard from the doctor, but we're
sending you on to the hospital." So I called Dh back, and
he picked me up about 20 minutes later.
On the way back to the neighborhood I timed my "cramps" and
discovered they were about seven minutes apart.
We decided to stop at the house on the way to the hospital.
Dh went upstairs to get everything, while I waited at
the car. He soon returned, and we drove the three blocks to
the hospital, put the truck in valet parking, and went
upstairs to labor triage at about 11:00 a.m. The internal
exam showed me to be practically completely effaced, but
only about 1 cm dilated. My doctor called into the room, and
told me that if things didn't progress by mid-afternoon
we'd look into a pitocin drip.
So we moved over the LDR. We got a nice room with a south
facing view looking out over a view of steeples
peeking over tree-lined streets of brick homes. The nurse,
whose name was also Lisa, hooked me up to the
monitor, and ran the IV for the antibiotics for the Group B
Strep. Dh put on a Sting CD. After a few minutes, she told
me I could move around at will, making sure I took the IV
with me until the medication ran out, at which point I was
left with the heplock.
While in triage I had started having more serious
contractions, mostly in my back. I vomited up my breakfast
during several of the early contractions. At first, I leaned
against Dh's chest and did my slow Lamaze breathing
while he rubbed my back. A short time after moving to the
LDR, this strategy stopped working, so I bent over the
air conditioner (which was on full blast), looked out the
window and continued the slow breathing with him
applying counter pressure either with his hands or with a
paint roller. At some point around 1:00, I felt like I
needed to have a bm, so the nurse checked my progress. I was
at about 2-3 cm. When she told me I had the
incredible sinking feeling that it was going to take all
night to have this baby.
The afternoon wore on. The intensity of the contractions
increased, and they got closer and closer while
remaining in my back. I began to wonder about the sanity of
continuing ad infinitum without pain medication. The
nurse was nervous because the active positions I was taking
made it practically impossible for the monitor to
register any information about the baby, so I took about 10
or 15 minutes of contractions standing straight up from
time to time. My legs were tired, but lying down was far too
uncomfortable to be an option. I had requested use of
one of the hospital's doulas, and she helped for quite a
while-applying counterpressure to my back, suggesting
new positions when the old one stopped being effective. I
tried a lot of different things-the ball, squatting next to
a chair, etc. some were effective, some weren't. The most
comfortable position was still leaning on the air
conditioner looking out the window. Her help allowed Dh to
stand next to me, hold me, and help me relax and
breathe. (Unfortunately, they were understaffed that day
(flu season) so she couldn't stay with us the whole time,
and was working both with me and with another patient.) We
discussed the option of pain medication with both
her and the nurse and I decided to wait and maybe consider
some narcotics or something later. Some time after
the doula left, our nurse came back to check on us. She
needed to move another patient upstairs to the Mom/Baby
ward. I was feeling incredible pressure to have a bm, and
she offered to check my progress again, but told me
she didn't think I was very close for a variety of reasons.
Among them was, "your eyes don't look right". Keeping in
mind that every exam increased the risk of infection since
my waters had broken, I said, okay, I don't need an
exam.
After she left, the contractions got more and more severe
and then subsided for a while. I felt like I needed to go to
the bathroom again, but this time I had a contraction on the
toilet and felt a mild urge to push. It scared me and
surprised me. I didn't think there was any way I should be
feeling that. (What Dh didn't tell me was that my eyes
had gone a little crazy about five minutes after she left.)
Then things got very strange. I leaned against a shelving
unit with my head in between the speakers of the CD player.
Pink Floyd's Wish You Were Here was playing-we
had put it on repeat after the Sting CD because I find it
very relaxing. The contractions waved over me. As each one
hit, I felt a stronger and stronger urge to push and began
using the Lamaze technique of blowing out to fight it.
After the second one I was so frustrated and upset I wanted
to cry. After the third one, I whimpered to Dh "I wish
she'd come back soon." He asked, "Do you want me to call
her?" I said yes.
Within moments she was there, and when I told her what was
happening she said, "Well. Let's have a check". I
lay down on the bed and she checked. She hit the call button
on the bed and said to the desk "I need a resident
and page My doctor for delivery. She's complete and +3."
Apparently her fingers had hit his head!! She told me not
to push, and whirled into action finishing setting up the
room. I fought the next contraction with both her and Dh
helping me. The resident came in-a young woman about my age,
named Tammy Williams. By this time Lisa
had pulled the end off the bed, moved the tool tray into
position, and Dr.Williams told me with the next contraction
to push just a little so they could see what I could do. So
I pushed just a little, with the first part of the
contraction,
and blew through the rest. At this point, they told me,
"you're about three pushes away from having this baby. Do
you want to wait for My doctor or just do it?" I was tired
of fighting it. I was afraid if I didn't just do it I
wouldn't have
the strength left after he got there. So we went for it with
the next contraction.
This was the hardest part of the entire thing. I had become
accustomed to blowing through the contractions and
had a difficult time refocusing at first. Then, with the
second push of the contraction, I felt the most incredible
pain (as he was crowning) and really started to fight it. After
the contraction the nurse took my hand and made me feel
his head. I could feel his hair, and I realized I could do
this. With the next contraction his head came out, and on
the third the rest of him. They put him on my stomach, and I
was just amazed by this little human lying there. Dh
cut the umbilical cord. The placenta was taking its time
coming out, but about five minutes after it slid out my
doctor walked into the room. He examined the placenta,
examined me, and started to repair my one small tear.
Dh and the baby moved over to the heater table. Apparently
all this time I was just gushing blood. My doctor had
the nurses give me two shots (one in each thigh) and restart
an IV of Pitocin to help my uterus contract so it would
stop. Eventually, after about 5:30 or so, the activity
subsided, I was repaired, and my doctor finished up and
left. Dh called our parents and family,
the nurse did the paperwork,
and the baby & I studied each other and snoozed. I felt
good. I had wanted to try for a pain medication free birth,
and I did it!
Dh went home to get his clothes and arrange for my dinner,
which my friend delivered to our room in Mom/Baby
about 9:00. We all stayed together that night, and Dh and I
began in earnest the process of becoming parents. Dh
changed his first diaper at 3:30 in the morning and walked
the floor with Galen so I could sleep. The next day
Galen and I practiced breastfeeding, and Dh started working
on his lullabies. That evening, my doctor came by to
find me conversing with my friend with Galen asleep by my
side, and Dh snoring soundly in the other bed. Later
they took Galen to the nursery for some routine checkups.
Laying there in the dark I suddenly felt a twinge of panic.
I hadn't felt the baby move all day!! Then it hit me . . .
the baby was out. They brought him back for feedings, and Dh
and I slept all night. At the last feeding the nurses told
me they'd bring him back about 6:00 for the day. I woke up
with the certainty that it's 7:00 where's my baby? And the
strange thing is that it was 7:00. I finally understood in a
small way what it was to become a mother.