Wednesday, April 23, 2014

John Paul's Grand Entrance: A Birth Story (Part II)

If you missed it, you can catch up on Part I here. And a repeat of the warning: I love all things birth story, and so I'm not holding back on the details. A post with significantly less talk about anatomy and bodily fluids is in the work, I promise!

Sorry to leave you hanging like that... just think of it as heightening the emotion of the story! We were sent home to wait indefinitely, and you had to sit around waiting indefinitely for the rest of the story (because I'm sure you were just sitting and waiting... not!).

We arrived home from the hospital around 11pm feeling absolutely discouraged and exhausted. A whole day of (what I thought was) labor, and a whopping 2 cm to show for it. Not cool, JP. That guilt that I mentioned earlier over sending Michael and Liam away for the day (and now night!) for what was apparently nothing flared right back up. We went to bed (so weird to be sleeping in our own house and not have any kids to listen for... it would have been kind of nice under other circumstances), and I slept fitfully for a few hours. I started having contractions again, but I don't know which contractions were real and which ones I was dreaming; they all kind of blurred together. It seemed like some of the contractions were getting stronger, but I tried to ignore them and refused to get my hopes up. Around 4am I got up to go to the bathroom and was alarmed at the amount of blood that I found. I decided we needed to go back to the hospital to be checked again, because suddenly I realized I hadn't felt my usually very active baby move in a while (the fact that I had been at least partially asleep and not paying attention to his movements didn't register at that point). I woke Alex up and explained why I wanted to go back to the hospital, and we got dressed and headed back out. The whole time I was trying to mentally prepare myself for finding out something was wrong and needing an emergency C-section as soon as we arrived (and later Alex admitted that he was doing the same).

Back into the ER entrance, still not looking like I'm in labor, back upstairs to L&D, same unsympathetic nurse!, back into awful little triage cubicle. As soon as we were left alone for me to change into my hospital gown I made Alex get out the holy water and pray for me and JP.  When the nurse came back I explained about the bleeding and movement, but when I was hooked up to the monitor his heart rate was just fine, and I hadn't bled any more since getting up to go to the bathroom half an hour ago. So total overreaction on those fronts (thank you, Lord), but! I was 4 cm! I almost cried again from sheer relief--I really was in labor and they were going to let me stay this time! I was so thrilled that I almost didn't care we were going to have Nurse Heartless for the next 3.5 hours until shift change.

Things just kept getting better and better--a new nurse showed up to move us to our room (after I had quickly scarfed down a granola bar in the privacy of our cubicle, against hospital policy) and she was absolutely perfect. As soon as we told her we were planning on a natural birth she started offering us everything we had asked for on our (as yet unpacked) birth plan--intermittent monitoring, a birth ball, total freedom of movement as soon as my antibiotic IV was done, etc. We only saw her a few more times, because she gave us all the privacy we wanted and just checked in every half hour for some quick monitoring. But we totally lucked out a second time at shift change and got another awesome, completely supportive nurse (okay, not luck at all--I had been praying for weeks for nurses that would be a good match for us).

And then it got... boring. There we were, settled into our spacious L&D room (seriously, this hospital has a very nice L&D ward!). Contractions were about 5 minutes apart (and didn't pick up until the end) and uncomfortable, but completely manageable. I moved around from sitting cross-legged on the bed, to walking around, to sitting in the bathroom, to sitting on the birth ball leaning on the raised bed, and back and forth and around again. I ate a lot of red popsicles and ice chips (the only "sustenance" approved by the hospital for a woman in labor), and had a protein bar and drank plenty of water and Gatorade when the nurse wasn't looking.

After several hours of this I told Alex to lie down and try to take a nap. We had both had a long day yesterday, a short night, and now what looked to be another long day. I was feeling pretty energized from the adrenaline and being in my little labor zone, but I knew I would need a lot more from Alex when things picked up, and I didn't want him to be as completely worn out as he was after Michael's birth. I promised to wake him up if I needed him. He got a nice little nap, and I sat on the bed and played Bejeweled on my phone between contractions. I was seriously tempted to get out my computer and write the birth story up to that point, but I didn't. I should have--then I would be done with it by now!

Contractions started to get more intense, and shortly after Alex woke up the nurse suggested a warm bath. One of the things I was looking forward to most before going into labor with Michael was the tub with jets in the L&D room (different hospital, le sigh), but I lasted for one contraction in the tub before deciding it was even less comfortable than lying in bed. I decided to give it another try, and this time around it actually helped a lot. I sat sideways in the tub with my legs crossed and my arms up on the side. Alex brought in a chair and sat facing me. I rested my head on my arms with my eyes closed and I think I stayed like that for over an hour--grabbing Alex's hand and breathing through contractions, then dozing in between (while he tried to beat my high scores in Bejeweled). It was probably the best part of labor, but finally I wasn't comfortable any more and it was back to my circuit of bed, ball, toilet, walking, etc.

I think this brings us up to around 11am. During all of this I was progressing fairly steadily but slowly. I think I was around 7 dilated after the bath--good, but not good enough (for me). The nurse offered several times to have the doctor break my water to try to speed things up, but we decided to wait on that because I wasn't ready to kick the intensity up that quickly with no guarantee of results.

Intensity was working its way up on its own. An hour or so later I was only 8 cm dilated starting to feel like I couldn't do this and just wanted to quit (as if that were any option). I didn't say anything (at least I don't think I did), but I hoped my feelings of giving up meant I was in transition... and then I figured that if I could think clearly enough to think that I was in transition that probably meant I wasn't. I was also starting to feel a little pushy (that's 3 out of 3 for feeling the irresistible urge to push before I get the green light--thanks a lot, body).

We finally decided to let the doctor break my water, and ohmygoodness, I thought I remembered the difference in intensity between contractions with bag of waters intact and contractions after breaking of said bag, but this was SERIOUS. It was like my body finally decided, "Hey! Maybe this baby should come out sometime, like, soon." Every contraction was a fight to not push. No position was comfortable. With both Michael and Liam I spent a majority of labor lying on my left side. Not this time! Lying down had been less comfortable than other positions up until this point; now it was just plain torture. And lie on my back to get checked and risk having a contraction in that worst possible position? No thank you! But I kept asking the nurse to check me and enduring the contractions lying down every 15 or 20 minutes because I kept thinking I had to be at 10 cm by now. Nope. I worked my way up to 9, and finally up to 10, but my cervix still wasn't 100% effaced.

Apparently, I have a very stubborn cervix (thanks again, body). Finally, a little after 1pm, I was pronounced fully effaced and ready to push. I was in the process of rolling onto my side to sit up when a contraction hit, and the nurse suggested  a practice push. Really, practice? I've done this twice before in the last 38 months--do I really need to practice? So I pushed once once on my side, and the nurse said it wasn't really doing anything. Thanks, I didn't want to push on my side this time anyway. The OB came in as the nurse was setting everything up and Alex was helping me sit up. As she got settled at the foot of the bed she said "Okay, let's get you situated. I don't think this will be a small one!" Seriously? Is that really necessary to mention at this point?!

She told me to lie down (um, no thank you!) but a contraction started and I pushed. I was reclining more than I had wanted to be, but at this point it didn't matter--I just had to push. I ignored the doctor and nurse counting and telling me not to make any sound, and pretty much pushed the way I wanted to push. All of a sudden I heard "Stop! Ashley, he's right here! Wait!" What? Right here? Sure enough, pushing through that one contraction was just about all it took. One more push for the shoulders and JP (finally!) made his grand entrance.

I immediately asked if we could delay cutting the cord, and I was reaching down waiting for the doctor to hand him to me, but the doctor and nurse were busy discussing said cord (just hand me my baby, people!). The first thing I heard after he was born was "Wow, you're lucky!" Not a reassuring thing to hear. Turns out he had a true knot in his cord, right next to his body. Thankfully it hadn't been pulled tight and he was just fine. It was so close they couldn't clamp between his body and the knot right away.

So glad we didn't know about that ahead of time.
Finally they handed me my baby! And by some miracle I didn't tear, despite the ridiculously quick delivery.

JP started nursing right away (and has hardly stopped since--at his 2 week appointment he was almost a pound over his birth weight). Everything was wonderful except the nurse's over-zealous uterine "massage." Despite pitocin to help slow down the bleeding after I delivered the placenta (which was actually uncomfortable this time), the nurse also kneaded my stomach so hard that I yelled louder than I had during labor and just about dropped JP and punched her. She repeated this three times before finally leaving me alone (she had been just about perfect up to that point).

John Paul was a healthy 8 lbs 7 oz, 21.5" long. We enjoyed some nursing and bonding before he was whisked away to the incubator on the other side of the room for measuring, bath, etc. That took longer than expected because the nurse was training a paramedic, but that was fine. Like Liam, JP was "large for gestational age" so the hospital required testing blood sugar levels every 2 hours for the first 12 hours. And just like Liam his levels were fine all the way through.

And there you have it. The beginning of the adventures of the third Crane boy. More thoughts and pictures on our new normal coming up... eventually :)


Thursday, April 17, 2014

John Paul's Grand Entrance: A Birth Story (Part I)

I'm having a seriously hard time believing that this guy is one month old already.



On one hand he can't possibly be that old already; on the other, hasn't he always been here?

It's almost scary how normal the craziness of having three boys seems already. But that's another post (and it may take another month--or more--to get it out!).

So here it is, finally, the story of John Paul's birth. If you're not a fan of all the details of labor and delivery (bodily fluids abound, and I'm not afraid to talk about them), I'd recommend skipping this one. Here are a couple more pictures from the past month to make this post worth your while anyway :)

Just over a week old

Three happy brothers

All of my boys

Totally smitten, on both sides

Okay, now for the story! (Last chance to leave!)

Ever since the crazy-strong (or so I thought) Braxton Hicks contractions started up right around 20 weeks, I was sure JP would come before his due date of March 12. Right at 37 weeks I started willing those contractions to be meaningful with all my might, but to no avail. And then I kept thinking that maybe, just maybe, this was the beginning of the start of the real thing... and then they would taper off. Hmmm, this was sounding familiar... but at least I went early and fast with Liam and so maybe this was all a good sign? Nope and nope.

Yes, this was my third baby in less than four years and I still can't remember the difference between Braxton Hicks and real contractions until suddenly the real contractions hit and I'm all like "Oh, right, this is what labor feels like! I want the BH contractions back..." If God blesses us with more children I'm sure I'll go through the whole routine of false alarms for weeks each and every time.

March 12th came and went. I was trying everything short of castor oil (because, ew) and eating a whole pineapple (because I couldn't find any) to get labor going. I was drinking gallons (maybe not quite, but it felt like it) of red raspberry leaf tea so that when labor did get going my lazy-third-time-around-uterus (according to my OB) would do its job nice and efficiently. I was trying not to panic about getting the boys to my in-laws and us to the hospital and everything happening in a perfectly timed manner without having the baby in the car (even though we're only five minutes from the hospital). Turns out I didn't need to worry about not having enough time!

I woke up around 2:30am the morning of March 13th and realized I was having contractions. Nothing intense or even regular, but contractions! Lying down! This must be it! Because, of course, this is how it started with Liam, and even though every pregnancy/labor/baby is different, still this had to be it. So I tried my best to sleep some more, knowing that I would need my rest. I dozed a bit, but the contractions were distracting and I was getting excited despite my best efforts not to. At some point I went to the bathroom and saw some bloody show. Again, just like with Liam. Things were definitely on track now (and I was expecting a lightning-fast labor once things really kicked into gear... good thing the hospital was so close!). I finally gave up on sleep and got up to have some breakfast and putter around the house taking care of some last minute things.

When Alex's alarm went off at 5:20 I told him I didn't think he should go into work, and asked him how he would like to meet John Paul that day? We both tried to get some more rest, waiting for a slightly more reasonable hour to call Alex's mom and put her on alert.

Cici came over around 7 and the three of us sat around and visited while we waited for Michael and Liam to wake up. My contractions were all over the place--anywhere from 8 to 20 minutes apart, and while we sat around they seemed to stop altogether. Cici took the boys home with her when they woke up anyway--we were all just willing John Paul to come.

That whole day I willed my body to go into active labor. Alex and I took several walks around the neighborhood (it was a gorgeous day, thankfully!). I bounced on the birth ball. And bounced. And bounced. I took a nap. I had some quality time with the breast pump. I finished up the sourdough bread I'd set to rise the night before and washed every dish almost as soon as it had been used so we would leave behind a clean kitchen when we finally went to the hospital. And still contractions were never closer than 6 minutes, never regular, often stopping for an hour or more at a time, and uncomfortable but not intense. Needless to say (but I'll say it anyway), it was a loooooong day. And throughout it all I missed Michael and Liam so much. I felt guilty for keeping Alex home from work and sending the boys away when it was apparently just a false alarm, and I was worried about how many more days like this there might before JP was finally forced into the world via the induction scheduled for the following Thursday.

Finally around 8pm I called our nurse advice line. I didn't think it was time to go the hospital yet, but the last few times I used the bathroom there was more blood than I thought there should be (I don't remember bleeding at all either time before--until the end, obviously) and so I wanted to check in. The nurse wasn't at all concerned about the blood, but she called back a few minutes later to suggest we head for the hospital. She had looked more closely at my chart and realized that I was GBS positive, and since this was my 3rd and things would (obviously!) potentially move quickly, she wanted me at the hospital in plenty of time for my two doses of penicillin.

Hooray! All I had wanted all day was to know for sure that it was time to head for the hospital--a certainty which my thoroughly irregular contractions had been denying me. So we had a snack, grabbed the few things not already packed in our bag, and headed to the hospital.

Since it was late we entered through the ER. I don't think anyone there believed I was in labor ("Hi, I'm here to have a baby." "Okay, an induction?" "Um, no, I'm in labor.") but eventually we got signed in and headed up to Labor & Delivery. We got settled in our little triage cubicle, assuming we'd only be there for a few minutes before being moved to a room. Well. When the nurse came in to check me, I was only 2 cm dilated, and my cervix was still very thick. Excuse me? I've been having contractions all day and I am only at a 2? I definitely teared up. She said they would keep us for an hour and reevaluate then.

So we waited in that horrid little cubicle on that horrid little uncomfortable bed hooked up to the horrid monitors (okay, not that bad really, but I was upset). And I didn't have any contractions. So they sent us home. And you know what bugged me the most about it? That nurse wasn't even the slightest bit sympathetic! I would like to think that if I were a L&D nurse I would at least make an attempt to be sympathetic when sending home a woman who thought she was in labor. Harrumph.

And then we had to walk past the nursery to get to the elevator to leave. I lost it (quietly). Here I was, thinking I had been in labor, only 2 cm dilated, being sent home to be pregnant forever this baby is never coming out, and I had to walk past everyone else's newborns? I managed not to sob until we were safely in the elevator.

So we went home. And now I'm going to do something which I hate when I'm reading other people's birth stories, and leave you with a nice old to be continued, because #3 is yelling for a meal, and #2 is trying to help me type this, and #1 just woke up from his nap and doesn't sound too happy about it. So, to be continued... sorry...

Update: Part II!
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