Birth Story, Part 2

Part 1 is here.

10:00 am

We met Dr. V, and I knew her.  In fact, as she stood beside my bed, I looked at her intently, trying to remember where we’d met.  She introduced herself to Archer and me, and then she gave me a quizzical look and asked why I looked so puzzled.  I said, “We’ve met before.”  To which she said, “It’s possible, but I’m very bad with faces.”  Suddenly I knew where we’d met, so I asked, “Do you know J?  She’s my good friend.”  Dr. V said, “Yes, we’re quite good friends as well.”  Then I said, “I think we met at her daughter’s birthday party over a year ago.”  Her face lit up.  She said, “Yes, I remember.  You have two little boys, and we talked about schools.”  We continued to chat as she examined me, and I was more comfortable with her since I knew her a bit.  She had also been J’s doctor and knowing how much J had liked her put me even more at ease.

During the exam, the baby moved again, and Dr. V was unable to get his heartbeat.  She became a bit concerned and decided to put in an internal monitor.  While she was trying to get the monitor on the baby’s head, she inadvertently broke the rest of my bag of waters.  It seems that L had not fully punctured it.  As the amniotic fluid literally poured out of me, Dr. V joked that I was going to ruin her new shoes that she had purchased during her recent trip to Europe. 

At that point, I was still only 3 centimeters dilated, and Dr. V asked me what sort of birth I wanted.  I said that I wanted as few interventions as possible.  She also asked about my previous labors, and after learning how fast both Wild Man and Bear and been born and that Wild Man had been induced by only breaking my water, she said, “I want to give it a bit before we run the oxytocin.  I’ll check back in about 90 minutes, and if you haven’t progressed at that point, we’ll talk some more.”

So for the next 90 minutes or so, I got up as I wanted to and moved around a bit, but mostly I stayed in bed, trying to rest.  Archer and I chatted with my nurse, as L moved between my room and her other patient’s room.  Around 11:45, L asked me if I would mind if she went home to shower; she’d been at a birth the day before and had gone home to sleep that evening, without showering.  I said, “I’m still only having contractions every 15 minutes, so sure, please go shower.”  At that point, the contractions were becoming more uncomfortable, but they were still not painful.  I figured that L had plenty of time to go home and shower.

12:30 pm

My nurse studied the printout of my contractions and noticed that they were getting a bit closer together, about every 12 minutes.  As we were talking about this, I had a strong contraction, and the baby’s heart rate dropped to 80, and it stayed down.  After a minute, a crowd of people came into my room—2 NICU nurses, 1 other nurse, and 3 residents.  My nurse was standing right next to me, and Archer was holding my hand.  The head resident (he’d only introduced himself by saying, “I’m the head resident”) pulled on surgical gloves and declared, “I need to check you.”  I rolled over, and without as much as asking my name, he proceeded to check my cervix.  Now, I have an oddly positioned cervix.  If this resident had taken a moment to read my chart, to talk to my nurse, or to ask me anything, he would have learned this.  But he didn’t.  Instead, he proceeded to check my cervix as though he was digging to China.  It hurt—a lot.  He also started another contraction.  My nurse, looking aghast, said, “She’s not medicated.”  Knowing he needed to see if labor was progressing and if the internal monitor on the baby had moved, I gritted my teeth and let him check.  But when he said, “Her cervix is really high and posterior; I can’t seem to get to it,” I quietly said, “Take your hand out of my body.  We need to wait for Dr. V.”  He was clearly embarrassed, but he moved away from me.  By this point, the baby’s heart rate had come back up, but Archer said quietly, “M, it stayed down for 3 minutes.”  I sighed heavily, as I knew what that might mean.

Dr. V arrived at that point and started asking questions.  She said, “Has she been checked?” My nurse said, “She asked to wait for you.”  So Dr. V checked me.  The internal monitor was still in place, and she said I was now 5 centimeters dilated.  We then had the C-Section discussion.  It went like this:

Dr. V: “If the baby’s heart rate drops again like that, we will have no choice but to get him out as quickly as possible.  I will have to perform an emergency C-section.”

Archer: “Since M has not had an epidural, what will happen with anesthesia?”

Dr. V: “We will try to get her an epidural, but if it is a true emergency, we will have to put her under completely as it is faster.”

M: “I don’t want a C-Section, but I obviously want the baby to be safe.”

She then asked me why I didn’t want the resident to check me, asking if it was “because he is male or because of his technique?”

M: “It was his technique.”

Dr. V: “I see.  I need you to understand that I’m in charge of the entire floor.  I cannot always get here immediately, but the resident can.  If he can’t check you, that slows things down and doesn’t let us see how the baby is doing.”

M: “Yes, I understand that.”

Dr. V: “Plus, this is a teaching hospital, and he has to learn how to do it properly.”

M: “Yes, I’m teacher, so I understand that as well.  He doesn’t, however, have to learn on me.”

Dr. V looked a bit surprised and told me she’d be back in an hour to check on me, reassuring me that she could see my monitors at the main desk.

1:00 pm

My midwife returned from showering and getting some lunch.  My nurse updated her, and she apologized for not being there. 

1:15 pm

My contractions started coming a bit faster, about every 8 to 10 minutes, and they were getting stronger.  I also experienced a lot more back pain.

1:45 pm

By this time, I was in active labor, with contractions every 4 to 5 minutes, lasting for 2 minutes, and I was in back labor.  At some point, the baby had turned, and the pain was excruciating.  I was hooked up to 3 different monitors, and every single time I moved, the baby’s heart rate fluctuated, so just as I did with Wild Man, I labored lying on my left side.  My midwife applied lots of pressure to my hips with every contraction, and Archer did the same on my lower back.  This helped some, making the pain manageable.  I have to admit though I was less than pleasant.  After my conversation with Dr. V, I had decided I was going to have a C-section; this was my way of preparing for that.  On some level, I figured I was going to need the epidural anyway so managing the pain became much more difficult for me. 

2:30 pm

I had an overwhelming desire to push, and I told everyone so.  My nurse called the resident back in, but this time a female resident came to check, and she was much more pleasant than the male resident.  She checked me, and said, “I’m sorry, you’re only 7.  You can’t push yet.”

After she left, my midwife leaned over and whispered, “If you feel the need to push, do it gently.”  So when I felt the need to push, I did.  I continued laboring with her help and Archer continued encouraging me, despite me telling him that I really, really wanted the epidural.

3:05 pm

I again said, “I need to push now.”  So again, everyone came back in, and the resident said, “Yep, she’s fully dilated; let’s get set up.” So the nurses began setting up, and I pushed with L and Archer’s help.  Dr. V walked in and said, “Why isn’t the table set up?”  The nurses couldn’t get my bed broken down to set up the stirrups, and in the meant time, I was still trying to push.  The bed was finally together, and my legs were forcibly put in the stirrups—I hate stirrups.  The resident kept telling me not to push, and I ignored her.  Dr. V looked at me and said, “We need to make sure the baby is in the right position, so stop pushing or you will hurt yourself and the baby.”  So I managed not to push.  Then the baby’s heart rate dropped to 60, and the resident said to me, “M, we’ve got to get your baby out now. Push as hard as you can.”  I wanted to say, “Gee, that’s what I’ve been trying to do for the last 10 minutes.”  So I pushed, and 5 minutes later, George was born.  The NICU nurses wanted to take him right away, but Dr. V quickly determined he was doing well.  She insisted that Archer cut the cord (in fact, she gave him no choice in the matter, which I loved as he hadn’t cut Wild Man or Bear’s cords) and that I be allowed to hold George for a few minutes.  The nurses then took him to the warmer and checked his heart rate and breathing.  He was doing so well that he was back with me in about 10 minutes.  While the resident gave me two stitches (without a local; she reasoned that I’d need 6 “pokes” with stitches and a local but only 4 “pokes” for the two stitches.  I said, “They aren’t exactly ‘pokes,’ but fine.”), Archer and I debated names.  We chose one that hadn’t been in the running long, but that really seemed to fit the baby.  We then had a brief conversation with Dr. V, and she returned me to my midwife’s care. 

In the end, after 15+ hours at the hospital and about 2 hours of active labor, George was born on July 24^th at 3:20 pm, weighing 7 lbs 5 oz and measuring 20 inches long.