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In the OR, I got my third epidural. Well, sort of. The first two failed but I didn’t have to get it placed a third time, thankfully. It felt like a bandaid covering half my back had been ripped off when I had the first removed. I was happy to not go through that again. For the third try, they moved the catheter around to see if repositioning it would make the distribution more even and then hooked me up to a stronger drug. Relying on that after two failed attempts was terrifying. I imagined them cutting, and feeling it all. I expressed my concerns to the anesthesiologists (there were two for some reason) and they did multiple tests to show me how little I could feel and assured me all would be fine.

At 2am Monday morning, surgery started. The baby’s head was stuck in the birth canal. They had to make the incision longer and lower than they normally would. One doctor reached into the birth canal and pushed the baby’s head up while another doctor pulled the baby out through my uterus.

Shortly before they pulled the baby out, my third epidural failed and I regained feeling. I could feel them pushing and pulling the baby out and then moving and checking my organs – not the pushing, pulling, and pressure they told me I would feel. I felt a full range of sensations and pain but I was hallucinating and dissociated and couldn’t fully express what was happening. As soon as the cord was cut, I was given fentanyl and morphine but before they kicked in, I felt every stitch as they started sewing me up.

By the time the baby was out, I was uncontrollably shaking and disoriented. The Daddy and I had agreed that if we had to do a c-section, he’d go with the baby and do skin-to-skin while I was sewn up. I needed him though, so he stayed and the baby was taken away. I still feel guilty about the time she was away from both of her parents so early in her life. I feel fortunate that he was able to carry her over to me first. It wasn’t the moment we anticipated but we had our first moment as a family. The Daddy told me all about her as I looked on – her full head of hair and big, alert blue eyes darting around the room. I’m glad that he did – I was too disoriented to focus on those things myself. I wasn’t even aware that she’d been born. Without him there taking me through the experience, I would have completely missed seeing my newborn baby in front of me.

Our daughter was born at 2:28am on July 2nd. After all of the worry she caused during labor, she came out looking like nothing had ever happened. The doctors don’t know why she was having so much trouble. They suspect it might have been a cord issue – she had some red marks that made it look like she’d been wrapped in her cord kind of like a seat belt. The doctor thinks her cord may have been pulling back on her and tightening on every push. Since my water broke, there was no cushion and she may have pressed on it when I changed positions.

Now that I know her inside and outside of the womb, I think it’s simply a matter of her being a sensitive little person. She got hiccups when I drank cold water. She hated ultrasounds and dopplers and would spend exams squirming away, making it difficult to get her heart rate or get pictures needed for screening. She squirmed and kicked at loud noises. Now that she’s out, she always wants to be held and cuddled and is constantly alert to light and noise. She has busy little eyes and busy little hands, exploring the world around her. She’s my sensitive little girl, inside and out, and that made labor difficult for her. Ultimately the physical part of birth was about her, not me, and she taught me that in a very dramatic way.

Long story short: I had a baby, she is great, and now we’re home. Now on to the recovery.

I need to preface this by saying it might not be 100% accurate. It’s all a blur. There are parts I don’t remember because of trauma, exhaustion, or drugs. I’m breaking the story down into three parts: home, delivery room, and surgery.

The one thing we heard over and over again in childbirth classes was how boring childbirth was compared to birth in the movies – there are no big gushes of water, no screaming, no mad rushes to the hospital, no alarms going off…

Ha.

My water broke with a gush just before midnight on June 29th. I was almost asleep when I felt a pop. I stood up and found a puddle at my feet. I waddled to the bathroom, pants soaked to my toes, leaving a trail behind me which my cat licked up. Cats are disgusting. After waking The Daddy, hugging each other excitedly (“this is it!”), and cleaning up, I had two hours of rest before regular contractions started.

We labored at home for over 30 hours. The first 26 or so were amazing. The Daddy filled the birth pool, we called our birth team, everyone was excited! The house was full of love and anticipation. We talked, laughed, ordered pizza, and when I had difficult contractions, the mood effortlessly  switched to calm and supportive. My doula and midwife joked that I was like the women in the birth videos and that I made it look easy. I felt proud and empowered. At one point, I sneezed at the peak of a contraction. It was excruciating – I pulled a muscle and my side spasmed during contractions for hours – but we laughed, because really, sneezing during a contraction is kind of absurd.

In the final hours, we were shaken. I was passing out in the pool between contractions. My cervix stalled at six centimeters for what felt like hours (it may have been; I don’t know) and there were stretches of time when contractions were three on top of each other with a thirty second break and then three more. They went from having a slow climb with one peak to happening quickly with two peaks – one hard slam in my rectum followed by one stab to my cervix a few seconds later. My cervix swelled. My midwife massaged it during contractions to break up the scar tissue that neither of us knew I’d had. Breathing through contractions didn’t work for that level of pain. The only relief was screaming – LOUD – like I was being attacked. The faces around me started to change; even through the pain and altered state, I saw it and tried to reassure them during the brief moments between contractions that it was ok, that screaming helped me through. Blood sprayed on the walls and dresser. Things were wrong and that was starting to sink in.

Baby had enough. Her heart rate dropped drastically when I changed to the one position that made labor bearable and took pressure off of my cervix. My midwife said the words I didn’t know I’d been waiting to hear: “You know we don’t have to stay here.”

Labor started at 11:45 Friday evening. At 6am Sunday morning, we transferred to the hospital. The Daddy and our doula packed a bag, I got dressed between contractions. Our midwife’s assistant, who’d been absent until that moment, helped pack their supplies and stayed at the house to get the bedroom in order for our eventual return home. Our midwife tried to keep things calm as urgency and anxiety grew with the realization that things were about to change.

I decided only the midwife would come with us. She needed to hand over our prenatal and labor records but what I really wanted was to be alone in a room with The Daddy and a doctor so it all could be over. My birth team was great – I loved what they all had to offer us at home – but things were changing and I was having trouble grasping that change. Divorcing myself from the hours at home felt necessary. Nonetheless, getting into the car and leaving half of the birth team behind to be replaced with doctors and nurses was hard.

The drive to the hospital was surreal. It was still dark as we raced to the hospital in the fog, hazard lights on, sailing past traffic lights and stop signs. We made it there safely and in record time, and we began phase two…

It’s been a little over a month. A lot has happened since then.

We’ve gone from this:

9-month belly

 

…to this:

Timing contractions during our planned home birth

…to this.

Cesarean Section

After a 50-hour labor followed by a 2-hour cesarean section, we have a beautiful and healthy baby girl. I’m still recovering physically and emotionally. The labor process was not what we had expected at all, though I suppose it never really is. I hope to update more in the future – I’d like to do a couple of posts about the labor and delivery process, the aftermath, and a post about getting and being pregnant with PCOS. It’s hard though, juggling being a new mother and a patient, so it’ll probably be awhile.