Category: liam’s birth story

  • liam’s birth story : part two

    Part one

    ***

    It’s around 2:30 a.m. on January 17, I’m finally in a real L&D room, everyone is in agreement that I actually am going to have a baby pretty soon, and I am delirious with pain. My parents arrived and I had my mom push on my lower back to provide counter pressure and that was the only thing providing any kind of relief. David finally made it there too shortly after, and I was vaguely aware of his presence and comforted by it. Somewhere during this time my water broke, which was a horribly strange feeling and it sent stabbing pains through my groin and abdomen, increasing the pain everywhere. Although I had been begging for an epidural for hours, it was finally agreed to. Unfortunately the anesthesiologist had just been called to do another one about two minutes prior so I had to wait a lot longer…probably close to an hour longer. At this point I was over 7cm dilated and I just can’t express to you the level of pain I was in. Contractions were coming on top of each other. Crying made it worse, so instead I was yelling, “ow ow ow OOOOOWWWW” over and over. I am pretty sure I was also yelling things like, “I can’t do this,” “I want to die,” “I’m going to die,” etc. All I was really aware of at this point was pain.

    Eventually the anesthesiologist made it to my room but the process of putting in the epidural was probably the worst part of the entire thing. The position they put you in (sitting up with your back bowed out in a very particular way) feels impossible in itself and then you have to stay still, all the while enduring contractions. Now, I don’t know if it was because I wasn’t able to do the position right (but seriously…if they had given it to me when I had asked earlier it would’ve been MUCH better for everyone), or if the labor was already too advanced, or if the anesthesiologist just wasn’t that good (I actually don’t think he was the greatest because he did my epidural with Meredith as well, and that one failed) but I expected relief pretty quickly and it was still another thirty minutes or so before the pain lessened at all. I was still wailing away when my doctor showed up and I vaguely remember her trying to encourage me by telling me that this is what I wanted. I replied that I was happy that things were progressing, but that I never expected to feel such pain again. Eventually the epidural did kick in most of the way, but I had relief from pain during this entire delivery only for thirty minutes to an hour at most, and the epidural ended up failing early on the next day and instead was just leaking out. So, not great.

    Anyway, back to the story. After getting the epidural I was very quickly complete and ready to push. They broke the bed apart and the nurses held my legs and my doctor told me to start pushing. At this point I finally couldn’t feel anything, so it was pretty hard to push effectively. I was also practically asleep and had to force myself to stay awake. Unfortunately the baby’s heart rate started dropping right away. The nurses were pushing around on my belly to get it back up and for several rounds of pushing they were able to. My doctor told me she was going to use a vacuum instrument to try and get him out quickly. On the first try it popped off, and the second try didn’t work either, so she gave up on the vacuum. I am not sure exactly how long I pushed, but my guess is only about ten minutes or so tops. I remember saying that I couldn’t feel anything and I didn’t know if I could push him out, and my doctor telling me that only I could do it. The situation felt very intense and desperate because of baby’s heart rate, and I was aware that he had to come out quickly no matter what. Then on the next round of pushing his heart rate dropped very low and no matter what the doctor or nurses did it would not come back up.

    You guys I was so close to getting my VBAC. But instead I got a healthy baby, and he might not be here if it wasn’t for my doctor making the right call. She calmly told me that we would have to go to surgery, and then she announced to the room that it was a STAT situation. I was so out of it that I just nodded and went along for the ride, but David was terrified. Everyone in the room burst into activity. They put the bed back together and threw furniture out of the way. My call light was wrapped around the bed frame and David says it took them an agonizingly long time to disentangle it. On the way to the OR my doctor told David, “This isn’t good,” and that he wouldn’t be able to be there because they didn’t have time to scrub him in. One of the nurses came up to him and said, “We’ll take care of your wife,” but she couldn’t say the same for our baby.

    Soon I was in the OR and I remember I had taken off my wedding ring and necklace, and I was very focused on finding someone to give them to. I remember hearing the nurse doing the “time out” (a safety procedure where they double check the patient and procedure and site) and the anesthesiologist saying something to me, and then I was gone. Since it was an emergency there was no time to numb me with the epidural and instead I went under general anesthesia, so I missed the birth of my son, at 4:29 a.m., and his first few hours of life.

    But when I woke up (after I had stopped crying, because anesthesia makes me super emotional) my doctor was there assuring me that Liam was safe and healthy. Everything had turned out fine after all. I didn’t get to hear his first cry or see his brand new face or give him his first meal (he had low blood sugar and they had to give him formula) but he was still my baby boy, and he was alive and safe and healthy.

    mom and son

    Mostly I am just so thankful that we had a happy ending, but just because it could’ve been much worse doesn’t mean that I’m not still sad about the way things went. It’s a different kind of sadness, of course, but the birth experience is important and special in itself and this was not a pleasant one. Three weeks later and I still get teary thinking about it, and I still have a hard time believing the amount of pain I endured when one of my main goals was to avoid that. I still feel disoriented at how I went to a routine appointment two weeks before my due date after having worked a full day and had a baby by the next morning.

    Thankfully I do know from experience that as a child grows the birth becomes less a percentage of his or her life, and so it does decrease in importance. I’ve recovered from Meredith’s birth and I know this will pass too. Liam and I have been bonding wonderfully and although his entrance into the world was exciting, so far his personality hasn’t reflected that and I’m loving my calm little guy. :)

  • liam’s birth story : part one

    I intended to write this story all in one go, but it was such a crazy whirlwind experience (and in some ways traumatic) that I am still processing a lot of it and am quite fuzzy on some of the details. So as I work out what really happened and talk to some people about what they remember, I wanted to start writing the early parts that I am clear on while they are somewhat fresh.

    ***

    37 weeks

    The last good picture of me pregnant, at 37.5 weeks.

    It started on Thursday, January 16. I was 38 weeks pregnant exactly. I went to work like any other day, but this day I felt especially tired and achy right from the beginning. Getting through the day was a struggle, but I didn’t feel like anything was wrong; I just chalked it up to end of the week, normal pregnancy woes for someone working full-time.

    That day I had a routine doctor’s appointment. After finishing work I walked over to the clinic (it’s part of the hospital where I work). I had my vitals and urine checked and then I had to wait a long time to see the doctor so I took a nap on the examining table. When my doctor finally came in she began asking me if I was feeling okay, and if I had any vision changes or headache. She looked concerned and then told me that she thought I might be in early preeclampsia because my blood pressure was slightly elevated. Even though I didn’t have most of the symptoms, she wanted to admit me to observation for a few hours to do a workup to be safe. If everything came back normal, I could go home a little later.

    Since I was trying to VBAC I had to go into labor on my own if I wanted to be successful. If I was diagnosed positive for preeclampsia there would be no induction; it would be straight to surgery. So since I was 38 weeks which is safe for baby to deliver and I was already 3cm dilated, she stripped my membranes to help jump start labor. After that I walked over to labor & delivery and got checked into a triage room. I was fully expecting my labs to come back normal and to be released shortly.

    38 week appt

    Waiting in the doctor’s office

    While in triage, everything moved slowly since they had to register me. I had my blood pressure monitored constantly (it remained somewhat high although not critical) and my labs drawn. They started me on a 24-hour urine test so I called in sick to work for the next day. I was on the fetal monitor and baby was doing well, but I was having contractions. I couldn’t feel them really, but they were picking up. After a few hours my doctor called and said that she wasn’t comfortable sending me home because a couple of the supportive labs were high and my diastolic blood pressure was still high. She wanted to monitor my BP overnight and recheck labs in the morning. So I asked David to come up to visit with Meredith and bring me clothes, and I settled in. They came after awhile (at this time it was after 8 p.m.) and I had Meredith breastfeed because that can also induce labor. She fell asleep and David took her home. My contractions were noticeable at this point but very tolerable. I also thought they might stop, so I told David to get some rest tonight and come back in the morning. He takes nighttime medication that makes him sleepy and I told him to go ahead and take it. It was about 10:30 p.m.

    I really tried to sleep, but I soon realized that wasn’t going to happen. Contractions were getting painful. Going into this I knew that I had a higher risk of C-section and I had come to terms with that (at my hospital they do a “natural” Cesarean where you can nurse the baby right away), but I had decided that I wanted an epidural as early as possible. I wanted a pleasant birth experience and I didn’t want to feel all the pain I went through with Meredith. So as soon as the contractions got painful enough not to allow me to relax or sleep, I wanted an epidural even though I wasn’t quite 4cm dilated. I knew that it was real labor, but I guess the nurses and my doctor weren’t convinced, and they didn’t want to give it too early. I asked to try IV pain medicine at least. The pain ramped up seriously in a very short time and I found myself crying alone in my room, not knowing what to do. I wasn’t prepared for this physically or mentally; I was a ball of emotions and I couldn’t relax. I texted David around 12:15 a.m. but he couldn’t come up then because it wasn’t safe for him to drive since he had taken his medication (the hospital is about 45 minutes away from our house with no traffic). He said he would set his alarm for another hour and then be on his way. I didn’t want to be alone, so I called my mom and after I finally got ahold of her a little after 1 a.m. she and my dad were on their way shortly.

    In the meantime it took a really long time to get the pain medicine. They had to start an IV, then they were out of the medication so it had to be ordered. When it was finally delivered they found the batch to be expired, so they had to reorder it. Eventually I got it (Nubain) and took some IV Phenergan too since I was nauseated. The combination made me extremely sleepy and out of it, and it did help me relax in between contractions, but it didn’t touch the pain at all. It just kept getting worse. They finally agreed that I was seriously in labor, and decided to move me to a real L&D room. Around 2:15 a.m. David texted me that he was on his way. My responses to him were a gibberish of autocorrect because I was so out of it with pain and drowsiness.

    Continue with part two here.