My Birth Story

 I wrote this back in August 2012, so some stuff is out of date (like my son is obviously no longer 10 months old lol) but everything else still applies.


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On September 24, which was a Saturday, I woke up to pee for the 8,956th time overnight at about 4am, and noticed I was leaking a little bit. I had been leaking randomly, contracting randomly, etc for weeks (TMI, sorry) so I paid it no mind and went back to bed.

At about noon, we were getting ready to head out to my parents house because Hubs had promised my little brother a driving lesson, when I got a really sharp pain that seemed to envelope my entire abdomen. That wouldn't have been a big deal, since I was used to random evil pains at this point, except this pain lasted 30 minutes straight. I was crying by the time it was over. I decided we should stop in at the hospital before we went to my parents, if only so they could assure me I was having my 48th false alarm before we went on with our day.

Lo and behold, my water was broken. Well, not broken. "Ruptured". Trickling.

And I was dilated a whole 1/2 cm.

I was immediately super excited and terrified, though excited won out in spades. We called our parents, and of course EVERYONE came over right away.

I was admitted, and put on an external monitor. The pain was pretty bad, to the point that my dad had to get up and leave because he couldn't stand to see me like that. I was checked a couple of times, and I remember thinking I was going to die during the cervical checks. Literally. I was making my peace because I was certain the pain of those checks was going to throw me into shock and my heart was going to suddenly stop beating. The labor was nothing compared to those checks.

I wasn't progressing, so at about 7:30pm (having been in labor for over 15 hours at this point), the nurses inserted something called Cervadil in "there", after much resistance from me (I wanted ZERO intervention if at all possible, and EVERYTHING the nurses suggested was met with resistance, FYI). It was basically a piece of paper with hormones in it meant to help my cervix dilate (open) and efface (thin out) over 12 hours. I was told to get some rest (yeah right) because tomorrow, I would be able to start pushing and I needed to conserve as much strength and energy as possible.

When I woke up the next morning (I say "woke up" loosely, I didn't sleep much thanks to the damned blood pressure cuff trying to murder me every hour and the random nurses walking in and out of the room to adjust the monitor). I was checked again, and I was only 1cm dilated. 12 hours of Cervadil got me a whole 1/2cm. I was told that I had to get on Pitocin, regardless of my protests, because it had been over 24 hours since my labor started and I had to help the baby (ha!) in order to avoid a c-section, which is my absolute greatest fear. So in goes the Pitocin.

I tried to nap since I slept so crap the night before, but I was woken from my nap to a nurse half yelling at me that I needed an internal monitor because they lost the baby on the external. BEGIN PANIC. I was terrified not only of the monitor, but the fact that THEY were so panicked about the baby. The contraption was so painful and uncomfortable, imagine a huge long spatula IN YOU then laying on your thigh. That's
how big this thing was (Bu STILL has a scar on his head from the monitor, btw, and he's 10 months old now). They finished rupturing my bag of waters to put it in, and the party really got going.

I had more cervical checks. I have to say, now almost a year postpartum, I don't remember what the pain of the labor OR the checks felt like, but I remember the screaming. I remember hearing myself scream and being so delirious that I was sure it must have been someone else because I couldn't even scream like that. It's incredible the things the mind remembers (and forgets) in order to protect oneself.

At some point in the late morning/early afternoon of September 25, I had some sort of epiphany. I said to myself "you're scared, and you're letting the pain take you over. You need to take over the pain, or you'll never get through this. Do it for the baby." So I started breathing. Mind you, I never took a single labor class (maybe I should have), so I had no basis for what to do. I just did it. Every time I felt the wave about to hit me, I barged into it instead of fighting it. I spread my hands in front of me, requested that no one touch me, and I just breathed. I was deep in concentration, and I hadn't realized that the contractions had more than tripled in strength according to the monitor.

I started to really feel like I was kicking this labor's butt! I felt strong and powerful. 38 hours into the labor, I was checked again, and I was so thankful to hear that I was now 3cm dilated and completely effaced! It was working! It was slow going, but it was working! I was on the right track! And still no pain meds! I would meet my baby soon, and he would be alert and recognize his momma immediately and everything would be perfect. I asked the
nurses how much worse I could expect the contractions to get, and they told me that based on what they saw on the monitor, I was having transition-like strength contractions already. My body was ready for delivery with the exception of my cervix (a pretty important bit LOL) so I shouldn't feel much worse at all.

I felt a second wind come over me! It wouldn't get much worse than this, and I was making progress! I was Wonder Woman! I just kept breathing, with my husband, mother, and grandmother in awe that I was doing so well considering the wreck I'd been for so many hours prior. I got a new nurse (my 4th or 5th, I believe) who was schooled in natural deliveries and minimal interventions. I felt this was fate encouraging me and I knew I was doing better than anyone expected, so I was relieved and ready to fight.

At 44 hours, I had another cervical check. I hadn't moved one centimeter. Not even half a centimeter. In 6 HOURS. The 6 hours where I was feeling like this labor was my bitch. I felt so defeated. As if that wasn't bad enough, my doctor walked in (the doctor, by the way, was second to last on the list-of-doctors-I-hope-will-deliver-me because she always seemed so clueless and incompetent during my office visits with her. The only doctor UNDER her in the list was a fat-phobic asshole who was an absolute nightmare both as a person and a doctor) and let me know that she'd waited long enough and I needed to have a c-section. I threw up.

A nurse came in and tried to put me in different positions (I had labored sitting the whole time because I couldn't take being on my back), but I was already defeated. I felt like the hospital was just toying with me now, to teach me a lesson (I was delirious, ok?). I was already doomed to a c-section, what could I possibly do in the next hour
that I hadn't already done for over 40 that would allow me a vaginal birth?

I barfed again on the way to the operating room. All over my cute custom delivery gown. I remained in that gown for the delivery, FYI. So I was covered in barf when my son was born. Cute.

I was shaking and crying the whole way to the operating room, and telling literally EVERY SINGLE PERSON I came in contact with that I was "SO SCARED". Some people tried to reassure me, others ignored me because they had work to do (probably for the best), but I promise not ONE person in that operating room was spared an "I'm so scared! ::SOB::" and there are a LOT of people in an OR for a c-section. They gave me a spinal (so I ended up with an epidural anyway) and I immediately felt my toes go numb, which scared the hell out of me (even more). I realized I could not move my toes, and I started uncontrollably shaking. I'm talking have-to-be-held-down, violent shakes. My husband was allowed into the room and he sat next to me while they did their thing. I heard the baby cry, and the doctor say "It's a boy!".

My first thought? "I know."

Ugh, I was so out of my mind.

Then I saw him. And I cried. My husband turned to me and said "It's our little boy!"

And I vomited. On his bare foot. Never wear flip-flops into an OR, people.

I know looking back I was really lucky that I got that doctor because she was a bit of a pushover, and every time I argued that I wanted another hour, and another and another, to see if I could do this naturally, she allowed it until the last possible moment. If I had gotten either of the 2 doctors I was hoping for, I would have been on the operating table just hours after being admitted, not days. It can be argued that I ended up on the operating table anyway, but it was MY CHOICE to have such a long labor, and she allowed me that choice. I couldn't be more grateful to her for that.

And so, the absolute light of my life and reason for being came into this world 3 days after I entered the hospital, after 46 hours of unmedicated labor.  It's definitely a story, and an extraordinary experience. And believe it or not, I wouldn't have had it any other way.


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My Thoughts as a Pregnant Woman about Forgiving Myself

This is a post I wrote on the blog I was keeping throughout my pregnancy...little did I know that less 24 hours later, I would be admitted to the hospital and induced into labor...another story for another day. But this post is an example of how sometimes in pregnancy, like in any other aspect of life, things may not go how you plan and you have to accept that it's not always your fault, especially if you know and do your best.

 

Maybe not an epiphany, but…

…definitely a tough realization. I had “it” last night while talking to my sister…it was one of those things where you talk and talk so much that eventually something profound pops out of your mouth without even thinking about it.

I was explaining to my sister all the reasons why I want a completely unmedicated birth (in no particular order):
1) I want to avoid the slippery slope of unnecessary interventions. For example, if you are induced and they start you on Pitocin, your body is forced to labor before it is ready, which leads to much stronger and more painful contractions than you might have actually had if you had avoided the drugs. Now that the pain is SO strong, you feel like you need an Epidural, so you get one. the thing about an epidural (or any pain medication) is that it slows down your contractions, and before you know it, you’re being given MORE pitocin because you’ve plateaued or slowed down more than the hospital would like. The pain is back full force, so you get more pain medication. Lo and behold, the doctor walks in and tells you that the baby’s heartbeat has slowed/risen/become erratic, etc. and now you need an emergency c-section. What they won’t tell you is that the heartbeat got like that because the baby couldn’t handle the constant changes in the uterus due to the medications.  Now your baby is in danger and you need emergency surgery just because of one intervention that didn’t even need to happen.
2) It’s safer for the baby to labor naturally, not just because of the reasons I listed above, but because every medication you could be given (and there are LOTS of kinds, not just pitocin or an epidural) can leave your baby in a stupor for hours, even days after birth. I would rather bond with a baby that is more alert than know he has no clue who I am because I made sure he was born zonked out.
3) the most important reason in my gut is that I VALUE the hard work and dedication it takes to give birth naturally. I don’t know if it’s this city and it’s “get in, get out, get on with life” superficiality, or what…but there is ZERO support here for mothers that want to go natural. You’re likelier to be told you’re insane for trying (even by other moms) than receive any sort of support. There’s no natural-method birthing classes in the entire county, insurance doesn’t cover midwives (if you can FIND one), there’s no resources on cloth diapering or baby wearing…even breast-feeding past 3 months is weird and taboo here. I’ve spoken to two OBs and even hospital staff regarding my wishes for a natural birth, and every SINGLE time, I was answered that all my requests would depend on what drug(s) I was on at that particular stage of labor. So literally EVERY person I spoke to regarding my birth assumed that I would have some sort of drugs at some point of the labor, even when I had prefaced the conversation with “I want a natural birth, so…”

 I mentioned that earlier this week, I had a breakdown because I was so frustrated with the anxiety of the upcoming birth and not being able to plan for everything because every time I spoke to someone else about my birth plan, I was told at least a couple more things I could not count on having. While I was talking to my sister, I realized that my problem was the planning. I desperately want a natural, drug-free birth, but the fact is that all the books I’ve read on the topic and all the videos I’ve watched to prepare all assume that I will be among supportive people in an environment suitable for natural labor and delivery.

I am not. And I will not. And as much as I blame myself for that, it is unreasonable to because there’s nothing I can do about it.

The hospital requires continuous fetal monitoring. They don’t have wireless OR waterproof monitors. This means that once I am admitted to the hospital, I will literally be strapped to a bed in one position until I have the baby. In my original birth plan, I wanted to labor in a tub, or at least in a shower because I’ve found throughout the pregnancy that all my pains can be eased substantially with warm water. Well, there ARE no tubs, and I am not ALLOWED to shower until after the baby is out, “considering whatever drugs you’re on have worn off at that point”. Why? “Hospital rules.” That’s it. I’ve not once been given a legit medical reason why I can’t do X, Y, Z…all I get is “it’s hospital policy and they’re not flexible” which is basically they’re way of saying “don’t try to fight us on this, you’re going to lose.” In fact, I was even told by one of the doctors that if I want to labor in the shower, I better “stay at home as long as possible”. Hmm.

Because the hospital requires continuous monitoring, I am also not allowed to walk, squat, or otherwise change position at all because I cannot take the monitor off. Every resource I’ve come across says that changing positions can be the difference between tolerable and intolerable contractions, and that laying on your back is the absolute WORST and most PAINFUL way to labor. Well, that’s apparently the only choice I have.

I’ve been mentally preparing for the fact that labor is going to be hard and painful and will require a LOT of determination on my part, but that’s considering that I’d have the ability to labor in a way that would encourage or facilitate what I want/need. In my current situation, I’m fighting an uphill battle because I’m putting pressure on myself to do something that’s ALREADY so difficult, PLUS I have the hospital policy pushing back at me. It’s an uphill battle at best.

So what conclusion did I come to?

I cannot plan. I should not worry. I am as prepared as I can be, but I do not know what to expect, and I shouldn’t expect anything because it will only lead to disappointment if/when things don’t go the way I thought they would.

So I am still going to do my best to cope with the pain naturally using the techniques that I have been focusing on for months. But I am also trying to come to peace with the fact that I might feel I need pain medication, and that I shouldn’t hate myself or feel disappointed if I go that path. As it is right now, I know I will feel like an absolute failure if I opt for pain medication, but I realize I need to cut myself some slack because the hospital is literally making everything as backwards to what I need as they can, and there’s nothing I can do about that.

As soon as I said out loud to my sister that I should try to forgive myself in advance in case I DO opt for pain medications, a calm came over me. As long as Bu gets here healthy, I should focus on that and not HOW he got here, though I do still feel it’s so important to do my best and go natural for the both of us. I’m not 100% ok with being this flexible yet, but I can’t  regret something I haven’t even done yet, and if I DO do it, I can only use it as a learning experience for next time.

And by next time, I mean I am NEVER setting foot in an OB or hospital again when it comes to having children. I must find support for a more natural path here, otherwise I foresee all of Bu’s future siblings being born outside this city. This pregnancy has made so many beautiful things in my life, but it has also made me deeply dislike this city and it’s attitude, and I’d love nothing more than to give my children a chance to live AWAY from it and it’s influence.

Guest Post - "Cesarean SOLELY Due to Breech"

 In 2009, I was pregnant with my first daughter. It was a very uneventful pregnancy even though I gained about 50lbs during the 9 months making me 300lbs at the time of birth. She was head down from somewhere around 35 weeks till 42 and I was starting to dilate and efface. I went in to my 42 week OB appointment at which they did a U/S to check on the baby. Turned out she was had flipped to breech at 42 weeks.

It all happened so fast in the office, after they found out she was breech they wouldn't check me at all because suddenly now my only option was a c-section. The OB brought us into his office to talk about it and told me I was going to have a c-section because I was 42 weeks and she was breech, if she hadn't been breech they would have let me be. I started crying right there, I hadn't ever thought I would be having a c-section... I had a textbook perfect pregnancy and she had been head down!

I asked if there was anything we could do and I was told no. He told me to stop crying because I was crying for no reason at all but that didn't help, I knew this was a major surgery. I remember my husband commenting after we got out of there that he wanted to punch the OB because of how he was acting. He was very rude and made me feel stupid for crying when they told me I had to have a major abdominal surgery I had not been expecting. I cried off and on for the next two days, I was scared because I'd never had a surgery in my life and now I had to have this one. I had been looking forward to going into labor so I could meet my sweet little girl but now I was dreading giving birth.

When I showed up for the c-section they put me on monitors, checked that she was still breech and told me I was having contractions I just couldn't feel them yet. I was crying a little bit when she was born, I hadn't wanted it this way but she was healthy and I was going to be ok so I thought maybe that was all that mattered right then. I didn't find out about ECV (external cephalic version), spinningbabies.com or that I could have just not gone to the c-section because they can not do anything without your consent until after my surgery. I was so angry when I found out there had indeed been stuff I could have tried to turn her back to breech and avoided that surgery. I was angry that I never got to experience labor, I was angry at myself for having not switched OBs like I had thought about earlier in the pregnancy and vowed to never let myself be talked into another c-section.

I had learned that I couldn't just rely on the word of the people I was seeing, I had to research for myself these things and stand up for what I wanted so in 2013 I gave birth again this time vaginally because I had this previous experience my next one went exactly how I wanted. I didn't let anyone stand in my way, even went so far as not having a OB from 26weeks to 34weeks because the first OB tried to schedule me for a c-section at 40+3 days and I knew because of my older daughter that I likely wouldn't be going into labor till 42 weeks. I did what I had to to find someone who would support me properly so now I try to help other women out there by giving them the knowledge I didn't have during my first pregnancy to prevent them from having unnecessary c-sections.

Felicia is a mother of two little girls living in the Midwest.

Factors for VBAC success, Part 1/2

In this post, I will discuss why each of the following factors are important in VBAC success:

*reasons for previous c-sections
*arriving at the hospital as late into labor as possible
*not having continuous fetal monitoring
*epidural as late as possible into the labor, if at all
*no induction or acceleration
*previous vaginal birth

*Reasons for previous cesareans
If previous cesareans happened because of something unlikely to reoccur, like the baby being breech (which is a whole other topic, and I will be featuring both facts on breech babies and a couple of guest post on the topic next month), you have a pretty good chance of a successful VBAC. Something like CPD (a medical condition where one's pelvis is actually too small to allow a baby to pass) can make a VBAC more difficult, but it is still not impossible. According to The VBAC Handbook, as many as 2/3 of women with CPD that attempt VBACs are successful!

*Arriving at the hospital as late into labor as possible
The reason for this is simple. The longer you labor at home, the less opportunity the hospital/doctors/nurses have to "help" you with a cascade of interventions that could just lead to a RCS.

*Not having continuous fetal monitoring
Continuous monitoring restricts your mobility, which is a huge problem because being able to move around in labor is a necessity to help labor progress. You might also experience more pain/discomfort constantly laying on your back because you're stuck in bed, hooked up to a monitor. 15 minutes an hour is more than sufficient to give care providers an idea of how baby is doing, and then momma can focus the other 45 minutes of the hour on LABORING how she's most comfortable. Another reason to avoid monitoring if you can help it is that results are often misread, which leads to more cesareans unnecessarily.

*Epidural as late as possible into the labor, if at all
Epidurals usually require continuous fetal monitoring so that the laboring moms lowered blood pressure (a side effect of the epidural) can be checked regularly, along with it's effect on the baby. Because you don't want CFM (see above), you should wait as late as you can to get the epidural, if you get one at all. Epidurals have also been shown to stall labor.

*No induction or acceleration
Any sort of induction or acceleration of labor, including artificial rupture of membranes (AROM, or having your water broken) can raise the risk of the previous cesarean scar "unzipping". Some doctors might want to administer pitocin once a labor really gets going to speed things up, but be aware of the risks before you consent to ANY sort of augmentation!!!

*Previous vaginal birth
If you have had a vaginal birth before your cesarean, you are likelier to have a successful VBAC. You are also likelier to have a successful VBAC if you've already had a VBAC! Crazy, huh? ;) Not much help for mommas like me, that had an unnecesarean right out of the gate, but perhaps good news for other mommas out there!


The next post will finish up the list of factors and the reasons behind them. I'd love to hear your thoughts on the list so far!

My Birth Plan Revisited

 Originally posted in 2011 at Plus Size Preggo

 Spoke to an OB at my practice yesterday (they rotate so you get to know everyone), and I was pretty disappointed with what I was told about my birth plan, even PO’ed at one point…As I told my sister, who came to the appointment with me: “Unless something magical happens during birth that makes me want to blow everyone in that hospital, I am NOT going to do a hospital birth with the next baby!” (Blunt but true story LOL)



* I’d like the following people to be present during labor and/or birth: My husband, my sister, and my mother. “OK”

* I’d like to wear my own clothes during labor and delivery. "OK, but you probably won’t want to"

* I’d like to take pictures and/or video during labor and delivery. “Only allowed BEFORE labor, AFTER birth and NOT during newborn tests”

* I’d like the option of returning home if I’m not in active labor. "OK"
* Once I’m admitted, I’d like my partner to be allowed to stay with me at all times. "OK"

* Once I’m admitted, I’d like to eat if I wish to. "Not going to happen"

* Once I’m admitted, I’d like to try to stay hydrated by drinking clear fluids instead of having an IV. "Not going to happen, either"

* Once I’m admitted, I’d like to walk and move around as I choose. “You’ll be strapped to a monitor so you can walk as long as you’re not far from the edge of the bed” read: NO.

* As long as the baby and I are doing fine, I’d like to have intermittent rather than continuous electronic fetal monitoring. "We can do it, but it’d be a nuisance." read: "Not going to happen"

* As long as the baby and I are doing fine, I’d like to be allowed to progress free of stringent time limits and have my labor augmented only if necessary. "OK"

* If available, I’d like to try a birthing ball, birthing stool, squatting bar, and/or a birthing tub/pool. “What are these things?” I WISH I was kidding.

* I’d like to try the following pain-management techniques: bath/shower, hot/cold therapy, massage. "No bathing or showering, stay home and do that until you MUST come to the hospital"
* Please don’t offer me pain medication. I’ll request it if I need it. "Make sure you tell them that at the hospital" I thought that’s what the point of THIS was?

* If I decide I want medicinal pain relief, I’d prefer regional analgesia (an epidural and/or spinal block). "OK"

* When it’s time to push, I’d like to be coached on when to push and for how long. "OK"

* I’d like to try the following positions for pushing (and birth): semi-reclining, squatting, hands and knees, whatever feels right at the time… "We’re not equipped for that" read: "Not going to happen"

* During delivery, I’d like to give birth without an episiotomy. Again, “Make sure you tell them that”. Um, will do.

* After birth, I’d like to hold my baby right away, putting off any procedures that aren’t urgent. "OK"

* After birth, I’d like to breastfeed as soon as possible. "OK"

* After birth, I’d like not to get oxytocin (Pitocin) after I deliver the placenta unless it’s necessary. This is where I got pissed. "Well, we will do that so you don’t bleed. I mean, you’re going to bleed anyway…but we’re physicians. This is what we do." Uh-huh. So basically, fuck yourself. We’re medicating you one way or the other.

* After birth, I’d like my partner to cut the umbilical cord. "OK"

* If I have a c-section, I’d like my partner present at all times during the operation. "OK"
 
* If I have a c-section, I’d like the baby to be given to my partner as soon as he’s dried, if appropriate. "OK"

* If I have a c-section, I’d like to breastfeed my baby in the recovery room. "OK"

* I’m planning to bank cord blood privately. "OK"

* After delivery, I’d like all newborn procedures to take place in my presence. "OK"

* After delivery, I’d like my partner to stay with the baby at all times if I can’t be there. "OK"

* I’d like 24-hour rooming-in with my baby. "After the birth, ALL babies go to the nursery for a bit, but then he’s all yours" I almost clawed at her face when she said that. I’m going to fight this one.

* I plan to breastfeed EXCLUSIVELY. "OK"

* Do not offer my baby: formula, sugar water, a pacifier. "OK"

* I do NOT want my baby circumcised. "OK"

* I’d like to wait and see how I feel before deciding about the timing of hospital discharge. "OK"



So I reiterate…I knew I’d be disappointed because I was expecting too much from a hospital, but for the most part, I expected this. Next go round, once I know I can successfully have a birth without complications, it’s birthing center all the way!!!

My Birth Plan

 Originally posted in 2011 at Plus Size Preggo


* I’d like the following people to be present during labor and/or birth: My husband, my sister, and my mother.

* I’d like to wear my own clothes during labor and delivery.

* I’d like to take pictures and/or video during labor and delivery.

* I’d like the option of returning home if I’m not in active labor.

* Once I’m admitted, I’d like my partner to be allowed to stay with me at all times.

* Once I’m admitted, I’d like to eat if I wish to.

* Once I’m admitted, I’d like to try to stay hydrated by drinking clear fluids instead of having an IV.

* Once I’m admitted, I’d like to walk and move around as I choose.

* As long as the baby and I are doing fine, I’d like to have intermittent rather than continuous electronic fetal monitoring.

* As long as the baby and I are doing fine, I’d like to be allowed to progress free of stringent time limits and have my labor augmented only if necessary.

* If available, I’d like to try a birthing ball, birthing stool, squatting bar, and/or a birthing tub/pool.

* I’d like to try the following pain-management techniques: bath/shower, hot/cold therapy, massage.

* Please don’t offer me pain medication. I’ll request it if I need it.

* If I decide I want medicinal pain relief, I’d prefer regional analgesia (an epidural and/or spinal block).

* When it’s time to push, I’d like to be coached on when to push and for how long.

* I’d like to try the following positions for pushing (and birth): semi-reclining, squatting, hands and knees, whatever feels right at the time…

* During delivery, I’d like to give birth without an episiotomy.

* After birth, I’d like to hold my baby right away, putting off any procedures that aren’t urgent.

* After birth, I’d like to breastfeed as soon as possible.

* After birth, I’d like not to get oxytocin (Pitocin) after I deliver the placenta unless it’s necessary.

* After birth, I’d like my partner to cut the umbilical cord.

* If I have a c-section, I’d like my partner present at all times during the operation.

* If I have a c-section, I’d like the baby to be given to my partner as soon as he’s dried, if appropriate.

* If I have a c-section, I’d like to breastfeed my baby in the recovery room.

* I’m planning to bank cord blood privately.

* After delivery, I’d like all newborn procedures to take place in my presence.

* After delivery, I’d like my partner to stay with the baby at all times if I can’t be there.

* I’d like 24-hour rooming-in with my baby.

* I plan to breastfeed EXCLUSIVELY.

* Do not offer my baby: formula, sugar water, a pacifier.

* I do NOT want my baby circumcised.

* I’d like to wait and see how I feel before deciding about the timing of hospital discharge.


I’ m sure a lot of these won’t be do-able (I’m looking at YOU, eating during labor and no IV!) but I’m going to take this to my OB appointment tomorrow and talk everything over with my doctor to see what I am willing to compromise and what MUST be.


(This nifty PDF was a big help in articulating just what I wanted during my labor and delivery.)

Guest Post: "Henry Louis' Birth"

I was told on Monday that my OB does not "allow" pregnancies to go beyond 42 weeks, and while this wasn't news to me it made me antsy because my first son was so eager to be here he came rushing out the day after his due date. This one was more than content on staying put.

Induction was set for 730am Friday. My waters broken at 9:18am and I was told there was meconium in the fluids. This altered my plans for intermittent monitoring. I would now be hooked up to wireless fetal heart rate monitors that would dictate the remainder of my labor. My contractions came on strong and hard, piggy-backing 2 and sometimes 3 without a break in between.  I was checked at 11am and found to be at only 5cm, they began talks of pitocin and augmentation of labor. This jumped my BP up and I began to panic. I remembered from all my readings, especially Ina May's words, fear and panic are the worst enemies of progression in labor. So I dug down, and found my mantra, "OOOOOPENNNNN".

After being checked again at 1:45 I was found at 7+ fully effaced and baby was at 0 station - here's what I had been dreading - transition. I knew it would be painful, but I didn't know it would be so short this time!! At 2:22pm I brought my son Henry Earthside in two pushes with the guidance of my midwife, husband and mother. He was born perfectly healthy, APGAR of 9, 7lbs even 21.5 inches long. And every once a little gentleman.

It may not have been my ideal way to go into birth, and the start of labor shocked my body so that my contractions were honestly way more painful than that of a naturally progressing labor, but it was short sweet and to the point! I labored for 5 hours 4 mins with no augmentation (other than AROM) no tearing, no medical interventions or drugs. I'm a birth Amazon 😁



This post was written by Megan from CT. She previously worked in healthcare but is now a SAHM to her two little boys. She plans to be a certified doula by the end of 2014 and her life goal is to become an independent midwife and attend home births. You can find out more about Megan at her blog.

Guest Post : "Jellybean’s Arrival (VBAC)"

When I learned I was pregnant with my second child, I was so excited and thankful. I immediately began planning for my VBAC (vaginal birth after cesarean). With my first child, I had a scheduled cesarean section for various reasons: Borderline high blood pressure, high optic nerve pressure, and an unusually shaped pelvis that wouldn’t be able to birth a baby. My asthma and obesity further complicated things and my OB/GYN felt that a planned c-section would be the best option for both of us. I was young and somewhat scared of childbirth pain, so I went along with the plan. My first child arrived in 2003 at 6 pounds, 6 ounces.

I began seeing a local OB/GYN for my second pregnancy in the summer of 2010. There were bumps along the road and various things caused me to heighten my guard. I learned that my local hospital banned VBACs, so I began searching for another way to have my VBAC. I don’t think it truly hit me that I was going to have to have a repeat c-section until the OB/GYN began discussing the date of the scheduled c-section.

Bethany and Heidi, a couple of wonderful homebirth midwives and I finally connected in December 2010. I wasn’t sure if I would be a good candidate for a home birth because my “problems” in my first pregnancy were still problems in my second pregnancy (aside from the high optic nerve pressure). Some friends of mine had been successful with home births, but I was still a little apprehensive. I continued to read information online and I purchased Ina May’s Guide to Childbirth. Following a friend’s advice, my husband and I watched The Business of Being Born and that was a turning point for us. We were both convinced that we needed to pursue a home birth as long as Bethany agreed. After some discussion with her, we hired her as our midwife.

Throughout the rest of my pregnancy, Bethany and I were in constant contact. She gave me her cell phone number and told me to call or text any time with questions. I was also able to email her. We communicated at least once a week, sometimes several times a week. I saw her for my prenatal care and she monitored the same things the OB/GYN had been monitoring: blood pressure, fundal height, fetal heart rate, weight, urine protein levels, group b strep status, etc. Bethany explained everything to me in a very calm manner and my questions were answered to my satisfaction. This was a completely new level of prenatal care for me. I was used to being in and out of the OB/GYN’s office in 30 minutes or less and my appointments with Bethany usually took 30 minutes to an hour.
My water broke on Thursday around 6 PM, at 40 weeks, 6 days gestation. Labor started slowly and did not become “regular” until nearly 24 hours later after lots of walking and stairs. I called Bethany around 3 AM Friday and she came right away, along with Heidi who would be assisting her for the delivery. Bethany assessed baby and I. Her experience told her that it would be awhile before baby arrived. After several hours, we discussed our options and decided to try some natural things to encourage labor and Bethany and Heidi would leave for a few hours. Bethany shared a contraction timer with us and instructed us to call her when the contractions became three to four minutes apart with regularity.

Contractions picked up and we called Bethany to return around 6 PM. My pregnancy was now 41 weeks gestation and she wrote “looks serious” in her notes. She and my husband supported me through the contractions. A few hours later, Bethany called Heidi and told her it was time to come. Heidi and Bethany took turns encouraging me to breathe through my contractions and applying a cool washcloth to my head and neck. Blood pressure, fetal heart tones, and my temperature were monitored closely throughout my labor. Around 2:30 AM, I felt pushy and Bethany declared that I was complete after a quick cervical check.

Baby was now 41 weeks 1 day gestational age and he would be arriving soon. I pushed in various places and positions: standing, sitting on the couch, sitting on the birthing stool, leaning back against the couch, and side-lying on the couch. Baby’s head emerged with the cord around his neck. Bethany quickly unwrapped the cord and baby’s body came in the next minute. I had just birthed my 9 pound, 2 ounce son!

For me, the right choice was to birth with a Bethany and Heidi. If we’re blessed with more children, we will do the same again.

Megan

Story reposted with permission from Megan Brust, original author. Megan is a mother of 2 and a VBAC veteran. Megan is a Birth Doula in Springfield, Oregon. Find out more about her services at her business page, Abundant Life Birth Services. 

Ugh...

A bit of a vent...as most of you know by now, I'm in a part of the country where VBACs are incredibly difficult to achieve because of different policies and laws in place against it. There's only a handful of OBs that will even ALLOW TOLAC, in only a handful of hospitals (this is in the entire metropolis of over a million people), AND you have to pay the OBs a $1500 retainer for showing up at your TOLAC, whether it ends in VBAC or CBAC.

Well, I just found out one of those handful of doctors was pregnant herself, and with all the OBs she knows, with her knowledge of the best hospitals, with the professional courtesy she would have received... guess what she did for her TOLAC?

She had a home birth...with a midwife.

Goes to show the state of the birth community/industry here.

::feeling discouraged::

for Doulas, EVERY day is Labor Day!

I would have LOVED to have participated in my local Improving Birth rally today, but I had a family commitment that I couldn't break... I was there in spirit with all my birth-loving sisters!

Speaking of sisters, I had to share this poster that was created by Kristen June Renz for the rally, using a quote from Cheryl Diane Lewis of Natural Mother Magazine. It spoke so much to me!