So I've been writing this post for two weeks now...obviously life with a newborn is never ending! Eat, sleep, and poop is right...
A few weeks later, and I'm finally able to put everything into words...and have time to write everything down;) Our little Mallory made her long-awaited appearance on Saturday, November 3rd at 126am! Eric and my mom were so helpful in documenting the whole labor, delivery, and hospital stay with notes and pictures so that I could recount and remember everything as it happened. The following is our little Mallory's birth story, from my perspective...
It all started on Friday, November 2nd...we had our routine weekly visit with Dr. Nath at 1050am. We went through the usual routine...checked in, waited a little bit to be called into the room, was weighed to check my weight gain (luckily it was a morning appointment, so my weight was actually down;)), went through the whole "what medications are you taking? when was the last time you took them?" spiel, and checked my blood pressure. My blood pressure has been pretty much all over the place since becoming pregnant...sometimes it's perfectly normal, sometimes it's a little bit high. Over the past couple weeks, I noticed it was slowly creeping up a bit, but I wasn't worried about it. I figured if it was really a worry, Dr. Nath would say something.
Dr. Nath came in, asked how we were doing, and asked when I wanted to be induced. I jokingly said, "yesterday!" She checked to see how much I was dilated and effaced...good news! I was already 3cm and about 70% effaced...so much better than the 50% and 0cm I was from the week before. I was actually shocked because I've read that normally you feel something while getting to 3cm. (I should mention here though...while I wasn't feeling any of what I considered "real" contractions, I was pretty sure I had lost my mucus plug on the morning of Nov. 1st (the day before). As gross as it is, I was caught so off guard by the slimy feeling (because I was sure nothing was happening in terms of labor) that I took a picture of it and confirmed it with Dr. Nath. It was indeed my mucus plug...so maybe stuff WAS actually happening, even though I didn't feel it.) She took my blood pressure again, which I thought was odd, because she's never double checked it after Nurse Gladys has taken it at any of our other appointments. "Ok, head over to the hospital," Dr. Nath said. I looked at Eric's shocked face and sat for a second while it all sank in. Excuse me, say wha??
Dr. Nath explained that since my blood pressure was getting higher, and I was already dilated to 3cm, it would be best to go and be induced. She said there's no point in putting the inevitable on hold and increasing your chance of a C-section, you could go into labor anytime now, so maybe we just give your body a little nudge with pitocin to get started. We didn't have anything with us...no bags, no clothes, no boppy, we hadn't even eaten anything because we were planning on going out to lunch after our appointment. Did we have time to go eat and grab stuff? Nope, we were to go straight to the hospital so that we could get whatever labor and delivery room was available to us...the sooner we got there, the sooner pitocin could be started, the sooner we could meet our little girl!
After leaving Dr. Nath's office, Eric and I had a little (a lot!) of adrenaline running through us. We needed to take a deep breath and make a few phone calls...to my mom and dad, to his parents, to my sister-in-law, Mari...we totally thought we had a couple more days to get used to the idea of being parents. After calming down, we headed to El Camino Hospital where Dr. Anderson (another Doctor from PAMF and Dr. Nath's colleague) was expecting us. We were led right into a labor and delivery room around 12-1230pm and they started our registration process.
As I mentioned before, neither Eric or I had eaten anything and the nurse highly suggested eating something now, because once things got started I wouldn't be able to eat later, even if I actually felt like it. Eric took his cue and drove to pick up some soup and half a sandwich from Erik's deli for me and something for him while the nurses finished asking all their questions. By 230pm, I had finished eating my half a tuna sandwich and cup of butternut squash soup and was ready to be hooked up to an IV.
I have to be honest, having an IV put in was one of my biggest fears about going through the labor and birth process...just something about that big needle going in my hand...gives me the heebie-jeebies! Well, apparently my veins were NOT cooperating with the nurse because she tried one vein on the inside of my left arm...no go! Then another vein on the top of my left hand...another no go! I think the nurse maybe wasn't the best with putting in IVs?? Finally a different nurse came in, took a look at all my veins, and got me set up with a vein on top of my right hand. I'm not going to lie...these needle pricks HURT!...and the two on my left hand actually hurt worse than the final one on my right hand after it was all taped up. Thankfully after all these needles, I didn't need to have anything else pricked to be all set up with an IV and pitocin. The pitocin drip was started right about 3pm at a level 1...to be upped by 2 every half hour. We were on our way to getting this labor business started!
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| All set up on IV and pitocin...ready to go! |
Baby girl was quite active after me eating lunch, so the nurse (Nurse Sandi) had to keep coming in to check her heart rate on the monitor they had strapped to my belly...she did NOT want to stay on that monitor. Nurse Sandi also had to check the baseline for my contractions because I was still not feeling very much, even though the monitor was registering that I was having contractions. They mostly just felt like braxton hicks contractions...very high up on my tummy and just like a tightening, no real pain or anything.
Nurse Sandi had just come to up my pitocin to a level 7 and check everything...no sooner had she left, I felt a sort of pop on the inside (kind of like when you pop your hip, but it definitely wasn't my hip) and then 2 seconds later a gush of something...kind of like I had just peed myself:/ It was about 450pm and I was pretty sure my water had just broken! A check from Sandi and sure enough it was amniotic fluid...steps in the right direction!
The contractions picked up quite a bit after my water breaking...like I actually had to breathe through them and try to relax. They felt like really, really, REALLY bad period cramps...x10! I don't know if it was the pitocin, or just the way my body was reacting to everything, but my contractions were right on top of one another...it was like I couldn't catch a break from the pain.
About 550pm, I had to get up to go to the bathroom. This was interesting because I was hooked up to the IV and pitocin, so I had to cart along that walking pole with the hanging bags, lol. Eric helped me to the bathroom and as soon as I sat down on the toilet I started to feel really faint and nauseous. I asked nurse Sandi if this was normal and pretty much right away I knew it wasn't because she rushed me back into bed and asked me to take deep breaths. She asked when the last time anyone checked me was and I honestly couldn't remember anyone "checking" me...lo and behold, I was 6cm already. Sandi thought maybe I was going into transition because of the nausea feeling...and the fact that I was complaining about a lot of pressure in my pelvis. Nothing really to do, but to lie down and try to relax through the pain.
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| My mom listened to me and made sure she documented by picture each part of the process...including the pain:) |
The contractions were getting worse and worse. My dad arrived at some point and came into say hello. Mari and Aiden also arrived at some point. I remember thinking I had to tame my breathing and moaning because I didn't want to scare Aiden...the last thing I wanted was for him to be traumatized by Auntie Sara, and hospitals. Eric's sister, Laura, was another visitor we had during this time...I think. As the contractions got worse, so did my memory and sense of everything...so I'm taking guesses a little bit here.
About 650pm, nurse Sandi came in to check my progress again...dilated to 8cm this time...and she was impressed! She started saying she was going to get the table and everything ready because if I kept progressing like I was, this baby girl was going to be here in no time. The pressure on my pelvis was super intense and it was getting harder and harder to maintain breathing through each contraction. At this point, we started talking pain relief. I was very hesitant to take anything, whether through IV or epidural. I thought if I'm already at 8cm and that was supposed to be the peak of pain (according to Sandi), then I could make it to 10 cm for sure. But then doubt started to creep in...making it to 10cm was no problem, but how about the pushing...straining...possibility of tearing?? If I was in so much pain now, how much more pain or pressure would all that bring on? Pretty much I took a vote around the room...mom, Eric, Sandi, what do you think? What would you do? Of course no one gave me a flat out yes or no answer, but they talked it through with me and I decided an epidural was probably a smart choice. So, now it was waiting time for the anesthesiologist...
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| Trying to breathe through the pain. |
I didn't have to wait too long, thank goodness! Around 7pm, the anesthesiologist came in and talked me through any side effects I might have and talked to me to make sure this is what I wanted. Along with getting an IV put in, getting an epidural was my next biggest fear about the whole birth process...so fear #1 faced...onto fear #2. The hardest part about getting an epidural, and the most painful, was the initial numbing shot...it felt like a shot in my spine, which is pretty much what it was. Between contractions, pressure in my pelvis, and this shot...this had to be the most painful moment of the whole experience. Once that initial shot was done, I didn't feel a whole lot. At one point, I know the anesthesiologist was putting and placing the catheter in my spine and I felt something in one of my hips...as soon as I said where I felt something, it was fixed and I no longer felt it...almost like something was being twisted around in my back...the weirdest feeling!
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| Fake smile before the epidural |
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| Getting the epi... |
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| ...epi done! |
I felt the effects of the epidural pretty close to immediately...it was heaven. The pressure on my pelvis disappeared. The painful contractions melted away. I could lie in peace:) Before the epi, it was hard to have even part of a conversation...like when you're trying to talk to someone but are distracted by a text message or tv show and you keep having to ask them "what?" Everything was just a fog. After the epi, everything was crystal clear...I knew who was in the room, what was going on, even the clock seemed to make more sense now. At some point, because I was progressing so fast, they had turned the pitocin way down. Now that the epidural had taken effect, Sandi came to put a catheter in so I wouldn't pee myself (graphic, I know...but really how else is there to say it? When you're numb from the waist down, that's what you gotta avoid!), and also upped the pitocin again. After a brief check, I was informed I was dilated to 9cm right around 755pm. For those of you keeping track, that's 3cm in a matter of 2 hours!
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| Real smile...post epidural:) |
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| All wired up...IV, pitocin, epidural, heart rate monitor, and contraction monitor! |
I tried to rest as much as I could, but my adrenaline was starting to kick in. I wanted to talk to people and tell them all about my day, my water breaking, how we weren't supposed to be in the hospital yet. Everything was so exciting, how could I possibly rest? After almost 2 hours, nurse Sandi came in to check my progress again...945pm and I was fully dilated! Unfortunately, baby girl was still presenting at a zero station and I had to get her to a +4 station before she was ready to make her appearance. Sandi upped the pitocin again (I think) and told me to rest...hopefully the contractions would move baby down and I would be ready to push soon enough.
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| Quick photo op:) |
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| Mom was excited to be there:) |
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| Trying to rest |
For anyone who doesn't know, they monitor pretty much everything when you're in the hospital...even for something supposedly so natural as giving birth. They have you hooked up with belts around your belly to monitor your contractions and the baby's heart rate. They have a finger doodad thing to monitor my heart rate. They have the blood pressure arm band thingy wrapped my ankle?? They were also checking my temperature periodically...and this time it was starting to rise. About 1025pm, my temp went up to 99.1...as my mom liked to say, I had a "slight" fever. 99.1 is nothing to worry about in my books...we're off normal body temp by what, half a degree? Sandi and I both gave my mom a hard time about saying I had a fever, but I guess it is noteworthy now because it plays a part in this whole story.
A short while later, about 1030pm (?), baby girl was still resting pretty high in my pelvis, somewhere between a zero and a +1 station. Sandi wanted me to practice pushing to make sure I pushed correctly and to see if we could work this baby down the birth canal a bit. Practice pushing turned into real pushing, and eventually I had an annoying oxygen mask placed over my nose and mouth. The oxygen mask, I thought, made it harder to breathe, but I guess I needed it for some reason pertaining to baby.
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| Stupid oxygen mask... |
At one point during all this pushing, baby's heart rate jumped (from like 130ish to 170ish?) all of a sudden. It remained high for a good couple of minutes (at least) and the doctor and Sandi were a bit concerned. By this time, there was a shift change, so I now was dealing with a "new" doctor (not that I'd seen the other one all that much) and nurse. Dr. Trunah (I think that was her name, or something close to that...for some reason I could not remember this doctor's name, even though I asked what seemed like 10 different times...blame it on the drugs...) and nurse Becky were now checking me out and getting caught up to speed on my labor so far. After pushing some, baby's heart rate calmed down and went back to the normal 130ish range...except she did not want to seem to move down the birth canal at all. By 1230am, she was still presenting at maybe a +1 station...
Dr. Trunah said "ok Sara, time for a heart to heart"...at that point I knew that it was time to worry a little bit. I had been pushing for 2 hours, baby was not moving down, I was getting more and more exhausted with each push...it was to the point where I could barely push for 3 seconds, and even those 3 seconds of pushing were making me slightly dizzy and way out of breath each time. The oxygen mask was driving me crazy. My contractions were right on top of each other so the "urge" to push never really went away. I was trying to hard to do everything right, but I think this baby girl had other plans. On top of all that, my temperature was still rising each time they took it, which led them to believe I had some sort of infection in my uterus? They had actually already started me on antibiotics a half hour or so before because of my temperature. This heart to heart the doctor wanted to have with me was not something I wanted to hear...it was time to make a decision about the rest of this birth.
Baby girl was still presenting high, so if I wanted to push, that was fine, but it was going to be AT LEAST another hour of pushing before she was even ready to make an appearance. The doctor was worried about this infection and how it would affect the baby...and she was worried about my stamina and how much longer I would even be able to push. OR...we could end everything right now and go for a c-section. Now, before actually going through everything, I was so against a c-section...like wanted to avoid it at all costs. But, I was also afraid of getting an IV and an epidural...so obviously, things change. Between everything the doctor just said about pushing for so long (and having to do so much more) and my fever, my exhaustion, the pain and pressure I was feeling...it just seemed like the most logical thing to do was to have a c-section. I mean there was no way I could push for a whole other hour when I could barely push this second. So the decision was made at 1245am...and I was on my way to get prepped for surgery.
As soon as the decision was made for to have a c-section, it was like a tornado swept through the room. Eric and my mom had to clean everything up because we would not be coming back to the room...that meant food, power cords, cameras...everything! I think they just threw as much as they could in one bag, hehe. Unfortunately for my mom, they only allow one other person in the operating room (besides me...which of course was Eric) so she would have to wait in the waiting area for her grand baby to be born:( They wheeled my bed off to the operating room to prep me for surgery while Eric put his scrubs on over his clothes. It seemed like forever before they brought him into the room with me. I remember the doctors and nurses writing 101am on the white board in the room, but then there was a long pause before they even began the surgery. They put up the blue curtain...Eric was sitting next to me, holding my hand. I was so tired, it was like I could fall asleep while they were performing the procedure.
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| Ready for surgery... and ready to meet our little girl! |
I don't remember a whole lot about the surgery. I know I couldn't feel a thing from the stomach down. I think baby girl was stuck somewhat in my pelvis because I remember them pushing my body towards my head, as if to de-wedge her. It was the oddest feeling. Then, I heard someone announce "1:26"...I remember thinking is she here?? But no one really said anything to me. The anesthesiologist said congratulations to Eric, but things were so foggy, I had no clue what was going on. I kept looking at Eric and I wanted to ask him what was going on...all I could say is why isn't she crying? It seemed like an absolute eternity before we heard our baby girl cry and finally we heard it. It was so surreal....nothing like what tv and the movies portray! I almost didn't realize it was her crying. Eric was called over to the table where he was able to cut the umbilical cord (more like shorten it because it had already been cut) and he was able to bring her over to me so I could see her for the first time. I thought I would be a bundle of emotion, and I'm not sure if I was just so out of it and tired or what, but all I could do was look at her. I didn't cry, didn't say very much...just touched her head and looked between her and Eric. We snapped a few pictures and then they had to whisk Mallory off to the NICU to run tests and make sure she was healthy. Eric had the choice to stay with me or go with Mallie...I made him go with Mallie:)
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| Our beautiful little Mallory...just born! |
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| First family photo |
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| Proud and emotional daddy |
I dozed in and out of sleep while the doctors and nurses finished up my surgery, and was wheeled off to recovery right around 2am. Nurse Becky had to come and check my incision sight and take my temperature and blood pressure every 15 minutes to make sure I was recovering well. Eric came back from the NICU and I could tell he had been crying a little bit. He was trying to tell me what was going on with Mallory, but I cut him off..."wait, are you crying because something is wrong? or are you just so happy that she's here?" Eric was just so overcome with joy! Mallory was 6 pounds, 6 ounces and 19 3/4 inches long. WHAT?!? How did we have such a small baby??!!?? We were expecting her to be 8 pounds or more!
Eric's sister, Laura, and my mom and dad were the lone stragglers left waiting to see me and meet Mallory. They all came into recovery to see how I was doing. It was a little awkward because I was so shivery and shaky coming off anesthesia and out of surgery...like uncontrollable shakes...I think it actually worried Laura a bit. One by one, Eric took them to the NICU to meet Mallory. It was so hard seeing them come back and hearing about my baby girl because I wasn't able to spend any time with her yet, but so good to know that everything was good so far with Mallory.
Finally around 345am, I was done with recovery and was ready to be wheeled over to the NICU to meet my baby girl. I couldn't really sit up so it was a little hard to hold her, but it was the most amazing feeling...holding little Mallory in my arms in just her little diaper. We attempted breastfeeding and she latched right away...shocked me a little. It was like she knew who her momma was<3 I wanted to stay and cuddle this little girl all night (or morning by this point) long, but after only 15 minutes or so it was time to head to the maternity ward and get settled in to my own room.
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| Mallie in the NICU |
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| Our first meeting! I finally get to hold my baby girl! |
The "next" day was seriously fuzzy. Eric and I tried to get as much sleep as we could throughout the morning, but it was so hard to calm down after everything we had just been through. Nurses came to check on me every hour, breakfast was served around 8am...all I could think about was going to see my baby again. Finally, around 1130am, I was able to get up and get in a wheelchair so we could go to the NICU. Mallory looked like a different baby, even from just the night before. It was so nice to cuddle her and just hold her, and know that she would be ours forever!
Mallie spent all day Saturday and Sunday in the NICU. I was a little confused on why she was there, instead of with us, but after a few different conversations, it was cleared up for me. Poor little Mallory actually had a few things working against her. 1. When she was born, she was very slow to respond. Her first apgar score at 1 minute old was a two:( I found out later that the nurses actually had to intubate my poor little baby girl. For this reason alone, any baby would go straight to the NICU. Luckily, at 8 minutes old, her apgar score drastically improved to an eight. 2. Also when she was born, she happened to swallow some amniotic fluid...and the amniotic fluid had some meconium in it (I'll spare the explanation here...look it up if you need to know, but know that it's not a good thing). Luckily, they were able to clear out all the fluid pretty easily and none of it went past her vocal chords, so she was able to avoid a lung infection. Again, any baby that was in this situation would go straight to the NICU. 3. Since I had a fever during labor and delivery and they found out there was a slight infection in my uterus developing, they feared this infection could be passed to Mallory. Again, any baby in this situation would go straight to the NICU to be put on antibiotics immediately to prevent the spread of an infection. Lucky for us and Mallory, even through she had 3 different situations that would have sent her to the NICU, all her tests came back with great results and were in the average/normal range. She was a perfectly healthy little baby and was able to join us in our hospital room on Monday morning!
We were discharged from the hospital on Wednesday, November 7th. It was hectic getting out of the hospital...you know, having a newborn and all now;) It was so surreal to bring Mallory into her new home for the first time. Since I had a c-section, recovery was a bit difficult. I wanted to change Mallie's diapers and bounce her up and down when I held her, dress her up in all her cute outfits. My surgery incision started draining a bit, so I really had to take it super easy. No going up and down stairs for me, no bending over a changing table...pretty much I went from our bed in the morning to the la-z-boy chair in our living room during the day and back to our bed at night. I felt completely useless as a parent. Luckily, Eric has been a champ at changing diapers and rocking Mallie to sleep. He's really stepped up where I was unable to during my recovery...and he assured me that I was doing everything I could for our little girl.
As I think back to my labor and Mallory's birth, I feel I made every decision that was best for me and her. I don't regret anything...for the most part. I'm a little sad that I had to have a c-section instead of delivering vaginally, but I think only for recovery reasons. I know we are going to have more children, and I'm hoping I will be a good candidate for a VBAC...I would like to know what "normal" childbirth is like. But in the end, I want to do what's best for my baby. In Mallory's case, who knows what would have happened had I decided to push for that extra hour...I could have ended up with an emergency c-section then, or maybe she would have caught my infection. Who knows? I can only be happy now that she is home...happy and healthy with us!