Monday, November 30, 2009

11-28-09 updates on birth

This time around it was important to me to have an accurate account of the events and when they occurred. Partly because I am neurotic and partly because I like to look back as my memories fade quickly when no sleep is involved. So here is the technical update and the emotional one will come later.

3:30pm almost 10 cm dilated past zero station

3:45pm epidural is awesome and knowing what is coming- -I manage to nap for 20 minutes. Time/progress is slowing, I suspect allowing me to gather the energy for the next stage.

4:45pm full 10cm dialated and began light pushing. The 3 hour push time limit begins.

5:30pm they suggest and do drop the epi dose hoping to assist with more effective pushing. The thought being if I could feel more I would be more inclined and able to push. They went from a 16 down to 4 on the epi.

6:00-6:30pm My Midwife leaves to check on her other laboring patients and the epi is almost off. The pain is now back to being intense and causing me distress, anxiety and panic. They keep having me change positions to try and relieve some of the pain, but manage to loose the babies HR . It is also causing me exceeding discomfort. I start vomiting and they give me zofran. Panic ensues-my blood pressure drops, I have a low grade fever (100.7), and the room floods with docs trying to determine the cause of the problems. They even started to suspect the cord being wrapped around him. There was a lot of commotion and whispering.

6:45pm My midwife returns and I insist on being in a comfortable position for me. They also up the epi again and relief is almost instant. We resume our normal pushing pattern and are making progress again. But because of the scare we are being monitored by the MD's and are on a tight time limit-we are approaching our 3 hours.

7:00pm Things are back in swing-I am energized and pushing well.

7:45pm Docs visit again ready to call time on me but instead see my sons head and my effective pushing. Go me!

8:01pm Spencer is born! Laid on my chest where he promptly poops all over me. The cord is left to pulse. And we start our bonding. His apgars were 7 and 8. He got a slow start with crying and took a few minutes to pink up but quickly found his way. The placenta is birthed and the cord is later cut. All is well in my world.

Later the midwife, who is doubtful, but wants to be safe indicates I may have contracted chorioamnioitis from being ruptured for so long and the labor taking a while. They put me on 2 IV antibiotics and Spencer gets tested too.

We are both fine and recovering well. Photos and updates soon! Xoxoxoxo
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Sunday, November 29, 2009

11-28-09 1:45pm update

9 cm and station 0. She thinks in the next 2 hours I will deliver. They already wrote happy birthday spencer on the board in my room.

I started to cry - I feel nervous and excited and worried - all in the same breath.
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Saturday, November 28, 2009

Epidurals rock

From 3am to 9am I didn't have any consistent or real contractions.

When the shift changed and a new midwife came on board she suggested, rather than start me on pitocin or an enema or castor oil, to sweep my membranes again and break any bag of water left. She also checked my cervix and I was 3cm-that was around 9:45am.

Very soon thereafter I began having contractions-strong ones with hardly a break in between. Hubby made me keep standing and walking and I was getting pissed. I broke out in tears several times and by 10:30am I was ready for an epidural.

We agreed that I would wait till 11am and hope that I had dilated more. At 11am I was 4cm and really in a lot of pain. I asked for the epi.

Holy shit-why people labor without one is beyond me. It was painless to administer and I feel awesome.

My contractions are steady and progressing nicely. Its 1pm and the initial pain meds should be easing off and the epi itself kicking over. Then I should start to feel more of the contractions and less numb.

More details soon-hopefully the next update is news of a baby. But I suspect I have a bit of time.
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3 am update

3:30 am and I am checked in to Labor and Delivery.

Positive test on my water breaking-duh! ... And the 24 timer now starts. Already I feel anxious and under the gun to get my contractions moving and active.

Getting the IV was horrible. She poked around my right arm for a long while and didn't get it in. Then I needed a break because I thought I might vomit. Which I didnt-phew. Then a different nurse worked on the other side. It still feels uncomfortable. I hate needles and being prodded painfully.

If the contractions don't progress and cause cervical changes by 8 or 9 am then the midwife suggests taking castor oil or an enema. Or if I decline those I can start on pitocin.

So far the contractions are totally tolerable and about 3 minutes apart. It feels like a gradual tightening of my lower abdomen. They are steadily getting stronger the less anxiety I feel. My digestive system is still purging and I feel nauseas. Even as I am typing they are getting more frequent and harder.

Spencer is moving around fine and his heart rate is great. I feel a huge amount of love for Elliott right now-hormones? We had the best week together and compared with the 2 weeks prior-i am very grateful for that time. I feel like we really bonded and were able to reconnect.

Jeff is trying to nap while he can, and I am enjoying my hour in between the fetal monitoring to be alone with my contractions and anxiety.

The irony in all of this is that the day before I went into labor with Elliott I ate at CPK for lunch. Tonight, before we went to the Del Mar Festival of Lights we also ate at CPK. We never eat at CPK. Today is also my BFF's daughters first birthday...will they share the day?

When we arrived home tonight I started to feel some mild contractions and felt compelled to show my MIL all the things she would need to know around the house and regarding Elliott. Then we went to bed early. I got 3 great hours of sleep and here we are.

I am ready to welcome this boy into the world. Bring it on. More soon.
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Friday, November 27, 2009

Either I just wet my pants or my water just broke

Nope, I didn't wet my pants! Here we go...
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Tuesday, November 24, 2009

39 weeks 3 days

Nothing yet. The baby is doing awesome, plenty of fluid, good heartbeats and fetal movement, still at 2 cm, 80% effaced, he is weighing in at 7-7 3/4 lbs.  And with all of the digestive clearing I lost 3 pounds since last week.  She also wrote me a RX for lidocaine for my hemorrhoids--yippee!!!

She swept my membranes again which while uncomfortable was not nearly as painful as the first time. And there wasn't any cramping this go round.

His head isn't engaged which isn't ideal as that was part of the problem with Elliott, but she thought labor would fix that. She will let me go to 41 weeks and then suggests breaking my water so that I don't end up in OB care (42 wks) where they give pitocin straightaway...and with pitocin the risk of uterine rupture for VBAC candidates increases from one to four percent.

More waiting. I hope the kid holds off till Friday now that we are so close to Thanksgiving as I have a yummy dinner planned.

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Monday, November 23, 2009

Nothing to report

39 weeks and 3 days tomorrow. 8am Non-stress test and Midwife appt. tomorrow.

Nothing new to report. Pressure, heaviness, light cramps, more digestive track emptying, the bloody show is more like mucous again and of course hemi's... The sucky part of all of this is that my lady parts are sore and I haven't even pushed a kid out yet. Epidural please!

Do I get my membranes swept again tomorrow or just let nature take its course?

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Sunday, November 22, 2009

Please dont ask, there is nothing to report

Nope, nothing to report.  More show.  No Contractions.  No broken water bag.  Pelvic pressure, fatigue, irritation.  But no baby.

We are trying to enjoy our family of  3 during these last few hours or days.  All of my commitments and obligations have been fulfilled.  There is nothing left but to welcome this baby into the world.  I even got a good night of sleep last in preparation.

I promise to text everyone when it happens.  And, I am updating the blog regularly with details.

Saturday, November 21, 2009

It was a movie kind of night

I skipped the social part of the evening last night, and ended up meeting everyone at the movie theatre.  I was nervous the whole time thinking my water was going to break.  But, alas nothing happened and the movie was enjoyable.  I didn't get home until after 1am and Elliott wakes at 5:30am so I am tired.  

The hubby and Elliott are at Sea World for some last minute one on one time.  I was glad to have them leave the house, but envious that I couldn't join them.  So, here I am -- home alone for what will likely be the last time for a while.  And all I can think to do is walk around the house in circles moving things from one place to another.  

I hate the waiting game.  More bloody show this morning, more digestive track clearing, more pelvic pressure and BH,  But, no contractions and no amniotic fluid.  I am stuck between wanting to just carry on with my life and go grocery shopping and the like.  Or just sit on the couch with my heating pad and do as little as possible.  I don’t want my water to break while I am shopping  or at the park with the kiddo…that would be super embarrassing….but I feel unproductive not doing anything.  And then inversely I am tired, and I know what lies ahead as far as work and sleeplessness so I think I should rest…but resting isn't helping the labor come on any faster.  It’s a vicious mental cycle.  ARRRGGHHH.

What did you do?  What would you do?

Friday, November 20, 2009

Am I having a baby or going to the movies tonight...?

No contractions yet.  My bag of water is still in tact.  But more bloody show and some crazy pelvic pressure right along with it.  My lower back is sore and I have been sitting on a heating pad all day.  My appetite ranges from feeling nauseated to feeling intermittently hungry.  The baby is moving around like normal.  And I am having BH with regularity.  The midwife said to expect my labor to start in 24-48 hours.  So, the irritating, anxious waiting game begins.

Now the only question is do I still go see the New Moon movie tonight at 10pm or not?  The evenings events begin at 6pm with appetizers and wine, then a showing of Twilight, then off to the movie at 10pm.  It might take my mind off the fact that I will be going into labor soon.  Or, I might die of embarrassment if my water breaks during any of these events.

Not to sound crazy or anything, but I have been saying for a while now that this baby will come right after I see the New Moon movie.  So, maybe seeing the movie is just the thing I need to get labor started...?

The beginning of the end

This morning around 7am I lost my entire mucous plug.  This is TMI for even me, but it was huge and red and liver-like.  I took a photo just so I would remember what it looked like. 

When I lost my mucous plug with Elliott it also happened in the early AM.  So, just to be prepared I took a shower and shaved all areas, washed my hair and lotioned up.  I asked the hubby to stay home, but he needed to go into work and finish up some things.  Plus, he wants to wait for more substantial evidence of labor starting.

It is now 8:30am and my digestive track is starting to clear itself out.  What a relief both physically and mentally.

All signs are pointing towards labor starting today.  If this labor is at all similar to my first I should be starting light, easy contractions any time now.  In 1000 ways I hope it is very different.  I will keep you posted!

Alternately, I am trying to enjoy the last days with my first born son--with it just being him and I.  He has had a fever for a few days and a decreased appetitie.  Today he seems in good spirits and is very loving--telling me often that he loves me followed by a big hug.  

Tuesday, November 17, 2009

38 weeks 3 days

Now that I am officially 'old' according to maternal medicine, I had to take my first Non-stress tests today.  The test itself was rather relaxing-sitting in a huge comfy recliner chair, listening to my son's heartbeat for 20 plus minutes and seeing the monitor pick up on his movements and increased heart rate.  The results were normal--he is moving and responding perfectly, though no contractions yet.  

I also had an ultrasound to check the amniotic fluid levels and a few other factors.  Again all is normal.  It was great to see him on screen again and take a look at all his parts.  The nurse was even able to point out that he had a lot of hair--WOW!  

After the NST, I had my midwife appointment.  She measured, poked and prodded.  She thought that perhaps this baby would be smaller than Elliott--for which I am grateful.  Although measuring the babe's weight in utero is highly inaccurate and more speculation that anything.  

She offered to check my cervix and I am 2 cm dilated.  I am also 75% effaced and my cervix is soft.  Since all things were in order, she offered to sweep my membranes, which I happily accepted!  If she hadn't offered I would have asked as I am ready to move forward and have this baby.  What I wasn't expecting though was how painful the process would be!  And the post cramping was horrible.  It has been 6 hours though and I already feel much better. Here is hoping that it actually brings labor on.

I am not nervous about labor or delivery--I am actually anxious and excited to get it started.  I feel confident this time around about what to expect and what my body is capable of.  I feel ready to have my body back, and will do what it takes to ensure that it is soon.  My other motivation is our hospitals new visitation policy due to the H1N1 virus--no children under 16 can visit at all.   So, I need to get in and out of the hospital fast so I can be with my boys.  I also know that I will be asking for an epidural this time around.  The fact that I feel confident enough this time around to ask for what I want/need is a change for me.  It is empowering.

I need to pack my hospital bag just in case it happens quickly.  I also would like to clear my digestive track out and possibly make some additional room.  Plus, perhaps a few days of relief for my hemorrhoids would help when the pushing parts happen.  So, in preparation I gave myself a glycerin suppository, but it didn't really do much...that isn't a good sign.  There is always tomorrow.

My next appointment is a week from today and is more of the same--NST, Ultrasound, and Midwife appt.  But, hopefully I wouldn't be needing any additional appointment.  Elliott was early--and I am hoping this one will be too!
Lots of pelvic pressure, lower back pain, braxton hicks like crazy, and a Mom that is ready.  Wish me luck!!!

Tuesday, November 10, 2009

The home stretch!!!!

I have been putting off writing.  I think it is because once a certain amount of time passes--it becomes too difficult to catalogue everything into one post.  I don’t want to miss anything, but there is just too much to write about without putting it in list format.  So, to catch up here is my list:

1.  The Thursday before Halloween Elliott broke his clavicle.  He ran from his room, bounced into the couch, and fell on the floor (an activity that happens daily).  He complained and cried and couldn't sleep that night.  So, when Friday morning rolled around--we decided it was best to be safe and save ourselves a possible ER visit over the holiday weekend and called the doctor.  A few hours later and his second visit to the Radiologist and they confirmed the broken collarbone.  The RX was an arm sling, OTC pain relievers and light duty.  Let me say that being 37 weeks pregnant, actively potty training, trying to keep a 2 1/2 year old on light duty and having all of your in-laws at your house for the weekend is no easy task.  A week and a half later though and he is doing fine. He is still not actively using his left arm instead choosing to let it hang limp by his side and occasionally complains of pain--he isn't holding back as much as he was.

2. Baby #2 is head down and in position.  I can feel this intensely as the pain and pelvic pressure this last week is almost unbearable.  As I sit here and type I have a heating pad placed between my legs trying to ease some of the pain and discomfort.  Each time I get up, move or attempt to walk I am faced with a sharp pain.  This morning I tried to roll over in my sleep—only to wake myself up from a nice slumber with a jolting pain.  I feel lucky that I have felt so good for so long, but this certainly makes up for it.  I can only hope that this is my bodies way of saying that it is more ready to deliver this baby vaginally than the last go round.  If I could predict—I would say I am going to go into labor sometime next week.

3.  I went ahead and scheduled the remainder of my doctor’s appointments through 41 weeks.  Because I am ‘advanced maternal age’ I also have to start non-stress tests at 38 weeks—so I scheduled those as well.  All of the babies clothes are washed, the co-sleeper is set up, the swing is ready, the changing table is back in place, the infant car seat is installed in my car—the only thing I need is to pack my hospital bag and get newborn diapers.  I figure that I can do that this weekend (Saturday will be 38 weeks).  Once I buy diapers I expect to have this kiddo shortly after.  One can hope, right?

4. I am very much looking forward to having my body and self control back.  While I don’t mind hosting I am ready to have my mobility and lung capacity returned to me. Although I am not looking forward to dieting and working the 40 plus pounds I have gained off. I do long to put on a pair of my skinny jeans.

5. Our backyard remodel is almost complete!!!  The hubby has spent the greater part of the summer and fall working on it by himself.  We decided that based on the drought that San Diego has been experiencing for the last several years, and the increased cost of water that it would be best to reduce our overall consumption amount.  Our yard was a lush grassy oasis--and now it is a flagstone covered sanctuary.  Half the yard now has flagstone and some carefully placed planters.  While the other half we are trying to re-seed with low water grass.  We rid ourselves of many of the potted plants and that has also freed up space on the covered patio.  I am excited to   have the project completed, the tools and debris cleared and a new yard to enjoy.