{"id":1460,"date":"2006-05-14T23:18:00","date_gmt":"2006-05-15T06:18:00","guid":{"rendered":"http:\/\/www.coldspaghetti.org\/blog\/2006\/05\/14\/the-story-of-kates-birth\/"},"modified":"2006-05-14T23:18:00","modified_gmt":"2006-05-15T06:18:00","slug":"the-story-of-kates-birth","status":"publish","type":"post","link":"http:\/\/www.coldspaghetti.org\/blog\/2006\/05\/14\/the-story-of-kates-birth\/","title":{"rendered":"The Story of Kate&#8217;s Birth"},"content":{"rendered":"<p>To read the full birth story, please click on the &#8220;Read More&#8221; link below.  <span style=\"font-style: italic;\">(Sorry that those are showing up in all the posts &#8212; I&#8217;ll work out that blogger kink when I get a chance!)<\/span>  For those who want the Cliff&#8217;s Notes version, the bullets are below!<\/p>\n<p>We had a lot of complications:<br \/>&#8211; Stenotic cervix causing intense labor pain but no cervical progress<br \/>&#8211; Posterior, asynclitic position causing increased pressure and pain with slow progress<br \/>&#8211; Aminotic fluid leakage with meconium staining<br \/>&#8211; Spikey, irregular, intense contractions<br \/>&#8211; Slowed heart rate outside of contractions indicating baby not doing well with labor<br \/>&#8211; Extensive scarring, evidence of infection, and organ mis-placement from previous C-section<br \/>&#8211; Umbilical cord presentation preceeding baby into the pelvis<\/p>\n<p>This lead to a repeat Cesarean Section.  A reminder to my disappointed but accepting heart: &#8220;No matter how it happens, birth is a miracle.&#8221;<\/p>\n<p><span class=\"fullpost\">  <\/p>\n<p class=\"MsoNormal\">The Story of Kate\u00e2\u20ac\u2122s Birth<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">The weekend before Kate\u00e2\u20ac\u2122s birth was filled with the excitement of early labor.<span style=\"\">  <\/span>I had contractions of various levels of intensity that came and went irregularly.<span style=\"\">  <\/span>On Sunday, I finished the majority of Will\u00e2\u20ac\u2122s \u00e2\u20ac\u0153First Year\u00e2\u20ac\u009d Scrapbook \u00e2\u20ac\u201c leaving blank pages for the few moments I had left to cover.<span style=\"\">  <\/span>I took it easy: swam in the pool, watched \u00e2\u20ac\u0153Mean Girls,\u00e2\u20ac\u009d let others bring me snacks in bed, and just tried to rest.<span style=\"\">  <\/span>On Monday, I had more energy and wanted to tie up loose ends.<span style=\"\">  <\/span>After Paul finished his work day (around 3pm), we went out for some errands.<span style=\"\">  <\/span>We picked up my Dad\u00e2\u20ac\u2122s drycleaning, stopped by Michael\u00e2\u20ac\u2122s for a few stickers needed to finish Will\u00e2\u20ac\u2122s scrapbook, and bought a copy of The DaVinci Code.<span style=\"\">  <\/span>We did all this despite the fact that I was cramping all through the day with increasing intensity.<span style=\"\">  <\/span>By the time we made our last stop, it was a struggle for me to get out of the car and walking was increasingly difficult.<span style=\"\">  <\/span>We made it back to my parents\u00e2\u20ac\u2122, I got upstairs and settled in to start reading.<span style=\"\">  <\/span>I didn\u00e2\u20ac\u2122t make it more than 15 pages in the book.<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">Very shortly after arriving back at my parents\u00e2\u20ac\u2122 house, my need to be in the bathroom became intense.<span style=\"\">  <\/span>I began to pay attention to my contractions, both in the interest of timing them and because they were suddenly requiring my complete attention.<span style=\"\">  <\/span>Although they were just on the edge of the time I knew was necessary for true cervical change (40-50 seconds), the intensity was so strong and climbing so quickly that I began to believe that my labor was simply different.<span style=\"\">  <\/span>At this point, my contractions were still following a strange pattern (one contraction approximately 45 seconds long, never really abating and going into another, more intense, contraction lasting about 30 seconds.<span style=\"\">  <\/span>Then I would have a break (roughly 2-3 minutes) before the cycle began again.<span style=\"\">  <\/span>I noticed dark discharge \u00e2\u20ac\u0153oozing\u00e2\u20ac\u009d out during contractions and figured that it was bloody show (it looked a lot like dark brown\/reddish menstrual spotting.)<span style=\"\">   <\/span>After seeing the show, Paul and I decided it was time to call Vicki (our midwife).<span style=\"\">  <\/span>Although we knew that she wanted us to call when contractions were 50-60 seconds long, less than 5 minutes between them, lasting for at least an hour \u00e2\u20ac\u201c the intensity of what I was experiencing seemed to indicate that things were moving along quickly, even if the timing wasn\u00e2\u20ac\u2122t what it needed to be to indicate that I was truly in labor.<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">I felt strongly that I had to go to Pensacola.<span style=\"\">  <\/span>In listening to Paul talk to Vicki, it seemed to me that they weren\u00e2\u20ac\u2122t as sure about whether we needed to go, but Paul stressed that I was pretty insistent on leaving and there were concerns about rush hour tunnel traffic.<span style=\"\">  <\/span>I didn\u00e2\u20ac\u2122t think that anything was necessarily wrong (yet), but the rising intensity of the pain I was experiencing made me feel like I needed the relaxing environment of the birth center in order to handle the pain.<span style=\"\">  <\/span>I wanted to get there; it was all I could think about.<span style=\"\">  <\/span>I thought that getting there would mean that we would be able to track my progress (which seemed to be going incredibly fast) and better handle my pain; I was eager to help labor along in a supportive atmosphere.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">We were in the car by 7pm.<span style=\"\">  <\/span>Once in the car, I fell into a \u00e2\u20ac\u0153ritual\u00e2\u20ac\u009d breathing (sort of a low moan) that helped me control and get through the contractions.<span style=\"\">  <\/span>I used my training: I relaxed my body, I worked through the contractions with deep, easy breaths (the sounding helped with this), and focused on my body.<span style=\"\">  <\/span>I know I was laboring well.<span style=\"\">  <\/span>I couldn\u00e2\u20ac\u2122t help by compare what I was experiencing with other births I\u00e2\u20ac\u2122ve seen \u00e2\u20ac\u201c and felt strongly that what I was experiencing was intense labor nearing transition.<span style=\"\">  <\/span>I honestly felt that we would be pushing out a baby soon after our arrival; I thought it was likely that she would be born before midnight.<span style=\"\">  <\/span>I chalked up the strange pattern and irregular timing to evidence of the wide range of labor and put trust in my body.<span style=\"\">  <\/span>I was not afraid, I was excited, and I wanted to get to the Center and start the work of getting the baby out.<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">We arrived at the Birth Center around 8pm.<span style=\"\">  <\/span>Vicki and Donna (her assistant and the woman who would serve as my doula) were there and had prepared the birthing room \u00e2\u20ac\u201c it was warm, the tub was filling with water, and the bed and floor were covered by protective sheets.<span style=\"\">  <\/span>Even with all the \u00e2\u20ac\u0153sanitary\u00e2\u20ac\u009d additions, the room felt homey and comfortable.<span style=\"\">  <\/span>After getting through a couple of contractions, I made my way to the bed where Vicki examined me.<span style=\"\">  <\/span>The exam was surprisingly painful.<span style=\"\">  <\/span>Then Vicki asked, \u00e2\u20ac\u0153what birth control have you used?\u00e2\u20ac\u009d <span style=\"\"> <\/span>\u00e2\u20ac\u0153Pills,\u00e2\u20ac\u009d I answered, \u00e2\u20ac\u0153for six years.\u00e2\u20ac\u009d<span style=\"\">  <\/span>\u00e2\u20ac\u0153Yup, you sure did,\u00e2\u20ac\u009d said Vicki, in her sarcastic way that usually indicates a coming unpleasant twist.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">The situation: My cervix was hard and long, absolutely no effacing.<span style=\"\">  <\/span>I was only 2 centimeters dilated (less than I had been a few weeks before).<span style=\"\">  <\/span>But the complicated bad news: Vicki explained that I had several inches of scar tissue in \u00e2\u20ac\u0153rings\u00e2\u20ac\u009d around my cervix (a stenotic cervix).<span style=\"\">  <\/span>This is of great surprise as I have never had any irregular pap smears (and therefore no crytotherapy or other related causes).<span style=\"\">  <\/span>There is a link to use of Depo Provera with cervical scarring, and apparently, with use of birth control pills as well \u00e2\u20ac\u201c although it is really a mystery and quite rare.<span style=\"\">  <\/span>So what was happening?<span style=\"\">  <\/span>My contractions were facing resistance at the cervix and was quickly rising the intensity of the contractions in order to break away at that resistance.<span style=\"\">  <\/span>This was causing, as Vicki would later call them, \u00e2\u20ac\u0153contractions from hell.\u00e2\u20ac\u009d<span style=\"\">  <\/span>I remembered hearing of another woman who had experienced this labor complication with Vicki: Vicki had applied evening primrose oil to her cervix over a couple of hours and used her fingers to slowly break up the scar tissue.<span style=\"\">  <\/span>She applied some evening primrose, tried to loosen things up a bit (yeah, uncomfortable!), and said that we should chill out.<span style=\"\">  <\/span>She seemed a bit annoyed and expressed that things would probably just slow down or stop completely.<span style=\"\">  <\/span>At this point, I was praying that this would be the case.<span style=\"\">  <\/span>I didn\u00e2\u20ac\u2122t know how much more of this level of intensity I could take.<span style=\"\">  <\/span>It was about 8:45pm.<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">I continued to want to be on the toilet where I continued to have show.<span style=\"\">  <\/span>When the tub was ready, I hopped in \u00e2\u20ac\u201c instantly, the water helped.<span style=\"\">  <\/span>Paul was very concerned about my eating and drinking and wanted to show that we were serious about moving labor along by getting me to walk, squat, etc.<span style=\"\">  <\/span>Being in the tub helped with this immensely \u00e2\u20ac\u201c I was better able to squat and open up my pelvis.<span style=\"\">  <\/span>The water definitely helped relieve the incredible pressure I was feeling in my abdomen.<span style=\"\">  <\/span>While the water did help some (especially in the first few minutes of being in there) the contractions did not noticeably slow down and still seemed to be gaining in intensity.<span style=\"\">  <\/span>This is not what Vicki had said would probably happen.<span style=\"\">  <\/span>At this point, I wasn\u00e2\u20ac\u2122t experiencing much in terms of back pain (that I recognized), however, pressure on my back felt great.<span style=\"\">  <\/span>Paul wasn\u00e2\u20ac\u2122t able to press on my lower back (sacrum) when I was in the tub, so eventually, I felt the urge to get out and in a position where I could better relax my whole body and have back pressure.<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">I should say that neither Paul nor I regret using the Birth Center or Vicki \u00e2\u20ac\u201c we highly recommend both.<span style=\"\">  <\/span>However, I do want to point out that at this point in the labor, we were feeling a bit let down.<span style=\"\">  <\/span>Paul sensed their annoyance more than I did and kept trying to make excuses to leave the room \u00e2\u20ac\u0153to call my parents.\u00e2\u20ac\u009d<span style=\"\">  <\/span>I didn\u00e2\u20ac\u2122t want him to leave and no matter how he pressed, Donna would not relieve him.<span style=\"\">  <\/span>What I didn\u00e2\u20ac\u2122t understand at the time was that he was trying to pull Vicki aside to talk to her.<span style=\"\">  <\/span>He felt that they thought I was being dramatic and it worried him because in his experience, he knew this was not the case.<span style=\"\">  <\/span>He wanted to express to them how he\u00e2\u20ac\u2122s seen me blow off or work through significant pain almost to a dangerous point (he calls me \u00e2\u20ac\u0153stoic\u00e2\u20ac\u009d).<span style=\"\">    <\/span>In the future, we think that couples should maybe arrange some code language with birth providers to allow that kind of private conversation when necessary.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">When I got out of the birth tub, I went down on all fours (another favorite position of the night) and then down on a side\/tummy lie right on the floor.<span style=\"\">  <\/span>This allowed Paul to rub my back and allowed me to completely rest and relax every muscle in my body.<span style=\"\">  <\/span>I hadn\u00e2\u20ac\u2122t been lying there long when Vicki and Donna came back in to check on me.<span style=\"\">  <\/span>I got up to go to the bathroom before being examined again.<span style=\"\">  <\/span>In the bathroom, I noticed more show and saw that some had dripped down my leg.<span style=\"\">  <\/span>I did not hear the commotion going on outside.<span style=\"\">  <\/span>Apparently, when I rose from the floor, I left a large pool of green\/brown liquid.<span style=\"\">  <\/span>Donna tested it with something and showed it to Vicki, who said, \u00e2\u20ac\u0153I\u00e2\u20ac\u2122d call that a positive, don\u00e2\u20ac\u2122t you think?\u00e2\u20ac\u009d<span style=\"\">  <\/span>Paul took note of this and says that once this happened, their demeanor totally changed.<span style=\"\">  <\/span>(We learned later that this was positive for both amniotic fluid and had some meconium staining.)<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">The change in demeanor I definitely felt.<span style=\"\">  <\/span>I came into the bedroom and laid on the bed for Vicki to do the exam.<span style=\"\">  <\/span>It was much more painful this time around.<span style=\"\">  <\/span>Vicki used more evening primrose, but said that the rings had only receded a small amount and very little progress had been made.<span style=\"\">  <\/span>Adding to the bad news, the baby was completely out of the pelvis.<span style=\"\">  <\/span>When she went to try and break up some of the tissue, the pressure and pain was so incredible that I begged her to stop.<span style=\"\">  <\/span>(I have never begged for anything due to pain.)<span style=\"\">  <\/span>At this point, I began to feel fear.<span style=\"\">  <\/span>My gut instinct was that something was very wrong.<span style=\"\">  <\/span>There was too much pain, it was not a good pain, and it was not going away.<span style=\"\">  <\/span>I felt that I needed help and felt that we needed to go to the hospital.<span style=\"\">  <\/span>At the same time, I didn\u00e2\u20ac\u2122t want to ask to go to the hospital and honestly did not have the energy to ask \u00e2\u20ac\u201c I felt overwhelmed, it was taking all of my thoughts and energy to get through each contraction and recover enough in the short time between to prepare for the next.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">Vicki and Donna put pressure on my back (heaven!) and I began to feel much more supported.<span style=\"\">  <\/span>I kept saying that I felt like such a \u00e2\u20ac\u0153wimp\u00e2\u20ac\u009d and that, truly, these contractions were what I would have expected for an advanced labor and were almost beyond what I was able to handle.<span style=\"\">  <\/span>I immediately felt better and calmed a bit when Donna touched my back and said, \u00e2\u20ac\u0153we believe you.\u00e2\u20ac\u009d<span style=\"\">  <\/span>It was a relief to finally feel believed.<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">After the exam and with me lying on the bed on my side, Vicki took the baby\u00e2\u20ac\u2122s heart rate.<span style=\"\">  <\/span>It was down.<span style=\"\">  <\/span>(It had been a happy 170 and had fallen to 150.)<span style=\"\">  <\/span>She also said that they had tested my fluid and found that I was leaking amniotic fluid and that the fluid had a light meconium stain.<span style=\"\">  <\/span>This was all I needed to hear \u00e2\u20ac\u201c I was ready to go to the hospital.<span style=\"\">  <\/span>In my mind, something was wrong and it was time to go.<span style=\"\">  <\/span>I didn\u00e2\u20ac\u2122t care about having another Cesarean at this point: the pain was too much, the baby was showing signs of not doing well with the labor, and my gut instinct was saying it was time.<span style=\"\">  <\/span>Vicki and Donna seemed to be thinking the same thing, although they didn\u00e2\u20ac\u2122t think that we were there yet \u00e2\u20ac\u201c offering to give us time to \u00e2\u20ac\u0153talk about it\u00e2\u20ac\u009d.<span style=\"\">  <\/span>(This would be really thoughtful with another couple, but I was definitely already in motion and needed no time!)<span style=\"\">  <\/span>It may have surprised them when we were so quick to mobilize to the car.<span style=\"\">  <\/span>Vicki called Baptist Hospital and paged Dr. Maher \u00e2\u20ac\u201c to all our surprise, Dr. Maher offered to come in even though he was not the OB on call.<span style=\"\">  <\/span>(Dr. Maher is the neonatal specialist who backs up Vicki\u00e2\u20ac\u2122s births and who checked me out to clear me for the VBAC; we liked him a lot and it made a great deal that he was going to be the one meeting us at the hospital.)<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">We left the birth center a little before 11pm.<span style=\"\">  <\/span>We were calm, but I wanted to get there fast.<span style=\"\">  <\/span>Not out of fear \u00e2\u20ac\u201c I was in pain and was ready for it to stop.<span style=\"\">  <\/span>The staff at Baptist Hospital were champions \u00e2\u20ac\u201c they flew me to Labor and Delivery, where I was in a bed, gown, and bracelet by 11:30.<span style=\"\">  <\/span>The contractions were killer.<span style=\"\">  <\/span>Being hooked up to the machine backed this up \u00e2\u20ac\u201c strong, spikey, irregular contractions came through the print out (Vicki\u00e2\u20ac\u2122s comment: \u00e2\u20ac\u0153These are some seriously funky-ass contractions.\u00e2\u20ac\u009d)<span style=\"\">  <\/span>More disconcerting: the baby\u00e2\u20ac\u2122s heart rate was falling not only with each contraction (which would be normal) but between them.<span style=\"\">  <\/span>This is not a sign of a good labor.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">It took a good 30 minutes for the epidural.<span style=\"\">  <\/span>The staff did their best to hurry along blood work and other necessities.<span style=\"\">  <\/span>Paul and Donna helped provide pressure to my lower back for each contraction.<span style=\"\">  <\/span>Paul told me later that he sensed \u00e2\u20ac\u0153something serious\u00e2\u20ac\u009d from the way people were looking at the contraction and heart rate print outs.<span style=\"\">  <\/span>I don\u00e2\u20ac\u2122t remember much of all this.<span style=\"\">  <\/span>My eyes were closed the entire time and all I really was capable of saying was \u00e2\u20ac\u0153is the epidural here yet?\u00e2\u20ac\u009d<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">It took three tries until the epidural was in my spine.<span style=\"\">  <\/span>The anestheologist (a very nice woman named Tricia) felt terrible \u00e2\u20ac\u201c you could hear it in her voice both times when she discovered that the tube in my back was not giving spinal fluid.<span style=\"\">  <\/span>I did my best to not think about the procedure (epidurals totally freak me out) and work through the contractions while she tried to get the medicine in my back.<span style=\"\">  <\/span>The third try was the charm and once in, I had only a few more contractions before the medicine was working.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">Dr. Maher arrived just as the epidural started kicking in.<span style=\"\">  <\/span>I was relaxing and ready to talk a bit \u00e2\u20ac\u201c what was going on with my body?<span style=\"\">  <\/span>Vicki asked if it would be okay for Dr. Maher to do another pelvic, I echoed that I would like him to \u00e2\u20ac\u201c we both wanted his take on what was going on with my cervix.<span style=\"\">  <\/span>His exam was very different from Vicki\u00e2\u20ac\u2122s!<span style=\"\">  <\/span>He found that I was easily 80% effaced and at least 5 centimeters dilated.<span style=\"\">  <\/span>Apparently, my contractions had worked through the hard tissue and my cervix quickly gone into labor action.<span style=\"\">  <\/span>It made me feel so much better, validated maybe, that I was actually in labor and the contractions worked through the scared tissue.<span style=\"\">  <\/span>Dr. Maher also noted that the baby seemed to be in a \u00e2\u20ac\u0153strange position.\u00e2\u20ac\u009d<span style=\"\">  <\/span>There was a moment when I thought we were going to discuss the option of not having a section and delivering vaginally with the epidural, but with the meconium, \u00e2\u20ac\u0153strange position,\u00e2\u20ac\u009d and strange labor patterns, I felt funny about it.<span style=\"\">  <\/span>The section honestly felt like the thing that had to happen.<span style=\"\">  <\/span>Even so, I was holding back tears (this was very emotional for me) and was dreading the exposure, helplessness, and strain of surgery.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"\"> <\/span><\/p>\n<p class=\"MsoNormal\">Paul and Vicki went to the car for Paul to get the camera and call our parents.<span style=\"\">  <\/span>I was rolled into the operating theater for prep.<span style=\"\">  <\/span>Once in the operating room, I learned that once born, the baby would be taken out of the room to the Nursery to be examined.<span style=\"\">  <\/span>This gave me incredible anxiety: the \u00e2\u20ac\u0153anesthesia shakes\u00e2\u20ac\u009d that had started turned into full-on tremors.<span style=\"\">  <\/span>I pressed for help: could Paul stay with the baby, what could be done to speed up the tests, did all tests have to be done in the Nursery, etc.<span style=\"\">  <\/span>I asked that they not administer Vitamin K (and re-signed a statement in this regard) and requested they hold off administering eye ointment until the end of the recommended 2 hour window so that we could have some family bonding time.<span style=\"\">  <\/span>I was told that hospital policy was 1 hour \u00e2\u20ac\u201c fine, I said, but please hold off until we had an opportunity to hold her.<span style=\"\">  <\/span>I was choking back tears with the horror of Kate having to go the Nursery, out of my care, for who knows how long after birth.<span style=\"\">  <\/span>Early bonding is a big deal to me and not being able to have it was a lot for me to bear.<span style=\"\">  <\/span>Since Paul would go with the baby to the Nursery and I would still be in surgery, I asked if Vicki could be present in the operating room so that there would be someone there with me after Paul had left.<span style=\"\">  <\/span>This had to be cleared through the two physicians: Dr. Maher (who wasn\u00e2\u20ac\u2122t in the room at the time) and the head anesthesiologist.<span style=\"\">  <\/span>The anesthesiologist, a short, snobby guy who never introduced himself to me, patronizingly responded: \u00e2\u20ac\u0153No Ma\u00e2\u20ac\u2122am, only one person is allowed in the operating room, and that\u00e2\u20ac\u2122s our rule.\u00e2\u20ac\u009d<span style=\"\">  <\/span>What a jerk.<span style=\"\">  <\/span>My shaking increased 10 fold and I started to cry.<span style=\"\">  <\/span>I also reminded the nice anesthesiologist (Tricia) that, no matter what, I did not want any kind of mood altering medication.<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">It took awhile for the cast of characters to be assembled.<span style=\"\">  <\/span>I think the surgery began around 1:20am.<span style=\"\">  <\/span>I was pretty weepy and shook through the entire process.<span style=\"\">  <\/span>Paul was limited to how close he could be to me, but his hand on my arm was the most effective thing to control my shaking (I found that I could be almost still with human touch and without it, I shook terribly.)<span style=\"\">  <\/span>In the course of the surgery, Dr. Maher found several interesting and alarming things:<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 0.5in; text-indent: -0.25in;\"><!--[if !supportLists]-->&#8211;<span style=\"\">         <\/span><!--[endif]-->Kate was posterior (OP), meaning that she was looking in the direction of my navel \u00e2\u20ac\u201c not in the less painful, easy to deliver anterior (OA) position.<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 0.5in; text-indent: -0.25in;\"><!--[if !supportLists]-->&#8211;<span style=\"\">         <\/span><!--[endif]-->Kate was also asynclitic, meaning her head was \u00e2\u20ac\u0153cocked\u00e2\u20ac\u009d to the side.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 0.5in; text-indent: -0.25in;\"><!--[if !supportLists]-->&#8211;<span style=\"\">         <\/span><!--[endif]-->Kate was swimming in thick meconium.<span style=\"\">  <\/span>The stress of the labor had caused her to poop more than we realized; because I had only a small leak of fluid, we had no indication of how extensive the meconium was.<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 0.5in; text-indent: -0.25in;\"><!--[if !supportLists]-->&#8211;<span style=\"\">         <\/span><!--[endif]-->I have extensive, \u00e2\u20ac\u0153severe\u00e2\u20ac\u009d scarring indicating that I\u00e2\u20ac\u2122d had an infection in the post operative phase of my first C-Section.<span style=\"\">  <\/span>I had no idea.<span style=\"\">  <\/span>Interesting note: when we were re-admitted to the hospital when Will was 4 days old, the stress and strain on my body caused me to begin to bleed a substantial amount more than I had been post-op.<span style=\"\">  <\/span>I actually called down to the UM midwifery floor (where I had received my care) and was blown off.<span style=\"\">  <\/span>Apparently, it was actually a serious concern; I had an infection scarring up my insides.<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 0.5in; text-indent: -0.25in;\"><!--[if !supportLists]-->&#8211;<span style=\"\">         <\/span><!--[endif]-->I also have other surgery related scarring \u00e2\u20ac\u201c chalked up to a poor quality C-section.<span style=\"\">  <\/span>So much for UM quality residents!<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 0.5in; text-indent: -0.25in;\"><!--[if !supportLists]-->&#8211;<span style=\"\">         <\/span><!--[endif]-->My bladder was tacked much too high in the previous surgery.<span style=\"\">  <\/span>I cannot believe the difference in how much easier it is to use the bathroom now.<span style=\"\">  <\/span>I would have never known or even thought to ask.<span style=\"\">  <\/span>Bottom line: those UM residents butchered me and I had no idea!<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 0.5in; text-indent: -0.25in;\"><!--[if !supportLists]-->&#8211;<span style=\"\">         <\/span><!--[endif]-->BUT THE MOST SERIOUS: Kate\u00e2\u20ac\u2122s umbilical cord, not her head, was in my pelvis.<span style=\"\">  <\/span>Had we continued with labor and Kate\u00e2\u20ac\u2122s head somehow straightened itself to get into the pelvis, she would have pressed down on her cord.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">The bottom line: this needed to be a C-Section.<span style=\"\">  <\/span>This was a true \u00e2\u20ac\u201c no messing around, no other way, baby is not coming through the pelvis, not a normal situation \u00e2\u20ac\u201c we need surgery birth.<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">So Kate was born via C-Section at 1:49am, Tuesday morning, May 9<sup>th<\/sup>.<span style=\"\">  <\/span>8 pounds, 6 ounces.<span style=\"\">  <\/span>Head and chest circumference were both 14 inches.<span style=\"\">  <\/span>Apgars were 8\/9.<span style=\"\">  <\/span>By all accounts: a beautiful newborn with lots of hair (red, blonde, dirty blonde, light brown \u00e2\u20ac\u201c everyone had a different opinion about it\u00e2\u20ac\u2122s color), great skin tone, and nice pink color.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">It took a long time for the surgery team to reach her due to the intensive scarring inside me.<span style=\"\">  <\/span>Had we waited until it was a true emergency with minutes to spare, my scarring would have caused substantial problems.<span style=\"\">  <\/span>As it was, Dr. Maher did not use standard procedure: taking out the uterus for inspection and placenta removal.<span style=\"\">  <\/span>He vacuumed out my insides.<span style=\"\">  <\/span>The placenta came out in pieces.<span style=\"\">  <\/span>It probably went to pathology (standard for meconium babies).<span style=\"\">  <\/span>I never saw it and although asked for it directly before the surgery, did not get to take it home.<span style=\"\">  <\/span>I didn\u00e2\u20ac\u2122t have the heart to ask about it later because I know no one was watching out for this.<span style=\"\">  <\/span>(I thought Vicki would advocate for me since this was a key part of my birth plan and something that I specifically mentioned during several prenatal visits and even brought up within the context of a C-Section \u00e2\u20ac\u201c but she did not pull through on making sure that the surgery team saw my birth plan, nor did she share any of my concerns with them\u00e2\u20ac\u00a6 this was a major let down!)<span style=\"\">  <\/span>This is still difficult for me; I wanted the placentas I shared with each of my children.<span style=\"\">  <\/span>For me, having Kate\u00e2\u20ac\u2122s placenta would allow me to come full circle with my pregnancy and her birth and help me get through the tough emotions post-partum.<span style=\"\">  <\/span>It may seem like a silly thing, but it was very important to me and carries great emotional weight.<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">Paul left with Kate a few minutes after she was born.<span style=\"\">  <\/span>I got to see her briefly before they left.<span style=\"\">  <\/span>The rest of the surgery was uncomfortable; I asked Tricia to hold my hand to help with my shaking (which was severe at times) and talked to the doctor toward the end, which is when I found about all of the complications listed above.<span style=\"\">  <\/span>Dr. Maher was really nice and spoke well to me; considering how he had my major internal organs in his hands as we talked.<span style=\"\">  <\/span>I was out of surgery by 2:30am.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">The next day was a blur of tears.<span style=\"\">  <\/span>Kate had no meconium in her lungs (thank goodness!!) but had inhaled enough to warrant a series of tests.<span style=\"\">  <\/span>In the meantime, she was breathing too fast to be let out of the nursery; her respirations were in the 70s (they need to be steady at around 60).<span style=\"\">  <\/span>This meant that she was breathing too quickly to nurse.<span style=\"\">  <\/span>I was not allowed to see her.<span style=\"\">  <\/span>Updates came slowly over several hours while I was in recovery.<span style=\"\">  <\/span>I was alone in the room, I could not move, and Paul was with the baby.<span style=\"\">  <\/span>Nurses came in periodically to give updates.<span style=\"\">  <\/span>Around 3am, I found out that Kate was doing really well because \u00e2\u20ac\u0153she pulled out her IV and they had to put in a second.\u00e2\u20ac\u009d<span style=\"\">  <\/span>This is when I really began to fall apart.<span style=\"\">  <\/span>Paul came in a few minutes later.<span style=\"\">  <\/span>He\u00e2\u20ac\u2122d seen her pull out the IV and he could not take her cries as they put in the second.<span style=\"\">  <\/span>I cried and cried and cried.<span style=\"\">  <\/span>I asked Paul to stay with her and kept asking why they wouldn\u00e2\u20ac\u2122t let him be in the room with her.<span style=\"\">  <\/span>The whole morning is a blur of me asking for updates, crying, Paul coming in and checking on me, and crying.<span style=\"\">  <\/span>One part I do remember is when one of the nurses asked why I was so upset, that everything was fine and I should \u00e2\u20ac\u0153enjoy the quiet.\u00e2\u20ac\u009d<span style=\"\">  <\/span>In a moment of clarity, I pulled it together enough to say: \u00e2\u20ac\u0153NO.<span style=\"\">  <\/span>Everything is NOT alright.<span style=\"\">  <\/span>The only way my baby can know that she is not alone right now is by human touch and human voice.<span style=\"\">  <\/span>The little touch and voice she is experiencing right now is connected to painful pricks and tests.<span style=\"\">  <\/span>There is one person in the world who can provide the comfort she needs to feel safe right now and that person is me.<span style=\"\">  <\/span>And I am not there.<span style=\"\">  <\/span>So, no.<span style=\"\">  <\/span>Everything is NOT alright.\u00e2\u20ac\u009d<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">This same nurse arranged for me to be wheeled through the nursery on the way to our room to visit with Kate.<span style=\"\">  <\/span>I was incredibly thankful; they let us stay with her for over 15 minutes.<span style=\"\">  <\/span>I was able to touch her, talk to her, and talk to the staff.<span style=\"\">  <\/span>It made a huge difference. <\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">We were able to visit Kate a few times during the following afternoon, once my catheter was removed and I was given the go-ahead for walking.<span style=\"\">  <\/span>We spent every moment we could in the nursery with her \u00e2\u20ac\u201c we were there for some tests and for her first bath.<span style=\"\">  <\/span>I think because of our strong feelings regarding wanted to be together and our bonding the night before, the staff truly let up on some of their restrictions.<span style=\"\">  <\/span>We were aware of how flexible they were being and were very thankful.<span style=\"\">  <\/span>I never saw another parent in the nursery.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">I got to nurse Kate for the first time the following night (the night of the 9<sup>th<\/sup>), around 10pm, roughly 20 hours after she was born.<span style=\"\">  <\/span>(Her respiratory rate had to be steady at 60 for over 6 hours before I could nurse her.)<span style=\"\">  <\/span>I ended up nursing her almost the entire night: once she started, she didn\u00e2\u20ac\u2122t want to stop!<span style=\"\">  <\/span>Finally, around 3am, her blood sugar had risen enough that she no longer needed the IV.<span style=\"\">  <\/span>The nurse allowed me to take her back to the room!<span style=\"\">  <\/span>From then on, Kate was with us.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">The remainder of the stay was wonderful.<span style=\"\">  <\/span>The post-partum nursing staff were angels.<span style=\"\">  <\/span>The day nurse, Mary, took such great care of me \u00e2\u20ac\u201c I have never felt more cared for and looked after (outside of my Mom and Paul).<span style=\"\">  <\/span>We since found out that Baptist Hospital has one of the highest rates of patient satisfaction in the country \u00e2\u20ac\u201c and is even studied by other hospitals in this regard!<span style=\"\">  <\/span>We agreed that it would be worth the three hour drive to Pensacola from New Orleans if we needed serious care: we really liked the hospital. <\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">In sum, we are now home with a beautiful, healthy baby girl.<span style=\"\">  <\/span>I am so thankful for the choices we made\u00e2\u20ac\u00a6 I shutter to think what would have happened if we had not left for Pensacola when we did, or if we had let Vicki send us home since we were not technically in labor when we arrived, or if I had not leaked fluid that caused our providers to start to pay attention, or if we had decided to stay at the Center and work through the scarred cervical tissue, or if we had further delayed the C-section and Kate had inhaled meconium into her lungs\u00e2\u20ac\u00a6 so many possibilities.<span style=\"\">  <\/span>It makes me feel like we did very well: we had a situation which was dangerous and complex in ways that we could not have predicted or imagined, and made good, instinct driven decisions that lead to a very positive outcome.<span style=\"\">  <\/span>Further, Paul and I advocated well for ourselves and Kate and did so in a way that those around us sought to help us in our efforts.<span style=\"\">  <\/span><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\">Kate is wonderful and we are so happy she is here!<\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p class=\"MsoNormal\"><!--[if !supportEmptyParas]--> <!--[endif]--><o:p><\/o:p><\/p>\n<p>  <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>To read the full birth story, please click on the &#8220;Read More&#8221; link below. (Sorry that those are showing up in all the posts &#8212; I&#8217;ll work out that blogger kink when I get a chance!) For those who want the Cliff&#8217;s Notes version, the bullets are below! We had a lot of complications:&#8211; Stenotic [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"http:\/\/www.coldspaghetti.org\/blog\/wp-json\/wp\/v2\/posts\/1460"}],"collection":[{"href":"http:\/\/www.coldspaghetti.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.coldspaghetti.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.coldspaghetti.org\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.coldspaghetti.org\/blog\/wp-json\/wp\/v2\/comments?post=1460"}],"version-history":[{"count":0,"href":"http:\/\/www.coldspaghetti.org\/blog\/wp-json\/wp\/v2\/posts\/1460\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.coldspaghetti.org\/blog\/wp-json\/wp\/v2\/media?parent=1460"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.coldspaghetti.org\/blog\/wp-json\/wp\/v2\/categories?post=1460"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.coldspaghetti.org\/blog\/wp-json\/wp\/v2\/tags?post=1460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}