Thursday, September 30, 2010

Real Labour


Has it only been just over two weeks since William was born? I can't believe it. I wish I could say it's all been smooth sailing, but William came into the world via an emergency c-section (and all I wanted while I was pregnant was to avoid a c-section).

Maybe I should back up a bit.

Induction day was 11 days overdue. I avoided any exams and sweeping of membranes not wanting to mess around "down there", because I was hoping things would take their natural course. I instead had two sessions of acupuncture (a woman in our birth and babies class swore by it--had actually gone into labour within hours of having it done). But on induction day, I was seen by some locum (not my doctor), who proclaimed me as barely a centimeter dilated, and was very quick about it. After she left, I cried and was quite upset knowing how little chance I had of not having a c-section from that point onward what with all the medical intervention that would be required. Rob and I immediately went over to the hospital for a cervical ripener, and had to actually sign a release when informed that Cervadil could cause a very speedy, hard labour.

Prior to the Cervadil, I had my blood pressure taken and it was quite elevated at 143 over 90, probably because of how upset I was. This turned out to be a saving grace, as they didn't want to release me based on the blood pressure alone. So, at 1pm I was given the Cervadil, then admitted where I was told I wouldn't be leaving the hospital without a baby.

How Cervadil works is you get examined 12 hours later if you haven't gone into labour. This is when women are normally sent home. Intense contractions didn't begin for me until around 6pm or so, and had Rob and I wandering the halls to try and manage the pain/force labour into progressing. The contractions came in clusters, and I was very nervous as I was not yet admitted into the labour and delivery ward, and Rob would have to leave at 9pm when visiting hours ended on my ward. I was frightened of labouring on my own up to 4 centimeters until I'd be admitted and Rob would be able to come back and be with me(as yet another woman in our class experienced). It seemed as though all the things I was afraid of and trying to avoid were coming true.

Rob left at 9pm, and the contractions had settled to a manageable rhythm. I was even feeling sleepy and decided to get into my pajamas, turn the lights down, and try and get some sleep; we were both advised it could be a long day of labour. I had been in bed for hardly any time, Rob had only been gone 40 minutes, when I felt my water break in a big gush (a peculiar sensation that I still don't know if it was audible or was just an internal "whoosh"). I immediately pushed the nurse call button, and tried to get to the bathroom with as little mess as possible. I could barely get out of the bathroom and back to bed once the nurse arrived because the contractions were progressing rapidly. At that point I was 3 centimetres dilated and told it would likely take awhile.

Because I was GBS positive, antibiotics needed to be administered via IV as soon as my water broke, so that was a big focus. Unfortunately it took 3 attempts by different teams of people (nurses, residents and finally an anesthesiologist), which took close to an hour. I was desperate for pain medication, even at that point, as there was no spacing of contractions--no working up to 5 or 4 minutes apart, it was one minute, two minutes, one, one, one, and on it went. First I was told I could get a shot of morhpine, but that kept getting sidelined by the IV issue. Then I was told I could get pain meds via the IV, which of course wasn't in yet. Finally they located some laughing gas, and I went from 3, to 5, to 7 centimetres within an hour and a half.

Rob was called almost immediately, and appeared to be taking his time (at least forty minutes from my count). When he arrived, I believe I was using the laughing gas, I was in so much pain. I could feel the contractions build in the side of my belly like a heartbeat, which would clench and clench until it hit the peak. I prayed and prayed I would get more time in between to brace for the next contraction and try and relax from the previous one, but I had little reprieve. When the IV was finally in, I asked again for pain relief and the nurse actually sat down on the bed, took my hand, and told me it would be all natural. This was heartbreaking news at the time, as the pain was unbearable and had started and progressed much more quickly than I'd ever imagined it could.

After I was 7 centimeters dilated, they called for a room on the labour and delivery ward, but one wasn't available. Just as quickly it was and I was whisked away. From there things went very fast. It seemed I wasn't in my room long before I was being rushed to the delivery room. I can't remember when they put on the internal fetal monitor, which allowed us to hear the baby's heartbeat (in stereo it seemed, it was so loud). When the contractions would hit, I would suck on the laughing gas so hard it sounded like I was choking for my last breath through the mask, I was breathing so deeply. There were no other thoughts in my head beyond stopping the pain.

Then the urge to push hit me. My whole body trembled, and I vaguely understood what this meant, and that I could not yet push. I was finally told I could not yet push, and that's when we all heard the fetal heart rate audibly drop to a loud, slow and sickening thump, thump, thump that seemed to reverberate throughout the room (certainly throughout my pain induced, laughing gas haze) as compared to the cheerful quick staccato in between contractions.

I was measured again and was still 7 centimeters. I was then told I would need a c-section, as the baby was not "tolerating" the labour, and I remember signing off on a release form. I immediately asked if I would be getting pain medication, and was told there wasn't enough time for it, that I would need to be put fully under. Instead of being alarmed, I was more concerned about how quick they could make this happen. I was being wheeled to the OR (or whatever), as they fired questions at me about when I last ate, etc. The entire time they were prepping me, I just kept asking how long before I was under--HOW LONG?!

Rob was being rushed into scrubs and was then told he couldn't come in, so he had to listen to me howl as he waited outside in the hall. He saw person after person rush into the room, all while not knowing if everything was going to be alright. He was told, "Listen for the baby's cry." It wasn't long after he heard it, he was able to go in and see William sitting in the warmer all bright eyed. My water broke at 9:40pm and William was born at 12:59am. Rob can retell his side of the story now without welling up, but it was a challenge retelling it for up to at least a week after William's birth.


I was out for another two hours while Rob and William got acquainted in the nursery. When he was finally able to present William to me, I wasn't the least bit surprised Rob had a boy in his arms.

We both have since wondered if we would be able to endure this again for a second child (can't believe the thought has even crossed our minds at this point), but for now, we get to hold our little healthy William in our arms and thank God he arrived when he did.



5 comments:

T said...

Wow! What an amazing story. Even though it's told in just a few short paragraphs, I can imagine just how long (and yet quick) this whole process was for you.

I guess at the end of the day, the fact that you have such a beautiful and healthy baby is all that matters. I can't wait to meet the little guy!

Shawna said...

Tiffany, you did a fantastic job, of delivering your child and of telling the story. Thank goodness everything ended well. He is simply beautiful!

Amanda said...

First of all - good on you for making the effort to write it all down. The details will fade, so it'll be nice come re-read this later on.

You have handled everything so well. You are so strong! And you have a GORGEOUS little boy to show for it.

Now, if you are ever chatting with a pregnant woman who is stressing about her 'birth plan', what will you tell her?

Amanda said...

PS - those 2 photos of William really show how much he's changing already - can't wait to see him again!

TJ said...

Well, I would tell her to have a good plan and know her options, but to be very conscious of the fact it will not go according to her plan, so she should be prepared for anything and everything to change.

I remember some of the books talked about how women can get very disappointed by the labour experience, and that if they are harbouring ill feelings about it they need to see someone, or something.

I found that odd, and even though my experience certainly wasn't pleasant (I can't imagine any of them really are), I am extremely thankful that William appears healthy, and I'm healing. Despite things not going even close to any plan, and certainly deviating from the norm even under the circumstances, I am grateful for how well everything else is going.

The Dr told me today that my positive attitude makes a difference, as not everyone would choose to be positive under the circumstances. Even though I have pockets of negativity (as expected), I do feel as though I just need to get on with it the best I can.

Sympathy from other women certainly helps. : )

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