25 March 2014

Hannah's entrance into the world

Since I have *so* much more hands-free time (I have to get the baby off my chest when she's sleeping in order to pump)... I might as well start working on the birth story!

As it was with Zeke, I was fairly done being pregnant. I was done after my Masters was completed, 15 Feb. And I was so sure that Hannah was coming early because her due date was off. It became apparent I was wrong as the days dragged on after the 15th. I did start having Braxton Hicks (BH) contractions the 15th, but they just started to get annoying since I knew they were just false alarms. I tried to tell myself they were getting my body ready for a faster labor, at least hopefully.

At my 36 week appointment I saw CPT Swift (whom in my head I always referred to as Taylor, but her first name is Kristen). Then, we ended up seeing her for every appointment thereafter. Which was 38, 39 and 40 weeks. At our 39 week appointment she asked if I wanted her to strip/sweep my membranes and/or do a cervix check. I declined. Gracefully, even though she was more then ready and willing to do it. I told her if I was at my 40 week appointment she could do it then. At this point all my appointments were the day before the actual date (so, my 40 week appointment was on Thurs 2/27 instead of 2/28).

Needless to say, I ended up keeping that 40 week appointment, and she gladly swept my membranes, and informed me I was 3cm dilated. No big whoop. I did, however, inform my boss about what was happening at my appointment, and I preferred to not go back to work (it was a mid-morning appointment). He gladly agreed.

So Marcus and I had some lunch, went home. Hung out, took a nap, and picked up the kid. This is when his teacher Ms. Shannon asked when I was due. I told her Feb 28, and she said that Zeke was so upset at school because she was discussing that February was a short month, and it was almost over. Zeke responded that the month couldn't be over because baby sister hadn't arrived. We had been telling him that she was coming in February. I walked away, concerned that I was going to have to tell my son about how babies come whenever and I lied to him.

Life went on...in the early evening I lost my mucus plug for the third time, but this time there was some blood tinge to it. Alas, my cervix was finally doing some serious action.

We headed to bed and I woke up to the bathroom call and a contraction. No big deal, figured if it was the real deal I needed to get as much rest as possible. And I headed back to sleep. At midnight I woke up again to contractions and realized I needed to move around to get through them, because I couldn't just lay down. I also felt some warmth in between my legs, and *assumed* it was my water leaking (as it did with Zeke). I started timing them with some random app. I knew Marcus was gonna need some sleep, so I tried to let him... I called the midwife pager because I was thinking they were kind of picking up, and figured since my "water broke" and I was having contractions already, it was a good sign. When the midwife called me back, as figured she was concerned about water breaking, so she suggested we come in. I woke up Marcus and told him we needed to head to the hospital. I called my mom and left a voicemail, called Kayleigh the birth photographer, and we started getting ready.

Marcus left to drop off Zeke (I was not about to be in a car with contractions any longer than I needed to be). He got back and we loaded up our stuff and headed to the hospital. I think we got there around 2ish (we were taking our time). Of course there was some sweet Stork parking (at 2am!), and we grabbed ALL of our stuff (a body pillow, regular pillow, suitcase, and Marcus had a backpack, and I had a messenger bag). I am sure we looked like we were moving in, but I was determined to be comfortable!

Headed into the triage room and got hooked up for contractions and baby monitoring. Everything was looking great... midwife came in and asked me about dilation, etc. She said, if my water broke and she did a cervical check, I would have to stay at the hospital. If my water didn't break, she could check dilation, and then we could make a decision. She did a swab and left (to check if my water break). Marcus and I were discussing, it was almost 3am, and the thought of having to drive back home, only to have to turn around and come back to Tripler before traffic picked up... was not amusing. We were leaning towards wanting to be admitted.

When the midwife came back she said my water had not broken (great news! no time limit like last time), and that it was just mucus. Apparently, I had a lot of mucus... I lost three mucus plugs...anyway. Load 'em up and check that cervix. I was at 5cm! Although, at the time I don't think I really thought 5cm was anything to write home about. I mean, I didn't think I'd be out of dodge until I was past 7cm (where I got stuck with Zeke). The midwife recommended I be admitted, and Marcus and I willingly agreed.

I was admitted at approximately 0330. I felt like it took a while for everything to come through. We eventually headed through the halls to get into a labor room. All I was thinking was hoping that I could have reception in our room, but alas. To no avail. The nurse did try to sell us the room since it was the closest one from triage. I guess I wasn't sounding so hot. Or something, the nurse definitely pointed out that the room was the closest.

So we started to get settled. I'm not sure what that means, to get settled... but I started talking to the nurse and midwife about our birth photographer, I asked Marcus to go outside and call Kayleigh (the photographer) and let her know labor was serious and were staying at Tripler. I reminded the staff that I wanted to take my placenta home. They did some fetal monitoring (which, by the way, I do not enjoy having anything on my belly during contractions), and I have no idea what we did. We talked about what the game plan was, I wanted a natural, drug/intervention free birth. There might have been more, I'm not really sure.

Next thing I know Kayleigh showed up, I introduced her to Marcus, and had him give her the signed paperwork, we continued with contractions. I moved all over the dang room. I tried everything: sitting on the ball, leaning on Marcus, bent over the chair (almost like being on all fours), I can't really remember what else we did. There was a lot of movement. The midwife recommended I go into the tub, I told her I wanted to wait. She said if I wanted to speed things up, I could have her break my water, I told her I wasn't ready for things to get really intense and wanted to see how they progressed on their own.

As we got closer to shift change (0645) we did a cervix check. Making steady progress at 8cm and I was getting tired. I had thankfully taken a nap in the early evening (which I normally don't do because it messes up my sleep cycle, but I was so tired, I took it as my body needing rest and perhaps preparing for labor. Man am I glad I listened!) but I was still feeling the effects of labor on my body. The midwife suggested the tub again, and this time I told her I was scared of the tub. This probably sounded ridiculous to her, but as soon as she suggested it, I realized, I was actually scared of it. Scared because with Zeke, I went into the tub at 7cm with labor progressing great, only to get in and have the contractions slow down significantly, and my labor stall for a few hours and ultimately lead to pitocin. I didn't want my labor to stall with Hannah, and I did not want pitocin. The midwife kindly told me that she was confident I would not stall, and if I did, she would recommend breaking water before giving me pitocin.

I agreed. I needed rest. And man did that tub feel awesome.

I am not sure how long we were in the tub for, long enough for shift change to be over. I knew Kristen was coming on shift, and I knew she'd be happy to see me. She was all smiles as she walked in (before shift change, she came in early), saw me in the tub, and told me she was very excited for this delivery. I could tell she was.

She's a sweet gal. Super energetic and zealous, and yet in the moments when I didn't need her excitement and energy, she definitely toned it down.

After maybe an hour in the tub, I'm not really sure, I decided to come out, because I thought I might need to start pushing.

I tried different positions, squatting on this birthing chair, that didn't work out so well... Also on the ball... but it felt like a little push nothing serious. And then I felt like it was being blocked. I wasn't quite sure if it was even time to push, but it was getting tiring. At this point, Kristen offered to break my water... and  I declined. I wanted to wait. I didn't feel like I could handle the labor picking up any faster so I told her I'd wait until about 8 or 830 (it was about 720ish right then). I went through a few contractions, and I looked at the clock. It was 730. I couldn't wait another 30 min or an hour, I needed my water to break, I needed it to be done. Now.

By that point Kristen had left, so I used the nurse call button, and may not have a conversation like this, "Yes, I need Kristen to come in to break my water." "Your water broke?" "NO, I need her to break my water now!"

So she came in and started to get ready. She had to perfectly time it between contractions, so after one she went in... and was doing something, and taking her time... I could feel another contraction coming soon. I told Kristen that she needed to hurry because I wasn't going to be able to NOT kick her in the face. She said I was squishy and finally broke my water around 0745. She thought I was going to have a lot of liquid come out, but it wasn't a gush at all. Just some trickles.

I don't remember much... just thinking that the end better be near soon because I was getting very tired. My body was worn. My legs were tired from what felt like a long time (4hrs in the hospital) of laboring while standing up or other leg taxing positions. Kristen recommended the "Princess" position. Basically, they get rid of the bottom of the bed, and try to help position you so that you're similar to squatting but not taxing your legs. Little by little I started sitting up more to try and help get off my back. I felt like I needed to push. But it was a slow push. And after some pushes, I couldn't feel her moving down like how I remembered Zeke moving down during labor. I asked Kristen to talk me through the path that Hannah had to take in order to come out. I told her, "After she moves out of the cervix then where does she go?" I feel like I needed to hear it, and visualize her movement, so I could have something to focus on. To keep my mind focused on her moving down and out. It seemed like a long time of this weird slow pushing... but I know it wasn't that long at all.

The contractions started to get more intense and the urge to push also got more intense. I finally was feeling her move, and I felt like I was all out of energy. I had nothing. I told Kristen that I didn't think I could go on (this is when she started to suit up-she knew the baby was coming). In my head I wanted to say that I couldn't go on, that I gave up. But I remembered a conversation with Marcus when we found out we were pregnant. I told him I wanted to do Crossfit through the pregnancy, he told me if I did, I couldn't say that I gave up like I did during Zeke's delivery.

So in that moment of the pushing through contractions, I thought- okay Brenda, you did Crossfit. You have strength and the ability to do this. Then the contractions started to get closer and closer...and I had to be very diligent about my pushing and catching a breath to push. I don't remember much about the ring of fire, but I remember Kristen telling me to wait... so through one contraction I did the horse lips to prevent myself from pushing but after that... I had to push...and out she came.

With a nice little cry and about one second wiping her down real quick-they put her on my chest.

And that was all she wrote.

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