
When I was expecting my first child, I was obsessed with this
Birth Stories website. It's a place where mothers can post their childbirth stories, or read others'. I would spend hours a day (at work!) poring over the site, trying to imagine what it might be like to actually give birth. Four kids later, and it's still hard to comprehend.
While it seems most people like to talk about themselves, it is interesting to me how much mothers enjoy sharing their birth stories. Since we are coming up on the end of Madeline's first week on the planet, it seems a good time to record Madeline's birth story, from my perspective:
Everyone was asking
when I was going to have the baby. It was annoying and frustrating, and I always gave the same answer: (shrug) "I will not go early. Babies do not like to come out of me." People laughed when I bought my ticket to Amanda's school fundraiser, set for April 18, because my due date was April 21 and they said I would never make it. I was there.
In the days leading up to my due date, I was having some periods of pretty regular, intense contractions, usually at night, but they never lasted long enough to be called labor. The doctor started talking induction, which was not entirely surprising, but was something scary and new just the same. My last doctor's appointment was on Monday, April 20, and Doc said it was time to be induced. He was not concerned about the baby's size, because I was measuring small, but he was concerned I was noticing the baby move less and less. He asked me which day I wanted to be induced, but I said that was too much pressure, so he should choose. He went to his office and came back to announce, "The birth day will be Wednesday. Check in at the hospital at 7 a.m."
I notified my mom, who took off the day to take care of the other kids, as well as Todd's mom and all the sisters, as we had invited them to be in the delivery room this time. (Oh, my mom was invited, too, but I knew she would sign up for that as soon as she would volunteer for a root canal.) Tuesday was spent running errands-- when would I get to my beloved Target again?-- doing laundry, picking up the house, and making lists.
Tuesday night, a nurse called from the birth center, to double-check my information, to answer my questions, and to warn me to call before I came in, just to make sure the hospital had room for me. That had not occurred to me-- here I was, finally geared up, and I might get bumped by women in real labor? I collapsed into bed around 10 p.m., but woke up around 12:30 a.m. and could not get back to sleep. About 2:30, I got out of bed and had half a bagel with cream cheese and some apple juice. (Hey, the nurse told me to eat a light breakfast, but I knew I wouldn't be able to down anything by the time dawn came.) Eventually I dozed off and didn't awake again until 6:15... Then, we were in a mad rush. Mom arrived at 6:30, and we tried to sneak out before the kids got up, but Amanda ran downstairs at 7:00, as we were leaving, to say one last goodbye.
We checked in at the hospital and were taken to a different delivery room. The other three children were all born in room 12 (a.k.a. "the big room") so this was a bit of a surprise. I took it as a good sign-- maybe this labor and delivery would go more easily than the others; but as a challenge-- we had four extra people coming to witness the birth, and this room was half the size. I got changed, answered all the requisite questions, got settled into bed, was stabbed with the IV line, and, around 8:15, the doctor arrived to break my water. I was still 3 cm, 70% effaced, head at -1 station. Nurse Tani started the pitocin (a labor-inducing synthetic hormone) and we sat back to wait.
Todd was bouncing off the walls. So excited. Dancing and pacing already. He made one trip to the nurses' station to ask about wi-fi access. He made another trip home to get the card reader for the laptop. I sent him on a third trip to hospital administration to submit a new insurance card. When he wasn't being really twitchy and cute, he was being really annoying-- surfing the Internet and mulling over deck supplies to order. "Do you want black clips or gray clips for the deck boards?" When I rolled my eyes and answered, "gray," he said, "The supplier suggested black."
Doc returned at 10:00 and checked me. I was the same. I told Todd he had better call the others and give them an update. Let them know they were welcome to come whenever, but that it was looking like it would be a very long day. Just then, my sister waltzed in, with fragrant stargazer lilies, her fancy new camera, and four decks of cards. I was surprised to see her so early, but she said she had a babysitter, so why not? The others trickled in over the course of the hour. The decision to invite observers will be saved for another post. Here, I will just say my emotions about EVERYTHING were all over the board. The things that stick out most in my mind are Ellen announcing one of her kids had diarrhea and Kristin announcing she had strep throat again (but was on antibiotics.) I thought to myself, "They should keep that information to themselves. The nurse is going to kick them out." But she didn't. In fact, we started playing cards, and Tani couldn't believe it was Nertz. Like us, she had thought her family invented the game.
Little by little, Tani was jacking up the pitocin. The contractions were getting more uncomfortable, but certainly not unbearable. I was also getting pumped full of fluid, so I was making a lot of trips to the bathroom. There, I could hear what was going on in the next delivery room, and that woman started pushing before noon. It ticked me off, because I had arrived first.
Around 11:30, the good doctor returned, and, yep, I was still the same. The women decided to go and get lunch. I decided to stand up and rock a bit, while reading my People magazine. I hadn't known that, while hooked up to pitocin, I would not be able to walk around the hospital, but I felt I had to try to do something, anything to move this along. The doctor poked his head back in about 45 minutes later, but said, "Oh, you look like you're busy making progress. I don't need to bother you and check you now." I said he was here, so he might as well, and I laid back down. Surprise, surprise. I was now 7 cm, 100% effaced, and the head was down to a 0. He said, "You should get your epidural now, if you want." I said, OK.
Tani paged the anesthesiologist, and, sure enough, while we were waiting for him, the contractions got a lot more intense. It was after 1:00 when I began the discussion with that doctor about my trouble with epidurals. Not only do they make me barfy and take a long time to wear off, but, immediately after the administration, my blood pressure drops off the chart. The nurses basically take turns thinking I'm dying every five minutes, until I deliver. And, since it typically takes just shy of forever for me to deliver, those can be some exhausting hours. The anesthesiologist took that into consideration in his administration, and decided to skip the initial dose of narcotic, and to set the epidural drip at a lower rate. Oh, Todd was not in the room during the epidural administration. He has a history of turning green. And, that was a small room with a lot of equipment for potential head banging. The nurse was very comforting and it was all for the best. And did I mention the anesthesiologist had the personality of my high school history teacher? None.
Before Dr. Drug left the room, I knew something was not right with the epidural. That's the blessing and the curse of having four kids-- been there, done that. Little by little, my left leg began to go numb, but the pain was intensifying on my right side. The nurse said gravity would help, and rolled me onto my right. Nope. I pressed the little button every five minutes to get more medication. Nope. Meantime, everyone else had returned and they were very excited to see there was action! Kristin, you all may know, is finishing her CRNA degree and will soon be a nurse anesthetist in her own right. She tried very hard to be a silent observer, but was called into action by Todd's endless inquisition. She pointed out that I could feel hot and cold down my right side, and it sure seemed the catheter was not in the right space. Truly, I could have gotten up and done a one-legged jig.
Tani paged the anesthesiologist to return. And, that's about the time Nurse Lori stopped in. Lori is a friend, who we actually met while in labor with Elisabeth. It turns out, her family lives very near us, and she has a girl Libby's age and a boy Ben's age. She was working that day, but not in the birth center, so she popped in to say "Hi" and to offer to relieve Tani for a few minutes so she could have lunch. Tani updated her on the epidural situation and left. Lori asked, "Do you think it's possible you're having so much pain because you've made progress and it's time to push?" I said, no, I was not feeling pressure, just the contraction pain, but if she wanted to check anyway, she sure could. At the same time, Doc Delivery returned: "Just had a feeling it was time to check you again."
While he was getting me positioned to do that, and Lori was setting up all the stuff for delivery, Dr. Not-Feel-Good returned. The other peeps were ushered out again. He seemed confident the catheter was not in the wrong place, I just needed more medicine, and proceeded to push an immense amount of narcotics. As you might expect, this would result in my numb side getting number and the pain getting greater (sweet Jesus, was that possible?!) on my non-numb side. The doctor said, "You're ready to push." And I said, "Not until I get these drugs working." Doc said, "Too late. You're having the baby."
I sighed and said, "Well, then call back the women. We don't want them to miss this." Doctor Baby-Catcher challenged me, "Are you sure? You're clearly in a lot of pain. You want them to see that?" I assured him they were not there to see me, but to see the baby being born, and it would be cruel to invite them and then to deprive them of the big show. So, everyone filed back in. Tani waltzed in, finishing her donut, to be my nurse. Lori stayed to be the baby's nurse.
"Two pushes and this baby will be out," Doc Positive cheered. Todd and I both rolled our eyes, because my personal record was a half-hour of pushing. But, someone yelled, "I can see the baby coming out!" Todd scrambled to start the video camera, worried there wasn't enough tape left, and rewound to record over Easter. The doctor said someone needed to grab my legs and I called for Todd, but he later said he was panicked the fourth child would never forgive him if he didn't get that birth on video like he did the others. Ellen grabbed one leg and Kristin grabbed the other. I pushed with the next contraction, and was aware of them counting and telling me, "good job," but that's when things got a little dicey. The baby had a hand up next to her face and the umbilical cord wrapped tightly around her neck. The doctor said, "Don't wait for the next contraction. Just push through the pain and your baby will be born."
Then, she was. At 1:53 p.m., my prince (yes, Todd is my king, but this doctor is my prince) flopped a slimy baby onto my belly and proclaimed, "It's a girl!" Everyone started crying and moving across the room to the warmer to see her. She was eerily blue and quiet at first, due to the cord around her neck, but soon the babe started screaming. her APGAR scores were 7 at one minute, and 9 at five. (The nurses told me with the first child they rarely, hardly ever, give a 10-- try breaking that one to a set of overachieving parents.) The others were hugging each other and vying for views. Nurse Tani leaned over to me and said, "You seem sad." I assured her I was not, just overwhelmed.
The others filed out, so Todd and I could have some time as a family. The baby was wrapped up and returned to me, and immediately latched on to nurse. Todd asked about a name, and I told him to go ahead and pick. Oh, the pressure! He fretted and weighed his options. He wanted to poll the others but I said no, it was bad enough I was letting him name the baby-- I wasn't about to extend the invitation to the rest of the family. He got in brief quizzes with Lori and Tani, who were supportive, but offered no real opinions. Around 3:00 p.m., we called Amanda's classroom, as she had ordered the day before, and told her she had a new baby sister. She asked why it took so long for us to call and Todd said he still couldn't decide on a name. Amanda said, "I could have decided that in three minutes-- it's Samantha!" So, we hung up on her. Finally, Todd asked, "Can I call Libby and ask what she thinks?" So, they decided on the name together.
There were a few more interesting moments. Following her initial silence, the baby began screaming so loudly, and with such a shrill tone, that the nurse in the nursery determined there must be something wrong with her, and summoned not one but two pediatricians to check her out. They ruled out shoulder dislocation from the odd delivery, and could find no other obvious signs of problems. Luckily, this is our fourth child, and Todd and I both just shrugged and said, "Guess she must know how to get our attention." That afternoon nursery nurse later dubbed the baby "Mad Madeline" and I almost punched her when I heard that. Of course, that would have made me "Mad Mommy," so I didn't. Also, after delivering the placenta, I continued to heavily bleed and pass clots, and had to receive additional medication to get things started on the return path to "normal." Furthermore, I laid in the delivery bed for about five hours after the birth, since all that epidural medication kicked in-- after she was born, and still only on my left side.
In the time after Madeline Kate was officially named, the others returned to ooh and aah and to hold her, before leaving. I'm sure I heard Kristin say, "I think I could do that," so, maybe there will be a niece or nephew in our future. All marveled the event was "amazing," and it was.