Background
info: I hate needles. The thought of an epidural needle in my spine
makes me want to pass out. I can?t think about the details of a
c-section without wanting to throw up. I am so grateful that the option
is there for the health of moms and babies, but I personally am just
plain scared of them. I had a med-free hospital birth with DS- a labor
that lasted just under 8 hours from first contraction to delivery. It
was with an OB, but their office was awful during this pregnancy as you
know from my rantings... and I ended up switching to a midwifery duo at
34 weeks.
I
was due 12/31/12. I was 2-3 cm dilated, 60% effaced at my appointment
with one of the midwives at 39w2d and baby was head down (and had been
since 34 weeks after I had seen a chiro for the Webster technique as
baby had been transverse.
First
sign of labor was my water breaking at 2:30 am on Sunday, 1/6/13
(40w6d). Contractions hadn?t started yet, but knowing how quickly labor
progressed with DS, we finished packing our bags and loaded him into the
car. We dropped him off at a friend?s house and headed straight to the
hospital. Contractions began on the way there and were 5 minutes apart
but not yet intense.
We
arrived at the hospital at 3:30 am and went right up to labor and
delivery. I was checked and only 3 cm dilated, but since my water was
broken (although GBS negative), contractions had started, and my first
labor was fast, they admitted me. Things picked up quickly and by 5am,
one of the MW was on her way in.
I
was allowed out of bed after the initial 20 minutes of monitoring and I
was comfortable kneeling, pacing, and leaning over the bed or tray
table just like my first labor. When the MW arrived, they monitored baby
again for a bit as she went over my records and we chatted about what
felt good, what didn?t, and what to try next. I got in the shower to let
the warm water help with the pain. I didn?t really like being wet, but
the hand held shower nozzle let me focus the water on my belly or back
wherever the contraction was worst and I didn?t have to get totally
soaked. DH pressed on my lower back during contractions to provide
counter pressure. It was sometime around 6:30 when I started grunting
through contractions instead of moaning and the MW asked that I get out
of the shower and be checked.
Much
to our surprise, when she checked me, she said I was around 8 cm but
that she did not feel a head. She immediately got an ultrasound machine
to confirm and found that baby was indeed frank breech. I panicked,
knowing that this was almost certainly going to end in c-section
performed by whoever was the hospital?s on-call OB that night. The MW
admitted that she had never attended a breech birth, so she had to defer
to the OB no matter what. She did give me a glimpse of hope that she
knew the on-call OB had done breech deliveries before. She said the doc
would be in to discuss options with us soon. After checking me again now
that the shock of finding a butt had worn off, she said I was really
only a 7. She gathered up my chart and got ready to hand everything off
to the OB.
A
few minutes later, she came back in the room with a big grin on her
face, announcing that shifts changed and the new on-call OB was the best
the hospital had at breech births. It felt like an eternity waiting for
him to arrive as I hit transition. The MW was amazing at calming me
down and answering some questions I had. She said it was still best to
go without an epidural so I was in control of my body fully if we did
attempt a delivery, so I didn?t need to resign myself to meds just yet.
The
OB showed up around 7:30. He looked over everything and sat down to
talk to us about the options. He explained that the risk of delivery to
the baby is slightly higher with a breech birth, and the risk to the
mother is higher for a c-section, but that the risks in both cases are
quite low. He talked about what makes a good candidate for an attempt at
breech birth: baby is butt first with chin tucked down and the mother
has had previous births with similar size babies and low pushing times.
They estimated this baby between 8 and 8.5 pounds, with head tucked and
frank breech (butt first, feet up). I had delivered my first with 15
minutes of pushing in an 8-hour-total labor, and he was 8 pounds. I had
no additional ?risk? factors besides the unknown. He was careful not to
press one way or the other, but he made it clear that he thought I would
be fine if I did decide to try and he could tell already that I wanted
to avoid a section if at all possible. I let DH decide since he was more
impartial than I was, and after talking with the doc he quickly agreed
that attempting a breech delivery was the right option for us. So we
did. There was a brief discussion of delivering in the OR, but the OB
said it wasn?t necessary, which gave us a little more confidence in our
decision. At this point, they started an IV of fluids (I had a hep lock
already placed) to hydrate me in case I needed anesthesia for a c/s.
The
next hour was spent with 2 teams assembling for delivery - one team in
my room (my nurse, nurse for baby, midwife, OB, pediatrician, and us)
and one team in the OR (multiple nurses for me and baby, another OB,
anesthesiologist, and pediatrician) in case things didn?t go as planned.
I was struggling through transition with super intense contractions and
an urge to push that I had to fight. Successful delivery depended on me
not pushing before I was fully dilated so baby?s head had less chance
of getting stuck.
I
remember kneeling over the bed stopped feeling good. Next I climbed up
onto the bed and got on hands and knees facing the top of the bed for a
while. That did help some, but it was a similar position. I didn't last
long that way either before the MW encouraged me to lay on my side and
she and/or DH would hold my right leg up so I could rest a bit. It
wasn?t the most comfortable arrangement at first, but then DH figured
out a good way to hold my hand and my leg at the same time and it was
smooth sailing from there. I was checked a few times in this position as
I was very close to 10 cm. Just before I started pushing, the baby
pooped. A lot. Apparently the doc was scooping it away by the handful.
Finally
they had everything and everyone ready and I started pushing. First
contraction or two was a few pushes each. Last contraction, all of a
sudden baby moved down quickly. It happened exactly as the OB had
explained, only DH says it was faster than one body part with each push.
Butt first, then a leg, then the other leg, body on the next push, head
right after. 8:32 am, six hours after water breaking and 5 hours after
contractions started. Total pushing time was 7 minutes, and baby came
out very quickly right at the end of that.
As
expected, the baby did not immediately cry and was suctioned 4 or 5
times before I heard a peep. As soon as the OB was done, the MW placed
baby on my chest and DH announced that it was a girl! She required no
immediate attention and stayed on my chest while the OB massaged my
stomach, I delivered the placenta, and he stitched a minor tear that
opened right along my scar line from having DS. She weighed 9 lbs even,
was 19.5 inches, and we named her Clare Louise.
As
a result of the breech position, her butt was bruised for the first few
days but it faded quickly. We do have to take her for an ultrasound on
her hips to check for dislocation when she?s 6 weeks old, but it is
unlikely that she has a dislocated hip as she was head down until
sometime in the last week. (I was checked and she was head down at
39w2d, and I?m sure she didn?t flip between the time I was admitted and
when I hit 7 cm, so the first nurse missed her position. She wasn?t
really paying attention when she checked me and didn?t palpate my belly
at all to check positioning. This is also why they had trouble finding
her on the fetal monitors.)
It
was not at all the way I imagined it would be, but I am really happy
with how things turned out despite how stressful it was at the time. I
am also now very thankful that my former OB?s office was so awful - the
midwife and on-call OB both agreed that she would have immediately
ordered a c-section. The OB that delivered me was the other person I
contemplated switching to (as he is my mother?s OB). It?s all so bizarre
the way it worked out, but I am happy to say I had another low
intervention, med-free birth and a healthy baby.

Re: Clare's arrival (ridiculously long)
How us Tynan transitioning to life as a big brother?
On the whole, he's doing really well. He pays a lot of attention yo her and is very affectionate. He has been having more tantrums, though. Especially when we tell him he can't press all the buttons on Clare's swing... he loves buttons and they light up! Haha. He's still been going to daycare and keeping his routine the same is helping big time.
"It's not a sprint, it's a marathon." - Alex & Ani bracelet
My blog: Dodging Acorns
what a story! Congrats again