Sunday, June 24, 2018

Sophia's Birth Story

The week of the birth I was busy trying to get things done, while also taking the girls to do fun things, and battling the strange joint pain and inflammation that would come every afternoon or evening and make it hard to do anything. I was a little bit stressed, and sometimes a grumpy mom. Not as peaceful a birth week as I had hoped! But things worked out. I had some lovely outings with friends, Jeff helped with cleaning, and I finally finished the freezer meals the night before. 

Getting these girls to help is no small task, but holding a movie over their head helped
Made lasagna for the first time! One for that night, one for the freezer

We were blessed to have some wonderful friends watch the girls the day of the birth, and they even let us bring them the night before my induction, saving us a lot of hassle in the morning. Thank you to the Hoyts!

These cuties all ready to go to the Hoyt's house for the night. My heart!
As I wrote in my previous post, I was being induced at 38 weeks and 4 days due to my mild case of cholestasis of pregnancy. I did not want to be induced, but felt good about following this recommendation and a lot of peace about the day of June 15. I delivered OSU Wexner Medical Center, and have only good things to say about the hospital, and the midwives I saw.


The morning of I felt anxious and ready to get started. It took a while getting checked in and things. Despite my efforts to eat dates and bounce on a yoga ball, I was still only dilated to 1 cm. The plan was to start with a foley balloon and a medication, the name of which escapes me, in order to dilate my cervix in preparation for pitocin. I was told that rarely does the foley balloon start actual labor.

It was 9:30 am by the time they had inserted the balloon and medication. It wasn't too comfortable and I followed the advice to rest. I was wishing I could pee but I kept drinking water anyway and hoped for the optimistic two hours rather than four that it could take to dilate to a 4. I closed my eyes for a while and then watched Fixer Upper.  During that time Jeff walked the 200 feet across the street to his office to work for a couple hours since he doesn't get paternal leave and has limited sick leave. 

Lo and behold, after 2 hours I had dilated to 4 cm! The nurse even double checked after pulling out the balloon. The policy is to not do anything (like pitocin) for a total of 4 hours after the balloon is in, so I waited. The cool thing was, I was starting to feel actual contractions about every 5 minutes.

Thank Heaven above, I was in labor! I didn't have to get pitocin. I didn't have to have an IV in my port. I didn't have to have continuous fetal monitoring and would be free to walk the halls with ease. Answered. Prayer.

So walk the halls I did. Jeff was with me during the whole process, except when I was resting with the balloon. 

A big thank you to my friend Jennie for coming and capturing these moments!

During contractions I am very focused and just breathe through or moan. Jeff knows I like quiet and no touch, and others in the room usually catch on pretty quickly. In the hall there was a bar I could hold during a contraction. The nurse recommended I squat during a contraction. I tried, but for me it didn't feel too good. I just sort of sat a little bit. 

I was SO grateful to have a midwife around during the whole process. She gave me a sort of assignment every 30 minutes that I could try if I liked. Every 30 minutes I had to be checked on the heart monitor, so that timing worked out. 

The next thing I tried was leaning over the back of the upright bed. This felt very relaxing for me. This is when we got out my ocean wave sounds. I had started using that as background for my mindful breathing and stretching months before, and it had a really relaxing effect on the whole room. Again, just breathing or moaning through contractions and getting encouragement but mostly quiet.

Next I sat backwards on the toilet, leaning on pillows. She said 15 minutes was a good goal for this one as it is intense and after a while your legs will hurt. I was still really calm even though contractions were getting more intense. At this point an image of a lavender field and bees buzzing came into my head and I went with it. For the next while, every time I had a contraction I would go to that place and imagine the details. I next moved back to walking the halls and kept up this visualization. 

After that I was happy to move to the bed. This seemed like a good time to try the "peanut ball" my nurse was so enthusiastic about. It is perfect for opening your pelvis while lying on your side. This is the same position I was in with Abby during transition. I figured I was close to that point. And I was. Things were getting more intense. I knew from before that transition would be quick, and that is what got me through it. At this point I dropped the lavender and visualized the head descending into the pelvis. Contractions were rough, but in between I could sigh and smile and think about meeting my baby girl. 




I was dilated to a 7 and the midwife said they could break my water and have a baby within an hour. I agreed. 

Jeff guesses transition was about 20. I got a little louder. I was gripping the mattress. Sometimes I moaned with an wide open mouth, thinking of Ina May's teachings that the state of mouth reflects onto the state of the cervix. Sometimes I breathed a quick breath like through a straw. Whatever came to mind I just did! This part was not fun, but again, I knew it wouldn't be long, and Jeff did too, and he kept reminding me of that. I think with labor a big key is not resisting the pain. The pain is bringing your baby. (Maybe it's not that simple for everyone, but for me that seems to work). 



I'm not sure about all the details or the order of the events of the next few minutes. At some point they took away the peanut ball, asked me to stop gripping the mattress and to hold my leg instead. At some point I sort of felt a painful urge to poop and voiced this. "That's the baby coming!" is the reply I expected and received. 

I have read many stories where pushing feels so satisfying it's not really painful. As I wrote this post, I started writing that it did hurt for me, but it was quick. Jeff thinks I was pushing for 5 or 10 minutes tops. However, after looking at the pictures I have, I'm not sure I remember this part very clearly. I can see from the photos that I was in pain, and then after the photo of the head crowning (not included here), my face looks very calm. So maybe pushing didn't hurt! I don't remember. It was quick anyway.

Baby girl was born at 3:55 pm. There had been meconium in my water, for the third time. But this time, as I was informed when I asked at a previous appointment, I would still be able to hold my baby immediately, while the team checked her breathing and everything. So grateful policies like this are changing!

When I am pushing I am totally in the zone of my body. I remember forcing myself to open my eyes and look down when I knew the baby was coming. I think I closed them again though. But being able to hold that slimy body right away helped me to snap out of my intense focus on my own body, and focus on her. This was so nice! A big difference from when I birthed Abby unmedicated and she was immediately taken away to be checked. In that case I felt a huge feeling of accomplishment and relief but was not bonding with my baby -- the very reward for my efforts! 


When she first came out she seemed gray and was not crying. The chord was wrapped around her neck once. The hospital practices delayed chord clamping (how much cooler can a hospital get?) but after 30 seconds they clamped the chord and then she pinked up and started crying.




It's a wonderful feeling holding my baby and knowing that being on my chest is the very best place in the world for her to be. And there she was! We spent probably an hour like this, trying breastfeeding on and off when she was interested. Precious time.




It also comforted me to hold her because after delivery there were some complications with getting my placenta out, having too much bleeding and needing some blood clots removed. This involved the midwife literally reaching her hand into my uterus to get everything out and prevent a need for surgery. Let's just say at that point I was happy to get some pain medication pumped into my IV along with the pitocin and other medication they gave me to facilitate recovery.

The midwife told me that my placenta showed some signs of aging, so it was good she came early. This was confirmation that we did the right thing being induced. Heavenly Father was looking out for this girl!

A boring hospital room sure becomes a sacred space when a baby is delivered. We love this baby girl, and are so grateful for the many blessings that accompanied her birth. At 6 lb 8 oz she is the smallest baby I've had by over a pound. Her size is not only cute, but also reminds me that Heavenly Father was involved in the timing of her birth.



We love Sophia Renee!