Tuesday 26 November 2013

Birth Story

I gave birth to our little angel at 3:34am on Wednesday 13th November 2013. I was 41 weeks + 3 days. My midwife had attempted two stretch and sweeps; one on Friday 8th and another on Tuesday 12th, but on both occasions my cervix had been too posterior to carry it out. The midwife felt that it was therefore unlikely that I would go into labour on my own before 42 weeks and I was booked in for induction on Friday 15th November. I was feeling really uncomfortable with the idea of induction. I desperately wanted the baby to come when she was ready but I felt that I should go ahead with the induction rather than take any risks. Not that I needed to worry! First thing on Tuesday 12th I had some mild period like pains and thought I had a bit of a show. However as it was just a little blood rather than mucus the midwife felt that it probably wasn't actually a show and asked me to call the labour ward if the bleeding increased at all. After the stretch and sweep attempt that morning I went for a reasonably long walk along the river in the autumn sunshine to try and encourage the baby downwards. When I got home I felt pretty exhausted and spent the rest of the afternoon on the couch napping and generally not feeling quite right. The period pains had continued and I generally felt a bit 'off'. Around 4pm, my husband phoned to say that he was on his way home and I expected him to be back by around 5:15. Then at 5pm, I started getting what felt like gas pains. Except that they seemed to be happening quite regularly! I timed them for a while and they were happening every 2-4 minutes. I thought 'I can't phone the birth centre with gas pains!' and so just sat it out for a bit longer. By 5:30, I phoned my husband and asked him where he was and that I thought maybe things were starting to happen. He calmly said he'd be home within 15 minutes and I then phoned the birth centre. They suggested that I get in the bath and that if it was false labour the pains would probably stop but that if I was still getting them at the same regularity in an hours time that I should call and tell them that we were coming in. With that, D arrived home and ran me a bath. I was in the bath for about an hour and the pains continued. D thought that although the pains weren't getting closer together they appeared to be getting a bit stronger but I wasn't entirely sure and asked him to make the call as to whether it was time to go. He felt it was better to be safe than sorry so he phoned the hospital and off we went. In retrospect, I don't know why I was so doubtful about it being actual labour. Looking back it was pretty obvious. I have a vague memory of an uncomfortable drive to the hospital, having contractions at the security desk and collapsing down into a forward leaning position over a chair in the birthing room. I was examined within an hour of arrival and I was about 4cm dilated. I was then allowed in the birthing pool and think I spent the majority of the labour in there. My memories of my labour include: My midwife really enjoying my playlist and singing along to it, but not really noticing the music much myself (I remember the noise of sucking on the gas and air much more clearly); Feeling urges to bear down with most of my contractions from fairly early on; Being extremely unhappy when I was asked to change position or get out of the pool to be examined; Swearing at D when he kept telling me to relax fully between contractions - "What do you think I'm doing, the f**king Macarena?"; Being regularly encouraged to nibble on flapjack and sip water between contractions by my excellent birth partner husband. He really was amazing and provided all the support I needed from start to finish; Asking what my pain relief options were at about the half way point, being told I could have diamorphine and then forgetting all about it my request with the next contraction; Being repeatedly told by the midwife that I was pushing in the wrong place and strongly disagreeing with her; Pushing for a very long time (2.5 hours) and being told that the baby was stuck on a ridge on my perineum. The midwife suggested lots of different pushing positions to try and get the baby out. I was in various positions on the bed and also on the birthing stool; The gas and air being taken off me towards the end to help me focus on pushing in the right place; Hearing the animalistic, guttural noises coming out of my mouth with each contraction and it feeling like I was listening to someone else; Finally giving birth lying on my side on the bed with D holding my leg up, and with the help of an episiotomy; Hearing D's yelps of excitement telling me that the baby's head was out but being too scared to look myself; Feeling the warm rush of fluid as the baby came out and hearing her cry; Being passed our beautiful baby girl and enjoying the first feed with her. Unfortunately the first wonderful moments with the baby were interrupted by problems with the third stage. I had planned for a physiological third stage but was so exhausted that I asked if I should have the injection. The midwife told me that the episiotomy had torn (third degree) and I had quite a lot of bleeding so she would need to give the injection to speed things up. Unfortunately despite the midwives best efforts the placenta and membranes wouldn't budge and I was told that I would need to go into theatre to have them removed and to be stitched. I was feeling really nauseous at this point too, perhaps from the injection, empty stomach, shock? All of our things and our new bundle of love were gathered together and wheeled off to the labour ward where I met with the anaesthetist and was prepared for theatre. D looked after the baby beautifully, getting her dressed and walking her around and talking to her. He was left with her while I was in theatre and he confessed afterwards that he was terrified of something happening to me. One of the theatre assistants popped in to see him at one point to let him know that I was fine which he really appreciated. So after making it through labour with only gas and air, I was then given a spinal block for the surgery. The theatre staff were really great and chatted kindly to me the whole time. It was very surreal watching my legs being lifted in front of me when my brain could very clearly still feel them lying on the bed! My nausea continued through the surgery and I was given a couple of different anti-nausea drugs. I was wheeled back to the labour ward afterwards where the nausea continued and I was violently shaking. I was desperate to start feeling better at this point! Our baby was passed to me for another feed and the skin to skin contact definitely started to make me feel better. The shaking and nausea finally started to subside. I was given a bed bath which was very welcome and left to rest for a little while. At some point, maybe around 7am?, we were moved again to the post natal ward. It took a few hours for my legs to come back to life and then the discomfort of the surgery started to set in. I was given morphine for the pain which really helped keep me comfortable but the main problem was trying to sit to eat and feed the baby. I was absolutely horrified by the swelling and the complete lack of distinction between my parts 'down there'! I really hadn't been prepared for it at all. I knew that there was something that I hadn't been warned about! Since the birth, I've had many knowing looks from other mothers and comments like "now you understand"! I was in hospital for another night during which I had some lovely bonding moments with beautiful girl while I had her all to myself. We all happily left for home the following afternoon. My recovery at home has been slower than I would have liked. It's taken a good couple of weeks for the swelling to reduce to a level where I can sit on the sofa without any additional cushions. I've also been suffering from some feacal incontinence which was compounded by diarrhoea from a sickness bug that D and I picked up during the first week (thankfully the baby didn't). The incontinence has been really distressing and I'm still very concerned about how long it will last and if it will get better. I'm hoping for a referral to the hospital about it very soon. The physical recovery has been an unwelcome distraction from caring for the baby. I've been feeling pretty sorry for myself at times and hating the limitations in being able to do some basic things for the baby. D has been on paternity leave and I don't know how I would have coped without him being at home with us. N is now 13 days old and D will be going back to work in two days and I know that I'll be finding a new 'routine' with N all over again with it being just me! We're finding our way every day and doing the best that we can. And loving every minute :)

Friday 8 November 2013

Realisations

On Wednesday, I baked a cake in the morning ready for a visit from a couple of work colleagues in the afternoon. It was good to see them and chat about a variety of different things that kept me distracted from the lack of movement! D and I went to a pub quiz with some friends on Tuesday night as well. Then on Thursday I met my Mum for lunch. I still haven't slept well the last couple of nights as my back pain has returned since the baby changed position. I wonder whether it's also because I haven't been taking the magnesium as I've almost run out and was hesitant to spend money on more at this late stage. But after three days of discomfort I'm going to pick up some more today. Even if it only works on a psychological level that's fine with me! Anways, the midwife came to the house this morning to do the stretch and sweep. She started off with the usual checks (blood pressure, checking the heart beat) and all is fine there. My sister-in-law described the stretch and sweep as an 'aggressive pelvic examination'. Well, it certainly felt quite aggressive! She didn't use a speculum so was rummaging around deeply to find the cervix. I couldn't help putting up some resistance and did some deep breathing. I felt quite embarrassed that I had needed to do that when she stopped and told me that my cervix is still very posterior and she couldn't reach it! So there was no chance of a sweep today or to finding out if I'm dilated at all. She said that there isn't any point in trying again on Sunday and suggested that we give it another go on Tuesday and see where things are then. She also said that she will book me in for induction the following Friday in case nothing happens between now and then. Although it was reassuring to know that things aren't happening because the baby is clearly not close to being ready yet, I felt really disappointed and frustrated and a bit weepy again. I think is was the idea of actually being booked for an induction already. D asked me why that bothered me so much and I guess it's because, knowing our family history, I really don't want to rush her out if she's not ready and I'm a little scared of the contractions being more painful following an induction and the increased likelihood of further interventions being needed. I've spent the rest of this morning reading about other people's experiences of induction in online forums - probably not the most sensible idea given how people love to talk about their horror stories! - but it did reassure me in that everyone's experience was so different but they all said that ultimately their memories of the birth of their child are still positive because they had a healthy baby, and after the birth that's all they were focussed on. There were some sad stories of women who hadn't been induced who then went on to lose their babies. I also re-read my birth plan, which already seems ridiculously optimistic and idealistic(!) and realised that if it all goes tits up and I don't have anything close to the experience that I was hoping for, that it doesn't matter as long as the baby arrives safely. I accept that I need to take the advice of the professionals and that although being induced at 40 + 12 days may feel like I'm being put on a conveyor belt, that actually there are good reasons for hospital procedures being what they are to ensure the well-being of me and the baby. As our NCT tutor had said, we are living in the best period in history for maternity care and in one of the best countries for maternity care and so I feel more relaxed now that I will get good care and that I need to accept advice given to me (unless I feel very strongly otherwise!). One of the other NCT girls was also booked in for a sweep this morning, but I've just had a message from her that she has had to go into hospital as her blood pressure has gone up and she has protein in her wee so they have concerns about pre-eclampsia. We have a very healthy, active baby and I am also in good health, so I really don't have anything to be unhappy about! I need to enjoy these last days of freedom and relaxation for however long they decide to last...

Wednesday 6 November 2013

Bloomin' hormones

On Monday night, I really didn't sleep well as the baby was moving A LOT! And on Tueday morning I was pretty sure that she had changed position. She was lying on my right side, back to front, and I was pretty sure that she had moved over to my left side, still back to front. Which is great, as this is the optimal position for labout. I saw the midwife yesterday and she confirmed this position and did the usual checks and everything is fine. She also offered to do a stretch and sweep that day (or Friday or Sunday) if I wanted one. I surprised myself and agreed to have one on Friday. I have always said that I would want to wait until 41 weeks before having any intervention at all, but the midwife said that the sweep usually doesn't work on the first occasion and that it is suggested that you have it done a few times before trying anything else. So I want to give myself plenty of time to do that before having any drugs administered as I really want to avoid that if possible. They will want to start looking at other options when I'm 12 days overdue (next Friday) so by having the first sweep on Friday I have another 5-6 days to keep trying the sweep method a few times. Although I'm quite happy with my decision today, I came home from the midwife yesterday feeling a bit wobbly about it all and asking myself if I'm jumping in too soon by going against my original decision. I came home and tried to relax with my hypno-birthing CD but had trouble focussing on it. Just as it ended, and I was coming around a bit, my Mum knocked on the door and peered through the blinds. Now, I know people feel differently about this but I personally think that popping in unannounced is really rude! I answered the door in a daze and she apologised for waking me up. I told her that she hadn't woken me up but that if had have done I would not have been happy! I'm generally very polite to my Mum and wouldn't want to hurt her feelings and so she looked a little shocked. She came in and asked how it had gone with the midwife. I felt very foggy headed and dozy and had trouble trying to explain what I had decided. She must have got the message that it was a bad time as she didn't stay long and let herself out. I'm worried that I'll need to set some ground rules now that I'm at home every day. If D was home with me, I'm sure she wouldn't just pop in like that. She usually always calls ahead. When the baby arrives, I definitely want to try and rest and nap when she does and I really don't want unexpected visits to become the norm...*sigh* I was furious with her when she left, I think just because it added to my sense of being out of control of things generally. When it came to explaining what had happened with the midwife to D, I had the same problem explaining my decision and kept losing my train of thought and as the evening rolled on I felt more and more wobbly and a bit weepy. D was great and was really supportive and understanding. But I hate losing control of my emotions. I know that I like to feel in control but I didn't realise quite how important it was to me until this week. I've just been messaging one of the other NCT girls who is also slightly overdue now and she said that it's bothering her more than she thought it would as well. For me, I feel that the way my labour goes is already starting to be taken out of my hands and I'm worried that all the things that I want to avoid are going to end up happening (ie, being induced with drugs, having to go into the labour ward rather than the birth centre, not being about to use a birth pool, having a long labour and needing pain relief that will effect the baby, needing an assisted birth or a C-section). I guess I need to remind myself that I do have a certain amount of control and that I can make small decisions as they arise. Other than that I need to just breathe and go with it!

Monday 4 November 2013

Bye, bye due date

So another week has passed and so has the due date (which was yesterday). It's been a fairly low key week. D has been on half term and he has been happy to take things really easy, which has been good as it's forced me to slow down as well. We have tried to get out for a walk each day to encourage the baby into position and we've certainly got plenty of sleep. I've been sleeping for 8.5-9 hours each night on average and had the occasional daytime nap too! I made a brief video for the baby to let her know that we're excited about her arrival and to let her know the names that we have in mind for her (we've finally got a short list of five). Got quite emotional towards the end of the video and had to stop quickly before I started blubbing. We're going to set up an email address for her where we can send memories as they happen for her to read as she gets older, so I'll send the video to that. We've also been taking a bump picture each week and now that we've got to 40 weeks we've converted it to a time lapse video which is a nice momento :) I met with the NCT group again on Tuesday. All six of us were there this time with the 2 babies who had already arrived. A third has arrived since then. In theory, I'm supposed to be next! I've started to take some raspberry leaf capsules, although from what I've read I might have left it a little late. Apparently raspberry leaf tones the uterus and can help a faster second stage of labour so I'm willing to give it a go even at this late stage! We've also started doing some nipple stimulation (a bit tedious for both parties when you're supposed to do it for an hour a day!) and we're having sex (which is pretty comical at this point!). We went out for a curry on Saturday night too. Partly to try and encourage labour but also because it'll probably be our last meal out for some time. Not sure what else we can do other than wait! My Mum recently told me that my nan carried all three of her children for 10 months (in the days before induction). As my sister and I were both late, and D and all his siblings were late, it looks like family history is not on our side for an induction-free start! I would really like things to happen on their own but what will be will be. I have a midwife appointment tomorrow so we'll see what she says. Today I'm keeping myself occupied by getting ahead with the Christmas shopping!