I've been sitting here for the past few minutes trying to figure out how to start this story. I don't want to be one of those women who talks about their horrible birth story, dwelling on the bad, on the "could-haves" and "should-haves." I'm putting this on the blog for myself, for those who are curious, for those who have been through something similar. I want to be able to look back in the future and remember those parts of her birth that mothers simply forget. I'm already starting to forget so I better get this going!
I should start on March 6th when I went to Labor and Delivery at St. Vincent's because I wasn't feeling right and had been having lots of pressure. I also had scared myself by using my doppler earlier that day to check on our baby girl and noticed a skip in her heartbeat. After getting there and being hooked up to the monitors they heard the skipping but said it was fine...abnormalities like that usually fix themselves. I was having contractions but nothing regular and was only about 2 cm. The doctor also said the baby's head was no in position, she was still pretty high. But the bigger problem now was my blood pressure. It had been so good throughout the pregnancy but now was starting to creep up. They made me stay overnight to do a 24 hour urine and blood tests to make sure it wasn't preeclampsia. All tests turned out normal and I was discharged on Sunday told to take it easy but put on Aldomet to bring the bp down.
The next week (and also weeks prior) I had a ton of help from my mom and Darren with the kids and household stuff. I took it easy but by Sunday the 14th contractions started coming every 3-5 minutes but for some reason I didn't feel it was time to go. Even when Darren seemed to get a bit worried I remember saying "If this was any of the other pregnancies we would've been at the hospital by now." I don't know if it was me being more relaxed, I've already been through labor before and know what to expect! I didn't feel pressure and uncomfortable in the right places but didn't think anything was wrong, just that it wasn't time yet. We had already decided we weren't going to have a homebirth at this point because she was most likely coming early, but also with the blood pressure issues and uncertainty I was feeling we set off to the hospital that afternoon.
I spent the day being monitored and checked to see how I was progressing. Because I was only 35 weeks and 6 days at this point they couldn't help my labor along but also wouldn't do anything to stop it. The doctor kept saying the baby's head was still high and I was only about 3 cm so they let me get up and move around, even take a walk around L&D. I had asked at all my prenatal appointments since about 32 weeks if the baby was head down and the doctors and midwives I had seen all told me yes, that she was indeed head down. So of course at this point I thought there was nothing to worry about that I just needed to work on telling my body to get her where she needs to be if she was ready to come out.
The contractions had slowed down, they were almost non existent by Monday morning. The doctor came in again to check me and found that I was 5 cm, the bag of water was bulging and baby's head was still very high. He decided it was ok to discharge me since they couldn't break my water, my contractions had stopped and she wasn't in position. Once we started heading home the contractions started again and were getting stronger, all I kept saying to myself was please don't let my water break in the car! That's a mess I wouldn't want to clean up!! So we made it home and I was progressing further and further into "transition." I am very familiar with the panic, doubtful feeling of not being able to handle this, and the thought of losing control when getting into active labor. Darren will tell you this is also the point that I get very quiet and almost meditative and need my birth ball! When we got home, I had to get down on my knees and half lay on the ball because the pressure on my hips and back was almost unbearable. I had Darren put pressure, a lot of pressure, on the small of my back and this worked for a while until he needed to take a potty break. Figures this was the pressure wave that did the trick! My water broke (first time that it had broken on it's own!) and it wasn't a trickle, it was a full on waterfall of fluid which surprised me. I figured there was so much fluid because her head was still high so there was no "plug" to stop or slow it down. I yelled to Darren that I needed him RIGHT NOW and bring towels, lots of towels! He then got on the phone to call Mimie so we could head back to the hospital about 2 hours after we had been discharged.
Now back at the hospital the midwife on call, Marianne Pelletier, checked me and was the first person to question if what she was feeling was actually a head. At this point I don't remember how dilated I was all I heard was that they needed to get the ultrasound machine in here and find out what position the baby was in. Marianne started looking on the screen and moving the probe around my belly. Nothing we saw on the screen looked anything like a head. I remember seeing her spine which was horizontal but it didn't sink in at that point. Marianne was having so much trouble she asked the nurse to go get the doctor on call. Dr. Nabizadeh came in, searched around for a minute and found out the head of our baby was nestled comfortably next to the placenta on my right side and her feet were all the way over on my left and her shoulder was what all the doctors had thought was her head. Yup, that's right....she was sideways! Immediately the doctor said she would try to flip the baby but there was only a slim chance this would work. I was praying and telling my body and the baby to please let this work! I did not want to face the consequence of her being sideways. There was hardly any fluid left to help cushion her and because her head was against the placenta like a pillow it would be tough to move her. It didn't work. I thank Dr. Nabizadeh for giving it her best try and for taking the time to sit and talk to us after letting me have a few minutes of bawling my eyes out. So we were left with only 1 option, a c-section.
Everyone who knows me knows that this has always been my biggest fear, to have to deliver one of my babies by c-section. It's such an amazing experience to birth your child in control, full of feeling and natural highs that your body intended. After going through an epidural with my first and having headaches, pain from a very large tear because of pushing too hard and pelvic pain from being in a bad position while pushing with no sensation, I knew the least amount of interventions was the best way to give birth. Believing in your body and the process of birthing the most amazing experience a woman can experience and have as her own. I think natural birth is incredible and an experience that belongs to the mother and baby, it's such an intimate moment that no other person can understand because it belong to you and only you. Amazing! Oh, and recovery time....maybe a day or 2!
Now comes the details of my experience. I feel so thankful and blessed that things seemed to fall into place on Monday March 15th. The "what-ifs" and the "could-haves" and "should-haves" have their place looking back but thanks to Marianne and Dr. Nabizadeh our baby girl is healthy and I'm still in one piece. For those who don't want to read all the details I'll leave lots of space so you don't have to read things that could be disturbing to you.
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We had to wait until 5pm on Monday to have the c-section because that morning I ate a breakfast sandwich on our way home from being discharged. The anesthesiologist was being overly cautious and wanted to hold off for 8 hours from when I ate just in case I needed general anesthesia. This would turn out to be a good idea on his part. Also L&D was packed and all but 2 moms were jockeying for position to have their c-sections too. I was still progressing, contractions were still very strong but spaced out. The doctors and nurses didn't know this because the contractions weren't showing up on the monitor. By the time 5:oo came around I was already 10 cm, fully effaced (which finally seemed to concern the nurses) and my body probably would've been trying to push her out involuntarily very soon. I'd experienced that with Thorin, I let my body decide when to push and it came to a point when I could no longer stay in control and my body took over. Good thing because it;s tough to get a baby out shoulder first!
I was wheeled into the OR without Darren, scared to death, shaking and freezing cold. Everything goes so quick once in there. I was moved over to the operating table, sat up and they started injecting the lidocaine and then the spinal medicine that numbs from the chest down. It really does take effect almost immediately, within seconds I could feel nothing below my chest and my whole body felt warm like floating in a warm tub of water. The blue shroud was put up so I couldn't see anything and finally Darren came in. They started making the incision and I really don't remember feeling much pressure as they were moving her around trying to get her out. I know they were pushing and pulling really hard because I had the sense of my body being rocked and pulled as they were trying to get her out. We had previously asked to delay the cord clamping to give her the best chance of not going to the NICU and they said they would as long as everything went fine. Well, nothing went fine. Once Dr. Nabizadeh got to the baby she found the cord was wrapped around her neck, body, arm and shoulder. Her poor little shoulder and arm was very bruised and swollen from being squeezed by the cord that they were afraid it was dislocated or broken. Luckily after an x-ray the next day we found out it was fine. I don't remember hearing her cry but I'm pretty sure I must have because I do remember tearing up and hearing them say she was born at 5:19pm and she was 5 lbs 13 oz.
I remember my chest feeling very heavy at this point and having to remind myself to breathe. The anesthesiologist asked me how I was doing, if I was ok and I nodded my head because I WAS ok....my daughter was born, she was over 5 lbs, breathing on her own and doing well. I remember him asking Dr. Nabizadeh how much longer. "About 5 minutes," she said. Just as she said that I began regaining feeling, the spinal was wearing off! Come to find out they had not even finished stitching up my uterus yet. I was beginning to feel everything! I can't even begin to explain all the extremely painful sensations I was feeling. I thought if it was only a few minutes I could handle this. I knew they couldn't give me another spinal and the next step was general anesthesia and I'd have to be intubated. I tried to endure the blinding, mind-numbing pain as long as possible, I have no idea how long it really was. They gave me a dose of fentanyl which dulled the pain for a bit and I heard them call for 2 units of blood. They also called in another surgeon. They gave me another dose of fentanyl and heard the doctor saying that each time she went to stitch my uterus it would tear and bleed....a lot. Now things were getting so unbearable for me and I knew the anesthesiologist saw it in my face. He told me they were going to put me under and I nodded with tears in my eyes not knowing what would happen next but there would be no pain. They asked Darren to leave as they put the mask on my face. I remember in that minute before I passed out I was thinking I was going to need a blood transfusion and might wake up to find they couldn't save my uterus. I've never been under general anesthesia before and couldn't believe how quick everything seemed. Seconds after they put the mask on me I remember nothing and it felt like not even a moment later I was waking up and they were wheeling me back to the room.
Not until I saw Darren did I find out I was in the OR for about 2 hours! They needed 2 surgeons working on each end to stitch me up because the way my uterus had not stretched correctly. I had 6 layers of sutures instead of the 1 or maybe 2 layers for a normal c-section. Dr. Nabizedah had equated stitching me up to stitching up a hamburger! I was apparently a very interesting case. I didn't end up needing any blood although I kind of wish I did. I had lost significant amount but my blood work came back ok. I think I would have felt better in the next few hours/days if I had gotten at least 1 unit. But of course hind sight is 20/20 right?
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I don't remember much of the next 24 hours. I do remember really, really liking the button that made the pain go away. Darren was trying to be a helpful husband and hit my button when I was too delirious to remember until the pain reminded me really fast! One of the nurses caught him with my button and she made sure he never touched that button again. I thought it was very helpful having him pay attention to my button but now it was all up to me.
I felt like such a bad mom not asking about our baby, I don't know how long it was before I asked but Darren said she was doing great! I'm also not sure how long before I got to see her but when I did I couldn't believe how perfect she was! So tiny but so amazingly perfect. I try not to think of all the things that could have gone wrong or could have gone differently during this pregnancy and birth. I'm just amazed every day how blessed we are and how thankful I am for all my babies no matter how they made it into the world.
Now for the name....it was Darren's turn to name the baby. I just knew I wanted Maisey and Evelyn in there somewhere for Darren's Aunt Maizie and my grandmother. Darren used an astrological chart (I forget the name of it) that tells what letters a child's name should contain depending on birth day and time. The chart stated her name should begin with "Di" or "De." We spent probably a day and a half thinking of names since none of the ones we had picked before were right for her. Then a name popped in my head that seemed right....Delaney. Perfect! Darren loved it and it really does fit her so well.
So there it is, how Delaney Maisey Evelyn Selador Slocum made her entrance into this world!