Sunday night, Jeff and I decided that it would be a great idea to start watching School of Rock at 11pm instead of heading to bed like responsible adults. Come on, it's Jack Black. I watched the movie for the third time, laughing my butt off. The man is hilarious. At about 1:00am it was definitely time for bed. I was only in bed for a little less than an hour when I felt something a little funny, and then a tiny trickle.
I went to the bathroom and saw a little bit of something, but I wasn't completely convinced that my water had broken. I let Jeff know that I think it may have broken and headed back to bed. Sure enough, a few minutes later I had a little more. It was very unimpressive. Just a little bit of clear fluid. Ummm.... this really might be it, but I decided to give it some more time. Then, it became clear that things were in deed happening. The clear turned to pink and I had a lot more of it.
The midwifes had told me to call and come in when my water broke, because the baby was so low it would probably not take long for things to progress. So, I called Hal and let him know to hit the road and come stay with the boys. In the meantime, I packed up some things, ate two bowls of Honeycomb cereal, and tried not to get too excited. I wasn't scared, I wasn't nervous, I was excited as if my parents just woke me up in the middle of the night to pile into the car and head on vacation. We were about to meet our little baby!
Hal showed up in record time. Cracking jokes along the way, Jeff and I eventually made it out the door and into Hal's truck. I called the midwife and let her know I was on my way. I was having some contractions, but nothing too crazy. They were around 10-15 minutes apart and were very bearable. Once at the hospital, Jeff dropped me off and I checked in. I am guessing that if I were screaming in agony or had a baby visibly poking out of me they would have moved me along faster? Instead, I sat there and filled out privacy forms and made copies of my identification. Boy, I sure am glad that I pre-registered. If I hadn't I may still be in there.
Once upstairs to L&D, we were given a room and waited for the midwife. Much to my dismay, the one on call was my least favorite. She questioned whether or not my water had truly broken, seemed very disapproving of my ability to make such a call, and proceeded to pry me open to investigate. I was nervous and flinched... and her reaction to my anxiety was to tell me that I was "making things harder on myself". Um, excuse me, but you just PINCHED me with a SPECULUM. I wasn't pleased. Surely this woman would be going home soon and Glenda the Good Witch would come in with a big pink dress and huge smile to happily guide me through the process. After her disapproving attitude, the woman agreed that my water had broken.
I let them know that I hoped to be mobile and labor drug-free, and the nurses were awesome and let me move into the big room with the tub. Thanks to my childbirth classes with Pat, I knew to bring some clothes with me that would work in labor so I never wore one of those horrible gowns. Instead, I donned a white tank top and a short cotton skirt that I picked up at Old Navy for $4.99. Perfect for laboring and then tossing if I needed to. It felt great not to wear that gown with its annoying ties that seem to always land in the wrong places. The nurses hooked me up with wireless waterproof contraction and fetal monitors, so they could watch what was going on without my being stuck in the bed.
The new L&D room was awesome. There was a big couch for Jeff and a little table with chairs. My contractions were getting stronger. I moaned and groaned, I leaned over the bed, but I was okay. That was until a big one would hit. Every third or forth contraction I would have an enormous one that would literally go off the top of the monitor. These would last over 2 minutes long, some over 3 minutes. They were horrible. I remember just yelling "No No No!" as they would start up, in fear of how big I knew they would get. I tried to let Jeff sleep during the night, but these big ones would often require him to get up and massage my legs during the contractions. My thighs would hurt so bad when they hit, and massaging them really hard helped to cut the pain.
I remember lying there in the bed, Jeff sleeping on the couch, watching the sun come up through the wall of windows. The pain was getting worse, but my contractions were still a bit irregular. I was working really hard to get through the pain. While Jeff slept, I thought it would be better to labor over the back of a chair. I used the birthing ball up on the bed and leaned over onto it. Leaning really helped, and I loved the way the ball gave and bounced. But, after a few contractions I would have to move on to find a better position. I have no idea what time it was, but the new midwife started her shift. My dream of Glenda the Good Witch coming in and saving the day was as close to true as I could hope for. Susan was awesome.
I think it was at around 11:00 when Susan let me know that the contractions that I was having were not what they would hope for. The big ones were WAY too big. Susan told me that some lasted 4 minutes and were stronger than they should be. These were not productive and very abnormal, which was great to hear. Having not been watching the monitor or the clock, I thought these big ones were normal. I thought they would all be this big. What a relief. I had been laboring all night and wasn't having a lot of progress. Susan asked if I would be interested in Pitocin to regulate the contractions. My fear was that the pitocin contractions would be worse on me, so I asked if I could have Nubane on hand just in case I needed a little help getting through. It sounded like a plan. They gave me an IV port so I could continue to be mobile. No tubes or bags. Once they injected some pitocin I went and got in the tub. This was the best place I'd found. They laid a bunch of towels in the bottom of the tub, and then draped towels over my chest and belly. Every once in a while, the nurse or Jeff would pour warm water over the towels on top of me. It felt wonderful, relatively speaking. The contractions were pretty intense. I had thrown up a few times at this point.
I have no idea how long I was in there, but once I was out I asked for the Nubane. Nubane isn't exactly a pain killer. You feel the pain, but it just affects the way your brain reacts. You feel it, but don't really care as much. To me, it just took a bit of the edge off. I was still having to really work to get through the contractions. I was on survival mode. At one point I decided that I really wanted to incline my bed, turn around, and hang off the back. I had my arms and head hanging over the back and I leaned on the mattress... and it got me through. It worked great. By about 3:00 I was dilated to a 5. Susan let me see if my body could kick in without another dose of pitocin. At this point, Jeff called everyone to tell them that the baby would be here soon. Hal and Mom brought the boys to the hospital. Little did we know it would be a long time before she would make her arrival.
By 3:00pm, I had gone 31 hours with no sleep. While hanging over the back of the bed, the nurse, Mom, Jeff, and Susan realized that I was actually falling asleep, hard sleep, between the contractions. I vaguely remember them talking about the jagged breath patterns that were showing up in between contractions on the monitor. I was completely exhausted, and I was only a 5. By 6:30pm, Susan came in and asked me for my thoughts on an epidural so that I could get some sleep before I had to push. I didn't want an epidural, but things weren't going as smoothly as I had hoped, either. I had been laboring and managing to work my way through for 16 hours at this point. I had been awake for 35 hours or so. I knew that I would not be able to get through much more of this. I had to sleep. So, I told Susan that I thought it was a good idea given the circumstances. Susan checked me and I was at 9cm.
The anesthesiologist came in and I assumed the position for the epidural. I was terrified. Terrified enough not to move no matter what contraction was hitting. I sat there, hunched over, while he stuck me. Something was wrong. At this point, I was silently terrified. The anesthesiologist (whom Jeff later told me audibly gasped at this point), had stuck a blood vessel. I'm not sure what was going on back there, but he kept counting up vertebrae and saying that he was still in a vessel. He had to pull the whole thing out and stick me again. Two epidural sticks. Even though it was scary beyond belief, everything was okay. They gave me a button to push for me to give myself the epidural medicine. I now remember that they told me this, but at the time it didn't register. I never pushed it a single time. I was able to sleep for an hour before I was feeling ready to push.
At about 8:00, Susan came in and let me incline the bed and started bearing down when I felt the need. It was very low key, very unintimidating. I felt I needed to push and she let me as she sat beside my bed. With Asa and Addison, I was so drugged that I never felt the urge to push at all. I was so disconnected with the entire process. This was so much different. With all of its problems, this was much closer to the birth I had hoped for. I pushed this way for about an hour, and I felt as if I was making some progress. Because I had never pushed the epidural button, I was able to move my feet and knees. I wouldn't have been able to support myself at this point, but I was aware that the epidural was very low... I just didn't realize that it was because I didn't push the button!
After my hour of self-directed pushing, Susan stepped into position and we really worked. I pushed for a while with my knees back, the standard hospital position. But, because my epidural was so weak at this point, I also was about to get up on my knees and lean on the ball to push. I even was able to use the squat bar above my bed. I think these really helped to get the baby moved down, but it was the "tug of war" position that did the most good. Susan took a sheet and rolled it up. She gave the two ends to Jeff, who was at the foot of the bed. I had the "U" and pulled back on it with all my might as I pushed. It worked so well. I mean, it would have worked perfectly if my baby's head had been presented correctly. I was running out of steam, although I didn't feel like it because I was so determined to keep on going. I was definitely giving it my all. The pushing didn't hurt as bad as I thought it would... it was the NOT pushing that was so hard. There were a few times that Susan would ask me to rest through a contraction. Well, that's just not possible. I HAD to push. There was no option. The only way I could get through them without pushing was to moan and pant through them. Why? I have no idea.
After about 3 hours of pushing, and well over an hour of being able to see the head, which was stuck, Susan told me that she felt like she needed to call the OB so they could use a little vacuum extraction to help. At that point, we thought it would only take a little pull as I pushed to get things moving. Boy, we were wrong. The OB came in and I got really nervous about the vacuum. Yes, Asa had to have it done and he was only 3lbs 5oz. He turned out perfectly fine. But, after 22 hours of labor and 3 1/2 hours of pushing, I was almost to my breaking point. I was scared.
The doctor pulled hard... and the baby was so stuck that the vacuum popped off with a loud "POP". This had happened to Asa... it will be okay... just PUSH HARD... She tried again and it happened again. This baby was stuck. It took a lot of hard work on all of our parts, but finally Ivey Victoria was born at 12:04am. As soon as I felt her come out, I burst into uncontrollable sobs. They didn't place her on my chest, but lifted her up for me to see before checking her out. I only saw arms and legs through the tears. While the nurses and Jeff went to check her out on the little table next to me, I was lost in sobs. All of the pain and exhaustion had left me completely out of my mind. The doctor and nurses asked me if I was crying because I was worried about the baby... "She's fine" they said. Honestly, I wasn't worried about her. I knew she was okay. I was just sobbing to let it all out. It had been a grueling 22 hours. I hadn't slept in 40 hours. I needed to let it all out.
Looking back, everything happened exactly how it needed to. I have no regrets what-so-ever. I am so thankful that I switched hospitals and switched doctors. The atmosphere was so laid back. No one told us what we needed to do, no one barked orders at us, no one even assumed anything. We were in charge. We were able to labor alone and could call in for help when we needed it. When things didn't go as planned, we were given options and the atmosphere was still kept calm. There were no fluorescent lights in my face, everything was dim, quiet, as peaceful as it could be. I could move around freely. I couldn't have pushed for so long without that sleep that I gained from the epidural. When my epidural wore off, I was allowed to get up on my knees and push however I felt that I safely could. Because her head was extended up instead of tucked, I couldn't have pushed that baby out on my own without that vacuum extraction.
Jeff and I did it. It hurt more than I can describe and there were many times that I felt that I couldn't make it, but we did. Yes, she would have been born just fine if I had had an epidural from the start or if I had a scheduled Cesarean. But, for some unexplainable reason I needed to feel it. I needed to experience it all... and it was good for my soul! As hard as it was, I wouldn't change a thing.