Here’s some background about my first labor/birth that ended in a Caesarean:
I planned to deliver at the local birth center. At 41 weeks and 5 days we started induction, with a foley only. I dilated to 8cm before labor stalled. We transferred to the hospital with plans of doing a Pitocin induction, but that never happened – my baby’s heart rate dropped into the 40s and did not come back up. I was on my hands and knees in the bed, and watched the nurse push the code blue button. As a nurse myself, its incredibly surreal hearing a code called and realizing that this time you are the patient. I was rushed to the OR, where I begged for a spinal, and my wish was granted. I got to hear my baby’s first cry, hear what gender HE was, and kiss his sweet face before they took him to the NICU. My 7lb 4oz, 21″ long baby boy was born at 41 weeks and 6 days, after 44 hours of labor, and spent 2 days in the NICU. It was about eight hours until I was able to hold him as I had to wait for the anesthesia to wear off before I could get out of bed. The hardest part was not being able to see my long awaited baby. I had to greet my family without a baby in my arms; I didn’t even know what he looked like.
Fast forward to my second pregnancy.
I was determined to have a different outcome, and found a practice that was extremely supportive of VBACs. I went post dates again and was miserable, terrified that I would never go into labor on my own because I hadn’t with my first. I was emotionally spent. I couldn’t deal with waking up another morning pregnant and going to bed STILL pregnant. At my last appointment I convinced my provider to induce me at 40 weeks and 5 days. I did not feel comfortable going past 41 weeks given my first experience.
Contractions started Friday night (40+3)—maybe every 10-15 minutes. I told my husband to get some sleep, and that I’d be on the couch and would wake him up if things got serious. Contractions were long—at least a minute—which I found encouraging compared to my first labor, where they were only about 45-50 seconds apiece. I had the TV on all night, but I wasn’t paying attention. I had to be upright during contractions and couldn’t tolerate sitting – too much pelvic pressure. I was listening to Hypnobabies “baby come out” for awhile.
I finally forced myself to lie down and sleep when contractions were happening about every 20 minutes or so. When daylight came, nothing was happening, except I was exhausted. This was a familiar experience since the same thing had happened with my son. My husband took our toddler grocery shopping so I could rest. I hardly did anything on Saturday; maybe had a contraction here or there. At 4:30 on Saturday afternoon, I called the hospital to confirm induction and they said it was game on. This is when I’m saying labor truly started (although I didn’t believe it).
I called my mother-in-law and told her to come to our house around 5:15 p.m. When she arrived, I was having contractions that made her and my husband tell me we needed to get to the hospital. I thought they were crazy; contractions were uncomfortable, but I didn’t think it was serious labor. Saying goodbye to my toddler wasn’t as hard as I thought it would be—probably because I was so uncomfortable. When we got near the hospital, my husband asked if we could stop at McDonald’s; I said that was fine, since my contractions were happening every 4-6 minutes.
When we got to the hospital, we parked and I waddled slowly to the lobby. We were early and I was worried they wouldn’t take me because of it. The woman at the desk took one look at me and said, “Let’s get you to your room; you look like you’re in labor. You’re the scheduled induction, right?” I probably looked at her like she was crazy. I was thinking, “Why does everyone think I’m in labor? I’m not!”
I was delighted to see we got a nice labor suite; but the only downside was it had a shower, not a tub. I wasn’t sure if they used the nicer rooms for VBACs or not. The nurses came in and tried to start an IV. She blew my vein after not listening to me as to where to put it. I have good veins. The bruises from that lasted for a few weeks after. The midwife George came in and asked to check me. I was not feeling optimistic. He said, “Well, you’re at a 6 and seem to be contracting well; I don’t see a need for induction.” I was floored and expressed my disbelief. I was still fully expecting to be on Pitocin. George told me he never jokes about a woman’s vagina. I couldn’t believe it. I was 6cm and still didn’t think I was in serious labor! I asked to get in the shower. I labored there on my knees, bent over a bench. The floor was hard so I was kneeling on a towel. This is where my husband asked me if I wanted more kids after this.
I kept shifting positions, and baby was falling off the monitor. I kept asking how baby was, and baby was always perfect. My knees finally got too sore, so I went to the bed. My midwife came in and wanted to check me. I was standing upright and needed something to brace myself on, and he was the nearest sturdy object – so I hugged him tight. He checked me, and I was a 7. That’s when things got serious.
I got in bed and was half kneeling and had the back of the bed completely upright. I couldn’t tolerate being in any other position. Awhile later, the nurses came in and I was struggling. I wanted to climb the walls and pound on the bed. A nurse offered me pain relief and after discussing it with my husband and my mom, I decided for a Nubain IV. It worked quickly and I started feeling a bit drunk. The nurse asked me to sit down since I was kneeling. I remember thinking, like when you’re drunk, “She knows!” And I asked if I looked that loopy but promised I wouldn’t fall backward.
The Nubain was a godsend. It made things more tolerable, as contractions were on top of each other. I was thinking, “This HAS to be transition…” because I wanted to die—or at least escape from my body. An hour after the Nubain, since I knew it was fairly short-acting, I asked if I could have more when it wore off. The nurse told me that generally it’s a one-time dose; so I decided I wanted an epidural. I was putting it off because I knew I needed a fluid bolus over 30-60 minutes and I was hoping I would run out of time.
I started having doubts like I did with my son, about how I could push a baby out when I could barely think about surviving the contraction. The epidural was administered at 10:30, when I was 8cm. It brought sweet relief. Contractions felt only like Braxton Hicks and I was able to rest. I believe that’s when they broke my water. My husband even took a short nap.
Around 1:45, a bunch of nurses rushed in and started asking me to change positions because baby’s heart rate was down. I had a flashback to my son’s birth and thought, “Well, we tried. I’m going to have another C-section.” My midwife came in, checked me, and said I was complete. I said, “NO WAY, you’re kidding.” He said, “We have been through this before and you need to start believing me!” I laughed then turned to my husband with tears in my eyes and said, “We get to actually have a baby!!”
So pushing began. My mom was holding a leg, and my husband held my head. All too quickly I heard George say that I only need small pushes. I thought, “What?! That means baby is almost here and I’ve hardly even begun to push.” I could also tell from how excited my mom was sounding. So I asked to touch the head and felt her soft, wet hair. I leaned as far forward as I could to see her come out. She was purple and slimy, and A GIRL! I got to announce her gender to the room. She was on my chest immediately. I couldn’t believe it. I got my VBAC and my baby girl. I had a front-zip bra on so I was able to pop my breasts out immediately. She snuggled on my chest for a little, taking in the world. Then she started to crawl towards my left nipple and latched herself right on.
Labor was 9 hours and 42 minutes. I pushed for 16 minutes.
Charlotte was born on Sunday, August 14th at 2:12 a.m., at 40 weeks and 5 days, 7lbs, 3.5oz and 20″ long.