Love the placenta pic!
That is so awesome, Jules. Perfect placentas! Wow. Love that the OB is bragging about you...but had you done things his way it would be a different story. Eeek.
Rest up, mama!
DD 8.03, DD 6.05, DS 3.07, DD 5.09, and DS arrived 6.17.12
Just a quick post - my aim is to finish my birth story later today
We're all doing great here. My milk has well and truly come in so I am busy drowning my children what seems like 24 hours a day. Both girls were a little dehydrated for the first couple of days so they were attached to me pretty much continuously and it seems to have stimulated my supply +++
I feel so much better now I am not pregnant. Seriously better. Even though I am probably sleeping less, I actually have the energy to do, well, anything. Felt that I needed to go out the house so went to the shops to look at baby bouncer/chairs and then did the grocery shopping. I can't believe how much energy it was taking to simply be pregnant with the girls.
The only question I was wondering whether you guys would know the answer to....is that during pregnancy I did not have any swelling at all. Now I have some in my feet and hands. Someone mentioned that this may be due to the syntocinon (pitocin) used for an hour after birth to prevent PPH. Any ideas on whether this is the case and how long it will take to go?
DD3 & DD4 03/11
Very cool about the placenta(s).
It's so sweet that they sleep like that. They're just too adorable.
Glad your milk is in. I can imagine you don't get a whole lot of rest right now with them nursing like crazy. Hopefully it evens out soon!
I don't know about the pit causing PP swelling. I've heard that many women end up more swollen after the birth than before just because of the massive fluid shifts and your body "thinking" it needs to conserve fluid because you've lot so much blood and such, but I don't know. I'm sure some of the other ladies know more about it.
Dunno about the fluid build of from pitocin but I know that I swelled like a balloon after DS's birth, which I did have pitocin for, so it is possible.
Tiff + Bobby 8/22/04
I'm so glad you're feeling so well! That's amazing! Glad your milk is in too. Are you finding yourself really engorged? I'm having a difficult time avoiding porn star boobies right now with tandem nursing. I can only imagine what it must be like for you!
As for the swelling....do you know how much IV fluid you had? (I'm assuming the pit was via IV infusion in something like saline or ringer's lactate). I doubt that it would be the pit alone that would cause swelling, but any IV fluids could definitely cause swelling. It will go down, but it'll take some time. Your body has to get rid of that fluid, PLUS the excess fluid from pregnancy (i.e. blood volume), which in your case, would probably be even greater than someone who birthed a singleton. I'd definitely give it a couple of weeks and see where you are then. In the meantime, keep yourself well hydrated, and get as much parsley in your diet as you're comfortable with. Parsley is a natural diuretic.
I did have an IV infusion with the syntocinon/pit but this was stopped after 1 hour (of a 6 hour programme) when I did not show any signs of PPH. So I had maybe 200ml IV fluid at an absolute maximum? I wouldn't know if this would be sufficient to cause any major increase in my swelling. I guess it must be extra fluids....it just seems weird to have swelling now. Since I lost over 6kg of baby, approx 2kg of placenta plus amniotic fluid - it is bizarre that 4 days PP I only weigh 3kg less than I did the day before I gave birth?
Oh well, the joys of pregnancy!
DD3 & DD4 03/11
After the 40 week appointment I went home and cried, I couldn?€™t believe that I had to make this choice as I was sure I would go naturally. DH and myself went out for lunch and made the decision that we would try the prostaglandin gel induction at the minimal dose (1mg) suggested by the obstetrician to see if this would ?€œtip?€? me over into active labour. If this wasn?€™t successful then we would come home and see what would happen naturally. In part, the decision was also made because my obstetrician was on duty the next day and wouldn?€™t be on-call for another week. He was one who would be most likely to ?€œallow?€? a natural twin delivery and be less of a fight when I was in labour. I have since found out that this is correct and the other two obstetricians (although they say that twins ?€˜can?€™ be delivered vaginally) have an almost 100% caesarean rate for twins! WOWSERS!!
So at 40+1 weeks gestation, I went to the hospital for the prostaglandin induction. For the first hour I was strapped to the CTG monitor. Nothing special ?€“ I was still 2cm dilated and 75% effaced with a soft cervix. The prostin gel was applied at 9.00am and I had to remain on the bed for another hour. During this time I started having increased contractions and by the end I was definitely uncomfortable and desperately wanted to move off my back. For the next few hours I just walked around the room, sat on the gym ball and chatted to DH with intermittent monitoring of the babies (every 30 mins or so). Contractions were coming every three minutes, but to be honest, they were only just marginally more uncomfortable than I had been having for the last few weeks.
At around 2pm I asked my midwife to complete a vaginal examination as I really wanted to know whether the prostaglandin was working so I could make a decision about what to do next. She was reluctant as there was nothing that could be clinically done until 3.00pm when the obstetrician was back on the ward (he was running a clinic somewhere else in the hospital) and/or a decision could be made about attempting another gel application. But I wanted time to discuss my options with DH without having to feel pressurised into making a decision with everyone around. So she completed an examination and I was 4cm, almost completely effaced and very stretchy. Baby A STILL had not come into my pelvis and made good contact with my cervix. At this point, I decided to have a rest and remained on the bed in side lying to chat through the options with DH and my midwife.
Suddenly while I was still resting (around 2.15 or 2.30pm??), my contractions changed in intensity and frequency. This is the point at which I actually feel and it was documented that I was in active labour. I had to stand up and breathe through contractions which came every 2 minutes and around 2.45pm I walked to the bathroom and had a major bloody show. At that point, the midwife and myself realised that this was going to happen very soon and I walked through to a delivery room. As soon as we arrived in the room they placed an IV lure (something we had agreed on prior to labour) for a syntocinon (pitocin) infusion ?€œjust in case?€? of PPH. It was REALLY not easy to keep still in full blown transition, especially as I then started to feel a little pushy.
Foetal monitors were then attached to keep an eye on Baby B and got on the bed, I was checked and fully dilated with bulging membranes. I just rolled onto my side and started pushing at 3.04pm. It was very instinctive and I requested Gas & Air - primarily to have something to focus on during contractions. In my previous labour with DD2, I was hyper aware of everything going on around me; however, this time I was totally focused on my body and only vaguely aware of other people. I could feel something coming out of me?€?it was the membranes / waters. I knew that the baby could not be born in the caul as the sac was attached to the other twin's so when they asked to break my waters I nodded. My waters burst out and I can remember them covering my feet so they must have been coming at quite a rate!
Baby A presented with a hand (knuckles first) after nine minutes of pushing at 3.13pm. The baby was immediately handed to me by my midwife where I announced to the room that we had another little girl. She was bigger than any of my other babies and covered in vermix so I think that she would have been happy to stay in a bit longer! DH cut the cord when it had stopped pulsing. I completely forgot about everything else as she was all I could focus on ?€“ it didn?€™t even cross my mind that I would have to do this again - I was just so in love.
Apparently as soon as A came out my uterus ?€œfell?€? to the side so the obstetrician (who had just been waiting in the room while I was pushing) externally applied pressure to return it to midline, he checked internally to make sure that B?€™s head was presenting (and not a cord) and broke my waters. He then stepped back and let my midwife take over again - that was the extent of his involvement. With my next contraction I delivered B?€™s head. Totally surprising everyone by B presenting face to pubes - that?€™s a close up photo which will not be appearing in the family album! One contraction later and 8 minutes after it?€™s twin, B was out. Covered by a towel and handed to me (placed on top of A who had been on my chest while I birthed B), DH and myself looked between the legs and laughed?€?.another little girl.
Not the most flattering photo, but me and babies immediately following B's birth:
After I had delivered both babies a syntocinon/pit infusion was started as the risk of PPH is higher with twin births. Something to do with the size of the placenta attachment site and a hyper-extended uterus which is less likely to contract down effectively following labour?? This stage occurred pretty quickly as well and a single large placenta arrived a couple of minutes later. Hospital policy is for the infusion to run for 6 hours post-delivery; however, after an hour there was no sign of PPH so the IV was stopped. I needed some stitches due to the second degree tear caused by twin A and her presenting hand . This was easily repaired with local anaesthetic.
To be continued?€?..
Last edited by kiwi_babe; 02-25-2014 at 03:25 AM.
DD3 & DD4 03/11