I really can't believe it's been a week already! John's appointment went well and the ped was much nicer then I'd anticipated. He's up to 6 lbs 15 oz which is a 3 oz gain from discharge so she was really happy with that. She said his jaundice looks good.
She suggested wiggling his cord stump around when we clean it. That surprised me as our ped always said just to leave it alone.
We're having our first Nor'easter today and so far the snow accumulation hasn't been too bad. I just hope the power doesn't go out, though the winds haven't been horrible.
DD hasn't had a nap outside of the car/in her bed since DH was home with her while DS and I were in the hospital. She defiantly needs it so I"m going to try and accomplish that today while we're snowed in. Maybe then I can write out my birth story!
PB is being slow so I'll have to upload pictures later.
Sorry this is so long. I hope you enjoy it!
John Anthony?s Birth Story
Born December 19th 2012 8:13 pm
37 weeks, 6 days
After a long pregnancy full of worry for having developed obstetric cholestasis for the second time and needing progestrone shots (which I had horrible reactions to) in an attempt to keep me from having another preterm delivery, I could not have been happier to see our little guy born. While baby always did great on his non stress tests and ultrasounds, there were a few scares (particularly in the last couple of weeks) that had me completely anxious about his birth. I was never able to sleep from the itching/heartburn and just overall worry I had. He?d pass his kick counts but I felt I could never truly relax. I had full confidence that my OB/MW team was doing the very best for us, but I was ready to be done. I felt bad for not enjoying the pregnancy more, but it just felt like a time bomb. Our inital plan of inducing at 37 weeks was pushed back when I had an amniocentesis at 37+1 which showed his lungs were immature. Thankfully my bile salt levels were in a good range, but the reason most OC pregnancies are delivered between 37-38 weeks is because those levels (which are a direct result of risk to the baby) can triple out of nowhere and put your baby at risk for labor stressors and IUD.
Last NST/Office Visit
On Monday the 17th (37+4) I had an NST scheduled as a follow up for the amnio. I had been doing NSTs twice a week since 32 weeks so this was standard for me. Baby looked great as always and the monitor was picking up my contractions (I?d been having early labor for about a week and a half) so the OB offered to check me. I was 3 cm and 70% effaced which was a slight improvement over my 50% and 2 cm that I?d been on Friday at the amnio. The OB (who wasn?t my usual) was encouraging about the progress and that if I made it to my amnio/induction, my cervix was completely favorable.
Wednesday December 19th
Since Tuesday I?d been feeling off. I hardly ever timed contractions anymore as I?d regularly get painful ?active labor? like contractions that would get close to the 4-1-1 protocol but always tapered off. I woke up at 4 am and was unable to sleep through the contractions. I was also having a lot of leaking that I was 90% sure was still just watery discharge but couldn?t be totally sure. I wasn?t having huge gushes like with Emma, but at this point nothing seemed to make sense. I talked to the mw on call and she said just to call the office in the morning to get checked just incase. The office had me go to l&d to see the on call mw (a new one) there so she could see me between l&d rounds. They of course hooked me up and little guy was great, my contractions weren?t regular but were strong. She checked and said my water was intact, still same dilation/effacement as Monday but that my bag of waters was right there and she wouldn?t be surprised if I didn?t make it to the amnio the following day. I went home to make brownies with Emma and just try to relax.
I got DD down for a nap around 3 and did housework. DH was on his way home as he worked a half day after I?d told him about my l&d visit. He works 1.5-3 hours away depending on where he is so he didn?t want to risk me going into labor and not being able to make it back on time. I?d been nesting like crazy the last few weeks of the pregnancy and was thankful that I never had to be on true bed rest with this pregnancy. Having things to do kept me sane. I was having crampy contractions but I?d sworn off timing anything unless it was evident things were not stopping or my water broke. DD woke up from her nap around 4:30 and we went downstairs. I was cutting up brownies and felt a ?pop? and then started gushing fluid. I started laughing my head off as I was so relieved to know that he would be here within a day and that things were happening on their own. I went to the bathroom to make sure the fluid was clear which it was. This was a big relief as OC babies are at higher risk for meconium staining/aspiration. With the mounting anxiety over his safety in the later end of the pregnancy, I was really concerned that I would have to sacrifice my NCB hopes to have him here safe and sound or that my fears would stall me out during labor. I called DH and he raced home. I started feeling more pressure and was nervous at first but knew it wasn?t transition and that we had time. Once DH was home we packed up our last minute things and left for my in laws.
We dropped off DD around 6. I felt fine the whole time. My contractions weren?t any worse then they?d been for weeks and I wasn?t leaking all over the place so I was fairly comfortable. DH wanted to drive through somewhere to get me food and I said I wasn?t comfortable with delaying our arrival that long as DD arrived 7 hours after I woke up to my water being broken and I knew subsequent births tended to be faster.
We arrived at l&d around 6:00 pm. I?m assuming there was another birth (or two) going on as our nurse didn?t come in to do monitoring and the admittance questions until 6:50 pm. I didn?t want to be sitting so I went between sitting on the toilet and leaning against a counter just outside our bathroom while taking to DH. I liked not feeling like I was just gushing all over the place. Our nurse came in and I answered the intake paperwork questions while we did the initial 20 minute strip. When the nurse looked at the monitor she said I was having contractions every 2 to 3 minutes apart for 40-60 seconds and asked how I felt. I told her I was okay. My pain was maybe a 5 to 7 at this point. I had to breathe through about half the contractions, but having the questions was helpful in keeping my mind off the pain. I just kept telling myself that things were going to get worse so don?t get hung up on these. It also helped knowing they wouldn?t last long. After the paperwork I handed my nurse our birth plan and the look on her face was great. She seemed excited about my wanting another NCB and said she?d go reserve the whirlpool for me and give my birth plan to the MW. I?d always wanted to use it with DD but we never had time and I respond really well to water therapy.
Our MW came in around 7:40 pm (same one who checked me that morning) and she too was excited about my wishes. She suggested I eat something so I?m not trying to ?run a marathon? without any energy so I agreed to some chicken noodle soup. Because she?d checked me at 11 am she said she didn?t need to check me again unless I really wanted her to. She asked if she could feel my belly for postioning and I said sure. She asked how big DD was at birth and I told her she was 5 lbs 5 oz. The MW was certain our son would be bigger then that which is what we?d been thinking all along. She didn?t comment on it, but I knew he was still posterior. I was fine with skipping the exam.She said because baby looked great I could do intermittent monitoring and that I was in the driver?s seat. Because of the possibility of labor stress for baby I told her I was okay with wireless monitoring but she said it wasn?t necessary. I got out of bed once the monitors were off and tried to eat my soup and drink water. I started to realize that I wanted to hydrate quickly so I could get a hep lock in (we knew we?d need to be proactive about pitocin and miso after birth to avoid another postpartum hemorrhage). My contractions were starting to get worse and I was needing DH to do counter pressure on my lower back. When that wasn?t helping I?d just have him rub my shoulders. Around 8 pm I realized there wasn?t much of a break between contractions anymore and the pressure was different, so I decided to ask for the hep lock as I was scared of another hemorrhage. A nurse came in (who I?d seen in l&d a couple weeks prior) and asked how I was. In a normal tone of voice, i got out that I wanted a hep lock because I didn?t think there was much time. She asked if I felt like I needed to push and I had a contraction at the same time that confirmed yes, I needed to push and no, I might not be able to get onto the bed (I had been walking toward it and had to lean on it).
I got onto the bed and was most comfortable being mostly on my side. My MW came in and said she had no idea I was imminent but that we?d be just fine. She checked me and said that our baby was just ready to meet us. She told me to just listen to my body and push whenever I felt like it. With DD I was coached (and that worked well) so i was a little surprised when she told me just to go with what my body wanted. A nurse had put a cool wash cloth on the back of my neck and I took that and bit it when my next contraction hit. I pushed and instantly felt the ring of fire. I tried to be quiet and not vocalize too much as I didn?t want to take power/energy out of my pushes but a couple of profane words and some ?it burns!? escaped me. I didn?t feel it with DD, just the pressure from her head so this was new to me. While it hurt quite a bit, I just couldn?t believe I was already feeling it, knowing that meant he?d be born any time now. I kept pushing when I felt like it and just pushed as long and hard as I could, remembering that with DD the longest part of pushing was getting her head under my pubic bone and not wanting to go through that again if I could avoid it. The wash cloth I had in my mouth was a huge help in having a focal point for the pain as I needed to close my eyes (opposite of DD). There wasn?t an official count that I know if, but DH guessed I pushed no more than 5 or 6 times before John Anthony was was born at 8:13 pm. I seriously could not believe he was born and everything happened so quickly. They put him on me right away. He cried and we just laid there for about 45 minutes. I could feel the cord a lot more then I remember feeling it with DD. My placenta was right there and with a tiny push (the only coached one hah!) it was out and I felt great. I had a tiny outer labia tear but my MW said that stitching it would do more harm then good so she left it alone. Everyone congratulated us and the MW said that I should feel like a rock star for how I handled things. She said that our birth was the stuff she lives for so I was really flattered by that.
I?d written in my birth plan that I?d like the first hour to be free of visitors so we could capitalize on bonding time while he was so alert and get a good start on breast feeding. Everyone left us be and we just laid there for about 45 minutes or so soaking him in. We then asked to do his stats just so we could let family and friends know of his arrival and they came in to do his newborn evaluation. I am sure they just did his apgars while I was holding him but I never found out what they were. He hated his bath and got bright (lobster like) red but they said he was perfect. He weighed 7 lbs 1 oz and was 18 1/4? long. Because of his ?precipitous birth? he didn?t get tp squeeze all the fluid and ?gunk? out of his body so he was pretty uninterested in nursing but I did get him to latch around 10 pm that night so I knew things would be fine. While DD?s birth was great in many ways, I was so relieved to have our little man here, to have avoided induction again, not hemorrhage and to have another natural child birth. In many ways, my birth experiences feel like a reward for such long and stressful pregnancies.
ETA Because I never got that hep lock they just gave me an injection of pit and the miso afterward per plan.
Wow! So amazing! I must say, I'm envious of your smooth labor and that you got to be in the tub I'm so so happy for you that you got you NCB and avoided induction though! You did amazing mama!
Mama to Kostas with the Mostest, born 07/10/07
and Marek "Cricket" Joshua, born 12/07/12
What an awesome birth story! I'm so glad it went well for you! It does sound like you handled it like a rock star and I think it's awesome that the MW and nurses were so supportive of you throughout the whole experience! Congratulations again!
We had a free in home nurse visit Friday (our provider offers it). It's just a weight check, answering questions, checking latch if you need it and that sort of thing. Little guy was up to 7 lbs and half an oz at 9 days so he's right on track. He's having enough wet/dirty diapers and his coloring seems to be improving so we're not too worried about his jaundice but I'll be happy when it's totally gone.
We haven't started vitamin D supplements yet. I asked our ped about it in the hospital but he said not to worry about it right then as we had new baby/nursing etc to get under our belts. For those who give it, when did you start giving it to your LO? I can't recall when we started it with DD. New pictures when the kiddos are down for a nap.
I've never given Vit. D supplements so I don't know what to tell you about that. They always mention it to me, but it's not something I got around to doing. I wonder how much crosses into the breastmilk because I take vit D3 everyday now.
Look forward to seeing new pics!