38 weeks and 6 days
I went for my 38 week appointment on Tuesday and my blood pressure was higher than normal 140/80. My OB thought the cuff was a little small, so she got a bigger one and redid my BP...it was 128/80. She told me if I had any signs that my blood pressure was still high to go straight to labor and delivery. I work for a med-mal company and there is actually a nurse who works for Risk Managment 2 offices down from mine... She took my BP before I left work and it was 144/80. My sister was visiting work and insisted I go check it somewhere else. So along with DH, we ran around to CVS and Kroger to use their pharmacy machines to check my BP (both were abnormally high and I didn't trust them.) I decided to call the hospital before heading down there...the on-call OB said since I didn't have any other symptoms to just relax. I took the next day off of work...(well, actually worked from home half the day) and my father came by with his BP cuff in the afternoon. My BP was still high...140s/80s. So I called DH and we went to the hospital that evening. After about 4 hours of monitoring they admitted me at 10pm to do a 24 hour urine collection (looking for protein)...and to continue monitoring my BP and the baby. This was Wednesday night. Thursday night around 11pm the collection came back border line at 295 (300 usually cause for concern.) So at midnight the RN comes in and says "They want you to do another one..." I just wanted to cry! Not because I was concerned but because I was losing my mind! I was so bored...and SO tired of being bothered (poked, monitored, etc.) every couple of hours. At 8am my OB comes to visit and says since I looked fine, felt fine, baby was great, and my BP was going down that I could go home and do the collection myself and keep monitoring my BP. What a relief! DH came and got me at noon on Friday... It took them so long to discharge me that I almost just wanted to stay there. But, Leonard convinced me that I wanted to go home. And so happy I was to be home!!! We went back yesterday morning to turn in my collection (before the OSU game...I'm delivering at The Ohio State University...) which sucked because the exit ramps were closed... I was just so glad I wasn't in labor! They monitored me again and did labs for about 2.5 hours and eventually told me that my urine was at 215! So, they sent me home and told me to relax. Getting out was easier, but you could see the traffic coming in had gotten A LOT worse. Unreal.
Needless to say, I have now officially started my ML... I wasn't going to start so early, but I believe I was overworking myself and it seriously contributed to my my high BP. So, I have been banned from working by all of my friends and family. Which is fine with me, because I don't want to go back to the hospital unless I'm delivering. (Which I was hoping they would have induced me on Wednesday night when I went...no such luck.)
So happy to be home...
Today Alexander is 5 days old. (He was 5 days old when I started writing this.) I'm just getting around to writing my birth story, in its entirety.
We went to our scheduled 40 week appointment on Monday, September 17th @ 9:45am with hopes that my cervix was becoming favorable. Dr. Sayat did an ultrasound to check on Alexander's size and overall well being. I was still not dilated any, and still only about 60% effaced, but she discovered that my fluid was low. At that point she insisted that we go ahead with induction with no further delay. (I was already scheduled for an induction 2 days later due to pregnancy induced hypertension.) Alexander's vitals were fine and she wanted to keep them that way. So, we headed straight over to Labor & Delivery to get registered. We sat there for about a half hour waiting for registration to receive a call that we were on our way. lol Calling everyone to let them know that "today was the day." (While there, we saw a newborn pass in an incubator, weighing 1lb and 6 ounces. Leonard and I were dumbfounded... The family was sitting there waiting for her to roll through and all I can remember thinking was, "Thank God Alexander made it to term...”)
We were finally finished registering around 11. While in the room, the nurse asked a bunch of questions to finish getting me "checked-in." That was when I was asked the question that totally changed my attitude for duration. "When was the last time you had anything to drink?" I said, "Around 9:30, on the way to the appointment." To which she replies, "And that was the last time you had something to eat?" I said, "No, that was actually around 7:30am..." Then she says, "Well, I hate to tell you this, but it's ice chips from here on out." I was devastated. I had no plans of being induced that day and planned to eat after the appointment... At that point she took my blood pressure and to no surprise it was elevated. Labs were ordered to make sure nothing odd was going on again... I also get hooked up to the usual monitors to watch for contractions and monitor baby's heart rate.
About an hour later the doctor comes in to administer the Cervidill to get my cervix dilated. This was nothing what I expected it to be. It was a medicated piece of cloth, thicker than a string, which kind of reminded me of first aid tape...folded up and placed deep into my cervix. The plan is for it to sit in there for 12 hours to dilate the cervix and in some cases bring on labor. Well, after a couple of hours I started feeling the contractions. They were really small and felt just like menstrual cramps...extremely mild ones at that. But, every time I had a contraction, Alexander's heart rate dropped a little (from 150s to 120s.) We assumed that was fairly normal as no one made a big deal about it.
Around 6pm (6 hours after the Cervidill had been put in) I noticed the baby's heart rate drop really low. (around the 60s/70s.) The nurse rushes in and hooks me up to something to get my own heart rate. (She wanted to make sure it wasn't picking up my own...) Unfortunately, it was, in fact, the baby's. She calls the doctor. Less than a minute later there are 3 nurses and 2 doctors surrounding me asking me questions, laying me on my side and giving me oxygen. They tell me to relax and then they pull the Cervidill. After a few minutes, Alexander's heart rate goes back up. Apparently, he didn't react well to the Cervidill. They told me it was common. At that point they decided they were going to give us a "break" from the Cervidill and have us relax on our own and try it again later. (I also over heard that I was only a half a centimeter dilated! WTF????) Still on my side and with oxygen, my contractions actually continued. After about an hour or so of this, the doctor came back in and told me I was laboring on my own. Since the last time they checked, I was actually up to a 2 on the dilation front. They decided to start the pitocin through my IV and also gave me a foley catheter that, once removed, would take me to a 4. With the pitocin and the catheter I could feel my contractions growing stronger and closer together. This lasted for a couple of hours. The nurse would come in every half hour or so came in to check the catheter (by tugging) and each time the contractions grew. The last time she tugged, it sent me to the edge. I was squeezing Leonard's hand so hard at this point I didn't know what else to do. He was so good, btw...very encouraging, although helpless as I could see he felt. I went through this pain (strong contractions lasting for about a minute or more and only about 5 seconds in between...) for about another 45 minutes and couldn't take it any longer. I needed the epidural. (The more I thought about it, I realized the contractions I was having were representative of the transition phase, yet I was only 4-5cm dilated.)
The next time the nurse came in we told her I needed some relief. She called the anaestheologist and I was on my way. After the epidural took effect, (which was great as I was feeling NO PAIN,) the doctor and a nurse came back in to remove the foley catheter and break my water. Well, Alexander didn’t take too well to this either. Seconds after they removed the catheter and broke my bag his heart rate dropped to the 60s/70s again. Once again, everyone rushed in and performed the same actions as before…with the addition of a different OB who was telling me that if his heart rate didn’t go back up fast they were going to send me to the OR to have an emergency c-section done. Well, his heart rate went back up. So, they gave me a shot to stop my contractions and let us “rest”…another “break” they called it. They called the on-call OB (one of my OB’s partners) and were going to let her decide what actions to take. Leonard and I slept for about 45 minutes to an hour before she arrived to tell us she wanted to just go ahead and do the c-section without further delay.
The anaestheologist came back to redose my epidural line and Leonard was given scrubs. We were on our way. They explained what was to happen on the way… They prepped me on the table and placed a sheet up about chest level. As I lay there, so many things were going through my mind…but all I can remember was praying that everything would be okay. The anaestheologist actually was the only one who remembered to get Leonard from the hallway (they had them wait there) as they started cutting. My arms were pinned down and Leonard was holding my hand. I remember them asking Leonard if he wanted to watch…to which he replied, “Hell, no…” I remember laughing. The next thing I knew I heard the anaestholeogist say, here comes the head. Then he was out. They walked by with him to take him to the incubator. I looked over and smiled…but was surprised I didn’t cry. Then I heard it…the most beautiful noise…Alexander’s first cry. At that point I started crying…and couldn’t even wipe the tears away because my arms were still pinned. Leonard had left my side to cut the cord… He was so funny, as he kept walking back and forth from the baby to me…saying almost incomprehensible phrases. Our baby was finally here at 3:08 AM.
The saddest part was after about 20 minutes of stitching me up; I sat in a recovery room for about 3 hours without my baby. I remember falling asleep and not being able to move my legs…and then around 7AM they took me to my room where I was finally got to hold my angel.
Last edited by hey1229; 10-08-2007 at 08:01 PM.