Essential Stats:
Victoria (Rory) Ann Kelso
Born Saturday, January 4, 2014 at 8:22am
4 lbs 10 oz, 18.5 inches long
It was not at all like we had anticipated. For those who are curious, read on. Warning: Potentially graphic. Read at your own risk.
We were planning on having the baby at
New Birth Company birthing center. Pregnancy was a bit difficult for me in that morning sickness was longer and harder and I gained more weight, but we didn't seem to have any complications. We were also waiting until the birth to find out the sex of the baby.
One morning back in November I had a dream that I had high blood pressure. And that was followed by a dream that I couldn't climb under a fence because my tummy was too big. So I just kind of laughed and went on. At my next appointment though, we found that my blood pressure was high, so I was at risk for gestational hypertension. This would make me ineligible to birth at NBC as well as have potential complications for me and baby. They tested me for protein (and at every appointment there after) and always came back negative. I monitored my blood pressure daily and started trying different things to keep it low - herbs, vitamins, meditation, visualization, and eventually working from home. Pressure remained higher than normal for me, but low enough that it wasn't concerning.
I had been told that the baby was head down and had been for a bit, but the position of the baby was bothering me. It was all on my right side and wasn't moving to the middle at all. I was spending lots of time laying on my left side and on hands and knees to help it move. At my 38 week appointment (just a week ago - it seems so much longer!) I mentioned it to the midwife and asked more questions about it. She felt, and decided to to do an ultrasound. And wouldn't you know...baby was breech.
I went to the chiropractor as well as to see an acupuncturist (my first time). I got positions to try from a friend who is a
doula, and
Spinning Babies as well as trying herbs and stuff to get the baby to flip head down again. I was also scheduled for an
External Cephalic Version on the following Tuesday. We weren't sure I'd be able to get in as not many doctors will do them after 38 weeks. Both midwife and chiropractor thought that the baby was still high enough and that I had enough fluid that it could work though.
Saturday night we got the kids to bed and Ernest and I relaxed watching an episode of Sherlock (love that show, by the way). Near the end I kept squirming because it felt like the baby was pushing into my cervix and it was quite uncomfortable. After three of those I realized that they might be contractions. It was right around midnight. I told Ernest and started timing them. Sure enough, they kept coming back. They lasted between 15 seconds to 45 seconds and were anywhere from 3 minutes to 10 minutes apart. Not too strong; I could walk and talk through them, though I was feeling them. I decided to take a shower to see if the hot water would relax them. I had a couple more mild ones while I was in the shower, but overall they were slower and lighter. I got in bed and fell asleep. And woke up a little bit later still having them. Still not really strong (I was more "practicing" my breathing than needing to use it for anything) and they were all over the place as far as duration and frequency.
Finally at 2 am I called the midwife to see what she would say. They were not consistent at all so I was thinking it was still pre-labor (had it off and on for a couple of days before Jacob was born). She had me take a Benadryl and try to sleep for a while. I did, but the longest time between contractions (at least where I didn't wake up) was 45 minutes. Still ranged from 20 seconds to 50 seconds and 3 - 12 minutes apart (with a few at 20 or 30 minutes for good measure). At 6:00 I got Ernest up as they still were coming and beginning to be a bit stronger. Could still walk and talk through them, though I could feel them more. I called the midwife and she said to come in so they could check me out. I called Jane and she brought Sophie up to stay with the kids while we went to the birthing center.
We arrived at the birthing center around 7 am. Still feeling them and needing to focus on my breathing a bit more. They were around 3-5 minutes apart and still fairly short. They used the ultrasound to check baby's position and found that it was still breech. They took my temperature and blood pressure, and then checked my cervix. And found that I was 6-7 centimeters. The midwife immediately pulled back and quietly told me that we would be calling an ambulance and not to move as she didn't want to risk breaking my water. Immediately after that I began to feel hot and dizzy, and asked for a wet washcloth for my face. Even with all of this going on, I still found it funny when the midwife said, "Oh no, I don't like the sound of that." Transition. My contractions quickly got a lot sharper, and seemed to be mostly focused on the bottom left side of my abdomen (baby was on the bottom right). She said that it was probably because of the baby's position that it was pulling funny. Incredibly unpleasant, and different from the contractions I had with the other two, in that they were more central and around most of my abdomen. This definitely had a focus in that one location. They got me started with an IV to try and help the contractions and get me hydrated for the epidural/spinal that I would get for the C-section once we got to the hospital.
I don't know how long it took for the ambulance to get there, but I was beginning to feel the need to push before they arrived. If the baby had been head down I'm sure it would have been born very quickly and before the ambulance arrived. I began to have to do "mouth breathing." My understanding of it is that you focus the breath and energy out your mouth instead of out your bottom, trying to keep everything loose and open so that you don't involuntarily tighten and push. And you sound like a lowing cow when you do it. I felt ridiculous (but only for the first couple - then I didn't care).
The ambulance arrived and I had to get my clothes back on and get onto the stretcher. Not fun. I heard the midwife say that I was in "active" labor (I think "active" was an understatement) and that they thought the presenting part would be an arm or a leg, which creates more complications and danger for mom and baby. The midwife told me to do everything I could to keep my bottom relaxed and breath through the contractions. They didn't want my water to break or me to push at all for as long as I could. They got me into the ambulance and Ernest grabbed our stuff and rode in the front. He said later that they told him they were taking us to St. Joseph's (435 & State) but that if birth were "eminent" they might go to Overland Park Regional. We were at College and Antioch. I'm thinking that birth was certainly "eminent" as I was 7+ centimeters and feeling like I needed to push. Anyway. The guys in the ambulance were wonderful.
We make it to St Joe's and get to the L&D floor. I'm still having contractions every 3 minutes or so and having to "low" through them. They get me into the prep room and are trying to get me undressed, shaved, pertinent medical questions asked/answered, and fill me in on what's going to happen next for an emergency c-section. I told them several times that there was a lot of pressure and I was starting to have involuntary spasms that were getting harder to focus away from going "down and out." Ernest got into scrubs.
By the way, Ernest did a great job. I can only imagine what he was going through. But he was calm and stayed right with me, holding my hand and trying to do whatever he could to stay out of people's way and help me.
They got me into the operating room. I'm sure I gave them a funny look when they asked me to move from the stretcher to the operating table. There was so much pressure in my bottom that I couldn't sit up even between contractions. I did make it to the table, somehow, and even got turned on my side so that they could give me the numbing injections for the spinal.
They got 1, maybe 2 of the numbing shots in when I told them again that there was a lot of pressure, and then all of a sudden I felt something trying to squish out. Ernest said my voice changed and I said "Something's trying to come," and the nurse jumped to my back to look under my gown...and sure enough something was coming out.
You know when you throw up and your stomach just spasms and you are powerless to stop it? That's what happened, but on the south-side. I didn't even have to push - it just came out on its own in two spasms (One contraction, I think). The flipped me onto my back (bye-bye anesthesiologist) and got ready to catch the baby. It came out in the sack - my water never broke. Also came out bum first (frank breech). The contractions had centered the baby more so that it was straight.
And...it's a girl! They checked her out and she was great...but tiny! I also didn't have any complications - no tearing or anything else. Ernest went over to watch them wipe her up and weigh her. I delivered the placenta while they were doing that, and got moved off the OR table and onto a hospital bed that was rolled around. They brought her over to me so I got to hold her pretty quickly. The sent us back into the prep room and we got about an hour to hold her and breastfeed her, and just kind of settle down.
I went from thinking overnight that it was just pre-labor and I might be dilated 2-3 cm, to all of a sudden being in transition (so I guess the labor part was pretty easy!), and needing an ambulance to get to the hospital for an emergency C-Section that never actually happened. Whew. I was an odd series of events, but really was the best way for Ms Rory to come into the world if she was going to be this little.
We went on and had her sent to the nursery for the rest of her checks and Ernest went with her while they got me cleaned up a bit more. Once he came back we moved into my room. The OB and nurses kept commenting on how in control I seemed and what a great job I did dealing with everything that was going on as well as trying to control the labor (yeah right!). It felt good to be complimented though. It was hard work.
On smaller babies they do a series of checks including glucose. Her levels were pretty low, even after nursing for a bit. And from there, it's all kind of a blur. She's been in the NICU so that they can monitor her and supplement with a glucose IV. Her levels have been going up and down all week. The doctor said that most babies will adjust after 2-3 days, and some take up to a week. If you get to the week mark and are still having trouble there's usually something else going on other than just being "undergrown."
We are to day 5, and while she is more stable, I was hoping that this last feeding at 6:00 would have her levels back into the 70's and instead she's in the low 50's. If she drops into the 40's again they'll do more tests, including potentially moving her to Children's Mercy so that they can do an ACH (or ACP? I don't remember which) test to see if her adrenal glands are needing something. So far all of the tests haven't shown anything glaringly wrong, so that is good. She's stable in all other ways, just needs some help with the glucose.
I am staying at the hospital this week so that I can nurse her every 3 hours, around the clock. We tried formula for one feeding to see if that made a difference and it didn't, so I'm nursing her and getting to spend as much time as I want (or can) holding her. You wouldn't think it, but it's surprisingly busy. It takes about an hour to feed her (she's a sleepy girl once her tummy starts to get full) and then I spend the rest of the time hanging out with her for a bit, taking a nap, pumping, eating, or responding to people.
I cannot wait to get my family home and all together. I am trying to be patient but it is hard. Especially when every day the doctor says, "well, let's wait and see..." The hospital staff has been marvelous. I am grateful that we are here, even though the Not Pushing for an hour was horrible.
Ally and Jacob have come up a couple of times to see Rory. Jacob is calling her "My Baby" and made a big stink when I explained that the bracelet I was wearing showed that Rory belonged to me. Apparently I have to share. Ally has written me several cards and sent one of her barbies with me so that I would think of her.
Well, that's it for now. I'll add pictures to the post later, or you can see them on Facebook.