Warning! The following post may contain graphic descriptions or
information on what is typically a woman-only domain -- labor &
childbirth. If you are squeamish and don't want to hear discussions on
anything below the waist that might be "gross" or "icky," or want to
live the rest of your life without knowing what "lochia" is -- then I
suggest you skip this post and wait for me to talk about something else.Since I know
Danie has this fascination and long-running history with all things
childbirth, I will humor her request and talk about my ordeal. And yes,
I consider it an ordeal -- I am not one of those shiny happy people who
loved being pregnant. While the concept of the miracle of life growing
inside of you really is amazing and worth the trip, I could really do
without the side effects. ;)
With this pregnancy I had
gestational diabetes and pregnancy-induced hypertension, just like with
the last one. The diabetes was never really an issue, diet-controlled.
The blood pressure however, was getting dangerously high towards the
end (again just like last time). While this caused a bunch of hassles,
luckily it never got to the point where I actually had seizures or any
of the worst case scenarios. However even though I was totally without
the physical symptoms that would indicate danger, every time I got my
blood pressure taken it caused a panic -- especially if it was done by
someone who did not know my history. Which then resulted in scurrying
around, anxiety on their end, and me being ordered back to the hospital
AGAIN for monitoring. This usually included more bloodwork, tests, etc
... only to be sent home 4 to 6 hours later after I'd convinced them
that honest, I knew my body and what I was talking about. Along with
the usual I PROMISE I WILL TELL YOU GUYS THE MILLISECOND THAT I HAVE A
SINGLE SYMPTOM OF PREECLAMPSIA! After about 4 to 6 weeks of this,
eventually they got it and we were able to work together. Anyway after
another "emergent" monitoring session, the OB told me that she felt we
should just induce and get it over with, then we wouldn't have to keep
going through this. I was full term by that point so it was fine. They
decided to induce me at 38 weeks to the day, interestingly enough
that's the same time I got induced with James -- 38 weeks to the day.
However unlike last time, which was an ambush, this was being scheduled
in advance.
There are some good and bad points to having the
birth of your child scheduled in advance like that. One is obviously
you can be better prepared, have your ducks in a row and things like a
bag packed and arrangements made. I didn't have that chance with James,
causing a bit of running around on the part of Chris and Dennis. This
time I actually was packed and knew what to bring that I would use,
etc. You sort of know when the birthday will be, within a 2 day range
or so. The downside? OMG just TRY to sleep the night before.
Considering the 38 hour ordeal I had with James, I was really dreading
going through this again. I had NO idea if this would go better or
worse. Plus there was the actual happy part, the anticipation of
finally meeting the baby when it was over. Needless to say, I think
Chris and I slept maybe 45 minutes before having to get up and head for
our 7am appointment at the hospital.
Apparently it was a very
boring Easter out here in PA during 2005, because we hit the L&D
ward during rush hour. So after they tucked us in a room and did some
preliminary stuff, we basically didn't get started for another 3 or 4
hours, because the staff was running from room to room on deliveries.
They knew us pretty well by now, including the fact that Chris and I are
medics. The advantage there was that we weren't terribly high
maintenance and they knew we'd understand things going on. The other
advantage was that Chris was able to start my IV when the nurse blew the
first one and I was short on veins from all the blood drawing. They
finally gave me the Cytotec to see if they could dilate me and we were
off. I had had a few sincere contractions early that morning so I don't
know that I would've gone much past that day on my own as it is. As a
result, it only took two doses of the Cytotec to get me in labor and I
never had to have the Pitocin, which is basically a stranglehold on
one's uterus.
They started me on another IV a short time later,
this was Magnesium Sulfate -- to control my blood pressure. I also had
to have a couple of IV doses of prophylactic doses of antibiotics, due
to coming up positive for Strep B. Both of these were very caustic on
my veins, so I spent a lot of time icing my left hand. Another thing
they did not have to do this time was break my water. They did that
with James, so I did not have the unique pleasure of large amounts of
very warm water gushing from my insides every time I moved. That
started sometime after lunch, if you can call chicken broth and jello
"lunch" that is. I do not think I can relay adequately how equally
amusing and gross the next hour was, because that's pretty much how long
it took for me to stop draining. Colleen (my nurse at the time) and I
would get done mopping up and getting dry linens and things, I would sit
back down or have a contraction and WHOOSH another wave would come.
After the fourth time I just started laughing and said, "Screw it Col.
Leave it, I'll let ya know when I'm cold." My poor socks were
sacrificed to the amniotic gods as unrecoverable. I didn't think it
would end. In retrospect, there's a subtle irony to the fact that one
of the meanings of Meredith is "Queen of the Sea." (waits for the
quasi-disgusted groans to subside)
Things progressed along and by
evening I was the only patient on the floor. So I got moved to a nicer
room closer to the nurse's station and Chris left briefly to get
something decent to eat and a change of clothes. A part of us was
hoping we might go under 12 hours this time, but alas why should my
children do anything the easy way? I did manage to negotiate my way out
of being catheterized, and by that I mean Foley not IV. I had a
catheter in my urethra for the last one and when the epidural initially
failed, I had to deal with the contractions squeezing around it ...
which translates to that unique burning sensation you get when you
REALLY have to pee, but of course you don't go through the motions when
you're catheterized. It was an interesting experience that I plan never
to repeat unless absolutely necessary. I am so adamant about that,
that I was actually up on my feet within a half hour of having James ...
just so I could go pee on my own.
So when they told me they
were going to catheterize me I requested my doc for a treaty
negotiation. See, the Magnesium has a number of side effects, several
of which tend to prohibit a lot of time out of bed. It causes
precipitous drops in blood pressure when you stand up or change position
and effects the smooth muscles all over your body, all of which add up
to them NOT wanting you to walk around. Thus you get confined to your
bed generally and along with that comes the catheter (and a bedpan if
you need it). We've covered my feelings on this a bit already, if you
think I abhor the concept of being catheterized again you can just
imagine how I would feel about the indignity of a bedpan. Luckily I was
able to convince my OB that I would be totally honest and let her know
if I was unable to stay upright, until then I could use the bathroom
with assistance. This fascinating tangent does have some bearing later
on, I promise.
Last time, my mother kept calling the hospital
during the course of things and frankly you just don't want to chat when
you're in that position. So as predicted, once again she ignored our
requests and started calling the floor around supper time. Not only did
she not get dismissed gracefully, she actually tried to pump the nurses
for information on me! She didn't want to come up for the actual
event, in fact she still hasn't even seen the baby but that's another
story.
Fast forward a few hours and now I'm in the real deal.
Those in the know, know what I mean. Three to four minutes apart, can't
help but twisting a bit between the bed rails as you're convincing
yourself that you can put up with anything for 40 seconds at a time.
They move me to a delivery room and ask for the epidural. Things speed
up at this point and it took the doctor almost an hour to get to me. I
was petrified that by the time he got there, I'd be too dilated and have
to go through all of it without pain relief again. Luckily that wasn't
the case. Now I'm in the less than graceful position of being slumped
on the side of the bed, draped over Christopher while my hero the
anesthesiologist works on my back. Small problem -- takes him SEVERAL
tries to get it. Meanwhile I'm getting twisted in knots every 3 minutes
like clockwork and they're telling me to try not to move at all during
them. I was hurting to care that much about the multiple sticks, but
apparently Christopher was starting to have some issues with my back
being turned into swiss cheese. All I can say is that when it kicked
in, hallelujah.
Unfortunately it got a teeny bit overdone, not
that I'm complaining. I was blissfully numb, too much so apparently.
Things got foggy and my ears were ringing, though I was "feeling" pretty
damn good and able to rest at this point. My blood pressure dropped,
very quickly. The baby did not care for that so her heart rate slowed
significantly for a time, insert some scurrying and adjusting my meds
here. Now they had to give me some stuff to get my pressure back up (my
lowest was 60/20) and watch the baby, had it continued we would've gone
C section. Eventually I leveled off and the baby got used to it, so
things continued to move along.
Around 3am the epidural started
wearing off, which coincided with my sudden need to push. And the
sadists that are my caregivers will not turn it back on for the final
phase. So now the real fun begins. Another side effect of Magnesium is
vasodilation, this gives you a delightful flush and basically turns you
into a walking inferno. Welp, mine kicked in sometime after midnight.
Chris was wiping me down with cool cloths in between the contractions
and pushing and I was basically baking them dry. We had to wait for the
last of my cervix to clear as well, but my need to push was stronger
than my need to wait. So now they're telling me NOT to do anything
while they work on clearing the last of the cervix. Michelle, my nurse
by now, was so awesome. She was totally unflappable and on top of what
was going on. She was responsible for the majority of my care, up until
the very end. I wasn't having the greatest time of it, I can remember
her saying, "You need to turn that anger toward actually pushing now."
(g)
The time finally came and with a final primal, "Get it out
now!" I was able to deliver her, well we finally knew it was a her. We
got a lot of hassle this time around for not knowing the sex in
advance, especially since we'd had an amniocentesis done and
everything. I'm sorry, I agree with my husband -- it's one of Life's
few good surprises, why ruin it? She was pink and beautiful and didn't
even have a funny shaped head. I can attest to why, considering that I
tore in three locations on top of having an episiotomy. Yes ladies, let
me throw some cringe worthy terms at you like ... urethra, labia AND to
add insult to injury, even the hood. So suturing took a few minutes,
joy of joys.
This officially brings the Loscar bratling head
count to four -- two step and two natural, I'm happy to announce they're
healthy, beautiful and the factory is now CLOSED. If there were any
doubts that this was a joint decision, just ask Chris. As soon as it
was over, while she was being put in the warmer, he turned and was
asking for directions to Urology -- so that he could stop on his way
out. ;)
Eventually the drama is over. Meredith is whisked away
to the nursery for her check up and I'm moved to a maternity room. I
get a room to myself and in the true spirit of evil they park me in the
bed right next to the bathroom. A bathroom in which one quarter of the
room is dedicated to a fully functioning, industrial strength shower
that I am NOT allowed to use. I'm on full bedrest for as long as I
remain on the Magnesium, which is going to be a full 24 hours post
delivery, thanks to my evil doctor. My exhausted husband goes home for a
few hours sleep once I'm settled in. I ask the nurses if it's alright
if I just sit on the edge of the bed for a bit, I was so tired of having
to lie down on my side for hours on end. They said sure and left me
sitting there, watching the morning news on my little TV while they went
off for morning shift change.
About a half hour goes by and I
decide that I'll be good and lay down ... right after I use the
bathroom. Because it's shift change nobody's been in to see me yet and
in my usual manner I feel no overwhelming need to bother them just yet,
after all I feel ok, right? I mean hell, I walked to my room after
having James and it's not like it's more than 4 feet away, I can push my
IV poles. So up I go!
Well, I'd forgotten about the whole
"pooling" effect. Soon as I stood up, a whole lot of blood just fell
right out of my body onto the floor. I push a chuck pad over the mess
and decide to press onward. Remember, this is a trip of maybe 3 steps.
Well the bleeding continues, and I'm tracking it as I go, pushing it
around the tile floor in a glorious miasma of body fluids that would've
made for a killer episode of CSI. Every attempt I'm making to control
the issue is just making it worse and I have yet to call for help. Now
I've made it to the bathroom, IV pole and machine in tow. There's that
red emergency call button in there but do I pull the cord? NOOOOOO of
course not, I didn't want to panic anyone, this is just a bleeding
issue. This probably would've been a shorter incident if I had any
panic genes left in my DNA, but I appear to have run out. As for the
standard call button, some brain surgeon tied it to the far bed rail.
So now I have to make my way back through the scene of the crime to get
to the bed, to stretch and get to the button ... with the IV machine in
tow. I am laughing by now, I flop onto the bed and hit the call bell
and then what? I get back up of course! I mean c'mon, the bed was
still clean! I wanted some sanctuary for when we're done. I was making
my way back to the bathroom and contemplating just how much trouble I
could get into if I tried to take a quick hot shower (without
electrocuting myself via my IV android) when my day nurse came in. By
this time I have officially made my side of the room look like the worst
scene from a Stephen King novel, Carrie comes to mind. The very
competent, very chipper Carol comes briskly in, and I quote (imagine a
very cheerful voice) --
"Good morning, how can I hel ... OH MY GOD!"
This
puts me right into the giggles, which I'm sure didn't look very right.
She then proceeds to very efficiently dress me down, verbally and
physically. I get the full lecture that she doesn't give a damn if I am
a paramedic, I just had a baby and I WILL learn how to be a proper
patient and ask for help or she WILL see that I get catheterized for the
duration of my stay, etc etc. I adored her, I really did. Duly
cleaned and chastised I was finally back in bed, and got my first sleep
in two days, even if it was only a couple of hours. When she ratted me
out to Chris later that day his only response was to nod and say, "I see
you've met my wife."
They kept me from Wednesday until
Saturday. I'd like to say that I got some well needed rest, like you're
supposed to when you're being fully cared for, but all attempts were
thwarted by the evil that is Magnesium. Remember that I had to be on it
for another full day, and with every bolus the fire in my skin got
worse. Plus due to the medications and my condition they had to check
my reflexes every hour, and my blood pressure via machine every 15
minutes. I had my AC cranked and the kept bringing me ice packs, but
I'd just melt through them in no time. I had them on my IVs, my eyes,
my pulse points. And the longer I was on it the more lethargic I felt,
no energy at all. Couldn't sleep and couldn't stay awake, it really was
one of the rings of Hell. They could only bring me Meredith for short
periods of time, because I couldn't really stay awake or upright for
longer than 45 minutes or so. But damned if I didn't use the bathroom
on my own, every two hours like clockwork. The nurses were taking bets
for when the Mag would win, but it didn't. And I stayed awake until 5am
the next day, when they came to finally disconnect me. Within a half
hour of them disconnecting me Friday morning, I was blissfully
unconscious for the first time since Monday really. When I woke up I
took a glorious Silkwood shower and was able to finally start to recover
for real.
There were/are some residual recovery issues, but
nothing that's not improving with time and the end result was my
beautiful little girl. It all feels unusually final in a way, since we
do not plan to have any more. Still, as far as the motherhood adventure
that is still just beginning.
So that Danie, is "how it all went." :)