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." :)