Wednesday, March 26, 2014

Sean Edward's Birth Story

Oh Sean.  I feel the same way writing this birth story as I did Luke's.  We repeated history on Wednesday, March 19, 2014.  Repeated everything that could have gone wrong in your brother's birth, just in a shorter time window.  Here are the details of the days leading up to your birth...even though you came into the world surgically, I couldn't wait another moment longer to meet you.  You are a little love, a ray of sunshine and the most beautiful baby boy I have ever seen (tied with your brother, of course). 

I started having prodromal/pre-labor  on the night of Tuesday, March 18, 2014.   Your due date was March 8th, and I was now almost a week and a half past my "due" date.   I really thought this was it, and we would have you as our little lucky charm!  From about midnight until 5am I had contractions that were approx 30 seconds-1 minute long, about 10-15 minutes apart.  When morning came, they vanished just as quickly as they appeared!  I was due into the doctor's office for non-stress testing that morning at 9:30am.  I went into the doctor's office and they hooked me up to a monitor for about a half hour.  I only had one contraction during that time, and you only moved a few times so they said they wanted to get me tested further up at Chester County Hospital where my doctor was on call for the day.

I was up at CC Hospital by 11am and was hooked up to even more machines.  Results from that test were fine, and I was sent down for an ultrasound to monitor fluid levels, fetal movement and practice breathing.  You passed with flying colors and I was discharged from the hospital!  After a nice chat with doula Nikki, I was convinced in the next few nights I would go into real labor and we'd be on our way to meeting you.

That night, around 11pm on Mar 18, the contractions started up again.  From 11pm- 3am (Mar 19) they were pretty far apart- again, 1 minute long, about 15 mins apart.  But at 3am they started to kick up a notch.  They were coming about 5 minutes apart, 45 seconds- 1 minute long.  I rode that out until about 6am and then we phoned doula Nikki.  By 6am my contractions were 4 minutes apart, about 1 minute long.  She confirmed active labor and through strong contractions my heart leapt for joy! We were finally going to get to meet you, and on your own terms.  Not through induction, Pitocin or any other medical interventions- but when you picked the time!  After speaking with Nikki and packing for the hospital, daddy phoned Mimi and Papa and let them know it was time to start the wheels in motion.  They were at our house by 630am and we left immediately after- your brother was still sleeping in his crib!  

The ride to the hospital was excruciating- mommy laid over the birthing ball in the back seat of daddy's truck- having contractions that were 3 minutes apart and 1 minute long.  The ride to West Chester seemed like an eternity, and doula Nikki met us there so we could get admitted.  I rolled out of the car into a wheelchair and we were on our way!

Once in the labor and delivery wing of the hospital, I was set up in a room and hooked up to monitors similar to the ones from the day before.  The monitors confirmed my frequency of contractions and that your heart rate was just fine through all of it.  I labored until about 9am when the doctor on call (Dr. Hotmer) was out of surgery and ready to take a look at the monitors and check me for dilation.  She said my pattern was looking good, baby was looking good, and she went to do an internal exam.  It was at that point that everything changed for us.

I was confirmed to only be dilated 1cm, which wouldn't have been all bad.  However, you had not "engaged" in my pelvis at all, which is required if there is going to be a natural birth (non c- section). You were almost 42 weeks and you were still up high.  Knowing what I know now, this is very common- almost 80% of second pregnancies aren't engaged by the time labor has started.  However, at the time, it was presented as a huge issue.  There had to be some reason you weren't engaged, and the doctor told us that I could go through another full day of labor and have to have a c section if you weren't engaging in my pelvis.  Faced with that thought, and after a few minutes of talking with doula Nikki, we decided to move forward with the C section.  At that point, I just wanted the pain medicine but of course we had to wait until the anesthesia doctor came to see us, almost one hour of painful contractions later.


Around 11am he came to see me and they started prepping me for surgery, including 2 liters of IV fluids and anti nausea medicine.  Around 11:15am they wheeled me to the OR, and started the spinal for my pain relief.  We were all ready for surgery and I believe they started at 11:30am and you were born at 11:43am.  Daddy was taking pictures the whole time, and I didn't get sick this time at all.  I was nervous and crying, and thinking about how I couldn't wait to meet you.  The song I remember playing from Dr. Hotmer's Ipod was "Landslide" as sung by Stevie Nicks.  I was crying but couldn't feel my chest - and I kept thinking of your brother and you together and what a happy family we were going to be.  Finally, I heard your beautiful cry - and the doctor confirmed the amniotic sac was full of meconium (just like your bro) and  you had the cord wrapped around your neck twice.    You had aspirated some of the meconium and before I saw you, you had to be cleaned up and suctioned.  Your daddy went over to be with you while they stitched me up.


Finally I got to see you for the first time when dad took your picture as you were being weighed!  You were an absolutely perfect 8 lbs, 3 oz, 21 inches long and 14 inch head circumference!   And you had a full head of jet black hair- not at ALL like your brother!  However, from all other aspects, you looked exactly like him!










It took about 20 minutes for them to put me back together again, then I was wheeled back to recovery while we waited for you to finish getting cleaned up!    The first person that I wanted to visit was doula Nikki so she could check your latch and make sure nursing was up and running.  There were no complications from my surgery, so I was allowed to have ice chips and water which made me feel so much better immediately.  I still did not have feeling in my legs, but was able to hold you immediately and have you on my chest.  You were like nothing I'd ever seen, but like everything that was familiar to me. You latched like a pro and began eating as if you were completely starved!  Everything went well so we were transferred to the maternity ward in preparation for our 48 hour stay in the hospital.   Your grandparents were all there and eager to meet you, so they got a chance to hold you and see you for the next few hours.




 The first day at the hospital went fairly well- I was feeling ok and you seemed to be doing great at eating and sleeping.  However, when one of the nurses came to take your vital signs, including breaths per minute, they noted that you had "rapid" breathing and wanted to take you to the NICU for the night to be evaluated.  Talk about deja vu.  This is exactly what happened to Luke because he aspirated meconium due to being 2 weeks late.  We talked to the NICU doctors and explained our horrible experience with the Christiana Hospital NICU and they fully understood our concerns and assured us that you would not be kept for reasons other than breathing.

They stayed true to their word, and you were released the next morning.    They took your blood, gave you two xrays to view your chest, and tested you for all kinds of infections.  Thank goodness you came up clean on all counts!





 The remainder of our 48 hour stay at the hospital was uneventful.  I sent you to the nursery the second night because daddy had to go home to take care of Luke.  I could not get out of bed and was in too much pain to tend to you, so they brought you to me for feedings- I needed the nurse's help immensely.  That, coupled with the fact that I had a roommate the second night, sealed the deal for sending you to sleep in the nursery.

All in all,  we had great nurses at the hospital and the entire experience was much less intrusive than last time.  There was no revolving door of doctors, nurses, photographers and visitors.  It was very quiet and low key, and we were released a day early because we both were doing great.  The discharge was very quick, around noon on Friday, March 21st, and was uneventful.  Sean, you did not make a peep the entire time leaving the hospital, or the car ride home.  It was a 65 degree and sunny day in March, and you were calm, cool and relaxed!  We even got to stop to fill my pain medication on the way home.


Once we got home, we had a few hours to do some chores (laundry, grocery, etc) before picking up Luke at school to meet his new baby brother!  Luke came home around 5pm on that Friday and could not wait to see "bebay Sean".  He says "Sean" like "gnocci"- sounds like there's a G in front of "Sean".  So funny- I wish I could bottle that pronunciation forever and keep it in near my heart.

What a night and day experience from my first birth.  Yes, some things were absolutely the same (2 weeks late, meconium, c section) but a lot of things I am grateful were so very different.  The one thing I know that is exactly the same is the amount of love I feel for this little being as soon as I knew I was pregnant.  And it grew exponentially for 9 months while I carried him- then finally when the big day arrived my heart exploded for the second time in a little less than two years.  

Sean Edward I love you more than words can say, you are my little man and will always be the baby I carried home in my arms on your birth day


Tuesday, March 18, 2014

Non stress testing and Biophysical profile

Last night was a crazy night.  I had mild contractions, 10 minutes apart an 30-60 seconds in length, for about 4 1/2 hours (1230am-5am).  It is called "prodromal" or pre-labor and usually happens at night (says Nikki).  Sometimes you can have it up to 4 nights before real labor kicks in, or as little as one night.  They happen at night then stop in the morning, since oxytocin levels are higher at night.  I had the same mild contractions all day today, and the hope is that they help to thin out (efface) the cervix so dilation can happen more quickly in active labor.

I am having one right now.

I was scheduled for my non stress testing (NST) at 930am at the doc's office then a biophysical profile (BPP) at the radiology lab at chester county hospital.  Apparently they didn't like the looks of some of of the baby's heart rate decelerations, so they sent me up to the hospital right away.  I took my time getting there, stopping for dry cleaning, the bank, and a soda to get the baby moving.  By the time I got there, was admitted and hooked up to the machines it was 11am.  I was on the machine until 130pm when they came and got me for my BPP ultrasound.  I did not get out of the hospital until 3pm and was starving- so stopped for fast food fries and vanilla milkshake!    Thank goodness the baby looked good and did everything he was supposed to- movement, practice breathing and good amniotic fluid.  I was worried they would try to keep me and induce me if they didn't seem something that they liked.    I do resent being in the hospital all day though- at least I got to be in a bed and watch TV- I even tried to snooze after getting no sleep last night.

Since my doctor was at the hospital today, I asked her to check my cervix- turns out I'm 70% effaced but still only about 1cm dilated.  However, a thinned cervix is more likely to dilate so I feel like we are on our way and one more night of this predromal labor I feel like we may be in business.  Had an nice long chat with Nikki on the way home so fingers are crossed at this point.

I forgot what all of this pain felt like but it comes back really quickly.  Baby Sean we hope to meet you soon before eviction day on Friday.

Friday, March 14, 2014

41 weeks- why am I surprised?

Well, here I am again.  The place I thought I couldn't possibly go this time.  Overdue-land.  I don't know why I am surprised that I have made it this far again. I should have known.  Doula Nikki said so.  I know to trust her.

It was another great week of being off and getting things done. I detailed my master bathroom- 2 hours worth of cleaning in one single room.  Went to chiropractor, lunch with mom, dealt with some contractors at my house related to the basement construction.  Got to do some flower arranging for the spring and do more organizing of kitchen and bathroom.  But each night I end up empty.  No contractions to speak of (aside from braxton hicks), and all I do is drink red raspberry leaf tea and stick evening primrose pills up my hoo-ha in attempt to soften my cervix.

All to find out at today's appointment that I'm no more than a fingertip dilated and no softening to speak of.  The doc even attempted to "stretch" me to 1cm and sweep my membranes but couldn't get up there to do it.  Nice.  Why is this happening to me?  I want this more than anything to go into labor on my own and my body just refuses to cooperate.   I think it's because I have done so much research and want this so bad that for some reason Murphy's law is kicking.  I just want to have a pity party for myself today.  However, after some googling I found out that it's pretty much impossible for a woman not to dilate.  There are usually either one of two things going on: 1) she is not emotionally ready or 2) the baby is malpositioned and the head is not exerting enough pressure on the cervix to thin and dilate. For Luke, it was #2.  He wasn't positioned correctly and was never going to come out the way he was.  But, no one tried to do any techniques on me to try to help that.   I tend to think that this baby might have the same issue.  He is probably chin up (he is supposed to tuck his chin) and that will cause his crown to push on the cervix and send the signal that we are ready.

I was reading spinningbabies.com to try to see some techniques to help him into position (if he's not already).  Just to be safe.  I know he is at least head down but the doc says she can't tell what position he's in until he engages in the pelvis more.  But he won't engage unless he's in the right position.  Catch- 22.  So now what?

I spent most of the afternoon feeling sorry for myself, after 3 full hours at the doc office- 1.5 hrs of wait time, 30 minutes with the doc, 30 minutes doing non-stress testing, and 30 minutes of scheduling & talking to nurses.  Now I am just trying to forget about it for the weekend and enjoy myself.  As doula Nikki says, this is not a battle I'm going to win by fighting.  She tells me I have to surrender, but it is so hard.  I reserve the right to feel crappy and that's just the way it's going to be for now.

Thursday, March 6, 2014

40 weeks- still hanging on

I don't know why it's surprising to me that I'm still hanging on at 40 weeks with my second baby. Everyone said "oh, second babies come faster, sooner"...blah blah.  WRONG.   Well, wrong so far.  At my 39 week appointment there was zero news to speak of as usual.  Closed and high cervix with no dilation.  It just messes with my mind. I am not sure what it is about my body that refuses to understand that 40 weeks is about the time to start releasing the baby!  Maybe I don't produce a hormone that other people do that makes the body start to do it's thing?    I got a a chiropractic adjustment this morning, stim on my shoulder and a prenatal massage this afternoon- not to mention a pressure point pedicure yesterday.  My next step is acupuncture, red raspberry leaf tea and evening primrose oil to get things going.  And I know I should try doing "other" things with M, but we are both so exhausted the thought of it makes me cringe.  Sorry, baby ;)

Other than waiting for Mr. Sean, starting maternity leave on Monday was the best thing ever.   I wrapped up everything at work February 28 and left the office feeling so free last week.  Of course, my first "official" day on maternity leave was a snow day for Luke's school so we were home together and I was exhausted, but we got through it.  The last few days have been bliss and I have gotten so much done!  I have lunched with friends and my parents, and the next few days I'm not going to leave the house.  Two of my girlfriends are pregnant and due this summer- one just found out she's having a boy, and the other is having a girl.  It is such an exciting time for everyone and I can't wait to go to more baby showers this summer while I'm off.  I'm going to be so spoiled and I know going back to work is going to be harder this time than it was last time. I already know that.  And the fact that I'm never going to have another maternity leave / "vacation" again makes me really sad.  BUT- let's not go there.  That's a long time away and we have a lot of basement work to do on the house so we need every penny.  But maybe we can revisit "part time" or even another company because my company is probably going to work me into the ground when I go back.  I feel like it's going to be punishment for being out so long.

Today I am so grateful to be sitting with my feet up and just relaxing until my 40 week appointment today.  I am not expecting much.

Baby Sean we can't wait to meet you!!  These are our last few days as a family of 3 and the time was so fleeting!  I am so happy to be graduating to a family of 4 and you are going to be the perfect addition to the Hufford family!