Monday, October 29, 2012

Grace's Birth Story

I have been an extremely delinquent blogger - mostly because I feel like my life isn't all that interesting.  I've finally gotten around to writing down my newest daughter's birth story.  Here's how she came into the world...


Friday night, September 21st, I was lying in bed after a long week at work, reading the third book in the Mistborn Trilogy.  All of a sudden, I felt a pop and a small gush.  Oh crap!  My water broke!  My little mistborn was on her way – two weeks early.  So I quickly rolled out of bed and took the two steps into our ensuite bathroom.  I threw a towel on the floor while fluid continued to leak, eventually sitting on the toilet for a bit.  I realized my heavy-duty pads for such an occasion were packed in my hospital bag in the nursery.  So I fashioned a loincloth out of a towel and waddled to the baby’s room to get supplies.  Once that was taken care of, I started randomly throwing things into a backpack since I hadn’t fully packed for the hospital yet, never expecting that this baby would arrive early.

I called my midwife first.  She was a student midwife so once I explained everything to her (water had broken but no contractions – AKA PROM – Premature Rupture of Membranes) she had to confer with her supervisor.  Unfortunately, my regular midwife wasn’t on duty for the weekend, so the student conferred with another senior midwife.  She called me and we decided to relax until the morning, then possibly head in to the hospital.  We’d head in sooner if contractions started.  Since this was my third baby, there was some concern that things could happen fast.  I’d unfortunately tested group B strep positive a few weeks prior, so I knew I’d have to get a round of antibiotics while in labour.  Once the water breaks, there’s an increased risk of infection so I was on the clock to get the baby out.

My next phone call was to my mom to let her know what had happened and that she was on standby to come over to watch my other two children.  The funny thing is that I talked to her earlier that evening and mentioned that I had felt some minor contraction-like twinges while on the bus to and from work that day.  But I figured it was nothing.  After the phone call to let her know my water had broken, she called me back a few minutes later to let me know that she and my dad decided they’d just come to stay over right away rather than waiting for a phone call.  This made a lot of sense since it was around 11:30 and a foggy night so it would be better to not have to wake them up with a frantic phone call at some point during the night.

The next call was to my husband.  He was working security at the Russell Peters show at a local venue.  I called his work first but he’d already left.  Turns out he’d gone for drinks with some coworkers, so I called his cell phone.  When I told him my water had broken he said, “You’re kidding, right?”  Neither of us was prepared for an early baby.  I told him to relax and enjoy his beer and nachos since there was no rush for him to come home.

I finished packing my hospital bag and waited for my parents to arrive.  They got to the house and settled in and my husband was home not too long after.  We went to bed and I was woken up at around 3 a.m. with contractions.  They were very mild but I started timing them with the contraction timer app on my iPad.  I did that from about 3 until 4:30, at which point my husband woke up and realized what I was doing.  He looked at the app and said, “We should probably get moving.”  Contractions were anywhere from 10 to 4 minutes apart.  So we got up, showered, got the car packed.  I called the midwives and we decided to meet at the hospital at 6.  I had a snack (peanut butter and jam sandwich and a glass of milk) and then we were off.  My parents slept in our bed so that the kids wouldn’t find our bedroom empty when they woke up.

The ride to the hospital wasn’t too bad since contractions were still pretty mild.  We stopped at Tim Horton’s on the way so that my husband could get a coffee.  It was very quiet out on the roads since it was so early on a Saturday morning.  The hospital was very quiet too and we got checked in quickly.  My midwife met us at reception and we got settled in our room.  Her student had already set the room up.  We talked some more about the risk of infection due to PROM and the student checked to see how much I had progressed.  Only 3 cm, but it was a start.  My husband and I went for a walk to try and get things going and I was contracting every 3 to 5 minutes.  Again, contractions were very mild, so I would just stop walking and breathe through each one.

When we got back to the room after our walk, the midwives were really pushing to have my labour augmented with synthetic oxytocin because of the infection risk.  I was sort of surprised by this approach since I thought the midwives would have more of a “wait and see” attitude.  They called in the obstetrician on duty because they needed him to sign off on the synthetic oxytocin.  He explained the reasons for the augmentation and the risks.  My husband and I are pretty risk-averse and since both the ob and the midwives were pushing for the augmentation, I agreed to it.  I was a bit concerned that I wouldn’t be able to handle contractions with the synthetic oxytocin because I’d had the same stuff when my labour was induced with my son.  I found the contractions excruciatingly painful and hard to manage that time.  I really wanted to have a natural, drug-free birth this time around.  The senior midwife didn’t seem to think it would be that bad, so I decided to roll with it.

And she was right.  The oxytocin drip was started at around 9 in the morning, which got the contractions going more regularly.  I had practiced hypnobirthing techniques during my pregnancy and done some relaxation exercises, so I felt more prepared to cope with the pain and pressure of contractions.  I did get a bit teary soon after the drip was started, but not because I was in pain.  I was just so shocked that everything was happening so fast.  My husband’s the only one who noticed, though.  My labour passed in a relatively boring fashion.  I didn’t really want anyone touching me or talking during contractions.  I would just close my eyes and visualize the baby moving down or a flower blooming and reframe the pain as pressure.  I was able to relax my whole body with some of the techniques I’d practiced.  I took deep breaths and imagined that I was breathing the baby down.  It worked fabulously, much to my shock (and I think everyone else’s too).  We talked in between contractions and I drank juice and had some ice chips too.  Thankfully, transition only lasted for about 5 or 6 intense contractions, which I was still able to calmly breathe through.  Then something changed and I felt like I was ready to push.

With hypnobirthing, they teach you to breathe the baby down, not push.  I should mention that I was too cheap to pay for hypnobirthing classes ($500 – ouch!) so I just read the book twice and practiced the exercises.  The actual delivery phase is where I probably would have benefited from classes, because I couldn’t quite figure out how to breathe the baby out.  After trying to just breathe through a few of the contractions at this point, I realized I wasn’t being all that productive, so I decided to just push, with some urging from the student midwife.  All of my calm, zen behaviour during labour went out the window and I essentially roared her out in 15 minutes.  Feeling her crowning was a shock and intense. But it made me feel so powerful and Grace was out in a flash.  The student midwife put her right on my chest as soon as she was out.  I couldn’t believe she was here and so perfect!  We delayed cord clamping until it stopped pulsing and I got to clean the thick layer of vernix off her body.  I delivered the placenta not long after and just held Grace close to me while the midwives stitched up some minor tearing.  Interestingly (and this is actually a bit scary) there was a true knot in her umbilical cord.  Thankfully it never tightened.  The student midwife gave me a detailed lesson on all the parts of the placenta, which was really neat.  She asked me if I wanted to take the placenta home with me but I declined.





My husband got me a snack and I cleaned myself up and got dressed.  The midwives did Grace’s newborn exam then daddy dressed her.  She was 8 lbs, 14 oz. And 22 inches long. We discovered that the newborn size hats would absolutely not fit on her giant head.  So we took Grace home in the stretchy hospital hat.  We got her into the car seat and not long after, the midwives got a call to attend another birth!  I was wheeled out to the car in a wheelchair with Grace in the car seat on my lap.  I gave the midwives each a big hug and thanked them for such a great experience.  Grace was born at 1:49 p.m. on Saturday September 22, 2012, and we were home by 5:00 p.m.  I cried a little bit on the way home, mostly because everything happened so fast and I just couldn’t believe we were on our way home with our perfect little bundle.  At home, my other two kids were so excited to meet their new baby sister and they had made a welcome sign for the front door.  They also picked out some flowers for me, which was very sweet.  My parents were also very excited to meet her and everyone crowded around the car seat for about 10 minutes when we first walked in.  My mom cooked a beautiful dinner of pork tenderloin, roasted pears, potatoes, and green beans.  I felt so happy and loved and I can’t express how wonderful it was to be home so quickly.






Life with Grace has been great.  Overall, she's very mellow and she nurses like a champ.  She gets a bit cranky during baths and diaper changes, or if I'm too slow when she wants to be fed, but she's already sleeping for at least a 6 hour stretch at night.  Life is good.