
(You can read the first part here!)
After maybe an hour we decided to see if the contractions would still come without stimulation, and they did! I sat on the birth ball for a while and breathed through them while we watched an episode or two of The Office on John's laptop. The nurse had to keep coming in to adjust the telemetry since it kept slipping or something and dropping the baby's heart rate! I snacked on graham crackers and juice between contractions. Then I moved to the chair in the room to sit there a while, but the ball really felt great! Meg came in, having been delayed by a delivery, and was very pleased that we'd gotten things started naturally. A check revealed me to be 3-4 centimeters dilated. No more foley bulb! The student midwife with her suggested I try walking some, so we headed out for the halls.
John and I circled the halls for a while, pausing with each contraction so I could lean on him and bury my head in his shoulder. :-) I felt a measure of camaraderie with the couple of other laboring women who were also walking, except I was glad that I didn't have to drag an IV pole around like they did. ;-) When I got tired of walking, we went back to the room and I settled onto the birth ball again. A nurse raised the bed so I could rest my head on it between contractions. They were definitely getting more intense and I was having to do multiple little exhales with each one. John experimented with some of the massage and other comfort measures that we practiced in our birth class, and the thing that actually helped the most was for him to apply pressure to my hip bones from behind, as if to open up the birth canal. That felt great! The sun set and the room darkened, and we were cozy.
Before ever being in labor myself, my jaw always dropped to hear other people tell me how long their labors lasted. I have to admit that I expected to go through 24 hours of excruciating pain, hopefully made better by an epidural. But every break between contractions kept me from losing my sanity, and the breathing helped tremendously, too. Somehow, we were so focused that the hours just flew by. When they checked me next, I was "very soft" and "a 5 or 6."
Then, we walked some more. There was an open box of donuts at the nurses' station which I could hardly walk by without the smell making me nauseous! Then Mom brought John Wendy's, and he really had to keep his breath away from my face while he pushed on my hips! I returned to the room and puked--John and the nurse just barely got a dish under my face in time! I decided that it was time to ask for an epidural, and I was kind of surprised that no one tried to talk me out of it! I guess I felt a little guilty, as if a midwife would think less of me for wanting pain meds. Meg and her staff were extremely supportive as long as I went naturally, but called the anesthesiologist without batting an eye. She came up pretty quickly and actually had me sit up while she put it in, unlike every description I'd read. John squeezed my leg when I had a contraction during the process, and it really helped! It was about 7 p.m.
The epi did wonders to relieve my pain, of course, and I was able to sleep for a little bit. But, from that point labor did become much more medicalized, if I can invent a word. :-) The EFM and hep lock were hooked back up to stay, a blood pressure cuff on my arm kept inflating every fifteen minutes, and of course I had to stay in bed. Even though my contractions had held steady, they hadn't really gotten closer together, so I agreed to Pitocin at this point. Apparently, my blood pressure went quite low, so they had to give me a lot of fluids, so they eventually catheterized me, too. I don't know if the low BP was more from the epi or if it's just what my body does, because it also went dangerously low when I was losing our first baby a year prior. And even though I was basically pain free, I had more sensation in one side of my body than the other.
It was approaching midnight when Meg checked me again, and I was 8 cm. (The "station" was still -1 . . . I don't think baby dropped a bit before labor started!) I'd been lying on my left side for hours, and she helped me roll to the right and adjusted my legs in case my position was slowing progress. She said to call as soon as I felt something different, and I very quickly did. In spite of the epi, I was feeling the contractions again to the point of being uncomfortable and I had a lot of pressure on my pelvic floor. Apparently, this was the urge to push! When she came back in, she said that I was complete! It was quite exciting, though I didn't feel like I had any energy to push.
At first, Meg directed me to hold my legs from the side-lying position, but I was quickly frustrated with that and scooted myself up to a squat on the bed. They were surprised that I could squat with the epi in. :-) The nurse brought a bar thing that hooked onto the bed, and it helped to pull myself up with that. Eventually I started getting tired in that position, though, so Meg helped me get into a modified squat position with my feet out (but down) and supported. Now I could sit back and rest between each contraction. Oh, and she also encouraged me to vocalize with each push, which I did.
Pushing Gemma out was one of the hardest things I have ever done in my life, right up there with Abstract Algebra/Number Theory in college as I told John later. ;-) Meg was so encouraging, saying things like, "That was your best push so far! Keep doing them just like that!" I pushed somewhere between one hour and two, and was getting very hot and frustrated. John kept giving me sips of water between pushes. My hair was down, and when Meg realized it was in my way, she offered me her hair tie, as in the one she had in her hair right then. I felt badly, but the second time she offered, I took it gratefully! In fact, I went from quietly resting between pushes, to expressing "I don't think I can do it!" to wailing "I CAN'T do it!" But, giving up was not an option . . .
Then with one push, Meg exclaimed, "I can see her head! She has hair!" They offered to bring in a mirror. When I'd heard stories in birth class about people doing that, my reaction had been, "ew, no thanks!" but now I really wanted it! Gemma crowned for a long time, though, and while I loved seeing her little tufts of hair emerge, it got very frustrating seeing them go back in between contractions. I heard the nurse ask, "Should we have her push between contractions?" and Meg quietly said, "No." John had been refilling my water cup, and encouraged me by saying that the baby would be born before this cup was empty. I pushed harder, and soon felt a stinging/burning on the right side where her head kept reemerging. And suddenly, there she was, crying "meh, meh, meh!" Meg pulled her out at 2:14 a.m. and I am so glad that I got to see it all in the mirror because it happened so fast! All I could say was "Oh, oh, oh!"
They had told me that Gemma would need to be suctioned out right away because of the meconium, and they had called up a first response team when I was getting close. But they actually did lay her, slimy and bloody, on my belly for just a few moments first. I was overwhelmed that she was such her own person, and had all that hair . . .
When they carried our sweet babe over to the table, they announced that she weighed 8 pounds 9.7 ounces and I announced that her name was Gemma Grace. (Meg had predicted 8-8 while I was pushing and I was impressed that she was so close!)
We'd agreed to donate cord blood to the state bank. Harvesting that, delivering the placenta, and stitching me up seemed long and unpleasant while John admired his baby girl being treated across the room. (I felt the stitching . . . I wonder if they thought I wouldn't with the epi still in. The next day, Meg told me that I would have pushed her out faster with an episiotomy, and I felt proud for doing it the harder way.
Soon my sweet newborn was in my arms and against my chest. She was awake, but so peaceful. Breastfeeding ended up being something we really had to work at. I'm really thankful for the LC's I saw three times within the next 36 hours.
Honestly, the worst part of being in the hospital was the stay afterward. Some of the nurses were wonderful, but some could have been better, and we really couldn't sleep much there. Besides that, I was very happy with our decisions and very happy with that particular hospital. The whole birth started differently than I expected, but I know that it was God's plan and I'm thankful for how it went. The fact that her heart rate was strong and steady no matter what was happening with me was a tremendous comfort --just what I needed to dispel my fears after losing our first. He is such a loving Father! I miss those days of cuddling a sweet, naked baby wrapped up in blankets. There's nothing like it. :-)
