**Note there are a few negative experiences included in my birth story. I chose not the leave them out and not to sugar coat them because they shaped my birth experience and I still to this day have a bad taste in my mouth when I recall them. I have learned from them and hopefully someone else can too! However, that being said, what is really important is that in the end I had a beautiful, perfect baby. I was healthy. He was healthy. Everything else is just a side note really.**
It sounds like a total cliche, but it really is true that in a lot of ways a birth plan goes out the window when you go into labor. I had actually written one up. I didn't even take it to the hospital.
I woke up around 2:30 a.m. on December 31st with back pains that quickly turned into contractions that were already every 5-7 minutes apart. They were far from painful so for the first 45 minutes or so I sat on my yoga ball at the edge of the bed and rested my head on the bed hoping it would stop soon and I could get some more sleep. After all I was still 9 days away from my due date, and from what I had read (which was a lot) chances are I would be late with my first baby. I finally realized that the contractions were only getting more regular and stronger and this was probably the real thing.
For some reason it was really important to me to not wake anyone up at 3:30 in the morning. So I quietly gathered up my yoga ball and a blanket and headed to the living room. I put on a movie and alternated between the yoga ball and the arm chair. I put This Means War (an incredibly silly movie) on onDemand and proceeded to watch the clock and ride out the contractions that became a little stronger and closer together as I sat there. Finally I heard the rustlings from the back of the house that meant that someone else was finally waking up a little after 7. I was still feeling pretty good, but as soon as my mom and Tony heard contractions they KNEW it was go time.
I convinced them to wait a while, and we finally headed to the hospital around 8...a little before I think. Of course they sent me back home, as I figured they would. Turns out it was an amazing blessing they sent me home because, although I did not know the full extent of it at the time, it was going to be a VERY long day, and that Chick-fil-A I picked up on the way home was a life saver. I ate my food in the bathtub when I got home and actually felt pretty great! Contractions are really much easier in the water. I was starting to feel a lot better and it was getting close to lunch time when I laid down to try and get a short nap. I had just gotten comfy and right on the very edge of sleep when the most painful contraction yet hit me like a shock wave and my water broke. I started crying after this. It honestly had nothing to do with the pain and I wasn't scared. I was mad and frustrated that my hopes for a nap were now dashed because, as I had read (in my aforementioned previous lot of reading) that when your water breaks you go to the hospital. If you had been doing the math you would see that I had already been in labor for about 9 hours so I was already exhausted and the nap would have been a much welcome relief. Oh well, trip number two to the hospital!
Contractions, the full fledged kind I was now having, are NOT fun in a car. We finally arrived at the hospital only to learn that I had not really dilated much more since they sent me home at 3 cms. earlier. However, since my water had in fact broken they went ahead and admitted me. I was very committed to a natural labor so it was extremely frustrating to me to be forcibly attached to IVs and constant fetal monitoring. I felt trapped. I could not move without the monitors losing baby's heartbeat, and honestly I just wanted to rip the things off and throw them at someone by the time it was all over. I had read over and over that most hospitals were not conducive to natural labor, but I thought with determination on my part that I could do it anyways. And I came pretty darn close.
Then the 15 hour mark hit.
The nurses at this point basically would not take no for an answer when I told them I did not want the pitocin. I said no. I was on the verge of tears telling them I did not want it, but they just kept insisting. They knew I did not want it. They had to have seen the concern in my eyes and heard it in my voice as I tried to tell them no without being rude. When I finally acquiesced, I was literally in tears because I knew that the pitocin would likely lead to more unwanted interventions (which it did). I was in so much pain at this point, that I could not get the rest I needed in between contractions with the constant pestering. I knew it was getting close to the point that if I did not accept the interventions, they would start saying the dreaded "C" word. As much as I did want a natural birth, I did NOT want an unnecessary C-section even more. So I agreed to a light dosage of pitocin.
The pitocin kicked in full swing and I was really feeling the contractions now. Waves of pain every few minutes. My hips felt like they were breaking. I was doing it though. I could handle it. Then they checked me again. I was still only about 6 centimeters. Then they began ramping up the pit every time a nurse came in the room. They didn't ask. I don't think they even told me they were doing it. They just walked in and clicked it up a few more levels every time. I do not remember what all the numbers mean, but I know they started with what they referred to as a "whisper" of pit, then they slowly ramped it up to where at this point it must have been a 10 or 12...whatever those numbers mean.

Then the resident came in. I do not remember her name. Honestly, if I ever saw her again I would more than likely not even recognize her. I probably couldn't even pick her out of a lineup. Despite the lack of these details, I have been trying to forgive her for the past 10 months, and I am still not quite sure if I am there yet.
I was in serious pain at this point, and I was SO SICK of not being able to even move without those stupid monitors losing the heartbeat. I finally agreed to get the internal fetal monitor--a decision that I regret and was really in no condition to make at the time. They asked the first doctor that came round to put in the monitor. She was it. She came in right at the top of the now really painful contractions. She asked how I was handling the pain. However, she did not ask me. She asked the nurse. By the time she was ready to actually check me I was starting another contraction. I begged (and am even pretty sure I screamed at her) not to lay my bed back during the contractions because laying down flat made them hurt 100 times worse. She ignored me, laid my bed back despite my begging protests, and checked to discover that I still had not progressed much. She made an off hand comment that my water was still not completely broken (I'll get back to that later), and then proceeded to put in the internal monitor. She then remarked (to the nurse, not to me of course) that I obviously wasn't handling the pain well. After this terrible experience of at least two painful contractions flat on my back, I asked for some pain medicine. I just wanted a little something to take the edge off for a bit. Demerol of maybe stadol. Then she did what I am still trying to get over.
She finally acknowledged me. She looked me straight in the eye and told me, in a voice that I usually reserve for children that are badly misbehaving, that it wasn't going to get any easier and if I couldn't handle that then I just needed to get the epidural already because I wouldn't be able to do it. At this point I had probably been in labor for at least a good 18-20 hours. I was tired, exhausted, frustrated. And this woman thought she had the right to tell me I was not good enough. I could not handle it. She literally broke me with that statement. She said the most cruel words she could have possibly said to me after she inflicted the most pain I have experienced in my life upon me despite me begging her to just wait until the contraction was over.
The reasons thi really makes me upset is because this was MY birth. It was not hers. She was NOT my doctor. Incidentally, my actual doctor was out of the country at the time. I realize that she probably goes through the birthing process so many times with so many people in the week she can't even count how many she had seen anymore. And yes, I realize that the vast majority of those are medicated births with epidurals. That is what she is used to. That is what she is comfortable with. My birth was just another birth to her. My pain and my experience did not matter to her. I was not unique nor was my experience special in any way. And that makes me furious. A birth should NEVER, EVER be just another birth. This was supposed to be about me and my baby and what I wanted for us. And the part that really gets me going is, why did it even matter to her? She was not my doctor and I never even saw her again after this. She was in the room for approximately 10 minutes and in those 10 minutes she basically caused me to throw my entire 9 months of preparation for a natural birth out the window.
Yes, I know there are many who will read this and say that the real responsibility here rests on me. I made the decision. It was always in my control. To which I say, yes you are absolutely right. It was my choice, and I do certainly deserve some of the blame for my decisions. However, that does not excuse treating a woman during a vulnerable stage of labor with no respect and no kindness. Looking back I am pretty sure I was in
transition at this point. It is hard to think straight during so much pain and exhaustion and I now know that you absolutely need and only need encouraging words from both your loved ones and your health care professionals while you are going through labor--especially transition. It is very easy to doubt your own ability and it makes it that much easier to doubt when a doctor doesn't says you are not capable. I never saw her again. She was not there for any of the rest of the labor or the birth. But her unfeeling attitude towards me and her unkind bedside manners were there with me for the rest of my birth. They were reflected in the decision I made because of her. It forever altered the birth that I wanted and ultimately did not get.
She was there when I finally broke down and said just give me the epidural. Her words were still in my head when after I got my epidural my blood pressure suddenly dropped and I started uncontrollably shaking for at least half an hour. She was still there in my head when I realized that the epidural had numbed the entire left side of my body, from head to toe. Apparently even my eye and mouth were drooping on the left side. She was there when I also realized that I could still feel everything perfectly in the right. I was told to lay on my right side and it would even out, but it never did. That was my compromise I guess. Maybe you could even call it a silver lining? She got her epidural on one side and I got my natural labor on the other. She was still there in my head when some time later the doctor on call (who was amazing by the way!) came in and I briefly mentioned the off hand comment she had made about my water not being completely broken. Rather than shrug it off as she had, he almost immediately checked and saw that there was a part of my water that had in fact remained intact. He broke the remaining sac of water (long after the initial discovery by the other doctor) and within the hour I was ready to push. I do not know if this is based in fact, but I believe if she had broke my water when she had been there hours earlier (or even thought to suggest it to someone who would have done it), I would have already had Liam at that point.
Pushing was hard and noisy but honestly I kind of liked it. I felt that I could finally actually DO something rather than just sit and wait. It was good being able to at least feel everything in my right side. While I am sure it was painful, I just remember feeling the wave of pressure and knowing that I could push as much as I could from right when the wave started until it completely stopped. The longer the wave (which was probably more akin to my right hip being dislocated from the inside out now that I think about it) the more I could push and the quicker baby would be here. That was a good thing in my book right then!
I believe I may have reenacted some scene from a TV sitcom birth at the one point where I remember very clearly screaming, "GET IT OUT!" at my doctor. (Is this from something? I feel like it might be, but I do not know what.) And in testament to his impeccable bedside manners my doctor had the kindness to tell me after it was all over that I was probably only at about 40% volume compared to his loudest mother, and that I did a good job.
Baby was born at 1:58 a.m. on 1 January 2013. 7lbs 2 ozs and 20 1/2 inches. He was perfect. Ok maybe he was a little cone headed, but close enough!
Just one more bad experience then I promise I'm all done. Really, I promise!
After Liam was born the doctor said I had barely torn at all. I probably only needed a stitch or two. I was very happy about that! Then all the sudden his face went red and all the nurses looked concerned and there was an immediate flurry. I tried to see what was going on in the reflection of his eye glasses (I have a tendency to do this with doctors for some reason) and I saw a whole lot of blood. Tony was getting very pale. There was so much poking and shaking going on that I went ahead and let them take Liam over for his clean up and weight and whatever else they do over there. I was then given two shots in my legs and they kept pushing and squeezing on my stomach while the doctor kept inserting clean which gauze and pulling them out of me soaked and dripping in bright red blood. By this point I think Tony was about ready to fall over so I told him to go be with baby. I felt fine and I didn't want someone to have to pick him up out of the floor or anything. He wouldn't leave me. Later he admitted to me that there was so much blood he was genuinely concerned I was going to die. I never felt faint and therefore luckily remained very calm during all of this. I was actually just feeling guilty that no one was over there with baby while the nurses were checking him out. Turns out I had a cervical tear (which that is surprisingly little information about online) which while uncommon is one of the leading causes of hemorrhage after birth. At least that's what I gather from the bit of research I was able to do. So that one or two stitches I thought I would get turned into a lot more. I still do not even know how many I got because they were all internal, but the doctor was definitely stitching for quite some time. They said I lost as much blood as a C-section. I passed out the first time I tried to stand up the next day--thank goodness I had a nurse on one arm and Tony on the other or I would have hit that floor hard. I bled after for much longer than is usual and I was still sore if I stood up too long even three months later. I later read that this could have possibly been a side effect of the pit. (This I do believe had nothing to do with my decision to get the epidural and therefore nothing to do with the resident who cannot be named.)
But baby was here. In the end I suppose it really is true that the how does not matter all that much. He was here. We were a family and I was so happy to meet him! I had put his car seat in the car a few weeks before this and every time we went somewhere together, I would turn and look at the empty car seat. I would then announce to Tony, "Baby Liam will be back there pretty soon." I think he got sick of hearing it, but seeing that empty car seat for some reason made me so excited for him to come and it was wonderful to put his tiny little body in it for the first time and drive him home to the room we had been preparing for him for months. He has been the greatest blessing and the most daunting challenge I have ever been given. My life has been truly blessed by his presence. It may have took me 10 months to get this all finally down, but I have actually been working on this post since he was about a month or two old. For some reason tonight seemed like the right time to finally sit down and finish it. Perhaps that had something to do with us finally wrapping up the last chapter in the second (and last) Winnie the Pooh book tonight. It kind of broke my heart a little. More about that soon!
So my take away from all this, besides this beautiful baby of course:
- be very clear with your health care provider up front about what you want
- discuss what you want with your partner so they can be your advocate when you are unable to advocate for yourself (Tony was great at this!)
- Have a third support person to do the tough stuff for you (Thank you Jessica!!!)
- Hire a doula (that is just my personal take away that I am planning for baby number two)
- Wait it out at home as long as possible
- DO NOT be afraid to make demands in a respectful way. I should have done this!
- I was very happy I made the decision to only have myself and my husband in the room during the labor. I still stick by that today and plan to keep it that way.
A couple of other fun notes that did not fit in my story because I honestly cannot recollect a clear time line of how it all worked out:
- The IV was no fun because it made me have to pee a lot. A lot as in often and in large quantities.
- A high school friend was my triage nurse which was both mildly awkward as she had to check my cervix, but also very comforting to see a friendly face. Thank you Laura!
- I watched both The Help and Mission Impossible 2 during labor which was a great distraction. However, I did not listen to any music oddly enough.
- The Popsicles were great. The slushie was gross!
- Liam was the first baby born in UT hospital on Jan 1 so he came with a free gift basket! See the above picture!
- That first sandwich after Liam was born was literally the BEST thing I have ever eaten. It had been a LONG time since that Chick-fil-A.