Tuesday, January 29, 2013

Noah's Birth Story

Noah Edward Malone
January 11, 2013 at 5:13am
7lbs 12oz and 21 inches long

I was scheduled to be induced with Noah because we live 2.5+ hours from the hospital he needed to be born at due to his heart defect (Tetralogy of Fallot). Noah’s due date was January 14th. Noah’s older sister Wren was born at home and we had planned for him to be as well. Plans change though. This is his birth story!

We set the induction for as soon (and as far out) as we thought safe, scheduling to be checked into the hospital January 10th at 6pm. The doctor wasn’t happy with this, he wanted much sooner but I am stubborn and know my body.  We had an appointment at 3:00pm at maternal fetal medicine in Portland, they did an ultrasound and confirmed babe was head down and around 8lbs. The nurse listened to the baby (Wren got to help her with the doppler, she was an awesome nurse) and checked me and said I was 2-3cm and 50% effaced. I was kind of hoping to be further since I’d been having contractions on and off on my own for the last couple of days. She answered some questions I had and then got us the paper work for the induction and told us to go have a nice dinner and then head to the hospital.

We went out to dinner for the last time as a family of three. Sean choose Buffalo Wild Wings because I didn’t care where we went. We had a nice time talking about what we thought Noah would like, how Wren was going to do for the first time away from us overnight, and other small talk. It was nice just being together the three of us. After we finished we headed to the hospital.

We got to the hospital and were sent up to labor and delivery, the nurse there (Deb) got us settled in a room. Wren had a blast running all around the room, looking out the windows and rolling the big yoga ball around. The labor and delivery rooms at Maine Medical are HUGE and they all have nice big tubs to labor in. I should have taken a picture, but I was sort of feeling nervous and didn’t think to do it, oh well. We talked to Deb about what we were hoping for (I wanted to avoid pitocin if possible, absolutely refused to allow cytotec to be used, and I was hoping to go pain med free again like I did with Wren) and about the different induction methods. She thought that just breaking my water was the best option. 7pm was shift change for the nurses and our next nurse came in. Our nurse was Colette and she was awesome. She took blood for labs and put the saline lock in my hand (she tried putting it in the vein in my fore arm but couldn’t get it there). I only had to have the saline lock, no IV fluids thankfully. She asked about what we were hoping for too and she said she though cervadil was the best way to go for the induction. The resident came in sometime after 7pm and talked to us too. She checked me and I was now ~3cm and 75% effaced (I was still having those same sporadic contractions that I’d been having for days) so it was nice to see I was making a bit of progress on my own! The resident thought pitocin was the way to go for being induced, but said she would go talk to the Dr and see what he thought. I told her about wanting pitocin as a last resort and asked about just breaking my water, but she didn’t think that was a good way to go for various reasons. At this point I was sort of annoyed that none of them agreed on what the best way was, it’s kind of funny now though that none of them agreed. The resident came back and said the Dr thought cervadil would be a good first step and that then they would start pitocin in the morning. I felt okay with this plan and the resident placed the cervadil at 9pm.

Our friends the Martin’s came too, sometime after 7pm, and hung out with us for a bit. They were nice enough to take Wren and watch her for us. They left a bit after 8pm with Wren. It was so hard letting Wren go, she had never been away from us overnight, and never away from me for more than 3 hours. Luckily she did wonderful and I think it was probably harder on me than on her!

After the cervail was placed and Colette had hooked me to the monitors (I had to be on the monitors the whole time with the cervadil) Sean and I tried to get a bit of sleep. I got maybe an hour of sleep before contraction woke me up and I couldn’t get back to sleep. By 10:30 I was feeling pretty uncomfortable lying in bed and had to focus on relaxing through the contractions. Colette came in a bit after 10:30 and excitedly told me I was having contractions, it was kind of funny because I looked at her and said “yes, I know” and we both laughed at that. She asked if I wanted to move from the bed, but I told her I was okay for now and would try and get some sleep still. That didn’t happen and I couldn’t lay down anymore by 11pm. Colette came in and put a movie on for me while I moved to the rocking chair to labor a bit. Sean gave up on getting any sleep too at this point. He was quite unhappy with the movie selection. Colette had put on “My Big Fat Greek Wedding” and Sean kept asking me if I wanted to watch something else, that the movie was dumb, and I kept telling him (between contraction) that I didn’t care and was sort of distracted. I thought it was pretty funny how unhappy he was with the movie while I was sitting there closing my eyes every few minutes to focus and relax through a contraction, it’s probably a good thing for him I have a sense of humor!

Sitting in the rocking chair got uncomfortable after a while, it was too hard to relax through the contractions, so the next time Colette came in I asked if she could put me on the wireless monitor so I could move around. Once I didn’t have all the wires I got up and Sean and I swayed through some of the contractions before I moved to the yoga ball. When we were swaying I felt like I might throw up and Colette gave me a container, thankfully I never had to use it. I don’t know what time I got on the yoga ball, I think Sean said it was around 1am, the contractions got a lot more intense once I was on the yoga ball and I had to start breathing through them. By 3am I wanted to get in the tub and Sean got Colette for me.  She said she that was fine (technically I wasn’t supposed to be allowed in the tub with the cervadil since the water could dilute it, but Colette had said earlier she thought it would be okay) and Sean started filling the tub for me.

Just like with Wren once I was in the tub the pain from the contractions was so much less, it was wonderful. The only thing was they had the overflow drain kind of low in the tub so I had to ask Sean periodically to add more water for me, which was kind of annoying. Colette gave me a pillow to lean on in the tub and I labored with my upper body resting on the pillow on the tub edge. The contractions were coming pretty frequently and I would breathe through each one and try to “let go” and then rest until the next one hit. After a bit my knees started to hurt and I switched to sort of reclining in the tub and I asked Sean for a cold wash cloth to put across my face. I kept it over my forehead and eyes pretty much the whole time I was in the tub. The contractions started lasting longer and coming closer together. I started to feel cold and my legs started getting shaky so I asked Sean to add more warm water for me. I tried to move back to leaning over the edge of the tub but was hit with a huge contraction and couldn’t so I went back to reclining in the tub. Soon after that, just before 5am, my body pushed with the next contraction (I should have known the shaky legs and feeling cold was transition), I have to say that is still the strangest feeling I have ever had, having my body bear down without any input from me what so ever! I told Sean that I had pushed and he needed to call the nurse now! He called Colette who came in and checked me and took out the cervadil, she said I was only 6cm and that I could not push. She told me to pant through the contractions while she went to talk to the doctor. I tried not to push and tried to pant like she said but it’s really hard to stop something that you aren’t voluntarily doing. Sean started asking me if I should get out of the tub now but the contractions were coming pretty much back to back and I couldn’t get enough of a break to get out. I could feel Noah’s head coming down and I felt a big pop as my water broke in the tub and suddenly Noah’s head was right there, almost out. I will never forget the look on Sean’s face as I looked up and told him he had to help me out of the tub right now, poor guy! He practically pulled me from the tub and I went to my hands and knees on the floor in front of the tub with the next contraction and felt Noah’s head come out. Colette came in at this point and asked how we were doing, she said she was going to go try and talk to the Dr again (the Dr and residents were all in the OR getting ready to do a cesarean) and Sean told her she shouldn’t leave. She came over and I told her his head was out as I reached down and felt his hair. She didn’t even have a chance to put on gloves before Noah’s body slid out and she caught him. He had the cord wrapped twice around his neck so she unwound it and put him on my back where they cut his cord and took him to the warming bed. He cried and pinked up quickly thankfully.

Noah Edward was born at 5:13am on Friday January 11, 2013.

It was all kind of funny really. Because of his heart there was supposed to be a NICU team and Drs there when he came out, but from that first push to his birth was less than 15 minutes. No one thought he would come that fast! Thankfully he didn’t really need any of the help they worried he would. He did go to the NICU where the cardiologist looked him over and did an echo, but he was discharged from the NICU after 36 hours and we all got to go home Monday morning since he has done so well keeping his oxygen levels up without help.

Friday, April 15, 2011

Wren's Birth Story

Wren Elisabeth Malone
7lbs 6oz  19 inches long
born at home in the water!

I woke up around 12:30 am Monday morning, March 21st.  I’d been having contractions sporadically, starting and stopping the last couple days, but these wouldn’t let me sleep.  I timed them for a bit and they were around 5 minutes apart, lasting about 30 seconds.  I kept trying to sleep until around 4am when I officially gave up and woke up Sean to tell him what was going on.  We stayed in bed and tried timing them and resting and just generally hanging out.  I called Pam, one of my midwives, around 6 and let her know what was going on, that the contractions were consistent but not coming any closer yet.  She suggested going for a walk and to call her in couple hours.  Sean called in to work, told them he would come bring up sub plans for the day.  I went to the school with him and walked laps in the hallway and timing contractions.  They were getting longer, but not closer together yet, still every 5 minutes, lasting 45-60 seconds.  When Sean was ready we headed back home, I gave Pam a call again around 8 to update her and tell her we were getting ready to head out for a walk to the lake with the dog and I’d call and check in again around noon.

It was chilly out, and though the lake had been clear of ice the day before it had started to refreeze over night.  Sean let our dog, Abbey off leash like he always does at the lake so she could get a drink and run a bit.  This is where it gets interesting and water becomes the theme of this labor.  There are geese out on the lake standing on the thin layer of ice, they are calling to each other and Abbey hears them and takes off running.  She heads strait for them and I immediately look at Sean and said “Oh no!”  We yell for her to stop but she runs across the ice, 10 yards out, 20 yards.  We watch as she keeps going and I tell Sean she’s not going to make it, she’s out a good 30 yards now and she crashes through the ice.  She swims, we try and coax her back the way she came, thinking she can break through the ice swimming, but she can’t, it’s too thick.  I start throwing rocks, thinking I can maybe break a bath for her, but the rocks bounce sadly off the ice only denting it.  Sean runs for help while I sit on the dock, still having contractions, trying to keep the dog calm, praying she won’t drown, trying to get her to rest her head on the ice instead of struggling to get her front paws up and slipping back.  Sean comes back with a rope and a neighbor.  We try to get the rope out around her (my sister, who rides horses, should have been there, her rope skills would have been helpful!) and can’t.  I say we need to get the canoe, that’s all I can think of.  It’s been 15 minutes already.

Sean and the neighbor go for our canoe while I wait with Abbey.  Another neighbor comes and he asks what’s happened and he says he’ll be back with his kayak.  Sean and the other neighbor get there as he comes back with his kayak and a chain saw.  Sean’s getting on the life vest while I tie the rope to him incase he falls in, the neighbor is trying to cut the ice with the chainsaw, I’m having contractions, and Sean is trying to get the canoe in the lake.  Somehow it’s decided the neighbor will take the canoe, Sean gives him the life vest, the paddle won’t break trough the ice so he asks for the shovel our other neighbor has in his truck.  I keep having contractions and think how utterly ridiculous this whole thing is.  Somehow he gets out to Abbey and pulls her in the canoe.  Sean and I reel them both in with the rope.  

Eventually we get home, where my labor just seems to stop.  I call Pam and tell her all that happened and that labor seems to have stopped.  She suggests a nap since I’ve been up since 12:30am.  Sean and I go lay down, I get a couple hours rest when contractions start up again and won’t let me sleep.  They are every three or so minutes now and 45-60 seconds and I can’t lie down through them.  I feel them mostly in my lower back and go to shower because the water feels good on my lower back through the contractions.  We call Pam and update her; she said she and Suzanne would leave around 7pm to get to us around 9 or 9:30pm.  We think I’m going into active labor and are excited to finally meet our little one that night!

Contractions hold steady at every three minutes, I’m uncomfortable and have to change position when one starts (I favor the hands and knees position, squatting was annoying) and groan low through them.  Pam and Suzanne get there and start setting up, I get nervous once there are there and contractions slow to every 5 minutes again, which they say is normal.  They tell us to go rest, so Sean and I go lay in bed.  I move to my hands and knees for each contraction, they are coming more frequently again now.  Suzanne comes in and tells us there is a problem with the pool.  We get up again and go see and we can see the big puddle (Thank goodness Sean insisted on putting a tarp down under it!).  The liner had a hole and was leaking water into the permanent liner, which was also leaking because it got tucked under the wall of the pool in a couple spots.  Our water theme continues.

Labor has more or less stalled at this point again.  We talk about what to do: can we save the water?  Do we have to start over?  Will we get it refilled in time?  I said it was all right if we couldn't have the pool, Suzanne said they’ve delivered babies in the shower and tub before.  Sean is upset.  It’s decided that they’ll drain the pool and start over.  They have an extra liner to replace the one with the hole.  They’ll boil water in between refilling while the water heater heats up again.  I’m told to go and rest, I’ve been up for almost 24 hours at this point with only a couple hours rest.

This whole part is foggy in my memory, it felt like such a short amount of time, but was hours somehow.   Contractions started up again soon after I lay down again.  They were uncomfortable and I was having bloody show at his point. I rested and contracted, going from laying to hands and knees, and back again.  I moan quietly through contractions (at least I think I was quiet!  I should ask Sean about that!) rocking on my hands and knees.  I remember Suzanne coming in a couple times and saying I was doing well.  And Sean coming in and rubbing my back.

They get the tub all set up again and Sean comes and lies in bed too, I have no idea what time this was, my concept of time was totally wonky at this point!  I finally fall asleep, exhausted, and don’t wake up until 6am.  Contractions are mild and 10 minutes or more apart.  Pam and Suzanne say we should try a walk.  I’m feeling frustrated and annoyed that we made them come all this way and we didn’t have a baby that night.  We walk down to the school and back down to the fire station and around the block.  It snowed over night and everything was quiet and blanketed white.  We get back to the house and we sit and talk with Pam and Suzanne.  I express my frustrations and apologize that they came all the way up here.  They reassure us it’s alright, this happens a lot with first babies and that it was good they came up so we could have the pool all set up right.  Pam offers to check me, says I’m still probably in early labor and about 1 to 2cm she’d guess.  I agreed to getting checked and was 1cm like they expected and frustrated that all those contractions don’t seem to have done anything.  At this point they talk to us about what to do: more walking, resting, etc.  That they are going to go home to rest and they are sure they’ll be back later that night for us to have a baby.  Sean says statistically more babies are born on Wednesday’s than any other day, and the midwives tell me most babies are born at night.
So we are going on 30+ hours at this point.  The midwives leave, Sean goes to nap, and I clean the kitchen because I have to do something.  Contractions keep coming every 5 minutes.  When Sean gets up he goes down to the school to drop off his sub plans, I tell him not to rush back, at this point I kind of wanted to be left alone.  He pulls out the washer for me before he goes so I can do laundry (I was looking for anything to distract me at this point!).  While he’s gone the hose connecting the washer breaks and water pours all over the floor of the kitchen, I probably should have given up on anything water related at this point, but it's good I didn't!

Around 4pm on Tuesday Sean starts making dinner.  I was completely miserable at this point, contractions were still about 5 minutes apart and I checked myself to see if I was any more dilated than when Pam checked me; nope, still at 1cm.  I used some good words to vent my frustrations to Sean, and Suzanne called.  She suggested I ignore the contractions, watch a movie with Sean, and just hang out.  It’s about 5:30 now, we’ve eaten diner, I’m trying to watch TV with Sean but the contractions just kept coming and I couldn't ignore them, I had to breath and move through them.  I want so much to get into the water, but am supposed to wait until active labor.  I was miserable.

Looking back now I recognize the shift in contractions and know that I probably actually started active labor around that 5:30/6pm (night time!) time frame, at the time I was too mad to give credit to the shift though.  I know I started pacing the kitchen and spare bedroom at this point.  I didn’t want to be touched, I didn’t want to be in the light, and I couldn’t quit moving.  It hurt to be still.  Sean suggests I walk up and down the stairs.  This feels amazing and I remember walking up and down over and over while repeating in my head “I can do this!”  Around 7:30 or 8 (I don’t know the time exactly) Sean suggests calling Pam.  I have zero desire to talk to anyone, I just keep walking through the house, and so he calls.  He does give the phone to me and I talk to Pam, tell her what I am feeling and she asks if I can check myself again (I had told Suzanne about that and she told Pam).  I give the phone back to Sean and got to check myself in the bathroom, still 1cm.  I tell Pam and we talked while I kept walking (I can not for the life of me remember exactly what she or I said!) but about 5 minutes in to the conversation after I had checked myself, I stopped and looked at Sean and said to him “my legs are wet.”  And indeed they were.

Sean took the phone at this point and talked to Pam.  She and Suzanne would be leaving to come up within half an hour, they’d get there around 10:30 or 11pm.  I couldn’t believe it was my water, I asked Sean if maybe it was just sweat, but I’d dry my legs and they’d be wet again, it wasn’t sweat.  From here everything gets really blurry, I know I took a shower and ended up in my hands and knees in the shower having contraction after contraction.  I stayed in until the water was cold.  I know I got a shirt on, but pants or a skirt never made it, and I ended up on my hands and knees in the bed.  I called for Sean at each contraction; I just wanted him with me, holding my hand, touching my back, anything.  Pam and Suzanne got there a bit before 10:30 I think (they must have driven awfully fast!).  I know they talked to Sean and I know Pam came and sat against the bedroom doorframe.  I don’t remember talking though beyond saying “hi” when I first saw her, I don’t remember seeing Suzanne though.  Sean eventually ends up in the bed with me, I don’t know how close contractions were at this point, but they were coming what felt like constantly.  Pam was sitting by the heater vent on the floor in our room, I remember wanting to offer her a chair but I couldn’t talk and the thought was fleeting anyway at that point!  I must have said I was tired at some point because Pam suggested resting on my side.  Up until laying on my side labor was not the worst pain I had ever experienced, it hurt but was totally manageable.  But lying on my side was horrible and I wanted to cry.  Sean tells me I did get quiet between contractions and rested, but I just remember wanting to move from my side!  Pam offered to check me after a bit (around midnight) of time on my side; I was at a 4, almost 5cm.  She said I could get in the pool if I wanted to.  I was so glad to get off my side, and the water felt amazing.

Everything went incredibly fast once I was in the water, I remember in the beginning I wanted to hold Sean’s hand when I’d have a contraction.  I know I held Suzanne’s hand through a couple too when Sean wasn’t there (he was calling our parents to update them).  I never actually pushed on my own it was the strangest thing.  I just at one point had a contraction and my body pushed.  I remember I gasped and looked at Suzanne who was in front of me and told her I pushed.  I was worried I shouldn’t because I wasn’t dilated enough, but they reassured me it was all right.  From there my body started pushing with every contraction.  I started to feel sick, and Suzanne gave Sean a bowl that I thankfully never had to use; I felt hot too, Sean and Suzanne put cold washcloths on my forehead.  I had both hands in the pool at this point and when I’d have a contraction I’d relax my jaw and breath while I pushed back with the contractions.  I could feel Wren’s head coming lower and lower with each contraction, it was the craziest feeling!  Pam encouraged me to reach down and feel her head and I told Sean she had hair!   

At some point Sean moved behind me, though I don’t remember him ever leaving.  I was lost in myself.  I asked Sean after what it was like, what was I doing?  He said I was quiet other than a low hum that I kept making, which I don’t remember doing!  I remember Pam telling me to push with the contractions and I remember feeling the slight burn as Wren’s head pushed through.  Apparently Pam told me two more pushes but Wren came flying out all at once in one push.  Her head, torso, and legs were all out in less than a minute, at 2:37am.  I remember the feeling as she slid out.  Her head felt like a “pop” and then I could feel her legs moving in me still as I pushed with the contraction and the rest of her slid out.  Pam passed her through my legs and I pulled her up out of the water.  She was so tiny and still blue.  I held her against my belly, her cord was short and I couldn’t get her much out of the water.  She cried and I told her it was ok I’m your mama.  Suzanne was putting blankets on us both and I peeked to see if we had a girl or a boy.  I looked at Sean and told him he was right, we had a little girl, our Wren Elisabeth.

Since her cord was short they had us get out of the tub and move to the couch.  We snuggled our sweet baby and talked to her.  They had me hand her to Sean to push out the placenta, which was easy and just slid right out.  Suzanne clamped her cord and Sean cut it.  Pam showed us her placenta and all the different parts.  It was so neat to see this whole organ my body grew to nurture our baby inside of me.
We moved to the bedroom, where Suzanne did the newborn exam and weighed Wren.  We all made guesses at her weight, everyone guessed in the 6lb range and she shocked us with her 7lbs and 6oz!  I said it’s the thighs she fools you because she’s tiny but she’s got cute chubby thighs!  We cuddled in our bed with our new baby while Pam and Suzanne cleaned up.  Sean went out to help but they already had everything cleaned up and the pool all packed up and in their car.  He came back and we snuggled in to sleep with our babe.