I waited too long (3 ish months) to write this so I missed a lot of details and probably mixed things up. Oops.
First of all, as I mentioned in another blog post, I had gestational diabetes with this pregnancy. Women with gestational diabetes aren't supposed to go past their due dates. My doctor wanted to induce no later than that day, which was discouraging to me because my whole life plan was residing on this birth. I've wanted a ton of kids for as long as I can remember. I'm one of six kids and while other people would tell me that's a lot, I always wished I had more siblings. My dad is one of nine and my mom is one of eleven, and that always seemed like way more fun! So my goal was eight, which is how many kids are in Ho'oulu's family so he was thinking the same! It was "the plan." Starting with a c-section put a damper on that plan, so I absolutely HAD to have a VBAC (vaginal birth after cesarean) this time. Being induced lowered my chances at a successful VBAC because they could only give me pitocin and the amount would be very limited; too much could cause my previous c-section incision scar to rupture, which could result in an emergency hysterectomy.
At 39 weeks, the doctor checked and I was not dilated. I had a false alarm that weekend where I had contractions all day Saturday and Sunday, then on Monday they got to be 6 minutes apart so we went in and I got to a 2 or so and that was it.
Side note: while in the hospital for that false alarm we had THE GREATEST OB named Linda Chong. At first she seemed too peppy and I was like, "Nope! Send someone else!" because I was in so much pain haha. But she took such good care of me (and even Ho'oulu) and she was just the sweetest person ever.
I was set to be induced that Wednesday, January 18th (my due date). I can't tell you how badly I wanted to be in labor for real that Monday. I just kept thinking that if I had to be induced I would end up having another emergency c-section. But the day came and there wasn't much I could do. I'm not one to disregard a doctor's suggestion or opinion, so I was being induced on my due date. I had a regular appointment that morning around 10 then the big appointment was for 2pm. We dropped Lainey off at Ho'oulu's sister's house before the morning appointment because our doctor's office is about 45 minutes away and the hospital is in that same direction. I felt bad leaving her even longer than we needed to but it made more sense this way.
At the 10am appointment (for which we were late and actually rescheduled to 10:30) they said I was still at about a 1 or 2, I think around 60% effaced, and my cervix was at a -3, which means it was really far back. This all means I wasn't in labor but I was induce-able, which is what we were looking for.
After the doctor's appointment we decided to go to the mall and walk around to hopefully get things started so I wouldn't have to be induce. Obviously that didn't work so we ate lunch at Ruby Tuesdays (not the best idea) and headed to the hospital.
It seemed to take forever to even get started. They admitted me and gave me a gown and everything, checked me (and at this point I was already sick of people poking around my privates and we hadn't even started!ππ), hooked me up to machines (basically like a nonstress test, plus IVs), etc and then we just waited. Guess what amazing OB came in while we were waiting... Linda! (She was the one from the side note earlier.) I was so happy to see her. She really is amazing! Eventually Linda brought in a tool that was supposed to help get things going that was like a deflated balloon that they stick in your cervix and then blow it up and your body pushes it out, thus helping you dilate and I think it softens the cervix.
Sometime around 4pm they started the pitocin. That was in the IV on my left arm, along with a water and sugar mixture to keep the diabetes under control. At some point they added an IV in my right arm for plain water.
I felt like it would have made more sense to start in the morning so I wasn't in labor all night, but it wasn't my job to plan these things. Haha.
Soo yeah, then I started having contractions, which I will not even attempt to explain. And I had intense back labor which is 1,000 times worse than regular contractions. It helped to lean forward but the monitors for baby's heart were on my tummy and I couldn't find a position while leaning forward on the bed that wouldn't bump them. I kept trying and then nurses kept having to come in and fix my monitors. π¬ I felt like I was being so annoying because it was like every contraction that I'd try and move to a better position and someone had to come in. π Linda's shift was over before I got annoying, but the nurse who took her place didn't talk, like at all, so I REALLY felt like I was annoying her. I kept apologizing, which probably got as annoying as coming in, and she just gave like a half smile, fixed it, and left. It was pretty awkward.
I finally just stood up and that helped a lot, but it was getting late and I was tired, and as it turns out being in a ton of pain for extended periods of time is exhausting. The IV with two lines was in my left arm so my left foot and leg started swelling like crazy. It looked like I had that elephant man disease and it hurt like crazy. I kept rocking back and forth (to let one foot rest at a time) and trying to find a way to sit, but again with the monitors and the nurses and the apologizing. So I stayed on my feet for something like 10 hours and then finally just decided to get an epidural. This was somewhere around 5am. I felt like such a failure, and I felt like I was sentencing myself to a c-section. I read way too much after Lainey was born and epidurals have a tendency to slow things down, so I always wonder if I hadn't gotten the epidural with Lainey if she'd have been born vaginally (I was already dilated to a 9 when her heart rate dropped and they couldn't get it back up so they had to cut her out). I had also gotten it pretty early in the process, so I also wonder if I had just waited a couple hours to get it if that would have helped too.
So I was really sad and discouraged and emotional at this point. I even get upset thinking about it and am tearing up now. I felt like I was losing 4 children (if I had to have a second c section then all my future kids would have to be c sections too and I wouldn't be able to have more than 4 kids and I wanted 8).
Basically I was being super dramatic. π
So I called in the nurse and asked for the epidural. I think they might have had to check me to make sure I was dilated enough, but I don't remember for sure.
The anesthesiologist came in and I liked her a lot. She talked me through everything and I didn't feel a thing after the initial numbing shot.
Despite the emotional anguish I was feeling, that beautiful, blessed epidural gave me enough physical comfort to be able to lie down (sweet relief for my poor legs and feet!) and even sleep for a couple hours.
Any time you get an epidural you also have to get a catheter. I've heard they're sooo uncomfortable and miserable but because I'd had the epidural so I didn't feel a thing.
I woke up in the morning feeling surprisingly refreshed, despite only getting 4 hours or so (that puts us around 9 or 10am, I believe). I was sooo ready to have this baby! Some of the drama from the previous night had warn off and I was feeling far more hopeful and optimistic, though there was a nagging in the back of my mind that I had seriously failed.
I kept wondering when things would start happening. My water broke and I thought that was the beginning, but then it still felt like nothing was happening. I felt like the nurses should have been in there or something, but they could see our monitors at the nursing station. I finally asked a nurse what we were waiting for, or rather how I'd know when whatever we were waiting for was happening. She said I'd feel an extreme pressure like I needed to poo, and even with the epidural most people still felt it.
I felt it and called the nurses in (made a big hoopla) and the OB (a young brunette who I had seen at the Waipio clinic a couple times during this pregnancy) said it would be better if I could wait. Ka'io was posterior, meaning he was face up, which meant I'd probably push forever and then end up having an emergency c section. I could tell she wasn't expecting to deliver this baby (she thought a surgeon performing the c section would). So they said if I could wait and hold him in his chances of turning would be better. They had me lie half on my back, half on my side with something between my knees. I was pretty uncomfortable but I was willing to do anything at this point to not have a c section. I was fighting away that nagging feeling and that horrible voice in my head telling me that I shouldn't have gotten the epidural, but I HAD to stay positive.
After what felt again like forever, the same OB and a male OB came in and asked if I was ready. I no longer felt the urge to push (the poo pressure) so I wasn't sure. The male OB checked me and I was fully dilated, effaced, and my cervix was +2 (or 3? or whatever it's supposed to be). So the took the catheter out, which kinda freaked me out because I couldn't feel anything so what if I peed? I had heard stories of women pooing but not peeing.
Anyway, as far as I know I didn't pee. π
Then nurses prepped me and idk where the male and brunette OB went but a new OB/midwife came in and SHE. WAS. IRISH. Any negative thoughts or doubts I had were gone. Ireland is my favorite country I've ever visited and I always tell Ho'oulu that if I have to flee the country he'll find me in Dublin. π plus I'm Irish! Her name was Mary and I just wanted her to talk nonstop.
I couldn't believe how quickly it went from waiting and nothing happening to everything happening (thankfully not as much as in Lainey's birth though haha).
The midwife named Judith helped hold one leg up (making two right ankles of my knee and hip flexers) and Ho'oulu held the other (he was on my right side). I grabbed behind my knees and when a contraction started, Mary talked me through taking a deep breath and then pushing as hard as I possibly could for like 3 seconds. Then I'd take another big breath and push as hard as I could. One more time and the contraction would be over and I'd lean back and put an oxygen mask on (doctor's orders - I flipping hate having that on my face - but it helped Bebe so I did it). I'd have another contraction and it would all start again. I kept looking back at the monitor with Baby's heart rate. I expected to drop every time, I was just waiting for something horrible to happen. That was my motivation; I had to get this baby out asap before anything bad could happen, before his heart rate could drop. Every time I thought I was surely going to collapse and give up, I'd look back at that monitor and remind myself to push harder, hurry up.
Mary was surprised and seemingly impressed with a lot of pushes and how quickly he was coming out, even though he was posterior. She told Judith to go get the team. Everyone came in pretty casually and then they saw how far out he was and they snapped into gear and got ready. I was defiantly (yes defiantly, I'm not misspelling definitely) happy to prove the brunette OB wrong, and I took way too much pride in seeing the surprise on her face when I should have been a little more focused elsewhere. π
So after two hours of pushing, he was finally out. They put him immediately on the gown on my chest, which surprised me because I thought they were big into skin-to-skin but this was not actually direct. He was covered in all kinds of blood so I didn't mind him being in the gown haha. I had him for maybe two seconds before they took him to clean him up, and I was only vaguely aware of what was happening from that point on. Mary stitched me up, I think Ho'oulu went to look at the afterbirth and cut the cord, everyone congratulated me multiple times, and I laid on the bed and cried and cried and cried and laughed a little and cried a lot. I was so unbelievably happy. Happy isn't even the right word, I think it was more joyful. I wanted them to hurry up and bring him back to me but I couldn't stop grinning (and crying). I hadn't just given birth to this one beautiful, perfect boy, I had given our family a shot at growing; I had gained back those four other children.
In that moment, I felt invincible. The nurses and doctors kept telling me how strong I was, how impressed they were, how crazy it was that he came so quickly even though he was posterior. All those feelings of failure were long forgotten.
I can do hard things... and I can do them well.