Finally… Here’s the story.
I didn’t think it would take me over a week to get a chance to write my birth story, but Mr. Falco doesn’t allow for much blogging at this point. Let me warn my dear readers that this is the whole story with all the details, so be ready for a very long post with a lot of female information. To see the photos that go along with this story, check out Matt’s blog.
Here goes…
I woke up on Tuesday, 11/28, at about 4:00 a.m. with what felt like menstrual cramps that would come and go every few minutes. I went to the bathroom and had a good bit of spotting that I now know was bloody show. I got back to sleep from about 5 to 6. Then Matt and I woke up to get ready for the nonstress test we had at 8:30 to check on the baby since he was overdue. When Matt woke up I told him I thought I might be in early labor, and we figured we would find out for sure when we got on the monitors. When I got up from bed again, there was more spotting and the contractions were still going on, but I could easily talk through them.
We got to the testing center and first had an ultrasound to check the amniotic fluid level. Two different nurses measured the fluid level and determined that it was borderline low. (The level was 6.5 and anything below 5 is low.) We were then hooked up to two monitors, one to measure the baby’s heartrate and one to measure my contractions. The contractions were about five minutes apart and only very slightly painful. (The nurses said they could tell by how I was handling them that they weren’t real labor contractions, which I couldn’t understand until later in the day.) The baby’s heart rate was staying steady at 120 and he wasn’t active at all. During contractions, his heart rate would very slightly drop, which was worrisome because it should have increased instead. They used a vibrating buzzer to try to wake him up and get him moving, but he seemed to be sleeping and just wouldn’t get active.
So, based on my amniotic fluid index, his inactivity, and his heart rate dips during contractions, the doctor decided that I needed to go to labor and delivery for further monitoring to decide if I should be admitted. Before I left the testing center, the nurse checked my cervix and said that it was soft and I was one centimeter dilated, the same as I had been at my appointment two weeks earlier. During that exam, there was a good bit more bloody show and the nurse seemed surprised by it.
Matt and I had not brought our bags or even eaten breakfast because we felt sure that I was in such early labor that we would be sent home to labor for a while before needing to go the hospital. We were told to go straight to the birth center from the testing center and that we couldn’t go home first to get our things. We walked across the street and on the way grabbed gigantic pastries from the coffee cart and ate them as quickly as we could before getting to labor and delivery.
When we got to the birth center, they put us into a small triage room for more monitoring so that they could assess whether or not I should be admitted. This room had two small cots divided by a curtain, and there was another lady on the other side of the curtain. After being monitored for a while there and having the same results as in the testing center, a resident doctor came in to talk to us. She said that based on all the findings from the monitoring and the amniotic fluid index, the best course of action was to admit me. She said that early labor can go on for days sometimes so they would likely do some form of induction to augment my labor. She then did another cervical exam and said that I was more like 1-1/2 centimeters dilated.
Next, a nurse came in and moved us to a temporary room because all the labor and delivery suites were full. She said that it should just be a couple of hours before we would get our own suite, but we were placed in a postpartum room until then. At least this room was a little bigger and had a TV and was private. I was reconnected to the monitors and the nurse placed an IV catheter. She had to stick me twice, but it was no big deal. I have found that after all my blood tests after the miscarriage and then during this pregnancy, I’m not really squeamish about needles anymore.
By this point it was around 12 or 1:00. A new nurse came in and said that she was assigned to me. She said that the baby had become more active and now looked much better on the monitors. She said that my contractions were steady at 3 to 5 minutes apart and that they were discussing doing a Foley catheter bulb along with pitocin for my induction. I expressed my concern about pitocin because I didn’t want an epidural and worried that pitocin would make the contractions more painful. The nurse said that she would try to campaign for me to not have the pitocin because I was contracting well on my own but that it would be up to the doctor. She also said that pitocin has a bad rap for making contractions more painful but that actually it is the same hormone that my body is already producing. She said not to be afraid of it.
A little later, a doctor and a very sweet third year medical student, Jeanna, came in to talk to me about the induction. They explained what it would entail and said they would be back shortly to check my cervix and start the induction. We decided we had better eat lunch, so Matt went across the street and brought back burritos. My pain level wasn’t too bad at this point, but I didn’t have a very good appetite.
After waiting a while more for the doctor to come back, it was after 3:00 and we still hadn’t been moved to a suite and Matt hadn’t gone to get our bags. He decided to go ahead and go home because I really wanted my own nightgown instead of the hospital gown and all the other stuff we had packed for labor. It took him a while to get home and back because of traffic, and it was a little lonely and sad to be there by myself while he was gone. I kept waiting and waiting for the doctor to come back for the induction, and the nurse said they were so busy that it was taking a while for them to get to me. She said it was a good thing because it gave me more time to labor on my own and maybe not need the induction measures at all.
Around 4 or 4:30 they finally came back in to check me and see about inserting the Foley catheter. Matt still wasn’t back yet, but the procedure wasn’t painful or anything so it was OK to be by myself. The doctor checked my cervix and said I was still about one centimeter but that my cervix was very soft. Apparently my cervix was in a position that made it really easy to insert the catheter, so she asked the nurse to give it to her so she could place it. They said that when I got to be three centimeters dilated the catheter would fall out.
Just before Matt got back, I think around 5:00, the nurse came in to start the pitocin. She said she was starting it at a very low dose and that it would take an hour or so for me to feel it at all. Within just a few minutes, my contractions got way, way stronger and more painful and closer together. I was very frustrated because we still hadn’t been moved to a suite and I was stuck on constant monitors so couldn’t get up very easily. They had wireless monitors in the suites that would have allowed me to move around freely and even get into the tub while being monitored, but in the temporary room I couldn’t even get to the bathroom on my own and was stuck in the bed.
When Matt got back at around 5:00, we tried to start doing some of our planned tricks for easing labor pain. We tried playing cards as a distraction, but the contractions were too painful and close together at that point for me to concentrate. I did manage to get out of bed as long as I stayed close enough for the cables to reach the monitor. I tried a few different positions for the contractions like bending over the bed or table, but no position really seemed to help. I got back into bed and lied on my left side. Through each contraction I moaned through it and clenched the rail of the bed. I tried to relax my body but it was so hard because they were so painful.
By about 7:00, I had been having very hard labor for about two hours and the contractions were very intense and right on top of each other. I was very confused about how labor could be so intense if I wasn’t even three centimeters dilated yet, which I assumed to be the case because the catheter still hadn’t fallen out. I started talking about wanting an epidural because the pain was almost constant and I knew there was no way I could bear it for hours more if I wasn’t even really in active labor yet. I told Matt that when the contractions came I felt like I was going to die; that’s how intense the pain was.
The nurses’ shift changed at 7:00, and a new nurse, Sarah, came in. She said that we were going to be moved to a labor room soon, but they had been saying that for the past seven hours. Anyway, I told Sarah that I was pretty sure at this point that I wanted the epidural. She helped me to the bathroom and pulled on the catheter and it still didn’t come out. She also checked my bleeding and said that it looked like I had an amniotic fluid leak and that meconium might be present in the fluid. She helped me back to bed and talked about pain relief options. We decided that I would try a half dose of Fentanyl, an IV narcotic, to help ease the pain until we got into the labor suite. Just before she gave it to me, we found out our room was ready. She moved me in a wheelchair and Matt carried our stuff to our new room.
As soon as we got to the suite, she gave me the Fentanyl. It made me feel kind of like I had been drinking and more relaxed. I thought at first that it helped considerably with the pain, but that was because the pitocin had been turned off during the move. When she turned it back on, the contractions came back in full force. Over the next hour I got two more half doses of Fentanyl while we talked about whether or not I was sure I wanted the epidural. She was able to pull out the Foley catheter during that hour, so I knew I was at least three centimeters dilated. That wasn’t that comforting though because I thought I still had a long way to go. I finally said I was sure I wanted the epidural, and the anesthesiologist came in and was getting set up.
Before they could administer the epidural, a doctor needed to check my cervix to see how far along I was. A doctor finally came in, and I was in disbelief when I heard her say, “Well, there’s still a little anterior lip, so I would say she is nine, almost complete.” I was shocked and thrilled to hear that in the past four hours or so I had gone from one centimeter to almost ready to push! Of course I declined the epidural at that point and felt so proud that I had made it through labor. That doctor broke my bag of water (the leak earlier was very small the bag was still basically intact). It felt like a huge gush when she did that, and they said that there was meconium in the fluid. That meant that pediatricians would need to be there to examine the baby immediately after birth to make sure he was OK.
I think another hour or so passed before it was time to push. During that time, I barely had a break at all between contractions and felt a lot of pressure like I needed to push and was all around miserable. They were telling me to wait to start pushing, but eventually my body was starting to push on its own. Through all this, Sarah was really awesome and supportive. She could see that I couldn’t wait any longer and said we had to get me started pushing.
I lied on my back and Sarah held up one of my legs and Matt held the other. When a contraction came, I curled my body around my belly and pushed with all of my might for about ten seconds three times in a row. As soon as the pushing started, the pain was really gone. I just felt an incredibly overwhelming urge to push, but the pushing didn’t hurt. Unbelievably, the pushing lasted for at least two hours. I have never been so exhausted in all my life, and it took all my strength and then some to keep it up. Matt said that in between contractions I would kind of pass out and he could see my eyes moving back and forth like I was in REM sleep. I just remember closing my eyes and panting between contractions and Matt keeping an ice cold washcloth on my face that felt so good.
Eventually, after all that hard work, I finally pushed baby Falco out. My first words were, “He’s so tiny!” They took him immediately to the pediatricians to have all the fluid sucked out of his mouth and nose and for his exam. Matt went over to him and I could hear Falco crying. The doctors said he looked great and said his weight was 7 pounds, 4 ounces.
Unfortunately, I couldn’t really focus on my joy because I could hear the doctors still working on me talking about bleeding. I guess I was having more bleeding than expected after delivery, and they were trying to get my uterus to contract down and make sure there wasn’t a tear in my cervix. One doctor in particular was being really rough about rubbing my belly to get my uterus to contract, and that was very painful. I was lying there moaning through this part because it was really uncomfortable. The bleeding stopped fairly quickly though, and I heard them say that my cervix was intact. I had a second degree tear that had to be repaired, and that was quite uncomfortable as well. They used lidocaine, but again that doctor seemed to be very rough about everything she did and there was a lot of pressure and pulling and more rough massaging of my belly. All that lasted about thirty minutes, and Matt held Falco during that time. It made me so happy to see him in Matt’s arms.
After my suturing was done, I finally got to hold my son and nurse him for the first time. It took us a few minutes to get the hang of it, but with Sarah’s help he latched on and nursed like a champ. It was so surreal to finally hold my baby boy, and he was unbelievably beautiful. His birth was the happiest and proudest moment of my life, and I am moved to tears every time I remember the experience. There was a lot of pain involved, but I would go through it a thousand more times because he is so worth it.


