Monday, August 6, 2012

Margaret Rose's Birth Story


My pregnancy with Margaret was a bit different than previous pregnancies in that I had a LOT of “practice” (Braxton-Hicks) contractions in the weeks leading up to her birth.  Often they were painful and regular enough for me to believe that labor had started, and as a result Joe and I had our bags packed and ready to load in the car as early as 36 weeks.  We had so many early trial runs that I began to believe that there was no way this baby was going to make it until her due date.  I was a bit surprised then when July 15th finally came and went, although it wasn’t a total shock since both Siena and Libby were born 4 days after their due dates.  So we waited… 

… and waited.  July 19th came and went.  So much for the 4-day-past rule.  41 weeks came and went.  By that time I was starting to feel increasingly frustrated.  The waiting was getting more and more difficult with each passing day.  I felt like I couldn’t get out and about like I wanted in the chance that I’d go into labor far from home, plus it was just plain HOT outside and any extended time I spent in the sun would completely drain my energy.  I was getting sick of nesting at home, tired of having the house “baby ready” every night when I went to bed only to wake up morning after morning with no baby.  The false alarms didn’t help either, as many mornings I’d get my hopes up that labor was finally starting, only to be disappointed hours later when my contractions would stop.  Still, I had no choice but to wait.

I had my last scheduled OB appointment on Monday, July 23rd, 8 days past my due date.  My cervix still hadn’t made much change (I’d been 2 cm dilated and 50% effaced for 4 weeks).  Results of a non-stress test and ultrasound to measure fluid levels showed that the baby was doing just beautifully.  Clearly she was enjoying her in-utero home!  By that point it was time to put an induction date on the calendar since there is an increased risk of stillbirth after 42 weeks.  I’m a big fan of natural birth and letting babies arrive when they’re ready, so the idea of induction didn’t thrill me.  Still, I knew we were running out of options.  For a number of reasons, we decided to schedule an induction for 5am on Thursday, July 26th.  The doctor stripped my membranes in the hopes of getting things going, and I was sent on my way.  I felt increasingly crampy for the rest of the afternoon, and when I began to lose my mucus plug on Tuesday I felt like things were finally starting to happen.  I woke up at 4am on Wednesday, the day before my scheduled induction, with fairly regular contractions.  Although they were still easy to manage and didn’t seem that different from my previous false-alarm contractions, I decided to head to the hospital anyway.  I figured there was at least a chance that labor was actually starting given how I’d been feeling for the past couple of days, and if nothing progressed then at least I’d already be at the hospital for my induction.  Plus, since I’m GBS positive I needed to receive at least 2 doses of penicillin before giving birth, which meant timing my arrival at least 5 hours prior to delivery (not the easiest thing to plan on your third pregnancy when things could move quickly!).  We called my mom, said goodbye to the girls, and promised them that we weren’t coming home without a baby!

Upon arrival at the hospital around 11am, I was checked and found to be 2cm dilated, 70% effaced.  Not huge progress, and I began to think that coming in was the wrong decision.  So we waited in the room while they checked my contractions (which had pretty much stopped by that point) and administered my first dose of penicillin.  Imagine my surprise when I was checked again at 1pm and was 4cm!  I had literally done nothing to move things along since arriving and hadn’t had many contractions, so I felt this was a minor miracle and that I really must be in labor.  Joe shifted into coaching mode and we hit the hallways walking.  We walked and walked and walked, only stopping for another dose of penicillin and occasional fetal checks.  I was feeling pressure while walking and an occasional contraction, so I hoped that some progress was being made.  When the doctor stopped by around 7pm to check me I was… 4cm.  Ugh.  No progress.  Clearly I wasn’t in labor.  I was crushed and felt like the entire day had been a waste of time.  I was given the choice of staying overnight until my induction the next morning, or going home to sleep and coming back.  After talking it over with Joe I decided to go home – I’d get better sleep there (I’d have to be monitored and receive penicillin treatments throughout the night at the hospital) and would be more rested for labor in the morning.  So we grabbed our bags and headed home… without a baby.  We greeted the girls and my mom, whom we advised to spend the night at our house just in case we needed to leave in the middle of the night (in hindsight, a GREAT decision on our part!).  I went to bed shortly after arriving home, around 9pm, ready for a good night’s sleep before our morning induction.

Well, the good night’s sleep never came, as I was waking every hour or so (not unusual at this point in my pregnancy!).  Around 1:30am I woke up to use the bathroom and was generally feeling uncomfortable and unwell (again, not unusual).  In the bathroom I noticed some leaking of fluid and thought it possible that my water may have broken.  I also felt a strong contraction of sorts around this time, though it was more like heavy pressure than pain, and I woke Joe to tell him that we might want to head back to the hospital.  At this point I was feeling no huge sense of urgency.  A few minutes later another contraction came that I definitely had to focus my way through, and I called out to Joe that we needed to leave for the hospital NOW.  We both changed quickly and headed for the car, getting on the road around 1:55am.  I called the doctor and explained that I was having some “different,” more intense contractions and that we were heading back to the hospital.  I had maybe 3-4 more contractions on the drive that required a lot of concentration, but overall the drive was fairly quiet and uneventful.  We arrived at the hospital around 2:25am and Joe dropped me off at the emergency entrance to be wheeled up while he parked the car.  I remember chatting with the woman wheeling me to the elevator about how long overdue I was, etc.  Again, still no huge sense of urgency at this point.  We got to labor and delivery, the nurses brought me into a room to change into a gown, and I sat on the toilet to change.  At this point Joe arrived and I was having some more intense contractions, telling him that I wasn’t able to move from the toilet.  The nurses were running around in the room like crazy, and Joe was pleading with me to get to the bed.  Finally there was a break in the contraction action, I moved to the bed, and immediately pushed the baby out!  Just like that – it was crazy.  Obviously my doctor didn’t make it for the birth, and at the time of delivery I figured a nurse was catching the baby (though we later learned that there was an on-call doctor present).  2:31am.  I gave birth literally within 5 minutes or so of arriving at the hospital, 2 1/2 hours before her scheduled induction (like her mom, Margaret clearly needed a hard deadline to get the job done!).  Joe and I estimated that I probably had fewer than 12 contractions from start to finish…  definitely the way to have a baby!  Needless to say if we ever are in this position again I may have to prepare myself to give birth in the car!  After such a long wait and dramatic entrance, Margaret Rose was born just perfect, weighing 7lbs 13oz and measuring 20 inches long.  We are so blessed to have this miraculous addition to our family.  Welcome, little Margaret!

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