Neola’s Birth Story

14 May

Neola Bethany was born on May 12, five days before her due date of May 17. She was 8 lbs 4 oz and 20 inches long, with a full head of hair like Annabelle and Corbin.

This time around, I decided to do an elective induction. Corbin was 8 lbs 15 oz at 39.5 weeks, and even though we knew we were having a girl and boys tend to be bigger than girls, subsequent babies tend to be bigger too. So to avoid a bigger baby, and be able to arrange childcare for our other kids easier, I was induced.

We were told to arrive at the hospital around 7 AM. We were moving slow the morning of the 12th, so we got there closer to 7:30. The birthing floor was really quiet that day, so the nurses were expecting us, and showed us right to our room.

First, we talked about the plan with my nurses, Jess and Katy — I was Group B Strep positive, so needed to have antibiotics started first thing. I was already dilated to 2 cm at my last OB appt so was hoping that the doctor would break my water first to see if that would start things without Pitocin. If not, then we would start Pitocin. While the antibiotics got going, Katy got us checked in. I watched part of a Burn Notice episode on my phone while waiting for the OB on call, Dr. Senica, to arrive.

At 9:15, Dr. Senica attempted to break my bag. It was tough apparently, and he tried a few times before saying he thought he nicked it. My antibiotics had a little bit longer to go, and while I sat there in bed, I felt some leakage, and discovered that indeed, my water had broken. After the first round of antibiotics were done, the nurses unhooked me and Travis and I walked the birthing floor for a while. I ate some Jello, sat on the birthing ball a little, then they hooked me back up to monitor baby and contractions for a bit. Nothing much was happening, so I walked around some more.

By 12:15, things still weren’t happening, so we started Pitocin with my second round of antibiotics. Travis ate lunch. I was super hungry, but apparently, they don’t let women in labor eat anything but a clear diet anymore in case of emergency c-section (sad day!).

Before the Pitocin had had a chance to kick in, I had a few real contractions so things had started to pick up a little. With the Pitocin, I started having contractions more consistently, and they were getting stronger. At 1:15, they increased my Pitocin to 4. Once they were satisfied with seeing baby’s heartbeat during contractions (now 3 minutes apart) and had checked my cervix (now dilated to 4 cm, 75% effaced), I decided to labor in the tub for a bit. The contractions were strong enough that I had to stop talking and breathe during them, but felt pretty normal otherwise.

After 30 minutes in the tub or so, I decided that the contractions were strong enough to warrant nitrous oxide. So I got out of the tub, got back in bed, and started nitrous oxide around 2:30. Travis got my music going on the bluetooth speaker.

By 3:15, I was starting to feel a lot of pressure, and the pain was getting to be incredibly intense, so I asked to be checked. I was 7.5 cm and almost fully thinned out. My nurse Jess said she thought I would be ready to push soon, so she asked the front desk to nurse to page Dr. Senica. “Tell him she’s at 7.5 cm and feeling pushy.” This was also the point where I started questioning why I had thought it would be a good idea to not get an epidural. Jess said she could start the liter of fluids for an epidural, but she didn’t think I would make it (it takes at least 45 minutes). The point of no return.

Contractions got incredibly intense from there. They were 1-2 minutes apart, lasting for a minute. I kept my eyes shut the whole time, and was in the zone. I shifted in bed from sitting cross-legged to hanging one leg off the side so that Travis could massage my lower back during contractions. The pain radiated through my lower back to my sides and hips.

For the most part, the nitrous oxide really helped to take the edge off the contractions, but as I entered transition, and got closer to pushing, the nitrous actually felt like a burden to hold, and I was groaning/moaning so much during them that I couldn’t breathe the gas in, so I ended up not using it a ton. I did use it a little between contractions.

At some point, I started feeling a lot of downward pressure, and was starting to scream a little at the pain, so Dr. Senica came in. He checked me and said I was still right around 8 cm (if he stretched it), but I was in such an incredible amount of pain, and feeling so much pressure during contractions, that I think he decided to stay and help baby along. Having to bend my legs into the stirrups with that pain in my sides and back — oh man, it was absolutely horrible. Suddenly, so many memories of my other birth sans epidural came flooding back. And just why am I doing this again!?!

During the next few contractions, Dr. Senica tried to help my cervix dilate those last few centimeters so that I could start pushing. He had me gently push with a few contractions too, and then he said I could go for it. I have never felt that kind of pain. I think because this labor went so much faster than with Annabelle (my other unmedicated birth), it was that much more intense. I was screaming my head off, with the nurses and Travis holding my legs up (because I just wanted to straighten them from the back/side pain), everyone in the room telling me I had to push now, and I could do it, and hold my breath in and bear down with everything I had, and I felt completely confident that the description I used last time — that it feels like you’re taking the biggest poop in the world and it’s tearing your insides out along with it — was 100% accurate. During contractions, I wanted to cry because I just wanted to pain to be over, but it wouldn’t be over unless I just pushed through it.

As I bore down during contractions (Travis wrote down that I pushed 8-10 times), there were points where my body just took over and pushed for me, which is kind of cool when you think about it that the body knows what to do, but it also makes me feel out of control and scared. Finally, baby’s head was out. I had to take a break though — everyone kept telling me, “The head is out. You need to keep pushing.” After a break, I did it. I screamed louder than ever, and it was SO incredibly painful there are not even words to describe it, but FINALLY baby’s body came out. Neola was born!! She came out crying right away. Like last time, I laid there for a while completely dazed and saying “Holy crap. Holy crap. Holy crap.”

Dr. Senica clamped the cord, then had Travis cut it. Neola was completely covered in vernix, so the nurses toweled her off a little before putting her on me skin-to-skin. (I still got completely covered in the sticky white stuff.) Meanwhile, Dr. Senica was pushing on my stomach to release the placenta. One more push from me, and the placenta was out. I asked Dr. Senica if I had torn — he said there was one small nick, but that if he could stop the bleeding with a little pressure, I wouldn’t need any stitches (and he was able to, so yay!) The nurse took baby’s vitals while the rest of them cleaned up the birthing mess. I asked to get some pain meds for the afterbirth pains, because with Corbin, they were intense.

After a little while, I handed Neola to Travis so that I could eat my dinner. With just the baby blankets on, she ended up getting too cold (body temp was down to 97 something). So they brought her back to me for more skin to skin. She started moving her mouth so I tried nursing her, and she did latch a little that first time.

By 6 PM, Neola’s body temp had stabilized enough that they were able to weigh her, give her a bath, the eye drops, etc. Then I took a short bath to soak my bum, which felt amazing.

Between 6 and 9 PM, it was a cycle of checking mom’s and baby’s vitals, seeing if Neola would nurse (she wanted to suck on something, but wasn’t latching), and me eating. I ate 2 personal pizzas, 2 bowls of fruit, a brownie, a chocolate pudding, and a fig bar.

A little after 9 PM, my night nurse, Heather, brought me a stool softener and more pain meds, and then we tried to go to bed. Travis walked Neola around the room for a while, but she wouldn’t settle, so I took her and tried to nurse. She wasn’t interested — she was spitting up amniotic fluid — so I just held her upright in the chair for a few hours, and she slept well that way.

During the night, I showed Heather that Neola wasn’t latching, or that she would latch but then stop sucking almost right away, and she ended up bringing me a nipple shield to use, which helped a lot. Neola was still sleepy enough that she wasn’t interested most of the time, but it did increase her sucking when she was interested.

Unfortunately, the combination of Tylenol 3 every four hours and Ibuprofen every eight wasn’t enough to keep on top of the afterbirth pains, so I ended up cramping quite a bit during the night. But Heather brought me some heating pads, and those really helped a ton. I had her reheat them probably half a dozen times.

Travis took a shift with Neola during the night, and toward morning, Heather helped me do skin to skin again in bed with Neola, and she slept contentedly that way for several hours (which meant mommy got some sleep too!). That is a sweet memory with my last little newborn.

Just before 7:30 AM, Heather introduced our new nurse, Amber. Then the pediatric nurse came in (I was nursing at the time, so she came back a little later), as well as the OB on call. They all said that as long as baby passed her 24-hour tests, and we scheduled a follow-up with our pediatrician for the next day (because of my being Group B Strep positive), we could go home at 24 hours.

We ate breakfast, Travis took a quick shower, and then around 11 AM, Travis left to meet the kids and his mom at a park (they were all missing us), and get coffee from Caribou. I tried to rest during that time, but Neola wanted to nurse. After he got back, I downed my coffee while the nurses took Neola’s newborn photos, and then I laid down for an hour or 2. I didn’t technically get to sleep (too much commotion in our room), but I was 80% out of it. Then Neola wanted to nurse again.

Around 3:15, Travis was napping, but I woke him up to take Neola so that I could shower and pack before 4:03, which is when the nurses were going to come do Neola’s 24-hour tests. While they did her tests, Travis ran a load of stuff out to the car. By 4:45, all the tests were done, and we were on our way out to the car to head home with our newest little. By 5:15, we were home! Big sisters ran outside, ecstatic to meet little sister. So sweet. My heart was bursting.

And that’s Neola’s birth story!! More details to come in her weekly updates.

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