Wednesday, December 1, 2010
Birth Story! - First Time Mom, Midwife Attended Hospital Birth
Welcome to another birth story Wednesday! This is a great birth story with lots of information for those less familiar with all those birth terms. I also love that it highlights the importance of a great birth team, fantastic doulas, and a partner who is helpful and hard working. Plus, it is nice to see some great hospital births for those who prefer to birth there. Enjoy!
First off, my goal, as long as the baby and I were both doing well, was for a nonmedicated childbirth. To help towards that goal, we hired a labor/birth doula, Ann, as labor support for me and my husband. A doula's presence speeds up labor, reduces mothers' requests for pain meds, increases baby's Apgar scores, decreases postpartum depression, decreases c-section rates, increases mother's satisfaction with the birth partner/husband's support, improves the birth partner/husband's satisfaction with the birth, etc etc. They're awesome. Ann brought along Sue, a doula in training, as well.
Tina, my midwife, told me to call her when contractions lasted at least a minute long and were 3 to 5 minutes apart at least. I woke up at 3:30am on Friday, Nov 7th, and couldn't fall back asleep. I finally realized I was having contractions at 4:15, so I got up and tried to distract myself by putting together a lamp for our living room. However, I was still having them at 5:30, and they seemed to be pretty regular, so I woke up my husband and we started timing contractions. At this point they were about a minute long and 3 to 4 minutes apart, but I was able to talk through them, so I took a shower and we timed again at 6:30. They were still a minute long, but now closer to 2 minutes apart, but I was still able to talk through the contractions, so we didn't know what to do. You're not supposed to be able to talk through active labor contractions. I called Ann, who was also unsure, but told me to call Tina. Tina instructed us to go to the hospital, so we started packing the car and left for the hospital just before 8am. My husband sweetly made me a PB&J sandwich, which I promptly threw up about 10 blocks from the house, during morning traffic. Poor commuters. This was actually a good sign that this was it.
We got to the hospital and checked in, and Lee, the student midwife who's training with Tina, came in and examined me. I was 5cm dilated and having regular, long, strong, contractions that were now difficult to talk through. Ann arrived soon, then Tina and Sue, Ann started helping me relax during contractions and keeping my mind clear between them. One of the things doulas do to speed labor is encourage the laboring woman to change positions frequently, every 20 minutes. First, she had me walk through the halls. That made me puke again, which is a pretty good indicator that labor was progressing quickly! My active labor was from about 8am until 1:30 when I started pushing, just 5.5 hours, which is pretty fast for a first-time mom!
Doulas also help mom move in ways that encourage the baby to position itself correctly for delivery. My son started out facing my left hip, and should have been facing my back, so we tried all sorts of different positions to get him to turn. Unfortunately, my son inherited my stubbornness and independence, and turned to face my front instead. :) This position leads to "back labor", or excruciating back pain during contractions that typically doesn't abate between them. It's just lovely... Luckily, being able to move around helped with the back pain. I didn't want to change positions, but getting into the new one always felt better. I also used the big jacuzzi tub in the delivery room for pain relief - once you're about 7cm dilated, immersion in a big bath of hot water has been shown to be as effective for pain relief as an epidural and it can speed up labor because it helps mom relax. I still had terrible pain in my sacrum (very low back) during contractions, but I actually felt pretty good between them. Counterpressure on my back helped a ton, but my poor husband's back started hurting from hunching over me. Luckily, he had lots of people to jump in when his back got really tired. He also was able to eat lunch while I was in the tub - the doulas and midwives took good care of him. :)
After an hour and a half or so in the tub, I was 9cm and completely effaced. I got out and during the next contraction my water broke. This is when I really entered transition, the shortest but most intense phase of labor, right before you start pushing. For most of my labor, I was pretty quiet, but during transition, moaning seemed to be the thing to do. Apparently something like 90% of no-med women scream during their labor - I guess I'm 1 in 10! For me, transition really felt like (sorry!) I needed to have a bm, but didn't have anything in my colon. Like that nauseated feeling several minutes before you throw up. You want to puke, but you just can't yet. I wanted to push, but I couldn't.
Pushing was the most difficult part for me because of the way my son was positioned. When baby is facing mom's front, the angle of their head and neck means that the part of their head that has to fit through the pelvis is larger than if they were facing mom's back. I pushed for 2 hours. He actually crowned after about an hour or so, but we just weren't getting anywhere after that. Lee decided to do a small episiotomy to try to speed up delivery, since his heart rate had started dropping during contractions now, and that did the trick. I watched my son being born in the mirror, my husband got to announce to the room that we had a baby boy, and he cut the cord.
Lee and Tina are positive that if I hadn't had Ann and Sue encouraging me to change positions and move around, or if I had been unwilling or unable to do so, I would have needed a c-section because of my son's position. He just wouldn't have descended at all. I also think that my pelvis was able to shift and move to get him out partly because I was seeing a chiropractor throughout my pregnancy and my joints were nice and loose. I'm also lucky that I had a midwife who let me push for so long. I'm really lucky that my son and I both physically handled labor well and I was able to have a med-free birth like I hoped for. I also couldn't have done it without my husband. He was with me through every single contraction, and he helped me focus my energy while pushing. I am a lucky, lucky, lucky woman. :)