Friday, January 31, 2014

welcome to the world, sweet boy

Here is the story of how our little boy made his appearance into the world.  I hope to write more later...but here is this portion!


My Sweet Jason,

Here is the story of how you came into this world.

I must write a little bit of a foreword on your story.  In November I had scheduled Sarah’s well-child check but Dr. Babcock rescheduled because her son had HIS baby and she went to go be with him.  So, we re-scheduled for Monday, January 6th.  In the meanwhile, throughout December I was having to watch my blood pressure because it was registering slightly high.  Nana and Doctor Nelson weren’t super concerned but I did go in a few times for an NST to make sure you were okay.  And you were active and healthy as ever.  So, a week before Sarah’s appointment Dr. Babcock called again to reschedule.  I had an appointment already for me on Thursday the 9th so I scheduled it right before mine.  I had prepared Sarah that she might need a shot and she assured me she would try to be brave.  Well, she didn’t need a shot but she did need a quick finger poke to take her iron count.  And she was SCARED!  It took quite a bit of wrestling and talking and convincing and finally prying her finger away from her hands so we could get her blood pulled.  It was awful.  I was a mess afterwards.  I had been pretty stressed about making sure we would make it to the hospital in time for you.  I also was having lots of labor symptoms in the previous days…so I was on edge already.

After we finished with Sarah’s appointment I was pretty worked up.  And when it was my turn to go see Dr. Nelson and they took my blood pressure it was 130/100.  Dr. Nelson said that my body was not overly ready for any impending labor…I was 1cm dilated, 40% effaced, and at a -4 station…meaning totally no baby coming soon.  But when it was time for me to leave she took my blood pressure again and it had not gone down – even after resting for a bit.  Dr. Nelson thought it would be good for me to get another NST at the hospital.  It was pretty special to get an NST that day because Nana was working and the hospital was pretty quiet in l&d.  So, there I went with your sweet sisters.  I had a small premonition that I would be spending more time than I thought so I brought lots of snacks and things for the girls to do.  We had the tablet and charger, my phone, coloring, lunch boxes, and other goodies.  I brought my hospital bag and car seat for you also.

When I arrived, Nana ushered me into the ‘big room’ 713 which is a corner room that is extra large.  I laughed and told her she was going overboard because I probably would get sent home.  But we snuggled in and Moly was our nurse.  She hooked me up to the monitors and to the blood pressure cuff.  I was quietly praying that somehow we’d be able to stay and I could be induced because I was so worried we’d never make it to the hospital in time otherwise.  The ferries don’t run at night and we didn’t make it with Allison – I didn’t want to do that again.  So there I was hooked to monitors and somehow I was completely blessed with what happened.  Each time the blood pressure cuff would take my blood pressure, I would have a pretty strong contraction that would elevate my blood pressure.  It was kind of funny actually.  I had no contractions prior to arriving at the hospital but as soon as I was hooked up the contractions grew stronger and stronger.  (I had had some pretty strong contractions the night before but they eased up after a long shower).  So there I was – registering high bp readings and having contractions that were coming every 4-5 minutes.

 

Around 2pm, the nurse in charge (Debbi) told Nana she should just take off from work.  The charge nurse knew (as did Dr. Nelson and all the nurses) that I really wanted to be induced (I was scheduled to be induced on Sunday evening anyway, but they could not induce any sooner than that without major medical reason) so she kept a very close watch on my BP.  She came in after a while (an hour?  Two?  I can’t remember) and said that she put in a call to the Dr on-call to talk about my options since my bp was not stabilizing.  Dr. Spiro called and expressed concern that my BP was not simmering down.  He asked if I thought it was due to anxiety.  I told him I thought at first it could be but really as I was relaxed at the hospital in a safe place with my mom that I was calm and not feeling overwhelmed that it should have gone down by then.  (I think at one point my BP was as high as 153/110 if I remember correctly)  Dr. Spiro said he didn’t think it was safe that to stay pregnant any longer and that an induction was the safest choice for us.  So he said that night he would place a suppository near my cervix to get it ready and dilated for delivery in the morning (using Pitocin to induce contractions if necessary).  The great part was that my Dr, Dr. Nelson, was scheduled to do deliveries that next morning so we would be able to have her deliver you!  Dr. Spiro hung up then and I promptly called dad at work to let him know I was being induced.  I wanted Dad to be there when they placed the Cervadil because I was scared and nervous and anxious about what would happen – I’ve read it can make you crampy and uncomfortable.  And frankly…you were getting closer to coming and I was excited and scared all at the same time!  While all this was happening my contractions were still coming steadily at 3-5 minutes apart and were getting a little stronger.

Nana left then with your sisters once we knew that Dad was on the ferry over to see us.  As a side note, we were due for a major wind and rain storm that weekend.  Dad arrived and we were so happy to be together.  Dad was excited because he knew how scared I was that we’d miss our ferry if you decided to come at an off time.  Dad was also happy just to be with me…and soon to be with YOU!  The Dr came in at that point, since he was due to place the Cervadil soon, to tell me he couldn’t place it because my contractions were too close together.  He gave me a few options – we could wait and see what my body does, they could give me Pitocin to kickstart big time contractions, or we could wait a few hours and place the Cervadil if my contractions slow down.  I opted for the third suggestion.  We would just wait it out and see where it would lead us.  After Dr. Spiro left we asked if I could walk around for a while.  So the nurses unhooked me and I got to do some laps around the hospital floor.  Dad and I walked lap after lap, hand in hand, giggling at our little jokes, examining the minute details of the laminate floor, and I panted through a few pretty strong contractions.  I was getting uncomfortable and tired and I had to pee so we stopped walking.  The nurse (Toni, LOVE HER!) came in and joked about how we were quitting our laps early.  I smiled and said I was getting tired. 

So, I settled back into bed, and rolled to my side.  Dad and I were just talking and laughing and killing some time when all of a sudden it felt like you’d karate chopped me big time while also my whole insides felt jarred.  It was a crazy feeling – super intense.  I looked at Dad and said, ‘I think my water just broke!!’  I was in shock – and scared.  ‘Should we call the nurse?!’ I exclaimed to dad – and he was calm as can be (or seemed so) and said yes.  So I pushed the call button and Toni came in.  I said I thought my water had broken.  Toni called Dr. Spiro in and he checked me.  He said, ‘I don’t think your water has broken but you are dilated to a three so that’s good’ as he moved his hand away, sure enough, there was a huge gush of fluid – gross, yes – but there it was.  I was staying (did I mention through out all of this I was somehow convinced that I would get sent home and that this wasn’t real) until you were born for sure now! 

After my water broke I started to panic a little bit since it was so much more real.  Nana was on her way and we expected her around 9pm.  I needed antibiotics for a small infection I had so that you wouldn’t get sick after you were born.  I knew that when my water broke with Allison I didn’t have much time before she was born.  So I was anxious to start the medicine. 

Because my anxiety was so bad regarding the pain and the impending epidural my nurse gave me some medicine through my IV that made me a little goofy.  Once I got it I got the giggles and couldn’t stop.  Dad was laughing too…he’s never seen me so silly.  I remember thinking I was floating – I could still feel the pain but it made me a little more calm and I was breathing more normally which was good for both of us.

Nana arrived soon after I started to get the antibiotics and that’s when my contractions started to get very very painful.  I read a lot of birth stories before you were born, Jason.  And I never planned on going through labor without medicine to take the pain away but I remember reading the stories of women who did.  Most of those women did a lot of powerful breathing.  And so I breathed through those contractions while I held on to Nana’s hand and Dad’s hand.  I remember staring at Daddy’s face and getting lost in his eyes.  It was so very helpful to have a man whom I knew loved me more than anything to help me through this pain.  And the reward to getting closer to meeting you was so beautiful! 

I was in line to get an epidural from the anesthesiologist.  The anesthesiologist on call that night was actually the same doctor that gave me an epidural when I delivered your big sister Sarah!  I was a wreck.  I was so scared.  I knew I needed to stay still while he was inserting the needle into my spine.  And the pain was so great with each contraction I was scared I would wiggle and mess up his concentration and needle insertion.  Well, I hunched over and Nana rounded my shoulders and breathed with me.  Dad held my hand and helped me focus.  And guess what?  The needle in my back was not bad!  It stung a little when he put the numbing needle in first but then it was okay.  And I did have a few contractions while he was putting it in but the breathing worked and I did it.  After the epidural the pain was so much better. 

While the pain was so much better – the contractions I was having slowed WAY down and were not as strong.  And the scarier part was that your heart rate would drop really low when I did have a contraction.  Nana and my nurse were very careful in trying not to alarm me but I could sense there was an underlying panic.  Later, Nana would tell me that she was praying (and I was praying a LOT through out because I was scared too) that I would hurry up and dilate so you could be born and then you would be okay.  She knew you had the cord wrapped around you somehow, in fact she thought you’d be all twisted up in it given how bad your heart rate would drop.  The nurse would keep rotating me from one side to the other to try and get your heart rate to maintain but each contraction made it drop again.  Finally, once I was far enough along in my antibiotics the nurse started me on Pitocin to get my contractions stronger and closer together.  They start the drip out very slow (it’s numbered so I started at a 1) and gradually increase it as time goes on.  I only got to a level 3 drip before I was ready to push!  I remember the nurse and Nana were standing at the foot of my bed.  I had dilated to a six and we needed me to be a 10.  So, they let the Pitocin do it’s job…and they watched your heart rate drop over and over with each contraction…and I kept saying, ‘oh! That’s a good one!’ because they were getting stronger and stronger even through the epidural numbness!  After about 20-25 minutes Nurse Toni decided to check me because I was feeling a lot of pressure – and lo and behold, in the manner of both of your sisters, I dilated super-mega fast once I got going!  I was complete and ready to go! 

The hustle and bustle of getting the room and bed ready for delivery began at that point.  I noticed a few nursery nurses came in with a machine (I still don’t know what it was) and Nana introduced them to me.  Well, I knew one nurse, Carla and the other nurse was named Peggy.  I asked if they normally came in for deliveries because it seemed weird and Nana assured me they did.  Later she admitted that they were called in because of how low your heart rate was dropping and they didn’t know what they were going to find when you finally arrived.  They were there just in case something was wrong with your breathing or anything really. 

The nurse told me I could try pushing real quick.  The doctor was not there yet and I asked, “Are you sure?!”  I think I gave a quick push and she told me to stop that we could wait.  So the Dr arrived and I got ready to push, push, push for you!  And that’s really all it took – 1,2,3 pushes and you were out.  We have a tradition in our family that Daddy announces what the babies are, boys or girls.  So, once you were out I waited for him to announce whether you were a boy or a girl.  I remember the look of joy on his face.  We were excited either way about a boy or a girl – but I knew Dad would love to have a little boy to call his.  The look on his face said it all, he was beaming!  He said, ‘We got our boy!’.  I haven’t felt that kind of joy in a long while…since your sisters were born.  Once they set you on my chest I felt love at first sight.  Oh my gosh.  It was instantaneous.  We waited a long while after Allison was born to have you, Jason.  And my heart was full as soon as you entered this world.  You were so quiet when you were born.  I was so worried still – even with such joy in my heart.  I kept wanting to tell the nurses to rub you harder or take you away so you could be stimulated enough to cry.  I was desperate to hear you wail.  Nana said you had the cord wrapped around your neck and that’s what caused the heart rate scares.  I wanted to make sure you were healthy and full of vigor!  And soon enough you did start to cry.  It was nothing like the cries of your sisters – although they were also a little quiet when they were born…but you seemed so calm.  Like you were saying, ‘It’s cool, Mom.  I got this.  Don’t worry.’ 

No comments: