Monday, January 24, 2011

Claire's Birth

As promised in the last blog - here is the story of Claire's birth!


I was due June 20, 2010 - however Claire had other plans. I spent a lot of time trying to do stuff to induce labor (I was mowing the lawn the night before I was induced!), but nothing seemed to work! At my appointment on June 16, we scheduled an induction for Monday, June 28, with a pre-induction ultrasound planned for the Friday before, on June 25. The point of the ultrasound was to check amniotic fluid levels in order to make sure that everything still looked good in the womb since we were going over 1 week past my due date. On that Friday I had every intention of going to work after the ultrasound, so Grant and I drove in separate cars to the appointment. Every night of the preceding 2 weeks before leaving work, I made sure that my desk was clean and that everything would be in order in case my water broke that night. So at least I didn't have anything to worry about work wise when I went on maternity leave!


Back to the appointment - at the ultrasound appointment, Dr. Mills (who ultimately delivered Claire) determined that my amniotic fluid levels were too low to wait until Monday to be induced. So she sent me downstairs to my primary OB and she agreed to send me over for the induction on Friday. Because we had driven 2 cars and wanted to get everything in order at home (feeding the cat / cleaning up the master bedroom for Grant's parents), we decided to take our time getting the the hospital. They said we needed to be there by 11am after we left the Dr. at 9:30 - and we pushed it to the minute. We stopped and got lunch (I knew they wouldn't let me eat once I got hooked up to an IV) and slowly made our way to the hospital. Not that I'm complaining - but I will say that I was somewhat disappointed that I didn't have that, "Oh my gosh - my water just broke moment!" Either way - we made it to the hospital by 11:00 and I was hooked up with pitocin right away. Around 1pm, my water was broken and the show was on the road. Immediately after my water broke, my contractions went from mildly uncomfortable to intense pain. I don't know if that was because of the Pitocin, but it was intense.


All along, I had really wanted to have Claire naturally. I had read books, taken a birthing class, etc. The intensity of contractions definitely makes time fly by. Before I knew it, it was after 7:30pm. At that point, the Dr. came in and checked to see how far I had dilated (bear in mind that I walked into the hospital already 3 cm dilated and 80% effaced). After 8 + hours on Pitocin I had only dilated 1 1/2 more cm to 4 1/2 cm! I was SO discouraged and wasn't sure how much longer I could manage the contractions on my own. Grant was supportive the entire time and was going to let me go as long as possible and didn't even bring up the idea of an epidural until I did.


Around 8pm I told him that I didn't think I would be able to make it all the way to 10cm on my own and that I thought I wanted an epidural - He was OUT THE DOOR in seconds telling the nurse that I needed her! Right around that time was the shift change so I had a new nurse come in and start me on fluids that I needed prior to getting the epidural and she was SO happy and chipper just starting her shift. I think I literally told Grant that if she was that happy the entire time I may kill her! ;-) After the pain was gone, she was awesome and I don't know how I could have thought that about her!

By the time I got all of the fluids required it was close to 9pm when the anesthesiologist came to the room to give me the epidural. I thought I would be so scared of the needle going in my back, but by that point I was so ready for it, I didn't care. I was told by the nurse (and it was caught on video) that I was coping very well for someone waiting for an epidural. The relief was instantaneous at first. Then after about 15 minutes the pain came back on my right side. I tried flipping to get the meds to spread out, but it didn't work so we had to call the Dr. back in. He adjusted the epidural and by 10:30pm I finally was out of pain. I could still feel the contractions and the tightening of my abdomen (which I'm glad for, I wanted to know when I was contracting) and I was still able to move my legs on my own, the pain was the only thing gone. For all I knew, I could get up and walk (although I'm sure I would have fallen over!). After 11 hours of pain, I told Grant that I thought I would try to sleep a little bit. Right before I went to sleep they checked me and I was only at 5 cm and still only 80% effaced. I put my Ipod in and listened to some Jim Brickman and slept for about an hour and fifteen minutes.


When I woke up at 11:45pm something felt different. I was like she had moved and the contractions felt much lower in my abdomen. I looked at the clock and because it was so close to midnight I decided to wait to call the nurse since I knew that if I had Claire after midnight I would get an extra night in the hospital (I know - that's terrible!). I woke Grant up (who had been napping as well) and told him that I thought it was almost time to push. At midnight I called the nurse and she came in to check me. In only an hour and fifteen minutes, I had dilated another 5 cm to a complete 10 and was 100% effaced. For someone that wanted to do it naturally, it was like the epidural allowed my body to fully relax and Claire was able to move down and into position without my body fighting her.


At 12:20am I started pushing. The first few pushes with having an epidural were hard to do because I couldn't tell how I hard I was pushing. I asked them to bring in a mirror so I could see progress and that made all the difference. Around 12:45am the mirror came in the room and my pushes really started to work. I did have to use some oxygen since Claire's levels were getting lower when I was contracting, but I was told that was somewhat normal. I could see Claire crowning and at one point the nurse had to tell me to stop pushing because the Dr. wasn't in the room! How do you expect a laboring mom to not push?! That was the hardest 10 minutes of waiting until the Dr. came in the room. Dr. Mills was on call that night and was there by 12:55am. After she was there, it took about 5 minutes for another contraction to come (of course when you want it to come, they wait!). Then, it only took 10 minutes of pushing with her in the room for Claire to come out at 1:10am. Overall it was seamless. I think the time that they made me wait before Dr. Mills came to the room allowed me (sorry for you guys) to stretch out and not have any significant tears. Immediately after she was born she was put on my chest. Her cry was very "croaky" as I'm sure she had some fluids in her lungs, but she was absolutely perfect. I was able to hold her for about 5-10 minutes before the nurses took her from me to fully clean her up, which was amazing. Then they brought her back to me and she nursed for the first time. She weighed 7lbs 10oz and was 20 inches long.


They pulled the epidural almost immediately and I was up walking within an hour! I don't know why I didn't want an epidural to begin with! :-) However, I can't say I wouldn't do it the same way the next time around. I'd like to see if I could do it naturally and maybe if my water breaks on its own next time, the labor will be more gradual and not zero to 100 in 2.5 seconds because of the pitocin. But that's still a couple years away at least!


Because Claire was born in the middle of the night we stayed in the delivery room until around 7am when we were transferred to our room. After that - the fun really began. Claire nursed well the first couple of times, but after that she struggled with getting a good latch. The nurse I had the first day was very kind but she wasn't very hands on - my second nurse was exactly what I needed! She grabbed me, was very vocal in teaching, and helped get Claire latched on. I did have to use a shield for the first 2 weeks or so until Claire got a hang of it, but she did and eventually realized she could milk faster without the shield. I mentioned earlier that I wanted to have Claire after midnight so it would give me an extra night in the hospital. I am SO glad that happened because Claire's second night was by far the hardest! My milk hadn't come in fully and she wasn't latching well so we struggled with each other for hours! I finally gave in and gave her a small bottle of formula. So for you moms that want to breastfeed - if you have to give a couple feedings of formula to start out with, don't worry about all the nipple confusion worries, etc. Your baby will prefer your milk once it comes in. I can say that logically now, but at the time I was emotional and hormonal and shed many tears thinking there was something wrong with me.


We went home from the hospital on Monday afternoon and when I got home, I took a nap while Grant took care of Claire. During that 2 hour nap - the miracle of all miracles happened once I was home and relaxed and in my own environment - my milk came in! So much so that I had to pump to relieve myself - especially since Claire has always been (and still is) a baby that refuses to eat if she is not hungry. I couldn't count on her to take care of the pressure for me. My parents brought us dinner that night and it was so good to be home.


The first few nights at home went well. She slept 4 hours the first night home from the hospital and her weight was great at her 2 day after leaving the hospital well check. At 2 weeks she had gained more than 1 pound from her birth weight and was almost 9 pounds!


The toughest times of taking care of Claire were from about 4 weeks to 12 weeks old. She went through a definite colic phase and would cry for hours at night! She would eventually wear herself out and always slept well, which definitely helped me cope with her crying. Around 8 weeks, we were told by our pediatrician that if we wanted to, we could wean Claire of her evening feeding since she was already over 12 lbs (90th percentile) at her 2 month appointment! I thought that I would for sure have a tubster on my hands, but her feeding eventually tapered out and she is now in the 50th percentile for both height and weight. I handled the weaning and sleep training for the most part (although Grant helped support me when hearing her cry became difficult for me) but it was totally worth it! We now have a great sleeper and all the reading of methods and opinions online was worth it. I think that I wound up employing a modified version of the "Ferber Method" in the end. I probably read too much about what babies due during the first few months, but I figured the more educated I could be, the better mom I would be.

Claire is now almost 7 months old and she is crawling everywhere. She entered the fun phase around 5 months and so much fun to be around. Her laugh is contagious and although she is strongwilled and stubborn, I'm convinced she is equally smart! It is crazy that she is already so old and I'm sure the next 18 years will fly by!











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