My husband BK and I found out we were expecting our second child in August 2009. This came as quite a surprise to us, as it took us nearly 4 ½ years to get pregnant with our first son, Landon. This pregnancy came after trying for about 2 months. Go figure....But we were thrilled.
And even more thrilled when we found out Landon was going to have a baby brother.
Two boys. 23 months apart. Heaven help us.
My labor with my first son Landon was long. I went 8 days after my due date, so I made the decision to be induced. I wasn’t dilated or effaced at all at my 41 week appointment and I was done. So SO done. We set a date to be induced at 41+1 day. The day before that, I went in for a prostin gel placement—twice. And then that night my water broke and I headed to the hospital. I was put on pitocin, which basically made me want to die. An epidural brought sweet relief, (until the nurse turned it off when his head crowned and it wore off before the doctor FINALLY arrived…) and Landon was born vaginally after sitting in a hospital bed for 12 hours. He was 9 pounds 3 oz, 19 inches long. I pushed him out in 3 pushes. I know, right?!? I am AWESOME at pushing out babies…
Here's me a few hours before I had Landon. I can't believe I even let my mother take this picture. And I wish that bag of McDonald's food was mine, but alas, it was my husbands. No food for me...
Here's me a few hours after I had Landon. MUCH HAPPIER. Thank you, Wendy's! You're much better than McDonald's could ever hope to be anyway!
Here’s me with Landon: Awwww….
And for anyone who really has nothing better to do today:
Here's part of a video I made for Landon--but mainly just focus on the clip of me at 1:11 restraining myself from flipping off my husband (since I had specifically requested that he NOT video-tape me before I had the baby... UGH!). And also, please ignore my annoying laugh. Sorry in advance about it.
Blah, blah, blah... Landon, Landon, Landon...
So fast forward to my second pregnancy. The one you
actually came to read about.
About 6 1/2 months along
I was worried about having another big baby, but I was absolutely against going over my due date again. It was horrible, but at the same time, I didn’t want to sit in a hospital bed for 12 hours. I knew I couldn’t take the contractions on pitocin. To be honest, mainly I was just DONE being sick and huge and pregnant. I began to look at my options for being induced.
My doctor told me about a method called the
Foley Ball or Foley Catheter.
Basically, they insert a catheter with a deflated balloon on the end of it into your cervix and then pump the balloon full of water. It’s actually the same type of catheter they insert into your urinary tract during labor if you have an epidural, but in this case they insert it in your cervix. The increased pressure it creates simulates the natural pressure from the baby's head, thus resulting in your body producing more prostinglandins. (Prostinglandins are the chemicals responsible for the dilation and effacement of the cervix.) This technique is supposedly a more gentle way than the synthetic prostinglandin gel for giving your body a push in the right direction. Plus, rather than lay in a hospital bed for "an hour" (which from personal experience with the gel procedure--it's never just an hour) the day before you give birth, the doctor can insert this Foley Ball during your regular appointment and send you home.
And because I just KNOW you want to see what this thing looks like:
I decided to try it, and we set a date to be induced—April 22. At 39 weeks. Heavenly.
So on Wednesday, April 21st, I had my final doctor's appointment. I was not dilated or effaced at all. (However, this was not surprising to me, as even at 41 weeks I was not dilated or effaced at all with Landon.) Luckily, despite my "posterior cervix," the doctor was able to insert the Foley Ball. It was a bit uncomfortable to have it placed (much like a pelvic exam), but afterward I didn't really notice it was there, except for the smokin’ hot yellow tube I had hanging out—which they politely taped to the side of my thigh. Just so you know, the thing leaks blood—so I wisely wore pants that I didn’t care a lick about and wrapped the end of the catheter up in a piece of toilet paper. Yuck, yuck, double-yuck.
The plan was that I would report to the hospital at 5AM. My doctor was hoping the Foley Ball would help me dilate to at least a 3 or 4 “on my own.” Then they would hook me up to pitocin and get things really rolling. I was planning on getting an epidural again anyway, so I was fine with this plan. Best case, the Foley Ball would actually put me into labor. If it happened to fall out, it meant I was dilating and that would be a good sign. And I had a few contractions throughout the day, but definitely nothing to write home about.
BK came home from school around noon, and we spent the day cleaning the house and packing our bags. And by "we" I obviously mean BK. Yes, somehow I managed to procrastinate packing for the hospital until the DAY BEFORE. I kept waiting for some sort of nesting instinct to kick it, but it never did—so I finally forced myself to clean and pack the DAY BEFORE. Oh well.
We decided to take Landon to Fuddrucker's for his Last Supper As An Only Child, and Heaven knows I was going to need the carbs and iron. We came home, bathed Landon, and put him to bed. It still hadn't really hit me that in 12 hours or so I would be heading to the hospital to have a baby. My parents showed up around 9:15pm, and we visited for awhile and then went to bed. I decided a warm shower was definitely in order, so I showered and did my hair and laid down in bed to find an episode of something mindless to watch. I checked the clock on my cell phone--12:15am.
Excellent. If I fall asleep now, I can get four good hours in before we have to leave.
And that's when the contractions started.
At that moment I was watching an episode of Seinfeld. I glanced at my cell-phone clock with each contraction, noting that they were about 5-7 minutes apart and lasted about 30 seconds. No big deal.
However, as the Seinfeld episode progressed, my overall ability to concentrate and/or breathe normally started to blur with each contraction. They were still 5 minutes apart, but I could tell the pain was increasing. I put on my ipod in an attempt to block out the pain with loud music and possibly rest for the next four hours before heading to the hospital at 5.
There would be no such luck with sleeping.
While the first song I listened to happened to be “Run” by Collective Soul, my main songs of choice while I labored at home were from the Glee Soundtrack.
Because, let's be honest:
What song could be more motivating to make it through labor than Mr. Schu singing "Gold Digger?"
What song could describe my thoughts more at the time than Finn singing "I can't fight this feeling anymore?"
What song could be more distractingly awesome than Mr. Schu and Kristin Chenoweth singing "Alone?"
And don't even get me started on "Don't stop believing."
I resigned myself to the fact that I would get no sleep, so I decided to go ahead and get on my computer to distract myself. I also decided it would be smart to at least monitor my contractions on contractionmaster.com. I chatted with various people online and read blogs. I wrote
a blog-letter to my son Landon. I googled birth stories. Just ANYTHING to pass the time. I could tell things were definitely progressing though. My contractions were 4-5 minutes apart and lasted about a minute. It was about 1:30am at this point. Another half-hour passed. 3-4 minutes apart. Another half-hour passed. 2-3 minutes apart. I tried moving in different positions to ease the pain during the contractions. I stood, I sat, I laid down. I tried to breathe slowly.
I went to the bathroom, and I decided to check the Foley Ball. It seemed like it was hanging lower. As I investigated the situation (interpret that how you will) I realized the baby had dropped… substantially. My cervix definitely felt… different. Low, thin, and just… different. Not that I really had anything to compare it to in my own experience, but I just knew something was up. I decided to give the Foley Ball a tug. It came flying out. Yes, flying. And just because I know that if you’re reading this, you would want to know: the mucus plug was attached to it when I pulled it out, along with a ton of blood and other disgustingness. I considered waking up my husband to show him, you know, just to make him feel… included. But I decided he probably wouldn’t really appreciate it or ever look at me the same again, so I just threw it away.
I decided to see how the Foley Ball’s exit would affect my contractions, and I wondered if it was the only reason I was even having contractions. My absolute nightmare was to show up hours early at the hospital, only to be told I was only dilated at a 3. I would rather be in discomfort at my own house for as long as I could bear it. I decided that if the contractions were still going strong at 3am that I would wake up BK and head to the hospital.
The contractions continued. 2-3 minutes apart. One minute of pain. At 2:45am I suddenly had a very loud thought in my head: Amy, head to the hospital.
I was 25 seconds into the song “Since you’ve been gone” by Kelly Clarkson. (according to my ipod when I turned it on several days later)- Apparently if your contractions are bad enough that listening to that song on full-blast won't drown them out, you must really in labor--according to my experience anyway.
I woke BK up and we grabbed our bags and headed to the car. Our hospital was right across the street from our apartment complex, so it took a total of about 45 seconds to get there.
We walked into Labor and Delivery and I told them I was supposed to show up at 5am, but that I had been having contractions for three hours. They were really nice about admitting me early and we even got the biggest room on the floor! The nurse gouged me pretty bad putting the IV in. I think I might've lost more blood in that experience than the actual delivery. But soon fluid was pumping into my arm, and the nurse began filling out my medical history. At first I was just a bit uncomfortable with the pain, but soon I became engulfed in it. Simple questions like, "Do you have diabetes?" suddenly became impossible to answer. My contractions were about 2 minutes apart. The nurse decided to (FINALLY) check to see how far dilated I was.
At this point I was fully-prepared to be told I was at a 3. The pain I was feeling was about at the same level I felt when I asked for an epidural during Landon's delivery--which was at a 3, almost 4--about 12 hours before I pushed him out. (I attribute that now to the pitocin I had with Landon's delivery.) She poked and prodded, and I thought--If she's having to try this hard to find my cervix, I really must not be that far along.
"Umm. I'm going to get another [read: more experienced] nurse to check you. Your bag of waters is bulging, and it's making it hard to measure it correctly."
And suddenly she seemed to be in a real hurry, paging this other nurse.
"So I'm not that far dilated then?" I asked, bracing myself for news involving little to no progress.
Her answer completely shocked me:
"I think you might be at an 8 or a 9."
At this point I sort of started panicking. I wasn’t prepared to give birth without an epidural. I hadn’t read any books or practiced breathing or anything else really. (A problem I plan on fixing the next time around—you just can’t really rely on epidurals… you gotta have a plan B!) But I kept telling myself that if I had progressed this fast already, that even though I might've missed the boat on getting an epidural, I might be able to do without. Generally speaking, if you’ve progressed past a 7 or 8, you’ve missed your window of opportunity on an epidural, since they want you to have it before you hit transition labor.
The more experienced nurse came in and immediately deduced that I was not at an 8, but rather a 6.
(insert sigh of relief here)
Thank goodness!
At this point it was about 4:15am and I hadn't slept all night. If they could hurry and get me an epidural before I progressed any further, I would be able to catch a couple of hours of sleep to gain some needed energy for the delivery.
Once I filled out the paperwork for the epidural, it seemed as though it took the nurse anesthetist at least 8 hours to get there. However, when I looked back on the timeline of the whole thing, it turns out it was only 15 minutes- but the pain was excruciating.
Finally the Nurse Anesthetist arrived. She had me sit up and lay across a birthing ball in order to round my back out properly. (When I got my epidural with Landon I was so far gone I couldn't move, and they had to put it in with me laying down.) The added pressure on my cervix from sitting instead of laying added even more misery to my situation. I was quite certain this baby was going to fall out at any moment. I tried to breathe slowly as SHE TOOK HER SWEET TIME putting it in, but I wasn’t very good at breathing slowly, so I started hyperventilating and my fingers went numb. As soon as it was in, I felt immediate relief and I could breathe. And then I could feel my fingers again.. The epidural did make my blood pressure drop, but when they had me switch positions, it fixed the problem.
About half an hour later (around 5am), they checked me, and I was at a 7. I decided to try to get some rest. (BK had no problem whatsoever falling asleep on the couch at this point. But that shouldn't really surprise anyone who knows him. Hence the lack of pictures of me in the hospital…) Around 6am I was almost at an 8.
The doctor came in around 8am to check me. He decided I was at an 8 and broke my water. Basically they insert a crochet hook into your cervix and pop the bag. It doesn’t hurt at all, there’s just a HUGE gush of warm fluid. He said he wanted them to check me again in half hour and if the contractions weren't closer together to put me on pitocin. I probably would’ve argued with him about this, since I was obviously progressing. Landon didn’t react well when I was on pitocin the first time. His heart rate dropped, —but it was necessary with Landon since I wasn’t really having huge contractions on my own. I wanted to avoid putting stress on this new baby if it wasn’t necessary, so I was a little nervous about having to tell them I didn’t want the pitocin. I forgot to discuss this with my doctor previously. Oops.
The nurse checked me around 8:45am, and I was fully dilated. Pitocin wouldn't be necessary. Yay! They paged the doctor. Time to push!
The nurse had me give a push to see if the baby was going to move at all. She had me stop mid-push, as he was moving quite fast, and we were waiting for the doctor. Soon the room filled with nurses waiting to help. At 9:15am the doctor said he was on his way and to go ahead and start pushing. I pushed 3 or 4 times, and Spencer's head crowned right as the doctor walked in. He scrubbed up just in time to catch the baby--at 9:20am. (Like I mentioned before—I may suck sometimes at GETTING pregnant, but I am an AWESOME pusher.)
Spencer immediately gave us a good cry. They plopped him onto my stomach while they checked his heartbeat. This was new to me, as Landon was born blue, and so they had to rush him off to get him to breathe. I really enjoyed getting to see Spencer RIGHT as he was born. I hadn’t previously known just how slimy and bloody a newborn really is. But I also hadn’t previously known that I wouldn’t care at all and that I would think he was still the most precious creature in existence.
My first thought: He's so small!
My second thought: He looks just like Landon.
Spencer was surprisingly spunky. He came out with his eyes wide open and screamed quite loudly while he was being examined. BK tells me he tried to roll away every time the nurse touched him. They weighed and measured him.
7 pounds, 5 ounces. 19 inches.
They brought him to me. He couldn't have been more perfect. And to make things even more perfect, he latched right on to nurse. The nurse left us alone for a little while. I felt great.
Speaking of feeling great, can I just say that I know now with a certainty that my epidural with Landon had almost totally worn off when I pushed him out?? (The nurse turned it off when his head crowned, thinking she was making my recovery easier, but when they couldn't find the doctor, by the time they did, it had started to wear off...) My epidural this time was perfect. I felt pressure, and I could tell when I was pushing. I could move my legs and even put my body weight on them to move around, but I felt little to no pain. BK was shocked as to what a jovial mood I was in while pushing Spencer out, as compared to the hyper-ventilating mess who pushed Landon out.
I felt so blessed that my induction went so well, as sometimes they can be nightmares. My labor was quick and relatively painless and everything else I could’ve asked for. I definitely recommend a Foley Ball-induced labor as opposed to a prostin gel/pitocin-induced labor. So much quicker, so much less of a shock to my body--at least in my experience. Another plus? It's cheaper. The doctor can do it at your regularly-scheduled appointment. When you get induced with gel, in most cases you have to go to the hospital the day before actually getting induced to have it placed--which equals a lot more medical bills. And who wants more medical bills? NOT ME.
I delivered the placenta quickly. The doctor stitched up my first and second-degree tears. I had torn in the same places I had with Landon—nothing major though. In fact, the doctor said I didn’t actually even need the stitches, but I asked him to anyway.
I recovered very quickly, and we left about 24 hours later.
And Spencer is an awesome baby, and has fit into our family just perfectly.
Here’s to hoping for a girl next time…