August 31, 2004 -- Background: We moved to Michigan 5 months after Nicolas died, and i became pregnant with C in December of 2003, so 9 months after he died. We had been initially planning to wait longer -- at least the full year -- but i guess we changed our minds, ahem. Anyway i had a new doctor, Dr. B, who was very kind and understanding and willing to follow my lead as far as things went. I credit him with keeping me as sane as possible throughout my pregnancy...it is very important to have a good doctor through a sub pregnancy!
Well, everything was normal with this pregnancy also. I did kick counts religiously this time (nobody ever told me to do kick counts before), and went to l&d to be monitored every now and then when her counts were low or something. Like all of them, she had a definite personality in utero and was a big mover (thankfully!). Dr. B did not want me to go past my due date so i knew that i was going to be induced unless she came on her own. There was some bickering about the due date. I knew the date of conception but i had had a late ovulation so her actual gestation age was a week behind what it should have been from LMP...and the early ultrasound gave us a date squarely in the middle of those two. Still, Dr. B said to keep the date from the LMP because it would be easier to schedule the induction.
So they would have induced me any time after the 38-week mark by LMP, but since i knew it was really 37, i held out for a week more and we were induced at 39+2 (byLMP), on a tuesday.
I had been trying many things to get her to go out by herself, because i did not want to be given Pitocin if i didn't have to. I was going to try for the natural labor again and i thought that if i had the pit drip i probably would not make it. But none of the old wives tales that i dared to try budged C a bit.
My mother came for her birth. This was a bit different than before -- when i was expecting Nicolas she refused to plan to come see him when he was born, and also did not come to his funeral when he died. There was a question of money but there was also a question of some fight that had happened the one time she visited us in Paris -- after which she swore she would never come again. So she did not. But when i found out i was pregnant with C i told her that i would like her to come for the birth, or the funeral if the baby died. Okay, at the time i did not exactly mean for mom to be in the *delivery* room but somehow she took it that way and that became what we planned.
So, we went to the OB's office on monday and they stripped my membranes, and talked about our plan for the induction. I asked that they break my waters first to see if that was going to be enough to start labor. Dr. B agreed -- he said he would break the waters and give it 2 hours, because if labor did not start by then it would not start at all, and then we would proceed with the pitocin. But, he said, labor may start because we stripped your membranes. (which was what i was hoping).
We got home that night and i went for a long walk with mom, thinking this would start things up. In fact i was having contractions fairly regularly. I was all excited, walking around, timing things. It seemed like they were regular around 11 pm. 'Wake up', i said to dh, 'the contractions are regular!! I want to go to the hospital!!' He turned over and said 'Lay down and relax, maybe they will go away...' and he fell back asleep. ARGH men. But i thought he might have a point, if it wasn't really labor i did not want to be in the hospital -- so i had better check. In fact, i laid down and they went away...so i got a few hours sleep.
We woke up at 5:30 or so, we wanted to be at the hospital by 6 -- first in line for my induction!! We were first in line, actually. 'We' means my mother and myself. 'What a husband you have, i cannot believe that you had to drive *yourself* to the hospital to have a baby and he is home in bed', she said. Well, mom, if he had come with me, who would drive A to school at 8? (My mom was too freaked out to do it so dh had to). They monitored me in triage for awhile (C's heartbeat strong, me with not a ghost of a contraction left) and then by 7:00 they brought us into the birthing room. Now *that* is first thing in the morning, thank you very much.
C's room was mauve -- but it was a pretty mauve. Gentle on the eyes. There was a cubbyhole where i put all my stuff (i had smuggled in juice and cookies, in case things took some time to get going, since they refuse to feed you anything but those stupid ice chips). There was a nice window, with a view of...the parking lot. But it was a pretty, bright day, and we watched all the people going back & forth from their cars. There was a tv -- at this hospital there is a tv in front of every bed, in every room. 'Keeps the natives quiet', said dh.
The nurse came in and said 'let me start your IV and then we will put up your pit drip'. 'NO!' said my mom and i in stereo. I explained that they were going to break my water first, she said okay then, the resident will be in to do it soon. I didn't really want it done before dh got there, but i didn't have to worry, since 'soon' was a good hour later. They broke my water around 8 am. The resident had evidently failed to read my chart as she greeted me with this cheerful bedside manner suitable only for dealing with complete airheads. "Are we ready to have this baby today!" I think the look on my face was 'what the HELL have you been smoking lady'. Contractions started almost immediately after the water was broken, and dh made his appearance shortly thereafter. At the time i was dickering with the nurse and some other resident about whether i had to have continuous monitoring or not. They did an initial strip and i made her take it off so i could walk and help the labor proceed. But the resident, wary of lawsuits i suppose, wanted continuous monitoring because 'we did not see any heart accelerations of the baby'. 'We look for two things', said the nurse, 'heart accelerations and variability which is...' I interruped her, 'you can see that her variability is fine. This isnt an NST, you know, i am in labor, it is perfectly normal for her not to show accels.' 'Gee, are you in the business?' she asked. 'No, i just know alot about this stuff', i said. Evidently the nurse had not read my chart either, but i was in no mood to rehash my obstetrical history to every newcomer. In fact i made sure i knew exactly how to read the strip and what to look for, because of the many stories i know now. I even made dh learn how in case of who knows what. My mother was absolutely floored by all of this...
Anyway, mercifully Dr. B. showed up then and okayed my request for intermittent monitoring. it was around 9 am, i was around 3 cm dilated and the contractions were regular enough that it was obvious there was no need for any pitocin. 'You can have any meds, and pain relief you want', he said. Well yeah i would think...so much for wanting a natural birth? This hospital, for all their lip service, is in fact very interventionist.
Dh started complaining that his knee hurt...'it has been bothering me for weeks, i keep forgetting to make an appointment'. I made him leave the room and go down to the 1st floor so he could use his cellphone to make his appointment. 'I cannot believe your husband', said my mother,'you are in labor and he is complaining about his *knee*'. She was really upset about it...i found it most amusing.
One thing i would like to note -- i had been afraid of laboring again, of what my emotions would do. Though Nicolas did not die during labor, labor is still a time of crisis and danger, and there are all the emotions of losing a baby down there under the surface. I was unsure how i would react -- would i panic, freak out, cry, lose it? In fact i did none of those things, and was not tempted to do any of them, i basically just got down to business. C's labor was about C, not about Nicolas. The only thing that bothered me was when we would hear a new baby cry and my mother would brighten up and say, 'Another one!!'. There were 20 babies born that morning so it was happening rather alot. It was my mother's stupid reaction which bothered me more than the cries.
At 10 i was at 5 cm, and around 10:30 i started to vomit and then the contractions became very strong. The vomiting freaked out my mom...'it is normal', i said, 'i always throw up'. In fact now i *was* having continuous monitoring, since i was not moving any more. The nurse went to get some 'birthing ball' thing -- i am sure this helps some people but the idea of sitting on a ball (or whatever you are supposed to do with it) was not at all appealing to me at all. Actually my mother was enjoying chatting with the nurse, all about babies and labors and heavens knows what. It kept them both amused and out of my hair at that point...then what i needed was just dh.
Around 11:30 it was really painful. 'I am tired of this, i want to go home', i said. And then later, 'i want an epidural'. 'You don't want an epidural', said dh, 'remember, it is a good pain, because it results in a baby, just try to relax more' (i had told him this, he was saying what he was supposed to). 'This is *not* a good pain! I want an epidural!' 'Just get the epidural', said my mom (She had been saying that since 9 am). 'just wait until they check you next time', said dh, 'and then if you want, you can get the epidural'. 'Okay' i said.
She came in to check me around 11:45 or so. 'Wow you are at NINE!' she said. *Yes* i felt better instantly. 'Paging Dr. B', she said into the thing, 'Your patient is at nine, you had better RUN'. That made me laugh....i knew Dr. B was at the other end of the hospital, sitting with his dad who was going to have a surgery on his leg later. So then the fun begins...this was like A's birth except even more. Dr. B. came in with some other resident, there were 3 nurses at least. 'She is doing it the old-fashioned way, no meds!' said my nurse, to everyone who would listen. Apparently this was a really unusual event at this hospital, because then all of a sudden there were 6 more nurses who just came in to watch. Then there was the chorus of 'Push Push!' and everybody is all excited...the only scary point was as she was crowning, somehow they were losing the signal totally from the monitor, so Dr. B said 'scalp pin' and they stuck that into her. Oh i hate that, it freaks me out in general. 'What why?' i said to him. 'Nothing's wrong, the other monitor just can't read her heartrate', he said. 'Everything is fine', said my mother (like what she had to say had any value). That was okay but then there were these clicks from that machine, but too far apart to be a healthy heartrate in my book. 'Is that the heartbeat i hear, that is too slow??' 'Push, she's fine, it is not'. I still don't know what those clicks were. But a few more pushes and she was out.
Chloe was born at 12:15 pm. She was 7 lbs 1 oz (little peanut!) and was 19 1/4 inches long. She was pink and screaming and healthy as can be. 'Is she alive? Is she ok? ' i gasped as they plopped her on my chest. She was totally covered in vernix, it was amazing. 'Makes a great moisturizer', said the nurse, 'rub it on your hands'.
Dh refused to cut the cord -- i did not ask why. I would not do it either -- i just don't think it's the mother's job somehow, after all i did everything else...so my mom cut the cord which was kind of funny. Dr. B. gave her the scissors to keep. Then they took C over to weigh and and measure her. They made her footprints...actually after doing her footprints on the paper the nurse did them on dh's arm. Everyone thought that was oh-so-cute except me -- me, it reminded me of a memorial tattoo. But i kept my mouth shut.
Anyway, they delivered the placenta which i got to see -- Dr. B showed us, 'look at this!', it was cool. C latched on to the breast like a champ, though her mouth was small so it was hard to really get her on there correctly. And i learned why they say in the books that labor has four stages, not just three. With A i did not have many afterpains, and with Nicolas i had the epidural so i don't know. With C, man alive it was like being in labor all over again. In fact i nearly threw up again, the contractions were so bad. The nurse said that it gets worse with every baby, that was why. But that 'it is good, it means your uterus is getting back to normal size'. Yeah, it was just great eh...Eventually she offered me a motrin, which i gladly accepted. She said, 'i would have offered you one before, but i thought you were against all medication or something'. In fact i felt kind of stupid for not asking for one, i mean it did not even occur to me...
Well, then dh went to get A, and they moved us to the mother-baby ward. They had to take C for 'some tests' but i was freaking about her being away from me, so i made my mother go with them and stand outside the room watching through the window 'just in case'. Which actually was good for me, it gave me time to have a good cry and kind of compose myself. Poor mom did what i asked, and stood at the window for nearly two hours -- until she was just ready to collapse. Then she gave it up and came to my room, and we chatted a bit, and then i got annoyed and went to get C (by this point they had had her for nearly 3 hours!). I was ready to make a scene to get her back but she was done.
We stayed in the hospital only 1 night. I had a roommate (first time that happened) who had been there for a *week*, she had had an emergency c-section because the baby's heartrate decelled so drastically. He was a cute baby, and his older brother was 18 months old -- just exactly what Nicolas would have been. Only a curtain separates the two beds in these 'semi-private rooms' so we both got earfuls of each other's issues. I know that when i got there, she was feeling bad about her section, that she was a failure or whatever. But during the next day my mom and i had a long discussion/argument/what have you about Nicolas, which i know she heard every word of. And i noticed that when i left she was feeling a lot better about things. I think 'it could be worse' is something people say, but it makes a difference when you really hear what the 'worse' is. So oddly enough it made me feel better that my pain helped hers go away, and i didn't even mind her little boy running around...
Easily the hardest thing, emotionally, of the whole experience was leaving the hospital. I mean, everything was such a contrast to last time, but the leaving the hospital experience was for me the most visceral. They wheeled me out in a wheelchair, holding C (dunno why, but in order for me to leave holding the baby i had to be in a wheelchair, it was against their policy that i should walk. And even though it took them a solid hour to locate a wheelchair -- what is it with these places -- i would not let mom carry her out, obviously.) . It was a *long* way to the door, and *everybody* turned and said 'aaaaw', and there were so many of them. Some lady was on her phone and actually announced into the phone, 'I saw a new mommy and baby leaving the hospital!' I was expecting to feel some level of victory at this moment, that this time i had triumphed and things had turned out right -- i did not have to slink out of the hospital holding a baggy of mementos of my dead baby. But it was the opposite -- all i could think about was how it had been last time, and after...all the faces turning away, and saying stupid things. And of course my mother was next to me, so there was no possibility of tears anyway. So that was tough, i had not expected it.
But of course it is always the things you do not expect which hit you the hardest.