Showing posts with label overdue. Show all posts
Showing posts with label overdue. Show all posts

Wednesday, April 24, 2013

My Birth Story

I've written my birth story on Facebook, but this one may be a bit more different or what some would consider "graphic," so if you are not interested in a no holds barred pregnancy and birth story, you may not want to continues. If you choose to read on, I hope you enjoy!!!

My husband and I were married in 2011...
 Shortly after, we got pregnant with a "honeymoon baby." A week after figuring out we were, I experienced a miscarriage.

It was traumatizing, because no one really believed me at first. They thought it was all in my head and I was giving myself symptoms. But I knew. And it was confirmed during my "labor" and when I passed the fetus.

My heart broke that day. It's not as though we were trying, and we only just realized what was going on. But that loss becomes a part of you. And it took me a long time to process that.

I started wanting a baby to replace it. I realized I couldn't replace the baby I had lossed, but now I hungered for a baby in my womb. Realistically, we were not ready for a baby. And I knew that. So it was a huge internal battle.

In this time, I also realized how little I knew about babies and birth. I had known since I was 14, and a woman I babysat for had her baby in water home and told me how great it was, that I wanted to do that as well. So I started reading up on all the things to do with babies, birth, and pregnancy I knew nothing about, so that when my time came I'd be knowledgeable and ready. I discerned the different studies and articles and blogs I read, and decided where I stood in a lot of parenting subjects, many of which I am quite passionate about today.

Months later, I still missed the child I lost, but I didn't want to risk getting pregnant before we were ready. I prayed, and I asked God to take away my desire for a baby. I told Him we weren't ready, I wasn't ready, and to prepare me and help me wait til it was our time to have children.

My prayer was answered. I missed my loss, yes, but I no longer hungered for a child I couldn't have. I was satisfied with where I was in life, being newlyweds looking for a home. Little did I know, a month later I would get pregnant again.


We figure we conceived Bree a few weeks before Christmas (and I wondered why I was so tired and bloated, ha!) And in January, when my period was only two days late (totally normal for me) and Justin was freaking out, we took a test to help us feel better. Because of course, we couldn't possibly be pregnant. We were using protection. That always works, right?

But, those two pink lines appeared immediately. And Justin almost collapsed when he saw them. Again, I had an internal conflict. I remember asking God, "What gives!" I had just come to terms with not having kids for a while. But, while it took me a while to come to terms with my pregnancy, Bree has been the most wonderful curveball ever.

At the very beginning I had no symptoms and thought I'd be one of those lucky girls who never had morning sickness. A week later I was so severely sick I ended up in the hospital. I struggled with hyperemesis gravidarum until I was about 23 weeks along, when I believe God healed me of it. I had to quit my job and take meds (bleh) because it was so rough and I started losing weight (not good during pregnancy, and poor work, I was sick so often I couldn't even be a good employee). The slightest movement, smell, or taste would make me nauseous and vomit. Sometimes I wouldn't even have the feeling I needed to vomit, it would just happen. Just thinking about it makes me sick to my stomach. I was in and out of the hospital about three times with several unnecessary ultrasounds because of this, and early Braxton Hicks which had us worried then about early labor. The first trimester was no fun at all.


We learned on April 30 of 2012 that we would be having a little girl! A major shock to my husband and his family, as his little sister is the first girl in a generation or so, and everyone has boys first. But we were excited about having a little princess.

I had begun to feel her moving in me about two weeks or so before we learned her gender, and it was the most amazing feeling! It is mindblowing the feeling when you realize that little life in you really is real, and is moving about! Once the flutterings turned to kicks Justin could feel too, we had many wonderful times just laying in bed cuddling and laying hands on my belly to feel our daughter's activity.

Between the hyperemesis and exhaustion, I got to truly enjoy pregnancy without qualms for only about ten weeks in the middle. Once I got into the third trimester the exhaustion kicked in again and so did the achy EVERYTHING. I can't even describe how uncomfortable end of pregnancy is physically. Then, you're always tired but can never sleep because you can't get in a comfortable enough position to, and have to sleep with pillows between your legs because the pressue is just too much for your pubic bone and pelvis. No fun at all.

At around 37 or 38 weeks my midwife was manipulating my belly during a prenatal to feel her position and couldn't get a read. We were worried the baby was breech, so she wanted a colleague to see me and see if she could read the baby's postion. I went to see her the next day and she couldn't either, she suspected the baby was either posterior (spine to spine with me) or a rare form of breech she hadn't seen before. Basically,  it seemed the baby's spine was in my pelvis, her head and butt/legs up in my ribs. Obviously not a breech that could end in vaginal delivery unless they could change the baby's position, and I was freaked.


As I wasn't seeing an OB, my wonderful chiropractor (which I would recommend to any pregnant woman) ordered me an ultrasound for later in the week, and me and my husband, our friends, and my midwife were praying heavily for a head down baby.

The night before my ultrasound that baby was moving a ridiculous amount, to the point it hurt. Not usual for a "term" baby. Justin told work he would be in late and we went to the hospital to learn that she was, in fact, head down! I really believe because of our prayer she moved back to where she should be. That would explain all the movement! She flipped back to where she was supposed to be.

39 weeks passed, then 40, and my husband took vacation time from work in expectation of our little one's arrival. And then that week went by. I was 41 weeks and he had to go back to work. His first day back, Justin began having some health issues and the doctor wanted to do a procedure within a few weeks. We didn't want that interfering with our birth, so we decided to try castor oil, something I'm not to keen on, but at the time we were desperate. (PS, don't do it.)




I had the expected stomach cramps and runny stool, but no contractions. Later on in the evening however, I began having more intense contractions than the Braxton Hicks I've had the whole pregnancy, so I called Justin home from school, and my doulas (Britney and Angela) came over for company.

They began getting more intense and the big one hit. It was the most painful thing I've ever experienced, and while they lessened in between, the pain flowed right into the next one and next one. Finally it stopped and my midwife (on the phone with Justin) suggested a bath. I usually hate baths, but the water felt so good on my back and pelvis (yay for me choosing a water birth). We decided to go to Justin's parent's house (where we are planning to birth) and while I had mild contractions, the intensity stopped and eventually the rushes did too. I was pretty bummed.

Some have told me I didn't have contractions, it was just side effects from the castor oil, but it had been so long since I took it, I really believe I had started labor and it stalled. It happens. Maybe it was the relaxation of the water, or the stress/excitement of going to the in laws and the pressure from myself and others to have the baby. Who knows.

I also feel the reason it stopped, and the reason I went so far past my "due date" was because I was fearful of not being respected as a parent, something I still struggle with. Emotions have a big part in labor and birth, and negative feelings can absolutely stall labor. I had received so much flack for my choice in homebirth, that I worried if that would continue in my parenting choices, so that kept me from entering labor. (So stick to your guns and beliefs, and don't let worry affect you!)

I turned 42 weeks on September 30, 2012, and my midwife thought it was time we could try some natural induction techniques, black and blue cohosh, stripping my membranes, and breast pumping. Apparently the herbs should work in a decent amount of time, and we used them at nine am that morning, but they didn't work. I was pretty upset, wondering to myself if I'd ever meet my baby. I was too tense to allow my midwife to check if I was dilated for the membrane strip. My husband, cousin, and I went with a friend to a harvest festival a bit of a drive away and a did plenty of walking and standing around, and it did a good job of cheering me up.

We went home that evening to visit my in laws who expressed their concern about not wanting me to go too late, concerns of a big baby for my small frame, which I can understand from their end, but also felt unnecessarily scared. I've known women to go to 43-44 weeks. On the way home Justin shared his worries as well, and decided that if she didn't come within a couple days I'd go to the hospital ( I was in tears praying I'd go into labor asap).

We called our midwife to let her know our decision, and knowing my feelings towards hospitals she offered to come over that same evening again to try stripping my membranes again and administering the herbs again if needed. We had "alone" time to try to kickstart things as well.

Our midwife arrived at about nine thirty that evening and checked me to see if she could strip my membranes but my cervix was closed, so that was a no go. Very soft, but not open. So I took the black and blue cohosh again. Angie (my midwife) decided to stay to see if it worked, and slept on our futon. She wanted me to rest in the event I went into labor, so I put on some relaxing music and layed in my dark bedroom with my husband, dozing on and off. I kept waking feeling the occasional tightening, and around midnight I couldn't stay in bed any longer. Sitting on the toilet helped, and rocking in my rocking chair, Justin by my side timing my contractions and Angie talking with me (a good distraction).

Around two or two thirty that morning my water broke, and I was ecstatic! I had been for that glorious sign of labor for weeks. FINALLY a sign I was really in labor, it was happening! I had been sitting in my rocking chair, experiencing a contraction and I jumped, thinking I peed myself, but when I stood up fluid began steadily coming down my legs. I just remember being so happy about it.

It felt like I wasn't in early labor very long. Shortly after my water breaking the contractions starting getting much more steady and stronger. I tried getting in the bathtub for a while but it didn't help, so we decided to head to the in laws, where I was birthing (our third floor walk-up wasn't well suited for a birth).

We drove in Angie's van, where I am pretty certain I stuck my head out the window like a dog, the cool night air on face helped me cope with the pressure. We pulled into the driveway maybe around five (time seems to fly by and yet take forever), where the front door was open, my doulas were waiting, and the smell of coffee floated out. Too bad I couldn't have any!

We went downstairs to the basement (finished basement, living room and bathroom included, as well as my brother in law's bedroom) and they began setting up the tub as I loudly vocalized my way through contractions. I finally got to sink in for a while, and it was the BEST feeling in the world. It didn't take away the inner pain, but definitely relieved back and belly pressure, and the warmth was calming. Sooo relaxing.

A lot of the night is a blur now, but at one point I did fall asleep and my head bobbed into the pool, and I woke up snorting water, no fun, but humorous to think back on! I also got overheated and almost passed out at one point and had to stay out for a while. But this was my fault, it felt so good I just didn't want to get out! You can only refuse for so long when your midwife will intervene on your behalf.

Contractions on the toilet (claustrophobia in the tiny bathroom didn't help those, I imagine in a normal sized bathroom it would have been better), on the birth ball, and on my brother in law's mattress as well. This is basically what my labor consisted of, back and forth all morning. My contractions were all over the place, also totally normal (but something they don't tend to be fond of in hospitals). I had 10-20 minutes breaks in between (I fell asleep between contractions, so easily, that I thought they were one on top of the other), never steady, just all of the places differences. Normal.

{during labor}
               
Angie decided to check me, and lo and behold I was 9 1/2 dialated! Yay! She wanted me to labor on land a bit more before going back in the pool, she didn't want me relaxing too much and stalling labor more. I bellowed my way through more contractions, bearing my legs down against my doulas (I feel bad for their ribs now that I remember), and begged Angie to check me. When she did, I was dialted but with a slight lip, so I had to push as she pushed it back. It was hard, but not bad like I was expecting. I was so relieved that I would be able to start pushing soon!

I pushed some in the water but wasn't making a lot of progress, we needed to get the baby under my pubic bone. So Justin and my doulas pulled me up out of the pool (weak third trimester legs and a deep pool equals needing help) and I layed down on the mattress we pulled out of my brother-in-law's room.  Pushing was a definite challenge, especially on my back. I was on my knees for a bit, swaying my hips, and that helped so much, but I was so enthused when she told me I could get back into the pool.

My doulas tell me I pushed for around forty minutes. It honestly didn't feel that long. I pushed and pushed with each contraction. We tried to aim for two pushes per contraction, but sometimes it felt better to push more, depending on how long they lasted. That's the thing with birth, you do the work, and have to be able to trust your insticnts. Trust your birth team too, but know when you have to do something different.

Pushing was difficult, being something I've never done before, but felt so great at the same time. When a contraction started it just felt right to push and took away from my belly pressure.

When the baby started crowning and I touched her head it was so surreal. Her head started coming out and I felt the burn of myself stretching, but again, it was relieving, because I knew she was on her way to me. I don't even remember her head coming fully out, I just remember the burning stopped.

That's when Angie asked everyone to start praying. She seemed anxious asking me to push harder, which I did, and she started pulling a bit. My pushing wasn't doing it, so I turned over onto my knees, holding onto Justin, who was outside of the pool.  (This is commonly known as the Gaskin Maneuver, the only obstetric maneuver named after a home birth midwife). I was later told the baby's shoulder had been stuck under my pubic bone. But she popped out! And then I remember Angie yelling "pick up your baby!" (As my midwife told me later on, I have the lowest pubic bone she has ever seen. If I had birthed in a hospital, I would have been sectioned for sure.)

I looked down and saw this big baby in the water! I picked her up and held her against me, but she was a bit blue and not breathing. We used what is called "placental resuscitation," you stand with your uterus higher than the baby and push, sending oxygen-filled blood from the placenta to the baby. And it worked!

Though there was a bit of stress at the end of my labor, I never panicked. I remember having total peace and intuitively knowing that everything would be okay with my baby, and it was. It was wonderful. I followed my instincts, and they were right.

My baby Bree was nine pounds and 20 3/4 inches long, and the sweetest thing I've ever seen. I loved my homebirth, and can't imagine doing it in a hospital hooked up to IVs and having doctors and nurses around telling my body what to do. My body knew what to do all on its own, and it did so wonderfully. Home birth may not be for everybody, but it is definitely for me.


{In the birthing pool, one of my doulas lending support.}


{Justin, the moment Bree was born.}

{First family photo.}


{Skin to skin}
{Our first picture together post-labor}

{Bree at 4 months old}

Our Bree today!
{Smiling at Daddy & Mommy at dinner}

{Cuddling with Daddy}




Wednesday, March 6, 2013

Pregnant & Overdue! What Are The Options?

My entire pregnancy I swore up and down I would go early. I just knew it. Once I hit the "safe" zone of 38 weeks I waited everyday for my water to break, and alas, it did not.

I knew that it is safest to let the baby come naturally, and to go past the "due date." I was just sooo tired of being pregnant. My experience carrying and growing life wasn't always enjoyable. I was in and out of the hospital and doctor's office the first 20 weeks (including a visit family didn't know about, sorry!) because of hyperemesis, and at the end of my pregnancy had such painful braxton hicks and pubic pain I couldn't get pants on. I was ready to be done.

I knew my baby wasn't, however.

Baby Bree decided to stay in her uterine home for 42 weeks. That was my midwife's and my comfort zone. Neither of us wanted me to go to 43 weeks, so the Sunday I turned 42 weeks we started some natural induction techniques. I was planning a homebirth and did not want a medical induction unless I had one of those rare babies who just don't want to leave.

So, we tried pumping, herbs, stripping my membranes (which I was too nervous for, so nogo), and sex with the hubbs of course. They didn't work and I was disappointed.

But one thing we must realize, is non-medical induction does will not work unless the baby and the cervix are ready. Sometimes medical induction doesn't work either. EDDs (estimated due dates), are just that. Estimated.

In this link - the ACOG (which is the nation’s leading group of professionals providing health care for women) states “Waiting for the birth of a child is an exciting and anxious time. Most women give birth between 38 and 42 weeks of pregnancy. But very few babies are born on their due dates. It is normal to give birth as much as 3 weeks before or 2 weeks after your due date.”
“The average length of pregnancy is 280 days, or 40 weeks from the first day of a woman’s last menstrual period. Your due date is used as a guide for checking your pregnancy’s progress and the baby’s growth and age. Doctors often use more than one method to check the age of the fetus and set the due date. The size of the uterus may help assess the age of the fetus. Ultrasound also may be used to help confirm the age of a fetus.”
There is an intense amount of pressure put on women if they go over 40 weeks. But a due date is not an expiration date.
"The 40 week due date is based upon Naegele’s Rule. This theory was originated by Harmanni Boerhaave, a botanist who in 1744 came up with a method of calculating the EDD based upon evidence in the Bible that human gestation lasts approximately 10 lunar months. The formula was publicized around 1812 by German obstetrician Franz Naegele and since has become the accepted norm for calculating the due date. There is one glaring flaw in Naegele’s rule. Strictly speaking, a lunar (or synodic – from new moon to new moon) month is actually 29.53 days, which makes 10 lunar months roughly 295 days, a full 15 days longer than the 280 days gestation we’ve been lead to believe is average. In fact, if left alone, 50-80% of mothers will gestate beyond 40 weeks."
Going past 40 weeks is normal for most women! 
As for myself, while I did not want to personally go to 43 weeks, I've known women who have gone as far as 44 weeks, with very healthy babies and placentas. Sometimes EDDs can be wrong, and I would rather the baby be in longer to continue his/her perfection than come too early because of an induction on a mom whose EDD may not be right.

Induction also increases your chance of c-section, and more interventions and issues. Many articles and studies have proven this to be true.

Here are some things I have borrowed from my awesome support group's files :


Here is a collection of information about the BISHOP SCORE. Before considering *any* form of induction, including natural methods or a "sweep" (stretch and sweep or sweeping of membranes), please ask about your Bishop Score. Methods of induction of any sort can stress your body, and more importantly, your baby - if both of you are not ready. Please try to be educated on this aspect of late-pregnancy before you are pressured into anything.

This link is related to acupressure in pregnancy, but I find the information neatly presented and easy to understand with charts. http://www.maternityacupressure.com/bishop-score.html

From PubMed: "A Bishop score of 5 or less was a predominant risk factor for a cesarean delivery in all 3 groups (adjusted OR 2.32; 95% CI 1.66-3.25). Other variables with significantly increased risk for cesarean delivery included maternal age of 30 years or older, body mass index of 31 or higher, use of epidural analgesia during the first stage of labor, and birth weight of 3,500 g or higher. In both induction groups, more newborns required neonatal care, more mothers needed a blood transfusion, and the maternal hospital stay was longer."http://www.ncbi.nlm.nih.gov/pubmed/15802392

This source also includes information on "low fluids" and what questions you need to ask. http://joyinbirthing.com/months/month9/bishopscore/


"Weighing the newborn after delivery is the only way to accurately diagnose macrosomia [big baby], because the prenatal diagnostic methods (assessment of maternal risk factors, clinical examination and ultrasonographic measurement of the fetus) remain imprecise." This means that there is NO WAY of knowing how much baby will weigh until he or she is weighed after birth!


"Nonetheless, the results of these reports, along with published cost-effectiveness data, do not support prophylactic cesarean delivery for suspected fetal macrosomia with estimated weights of less than 5,000 g (11 lb), although some authors agree that cesarean delivery in these situations should be considered." This means, c-section should not even come up for discussion, unless the is estimated to weigh more than eleven pounds and it is debatable whether a c-section for a baby estimated over eleven is even beneficial.


"Suspected fetal macrosomia is not an indication for induction of labor, because induction does not improve maternal or fetal outcomes." Inducing is not safer for mom or baby. 


"Labor and vaginal delivery are not contraindicated for women with estimated fetal weights up to 5,000 g in the absence of maternal diabetes." A baby estimated to be ELEVEN pounds or less and mom is no diabetic, should be attempted vaginally. 

"With an estimated fetal weight more than 4,500 g, a prolonged second stage of labor or arrest of descent in the second stage is an indication for cesarean delivery." It is safe to have a trial of labor and if it doesn't work THEN take action. 

"Suspected fetal macrosomia is not a contraindication to attempted vaginal birth after a previous cesarean delivery." You can still VBAC with a "big baby"!

Here are some links on what it means to have low fluids. Some links even help you weigh the risks and benefits to inducing or sectioning for low fluids.






Risks and Benefits of a Sweeping/Stripping Membranes


The Benefit: 
It might start labor.

The Risks:
Increased rate of infection (especially concerning if you are GBS positive!)

Increased rate of Premature Rupture of Membranes (PROM- which leads to the possibility of inducing with Pitocin and increased use of internatl monitoring and epidural and use of other pain medicines)

Increased levels of pain

Increased rate of spotting/bleeding

It may not start labor (remember, labor is trigger once those little lungs secrete the "I'm ready!" chemical! http://www.pregnancyandbaby.com/pregnancy/articles/941885/what-starts-labor)

This link discusses the increased risk of PROM with sweeps.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2582414/

If I consent to this procedure, how do I mitigate the risks involved? 
Make sure your Bishop Score is above a nine, as with any other form of induction.
Make sure you are comfortable with what interventions are likely if your water does break before labor starts. This includes a Pitocin drip, to start labor- which will often include the use of constant fetal monitoring (which restricts movement), increased levels of pain, increased risk of a number of other things. CLICK HERE for information on the package insert for Pitocin.

What are my other options for inducing labor, without Pitocin or other medicines?

Induction Options (besides Pitocin)


If you need an induction for medical reasons or you decide to allow an elective induction, there are methods to consider other than pitocin- particularly for elective induction. The manufacturer of Pitocin states their product should not be used for elective inductions. SEE MORE INFO HERE (http://briobirth.com/articles/21-scary-reasons-say-no-pitocin-according-manufacturer?page=0,0)

If your Bishop Score is below a nine (What is a BISHOP SCORE? http://wellroundedmama.blogspot.com/2012/02/induction-math-importance-of-bishop.html), then you will need cervical ripening with Cervidil or Foley Bulb. One way the body prepares, naturally for labor is this step and if you do this step before working to get contractions going, it drastically increases your chances of a successful induction.

Please, do NOT let them use Cytotec as your cervical ripener, because the manufacturer AND the FDA has stated it is too dangerous to use for inducing women and should NEVER be used for that purpose! http://www.cafemom.com/group/117811/forums/read/17217291/Information_to_consider_in_using_Cytotec_to_induce

While waiting for your cervix to ripen, you can use a breast pump to stimulate contractions. The pump will have your body release oxycotin, which is what pitocin mimics. PLEASE do NOT let them break your water. That puts you on the clock and you will be fighting them to not do a c-section to "prevent infection". Artifical rupture of the membranes drastically increases the chances of cord prolapse, which is an emergency situation. It also makes it more difficult for baby to move into an optimum position for labor, since they will have less fluids to manuver easily- causing a more painful labor for mom and increase the risk of baby going into distress, since they no longer have a cushion to protect them during contractions. (The best way to prevent infection and reduce the amount of pain you are in and not slow labor is not allow any vaginal exams. http://www.youtube.com/watch?v=mxqTRlaJrvk.) 
You can also using pressure points between pumping sessions, to help get contractions going. These pressure points can, supposedly, also help baby to turn into a better position. 

http://www.threeriversbirth.com/?p=400  (Inducing with a breast pump) 


http://www.bellybelly.com.au/pregnancy/vaginal-exams  (Vaginal exams, when are they needed and helpful?)

Benefits/Risks of Inducing "post" date babies


Here is some great information on post-dates, if you are interested in learning more about the subject.  



http://birthwithoutfearblog.com/2011/08/22/what-acog-has-to-say-about-due-dates/  (This author has gone PAST 42 weeks with at least two of her pregnancies.)  



http://www.aimsusa.org/ppbr.htm  (Pregnant patient's bill of rights, per the American Hospital Association)



Induction increases your risks of not only c-section, it also raises the risk of abnormal fetal heart rate, shoulder dystocia and other problems with the baby in labor, as well as the baby's chances of needing stay in NICU, and and increased risk of forceps or vacuum extraction used for birth. There are also increased risks to the baby of prematurity and jaundice. 

Please read these and mention them to your doctor before going with elective induction or if you feel you are being scared into an induction. 

If you are pregnant and would like a private place for support and encouragement, feel free to request a join to this group, where you can post and comment privately and no one outside of the group can see (a big deal in today's Facebook world where nothing is private). I used the word "private" a lot, its a big deal!


As usual, happy researching!