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VBAC Delivery of a 10 PounderThis is the birth diary of the VBAC delivery of my 10 pounder! VBAC Delivery: The BirthI started out having contractions on Monday March 29th, 2010 and then had them again on Thursday April 1st. Both times they were intense and coming every 8 to 10 minutes apart but puttered out after about 3 hours. On April 4th - Easter Sunday - I was still feeling really comfortable physically just a bit irritable to still be pregnant - 40 weeks and 4 days. I hadn't had any of the signs that are supposed to indicate labor is near so when contractions started up around 3:30 pm that day, I assumed it was more false labor. These contractions were a bit more intense than the others I'd had but were about 15 to 20 minutes apart and then seemed to let up after about an hour. At that point, I just wanted to relax and took a quick bath. My husband suggested we go on a walk and see if we could get the contractions started back up. So at around 5:00, we went on a walk around the neighborhood. I started having mild contractions again about 6 to 8 minutes apart. We came home around 5:30 and I kept circling the downstairs of our house. The contractions were 2 to 3 minutes apart but I was able to keep walking at the same pace through them at first and even as they got more intense I just had to stop walking for a second as they passed. About 5:45, I sat down on the couch to rest and my daughter dove from the other side of the couch to give me a hug and all of the sudden I was in excruciating pain. I screamed in pain and I felt really bad to scare her but ran to the bathroom doubled over in pain. I immediately started to get my bloody show and my contractions - still 2 minutes apart - went from mild to ridiculously intense. My husband called the doula and I tried to talk to her but had to hand the phone right back to my husband as the next contraction came. Hubby turned right around and called the midwife who said to go ahead and head the hospital. When she'd had me relay where I was feeling the contractions I'd said they felt like I really needed to go to the bathroom to have a BM. She then told my husband to hurry and to have me only take shallow breaths and not to push - sure he was thrilled to hear that right before he loaded me into the car! While he was on the phone with them, I'd called my mom and told her to come get our daughter. When she started asking questions I said "NOW!" and hung up on her. My mom arrived at 6:30, just as my husband was about to go get the neighbors - who we barely know - to come and watch our daughter until my mom arrived. In the meantime, I was upstairs trying to get changed and show hubby what bags to bring all while being doubled over in pain. I must have already been in transition at this point because I remember crying to my husband that I didn't think I was going to be able to do this. I made it down the stairs and was on my hands and knees on the kitchen floor while hubby threw all the bags in the car. We took off for the hospital which luckily is very close by, and got there at about 6:45. Hubby was driving like a mad man to get us there. The contractions were nearly unbearable but I had a 30 to 60 second break between them so I just tried to focus my energy on the fact that a break was coming. We pulled into the Emergency entrance and my husband ran in to get the wheelchair. I don't even think he closed the door to the car before he raced me down the hall to L&D. That wheelchair ride was so surreal. I just remember moving so quickly with the air blowing my hair back and the crazy expressions of the people we passed in the hall. As we wheeled into L&D, I was so relieved to see my doula standing right there at the nurses' station. They took me right into the room - #4- my lucky number - and got me up on the bed. The best I could do was to get up on the table on all fours and I refused to let them move me. They did their best to get me hooked up to the monitors and asked if they could go ahead and check me or if I wanted to wait for the midwife. I said to go ahead and check but was terrified that they were going to say I was only 5 cm dilated or something like thaqt and that I still had hours and hours of these contractions ahead of me. Well they said my cervix was high and they thought I was almost complete but weren't sure since they could barely reach it. My midwife got there in the next few minutes and checked for herself. She said I was fully dilated with just a lip and a bulging back. My water broke at that point and they told me I could go ahead and push whenever I was ready. Well I had no urge and I think I was just freaked out by how fast everything had kicked in so they told me to take my time. They said that me and James looked good and that they were in no hurry. I spent the next 30 minutes or so too scared to push. I think my exact words were: "I don't want to push, I don't want to push, I'm afraid it will hurt forever!" During this time, I dropped down onto my side and my doula told me to let go of my fears and try to relax when I could. She coaxed me to do little grunts and coughs to start to move my baby down. Feeling his head inside of me was so amazing and freaky all at the same time. My husband and the doula kept giving me drinks of water, keeping cool rags on my neck and head and my doula even rubbed this wonderful peppermint smelling stuff onto my temples which I remember feeling so nice. I was screaming and carrying on pretty well the whole time - I would love to have a video of the whole thing just to laugh at myself and all of the crazy things I probably said. Luckily I'd had a big Easter lunch and had been drinking TONS of water throughout the day so my energy level was great. Once he started to crown, they tried to get me to reach down and feel him but it hurt so much to move that I told them I didn't care. They asked if I wanted the mirror and again I said I didn't. In hindsight, I wish I had the mirror, but it was just so intense I couldn't imagine shifting my focus for even a second. At some point my midwife said that we had to go ahead and get the baby out and they got me onto my back and had me hold my knees out to the side. My midwife has a thing about a woman having her legs pried open so when the nurses started to do that she basically told them to back off and instructed me to hold them myself. I did 2 or 3 good pushes and felt that ring of fire then got the head out. I screamed as his shoulders came out along with a huge gush of water that was still trapped up behind his head and all of the sudden it was over and my little guy was up on my chest. I was shaking and crying and in a state of disbelief that he was here and that I'd pulled it off. He had a nice full head of brown hair, dark blue eyes, and the most beautiful skin. We were totally in love with him instantly. He was so alert and just looked into my eyes and opened and closed his little hands on my chest. It's amazing how your heart is so full of love for your first and then magically makes just as much room for love for the second. I'd requested that the cord stop pulsing before they clamped it so the next 30 minutes he sat skin to skin on my chest while we looked at each other and he nursed. His daddy cut the cord and they wrapped him up and took him away to get checked out. They'd said they thought he was at least 9 lbs but everyone was blown away when he turned out to be 10 lb 1 oz. My midwife laughed with me when she came by the next day saying, "Ten pounds! No wonder you didn't want to push." I found out that day too that she'd discovered the cord was around his neck a couple of times and that's when she'd shifted gears and told me that I needed to go ahead and get him here. Since we'd flown out of the car, everything including our camera was still outside. Luckily my doula had hers and snapped some pics of those first few minutes. I'm so excited to see what she got when she visits next week. I delivered the placenta with one more push and my midwife said I had one slight tear that should heal on its own but she said a stitch would help it heal more comfortably for me. I'm still feeling like a bit of a freak that such a big baby came out of me so easily, makes me wonder if I'm like Grand Central Station in there or something. There was some drama during delivery that I was only slightly aware of at the time. Apparently since I'd come in ready to push my midwife did not see the need to start the line for an IV or have me on continuous fetal monitoring - both of which are hospital policy for VBAC. So when somebody came in - while I was pushing - trying to get Dan to sign all of these waivers that I'd declined these items my midwife lost it on her saying something along the lines of, "don't make him sign that. She's pushing for heavenssake, I declined those items they didn't. Now get out of here." My midwife is known for being quite direct and one to buck policies that she doesn't think are medically justifiable so I wasn't surprised this happened but my husband said it did make things pretty tense in the room for a few minutes. I think while all of this was going on I told them to just go ahead and put in the heplock for the IV so they did - while I was pushing.
I feel so blessed and lucky that James got here safely and that he's healthy. And feel so lucky that I got the birth that I'd hoped for. Between the midwife, nurses, my husband and the doula, I could not have had a more supportive team. I'd really hoped for a med-free birth with daughter and was so heartbroken when I found out she was breech and that I needed a scheduled c-section. I know the ultimate goal is to get the baby here safely but for me birth is also a rite of passage that women have gone through since the beginning of time and I felt kind of cheated the first time to miss out on it. It was really healing for me to get to experience a vaginal birth and to make it through without meds - not that I had much time to mull it over or anything. I had a great recovery with my c-section but it's been interesting to see how different the two recoveries are. Being able to hop right out of bed this time and go to the bathroom as compared to last time when I'd collapsed in pain trying to get from the bathroom back to my bed on that first trip. James has checked out well. He's already back up to his birth weight which is great because it means we got the all clear to let him sleep as much as he likes between feedings during the night. He's just a hair tongue tied but since it doesn't seem to be effecting his eating they're going to leave it and just keep an eye on it again when he starts talking. He also has a VSD heart murmur but the pedi cardiologist said that there's a 90-95% chance it will close on it's own before his first birthday. A chance again during puberty that it will close and that if worst case it does not close, that he could still be an Olympic weight lifter just not an astronaut or a deep sea diver. He said it was more something he'd have to have checked out ever 3 to 5 years. So all things considered we can certainly handle that. So that is the birth story of the vbac delivery of my big boy! VBAC Delivery: Some NotesA few things that others waiting for labor or mamas hoping for natural birth might want to know...
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