Our sweet baby Jane Amelia was born on Friday, January 13th at 11:01 p.m. I was in the hospital for 13 hours, about 3-4 of which was actual labor. Here's how it all happened:
Jane was due on January 6, 2017. I became pregnant with Jane
while I had an IUD in place, so I had not been expecting to get pregnant and
therefore had not been keeping track of my cycle. I had to just make my best
guess as to when my last monthly period was. However, the ultrasounds I had
throughout the pregnancy all corroborated her due date within a few days, so we
felt confident that January 6 was an accurate due date. Starting after Christmas,
Justin and I began hoping I would go into labor. He had the week after
Christmas off, and we were hoping that I would go into labor earlier with her
than I had with the others because she’s my fourth. However, Justin’s week off
came and went, and the following week as well.
A couple days before my due
date, on Wednesday, January 4, I had a doctor’s appointment. The midwife checked
my cervix, and I was at a 1 and 50% effaced. She also stripped my membranes,
which was supposed to help me go into labor. I had some good contractions in
the couple days following that appointment, but then they seemed to just stop.
I also started rapid walking Wednesday night, and continued to walk at least once
a day for the following week. I had an appointment scheduled for Thursday,
January 12, but I was hoping that I would go into labor before then. On
Tuesday, January 10 (which was Eli’s birthday), I was feeling really frustrated
with the on-again-off-again contractions and I called the midwives’ office to
talk about getting an induction. I told them my concerns about getting too far
past my due date, and they agreed it seemed like a very reasonable course of
action. We scheduled the induction for Friday, January 13, one week after my
due date. The midwife told me, however, to keep my Thursday appointment so that
they could strip my membranes again and hopefully get me to go into labor.
On Thursday, Justin came to my appointment with me. The
midwife checked my cervix again, and I was still at a 1 and 50% effaced. I was
discouraged by that, because of all the contractions I had been having. She
stripped my membranes again, and we talked about the induction. I had begun
feeling scared about being induced and wondered whether it would be best to
just wait and hope I went into labor on my own. The midwife said that they
would need to do some tests before she could let me go beyond 41 weeks to make
sure the baby was OK. So I had an ultrasound and non-stress test done. The
non-stress test showed the baby’s heart rate and everything looked fine with
that. The ultrasound checked the level of my amniotic fluid, and it turned out
that my fluid level was low. I felt better about being induced after that,
because it was for the baby’s well-being and not just to satisfy my impatience.
That evening I didn’t go walking but I was still hoping to go into labor
naturally, especially after having my membranes stripped.
I didn’t feel any strong contractions that evening. Friday morning, after dropping the boys off at school and leaving Emme at home with my mom, Justin and I headed to the hospital for my 10 a.m. appointment. We checked in at labor and delivery and were shown to our labor
room. My nurse, Jane, came in shortly thereafter and got an IV in and checked
the baby’s heartbeat. Then the midwife, Pam, came in and talked about options.
She said that it would be better to get my cervix ready first before jumping in
to the pitocin, because if my cervix wasn’t ready there would be a greater
likelihood of labor not progressing. The options were cytotec, a medication, or
a balloon which would put pressure on the cervix to dilate. We decided to start
with the balloon, so for a couple hours I had that in. Justin and I went to the
cafeteria, wandered around the room, looked at baby name books, and watched Jim
Gaffigan on Netflix. After a couple hours, Pam came back in and tugged on the
balloon. She had to give it some firm tugs but it came out. We decided to start
Pitocin after that since my cervix was at least somewhat more dilated. Right
after she left, I noticed some dripping and felt like my water had broken. Jane
tested the fluid and confirmed it was amniotic fluid. We decided to wait for a
bit on the Pitocin in hopes that I would go into labor spontaneously. After an
hour of waiting, I still wasn’t really having any contractions, and it was
about 4 p.m. I didn’t want to be up all night having a baby, so I told Jane I
was ready to start Pitocin. They started it at the lowest concentration and
increased it every half hour. For the first couple hours, I wasn’t feeling too
much pain with the contractions. We watched Family Feud on the room TV and
Justin got dinner from the cafeteria.
Progressively, the
contractions got closer and stronger, and we were watching Fixer Upper when
they got to be pretty hard to work through. I was on an exercise ball sitting
at the side of my bed, bouncing in between contractions and rolling side to
side through them. I decided I wanted to try nitrous oxide, which is the
anesthetic gas they use at the dentist’s office but is available in much lower
dosage for labor. I had talked to the midwives about it at prenatal
appointments and expressed interest in trying it for pain relief if needed. The
nitrous machine was in use by someone else, however, but after about forty minutes
they were able to get it to my room. By then I was in really agonizing pain.
The pitocin was up to 12 units/min and the contractions were really gripping. I
tried the nitrous for probably about 30 minutes, but I didn’t feel like it did
anything for my pain. I was in agonizing pain at that point, so I asked the
nurse to check me (Jane had gone home and my night nurse was Jen). She said I
was still about a 5 and 70% effaced. At that point, I could not imagine going
all the way from a 5 to a 10 without any kind of pain relief, so I asked for an
epidural. The contractions were so hard with the Pitocin, and Justin told me
later I just looked defeated, which is certainly how I felt. It took about 10
minutes to get the anesthesiologist in but he popped the epidural in and then
it took about 10 minutes for it to take full effect. I could still feel the
contractions, but they were not excruciating, and I was finally able to relax a
bit. It was nearly 11 p.m. and I was so exhausted.
I was going to try
and rest for a little bit, but the midwife, Jules, (Pam had also gone home at
shift change) wanted to check my progress before I settled down. She was
shocked to find that I was completely dilated and the baby’s head was visible.
It had only been maybe 30-40 minutes since I was at a 5. I put my legs in the
stirrups and got ready to push. I pushed once and the baby’s head moved down. I
waited for another contraction, and when it came, I gave a strong push and the
baby’s head crowned. Another little push and our sweet baby was born. Justin
got to announce the gender to us, and I was surprised and thrilled (even in my
exhaustion) when he said we had a little girl! Jules handed baby girl to me and
I got to hold her skin to skin and bask in the joy of having completed the
arduous task of bringing her into the world. After ten or fifteen minutes, they
clamped the cord and Justin got to cut it. Sweet baby girl (who did not have a
name yet) stayed with me for awhile before they took her to be weighed and get
her newborn medicines (erythromycin eye ointment, vitamin K shot, hep B shot).
She was able to successfully latch during that time and was very alert. She
didn’t cry much at all and was pretty content.
While I was holding baby skin to skin, Jules delivered the placenta and inspected it. It was intact, and she did not see the IUD anywhere in it. The midwives had been thinking it might just deliver with the placenta, but there was no sign of it. She then had to feel for it in my uterus. After looking for awhile, she found it way at the top (fundus) of my uterus, and it was embedded. She told me later she was so glad that I had the epidural, because her pulling the IUD out would have had me climbing the wall in pain.
After an hour or so, Jen helped me up to the bathroom with
the use of a Sara Steady. I still had partial feeling in my legs and was able
to move my left leg pretty well, but my right leg was kind of heavy. After I
used the bathroom, they put me in a wheelchair and I got to hold sweet baby
Jane while we went upstairs to our room in mom/baby. Our nurse, Libba, got us
settled. After she was through, all three of us collapsed in exhaustion for a
few hours’ rest before it was time to nurse baby girl again. The next day, we decided on her name, Jane Amelia. We debated about several names, including Grace, Caitlin, and Lenore, but in the end both of us liked Jane best. Amelia is a family name on both sides and has always been a favorite of mine.