My sweet baby girl is finally here. Rosalie Maia was born 2 weeks ago, on February 5, 2012 at 3:40am after 3-4 hours of labor and 2 pushes. 8 pounds 8 ounces.
Here she was at birth:
Here she is at 2 weeks old:
I haven't been able to write down the story of Rosalie's birth yet, because there is a lot I want to say and I wanted to be in a good frame of mind when I say it. It took me a while to get in that good frame of mind but here I am. This is the story of my daughter's birth, and also the story of how really good medical professionals are worth their weight in gold - because the bad ones can make things really awful in a hurry.
We were sure that our baby girl would be joining us early, sometime in January. She was due today, February 20, but after going into labor January 3 at 33 weeks it didn't seem likely we'd make it full term. With the complication of gestational diabetes thrown in, and the likelihood she'd be a bigger baby, we didn't want to go much past that full term mark because I did not want to argue with the OB's about having another c-section. I wasn't having another c-section after two successful VBAC's unless hell froze over or I really, really needed one. "Big baby" wasn't on my radar as a reason to really need one without even trying first. It wasn't that my OB was an awful, knife-happy doctor. She was actually pretty lovely and I liked her a lot. But the high risk doctors see high risk patients and deal with those 'hell freezing over' scenarios all the time. You can't really blame them when they are in that mindset of considering every possible outcome and being prepared for it. It's their job. It just made me really hyper-aware of what I wanted and what I knew I was capable of. Now, my doctor's partner on the other hand, threatened me with a dead baby while I was in the hospital dealing with preterm labor and getting the gestational diabetes under control. If I had been in my right mind I'd have had something to say, but I was a mess and so I just sat there and cried until my own doctor showed up and reassured me that my baby was going to be fine. I missed my midwives tremendously after I was switched to an OB, but if I had to be switched, I was glad it was to my particular doctor.
All through January we waited. I was stuck at home, couldn't drive and didn't go anywhere except to prenatal appointments, ultrasounds and the diabetes clinic. There were several times I thought labor was on it's way but it always stopped. Sometimes after hours of regular contractions!
I hit 37 weeks Monday the 30th of January, and my OB had me booked for an induction on the weekend. The plan was to bring me in, break my water and see what happened. The best news? I'd get my midwives back during labor. I didn't care which of the 3 was on call when I delivered, I was just so relieved that one of them would be there with me.
I got the call on Saturday morning to be at L&D after lunch for my "induction" - we wouldn't be using drugs because breaking my water would likely be enough given how dilated I was already, how many contractions I was having, and because of the scar on my uterus from the c-section with Mateo. I've always gone into labor on my own so it was a little unnerving to have the process started for me but we had a plan and I liked the plan. We took a final picture of me pregnant, along with the boys, because I realized I didn't have a single shot of me with them from the pregnancy.
We arrived at the hospital after lunch, ready to get things moving and meet our baby girl. The OB on call comes in and tells me that as soon as there's a bed we'll go in and she'll start me on oxytocin and then break my water later if needed.
That was NOT the plan. I did not feel good about this plan. The thing I hate about seeing doctors during pregnancy (as opposed to midwives) is that it doesn't matter who you see when you're pregnant - you're at the mercy of whoever is on call when you deliver. It doesn't matter what you've talked about with your own doctor up to that point. And I *hate* that. The thing with this new plan was that my last labor was really fast. It doesn't take much and I'm in hard labor. With Andreas and Olivier both, I went from a 6 to a 10 in an hour. It just happens fast and hard and I knew if they drugged me it wouldn't go well. I wondered if this OB was just wanting to drug me so that it *would* be too hard and we'd be forced into a section. I considered going home - I was only 37w5d and still had time to have this baby.
In the end, it didn't matter. L&D got busy and I had to wait for my turn. They sent us for dinner and when we came back they decided to give me an empty bed on the antepartum unit while we waited. Shifts changed and that doctor went home and took that new plan with her.
We were finally called upstairs at 9pm or so. The new doctor wanted to just break my water and let me go into labor. I had already dilated another cm from 3 to 4 while we waited all day so I was feeling like labor would have started on it's own pretty soon whether they broke my water or not. I liked the new doctor and her plan of sticking with the plan whether she knew that was the plan or not. A+ for her.
The nurse however? She gets a major, major fail. The one person you want to feel good about in labor is your nurse. The nurse is the one who is actually there carrying out the doctor's instructions the whole time. Unfortunately I ended up with a great doctor and a really terrible nurse.
First things first, we had me hooked up to an IV for antibiotics. I hate needles, tend to have bad veins and told her so. She proceeded to ask me if I've ever been sexually abused. Because that is somehow relevant to me hating needles in that moment? Totally inappropriate question coming from a nurse, and when I gave her a nasty look as I told her I had NOT been, I was hoping she wasn't going to be this inappropriate the whole time. Glenn just sat there looking at me with a "did-she-really-just-say-that?" look on his face. I have doubts to whether this nurse has ever placed an IV before because after she rolled the first vein, which was fine because my veins suck, the second time she screwed it up and decided to see if it was in right by flushing fluid through. You'd think she would have stopped when I started screaming but she kept going. Until I was screaming louder and about to smack her off of me. Literally. She ended up bringing someone else in to do the IV and that nurse did it the first try no problem. Pretty sure the reason why I hate needles - especially IV's and having blood taken - is because it never works. The other strange thing was that she kept wanting me to get a local freeze before trying the IV. She wouldn't shut up about it. Like lady, I've done this before without a local. If she would have stopped rambling on and on and just done it right the first time we wouldn't had to waste half an hour screwing around with IV's and arguing about it.
Once the IV was finally in she starts in on how I need an epidural. Because if something goes wrong and I need a c-section it's better to have the meds in place in case of emergency. Was she *ever* barking up the wrong tree with that one. Holy shite lady. WRONG TREE. I have no problem with epidurals and thoroughly enjoyed having them with my first two babies. But I didn't need a lecture from a nurse on why she thinks I MUST have an epidural. I just smiled and nodded and let her give her little speech. Glenn just stood there in disbelief wondering what was wrong with her.
I had Glenn take a couple of pictures before labor got going.
Sooo ready to meet my baby girl!
Glenn with his, "what-is-wrong-with-our-nurse" face.
The doctor came in once the IV antibiotics had been run through and she broke my water at 11:20pm-ish. They wanted to monitor me for a bit, but I insisted on getting out of the bed after a while. Contractions started up right away and an hour later I was in active labor. I labored on my feet, sitting on my knees on a chair hunched over the windowsill, leaning on Glenn - everywhere but the bed. They put the mobile monitor machine thing on me when they wanted to monitor me again.
And this nurse. OMG this nurse would not shut up. Every contraction I had she'd start talking and trying to tell me how to breathe, what to do, etc. I ignored her for a while and then I gave up and turned on the iPod to tune her out. What kind of L&D nurse doesn't know that it's during the contractions that you shut the hell up, and give the mama pointers in between them? And if the mama doesn't listen you return yourself to shutting the hell up again and let her be. Is it that hard? THIS WAS BABY #4 - I KNOW WHAT I WANT AND HOW TO BREATHE THANKS! I just turned the iPod way up so I couldn't hear her. Glenn wanted to throw her out of the room. Because that was the other thing. I never had nurses with Olivier, just my midwives. But with Mateo and Andreas my nurses weren't IN the room the whole time. They would come and go and were very pleasant and very supportive, especially with trying a VBAC with Andreas, and it was all good. With Andreas I even had a student nurse check my cervix and it was fine. This awful nurse camped out in my room the entire time, never leaving and never being quiet. She had to get a word in every time I contracted. It was maddening.
When my midwife Ali got there I finally felt like I could relax. My nurse didn't seem impressed when I told her my midwife was on her way there and it actually kept her off my back a little more. But she still never left the room and never shut up during contractions. Glenn and Ali were amazing coaches. Glenn would stand in front of me while Ali dug into my lower back and they were so reassuring that I was doing great, that I actually felt like I was doing great. As the contractions got stronger I kept telling myself *I* was getting stronger. You'd think the nurse would take some pointers or a hint but she was oblivious. At one point when she wouldn't shut up about how I should be breathing, I just yelled "NO!" really loud at her. She laid off of me for a bit after that.
So the 3 of us kept on and all of us ignored the nurse together. We never said a word about her. It was just an unspoken thing that the nurse was crazy and we would let her keep on with her crazy and we'd keep on with me having the baby.
Eventually I moved to the bed, but I was on my knees with the bed up, hanging over the back of it. Glenn was on one side and Ali was on the other. It felt like they were a buffer between me and the nurse. I'm not sure when, but I was checked again and I was at 5cm. My nurse had guessed I was in "early labor" because I had told them that my contractions were all in my cervix. Early labor my ass - 5cm is not early labor. My contractions are always in my cervix. I didn't feel a single one in my belly or back this time or with Olivier. Her listening skills sucked because I did mention this to her but she brushed it off. She just knew better than everything I told her. And she kept getting proven wrong, which was kind of awesome. I didn't care how long she'd been doing this, she'd never been to one of *my* births and I did know better than her what was going on with me.
I had at one point found the presence of mind to tell Ali that I go from 6 to 10 and pushing in about an hour. You know, so they could like be prepared for that. She told the nurse but the nurse brushed it off. Because the nurse was a freaking idiot. At ten to 3 I was 6 to 7cm and over the next 45 minutes I would basically turn into a crazy, screaming banshee like the women you see in labor on TV. I also warned Ali that this would happen because it always does. Transition is not kind to me - that was when I'd gotten the epidural with Andreas and I do wonder if things would have been different had I stuck it out and moved around to get him out. It's not a regret or anything. Just a hunch it would have been better. Instead of an epidural, I sucked back a lot of the gas in that time. I do like the gas. I had it during transition with Olivier too. It's good stuff. I'd switch between locking eyes with Glenn and Ali while sucking back gas and breathing and they were both so calming. They knew what to say and just kept me focused.
Sometime before I had been checked or maybe after or something, the nurse suggested I try fentanyl. I'm not sure when she brought it up but I was definitely not a calm, ideal patient and she suggested it a couple times before I finally asked for some. I was told it would take the edge off the pain.
Guess what? That's a lie. It takes the edge off the patient's level of crazy and makes you easier for them to deal with. It does nothing for the pain. I am still really unhappy that I went with that idea. The gas was working just fine. I do remember begging for an epidural as well. I remember thinking that my labor was going to last forever and I could not stay at this level of pain and intensity for very much longer. Everything the nurse said to me made me doubt myself and I wish I'd have asked her to leave, or asked for a new nurse. You just don't always have the presence of mind to have those conversations during labor and my way of coping with her was to just ignore, ignore, ignore.
And then this crazy little thing happened where I WAS RIGHT and I was already fully dilated anyway. I had started pushing against Glenn's hand with mine during contractions and Ali said I looked like I was making involuntary pushing motions. She told the nurse who wanted to check me. I did not want her checking me but was far too gone with the transition-crazies to argue.
Worst decision ever. I should have gone with my gut. This awful, awful woman's version of checking me was to ram her hand up inside me and every time I screamed she would push harder. I was screaming at her to stop and yelled at her to get her hand out of me before relented. She was about 10 seconds away from getting kicked right in the face if she hadn't pulled her damned hand out when she did. I've had many cervical checks during pregnancy and during labor and never had one like that. I've never had a doctor or nurse keep their hands inside me and knowingly keep hurting me. It was extremely violating. I have a hard time even writing it down and sharing it. But I'm doing it because I want other women to know that just because you are in labor does not mean you should be at the mercy of whatever version of crazy you end up with in the delivery room. Glenn and Ali had no idea she was doing this to me because I had no way of verbalizing it in the moment. I feel like I was attacked.
After the nurse took her hand out they said I should try a practice push. I was fully dilated but the baby wasn't descending at all. So I half-assed pushed because I was still reeling from the "cervical check" I just had and I was feeling anxiety over the baby not coming down. My head was not in the game. It didn't matter though because my half-assed push brought the baby down and out almost instantly. They yelled at me to stop because she was crowning. Stopping pushing is like stopping yourself mid-sneeze. It's impossible, but I managed it because I didn't want to tear from here to there from her coming out too fast. The nurse was paging for the doctor to come NOW while Ali was slapping some gloves on in a hurry because the baby was coming like right now and midwives are allowed to deliver babies. Nurses are not so my nurse was now a sitting duck. Doctor flew in along with some nurses, I pushed again, and out came the baby at 3:40am. It was crazy fast.
Rosalie Maia, brand new!
They gave her right to me and I was just in shock at how fast it had gone. She was perfect and it was over. They took her to be weighed and measured and she was only 8 pounds 8 ounces. Good sized but certainly no giant like we were expecting. I remember them asking me questions but I was just frozen, shaking, after she was born. I guess I was in shock. The doctor gave me one stitch and that was it. It took me a while to stop shaking and be ready to get up and out of bed.
After the doctor and extra nurses had gone, Glenn was holding Rosalie while I talked to Ali, when out of nowhere the nurse lifted the sheet and doused me from the stomach down with scalding hot water. I looked up and yelled "SHIT!" really loudly because the water was so hot and it scared me. "Is that too hot?" the nurse asks me and I say, "Uh yah!" and she does it again. I could have jumped out of the bed and strangled her at that point. Nobody has ever dumped a bunch of water on me after giving birth while I was still laying in bed. It was very strange and very inappropriate.
I laid back and rested, Glenn held the baby and Ali cleaned up the delivery room while the nurse stood around and talked about how she wasn't looking forward to leaving after work because she had to go to Rona to get stuff for some renovations that were happening at her house. Really. She really kept going on and on about this and nobody was responding or listening to her but she kept talking anyway. I was just in awe of how bad her bedside manner was at that point and so tired from just giving birth that I just shut my eyes and ignored her. When it was time to get up and get ready to go to postpartum I made my way to the bathroom where the nurse was on me to pee or else, and of course I couldn't pee with her standing there lecturing me about why I needed to pee. I gave up and told myself I'd go once I was out of there and had a new room and new nurse. Then I ended up being bladder shy and they almost wouldn't let me go home because I couldn't pee at all. Have I mentioned my disdain for this nurse yet?
My stay in postpartum was much less eventful. My nurses there were all top notch. So kind, helpful and understanding. It was like night and day. I had some trouble with losing too much blood and then the peeing thing. But the blood loss stopped and I eventually peed once I relaxed again. Ali came by that afternoon and that was when she noticed that Rosalie has a heart murmur. They were hoping the pediatrician would be able to see her that day so we could go home but he was already gone so we had to stay the night. The thing that sticks out to me about my stay was how hot the room was. Every doctor and nurse that walked in commented on how it was like a boiler in there. Rosalie liked it - she slept like an angel the entire time we were there. I enjoyed watching a student nurse learn how to bathe a baby with Rosalie as the guinea pig in the nursery. I asked him if I was making him nervous (never seen a male nurse on L&D or postpartum before!) but he said that he could tell I was relaxed so he was relaxed. The nurse teaching him was a pro. The next day the pediatrician came to check out Rosalie and told me she'd be fine. We'll follow up with my family doctor when she's 3-6 months but the murmur should be gone by then. My OB also stopped by which was nice. She was really happy for us and I need to remember to write her a thank you note because I will see my midwives for all of my postpartum appointments with Rosalie.
Rosalie never did have any issues maintaining her blood sugar levels after delivery, which was a huge answer to prayer. My blood sugar levels returned to normal as soon as she was born, and for that we are extremely thankful.
We are overwhelmed with joy to have our little girl here and healthy. The boys are head over heels for her and so are Glenn and I. There is a lot of pink around here now and I like it more than I ever thought I could. When I think about my baby girl's birthday I think about pushing for what I wanted, not giving in, staying strong, trusting my instincts, kicking ass at delivering her, and how blessed I was to have Glenn and Ali there supporting me. The nurse and her behavior? She's an afterthought. I will be writing a letter to report her (and to praise the nursing staff on the postpartum unit) but right now we're just so focused on our precious little girl that I haven't had the time. My baby girl's birthday is a whirlwind of a day that capped off a roller coaster of a pregnancy, and I'll never forget it.
Next post: midwives! They are so wonderful that I need a whole other blog to sing their praises.
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