I just called a friend from church to cancel our plans for meeting today. The girls and I were going to spend a few hours at her house, which is at least an hour away. Last night, I was awakened many times by contractions, which, in my experience with my previous labors, usually means that the contractions are "real," but the same thing happened Saturday night, and they petered out to nothing special by mid-church on Sunday. I am virtually certain I will not be having a baby today, but the possibility (however remote) that I will be so far away from home (or anywhere--she lives way out in the country) when I realize "this is it" is way too much of a chance to take. I just picture myself giving birth alone in the car (with the girls in their car seats) on the side of the road and with no cell phone service, and it's enough to make the difficult decision to cancel.
Since 6:15 this morning, I've been trying to figure out what's going on, because if I'm not going to give birth today, it would be really good to keep my mind off the contractions by going somewhere or at least having an activity planned. I haven't officially timed contractions (the girls played with our "contraction-timing" watch the other day, and I have yet to find it again), but they've been about 3-5 minutes apart (by the clock) and fairly strong. I packed Casey's lunch, ate breakfast with the girls, took them on a walk around the neighborhood, watered the lawn & plants, and showered. I didn't notice a change in the contractions, but they were not debilitating. I don't know what I hoped to find out, because there isn't much difference between my Braxton Hicks contractions and real labor contractions. Needless to say, I ended up calling Case to see what he thought I should do. He feels the same way: almost sure I won't have the baby in the next day or two, but not worth the chance of giving birth on the side of the road or the kitchen floor of our friend's house.
So, here I sit at home. The girls and I are going to take an early nap in a few minutes and then see how things go after lunch. Maybe we'll try to stop by a friend's house here in town if I'm getting distracted by the contractions this afternoon. I'm not paranoid about going out--just trying to be careful about how far I go.
Tuesday, May 13, 2008
Saturday, May 10, 2008
38 Weeks
38 Weeks and counting. . . ! Casey’s supposed to take some belly pics this weekend. I took some with my little camera yesterday in case the other ones don’t happen (we’ve been meaning to do belly pics every few weeks, and hope we actually remember this time), but I’m not sure how good they are. Everything looks fine on the back of a tiny camera, but I am infamous for out-of-focus photos. Casey’s nice camera takes great pictures, but only if Casey’s taking them! It’s one of those that you really have to know what you’re doing to get a good result. The whole reason Casey got me my own little point-and-shoot camera is because I was almost always taking horrible pics (and getting really frustrated) with his nice one. The quality on his camera is so much better (a poster-size print is a piece of cake for this camera—looks great) that I always prefer that he take the really “momentous” pics. I hope the batteries cooperate with us when we have the baby. They have not been keeping a charge very long lately (yet when I put them on the charger, they show up fully charged).
Anyway, today was a really productive day. Case has every other Friday off (he works 8 9-hr days and one 8-hr day, which makes up for a whole day off—love that schedule!), and we got a lot done today. This may be as close to nesting as I’ve really ever been—I don’t know why nesting isn’t something I do, but with each baby, I keep waiting (and looking forward to) an extra burst of energy and motivation to scrub, polish, organize—whatever you’re supposed to do in the days/weeks before giving birth—only to have the last days come and go with nary an inkling of bleaching the shelves in the fridge or taking a toothbrush to the tile grout on the backsplash. In some ways I consider it a blessing, because “nesting” can get a woman into serious trouble once labor is in earnest. Many women tire themselves out with this burst of energy: sometimes taking the precious hours of early labor to completely wear themselves out with “preparations” that are hardly necessary (and often damaging) to a natural, no-frills birth experience.
So my laziness has its perks, I guess. It isn’t that I never think about doing these things, but my body cannot keep up with my mind’s desire to accomplish the “things that really should be taken care of before baby comes,” and for sanity’s sake, I have to push some thoughts to the backburner and just focus on conserving energy and expending it frugally. Even if we accomplish all we have planned for this weekend, there are still at least ½ dozen other things I can come up with off the top of my head that should be dealt with before Cowart 3.0 arrives. Yet life will go on if those things don’t get done today (or perhaps this summer, or maybe ever).
That being said, our day was both productive and relaxing. We really enjoyed it. Mostly odds and ends having to do with preparing for company (my sister and her husband and new baby will be visiting next week and then my MIL is coming a few days later to help w/our new baby). Putting together the guest room, hanging a shower curtain, cleaning and organizing the office (I was truly dreading this—it was almost wall-to-wall with boxes, furniture, toys, paperwork, etc.), oh, and HANGING PICTURES. This is to be written in the history books. We have been living in our home for a little over 2 months and ALREADY have pictures hanging on our walls! This is something of a record (for me). I believe our last house saw 2 YEARS of naked wall-ness before I finally decided to hang 8 pictures one day. I just don’t have an artsy or creative bone in my body, and get paralyzed by perfectionism. Plus, I get used to things quickly. Bare walls don’t scream at me after awhile. When there are pictures, I notice them, though, and it felt great today to see something pretty on the wall.
I think most of “our” productivity today is due mostly to Casey’s motivation and continuing work, and not to any “nesting” that I may be feeling. Were it not for his energy to continue, I would have thrown the towel in after washing the dishes and doing a load of laundry (I was ready for a nap by 9:30 this morning). The differences we noticed in the little things we did were so amazing, it was almost easy to continue with more projects, and makes me excited about tomorrow’s projects (probably consisting of putting the crib together, building a foundation for the girls’ playhouse, then treating the wood on the playhouse, planting the tomato plants we bought today, taking some belly pics, complete change-out of winter/summer clothes for Casey (this is WAY overdue. . . it has been overly warm here for more than a month) and just generally organizing and cleaning things that have fallen by the wayside.
At any rate, and for whatever reason, I feel much more ready to have this baby now. I’ve had all the home birth supplies for a few weeks, but as of Tuesday, they are all in one place and easily accessible to us and the midwives. Today, our home feels more put-together and “homey,” which will no doubt help with mental relaxation in labor. And my body has been feeling crowded and twinge-y and waddle-y, along with some really good, strong contractions. Another week or 2 of this, and I will be more than happy to complete this season of pregnancy—even in the next few days I would feel prepared, but another week or 2 would be more than enough preparation to endure even many hours of hard work. I love how God made pregnancy that way. Just long enough to prepare for it and be glad for when it’s over. The discomforts of the last few months (and especially the last few weeks) make labor more feasible, I think.
Anyway, today was a really productive day. Case has every other Friday off (he works 8 9-hr days and one 8-hr day, which makes up for a whole day off—love that schedule!), and we got a lot done today. This may be as close to nesting as I’ve really ever been—I don’t know why nesting isn’t something I do, but with each baby, I keep waiting (and looking forward to) an extra burst of energy and motivation to scrub, polish, organize—whatever you’re supposed to do in the days/weeks before giving birth—only to have the last days come and go with nary an inkling of bleaching the shelves in the fridge or taking a toothbrush to the tile grout on the backsplash. In some ways I consider it a blessing, because “nesting” can get a woman into serious trouble once labor is in earnest. Many women tire themselves out with this burst of energy: sometimes taking the precious hours of early labor to completely wear themselves out with “preparations” that are hardly necessary (and often damaging) to a natural, no-frills birth experience.
So my laziness has its perks, I guess. It isn’t that I never think about doing these things, but my body cannot keep up with my mind’s desire to accomplish the “things that really should be taken care of before baby comes,” and for sanity’s sake, I have to push some thoughts to the backburner and just focus on conserving energy and expending it frugally. Even if we accomplish all we have planned for this weekend, there are still at least ½ dozen other things I can come up with off the top of my head that should be dealt with before Cowart 3.0 arrives. Yet life will go on if those things don’t get done today (or perhaps this summer, or maybe ever).
That being said, our day was both productive and relaxing. We really enjoyed it. Mostly odds and ends having to do with preparing for company (my sister and her husband and new baby will be visiting next week and then my MIL is coming a few days later to help w/our new baby). Putting together the guest room, hanging a shower curtain, cleaning and organizing the office (I was truly dreading this—it was almost wall-to-wall with boxes, furniture, toys, paperwork, etc.), oh, and HANGING PICTURES. This is to be written in the history books. We have been living in our home for a little over 2 months and ALREADY have pictures hanging on our walls! This is something of a record (for me). I believe our last house saw 2 YEARS of naked wall-ness before I finally decided to hang 8 pictures one day. I just don’t have an artsy or creative bone in my body, and get paralyzed by perfectionism. Plus, I get used to things quickly. Bare walls don’t scream at me after awhile. When there are pictures, I notice them, though, and it felt great today to see something pretty on the wall.
I think most of “our” productivity today is due mostly to Casey’s motivation and continuing work, and not to any “nesting” that I may be feeling. Were it not for his energy to continue, I would have thrown the towel in after washing the dishes and doing a load of laundry (I was ready for a nap by 9:30 this morning). The differences we noticed in the little things we did were so amazing, it was almost easy to continue with more projects, and makes me excited about tomorrow’s projects (probably consisting of putting the crib together, building a foundation for the girls’ playhouse, then treating the wood on the playhouse, planting the tomato plants we bought today, taking some belly pics, complete change-out of winter/summer clothes for Casey (this is WAY overdue. . . it has been overly warm here for more than a month) and just generally organizing and cleaning things that have fallen by the wayside.
At any rate, and for whatever reason, I feel much more ready to have this baby now. I’ve had all the home birth supplies for a few weeks, but as of Tuesday, they are all in one place and easily accessible to us and the midwives. Today, our home feels more put-together and “homey,” which will no doubt help with mental relaxation in labor. And my body has been feeling crowded and twinge-y and waddle-y, along with some really good, strong contractions. Another week or 2 of this, and I will be more than happy to complete this season of pregnancy—even in the next few days I would feel prepared, but another week or 2 would be more than enough preparation to endure even many hours of hard work. I love how God made pregnancy that way. Just long enough to prepare for it and be glad for when it’s over. The discomforts of the last few months (and especially the last few weeks) make labor more feasible, I think.
Sunday, May 4, 2008
How Is Someone Like Me Supposed to Know When to Call?
On Monday’s visit, I asked Barb when I should call her to come, and she said when I had activity-halting contractions ten minutes apart lasting 30 seconds. I have not been keeping track like I did with Claire’s pregnancy, but I have definitely been having strong and close together contractions for many weeks. One Sunday evening (at 29 weeks, 2 days), they were 3 minutes apart, then spacing to 5, then 10-15 over a 2-3 hour time period. The 3-min-apart ones only lasted about 45 minutes before they started to space out, but they were pretty strong, and the strength of my contractions has only intensified recently. Two days ago (when I finally started feeling better from my cold) they became noticeably more downward- and forward-pulling, and my back is involved now (not my lower back like in back labor, but a little higher, like it may be the round ligaments straining.)
Anyway, I’m pretty sure I’ve been having contractions that fit the description she gave for awhile now, but at least they haven't made much of a pattern yet. If I have close together contractions, they haven’t all been very strong. (Until Friday night, when they were only 2-5 minutes apart and very intense—even in the bath—I actually wondered if it was labor for a few hours. Here we go again.) Usually in the last few weeks with this pregnancy, I’ll have some moderate contractions throughout the day with a few an hour grabbing my undivided attention. And this pregnancy has been a little different in that my contractions don’t generally last more than a minute. As I said before, I’m not keeping track, but when I notice them when I’m near a clock, the minutes on the clock almost never change more than once before the contraction subsides (meaning contractions are at most less than 2 minutes long, and likely one minute or less). So that’s been a nice break this pregnancy. Even the doozies are pretty short, so I’m not going crazy yet.
The whole “how to tell if it’s the real deal” thing is very confusing to someone who labors like me. The general instruction a provider gives is to call when contractions are strong, 5 minutes apart, lasting 1 minute for an hour. So if I had followed those instructions for my last 2 births, I would have gone to the hospital (for absolute sure) 2 days before my first child was born (and possibly earlier than that, if I’d known to time them sooner), and my midwife would have been coming over to check me every few days for almost a month before my 2nd child was born. I’m not sure if I would have called by now in this pregnancy, since I’m not sure if they’re lasting a whole minute or not yet, but I’m already pretty close to meeting those standards now, and probably won’t have this baby for at least 2 weeks.
I could go by what my sister’s Doc told her when they called to see when to come in (water breaking, bloody show, or contractions 5 minutes apart or less). But let’s see . . . water breaking would mean we would have never made it to the hospital with Ruby (if it weren’t for amniotomy 13 minutes before her birth, the water may have never broken), and with Claire, our help barely made it in time (there is NO way we would have made it if we had to go to the hospital with her). So that’s not entirely reliable. How about bloody show? Well, we would have gone to the hospital over 49 hours before Ruby was born. A tad early, I think (and begging to be meddled with). And for Claire, she was almost out before any kind of blood was a factor. What about contractions 5 minutes apart? Like I said above, we would have been WAY too early for both births if we had gone by that sign.
It does scare me a little when I think that we may not know in time to call Barb and that I may have an unassisted birth this time. I do not want that, but it is a real possibility with how I labor. It’s either that or cry wolf 10 times and have Barb just roll her eyes when I actually do need her. Barb tells me that in her experience, second babies are usually the fastest, and it doesn’t mean that subsequent babies come faster and faster. But my problem is not so much with speed (Claire’s labor was 12 hours—not “fast” by almost anyone’s standards), but with how far I am into it before I know for sure that my baby is definitely coming this time. Add the fact that we’re farther away now that we’ve moved, and there is a great possibility that we’ll have this baby on our own.
I am not entirely fearful of this, but I am not in la-la land, either. I know childbirth is natural and that God made my body to do what it will do, but I’m not unaware of the tainting that “the fall” has had on all the things that, when God created them, he called “good.” The fact is that my body is not to be trusted: it is God who is to be trusted. And I need to be wise and discerning about my choices. I may not blindly bumble my way into serious consequences and blame it on Him. There is a delicate balance (I hate to use that word: it isn’t ideal) between trusting God and being foolish. I need to do all that I can to be careful and thoughtful, yet all the while trust that the outcome is truly in God’s hand. Casey and I will be praying for discernment to know in time that I am truly in labor.
Anyway, I’m pretty sure I’ve been having contractions that fit the description she gave for awhile now, but at least they haven't made much of a pattern yet. If I have close together contractions, they haven’t all been very strong. (Until Friday night, when they were only 2-5 minutes apart and very intense—even in the bath—I actually wondered if it was labor for a few hours. Here we go again.) Usually in the last few weeks with this pregnancy, I’ll have some moderate contractions throughout the day with a few an hour grabbing my undivided attention. And this pregnancy has been a little different in that my contractions don’t generally last more than a minute. As I said before, I’m not keeping track, but when I notice them when I’m near a clock, the minutes on the clock almost never change more than once before the contraction subsides (meaning contractions are at most less than 2 minutes long, and likely one minute or less). So that’s been a nice break this pregnancy. Even the doozies are pretty short, so I’m not going crazy yet.
The whole “how to tell if it’s the real deal” thing is very confusing to someone who labors like me. The general instruction a provider gives is to call when contractions are strong, 5 minutes apart, lasting 1 minute for an hour. So if I had followed those instructions for my last 2 births, I would have gone to the hospital (for absolute sure) 2 days before my first child was born (and possibly earlier than that, if I’d known to time them sooner), and my midwife would have been coming over to check me every few days for almost a month before my 2nd child was born. I’m not sure if I would have called by now in this pregnancy, since I’m not sure if they’re lasting a whole minute or not yet, but I’m already pretty close to meeting those standards now, and probably won’t have this baby for at least 2 weeks.
I could go by what my sister’s Doc told her when they called to see when to come in (water breaking, bloody show, or contractions 5 minutes apart or less). But let’s see . . . water breaking would mean we would have never made it to the hospital with Ruby (if it weren’t for amniotomy 13 minutes before her birth, the water may have never broken), and with Claire, our help barely made it in time (there is NO way we would have made it if we had to go to the hospital with her). So that’s not entirely reliable. How about bloody show? Well, we would have gone to the hospital over 49 hours before Ruby was born. A tad early, I think (and begging to be meddled with). And for Claire, she was almost out before any kind of blood was a factor. What about contractions 5 minutes apart? Like I said above, we would have been WAY too early for both births if we had gone by that sign.
It does scare me a little when I think that we may not know in time to call Barb and that I may have an unassisted birth this time. I do not want that, but it is a real possibility with how I labor. It’s either that or cry wolf 10 times and have Barb just roll her eyes when I actually do need her. Barb tells me that in her experience, second babies are usually the fastest, and it doesn’t mean that subsequent babies come faster and faster. But my problem is not so much with speed (Claire’s labor was 12 hours—not “fast” by almost anyone’s standards), but with how far I am into it before I know for sure that my baby is definitely coming this time. Add the fact that we’re farther away now that we’ve moved, and there is a great possibility that we’ll have this baby on our own.
I am not entirely fearful of this, but I am not in la-la land, either. I know childbirth is natural and that God made my body to do what it will do, but I’m not unaware of the tainting that “the fall” has had on all the things that, when God created them, he called “good.” The fact is that my body is not to be trusted: it is God who is to be trusted. And I need to be wise and discerning about my choices. I may not blindly bumble my way into serious consequences and blame it on Him. There is a delicate balance (I hate to use that word: it isn’t ideal) between trusting God and being foolish. I need to do all that I can to be careful and thoughtful, yet all the while trust that the outcome is truly in God’s hand. Casey and I will be praying for discernment to know in time that I am truly in labor.
Labels:
Braxton Hicks,
contractions,
false labor,
prodromal labor
Saturday, May 3, 2008
GBS Screening
I had a midwife appointment on Monday (we’re down to every week now). She did a blood draw and asked about GBS testing. I wasn’t prepared for it, as I had it in my mind it was done at 37 weeks. Casey and I hadn’t discussed it, so we decided to wait until next appointment (the home visit) to let her know. This must have happened with my last baby, too, because she did the test at the home visit last time. We’re thinking that we’ll have the test done and *maybe* do the other home remedy (the one she says she’s seen results on), but no antibiotics. The fact is that *for me,* I don’t consider GBS that dangerous. I know it can be, and I personally know a midwife who almost died 3 times (and so did her last 3 babies) due to GBS infection. So I’m not saying I don’t think it can be bad. I just have had the flora (not the infection itself) the last 2 births (the second one without any antibiotics) and it has not caused problems for either me or my babies.
So, one may wonder why, if we’re not going to do antibiotics, we would go ahead with the test. It is simply my “curious” and “researchy” side that wants to know. If we have a healthy, no-problems baby, some may claim it was because everything was “fine,” medically speaking, and there will be no way to know afterward if I was GBS positive at the time. I assume that I’ll test positive again, and I imagine I’m just a carrier and nothing will come of it, and I think that’s a legitimate thing to consider. The fact is that *most* babies are not in danger of complications re: GBS, and even fewer mothers are. The routine testing and administration of antibiotics seems to be unnecessary.
Of course, my midwife keeps a close eye on babies and moms when there is a positive GBS result, but she is very thorough as it is and I do not believe an infection would escape her notice, even without a positive test. Another posting altogether would be all the reasons why we feel very confident with home birth with our midwife: her excellent credentials and experience.
So, one may wonder why, if we’re not going to do antibiotics, we would go ahead with the test. It is simply my “curious” and “researchy” side that wants to know. If we have a healthy, no-problems baby, some may claim it was because everything was “fine,” medically speaking, and there will be no way to know afterward if I was GBS positive at the time. I assume that I’ll test positive again, and I imagine I’m just a carrier and nothing will come of it, and I think that’s a legitimate thing to consider. The fact is that *most* babies are not in danger of complications re: GBS, and even fewer mothers are. The routine testing and administration of antibiotics seems to be unnecessary.
Of course, my midwife keeps a close eye on babies and moms when there is a positive GBS result, but she is very thorough as it is and I do not believe an infection would escape her notice, even without a positive test. Another posting altogether would be all the reasons why we feel very confident with home birth with our midwife: her excellent credentials and experience.
Wednesday, April 30, 2008
Getting Better
Here I am, taking it easy (again) in order to speed recovery from this illness. It has been over a week now since I started getting sick, and only yesterday evening did I begin to feel better. Two nights ago, I went to an urgent care near our house once Casey got home from work.
They did a rapid strep culture which was negative, and the Nurse Practitioner (whose bedside manner was lacking) could not find anything wrong with me. She sent me home with a prescription for an antibiotic, should I find myself not getting better within a few days, telling me it was the “safest” of the things she could prescribe. She also advised me to do a sinus rinse to aid in relieving the pressure I was feeling.
I went home and did the rinse, which didn’t work because of the congestion (I did feel a little more justified about the pain once I discovered this). Starting before I went to the urgent care, I noticed a building pressure in my ears, which, by night, had completely cut off any hearing in my right ear; throbbing and piercing like a needle in my eardrum. It reminded me of ear infections while growing up. I was not able to sleep. Finally, around 1:30 a.m., I called the nurse line and the nurse on call gave me several really helpful tips (all natural and none to affect the baby). I joked with her that even if they didn’t alleviate the pain and pressure, at least I’d be exhausted after doing everything she said, so I may be able to sleep despite the pain.
Having gone through all the steps, I headed to bed, laying my right ear on a heating pad set to “low” under a towel. The heat was soothing enough to allow me to fall asleep. Some time in the night, I woke to notice my ear pop slightly, and the pain was no longer as sharp. Still lots of pressure, and no hearing, but at least the pain was lessened.
By the time Casey’s alarm went off, I knew I still wasn’t doing well. Between the pain of my continuing sore throat and the pressure in my ears, I couldn’t picture how I’d get through the day caring for the girls. Casey graciously decided to use some personal time from work (what we’re trying to save for when baby comes!) to stay home. I stayed in bed all but about an hour of the day.
I ended up calling my doctor’s office to set up an acute care appointment, and they called back saying that since she would not be able to prescribe anything if she did find something wrong (since I’m pregnant), there was no purpose in me coming in. They gave me a few tips over the phone and that was that. Some women may have been very discouraged by this, but I really respect my doc’s opinion. She is pretty conservative when it comes to medications, and it said a lot about how “safe” an antibiotic really is in pregnancy that she wouldn’t prescribe one. (As “safe” as any drug is, since there have been no studies to prove any drug’s “safety” in pregnancy.) Needless to say, I will not be filling that prescription from the NP tomorrow.
Casey headed off to work this morning, asking me to please take it easy. I assured him I would. I know how discouraging it would be for him if I overdid it and ended up feeling worse tomorrow. I can see him wondering “Why did I even bother staying home that whole day?” It would really seem like a waste of the time he sacrificed, and as strange as it may seem to me, one of the best ways I can show my appreciation is to go easy, not try to “catch up” right now. (This is especially counter-intuitive knowing my husband the way I do. Normally, nothing says appreciation and love and respect to him like a clean, orderly house with well-behaved children and a good meal on the table. Barring an absolute miracle, he will not find ANY of this when he returns home today.)
So today, I’m parenting from the couch, and when the girls have their naps, so will I. My one goal for the day is to get one load of laundry done. Casey has been good about keeping up on things here and there, but (like they would be if Casey had been sick all this time) things are still piling up. There’s only so much one person can do. I don’t know how single parents do it when they’re this sick.
They did a rapid strep culture which was negative, and the Nurse Practitioner (whose bedside manner was lacking) could not find anything wrong with me. She sent me home with a prescription for an antibiotic, should I find myself not getting better within a few days, telling me it was the “safest” of the things she could prescribe. She also advised me to do a sinus rinse to aid in relieving the pressure I was feeling.
I went home and did the rinse, which didn’t work because of the congestion (I did feel a little more justified about the pain once I discovered this). Starting before I went to the urgent care, I noticed a building pressure in my ears, which, by night, had completely cut off any hearing in my right ear; throbbing and piercing like a needle in my eardrum. It reminded me of ear infections while growing up. I was not able to sleep. Finally, around 1:30 a.m., I called the nurse line and the nurse on call gave me several really helpful tips (all natural and none to affect the baby). I joked with her that even if they didn’t alleviate the pain and pressure, at least I’d be exhausted after doing everything she said, so I may be able to sleep despite the pain.
Having gone through all the steps, I headed to bed, laying my right ear on a heating pad set to “low” under a towel. The heat was soothing enough to allow me to fall asleep. Some time in the night, I woke to notice my ear pop slightly, and the pain was no longer as sharp. Still lots of pressure, and no hearing, but at least the pain was lessened.
By the time Casey’s alarm went off, I knew I still wasn’t doing well. Between the pain of my continuing sore throat and the pressure in my ears, I couldn’t picture how I’d get through the day caring for the girls. Casey graciously decided to use some personal time from work (what we’re trying to save for when baby comes!) to stay home. I stayed in bed all but about an hour of the day.
I ended up calling my doctor’s office to set up an acute care appointment, and they called back saying that since she would not be able to prescribe anything if she did find something wrong (since I’m pregnant), there was no purpose in me coming in. They gave me a few tips over the phone and that was that. Some women may have been very discouraged by this, but I really respect my doc’s opinion. She is pretty conservative when it comes to medications, and it said a lot about how “safe” an antibiotic really is in pregnancy that she wouldn’t prescribe one. (As “safe” as any drug is, since there have been no studies to prove any drug’s “safety” in pregnancy.) Needless to say, I will not be filling that prescription from the NP tomorrow.
Casey headed off to work this morning, asking me to please take it easy. I assured him I would. I know how discouraging it would be for him if I overdid it and ended up feeling worse tomorrow. I can see him wondering “Why did I even bother staying home that whole day?” It would really seem like a waste of the time he sacrificed, and as strange as it may seem to me, one of the best ways I can show my appreciation is to go easy, not try to “catch up” right now. (This is especially counter-intuitive knowing my husband the way I do. Normally, nothing says appreciation and love and respect to him like a clean, orderly house with well-behaved children and a good meal on the table. Barring an absolute miracle, he will not find ANY of this when he returns home today.)
So today, I’m parenting from the couch, and when the girls have their naps, so will I. My one goal for the day is to get one load of laundry done. Casey has been good about keeping up on things here and there, but (like they would be if Casey had been sick all this time) things are still piling up. There’s only so much one person can do. I don’t know how single parents do it when they’re this sick.
Sunday, April 27, 2008
Deb's Birth Story
My sister had her baby boy Friday, March 28th at 11:40 p.m. He weighed 7 lb, 11 oz and was 20 inches long. She and her husband were very well educated on birth and options and risks and such, and it shows in her great hospital birth experience. It isn't often that I get to read such an encouraging birth story, since so few people take the responsibility to educate and prepare themselves for a great birth. (It takes a whole lot more than leafing through "What to Expect When You're Expecting" to be truly educated. :) I got her permission to post the birth account she recently wrote.
Deb kept the story mostly to facts and didn't express too much of what her thoughts and emotions were doing during labor. I believe it is very helpful to know in particular the mom's perspective of birth, because that's where I find I need most of my preparation for birth: on the mental side of things. I find that the physical part of labor can be made much easier if the mental and emotional parts are kept in check (relaxation is key, and one cannot relax very well physically without first relaxing mentally and emotionally). This is why I look forward to her visit next month--hearing all the juicy specifics on what was going on in her head in those hours and hours that are succinctly summed up in a few paragraphs.
And without further ado: The Story:
I started labor sometime in the very early morning on Friday the 28th (due date was approx 3 April) maybe 2 or 3a...was awakened by a couple of mild contractions and then every 10 or so minutes I would have another. I kept getting up and walking around. Brett went to work that morning. I labored with some moderate contractions all morning, took a bath, drank a lot, had some snacks tried to sleep. B came home for lunch. By then my contractions were getting pretty intense and I wasn't in the mood for much. I tried to sleep in between contractions and I watched a movie. I still wasn't sure if this was the real thing so I didn't want B to stay around for nothing, so he went back to work.
All afternoon I tried so hard to relax and breath through the contractions, they were so intense though. It took me a while to figure out the reason they were so intense was that I was having some significant back labor. So much so that I didn't really feel the contractions in my uterus...just my lower back. I tried another hot bath and warm packs to my back which did help a little. About 4:30 or so I texted B to ask him to come home after work instead of heading to the grocery store like we planned. He got home about 5:30 and I was upstairs on all fours laying on pillows and crying.
We labored for a few more hours, B gave me firm counterpressure on my lower back during contractions which helped a ton. I wished I had asked him to come home earlier, but I still wasn't sure where I was in this little marathon. B called the doc on call (our midwife had just left town that evening). He said to head in when any of three things happened - water breaking, bloody show or contractions 5 minutes apart or less. B and I walked around the house a bit. I went to the bathroom and what do you know...there was the bloody show. My contractions were still a bit erratic, some 7 minutes apart, some 2 or 3.
Here's the part where we show how truly organized we are. B and I had made a couple of changes to our birth plan and had kept meaning to print off the new one. B had it saved on his work hard drive which of course can't be accessed from home. We knew we should start heading to the hospital soon and of all things important to bring with us, the birth plan was it. So there is B upstairs typing frantically from our draft. I came upstairs sat in the office, had a contraction and then ran to the bathroom to throw up 4 times. So then we decided it was definitely time to go. As we jumped into the car and headed north, I was actually feeling a bit better having vomited. I was a little more talkative and excited, so I thought in my head, "oh great here we are on our way, and we are way too early...we're going to sit in the hospital for hours and hours!"
We got to the birth center and were put in a triage room about 9:45 or so. The nurse came in, checked me and I was 7 cm!!! We were very relieved...I thought she would say 2 or something. So we walked over to the LRD room. When we walked into our room, I saw two of my college classmates who were our nurse and the charge nurse. I was glad to see someone I knew. I sat down on the bed. B ran downstairs to get our stuff and park the car. My nurse and I started the admission history. She was very good (she'd have to be since she is a Beth-El grad:)). She told me, "I am going to be asking you questions, but when you have a contraction, just do what you need to do."
I had about 4 or 5 contractions while B was getting things settled and they were getting more intense. I kind of wish looking back on it that we had gotten to the hospital just a little bit earlier, so B could be helping me instead of having to worry about our stuff. Then I told my nurse "I either need to have a bowel movement, or I need to have a baby."
My nurse checked me and I was 8 cm and she could feel the head. We walked to the bathroom. I sat on the toilet for two contractions and those were wammos! B was done getting the stuff and back in the room now. We walked back and I sat on the birth ball and leaned over the bed for 3 or 4 contractions. Those were even more intense, but it was still mostly in my back. I was shaking and saying "Oh God, oh Lord help me!" over and over..I wasn't taking the Lord's name in vain...I really meant it!:) I was feeling even more pushy now. I told B "I can't, I can't," and he knew exactly what that meant.:) I was close! My nurse checked me again and I was complete!!! In this case having frequent exams was fine and helpful, since I was progressing so quickly.
The charge nurse went to call the doc and I got into the bed. After all this back labor, the last thing I wanted to do was lay on my back, so even though it was awkward, I was on my side, clinging to the bed rail to support myself. B had my top leg. By this time I was burning hot and any clothing I may have had was long gone. Instead of pushing B away like I thought I might, I hung onto his neck and pulled on him so hard. Poor guy, good thing it didn't last too long. The charge nurse came back in and said "the doc is on his way, but he's 20 minutes out, so try to hold off on pushing." HA! What a ridiculous thing to tell a laboring woman. I had a couple of pushing contractions and on one of them my water broke just like a water balloon. It made such a distinct pop that it surprised everyone in the room.
I tried as hard as I could to breathe through a couple of contractions and not bear down, but it was impossible. B whispered to me so the staff couldn't hear, "just let your body do what it needs to." We knew there was an on call in house OB who was prepared to deliver if ours didn't make it in time. Brett told them something like, "listen, we don't really care who delivers, because it's happening regardless." They got the on call OB who came in and started helping stretch my perineum. About 5 minutes later our covering OB came in. I was very relieved to see him. I had about 4 or 5 pushes before the head was out.
There was this battle in my head, "I don't want to push, because it is hurting when I do, but I want my baby and I want this to be done!" I tore very superficially when the head came out. The rest of his body practically slid out. Active pushing was maybe about 15-20 minutes. They suctioned him and put him on my belly. I hadn't heard the OB when he said it was a boy, so as soon as I got him, I spread his legs to see what in the world this baby was. Apparently Caiden urinated when he came out. He was a little blue from the cord being wrapped around his neck once, so they gave him a little blowby O2 and he let out a big cry. It was an awesome sound. Nothing prepares you for those emotions.
He was able to latch on for a few minutes. They did all his measurements, bath, and assessment at the bedside. We did a lot of skin to skin to keep up his temp after his bath. He stayed in the room with us the duration of the stay. Right after my stitches were done, I had the worst shakes. I was so cold, but it resolved quickly with warm blankets. I had my OJ, ate some food and got up to go to the bathroom.
I have to say something about our hospital experience. Our nurses were wonderful. Besides the whole "hold off on pushing thing," they were so accommodating. They made sure I had plenty of juice for B to give me, that I could move around. They said they would bring pain meds only when I asked and wouldn't push them on me. I was able to be on and off the fetal monitor as needed. They let me choose whatever position I felt most comfortable in. I do wish I was able to push when I needed to and that my midwife was able to be there. There were a couple of the routine newborn meds/interventions that we decided to either forego or wait on and they didn't argue with me. Overall it was a wonderful, doable experience. Hooray for no meds! However, I have decided something, I don't like back labor. All in all the labor was about 20 or 21 hours, but it really didn't seem that long.
And to this I add from my soap box: as a nurse, can I make a request to please be kind to your nurses?! They are people who have feelings and work 12 hours shifts (some of them are 9 months pregnant) taking care of often grumpy and demanding families. Please don't go looking for a fight with the hospital staff. Remember you are coming into a hospital where the focus is not on what should normally happen, but preparation for what might go wrong. This is not a bad thing, it's just the nature of birthing in a hospital versus home or a birth center. Healthcare professionals are bound by lots of protocols, liability and concerns for your safety, so don't be too hard on them when they are overly cautious. You may be very educated in natural birth and the Bradley Method, but they have gone through years of education and experience. Just respectfully and kindly make your requests as a team collaborator and not a demander. When you interact with your nurse, picture me 9 months prego taking care of you.:) Several of us have wonderful husbands who are great advocators. Please share this part with them as they will be the ones interacting with the staff. It may bug you to have the staff around, but if something were to happen with you or the baby, you'd better believe you want them there! There, I am done.
Recovery has been pretty good. Sore off and on. My lumbar area has been the most sore. I haven't been afraid to take Ibuprofen! I have taken a hot bath every day and that is wonderful. If I try too much activity in a day, then I pay for it later, but for the most part I have felt pretty good. One thing B and I found the first week was that we needed a daily outing. We would go to sonic and get drinks, go hang out at my parent's house. One night we spent 3 hours at a coffee shop (our first date). It's been very good for my spirits and good for our marriage.
Breastfeeding is going really well. I was afraid of the day my milk came in that I would be a basket case, but it turned out to be okay. Just a little weepy:). Caiden has been a little jaundiced so I've been feeding him frequently and putting him in the sun for a little while everyday. Nights are doable. It's incredible the grace God gives you when you need it. I really don't feel put out having to wake and feed. I forget how tired I really am. A few times I have had to wake him up because he would try to go 4+ hours between feedings at night. I told him, no sir, we are going to get rid of this jaundice and then he cooperated.
Deb kept the story mostly to facts and didn't express too much of what her thoughts and emotions were doing during labor. I believe it is very helpful to know in particular the mom's perspective of birth, because that's where I find I need most of my preparation for birth: on the mental side of things. I find that the physical part of labor can be made much easier if the mental and emotional parts are kept in check (relaxation is key, and one cannot relax very well physically without first relaxing mentally and emotionally). This is why I look forward to her visit next month--hearing all the juicy specifics on what was going on in her head in those hours and hours that are succinctly summed up in a few paragraphs.
And without further ado: The Story:
I started labor sometime in the very early morning on Friday the 28th (due date was approx 3 April) maybe 2 or 3a...was awakened by a couple of mild contractions and then every 10 or so minutes I would have another. I kept getting up and walking around. Brett went to work that morning. I labored with some moderate contractions all morning, took a bath, drank a lot, had some snacks tried to sleep. B came home for lunch. By then my contractions were getting pretty intense and I wasn't in the mood for much. I tried to sleep in between contractions and I watched a movie. I still wasn't sure if this was the real thing so I didn't want B to stay around for nothing, so he went back to work.
All afternoon I tried so hard to relax and breath through the contractions, they were so intense though. It took me a while to figure out the reason they were so intense was that I was having some significant back labor. So much so that I didn't really feel the contractions in my uterus...just my lower back. I tried another hot bath and warm packs to my back which did help a little. About 4:30 or so I texted B to ask him to come home after work instead of heading to the grocery store like we planned. He got home about 5:30 and I was upstairs on all fours laying on pillows and crying.
We labored for a few more hours, B gave me firm counterpressure on my lower back during contractions which helped a ton. I wished I had asked him to come home earlier, but I still wasn't sure where I was in this little marathon. B called the doc on call (our midwife had just left town that evening). He said to head in when any of three things happened - water breaking, bloody show or contractions 5 minutes apart or less. B and I walked around the house a bit. I went to the bathroom and what do you know...there was the bloody show. My contractions were still a bit erratic, some 7 minutes apart, some 2 or 3.
Here's the part where we show how truly organized we are. B and I had made a couple of changes to our birth plan and had kept meaning to print off the new one. B had it saved on his work hard drive which of course can't be accessed from home. We knew we should start heading to the hospital soon and of all things important to bring with us, the birth plan was it. So there is B upstairs typing frantically from our draft. I came upstairs sat in the office, had a contraction and then ran to the bathroom to throw up 4 times. So then we decided it was definitely time to go. As we jumped into the car and headed north, I was actually feeling a bit better having vomited. I was a little more talkative and excited, so I thought in my head, "oh great here we are on our way, and we are way too early...we're going to sit in the hospital for hours and hours!"
We got to the birth center and were put in a triage room about 9:45 or so. The nurse came in, checked me and I was 7 cm!!! We were very relieved...I thought she would say 2 or something. So we walked over to the LRD room. When we walked into our room, I saw two of my college classmates who were our nurse and the charge nurse. I was glad to see someone I knew. I sat down on the bed. B ran downstairs to get our stuff and park the car. My nurse and I started the admission history. She was very good (she'd have to be since she is a Beth-El grad:)). She told me, "I am going to be asking you questions, but when you have a contraction, just do what you need to do."
I had about 4 or 5 contractions while B was getting things settled and they were getting more intense. I kind of wish looking back on it that we had gotten to the hospital just a little bit earlier, so B could be helping me instead of having to worry about our stuff. Then I told my nurse "I either need to have a bowel movement, or I need to have a baby."
My nurse checked me and I was 8 cm and she could feel the head. We walked to the bathroom. I sat on the toilet for two contractions and those were wammos! B was done getting the stuff and back in the room now. We walked back and I sat on the birth ball and leaned over the bed for 3 or 4 contractions. Those were even more intense, but it was still mostly in my back. I was shaking and saying "Oh God, oh Lord help me!" over and over..I wasn't taking the Lord's name in vain...I really meant it!:) I was feeling even more pushy now. I told B "I can't, I can't," and he knew exactly what that meant.:) I was close! My nurse checked me again and I was complete!!! In this case having frequent exams was fine and helpful, since I was progressing so quickly.
The charge nurse went to call the doc and I got into the bed. After all this back labor, the last thing I wanted to do was lay on my back, so even though it was awkward, I was on my side, clinging to the bed rail to support myself. B had my top leg. By this time I was burning hot and any clothing I may have had was long gone. Instead of pushing B away like I thought I might, I hung onto his neck and pulled on him so hard. Poor guy, good thing it didn't last too long. The charge nurse came back in and said "the doc is on his way, but he's 20 minutes out, so try to hold off on pushing." HA! What a ridiculous thing to tell a laboring woman. I had a couple of pushing contractions and on one of them my water broke just like a water balloon. It made such a distinct pop that it surprised everyone in the room.
I tried as hard as I could to breathe through a couple of contractions and not bear down, but it was impossible. B whispered to me so the staff couldn't hear, "just let your body do what it needs to." We knew there was an on call in house OB who was prepared to deliver if ours didn't make it in time. Brett told them something like, "listen, we don't really care who delivers, because it's happening regardless." They got the on call OB who came in and started helping stretch my perineum. About 5 minutes later our covering OB came in. I was very relieved to see him. I had about 4 or 5 pushes before the head was out.
There was this battle in my head, "I don't want to push, because it is hurting when I do, but I want my baby and I want this to be done!" I tore very superficially when the head came out. The rest of his body practically slid out. Active pushing was maybe about 15-20 minutes. They suctioned him and put him on my belly. I hadn't heard the OB when he said it was a boy, so as soon as I got him, I spread his legs to see what in the world this baby was. Apparently Caiden urinated when he came out. He was a little blue from the cord being wrapped around his neck once, so they gave him a little blowby O2 and he let out a big cry. It was an awesome sound. Nothing prepares you for those emotions.
He was able to latch on for a few minutes. They did all his measurements, bath, and assessment at the bedside. We did a lot of skin to skin to keep up his temp after his bath. He stayed in the room with us the duration of the stay. Right after my stitches were done, I had the worst shakes. I was so cold, but it resolved quickly with warm blankets. I had my OJ, ate some food and got up to go to the bathroom.
I have to say something about our hospital experience. Our nurses were wonderful. Besides the whole "hold off on pushing thing," they were so accommodating. They made sure I had plenty of juice for B to give me, that I could move around. They said they would bring pain meds only when I asked and wouldn't push them on me. I was able to be on and off the fetal monitor as needed. They let me choose whatever position I felt most comfortable in. I do wish I was able to push when I needed to and that my midwife was able to be there. There were a couple of the routine newborn meds/interventions that we decided to either forego or wait on and they didn't argue with me. Overall it was a wonderful, doable experience. Hooray for no meds! However, I have decided something, I don't like back labor. All in all the labor was about 20 or 21 hours, but it really didn't seem that long.
And to this I add from my soap box: as a nurse, can I make a request to please be kind to your nurses?! They are people who have feelings and work 12 hours shifts (some of them are 9 months pregnant) taking care of often grumpy and demanding families. Please don't go looking for a fight with the hospital staff. Remember you are coming into a hospital where the focus is not on what should normally happen, but preparation for what might go wrong. This is not a bad thing, it's just the nature of birthing in a hospital versus home or a birth center. Healthcare professionals are bound by lots of protocols, liability and concerns for your safety, so don't be too hard on them when they are overly cautious. You may be very educated in natural birth and the Bradley Method, but they have gone through years of education and experience. Just respectfully and kindly make your requests as a team collaborator and not a demander. When you interact with your nurse, picture me 9 months prego taking care of you.:) Several of us have wonderful husbands who are great advocators. Please share this part with them as they will be the ones interacting with the staff. It may bug you to have the staff around, but if something were to happen with you or the baby, you'd better believe you want them there! There, I am done.
Recovery has been pretty good. Sore off and on. My lumbar area has been the most sore. I haven't been afraid to take Ibuprofen! I have taken a hot bath every day and that is wonderful. If I try too much activity in a day, then I pay for it later, but for the most part I have felt pretty good. One thing B and I found the first week was that we needed a daily outing. We would go to sonic and get drinks, go hang out at my parent's house. One night we spent 3 hours at a coffee shop (our first date). It's been very good for my spirits and good for our marriage.
Breastfeeding is going really well. I was afraid of the day my milk came in that I would be a basket case, but it turned out to be okay. Just a little weepy:). Caiden has been a little jaundiced so I've been feeding him frequently and putting him in the sun for a little while everyday. Nights are doable. It's incredible the grace God gives you when you need it. I really don't feel put out having to wake and feed. I forget how tired I really am. A few times I have had to wake him up because he would try to go 4+ hours between feedings at night. I told him, no sir, we are going to get rid of this jaundice and then he cooperated.
Saturday, April 26, 2008
Sick and Tired
Monday, Casey called in sick to work, and spent the day totally wiped out. He's been having a really terrible time with allergies this year (Perhaps because he's finally lived here long enough to build up allergies. I, however, since I am pregnant, am gleefully free of almost any allergy-related symptoms this season. There are SOME perks to pregnancy, and I really love this one!)
So, anyway, I was thinking it was just the allergies taking their toll on Casey until Tuesday morning, when I woke up w/a sore throat and Wed. it was worse and accompanied by a hoarse voice and some other mild symptoms (among other things, tiredness, but that's not new:). It wasn't the worst cold I've ever had, but since I'm so close to my due date (less than a month away!), I decided to take it easy in order to recover ASAP. I've been taking it easy (as easy as you can as a home-maker w/two toddlers--can't exactly "call in sick") for several days straight now, but every day I feel worse, not better. I can't sleep if I can't breathe through my nose, and have been waking very early in the morning and just getting up to sit on the couch and drink tea and read birth stories until the girls and Casey wake up. This is not the kind of sickness that knocks me out and I can't do anything but sleep. This is the kind of sickness where my eyes and throat hurt, my body doesn't want to move, and it hurts to talk, but otherwise, nothing is wrong with me. I feel unjustified asking Casey to take so much household and childcare responsibility, yet if I do 10 min. of dishes or housework, or have to be the main caretaker of the children, I'm pooped and feel horrible.
It is really hard to be sick this way. If I were asleep all day, I wouldn't be conscious of all that is going on, and I believe I would feel less guilty for not participating. But just sitting around watching Casey take on any discipline or meals or dishes is very difficult. I keep thinking "I'm not paralyzed, why should I not help?" It just seems wrong to me to let him do so much when I'm there and I know how hard it is to take care of everything all at once. I really hope I'm never completely bedridden for more than a day or so, because I don't know if I could handle not lifting a finger for too long. I really hope to recover soon, for many reasons.
So, anyway, I was thinking it was just the allergies taking their toll on Casey until Tuesday morning, when I woke up w/a sore throat and Wed. it was worse and accompanied by a hoarse voice and some other mild symptoms (among other things, tiredness, but that's not new:). It wasn't the worst cold I've ever had, but since I'm so close to my due date (less than a month away!), I decided to take it easy in order to recover ASAP. I've been taking it easy (as easy as you can as a home-maker w/two toddlers--can't exactly "call in sick") for several days straight now, but every day I feel worse, not better. I can't sleep if I can't breathe through my nose, and have been waking very early in the morning and just getting up to sit on the couch and drink tea and read birth stories until the girls and Casey wake up. This is not the kind of sickness that knocks me out and I can't do anything but sleep. This is the kind of sickness where my eyes and throat hurt, my body doesn't want to move, and it hurts to talk, but otherwise, nothing is wrong with me. I feel unjustified asking Casey to take so much household and childcare responsibility, yet if I do 10 min. of dishes or housework, or have to be the main caretaker of the children, I'm pooped and feel horrible.
It is really hard to be sick this way. If I were asleep all day, I wouldn't be conscious of all that is going on, and I believe I would feel less guilty for not participating. But just sitting around watching Casey take on any discipline or meals or dishes is very difficult. I keep thinking "I'm not paralyzed, why should I not help?" It just seems wrong to me to let him do so much when I'm there and I know how hard it is to take care of everything all at once. I really hope I'm never completely bedridden for more than a day or so, because I don't know if I could handle not lifting a finger for too long. I really hope to recover soon, for many reasons.
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