Born: Saturday, June 4, 2005
3:19am
8lbs 1oz, 19 inches long
May 12
10 days until my due date. I went to see my doctor and she stripped my membranes without my permission. I was hesitant to complain because I was afraid of starting a dispute with the doctors who might be delivering me. I thought it would make them even less cooperative when it came to my birth plan. But Liza, my Bradley instructor, told me that putting them on notice now would make them more careful in the future, because they would know that I demand the right to informed consent. I called my doctor’s office to try to speak to her about what she did, but she was gone for the weekend. I did speak with the office manager, who told me she would make sure to let the doctor know I was unhappy and put it in my file that they are to speak to me in advance of any procedure they recommend. She said she believed the reason Dr. R did what she did is because even though I was 38 weeks, my belly was measuring the average for 40 weeks, so I was a bit large. I told her that was neither a complication nor an emergency, it was a judgment call and I should have been given the choice. The women in my family carry alot of amniotic fluid, and what is "average" size anyway? I'm not afraid of a large baby.
May 22, Due Date
I declined a cervical exam at my appointment last Thursday. I told the doctor it was only a curiosity factor at this point and I don't want to rush anything unless the baby is in distress. I got the impression that she attributed my concerns more to Bradley “indoctrination” than to her own presumption. I told her I just want her to let me know before she does any medical procedure on me, so long as it’s not an emergency. When she measured my belly, she said "the baby is definitely still growing, and you're not having a six-pounder", which I suppose was an off-handed way of suggesting the baby might get to big for me.
Thursday, June 2, 12 days overdue
The doctor told me I'm four centimeters dilated, and she can't believe I haven't started labor yet. They had to do another NST (Non-Stress Test) to make sure the baby is getting enough oxygen and nutrients. I knew that an inactive baby can mislead them into thinking something is wrong, so I had a high-protein, high-carb breakfast and then a cup of coffee on my way out the door. Baby Eva was relatively quiet during the first 15 minutes of the test, but started jumping around for the second half, which was what they wanted. Then the doctor got the ultrasound machine to check my amniotic fluid levels (BPP – Biophysical Profile). I knew that was a possibility, so I had made sure to drink as much as possible that morning. I passed with flying colors. Even though everything was normal, she asked me if I just wanted to go on over the to hospital for induction. I said no, I don't want to risk putting the baby in distress if I can avoid it, so I'll wait for the full 14 days. She at first said I'd need another NST, but then changed her mind and simply scheduled me for induction at the hospital at 6:30am on Monday morning. She gave me the appointment slip and said "But I don't think you'll need it. Now go home and have sex!" That night I had difficulty sleeping because of a constant ache in my back, especially in my right hip. I finally piled up some blankets on the couch and found a comfortable enough position to fall asleep around 3am. I woke around 10am and started taking the herbal supplement my doula, Dawn, had recommended.
2:00pm Friday, June 3
I started getting strong contractions about 10 minutes apart. They were painful enough that I called Dave to come home from work. He got me something to eat and coached me to breathe and relax.
5:00pm
Dawn arrived to help. The pain in my back and hips was too intense for me to relax, and I couldn't find a comfortable position. It felt like someone was grabbing my hips and trying to push them apart, even between contractions. Dawn dimmed the lights, put on soothing music, rubbed my back, and reminded me breathe deeply and vocalize low in my throat. She helped me to let go of the tension after every "surge". Dave was my cheerleader, letting me squeeze the daylights out of his hand, telling me how great I was doing, and reminding me to keep drinking. Dawn had me try different positions to get the pressure off my hip. More than once I felt the baby descend after a change of position, which was heartening.
9:00pm
My water broke with a sudden pop, gushing all over the bed. I was relieved to discover there was no meconium, even though she was 12 days late. The surges started coming faster and stronger, so Dave loaded up the car and we headed for the hospital. When we got to the emergency room it was crowded, and it took them a few minutes to realize I was farther along than they thought. I was afraid to have a contraction and start yelling in front of all these people. They finally got a wheelchair and rushed me upstairs to the maternity ward, where the lady at the front counter gave me papers to sign (It's ironic they make you sign that you've read everything when you're so focused on just making it through the next contraction that you can't comprehend a word). She kept me standing there waiting for a nurse, even though we had called ahead and I had several strong contractions leaning on the counter. Dawn told me later she was watching the clock and that my contractions were 2 minutes apart and a minute and a half long at this point, and she was getting irritated with the staff that they weren’t more on the ball. Even though we had called ahead, they had no idea we were coming and weren’t ready for us. I told Dawn that maybe she would finally give me a room if I puked on her desk, and she laughed that at least I hadn't lost my sense of humor. Finally a nurse appeared and took me into the nearest delivery room. Along the way I had another strong surge and leaned against the railing to wait it out, but the nurse kept pulling on my arm, saying "we don't want you to have the baby right in the hall." I wasn't able to argue, but I thought it was ridiculous that she couldn't wait for my contraction to pass.
9:30pm
They finally got me situated in my room, where I vomited, a clear sign that I was in transition. I was encouraged to think it was almost over. They immediately hooked me up to a fetal monitor and examined me, telling me I was at 9.5 centimeters. I only had a bit of an anterior lip to get past in order to push. Then the doctor on call arrived, the one male in my OB/Gyn group and the only doctor I hadn't met yet. He began insisting that they hook me up to an I.V. Dawn explained that I put it in my birth plan that I didn't want an I.V., and my primary doctor had approved it. "Well, I'M the physician on duty right now," he responded, "and it's important that we have I.V. access in case of hemmorage..." My contractions were right on top of each other and I could hardly speak, and it upset me that this doctor was trying to argue with me in the middle of all this. I knew if I started hemmoraging they could give me a shot of pitocin without an I.V., but I couldn't argue. For a second I thought about consenting to a heparin lock just to get him off my back, but I couldn't imagine how I could hold still for them to put it in. All the while Dawn was trying to get me to focus on relaxing through my surges. "It's still your choice," she reminded me. "You don't have to consent to anything you don't want." So I told the doctor no on the I.V. Then they started asking me questions about any meds I was taking, etc. I could only offer one-word answers. All the while I was vocalizing through every contraction, trying to keep my voice low because a high tone makes you tense up. I told Dawn my hips were still killing me, so she began to apply counterpressure. It was difficult with that fetal monitor strapped on. The doctor asked if I wanted something for the pain, and Dawn told him I didn't want any offered and would ask for it if it got too much. He snapped at her, "Well, I don't listen to people in pain without offering relief". It ticked me off that he seemed to have an attitude about all my requests. I couldn't figure why he couldn't accomodate us, since there were no complications and I was so close. After he left I tried to focus on my contractions and kept waiting for the urge to push, but it seemed a long time coming.
11:00pm
They decided to do another cervical check and see how I was progressing. The nurse told me I was now only at 6 centimeters. That was like a punch in the gut. I was getting tired and wasn't sure I could take much more. Dawn saw the despair in my face and suggested we try the shower. I started to cry and said if I asked for an epidural now, it would take 20 minutes to get it, and I wasn't sure I had the energy to get back to 9 centimeters. "Just try the shower first," she said, "and then I promise I'll support whatever you decide." So Dave got in his swimsuit, Dawn draped a towel over a birth ball in the shower and had me sit on it with Dave for support. The hot water instantly melted the tension away and helped me relax more. After a few minutes Dawn came back and told me "Remember how much of birth is psychological? I spoke to the nurse and she wasn't mistaken when she said you were at 9.5 centimeters. I think you regressed because you don't feel safe here and the doctor upset you. I want you to imagine you're at home, focus on your baby, on relaxing and letting your body do it's work. Don't fight it." Her words really helped. I knew she was right. She left me there with Dave to hang onto, and I was able to regroup. We spent the next hour working together under the warm running water, with Dave cheering me on and telling me how much he loved me. Before long I was grunting towards the end of each contraction with an urge to push.
1:00am Saturday, June 4th
They got me back on the bed with the fetal monitor strapped on. I preferred lying on my left side because the pain in my right hip was still intense. I saw the doctor come back in and his tone was changed. "I've read your birth plan and I'm going to do everything I can to stick to your wishes. My primary concern is your safety." I couldn't answer, but I was glad to know I didn't have to worry. David was a trouper and held my leg for two hours while I pushed. Dawn helped to guide my pushing with hot compresses on my perinium. Soon they were telling me they could see her head and she that she had dark hair. A nurse set up a mirror for me to see and Dawn encouraged me to reach down and feel the top of her head. Dave and a nurse helped to hold my legs as I pushed. Soon I felt the "ring of fire" sensation everyone had warned me about. It hurt terribly, but I knew the sooner I pushed through it the sooner it would be over and I could hold my baby.
3:19am
She came out facing my right thigh with her hand up against her cheek. That was why I'd had so much pressure on my hip. She was alert and roaring with gusto, and they immediately put her on my chest. I was so relieved and couldn't believe I had done it! I held her as they wiped her off and she looked into my face, alert as could be. True to his word, the doctor honored my wishes. He waited until the cord stopped pulsating to let Dave cut it, and let me nurse to expel the placenta rather than administering pitocin. At first Eva wasn't interested; she was too busy looking around in wonder. But she finally took the breast and I passed the afterbirth easily. I had a second degree tear and the doctor said "I know you said no drugs, but I assume that doesn't include novacain while I stitch you up, right?" It was polite of him to ask, but I thought it was funny. Natural childbirth, yes. Gritting my teeth through stitches, no way! It was so incredible to finally hold my daughter and have her so responsive. She got a 9.9 Apgar score. I cried when I handed her to her daddy for the first time. It was love at first sight, and I wouldn't have had it any other way. I've heard women say that childbirth is empowering, that it makes you feel like you can do anything. I'd definitely say that's true. It was a powerfully bonding experience for us as a couple, as well. Dave says now whenever he sees an olympic athlete, he'll think of me. We have truly been blessed.

