Baby’s healthy! Now where should I deliver?

Great news, the baby looked healthy! Better news, there is only one (not that 2 would have been bad news, but 1 is PLENTY!). Scott’s been convinced that there were twins, and with the level of exhaustion and nausea I’ve had, I wouldn’t have been surprised, but no. I guess I’m either a wuss this time around or the baby is some sort of super ninja, zapping every last ounce of energy from me, leaving me with no choice but to recharge twice a day.

The new “official” due date, according to the office, is 12/24, even though the baby is actually measuring 9 weeks today, aligning with the ovulation date I predicted (based on, well, me knowing my body) and a due date of 12/22. *Sigh* On the one hand I’m happy to have a due date that’s later than the one I was going by because that gives me a couple extra days before people start getting antsy about inductions, but I also hate to think of the challenge of going into labor on or around the holidays (and I know an estimated due date has nothing to do with that).

For now, I’m staying with this OBGYN’s office, even though the midwife who I originally intended on seeing just left the practice and they are currently without a replacement. It’s a tough decision, and not one I’m sure I’ll stick with, but the OB I met with today was 100x better than the OBs I left in Virginia in favor of a midwife practice. She encouraged me to seek out a doula and talked to me about how they would handle a med free labor and delivery at the hospital. I really do like the hospital, it’s certified “Baby Friendly” and has a labor tub.  It’s the only one in the are that does. And while they don’t offer wireless monitoring, she did put my mind at ease telling me that they aren’t going to be pulling me in and out of the tub to monitor the heart rate often if everything is looking good.

Our only other option is to deliver at a birthing center (we did end up finding one covered by our insurance, though not our first choice) with a midwife. And while I have nothing against birthing centers and know so many women have amazing experiences there, I’m just not sure it’s for us. For one, this center is 10 minutes from a hospital, which is a little beyond my personal comfort level. And as much as I know I can do this without the epidural and will try everything in my power to do so, I just feel more comfortable knowing, if for some reason I really need it, it’s available, which isn’t an option at a center. Finally, and this is really the kicker for me, the moms who deliver at the birthing center are sent home 5 to 8 HOURS after delivering! I just. can’t. imagine. It’s not like a hospital is my favorite place, but I actually enjoyed my time recovering there the last time. Sure the food sucked, but that’s why I had my mom and Scott bring me takeout the whole time.  I was such a, well, a MESS that soon after having Kendall. I’m really glad it wasn’t my sheets I was ruining.

I don’t know, I’m certainly not meaning to knock the birthing center experience. I wish it felt like a comfortable option to me, and maybe it will with time, but for now I’m going to stick with the OB, hope they hire a midwife soon, tour the hospital and look into hiring a doula. In a fantasy world I’d have Scott take a 6 month detail back in VA/DC and I’d go back to my midwives (I’ve seriously proposed this). Maybe I’m romanticizing things, but I just feel like I had a nearly perfect birthing experience with Kendall and that nothing else is not going to live up to it.

I’m glad I have some time to figure this all out.

Nearly 9 weeks pregnant

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The *rest* of the story

As bad as labor and delivery hurt, I felt prepared for the pain. I had spent months teaching myself how to cope with it with various techniques. I was mentally prepared for what was going to happen to my body leading up to Kendall’s grand exit. And it was pain with a purpose and a wonderful reward. However, I foolishly neglected to prepare myself for the pain of postpartum recovery. It’s not anything I heard anyone really explain in detail prior to having him.

Yes, I knew there would probably be tearing. Yes, I knew I would be sore, but I didn’t KNOW to what extent. I just figured that everything would pale in comparison to the pain of L&D and that I would be up and bouncy and fine in no time. Imagine my surprise when immediately after delivering Kendall I find myself freaking out as I see the world’s largest needle headed straight toward my already battered and bruised vagina to numb me up for the stitches! It was like I went from being the “I just kicked med-free birth in the ass because I’m rock star bad ass” to a “You’re going to stick that where? No! I’m such a wuss!” In a matter of minutes.

So I type this, the *rest* of the story, NOT to scare you (which I’m afraid is what I did with my birth story for so many of you) but to INFORM you. I think it’s important to know what you’re getting into. I also think it’s important to blog this as it’s fresh in my mind so that when I start to suffer from mom-nesia, I can look back and read carefully before deciding to put myself through this again (not that it hasn’t been worth it the first time around). Please keep in mind that I by no means am saying you are going to have the same experience. I don’t know what my pain tolerance is in comparison to yours, and I DID have a big baby. I’m sure that has something to do with it.

Okay, so let’s revisit that needle thing. I had just handed Kendall off to go get weighed, measured, etc. when I look down to discover my midwife coming at me with what looks like a needle big enough to euthanize a cow. Typically, I’m not afraid of needles, but let’s just say I was a little jumpy about ANYTHING touching me down there, especially a needle of that enormity.

I have no idea to what degree I tore or how many stitches I needed. I mean, really…why do I need to know that? All I know is it took them a good thirty minutes to put things back in place, and while I couldn’t feel the needle pierce me, I could feel the sensation of the thread/string/whatever it is they use to stitch you up being pulled through….ick…I totally shudder just thinking about it.

As gross as that was, what scared me the most was hearing my midwife say to the nurse, “Yeah…we’ll have to take our time with the right labia”. O….M….G. She must have done a good job, though, because every nurse who came in as I laid there spread eagle commented on how good things looked down there. I also got several compliments from the recovery team. I’m so glad everyone got so up close and personal with me.

Then there was the second big ass needle that came at me in the middle of being stitched up. This one was for the Pitocin. I guess my uterus wasn’t contracting enough on it’s own and I was starting to loose a lot of blood. They tried the uterus “massage” a few times, which is such a misleading term. Massage would, to me, imply something gentle, soothing even. Not this one. This should be more appropriately termed the uterus “smack down”. Two nurses took turns kneading my lower abdomen like a lump of bread dough. There was nothing gentle about it. When that didn’t produce the results they were looking for, I got jabbed in the thigh with the Pitocin. I have to give my husband some more credit here because as all this was going on, he left Kendall (only feet away) to come and hold my hand. We both had him in clear sight, and in fact he was what I looked at to keep my focus off the pain, but it helped tremendously to have Scott there to inflict just a little of my misery on via hand squeeze.

About an hour after birth, the room started to clear out. I was informed it was now time for me to get up and head to the bathroom. This was a terrifying challenge. My fabulous nurse Karen assisted me into the room with the magic tub that had once brought me such comfort. She sits me on the toilet and asks if I have to pee. Uhmmm…no. Nothing is coming out of me down there for a long time. She then informs me I have 6 hours to make myself urinate or I will have to get a catheter and says, “You girls who go without any meds…I don’t want to be the one to put a catheter in ya… it’s not pretty. So you gotta drink lots of fluids, okay?” Okay. Will do. And I drink probably two bottles of Gatorade in the next six hours, along with a bottle of water.

Then nurse Karen pulls out a giant bag full of all sorts of lovely medical supplies. She begins to make a super pad concoction for me. I don’t know if it’s because I haven’t eaten in 9 hours, or the $5 Subway Footlong jingle that’s stuck in my head, but I can’t help but think how much this pad and all it’s “fixins” resembles a sub sandwich. It’s a footlong pad, topped with a cold pack, lined with round witch hazel “pepperoni” pads, and “dressed” with a good coating of Dermaplast. I will forever think of them now as Heiney Hoagies, and I will think of them fondly. The combo of the cold pack mixed with the witch hazel pads is heavenly, despite the fact that you are waddling around with a footlong sub stuffed between your legs.

At this time I was also introduced to the wonderful Peri Bottle. It’s merely a squeeze bottle that you fill with warm water, but it will become your best friend. Not only does it help clean you up down there without having to subject yourself to harsh and scratchy TP, but that warm stream also provides a lot of relief, especially when you pee on your stitches (ouch!).

Now, I must interject a PSA at this point because, as I type this, I am dealing with the fallout from too much Peri Bottle and not enough TP. Here’s the thing – as much as you don’t want ANYTHING touching you down there for a long time, please suck it up and make sure you pat yourself dry every time before slipping on your lovely Heiney Hoagie. I have spent the last two weeks in pads and made the mistake of rarely using TP to pat things dry. I just washed off with the bottle and pulled up my mesh panties (another fabulous medical invention). I now sit here with what can only be called an adult diaper rash. It’s terribly itchy and the only thing I can do is air myself out, spray Dermaplast all over it, and smear Kendall’s diaper rash cream on. Yes, I know that if I would have given it just a little bit of thought it would seem common sense that sitting in a moist pad for two weeks would lead to this, but I’m telling you you aren’t thinking that far in advance when all you can focus on is how bad the stitches hurt.

So that leads me to the stitches…. ow, ow, owie, ow, OUCH! First lesson to pound into your mind – do NOT try to cross your legs! I made this mistake when we were taking our family pic together before leaving the hospital. It was second nature to me to sit that way, and as soon as I did I regretted it.

Second lesson – do NOT look down! The day after delivery I dropped my Dermaplast on the bathroom floor while making a Heiney Hoagie and happened to catch a glimpse of the carnage on the way back up. It was merely a glimpse and I was terrified of what I saw. I vowed to not look that way again until I was sure things were healed. I won’t even let myself look that direction in the mirror when I walk past to get in the shower.

Third – take a pillow everywhere with you for at least the first week and avoid hard chairs. I couldn’t even eat at the dining room table without sitting on a pillow and a large folded up comforter. Overcoming the pain from the stitches was the part of the healing that surprised me the most.

At two weeks postpartum, I would say I feel about 90% healed. This time last week, I thought I’d feel, as my husband so kindly put it, like someone beat me with a baseball bat down there forever.  In addition to that, my tailbone is STILL healing from what felt like being crushed as I pushed Kendall out.  I spend most of my time sitting shifting back and forth from one butt cheek to the other so I can avoid direct pressure on it.  It DOES get better. I keep telling myself that.

Finally, the pain that was the worst (and I mean worse than labor and delivery itself) was the catheter I ended up getting at 6:30 am the day I delivered.  After Karen made me promise to drink lots of liquids, I hydrated myself constantly, convinced that I would have no problem peeing in the 6 hour time frame.  Well, by the time 6 am rolled around, I had to pee sooooooo freaking bad, and yet was so scared to do it at the same time, that I had to have Scott come with me to the bathroom to hold my hand.

We both sat there, door wide open, nurse coming in and out, as I tried and tried to pee (as you can see, modesty is completely out the window at this point…forget any mystery that is left between you and your husband…it is gone forever).  The nurse tried everything from spraying me with warm water, to turning the water faucet on, to dropping an ammonia tablet in the toilet (I have no idea how that is supposed to help).  Nothing worked, and yet I felt like I was going to pop.

I reluctantly agreed to the catheter.  It. was. TERRIBLE.  Scott was there again to hold my hand (his must have been terribly bruised by this point).  I had two nurses try unsuccessfully to get it in before angel nurse Karen finally came to the rescue. Remember the “right labia” comment?  Yeah…those stitches were dangerously close to my urethra.  That made the whole thing 100x worse.  The ordeal lasted about 30 minutes and I sobbed through the whole thing.  I think Scott thought I was dying.  Seeing me in pain in labor and delivery never bothered him because we both knew how to handle it…we were prepared and knew it would be over soon.  However, seeing me like this was a whole other ball game, and I could tell it was killing him.  When they finally got the catheter in they managed to drain a LITER of fluids from me.  Looks like I did a good job re-hydrating myself!

So, are you scared out of your mind yet?  I’m sorry.  Let me just say this.  Even after writing and re-living all of this, I would do it all over again 100,000 times the same exact way if if meant having the same outcome.  Kendall is amazing.  I love him more than I ever thought possible.  He was/is worth all the pain.  Because here’s the thing about having a baby…. no matter how you go about it, it’s never going to be pain free.  Epi or not, c-section or vaginal… it’s going to hurt, but you usually come to terms with that by the end of 9 months, and you don’t care.  You do it for the reward.  And as whiny as this post may have come across, I didn’t write it merely to complain.  I wrote it to show you how much you can go through and still come out saying, “Man…that was really hard, but it was worth it”.

15 days old

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Baby, you’re my Boo.

No.  That’s not what I whisper to my husband every time I lean in to kiss him.  I practically gag at any song on Top 4o that makes reference to someone being someone’s “Boo”.  That is, however, the “code line” that I must say if I am absolutely 100% positive and dying for an epidural.

So…yeah….we’re trying this whole natural birth thing.  I wasn’t all that into it when I first started thinking about labor and delivery, I’ll be honest.  However, after taking into consideration that fact that I had a TERRIBLE reaction to a spinal tap years ago and have no desire to ever have a needle near my spine again, and that my mom, who had me at 18, was able to deliver me and my two younger siblings naturally, I started to really consider it.  By 20 weeks I was convinced it was the right choice for me, and my husband, who is a complete freak when it comes to medication and drugs anyway, was 100% supportive of it.

So at our 20 week appointment we were all fired up to talk to the doctor about it, find out what books and classes he recommended, what we should start doing to prepare.  However, we left that appointment not with encouragement and resources, but with disgust and a mission to FIND A NEW DOCTOR!  I believe his exact words when I told him we had decided to go med-free were, “Well, it’s going to be the worst pain of your life.  I don’t think you realize how bad it’s going to hurt (to which I couldn’t help but think, and do YOU know how bad it will hurt… SIR?).” His response to my inquiry about the Bradley Method, a popular method used for natural childbirth, was something along the lines of, “NO.  Take Lamaze.  Bradley was created on a farm for animals.”  Well…last time I checked, none of the horses or cows were begging for epidurals or ending up with unnecessary c-sections, but….okay.  He also ended the conversation by saying, “You know 99% of women in this county end up with an epidural anyway.”  Well, thanks for the vote of confidence, asshole.

On our way home we talked about how we couldn’t believe that he would just interject such a negative opinion.  I mean, this was MY  choice and MY body.  If I’m going to be in pain, so be it.  I’m a smart enough girl to figure out that no pain meds = pain.  I don’t need him to REMIND me of that.  Sadly, as we have witnessed since then, that’s just the way it is with a lot of people. Even people who have never/will never give birth!

We visited my husband’s family for Christmas shortly after that appointment and encountered so many of the same exact reactions that I had to ask Scott to stop telling people about our plans when they asked.  I just couldn’t see one more jaw hit the floor or hear one more “You are absolutely crazy…you can’t do it…you will end up with an epidural anyway…just wait till you see the childbirth videos…you only THINK you can do it…it’s so different when you are actually there”.  Then a few months ago a woman at work asked me what I was planning to do, and I simply said, “I hope to make it through without any medication,” learning by this point to not get into detail because it just gives people more fuel for the fire.  A customer who overheard this went out of her way to come across the store and tell me, “You know…you should really, REALLY think about that because if you get too far along, they won’t be able to give you an epidural.  Even if you really beg for it. It’s probably better to just go ahead and get it as soon as possible.”  The look on my face must have screamed, “I think I may launch this baby bathtub at your face,” because she shut up and quickly left the store.

Now, true as some of that may be, what gives you the right to say that?  Let’s switch roles for a second.  If I were to ever tell a pregnant woman that she’s crazy for wanting an epidural, that she’s hurting her baby, etc. (which, let me just clarify, is NOT at all how I feel.. just using as an example) I would be a “pusher” of my beliefs on her.  So what the hell makes it okay for someone who had or plans to have an epi, or has never or will never give birth the right to tell ME that I’m crazy, especially after they asked ME what my plans were?!  And to feel so passionately that I will fail and then to feel the right to express that to me?!  Listen, you can laugh at me all you want.  You don’t have to believe I can do it, but please spare me the “Oh, just wait and see” lecture. And for the record, all your disbelief does is fire me up even more to do it.  Yes, I LOVE doing things people tell me I can’t do.  I think it’s that whole problem with authority thing in me.

Since that 20 week appointment, a lot has changed…mainly the medical professionals responsible for delivering my son.  We switched to a Certified Nurse Midwife practice, which I have to say, I always considered way too “crunchy” before this whole experience.  Ahhh…but that’s what pregnancy does to you, I guess.  Just another thing I ended up doing that I thought I never would.  We are VERY happy with them. We will be delivering at a Birthing Center, but also have the convenience and reassurance of a hospital which is attached, complete with all the necessary doctors and equipment needed in case of an emergency.  We were lucky to end up with such a great compromise, and I don’t think my paranoid husband would be so supportive of the “crunchy” route if we hadn’t.

We completed a 12 week Bradley Method class, and are currently trying to keep up with our relaxation exercises.  I’ve got the bag packed with tennis balls for massage and battery operated candles to help me relax in the tub.  The Ipod is stocked with relaxing spa-like music and the birthing ball is by the door, ready to go. I feel we are about as prepared and supported as we can be for a natural birth.  But a couple weeks ago my husband expressed his first signs of anxiety about the whole coaching/laboring process.  See…he knows me well.  He knows that I may ask for medication, that I may looking into his eyes and beg him to get me an epidural, and that if he gives in and runs to get the anesthesiologist, I may very well end up kicking him in the balls after the baby is born for giving in to me too easy.  He talked to our CNM about this recently. How would he know if I was really, really, REALLY serious? She had a good suggestion.

See, I may very well end up with medication.  As much as I’m not even allowing myself the option of thinking about it right now, it’s still an option if I so choose it.  Just know that if I come back here after the baby is born and tell you all I had an epidural, I would have had to look my husband in the eyes and utter our “code line” (the CNM’s suggestion), which we have decided will be….”Baby, you’re my Boo,” because we both now how incredibly out of character and hard that will be for me to say.

38 weeks 4 days

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