Sunday, December 7, 2014

Samantha Jo's Birth Story


I can't believe I've started writing this and it's not even December yet. Apparently Sam wanted to be a part of the "30" club. Brian's birthday, J's birthday, and our anniversary all fall on the 30th of their separate and respective months. Brian had predicted a week or so ago that she would come on the 30th and he was right in predicting James's birthday as well. I was just so convinced she would be a December baby that it's hard to wrap my head around.

The day before she was born I woke up feeling no different than days before, still sick, no extra cramping or Braxton-Hicks outside of what I'd already been having, etc. I had some baby prep things I planned for us to get done that day like installing the base for the infant car seat, setting up the pack ‘n’ play in our room, washing out the baby bathtub, and cleaning the kitchen. All of the last minute things I really wanted done in case baby came on the first like I had been thinking she might.

Late in the morning I got what felt like a really, really bad sinus headache but only on the left side of my head that I could feel in my face and through my neck. Since I had caught James's cold/flu bug several days before it was definitely possible but it felt different. I know migraines tend to have that trait but I have had a few and this wasn't quite that bad/the same. I tried a hot steamy shower, using the neti pot, and I had Brian rub my neck for awhile. I even popped a Tylenol which I rarely do during pregnancy because the amount you're allowed to take doesn't really help anything anyway. A little while after he massaged the area that seemed like it could be causing it I noticed the pain significantly decreasing. With an increased fervor to make sure I got that list of things done, I got to work. I was surprised how much of an urge I felt to get these last minute things completed but tried not to read much into it since my nesting urges had been fairly strong for quite awhile.

During and after dinner baby was moving A TON. She had been extremely active my entire pregnancy so "A TON" is not to be taken lightly. I was having periodic Braxton-Hicks and in-between baby was nonstop moving. It was sending twinges down my legs from her hitting nerves that it was making it difficult to walk normal. It was kind of like walking and having your knee go out except it was my whole leg.

We put James to bed around 6:30pm since he skipped his nap that day and by this time baby had settled down. I also noticed that my lower back was starting to hurt which I knew was likely a sign of impending labor for me because 1) it's how things started about 24 hours before I had James 2) one of the midwives mentioned that I would likely have back labor again 3) this type of dull pain in that area is not a normal part of pregnancy for me. I had been texting on and off with my mom that afternoon/evening about how I was feeling, if there were any changes, when I thought baby would come, etc. One of her texts specifically asked me "when do you think baby S will arrive?" I had literally been thinking about the answer just before she asked and my response was, "I think sooner than later...next few days. I would be surprised if I made it past the 3rd." I mentioned that I wanted to tell her and my stepdad to come down just in case so they didn't "miss it" this time but I also didn't want them to have to make the drive for no reason. I updated my mom before I went to bed around 9:30pm saying that the pain in my back was still there and I was having only sporadic, far-spaced, painless contractions and with the promise to update her if something changed, even if it was the middle of the night.

So, just in case, I made sure I had the last few toiletries packed for the hospital bag, took a belly picture, and we went to bed.



I had been having restless sleep the last few nights thanks to this awesome cold/flu business and also thinking about my impending labor. This night was no exception. I can't remember any specific details, but I'm fairly certain I got up to use the bathroom once or twice.  When I got up again at about 3am, I knew something was different. The pain in my back was much more significant and was joined by pain in my lower abdomen as well. I couldn't feel any specific contractions at this point, but (sorry for the TMI) I did have to poop which is not normal for the middle of the night and also another really strong sign that I was about to go into labor. 

After using the bathroom I decided to go sit in the living room and see if I was contracting at all, I wanted to be sure before I made a 3am phone call only to tell my mom I pooped (haha!). Within minutes of sitting down I suddenly felt a surge in my back pain that last a little bit and then died off, I didn't wait for another and at 3:07am made the phone call to tell my mom I was most likely in labor. She asked some questions and told me to let her know the timing between my next two contractions. We hung up and I began timing them only to learn they were about 4-5 minutes apart. I suddenly remembered why I had such a hard time believing I was in labor when I was pregnant with James, all the pain and tightness of the contraction was in my lower back, absolutely nothing in my stomach (yet). So it was completely unlike any Braxton-Hicks contraction I'd had. Even knowing that this was what labor was for me I struggled a little to believe it again, but continued to prepare anyway. With a little sadness I texted my mom to update her, knowing there was no way they were going to make it down before the baby was born, she said they were getting ready to leave. 

I timed out a few more contractions to confirm what I anticipated, they were already closer together, 3-4 minutes apart. I then went to the basement and grabbed a pillow and a big blanket and threw them on the couch and then decided to call the midwives. It was 3:26am. I stood in the kitchen and answered their questions while I worked through another contraction slightly bent over and rocking my hips. The pain was there but I could still talk through it easily. I told them that this was and will happen very quickly, and they said they would call the midwife and let the hospital know. I went upstairs and finally woke up Brian.  I leaned over from my side of the bed to rouse him. He stirred and looked at me and asked if everything was okay. "We're having a baby." I said with a smile, still having a little difficulty believing it myself. He immediately sat up, "Right now?! Do we need to go the hospital now?!" "Not quite yet," I said, "but pretty soon." It was 3:30am. He got up and started getting ready and asking me questions when I noticed my phone ringing and answered it, it was Susan, the midwife on call. She asked me a couple questions, and I reminded her as well that my first labor was fast and this one was going to be too. She asked where we lived and when we were leaving, I told her in about 15 min and she said she would get going and meet us at the hospital. 

At 3:32am I called my friend Afton who was "on call" for me in case I went into labor and we needed someone to watch James. She answered the phone and I said, "Hi, I'm having a baby" again, with a smile on my face but still not quite believing it. She responded with a sleepy, "Okay, what do you need me to do?" I asked if she would come over and she agreed. I told her not to crazy rush but to kind of hurry. She said okay and we hung up.

While Brian started the car and got changed, I also changed, put in my contacts, and pulled my hair back all while working through contractions as I got ready. I went in to check on James quick before we had to leave, an insane swirl of emotions going through me about what was happening and what this was going to mean for him when he woke up. I didn't have time to really process it or deal with it so I pushed it back and allowed myself to savor him being my only child for this quick second, the last time that I would see him that way. For just a second I even debated on waking him up but knew that wouldn't help anything. I left his room forcing myself to focus on what was physically happening. 

I went downstairs and got ready to leave. I filled a water bottle (something I really wished I'd had during my first labor), and threw some snacks in my purse while Brian let Callie out. I had been a little hungry when I woke up but didn't want to eat anything and knew I'd want/need something after the baby was born. Callie seemed slightly confused about what was happening, but determined to be a part of it. I was wearing yoga pants and a big sweatshirt and Brian asked if I wanted a jacket since it was below freezing outside, but I said no. I didn't want to deal with another layer. We waited only a couple more minutes and then Afton pulled in. She walked in with her 18 month old daughter (which I felt awful about but wasn't really in a state to address) looking tired but excited for us, and I was shocked at how quickly she had gotten to our house with her daughter in tow. I told her there was a blanket and pillow on the couch, info for James was hanging on the pantry door, and that she could lock Callie up if she got annoying and then we left. 

We walked out to Brian's running car and were about to get in when he realized he needed his other set of keys to unlock it which were only sitting on the deep freeze in the garage, but it was enough time that I had to stand in the middle of the driveway and breath/rock through another contraction.  As soon as I felt it easing up I got in the passenger seat and off we went. Two minutes later I got a text from my mom saying, "On our way now what is the update?" It was now 3:50am. I called her to tell her we were on the way to the hospital, my contractions were only a few minutes apart, and Afton was with James. That was about the gist of our conversation as I felt another contraction coming on and it wasn't going to be easy to talk through. I remember we were just getting to the on ramp as I hung up with her. I had a few more painful contractions as we made the rest of the 15 minute drive to the hospital. I was starting to moan through them a little bit now, partly because all the breathing out partnered with being congested was drying my mouth out really bad and partly because it actually helped a little more as the pain was now radiating across my belly as well.

We parked right in front of the skyway in the parking garage that led to the maternity area. Only a few steps into the skyway and I had to stop and lean forward on both hands against the window framing to work through another contraction. As soon as it let up enough we started walking again, had them buzz us in because it was before hours, and walked into the hallway that leads to the elevators that sit one floor above the maternity ward. I didn't even make it halfway to the elevators before having to, again, stop and brace myself on the window to work through another contraction. I stopped in almost the same spot when I was in labor with James, the only difference was this time it was dark out. We took the elevators down a floor and came out on the maternity ward. We walked to the welcome desk through the doors on our right and Brian checked us in while I leaned on the desk and moaned through yet another contraction, bringing back more memories of doing this exact same thing with J's labor. Thankfully this time we were immediately brought to a room close by. 

On the way I asked if I could get in the tub but they said baby needed to be monitored for a little bit first to confirm everything was okay. We walked into the room and I walked around the far side of the bed and slid my shoes off. I leaned forward on the bed, bracing myself with my hands as I felt another contraction ramping up. The nurses said there was no monitor in the room so we were going to move next door, I told them it would be a minute and they said that was fine. Brian grabbed all our stuff and as soon as the pain let up enough we went next door. I took off my sweatshirt and tossed it on the couch and again walked to the far side of the bed and resumed my previous position. I looked up at the clock: 4:15am. 

One of the nurses, very tall and pregnant herself, told me they wanted to check my cervix and to slip off my bottoms and get on the bed when I could. I felt the next contraction coming on so I said after this one, and asked for the shades to be closed. At some point around now I also asked if they could get the tub ready so I could get in as soon as they would let me, another nurse started on that. Knowing the contractions were happening fast, the second the pain let up enough I took off my bottoms and got on the bed. Another nurse immediately started hooking me up to the monitor to listen to baby for a few contractions (I handed Brian my cami), she asked me, "when they check for baby's heartbeat where do they usually hear it?" I pointed to the bottom left side of my belly and she placed the monitor there with another one about 5-6 inches above that. The tall nurse checked me and confirmed what I suspected: 7-8cm dilated. All I could think was "yess." The midwife hadn't arrived yet, but I wasn't worried since she knew about what time we should have gotten to the hospital.

Even though they weren't tight at all, having the monitors on my stomach was really uncomfortable, just the very slight pressure from it. I asked if I could stand up next to the bed with them on since contracting while lying down was extremely uncomfortable on my back. She said that was fine but I wouldn't really be able to walk anywhere. I tolerated the monitors holding onto the thought that I would be getting in the tub soon. I was now working through all my contractions in the same position, standing next to the bed, feet shoulder width apart, but leaning over and bracing myself with both hands, my sweatshirt draped over my lower back to keep me somewhat covered from behind, even though I knew all sense of modesty would be out the window very shortly. Brian stood next to me as my moans grew louder with each, more painful contraction, becoming more painful than any contraction I had with James. Brian tried placing a hand on my back, sort of an "I'm right here" gesture but even that bothered me too so I had him take it off. Instead he stood right near me, handing me the water bottle when I asked for it, and encouraging me. 

There was never complete pain relief between my contractions. I had a constant moderate pain in my lower back throughout my entire labor. I told the nurses that I needed to pee, which surprised even me. They unhooked the cords from the monitor machine and draped them around my neck so I could walk to the bathroom. I peed way more than I expected and noticed that the tub was ready to go for me. Just a couple more minutes I told myself, hoping the warm water would take the edge off the pain in my lower back.

I walked back out of the bathroom and felt another contraction coming on. I tossed the ends of the cords on the bed to be hooked back up and noticed that this contraction was a little less painful. I hoped emptying my bladder had lessened some of the pressure. I asked if I could get in the tub but they wanted a few more contractions monitored first. The next contraction ramped up and I knew immediately that emptying my bladder didn't change the pain. I was moaning fairly loudly at this point, even standing up on my tip toes as the pain peaked while the nurses and Brian continued to offer words of encouragement.  Through the next couple contractions I noticed that it started to almost feel like I had to pee again, but not quite. It was a little different and I knew it was a pressure that was happening near my cervix because I felt it the most at the peak of my contractions, like something was pushing on it. I asked again if I could get in the tub. They called the midwife, who still wasn't there yet, to confirm that it was okay. She requested that I be checked before I get in. I told them I was at 9 cm. I knew I was close to 10 but hadn't felt the urge to push yet, when I hit 10 with James the pushing was immediate and out of my control. I asked them if I had to be on the bed for them to check me, already knowing the answer, but REALLY not wanting to have to lie down. They said yes and quickly, in between contractions, the tall nurse checked me again and confirmed that I was at 9 cm with a "huge, bulging bag of waters." I said I know I can feel it every time I contract. Because I was so far along, the midwife wouldn't allow me to get in the tub in case my water broke. I actually started bargaining with the nurses, "Please, just one contraction??" I only got replies of "sorry..." I knew I couldn't but I wanted the edge taken off the pain, especially in my lower back, so badly. Instead they helped me into a hospital gown.

Brian stood on my left, right next to me, while I moaned very loudly, almost sounding like I was crying, as I worked so hard to keep my head in check while working through the most painful contractions, moving up onto my tip toes and rocking with the peak of the pain. 4:42am, at the peak of my second contraction after they checked me, my water exploded all over the floor between my feet. It was like someone popped a gigantic water balloon between my legs, soaking even the bottom few inches of my gown. Brian told them my water just broke, which I probably would have laughed at if I wasn't still in so much pain, since "broke" seemed like such a bad description of what just happened. The whole room probably heard it. As soon as the pain subsided enough I said something like, "That was so crazy!" And the tall nurse laid some towels between my feet to help soak it up and confirmed that the fluid was clear. It shocked me how much I was able to talk/interact between contractions, because I felt like a completely different person when I was contracting: so completely aware of everything going on with my body and completely unaware of what was happening around me. 

The nurses said to get on the bed if I felt the urge to push and I noticed the midwife was in the room. I never worried about her getting there in time because baby was coming regardless and there were plenty of capable people around to deliver and I was ready to be done. She asked me to get on the bed so she could check me since I was close to pushing. I knew I was at 10 cm, but getting on the bed sounded like the worst idea ever with the pain radiating in my back. 

I got on the bed and as she was getting ready I asked her to look at my birth plan, which she kind of laughed about considering how far progressed I was. I told her please, I had a 4th degree tear with my first baby and I wanted her to help me avoid that this time as best she could. She understood and was ready to check my cervix.  At 4:43am she confirmed that I was fully dilated and I immediately rolled onto my left side as I endured another contraction, nowhere close to my ideal position, but better than being on my back. They took apart the bed and got my feet in the stirrups, which surprisingly helped the pain a little bit. She told me I could start pushing with my contractions. 

Brian stood on my right, right next to the bed with his hand touching my shoulder. I had a death grip on the bedding on either side of the bed as I felt my next contraction coming on and I pushed for a second or two, stopped, pushed again, stopped, pushed again. Working with my contractions, moaning (almost yelling) loudly through them, my eyes closed with effort, but not straining myself like I was coerced into doing with James's delivery. My breathing became a little out of control between contractions and I vaguely noticed I was starting to sweat. The midwife staying very calm told me I needed to take a breath and hold it for a second so I wouldn't hyperventilate. In my head I was thinking, "that's ridiculous, I'm not going to hyperventilate, I've never done that before in my life!" but I also knew that I couldn't control my breathing either so I did my best to try even though it wasn't easy. 

The next contraction ramped up and this time I could feel my body pushing with it, I pushed in a similar rhythm as before and felt things become much more painful as baby moved even lower. It is fondly referred to in the pregnancy world as the "ring of fire" and something I never really experienced with James since they encouraged me to push too quickly. All I could say was "it hurts!!" and the midwife said she had lots of pressure on my perineum and asked me a few times to hold my legs but I just couldn't do it. Instead the nurses did it and I immediately felt my hips open up. I would have sworn the baby's head was sticking halfway out by the pain I was feeling and then the midwife commented that she could see about a golf ball size of the baby's head. "That's it?!" I thought to myself. I was SO ready to have her out of me. The next contraction came on and again I started pushing the same way, holding each push a little longer, willing her out with each one. On my fourth push I felt her head move out and the midwife say, "Here come the shoulders." And I was being told to look as I pushed the rest of her out but I knew the relief I was about to feel and I just focused on pushing, a second later she was out and on my chest all covered in vernix and blood and goo and completely amazing. I couldn't believe we had another child, our daughter, lying on my chest, tears threatened to spill over as I soaked in the moment. Samantha gracefully celebrated the moment by peeing on me which we all found a little comical, and I didn't care whatsoever. She was here and amazing and it STILL felt so surreal. I pulled off the upper part of my gown and snuggled her skin to skin so I could share my warmth with her, not caring about anything else, just soaking it all in.
 
4:59am, our first picture together while I got fixed up
Sam scored a 9/10 on her APGAR test, missing one point for color. She came out with a bruise on her back which I didn’t notice until a couple days later was heart-shaped (and already looking much better).  


I asked if the placenta had been delivered yet, even though I hadn’t felt it, only because I remember it happening very quickly after James was born.  The midwife said no and asked me to try pushing and sure enough I felt a small contraction and delivered the placenta. Eventually the midwife said she was going to clamp the cord because it had stopped pulsating and Brian cut it. Then she immediately got started with numbing me and stitching me up. “Only” a second degree tear this time which seemed like no big deal compared to James’s delivery.  I started the post-delivery shaking, also something that happened with James, and did my best to stay relaxed while I asked for the blanket we brought with that had been made by Brian’s cousin Michelle at my request for this exact purpose.  Unfortunately it was pretty cold so they stuck it under the warmer and quickly got me a different one.  After a little while I talked about wanting to nurse Sam but the nurse suggested that I wait just a little bit so the midwife could finish stitching, since I wasn’t exactly in an ideal position.  Instead I eventually handed Samantha to the nurse to be weighed and given vaccinations.  Brian followed to trim her cord and watch while the nurses worked.

I had been guessing that Sam would be very close to 8lbs, maybe just a little shy if I had her at the very beginning of December or sooner.  They weighed her in at 7lbs 13.9oz  and 19 inches of perfection created especially for us. They wrapped her up and gave her back to us and we each held her before she and I snuggled under the blanket we had brought and I got to nurse her for the first time. 
First snuggles with Dad



We finally shared the news with our immediate family that Samantha Jo had made her arrival.  

Sent from Afton shortly after we shared the news :)
After finding out that we were having a girl, it took us a long time to finally decide on her name.  We agreed very early on that we both really liked the idea of giving her my middle name, especially since I have always really liked it myself.  So after that, it was finding a first name that worked well with it.  We finally narrowed it down to two names and though Brian was leaning toward Samantha, I wavered a lot. I would start to think I was leaning one way and then suddenly it would change. Brian would ask me all the time, “What’s our daughter’s name?” and my answer was always, “I don’t know…”  Then one day, two and a half weeks before she was born, I sat down yet again and wrote out our name choices and pondered them and it suddenly struck me that Samantha had everything I had been wanting. It worked really well with the middle name, I loved the nicknames (Sam, Sami) and Brian and I agreed on them (not the case for the other name we considered), and it was a name I had loved even since I was very young.  When I was younger, I decided that it was the name I would have chosen for myself if I ever had to change it.  And while I still love the other name we had considered, it just never felt 100% right.  I texted Brian at work and told him we finally had a name for our daughter!  I listed all the above reasons to him and then added, “And it makes me really happy when I think about it.” And it still does.

God is SO good.

Love,
-K

"For you created my inmost being; you knit me together in my mother's womb.  I praise you because I am fearfully and wonderfully made." - Psalms 139:13-14

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