Tuesday, February 24, 2015

The Miracle of Birth, round 2


Well.  I’ve been unofficially following some traditional Japenese post-partum medicinal practices and letting my mom take care of all household duties (and me) for the past month (albeit in my house and not hers).  It has been glorious.  We all need house managers for extended periods of time.  It has been a month since I had Charlie!  One month, and I’ve basically been about as useful as a lace curtain.  I fear that I can’t exit this phase to become a productive citizen.  Having a new baby is rough, yo.   The sleeplessness is vivid and runs deep.  While in the hospital I read Amy Poehler’s book, which was perfect as much of it chronicles her love for her boy children and her thoughts on parenting.  She, being chronically unable to sleep, found new parenthood to be the ultimate cure for that problem.  I am a life-long lover of sleep, so newborn time is especially challenging for me. 

I digress, let us go back to a month ago…..

I have learned that I am never meant to have an actual maternity leave without a baby, during which I relax and prepare for the sleeplessness.  I am meant to go from working to laboring with no stops in between.  I thought that I was being so incredibly responsible to myself by beginning my maternity leave 3.5 weeks before my due date (and only .5 week after I am allowed to begin legally in CA).  I was so excited that I made a lengthy maternity leave to-do list (such a list is exciting and whimsical before the baby, but becomes an albatross when examined post-baby). 

When I went to my 36 week check-up, my blood pressure was elevated.  They did some blood work and then called the next day to have me go in for some monitoring.  During the monitoring, my blood work was OK, but the baby had a few dips in his heart rate.  After 6 hours of monitoring, they decided it was best to induce.  Kaiser is not an organization to take ANY risk.  Two separate nurses articulated to me that they thought I didn’t really need to be induced because the heart rate dips didn’t look too severe.  In fact, the doctor who decided to induce did so only after talking to another doctor.  And, just like with Theo, they wanted to hedge off any remote chance of trouble.  I guess I should be happy that my health care providers are so diligent, but being induced made me a little bit sad and stressed out because it was a mere two days before my maternity leave and I was not mentally prepared to work a full day and then go be induced, without even an hour of relaxation! 

Some women are meant to have peaceful births in water baths.  I am meant to have as much medical intervention as possible without a C-section.  I thought that I had learned about all of the possible drug combos/intervention techniques with Theo, but LO!  There were so many NEW experiences waiting for me with Charlie!  Some highlights:

--They started me on Pitocin, which didn’t work for 12 hours, and which never WAS going to work according to one of my nurses, who tenderly whispered into my ear that starting an induction with Pitocin was setting me up for failure.  Sad face.

--At this point, things get a little fuzzy.  I believe there were several doctors and nurses trying to convince me to do the foley bulb.  I had adamantly refused to do this procedure during Theo’s labor and again refused to do this with Charlie.  At one point, I started crying and insisted that I would prefer a C-section to the foley bulb.  I was told by the doctor that I sounded like a crazy person (!). 

--Just as I’d reluctantly consented to the foley bulb, an angel nurse named Natashia told me that I didn’t have to do it if I didn’t want and that she thought the procedure was “barbaric”.  I felt completely empowered and she left to tell the doctor my wishes (also my wishes to never see the intern again). 

--Probably due to my veering into crazy-lady territory (and the lack of options due to my newfound empowerment) they decided that I COULD get the miso pill, because the baby’s heart rate had been 100% steady and fine for 12 consecutive hours (WHAT?!  So the whole reason for the induction had vanished?  Could I not be sent home?).

--This pill worked, as it did with Theo.  I was offered an epidural immediately (probably because my birth plan made my aversion to pain VERY clear), but for some inexplicable reason, I declined.  It’s as if I thought the pain wouldn’t get worse (?).  This is what happens with sleep deprivation.

--Charlie’s heart rate started dipping with contractions, so things start to get really crazy when I doctor comes in to check me, break my water, and insert 2 probes onto the baby’s HEAD (all in the same maneuver).  The baby is still in my body, mind you.    This was the most painful experience I have ever had in my entire life and it ended with me screaming at the top of my lungs for it to stop, kicking and being restrained by Natan and a nurse.  Natan looked ashen, that doctor left the room, and I could not stop shaking (probably from PTSD). 

--After about 15 minutes, another, much softer, doctor entered and asked me if I need the other doctor to come back into the room in order to “process that experience” (!).  I was basically offered therapy in the middle of labor.

--I declined therapy (too tired) and the new, gentler doctor explained that they really needed to get those probes onto the baby’s head (which is still in my body).   I explained that I really needed to have some sort of painkiller (lesson—always get the epidural immediately).  They give me fentanyl and she inserted the probes successfully and without pain.  Fentanyl only works well for about 5 minutes, but those 5 minutes allow me to deeply understand drug addicts, because a narcotic stupor can be heavenly.

--I should point out that at this point I had a blood pressure cuff and finger monitor on one arm, an IV in the other, an oxygen mask on my face and two “internal probes”.  I was basically a Frankenstein monster—a situation that only got worse when I had the epidural inserted into my back and a catheter (a total of 8 cords winding their way into/out of my weary body).

--There is a drug that stops labor!!!  I learned this when they decided to stop my labor and let the baby “rest”.

--It was at this point that I thought, “What does a lady have to do to get a C-section?” 

--The epidural during this labor was inserted by a true spine artist.  She was slow and careful and it worked perfectly, allowing me to softly sleep for the last 5 hours of labor.  When I was awakened, it was time to push and Charlie was born with a mere 6 pushes (that I could not feel) and a short 32 hours after being induced (as compared to Theo’s 60)!  

Thus ends some of the highlights of The Miracle of Birth.  I truly do not understand why we can’t, as a society, go back to twilight birth.  I do not at all feel the need to have anything resembling a natural childbirth and would, quite frankly, prefer to be asleep through the whole thing.  As long as you get a cute little peanut in the end, who cares if you’re awake, right?






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