Early Labour
I had a midwife appointment on Thursday September 20, at which I was 37 weeks 1 day. I had been checking myself for weeks, and had been dilated for quite awhile. I already knew before going to the appointment that I was at least 2cm dilated, which Christine confirmed when she did the internal. I was 2cm, very soft, but still kind of long (the length of my cervix varied hourly, depending on how low Isaiah's head was at the moment). She did a really good stretch and sweep. Like, really good. It hurt, like it is supposed to. Afterward I bled. Not just spotting, but like the bloody show I had with Noah when I was in active labour. It was not excessive bleeding, but enough to know things really got stirred up in there.
My appointment was at 11am, and by 12pm I was having very frequent BH. They were uncomfortable and achy (my back was especially achy), but not super painful. Noah and I spent the afternoon with my Dad at my parents' house, and I tried to walk around a bunch to "help things along" (keep in mind, however, that I thought I was just dilating further, not actually going into labour. You're supposed to be crampy after a stretch and sweep.)
By the late afternoon I was more crampy and achy. I was really hoping that I was actually dilating, because otherwise it really sucked. That night I went to bed a little before 10. It wasn't a good sleep to start out with. I was up already at 10:40 to pee. Then I was up to pee at least every hour, and also awakened by significant (and even more painful) contractions on a regular basis.
At 2am the contractions got worse. They were every 3-7 minutes and they hurt like hell. I'm pretty sure that laying on my side was the absolute worst position for me to be in during them, but I kept hoping that relaxing and staying in bed would make them go away. It didn't.
I finally started timing them with an app on my iPod, and between 3:30 and 5am I had 20 brutal contractions. Then the app wouldn't time any more because I'm cheap and won't pay for the full version. Meanwhile, I kept going to the bathroom and the "bloody show" was increasing from the day before.
Finally around 5:30 the contractions started spacing out a little bit more until they were coming every 15 minutes. I figured this wasn't 'real' labour.
When I got out of bed Friday morning (keep in mind I'd been awake since 2am) I felt really nauseous. I was confused, because nausea is supposed to be a sign that labour is imminent, but my contractions had spaced out. There were only 3 or 4 an hour until about 10:30am when my sister got here (we had previously planned the visit, thank goodness). They started to increase in frequency then, and they got really friggin painful. Some of them weren't so bad, but many of them were at a 7/10 on the pain scale. I could deal with them better if I was standing up, best if I was leaning over resting on something. Sitting or lying down they hurt waaay worse. I thought that was weird.
So, all during Friday I was contracting painfully every 7 minutes, each contraction lasting 1 minute. I also had the runs (also a sign of imminent labour), and I continued to bleed (although the bleeding didn't increase).
Around 4pm I called my midwife. I didn't think I really needed to, I just wanted reassurance that this is going to go away! The conversation was as fruitless as I thought it was going to be (not Christine's fault, it was just the nature of my labour). She told me to try and get some rest. Take a Gravol and some Tylenol (already done several times, it did nothing). Have a hot bath (the water in my bathtub doesn't cover my belly, so that's a bit useless). Try and sleep between contractions tonight (ummmm... not gonna happen). Page her again if things get longer, stronger, or closer together. Page her again if it's still like this tomorrow afternoon (that would be Saturday).
Around 9pm on Friday contractions slowed to about every 10 minutes. However, the bloody show was back with a vengeance At midnight that night I checked myself after an especially painful contraction (I'd been avoiding doing this because I was sore down there from the stretch and sweep). I felt like I was more dilated. The baby's head was low, and I could feel his water sack bulging. Shortly after checking myself my contractions got closer together. They were coming every 3-4 minutes for awhile, and we thought we might actually have the baby before Noah woke up around 7am. We were running around the house getting things ready - blowing up the pool, vacuuming, doing laundry, backing up pictures and videos so we could clear the SD cards in our cameras, etc. Really, Justin was doing most of this, but I was doing my part to get things ready between contractions.
I also took my last belly picture:
By 3:30am nothing had changed. Contractions spaced out to every 7-10 minutes again. They were longer, stronger, and more painful, but not closer together. I gave up and told Justin to go to bed. I went to bed too, but I didn't sleep a wink that whole night.
The next morning things continued the exact same way. At about 10:30am I called my midwife. Things were just too ridiculous to wait until the afternoon. She said she had actually been anticipating that I would call her in the middle of the night (so was I!). She had a home visit to make at 11:30, and then she was coming to our house around 1. She said with the strength of my contractions she'd be really surprised if I'd had no cervical change, and we'd try a few tricks to speed things up.
Midwife Arrives
Christine arrived right around 1. She took my vitals, and we hung out for awhile while she timed my contractions. They did not perform well for her. I had a long, strong one. Then 10 minutes later had a weak, 30-40 second one. Then 10 minutes later I had a medium one. It was lame.
Around 1:45 or 2pm she checked my cervix. Remember, on Thursday (about 50 hours earlier) I was 2cm. I was now a very very stretchy 6cm. She could stretch me to 8cm with no problem. She and I were both pretty pleased with that, and she said "Lauren, you're having that baby today!" I'm pretty sure I replied with "Oh thank the LORD!" She asked if she could do another stretch and sweep, and I said yes. This one wasn't as long as the first one, but I think it was equally painful.
Active Labour
Immediately after the stretch (so around 2pm) my contractions started coming every 3-4 minutes and they were even stronger and more intense. She had previously suggested that I take a labour tincture, and I asked her if I really needed to, considering I was suddenly in active labour. She said "Yes, take it, we want to make sure the contractions stay regular." She was thinking she'd give me a couple of doses, but I ended up only taking one.
I called my mom and said "Alright, I'm in labour, come on over! Like, NOW, I'm 6cm. And call Giliane." I was really needing her to arrive, because I needed support from someone. My midwife was busy setting up all her supplies and equipment, and Justin was playing with Noah in the basement. In between contractions I yelled down to him that I needed the pool filled ASAP. It was one thing when contractions were every 7-10 minutes. It was a whole other thing when they were every 3-4 minutes!
I'm not sure what time my Mom arrived. Basically from the time she stretched my cervix and onward I have no idea what time anything happened until Isaiah was actually born. But she did arrive, and once she did she rubbed my back hard through a few contractions. Then the pool was ready, so she went downstairs to distract Noah while I got in the water.
I laboured in the water for awhile, and it was much better than labouring on land. The water was really hot, which felt great for the contractions, but it was heating me up so I had a fan blowing on me and Justin was bringing me cold washcloths for my face, neck, and chest. At some point during this another midwife arrived. It wasn't my second or third midwife, because neither of them were available. It was the fourth midwife in the practice - the one I had never even met. I didn't really care though, because Christine was there and she was in charge.
At some point Christine suggested we get out of the pool and talk about breaking my water. They also wanted to take my vitals. I didn't really want to artificially break my water, because I didn't want things to get worse and I knew they would. However, her reasoning went something like this: "It's not a bad idea, Lauren. It would be good to know the colour of the water. If there's meconium we won't have time to get to the hospital, but we can call EMS to wait outside just in case the baby aspirated any of it. It will likely make the contractions more intense, but the baby will probably be here in about half an hour." Christine is not usually a "break the water" kind of person (she had 4 or 5 babies born in the caul in the last year), so I think this was mostly because a) I live 25 minutes from the hospital, and b) I'd been in labour for 2 days already.
Anyway, we walked to the bedroom and I had a bunch of contractions. Let me tell you, they SUCKED out of the water (not that they rocked in the water, but they were certainly better!). They took my pulse, which was high, and my blood pressure, which was super low (like, 80/35 or something crazy like that). The baby's heart rate was also high. We determined that all of this was because the water in the pool was too hot, so we agreed to add more cold water before I got back in.
I hemmed and hawed for awhile about the water-breaking thing, but then just decided to go for it because if there was meconium in the water and if the baby had aspirated any of it, I wanted to make sure EMS would be there to suction out his lungs.
At this point I was 7-8 cm dilated. Christine broke my water and they carefully examined it for meconium. A lot of bloody show came out with the water, so there were a couple of spots they looked at closely with a flashlight, but it was determined that the water was clear. Relief.
I got back in the tub. My contractions were a lot more intense. I had already been feeling pushy during them, and that continued. Before now I was quiet during the contractions, but now I had to moan lowly through them.
I believe about half an hour passed (it must have been about 4:24pm) when I had a particularly pushy-sounding contraction. Christine asked me if I felt like pushing, and I said yes, so she said she would check me. She had me change positions so that my bottom was facing in a better direction (the way I was facing there wasn't really any access for the midwives for when the baby came). This was tough to do, but I managed. While I was moving I said that I didn't want to push, because pushing was scary (we have this all on video, which is how I remember this part so clearly). I said Noah just pushed himself out of me and I didn't really have to do anything, and I really didn't want a long drawn out pushing phase with this baby. Christine encouraged me, of course, and then checked my cervix. I was 9 cm with a little bit of length left. This was at 4:26.
Christine and Joanne (second midwife) then told me I should get out of the pool, go to the bathroom, and have a few contractions on land. I didn't have to pee, and I really didn't want to try and walk, but I agreed. They helped me out of the prone position and onto my knees, but right when I got on my knees I had a huge contraction and started pushing uncontrollably. They could tell from my noises, so Christine started telling me not to push. I said "I can't help it I'm pushing like crazy!" She said, "You're only 9 cm Lauren, you're not ready. Say 'house house house' it's pretty impossible to push when you're saying that."
I ignored this, because it's actually pretty impossible to say "House" when you're pushing :) And there was no way I was able to stop what my body was doing. I was on my knees in the pool with my hand down there feeling what was going on. At that point Justin (who was off camera) said "Breathe deep, babe, just stop pushing." I took my hand off of myself and waved it him in a "Just be quiet, you don't know what you're talking about" kind of way. Not that I was mad, but I had 3 people telling me to stop pushing when I knew this kid was coming out NOW.
Right after doing that I put my hand back down there and everything was pushing outward and I could feel myself opening up. While pushing I said, "Nope... he's coming." Christine said "He's coming? Okay," really calmly and walked over to get gloves and equipment ready. I think Joanne was like "Oh my goodness get your gloves on!" But Christine said, "She's okay, she's got this." And I totally did. This was the part where I felt 100% in control. All my pain seemed to be gone, and I wasn't feeling any of the stretching or the "ring of fire" from crowning. The water seemed to make it all go away.
At this point I just pushed his head out. I was kneeling in the tub with my hand on his head, and it felt amazing. I couldn't believe his head was out of me. Christine unwrapped the cord from around his neck (it was looped once, like Noah's), then told me to bring my legs back and push his shoulders out. I didn't really need any coaching, because it was all just happening on it's own, but I kind of moved backward (although I can't remember what position I was in) and pushed the rest of him out (4:29pm). Christine and I lifted him up onto my chest. It was such a relief! He was soooo tiny, I could tell immediately that he was smaller than Noah was at birth. It took him 20 seconds to start crying, and there was talk of cutting the cord (they thought he might need resuscitation), but I knew he would be fine. I rubbed the bottom of his feet and talked to him and he immediately started crying.
So, from the time I was checked and told I was 9 cm to when Isaiah came out was 3 minutes. I was pushing for about 2 of those minutes, but it was basically just one long instinctual push. Nothing needed to be coached, it was just my body doing what it had to do to get the baby out. I loved it.
Within a few minutes of his birth I got out of the tub so they could assess my bleeding (it's hard to tell when you're bleeding into water). My midwifes lifted me up while I was still holding Isaiah and I got on the couch. Within about 2 minutes of that I delivered the placenta. Then all the other stuff went on. Checking for tears (I had a small first degree tear - which is kind of amazing considering he came out so quickly I had no time to stretch - it must have been the water), sutures, some uterine massage, etc. I was just cuddling Isaiah this whole time. He nursed about 30-45 minutes after he was born (he wasn't interested before that), 20 minutes on each side.
Eventually I was ready to have him weighed (7lbs), measured (20 inches, with a 13 inch head - 1.8 inches smaller than Noah's!) and examined. This was all done on the couch next to me, so I could be touching him the whole time.
Christine stayed until... actually, I don't know. At some point I got off the couch and she helped me shower and get dressed. The shower went a lot smoother than my shower after giving birth to Noah, where I felt like I was going to pass out. My Dad showed up right after I got out of the shower. I guess he'd been at home just waiting for someone to tell him to come over, but we never got around to it, so he took it upon himself to come visit. My mom ordered pizza for everyone for dinner, and Christine stayed for that. I'm thinking she must have left around 7 or 7:30, after reviewing all the "things to watch out for" with me. My mom bathed Noah for us, but I did end up nursing him before he went to bed.
After Noah went to bed my inlaws showed up for a brief visit. I wasn't there for most of it because I was changing Isaiah's diaper and then nursing him again (while relaxing in bed).
It was Saturday evening and I had been awake since Thursday at 2am, so I really wanted to go to bed and crash, but I was just way too keyed up to sleep. I kept replaying the birth in my head. In a weird way I am sad that it's over. It's like after your wedding - you are anticipating it for so long and then it goes so quickly and all you have is the memories. Although in this case I had my actual baby:) But still. It's the same sort of "Well... that's over" feeling.
I did end up getting about 4 hours of sleep that night, which was good. The next night I only got one hour, and I believe I had a meltdown that day.
All in all, my birth was amazing. I mean, it would have been nice if I didn't have 2 days of early labour with zero sleep, but since it ended up bringing me my baby and I still had a wonderful home birth, with my midwife who I love, it doesn't really bother me. It makes for an interesting story, anyway.
We all couldn't stop talking about how awesome it was to have a home birth. It's too bad more people don't do it. It's awesome to give birth and already be in your own house, on your own couch, going to sleep in your own bed. You're not woken up by nurses every 3 hours, and there aren't tons of people poking and prodding you and your baby. The midwife comes to your house for a visit the next day, and on days 3 and 5 (at least they do where I live) to check on you and the baby.
It was just such a calm, comfortable experience. Christine was so calm, comforting, and encouraging. I couldn't have asked for a caretaker that I felt more comfortable with and who was more my style. If I ever have another baby I can only hope she's still practicing in my area.
So, that's the super long story of how Isaiah Matthew made his entrance into our lives. I didn't think I could immediately love another baby as much as I love Noah, but I totally do.