I’m posting this for those who would like to know all of the details of Charlotte’s birth. Be warned that I share a lot of details, although I don’t think there’s anything too intimate, you may not want to read it if you’re not into hearing about birth. There, I warned you.
The Birth of Charlotte Elizabeth
On Monday June 30 Andy & I went to see Dr. Cashie at the office. She was very worried that Charlotte would be too big to be born vaginally so she was encouraging us to have an induction. We agreed to let her strip my membranes (a process that irritates the cervix and can often start labor) and then scheduled an induction for 7am the next morning. We didn’t want to do this, but many of the compromises we made were to prevent the possibility of a C-Section. Dr. Cashie was also very concerned that Charlotte’s head was not engaged in my pelvis, which caused her to believe that it might never engage and I wouldn’t be able to give birth vaginally.
Mom and I spent that whole day on Monday walking and running errands to get things going and Andy went back to work. I was having contractions all day, but by about 1am they were coming regularly and we timed them at 3 minutes apart for 60 seconds. I wasn’t all that uncomfortable, however, so we laid back down around 3am and I was able to get some sleep, confirming it wasn’t time to go to the hospital just yet.
The next morning, Tuesday July 1, we headed to the hospital. We checked in and when we got up to the room they started an IV and a pitocin drip. When Dr. Cashie arrived she checked me and I was 3-4cm dilated and praise God Charlotte was engaged at “0 station”, which meant her head was firmly in my pelvis and she was on her way down! Although then Dr. Cashie broke my bag of water which was disappointing as I didn’t want to have that done, anyway the worst part of it was that Dr. Cashie saw a little meconium which can be a “bad” sign so she inserted a catheter into my uterus to run saline through there and clear out any meconium that could have been breathed in by Charlotte. This just added one more tube for me to be hooked up to.
By 9am the pitocin was in full swing and I was having regular hard contractions every 2minutes. At 10:30 the head was at +1 station (+2 being the lowest it can get without being born!) and I was 4cm dilated (disappointing). Around 11:15 the contractions were too intense on my side and I switched to my back. The RN told me if I didn’t relax through the contractions I’d be working against myself and preventing my cervix from dilating. That was all the encouragement I needed. I spent the next 45 minutes lying completely still, eyes closed, and sure enough at some point after that the RN checked me and I was 6cm!
At 2pm I went back on my side, realizing I was having more difficult, but also much more effective contractions in that position. After just a few contractions in that position I had the overwhelming urge to push! I was excited and a little scared. I had been 6cm just a little while ago and I wasn’t sure I knew what the urge really was, but when I absolutely could NOT stop myself from pushing without intense concentration, I figured it was the real deal. The RN checked me and I was 8cm…which was disappointing because it meant I had to work very hard not to push. Dr. Cashie was in a c-section, so her partner Dr. Korostoff came by and checked on me. She told me I couldn’t push because it would cause my cervix to possibly swell up from the pressure Charlotte’s head puts on it and then we’d end up in a C-Section. I tried really, really hard not to push, but I couldn’t do it.
I decided at 2:30 to take a half a dose of Stadol. This wasn’t ever my plan, and I need a lot of encouragement from Andy and my Mom, telling me I wasn’t a failure, and that it was okay. The medication allowed me to feel a little farther away from that urge to push and I felt like I had more control and was able to breathe through contractions instead of push. I did this for a long time.
Dr. Cashie finally came and checked me and I was 8cm still!! She decided, however, to see if she could stretch my cervix to 10 while I pushed. In 2 pushes she did exactly that and we were ready to go. I remember thinking at the time that if Dr. Cashie had come an hour ago and done that, could I have skipped the Stadol and been ready to push then? Oh well.
During pushing I realized suddenly that I was holding back a little. I confessed to Andy that I was scared and not doing all that I could. Everyone started cheering me on and telling me not to be afraid. Suddenly, with my next contraction I felt a sensation that I needed to have a bowel movement. At first it freaked me out until I remembered Cara, my sister, saying that was what it felt like. This was a feeling I was familiar with and could work with so I got to work and in about 3 more pushes, Charlotte Elizabeth entered the world at 3:54pm!!
She was beautiful, and once the stupid respiratory therapist stopped harassing her and gave her to Andy all was right with the world. Dr. Cashie sewed up my wicked episiotomy (Andy said he was watching during the pushing and he thought if she’d been more patient it could have been avoided, something I think a midwife would have done.)
In the end all definitely did not go according to plan, but I learned a lot for next time and I have a beautiful, healthy, happy daughter. Praise God from whom all blessings flow!!