I know that I haven't blogged much since I got the kids, and believe me, there is much to blog about. I will continue to share some of my stories from this last year, BUT I have to cut in the middle and share one "fine" day here in El Paso.
I know the title to this blog seems dramatic, but it will make more sense as I re-tell these 12 hours that I had worked. I will not mention who or when this happened, but I have to sort through this.
My shift begins at 8 am and I try to get there a little early so I have time to gather myself mentally for the rush of prenatals; unfortunately I was 10 minutes late to this shift. When I had arrived , there were was a waiting room full of women and only one other person available for prenatals, not to mention a laboring woman vocalizing her pain in a very LOUD way. I felt bad for the women waiting for their prenatals...you couldn't go anywhere to escape hearing her pain. I can't imagine the fear they felt thinking they would experience the same thing she was experienceing. Although, not everyone does that and that's hard to explain that not many scream, yell and wail! I will refer to the woman in labor as Lady G. As I walk into her room, I was told by the Midwife ending her shift that Lady G was a VBAC (Vaginal Birth After Cesarean). Now in this country...VBACS are dangerous, considered high risk, and, in certain states, illegal. HERE it's legal and there are risks, but better and safer for the woman to deliver vaginally than have a repeat surgery. Anyhow, Lady G was different...she had a baby that died halfway through her previous pregnancy and had made the decision "to get the baby out", so a c-section in Mexico was performed. This meant that her uterine scar would be higher on this now well stretched uterus and her risks of complications in labor higher. I then found out that her Doctor in Mexico said if she had not delivered by Friday the he would go in and "get the baby out" yet again. I really think this poor woman's "cries" were more than just the physical pain but the emotional pain of losing the first baby mixed with the fear of losing this one with all the other pressure to deliver by Friday.
I had left her room to get some of the prenatals done and found it difficult to focus with Lady G in labor down the hall. One of the prenatals was a first time Mom (Lady C) who had not been due for another week and was anticipating the childbirth class for the following week. Upon her exam, she had said she had not felt or had any contractions, but her cervix told me different. She was 5-6 cms, almost completely effaced and her baby's head was low. I had told her to send someone to get her stuff because she would probably have her baby by the end of the day. She was SHOCKED...Fortunately, there was a childbirth class going on that afternoon that she could sit in on..lol! I sent her to class with the intention of admitting her to the birth center later that day.
I returned to Lady G who was really wanting to push. Yes, she was complete...I felt overwhelmed and nervous...I have had not so successful outcomes with the last couple VBACs (they had to be transported and sectioned again)and I was fighting the head games of the risks we face with VBACs. She had only been pushing 10 minutes, when one of the secretaries informed we of another woman who walked in with her water broken but no contractions....all I could think was NO BUENO!!! (I'll explain why later) Since she wasn't in hard labor so she was going to have to wait. I returned to Lady G who was struggling with the pain....I now know why it was so hard for her...the baby's heart rate was fluctuating but still within normal. Now, it isn't all that great to have a VBAC push for too long so you don't strain the uterus causing it to possibly rupture. If a ruptue occurs both woman and baby can die. She began to complain of a constant pain inconsistent with normal labor. I became concerned. There were no other signs of a uterine rupture or close to it, so the pushing continued. She pushed for 1 hour 47 minutes....then we could see Baby's Head! Finally, she would be done very soon. His head began to emerge, then crown slowly. Once his head was out, that was it...nothing. No further descent, no movement....He was stuck. I had had a feeling and had prepared the interns in the room ..we quickly went into emergency mode, calmly. All I could hear was Lady G praying at the top of her lungs. Why? Because when I finally pulled him out, he was limp and lifeless. All I wanted him to do was breathe....breathe, Baby just Breathe! At 1 minute postpartum (after birth) all I could get was heart rate, no reflex, no breath, no color, no muscle tone! By 5 minutes, I was able to get him to cry and pink up. Thank you, Lord! My heart was racing....this woman needed her baby to be healthy, but alive more than anything. As soon as the baby was stable, I had to focus on getting the placenta out.....came out no problems, except for the fact that Lady G began to hemorrhage. Once we had her stablize, she was able to bond with her son....who when he cried she cried. I asled her if something was the matter and her response was beautiful...." No mas estoy feliz que el llora" ( It just makes me happy that he cries). That's when I knew her labor cries were very much so emotional more than physical.
Moving on with the day, I had to check on Lady M, the one who came in with her waters broken and no contractions. With the protocol of the birth center, the ladies have 24 HOURS to deliver post rupture or they have to be transferred to the hospital. I don't like to worry about time restraints. I wasn't all that worried even though she was only 3 cms, but the day was just too crazy. I gave her 1T of castor oil at 9:30 and again at 10:30. Fortunately by Noon, she was contracting every 10 minutes. At 1:30 pm, there was a waiting room full of women for afternoon prenatals and childbirth classes. By 2:00pm, Prenatals were done and the women were in class, to include Lady C who had just begun to feel some contractions. At this point Lady M was really contracting ever 3 minutes! I checked her at 3:00pm and moved her to active labor since she was 6 cms. At 3:15, she wanted to push; at 3:30, she was complete and Baby Boy was born at 3:38pm. He basically flew out! I didn't yet realize that the parents did not know the sex of the baby and when I announced it was a boy, both Lady M and Hubby cried! He was long awaited for after their have two little girls at home! It was another beautiful birth and much more peaceful that the one I had earlier!
By 4pm, the class was let out and the childbirth educator had informed me that Lady C's contractions were right on top of each other evidenced by her pacing back and forth furing the class. I had sent her into the only birth room available and was going to check her to see if she was further along. She was still very "happy" and did not make it noticeable that she was in heavy labor. In fact, it appeared as if she was in early labor. I check and fellt a 9.5 cm dilated cervix! She was near done, sort of. Because she was a first time mom and first time babies may take a long time to be pushed out, I had her continue to walk around during contractions to help lower the baby. About an hour and a half had passed and Lady C had too much of an urge to push to not. She was freezing cold just as we began second stage (pushing), but ready to get the baby out. Minutes into her pushing, she bcame overheated, couldn't breathe, and "lost her sight". Her vitals were quickly checked to include the baby's heart beat and all was within normal. Her whole countenance had changed and something was the matter. I had asked her if she was scared and she looked me in the eye saying, "SI, tengo miedo" (YES, I am scared). I had asked why she was scared and she began to cry out, "No le deje a morir! Quiero que nada le pasa a la bebe" (Don't let the baby die! I don't want anything to happen to the baby.) UMMM WHAT!!!??? I tried analyzing why she would think this baby would die. She continued to tell me how she her husband had died just two months before and did not want this baby to be taken from her too. Everyone in the room was filled with tears. My heart ached for her and I found it difficult to keep it together. I had given her the option of transporting to the hospital if it would make her feel better, and according to her response, she was NOT GOING to the hospital. She just needed constant reassurance. I tried to reassure her with the sounds of a normal heartbeat from her baby and telling her how her husband was there with her. He was inside her heart and uterus, she was going to give birth to a large part of him. For a while it felt as if nothing was reassurning and she kept repeating and crying out, "No le deje Morir!!" (Don't let her die). I had to leave the room to regain myself and the role I needed to play in this birth- the strong one who was not freaking out! I re-entered the room with a slightly different approach with a touch of tough love. She then had wiped her tears and changed her fear into determination. She pushed like mad and that baby slid out. Once she was born, the baby immediately opened her eyes to look at mommy and screamed! Lady C reached for her daughter with cries of joy and stated how she looked like her daddy! I believe he was there with her. It was so special and beautiful to watch Lady C's adoration for her daughter...so complete, but with a small hole in both of them.
The day shift had come to an end...it was all I could handle, and God knew it since the rest of the night was quiet. It was a day of firsts. First baby after a previous dead baby, first boy to a family of girls, and a first to an unintended single mother. Some days, I wish I had a "normal" job, but my job is anything but. It isn't even a glamorous or high paying one, but I wouldn't trade it for anything in the world. It is strange to think I can go from resucitating a baby, dealing with a hemorrhage, or transporting a woman who cannot deliver naturally any longer much to her disappointement, to going to work out, parent meetings, football games almost as a secret double life. I feel as if I live a double life. Sometimes, I resent it; sometimes, I want to go and share these life changing experiences to all I know in a very real way. Some appear to be disgusted or weirded out by my profession, and don't realize that I deal with life in an unfamiliar reality. I am proud of what I do. It is difficult, but is a high calling; it is one that not just anybody can or would do. After a day like this, I just know ...that I was made for today...to weep and rejoice with these beautiful women on the momentous occasions.
Tuesday, August 24, 2010
Thursday, August 19, 2010
My journey.... from a note on facebook
So many people tend to be confused about my situation and all about how I am a mother/grandmother...where I live and what I do...so I figured that I would write up what's been going and what is currently going on in my life (for those of you who are interested of course). In order to tell this story I have to go way back...but don't worry, I will fast forward through as much as I am able!
I have always wanted to be a wife and mother. That's it. That was my dream, to be a homemaker....yeah I know I did not have extremely HIGH expectations but that's what it was. I then had the desire to help people and so I decided to be a nurse...fast forward several years and there I was a nursing student at ORU (tulsa, OK) a secretary in the student nurses association and very involved in a lot of things....then CRASH (literally) ..my whole world fell apart and I was in a wheelchair back at home (El PAso) being tended to by family and angry with life. I tried going back to school after recovering but that did not work out at all. I began to teach (as a sub) and fell in love with teaching. I took a job as a kindergarten and Spanish teacher for a local Christian school.... and in that year , again my world flipped. I entered a whole nother world ....a world where women were cared for, babies were born to mothers who delivered them naturally. Women being empowered by their birth, where they call the shots and babies go home undrugged, alert and safe in the arms of their families....yes my friends, this is the world of Midwifery! A passion was born in me.....I had wanted to be a NICU or Labor and Delivery Nurse, but I never dreamed of delivering babies in this way. I was confused cause I loved teaching so much. My best friend had convinced me to try midwifery and do an internship at Casa de Nacimiento....so I did....and was hooked. Two of the midwives there saw potential in me and personally took me under their wing and gave me a beautiful gift....the midwife in me. This was a difficult time in life because I did this midwifery alone...my family wanted me to get a degree and be a nurse and did not understand my new love and passion. I couldn't explain what it was to catch that tiny new life and see and witness miracle after miracle. Fast forward and I had moved away.. I lived in AR and started a homebirth prctice with my bestie and later moved to DFW area in continuing midwifery. This is something I have resented, regretted, and LOVED! I loved it because I was able to get to help many families, make many friends, mentor teens, and do what I love...deliver babies! The part I regretted was leaving home and my family...during this time My grandmother's health was failing as was mine. All she wanted me to be was a nurse, her nurse. All I could do was survive and take care of the babies. I was Morbidly OBESE had neurological disorders, TIA ( mini stroke) and Type II Diabetes. I ended up in the hospital a few times and was given 10 yrs to live MAX (according to the DR). Things had to change ..... I had the lapband put in and lost quite a bit a weight....I began to trust that I would find a husband and actually have a family and take care of the women I needed to take care of. All but ONE, one of my favorite...my grandmother. My passion in life was keeping me from my family and there were days that I had wished I had finished school been that nurse and take care of HER....but I didn't. I don't regret being a midwife...it is who I am and I adore my profession, but I just wanted to care of HER. Life was great... I was given the administrator role of a gorgeous birth center...and built it up...I had just started this when all of sudden the call came in...SHE was gone. I missed it; I missed my time with her , my nursing her...oh what I wouldn't give to have one more day with HER!
I was numb but I immersed myself in my work and I had built a community around me....I was helping people and enlarging the ministry of the birth center I was given to run. Time was passing on and though I adored my job, my home and my friends; I couldn't help but be lonely. I missed HER and I wanted to achieve my early dreams of being a wife and mother. Soon a man would come and sweep me off my feet and I fell ...hard. I was gonna marry him until I realized he couldn't love me the way a man loves his wife, and let's not even talk about the prenuptual aggreement. I hit bottom hard. I had not lost weight and had lost inspiration to be alive and well. When this was going on, a good friend who worked for a Foster Care Agency had convinced me to not give up my dream of motherhood..I was heartbroken and even a little depressed. I continued to run the birth center and enlarge the birth community....still something was missing. SHE was missing ...my dreams were but a small memory. My friend Shelbi convinced me to open my home to foster teens teen moms and or babies. I was unsure but I took a leap of faith....fast forward on my grandmother's one year anniversary of HER death when I became a grandmother (so to speak) I got a 14 yr old girl with a 3 month old baby boy, both in severe need of a good mother. For months, I felt as I was failing day by day, but they stole my heart and I loved being their mother...it didn't matter that I didn't get pregnant and give birth...they were mine..they ARE mine, both of them equally. So there I was running a birth center, raising 2 children and trying to take care of 30+ women. My family was supportive of where I was in my life now, but something didn't feel right.. I felt torn ...I felt worthless in both roles Midwife and Mother... I could not give it my all....I owe that to all involved ...After a few incidents, prayer and figuring out where to go in my life ...my friend Tina said...you know what to do...do it! I made the decision to leave my home, my job, my birth center, and my community...I made the decision to move to El Paso...for many reasons... I missed teaching to a greater extent and Casa de Nacimiento is a teaching facility. I couldn't be on call 24/7 and take care of my children the way I wanted to ...At Casa , I would have a set schedule and when I am off I am off ....I missed my family and want to be there for them I owe that to HER... I want to finish what I started...whether that is Nursing or Nurse Midwifery ( I won't leave midwifery, I just might add RN as another title of mine:) ). I want to be an active participant in my daughter and son's life.I needed my family and my daughter Nicole needs them too. I want to invest in others' lives personally and be the friend I love to be ...the one who sees the sadness and hurt when others don't and be there for them and not just to those who are pregnant ;) ...I miss having the energy I had with the giftGod gave me... to pour into other's lives totally and getting into their lives and loving them through it all..the listener! I used to do that ALOT...I miss meeting strangers and connecting with them and being a dependable friend even through the distance ;). Granted, I can't do it all, but I will try! ....
So now here I am...at home in El Paso being a full time mother and midwife and trying to do it successfully. I am here pursuing the loves of my life...being a mother, a midwife, a good family member, a dependable friend , a woman after God's own heart! This has been a long journey and I am only mentioning clips and there is so much more life to live and I am living it...between school meetings, babies being born, my baby snuggling with me, and Kumbia Aerobica.....I have found fun and joy in the sadness and lonliness... I am begin to shed off the weight that I have hung on to due to depression and unforgiveness ( for all the Jillian bigest loser fans, I have not forgiven myself for not being here for my grandmother and not been able to shed the rest of the weight)...I have loved excercising thanks to my aunt Julie and Eunice ( my instructor).. I have a great profession thanks to Melody, Aly and Linda and to Shelbi for my children. Life is hard, but I am finding that peace ( thank you, Lord!) and my footsteps in the life I dreamed of...just not exactly how I planned it..
If you are tagged, it's because even if I couldn't mention you in this story, please know that you have inspired me to be the best I can be.... as woman, mother, midwife and friend! I appreciate you for walking this with me in a close and personal way even if you didn't know it. You either spoke into my life or inspired me and I want to recognize you! Some of you will be surprised...you just never know how you touch someone's life even if it's but a moment....I hope I didn't bore you...but this is me and where I am... Call me if you ever wanna reconeect, connect , a listening ear or need a shoulder to cry on.. :) Love to all!
wow...
So I can't believe I have neglected this blog for a year...well, so much has happened and I don't know how to update so I will give the synopsis of my journey and then continue to share stories ...old and new :)
Wednesday, August 19, 2009
Shake, Rattle , OP Roll?
It's amazing to see how much a baby 's head, hand, or even neck can make labor so vastly different, harder, longer, and more difficult. So many times, I have heard of women who have "week" long labors or "all back" labors and midwives who participate in them in their hands-off practice. For a while now, I have been so frustrated with the mentality that long labors are normal and good. Even more so, I have been more frustrated with myself because I agree with labor being natural and not rushing the process, but the long part bothers me.I want to feel that a woman should have all the time she needs to deliver, but in my heart, it doesn't feel right. Let me explain:
Three and a half years ago. Melody and I had a client who took it upon herself to take castor oil without telling us. She told us after the fact when she was having contractions every five minutes. She started the conversation with "I have a story to tell you" and proceeded to tell us how she took castor oil in the afternoon and was having these "cramps" every few minutes. We felt it necessary to go check on her. When we arrived she was six centimeters and her water broke. Oddly enough after her water broke, her contractions spaced out to being irregular. She did this for another 18 more hours. I could not figure out how in eighteen hours, there was no longer progression! 18 hours at 6 centimeters! Some would say, "well, it's her first baby. she will do it." " It's her first baby: first babies take a long time." Melody really didn't want to intervene, but I couldn't take it anymore. Something was not right. But of course, she and I had been wanting to be more "hands-off" in our practice since we came from a more pro-active background and being labeled as such. We wanted to do let the body do it's thing. Finally, Melody checked and this baby was persistently OP (occiput posterior) or face-up. I am sure that I can be ridiculed easily for being a midwife and having such nasty thoughts such as "long labors can't be normal" and maybe even thinking that there's gotta be another way! Well, there is!
Honestly, Melody and I were struggling to agree on this labor...she desiring to let things be and I wanting to help it along and do something. Now I know that there is this thing about hiring a midwife and wanting her to be a guide...and wanting a "hands-off" birth, but you are also hired as a healthcare provider and you stil have a job to do. So rather than COMPLETELY laying off, I believe there are some signposts to intervening. Melody finally got online and discovered Spinning Babies : http://www.spinningbabies.com/ . At the time there was an excercise we found what I now call "The Roll" , where the woman switches positions in labor and in certain time to help baby get back in the correct and perfect position. Imagine that, taking control of the situation to avoid transport for failure to progress or maternal exhaustion. I don't want to sound threatening, but I got very tired very quickly with seeing Mama's labor longer than they had to; so we found another midwife who has a solution! I firmly believe that malpresentation is a big reason that women "fail to progress" and/or have week long prodromal labors and these postional excercises have done wonders!
For example, with our above client: we went to her and said okay time to work and get this baby out...she was very okay with this being ruptured for 18+ hours and having annoying contractions. So we did the "Rebozo", then the suggested roll from Gail Tulley , then Mama stood up and said OOOOOOOWWWWWWW .....90 minutes later, she was holding her son. Yes, being at 6 cms for 18+ hours, she went from 6 to complete and baby out (first time mom) in 90 minutes!! Time and time again, I have used the rebozo and "the roll" and had women either kick into labor and/or progress quickly.
Now, how can you tell what position the baby is in? Well, it's not just by palpation. The baby's back can be on the left and right side and still have the head be posterior or even ascynclitic. But so how can you tell? Well, unfortunately mainly by doing an internal exam. I know that so many women and their midwives don't really believe in it or prefer not to do many if any at all; but I have found that 1-4 minutes of discomfort can save a woman from being transported or even several hours added to her labor. Now,I am not trying to be an interventive midwife, I am trying to be a midwife that feels birth is sacred and beautiful so I will do what it takes from it turning into a traumatizing experience.
Three and a half years ago. Melody and I had a client who took it upon herself to take castor oil without telling us. She told us after the fact when she was having contractions every five minutes. She started the conversation with "I have a story to tell you" and proceeded to tell us how she took castor oil in the afternoon and was having these "cramps" every few minutes. We felt it necessary to go check on her. When we arrived she was six centimeters and her water broke. Oddly enough after her water broke, her contractions spaced out to being irregular. She did this for another 18 more hours. I could not figure out how in eighteen hours, there was no longer progression! 18 hours at 6 centimeters! Some would say, "well, it's her first baby. she will do it." " It's her first baby: first babies take a long time." Melody really didn't want to intervene, but I couldn't take it anymore. Something was not right. But of course, she and I had been wanting to be more "hands-off" in our practice since we came from a more pro-active background and being labeled as such. We wanted to do let the body do it's thing. Finally, Melody checked and this baby was persistently OP (occiput posterior) or face-up. I am sure that I can be ridiculed easily for being a midwife and having such nasty thoughts such as "long labors can't be normal" and maybe even thinking that there's gotta be another way! Well, there is!
Honestly, Melody and I were struggling to agree on this labor...she desiring to let things be and I wanting to help it along and do something. Now I know that there is this thing about hiring a midwife and wanting her to be a guide...and wanting a "hands-off" birth, but you are also hired as a healthcare provider and you stil have a job to do. So rather than COMPLETELY laying off, I believe there are some signposts to intervening. Melody finally got online and discovered Spinning Babies : http://www.spinningbabies.com/ . At the time there was an excercise we found what I now call "The Roll" , where the woman switches positions in labor and in certain time to help baby get back in the correct and perfect position. Imagine that, taking control of the situation to avoid transport for failure to progress or maternal exhaustion. I don't want to sound threatening, but I got very tired very quickly with seeing Mama's labor longer than they had to; so we found another midwife who has a solution! I firmly believe that malpresentation is a big reason that women "fail to progress" and/or have week long prodromal labors and these postional excercises have done wonders!
For example, with our above client: we went to her and said okay time to work and get this baby out...she was very okay with this being ruptured for 18+ hours and having annoying contractions. So we did the "Rebozo", then the suggested roll from Gail Tulley , then Mama stood up and said OOOOOOOWWWWWWW .....90 minutes later, she was holding her son. Yes, being at 6 cms for 18+ hours, she went from 6 to complete and baby out (first time mom) in 90 minutes!! Time and time again, I have used the rebozo and "the roll" and had women either kick into labor and/or progress quickly.
Now, how can you tell what position the baby is in? Well, it's not just by palpation. The baby's back can be on the left and right side and still have the head be posterior or even ascynclitic. But so how can you tell? Well, unfortunately mainly by doing an internal exam. I know that so many women and their midwives don't really believe in it or prefer not to do many if any at all; but I have found that 1-4 minutes of discomfort can save a woman from being transported or even several hours added to her labor. Now,I am not trying to be an interventive midwife, I am trying to be a midwife that feels birth is sacred and beautiful so I will do what it takes from it turning into a traumatizing experience.
Friday, August 14, 2009
Pizza Hut + Adjustment = I Didn't Get My Crying Moment!
Date : April 27,2009
I cannot explain the importance of Pizza Hut in my practice. In fact, no one can, but since Melody and I had a homebirth practice in Arkansas, everytime we went to eat at Pizza Hut, we had a great birth that followed. We tried it last December and it worked both times. We went yet again to see if it would work in January and it didn't fail us ....brought forth a fast and beautiful birth!
So after explaining the pizza hut thing to a client of mine who had been 4 cms for about 2.5 weeks, she asked if we could go to Pizza Hut. I said if I was able to soon , we would go!
She was going to come in on her due date for a regular prenatal and her sister was in town. I found an open slot and decided to ask her if she wanted to go to Pizza Hut that day after her appointment. It was perfect: raining + pizzahut +Dr Kristen (our chiro) coming in = BIRTH?
She had her prenatal and was 4cms with her cervix being dilated unevenly leaving me thinking the baby's head was kinked. We did the rebozo and she went ahead and had an adjustment and began to contract somewhat and she could feel a change in baby's position. We checked her cervix and she was 5 cms! She was in shock, and when her sister tried to call her husband, he wouldn't believe her! I had to convince him to go get his stuff and come right away. Meanwhile it was time for lunch and off we went to Pizza Hut!
While at Pizza Hut, My client began to contract but wouldn't believe she was in actual labor...
all I could do was laugh, cause I just knew we were having a baby that night. I told my client that she would be good to get another adjustment and as we left lunch, that's exactly where we were headed to do! THe contractions were coming closer together and more intense. I don't believe her husband could believe she was in labor. Her contractions would not come closer than every 5 minutes and I had asked her how she was coping. All she could say to me was how scared she was of it no being real and the pain intensifying. I immediately got Dr Kristen to do NET to work on her fear and emotional hangups and as soon as that was gone, she went right into active labor. She and her husband finally decided to call in their network of supporters and one by one , they all came in. They began to come in right about 6 o'clock that evening and she was coping beautifully. You couldn't even tell she was in labor! Around 8pm, she went upstairs to escape the crowd and begin to really focus. She was so calm , so quiet. I checked shortly thereafter and she was 8 cms! I was shocked! I gave her choices and knew she wanted to try for a water birth. She wanted to be over and she decided to change clothes to get in the tub. As I began to prepare the tub, I heard her husband yell she's feeling pushy and the SPLAT! Her water broke and went everywhere. The birth team quickly cleaned up and got her into the tub and two pushes later she was holding Baby Alyssa Anne in her arms. You couldn't even hear her push nor see it..it just happened. She looked at her baby and looked up and said "I didn't even get my crying moment!" She couldn't believe she came so fast...oh well, I guess the secret is in the sauce!
I cannot explain the importance of Pizza Hut in my practice. In fact, no one can, but since Melody and I had a homebirth practice in Arkansas, everytime we went to eat at Pizza Hut, we had a great birth that followed. We tried it last December and it worked both times. We went yet again to see if it would work in January and it didn't fail us ....brought forth a fast and beautiful birth!
So after explaining the pizza hut thing to a client of mine who had been 4 cms for about 2.5 weeks, she asked if we could go to Pizza Hut. I said if I was able to soon , we would go!
She was going to come in on her due date for a regular prenatal and her sister was in town. I found an open slot and decided to ask her if she wanted to go to Pizza Hut that day after her appointment. It was perfect: raining + pizzahut +Dr Kristen (our chiro) coming in = BIRTH?
She had her prenatal and was 4cms with her cervix being dilated unevenly leaving me thinking the baby's head was kinked. We did the rebozo and she went ahead and had an adjustment and began to contract somewhat and she could feel a change in baby's position. We checked her cervix and she was 5 cms! She was in shock, and when her sister tried to call her husband, he wouldn't believe her! I had to convince him to go get his stuff and come right away. Meanwhile it was time for lunch and off we went to Pizza Hut!
While at Pizza Hut, My client began to contract but wouldn't believe she was in actual labor...
all I could do was laugh, cause I just knew we were having a baby that night. I told my client that she would be good to get another adjustment and as we left lunch, that's exactly where we were headed to do! THe contractions were coming closer together and more intense. I don't believe her husband could believe she was in labor. Her contractions would not come closer than every 5 minutes and I had asked her how she was coping. All she could say to me was how scared she was of it no being real and the pain intensifying. I immediately got Dr Kristen to do NET to work on her fear and emotional hangups and as soon as that was gone, she went right into active labor. She and her husband finally decided to call in their network of supporters and one by one , they all came in. They began to come in right about 6 o'clock that evening and she was coping beautifully. You couldn't even tell she was in labor! Around 8pm, she went upstairs to escape the crowd and begin to really focus. She was so calm , so quiet. I checked shortly thereafter and she was 8 cms! I was shocked! I gave her choices and knew she wanted to try for a water birth. She wanted to be over and she decided to change clothes to get in the tub. As I began to prepare the tub, I heard her husband yell she's feeling pushy and the SPLAT! Her water broke and went everywhere. The birth team quickly cleaned up and got her into the tub and two pushes later she was holding Baby Alyssa Anne in her arms. You couldn't even hear her push nor see it..it just happened. She looked at her baby and looked up and said "I didn't even get my crying moment!" She couldn't believe she came so fast...oh well, I guess the secret is in the sauce!
Can we say Polyhydramnios???
Okay, so I haven't posted in a while, but life has been so busy! I am really trying to blog more because I just have such great material! I have also been inspired after watching the movie Julie &Julia (a must see). I am going to back track a bit since I have been itching to put these stories down so here I go again...
Date: February 6, 2009
Time: Too Early At 8am!
Now, I am sure that 8am isn't all that early, but after only sleeping 90 minutes, 8am is painful. I had deliverd a baby around 4am that morning to woman who was 39 weeks along as well as her birthday! Let me not forget to mention it was also her sister-in-law's due date. This was baby#9 and she hadn't ever birthed early much less on her birthday! She was concerned upon going into labor because her sister-in-law was also using my services and stirring up as well. She finally decided to call her sister-in-law (Joanne) at 5am to tell her of the birth. *Now two weeks prior, Joanne had pulled an all-nighter false labor run. I had assured her that all was well and baby would come eventually and it's all a part of the job! She had been concerned because she knew this would be her biggest baby yet! Fast forward two weeks and you can imagine her envy of wanting to see her baby NOW! Besides, it was HER due date!* I made sure my client was stable and finally drifted to sleep only to be awakened 90 minutes later which brings us to an early 8am when the phone rang! It was Joanne's husband saying that Joanne had been laboring for a bit and her contractions were 3 minutes apart and intense! I, half aleesp, assured him that all was great and to call me when her contractions pattern out and become intense. Needless to say he hung up confused and later told me that in his mind he was thinking "that's why I am calling you now!" I immediately came to and called him right back saying I was on my way! I waited to alert everybody to come until I had evaluated Joanne to verify she was in labor. As I walked in through the back door, Joanne was in the spa in the box with her eldest child Yolanda pouring water on her back. It was the sweetest thing. I quickly realized her intense contractions and called the students. They, Joanne's sister and mother were on her way. Her mother was coming from her son's house taking care of her daughter-in-law who had delivered with me just a few hours before! As I was preparing my equipment and for staying I notice a small bottle of castor oil on her night stand. I then told her how I just knew she was determined to NOT go another day without holding her baby girl.
Hours went by and after very intense contractions (mostly in her back) and hardly any cervical change at 6cms, they asked me if I would consider breaking her water to help progress. I knew the baby was in a bad position (posterior' face up') and offered to do some positional excercises before rupturing membranes so we had a better chance of locking baby girl in a better position. After those excercies, I thought and agreed to break waters. I know, I know, intervention! But I had much to consider...From what I know , this baby consistenly wanted to stay posterior, and there was Joanne's history...She transferred to the hospital with her eldest which after being posterior for a couple of days, turned and came vaginally and her second was several hours yet. This was Joanne's first with us, but I should have known that baby #3 would follow the same as her siblings births!
Note** We have discovered for ourselves that third babies are the most unpredictale, but for us for this year, that meant most challenging!**
I decided and felt in my gut that we should carry on with breaking her water. I had Melody "pinhole" it since the baby's head was somewhat high to help guide her head down and make sure it was in the right position. As she did this, water GUSHED out. Now, we were expecting more baby less water, but that water kept pouring out and as it did, Melody felt the baby's face! We immediately repositioned Joanne so that we could get baby out of the pelvis and readjusted. And that's exactly what happened! PTL! Baby turned and went head down. Now , Melody said she didn't think the baby was over 8lbs as we had suspected and that she wasn't exactly sure of head position, but we were fine with that as long as it was head presenting and not face! The thing was that her water kept gushing and it seemes as if she had lost over a gallon and it was still flowing! I have never seen so much water. Finally the word polyhydramnios came out of our mouths and we set back and wondered if this was it UNDIAGNOSED.
As Joanne kept laboring, she was feeling more and more pushy. We gave her the go ahead to push minimally with each contraction and as she did, her hubby brought out the laptop to research this polyhydramnios. It wasn't long before he closed it and said, "I don't need to know about that right now." When, Joanne reached 9.5 cms we, she really had the urge to push and did so for almost 45 minutes. I had her stop to rest so that she could renew her energy. After resting for about 20 min, her pushing was involuntary. We set up for delivery and being that she continued pushing for another 45 minutes, I knew this baby was posterior (face up)! She was pushing for a long time for a third timer! As her pushing came to an end, Kayla Rose was born looking up at Daddy! It was a wonderful moment, but an alarming one for me. What happened to our 8lb baby? She was tiny and young looking. She breathed and cried and nursed right away. But the first scary moment occurred shortly after nursing. While Daddy was holding her, Kayla stopped breathing and as we stimulated her cry, she began to spit up what we originally thought was mucus but resembled the colostrum. As she stabilized, we put her in the bath with momma. It was a sweet moment for them, but I wasn't comfortable yet? How was there so much water and so little baby....this must have been polyhydramnios. Melody and I began to research... This baby was tiny and appeared to be a young gestational age. After her bath, I performed her newborn exam and dated her to only be 34 weeks along and her color was looking pretty ashy. How was this possible?? She was born on her due date with sonograms confirming! We were open and honest with all involved when we discoverd that this was more than likely polyhydramnios and that the baby needed to be examined! How did I miss this? I kept thinking to myself. Melody got on the phone with a CNM and I read more. Was this baby SGA(small for gestational age), IUGR(intrauterine growth retardation), or was it Esophageal issues indicative of polyhydramnios? Something wasn't right but I could not put my finger on it. Kayla continued to choke and spit up and as others wanted to chalk it up to transition, I knew something was wrong. Both Melody and myself knew this baby needed to be seen right away and the CNM urged Daddy to take her in. The family did not want to take Kayla anywhere if it was unnecessary, BUT this WAS necessary according to my heart and gut! IT was Friday afternoon at 5pm, no one would be available, We urged them to take Kayla to Cooks Children's Hospital in FW and Daddy made the executive decision to go! I had called the ER to let them know of Kayla's arrival. Being I hadn't slept and the inability for all of us to be in the exam, I opted to go home and sleep before rejoining at the hospital and all agreed we would part for now (6pm).
At 7:30pm, I had called to see if there was any news. I was praying that all would be fine, but my gut told me different. They had said that the ER was waiting for them and rushed them into the exam room. The Dr. felt there wasn't anything to worry about and would do an XRay and test and probably send them home. I hung up humbled and with a heavy heart thinking I made them go for nothing. At 9pm, I received a phone call from Daddy saying that I was right. "How am I right?" I asked. Kayla has esophageal atresia and needs to have surgery right away and on the way up to ICU....NO! I sat there blaming myself wondering what I could have done to prevent this...so far, nothing! I told them I would be at the hospital the next day.
The next morning I received a call from Joanne's mother stating time of surgery and saying that Kayla's rectum was perforated...Great! another thing I missed! She reassured me with the fact that Kayla had gone through 2 Drs that missed the diagnoses. Kayla's surgery that afternoon would fix her esphogus ....poor baby! Her esophagus was not attached to the stomach and had formed a pouch, thus her spitting up since birth! We went to the hospital and I was blessed to have seen Joanne and Kayla just before surgery. That little 5.6 pounder was a fighter but I hated seeing her all tubed up! Joanne was doing so well for just having given birth, I was proud of the way she handled it all...with grace!
After 3 some hours of waiting, Kayla made it through surgery and was on her way for recuperation. She was supposed to be in the hospital for a month and that miracle baby was out in two weeks. I call her a miracle baby because we had heard of other babies born with the same problems who had longer hospital stays and who did not survive. According to the Doctor, there is a small window to perform the surgery and if it's not done then, life would be compromised! Kayla Rose is a happy, beautiful baby who survived and though she still deals with a feeding tube and doctor visits, it does not bring her down, she smiles with grace over her life!
***How did I miss this....Esophageal Atresia can be detected by ultrasound after 28 weeks, Joanne's last sono was at 22 weeks. Joanne's fundal height measured right on and sometimes under her weeks. What I thought I palpated as part of the baby's back was indeed all of it and what I thought was forehead was possibly her whole head! I had also palpated for fluid level wich had minimal thril.
***How was this a God thing: Had I caught this beforehand, we would have had to transfer Joanne out of care. Being in the hospital and having her labor stall with little progression would have caused a nurse to break water without the same caution , hence face presentaion would have occurred and Joanne would have likely had a c-section. With the problems arising, Kayla would have been transferred to Cooks and gone through surgery in one hospital while her mother was recovering at another! In our ignorance, Joanne was able to have her homebirth, spend a precious first few hours with her daughter without being tubed and tied to a NICU bed, and spent every moment with her daughter even just before and after a serious surgery.
Thank you, Lord for ignorance and the grace you showered us in this situation!
Date: February 6, 2009
Time: Too Early At 8am!
Now, I am sure that 8am isn't all that early, but after only sleeping 90 minutes, 8am is painful. I had deliverd a baby around 4am that morning to woman who was 39 weeks along as well as her birthday! Let me not forget to mention it was also her sister-in-law's due date. This was baby#9 and she hadn't ever birthed early much less on her birthday! She was concerned upon going into labor because her sister-in-law was also using my services and stirring up as well. She finally decided to call her sister-in-law (Joanne) at 5am to tell her of the birth. *Now two weeks prior, Joanne had pulled an all-nighter false labor run. I had assured her that all was well and baby would come eventually and it's all a part of the job! She had been concerned because she knew this would be her biggest baby yet! Fast forward two weeks and you can imagine her envy of wanting to see her baby NOW! Besides, it was HER due date!* I made sure my client was stable and finally drifted to sleep only to be awakened 90 minutes later which brings us to an early 8am when the phone rang! It was Joanne's husband saying that Joanne had been laboring for a bit and her contractions were 3 minutes apart and intense! I, half aleesp, assured him that all was great and to call me when her contractions pattern out and become intense. Needless to say he hung up confused and later told me that in his mind he was thinking "that's why I am calling you now!" I immediately came to and called him right back saying I was on my way! I waited to alert everybody to come until I had evaluated Joanne to verify she was in labor. As I walked in through the back door, Joanne was in the spa in the box with her eldest child Yolanda pouring water on her back. It was the sweetest thing. I quickly realized her intense contractions and called the students. They, Joanne's sister and mother were on her way. Her mother was coming from her son's house taking care of her daughter-in-law who had delivered with me just a few hours before! As I was preparing my equipment and for staying I notice a small bottle of castor oil on her night stand. I then told her how I just knew she was determined to NOT go another day without holding her baby girl.
Hours went by and after very intense contractions (mostly in her back) and hardly any cervical change at 6cms, they asked me if I would consider breaking her water to help progress. I knew the baby was in a bad position (posterior' face up') and offered to do some positional excercises before rupturing membranes so we had a better chance of locking baby girl in a better position. After those excercies, I thought and agreed to break waters. I know, I know, intervention! But I had much to consider...From what I know , this baby consistenly wanted to stay posterior, and there was Joanne's history...She transferred to the hospital with her eldest which after being posterior for a couple of days, turned and came vaginally and her second was several hours yet. This was Joanne's first with us, but I should have known that baby #3 would follow the same as her siblings births!
Note** We have discovered for ourselves that third babies are the most unpredictale, but for us for this year, that meant most challenging!**
I decided and felt in my gut that we should carry on with breaking her water. I had Melody "pinhole" it since the baby's head was somewhat high to help guide her head down and make sure it was in the right position. As she did this, water GUSHED out. Now, we were expecting more baby less water, but that water kept pouring out and as it did, Melody felt the baby's face! We immediately repositioned Joanne so that we could get baby out of the pelvis and readjusted. And that's exactly what happened! PTL! Baby turned and went head down. Now , Melody said she didn't think the baby was over 8lbs as we had suspected and that she wasn't exactly sure of head position, but we were fine with that as long as it was head presenting and not face! The thing was that her water kept gushing and it seemes as if she had lost over a gallon and it was still flowing! I have never seen so much water. Finally the word polyhydramnios came out of our mouths and we set back and wondered if this was it UNDIAGNOSED.
As Joanne kept laboring, she was feeling more and more pushy. We gave her the go ahead to push minimally with each contraction and as she did, her hubby brought out the laptop to research this polyhydramnios. It wasn't long before he closed it and said, "I don't need to know about that right now." When, Joanne reached 9.5 cms we, she really had the urge to push and did so for almost 45 minutes. I had her stop to rest so that she could renew her energy. After resting for about 20 min, her pushing was involuntary. We set up for delivery and being that she continued pushing for another 45 minutes, I knew this baby was posterior (face up)! She was pushing for a long time for a third timer! As her pushing came to an end, Kayla Rose was born looking up at Daddy! It was a wonderful moment, but an alarming one for me. What happened to our 8lb baby? She was tiny and young looking. She breathed and cried and nursed right away. But the first scary moment occurred shortly after nursing. While Daddy was holding her, Kayla stopped breathing and as we stimulated her cry, she began to spit up what we originally thought was mucus but resembled the colostrum. As she stabilized, we put her in the bath with momma. It was a sweet moment for them, but I wasn't comfortable yet? How was there so much water and so little baby....this must have been polyhydramnios. Melody and I began to research... This baby was tiny and appeared to be a young gestational age. After her bath, I performed her newborn exam and dated her to only be 34 weeks along and her color was looking pretty ashy. How was this possible?? She was born on her due date with sonograms confirming! We were open and honest with all involved when we discoverd that this was more than likely polyhydramnios and that the baby needed to be examined! How did I miss this? I kept thinking to myself. Melody got on the phone with a CNM and I read more. Was this baby SGA(small for gestational age), IUGR(intrauterine growth retardation), or was it Esophageal issues indicative of polyhydramnios? Something wasn't right but I could not put my finger on it. Kayla continued to choke and spit up and as others wanted to chalk it up to transition, I knew something was wrong. Both Melody and myself knew this baby needed to be seen right away and the CNM urged Daddy to take her in. The family did not want to take Kayla anywhere if it was unnecessary, BUT this WAS necessary according to my heart and gut! IT was Friday afternoon at 5pm, no one would be available, We urged them to take Kayla to Cooks Children's Hospital in FW and Daddy made the executive decision to go! I had called the ER to let them know of Kayla's arrival. Being I hadn't slept and the inability for all of us to be in the exam, I opted to go home and sleep before rejoining at the hospital and all agreed we would part for now (6pm).
At 7:30pm, I had called to see if there was any news. I was praying that all would be fine, but my gut told me different. They had said that the ER was waiting for them and rushed them into the exam room. The Dr. felt there wasn't anything to worry about and would do an XRay and test and probably send them home. I hung up humbled and with a heavy heart thinking I made them go for nothing. At 9pm, I received a phone call from Daddy saying that I was right. "How am I right?" I asked. Kayla has esophageal atresia and needs to have surgery right away and on the way up to ICU....NO! I sat there blaming myself wondering what I could have done to prevent this...so far, nothing! I told them I would be at the hospital the next day.
The next morning I received a call from Joanne's mother stating time of surgery and saying that Kayla's rectum was perforated...Great! another thing I missed! She reassured me with the fact that Kayla had gone through 2 Drs that missed the diagnoses. Kayla's surgery that afternoon would fix her esphogus ....poor baby! Her esophagus was not attached to the stomach and had formed a pouch, thus her spitting up since birth! We went to the hospital and I was blessed to have seen Joanne and Kayla just before surgery. That little 5.6 pounder was a fighter but I hated seeing her all tubed up! Joanne was doing so well for just having given birth, I was proud of the way she handled it all...with grace!
After 3 some hours of waiting, Kayla made it through surgery and was on her way for recuperation. She was supposed to be in the hospital for a month and that miracle baby was out in two weeks. I call her a miracle baby because we had heard of other babies born with the same problems who had longer hospital stays and who did not survive. According to the Doctor, there is a small window to perform the surgery and if it's not done then, life would be compromised! Kayla Rose is a happy, beautiful baby who survived and though she still deals with a feeding tube and doctor visits, it does not bring her down, she smiles with grace over her life!
***How did I miss this....Esophageal Atresia can be detected by ultrasound after 28 weeks, Joanne's last sono was at 22 weeks. Joanne's fundal height measured right on and sometimes under her weeks. What I thought I palpated as part of the baby's back was indeed all of it and what I thought was forehead was possibly her whole head! I had also palpated for fluid level wich had minimal thril.
***How was this a God thing: Had I caught this beforehand, we would have had to transfer Joanne out of care. Being in the hospital and having her labor stall with little progression would have caused a nurse to break water without the same caution , hence face presentaion would have occurred and Joanne would have likely had a c-section. With the problems arising, Kayla would have been transferred to Cooks and gone through surgery in one hospital while her mother was recovering at another! In our ignorance, Joanne was able to have her homebirth, spend a precious first few hours with her daughter without being tubed and tied to a NICU bed, and spent every moment with her daughter even just before and after a serious surgery.
Thank you, Lord for ignorance and the grace you showered us in this situation!
Monday, March 9, 2009
It's never TOO late!
So many people think that you once you have started care with a healthcare provider you have to finish your care with the same provider. I am not one of those people. Sure, I have taken women after 36 weeks and I have had my share of delivering a baby and then getting the woman's name, but that was at a high volume birth center. As of late, the birth center has been picking up in business and our number of births are climbing, so it hasn't been surprising that I have had many calls from women wanting to switch to our care at like 33, 29, even 37 weeks.
Last week we received a call from one woman who asked a bunch of questions and was given our information from a local childbirth educator. She had been in a class with another client of ours and the two of them shared a doula. I wasn't shocked that she called wondering if she should switch care cause her Nurse Midwife was wanting to induce because she was late. She had fibbed a lil bit on her Last Menstrual Period date so that the hopistal staff wouldn't be hostile if she was going to be late. We told her we could deliver her if she wanted to switch, but we didn't hear back from her. That is....until Friday evening at 5 pm.
After a long week, Melody and I decided to go pamper ourselves with a pedicure. As we were finishing up our pedicure, my phone rang. It was this woman and I handed the phone over to Melody. It wasn't 5 minutes before Melody was asking if we could go meet this woman and her husband later that night. Both of us had plans until late that night, but she was willing to meet with us even if it was midnight. She was scheduled for an induction at 9am the next morning. I was slightly hesitant but agreed. I mean she is healthy and all is normal, right? Well, as I was on my way to carry out my plans for the evening (around 7pm) Melody called to say that this woman was contracting every 4 minutes and that we should meet her now. Melody agreed to meet with her right away and let me know that I should turn around and head back. This was her first baby, so surely it would take all night. She had only begun to have regular contractions an hour before. I called her husband and said, "Hello, this is Venessa, I am the midwife." He answered with "Hi Venessa, the midwife." He handed the phone to the doula and she informed me that the couple had decided they wanted a home birth. My first thought, "Oh wow, here we go" and oh by the way her contractions were then every 2 - 4 minutes.
Melody called me 20 minutes later only to tell me that the woman was 5 cms and definitely huffing and puffing. So there went my plans out the window...off I went to the birth! I quickly rushed or sped while calling the students and walking them through directions on what to do and what to get from the birth center! Funny thing is that all my students had company from out of town and plans for the evening. They are learning fast that a midwife's plans are never definite :)
I walked in to meet her husband and finally introduced myself to the woman with "Hi, I am Venessa, your midwife." She said, "Hi I am ****** and this Alayna," as I was touching her belly. I showed up at 8:15 pm to find this woman acting "transitiony" and by 9pm she was 8-9 cm. I did find out however, that she had taken castor oil that morning as she was determined not to be induced! My whole birth team was there and we were ready (except for the fact that the only information we had on them was their first names). I did know she was group B negative and all her labs had been normal...phew!
She decided to get in and out of the water, but went right back in...she only had an anterior lip by 10 pm and gave slow pushes in the water. She struggled to push in the water so we moved her to the birth stool. She loved the stool and felt like she could control her pushing more. Her pushing was much more effective and all had been picture perfect. As soon as the baby was about to crown, her heart rate went down to 90 and did not recover...I held my breath and prayed. I knew it would be alright just because she was gonna be out in less than 20 minutes. With the next push, she made it to crown, but her heart was still slow. As her head came out, she restituted the wrong way, I tried to turn her head the right direction but she wasn't able to go that way. I merely waited until I could see the anterior shoulder. But before her shoulder I saw two hands crossed in front of her neck and I had already unwrapped the cord that was around her neck.
By this point, too much time passed so as soon as she was born, she flopped into daddy's hands, but I could not find her heart rate. Melody rushed to give her a breath and another one and another one. We put her on the floor to start resuscitation. She opened her eyes once. Mom and dad were talking to her the entire time and finally, a very slow 90 seconds later, she cried! Baby recovered and I was able to breathe again. She had passed a lot of meconium on the way out (which was a sign of her stress), but she pinked up and was in mama's arms in no time. Even through all those challenging moments, the birth was beautiful and the new parents were thrilled! We then began some of the paperwork and it wasn't until 36 hours later that I realized she was 43 weeks and 1 day on the day she delivered! YAY! She is now the latest one I have delivered and to top it off, it was a sweet and exciting birth! After it was all over, the birth team and I headed over to Denny's to regroup and debrief and what was written on the back of that menu? "It's never too late!" Yeah, you can say that again! :)
Last week we received a call from one woman who asked a bunch of questions and was given our information from a local childbirth educator. She had been in a class with another client of ours and the two of them shared a doula. I wasn't shocked that she called wondering if she should switch care cause her Nurse Midwife was wanting to induce because she was late. She had fibbed a lil bit on her Last Menstrual Period date so that the hopistal staff wouldn't be hostile if she was going to be late. We told her we could deliver her if she wanted to switch, but we didn't hear back from her. That is....until Friday evening at 5 pm.
After a long week, Melody and I decided to go pamper ourselves with a pedicure. As we were finishing up our pedicure, my phone rang. It was this woman and I handed the phone over to Melody. It wasn't 5 minutes before Melody was asking if we could go meet this woman and her husband later that night. Both of us had plans until late that night, but she was willing to meet with us even if it was midnight. She was scheduled for an induction at 9am the next morning. I was slightly hesitant but agreed. I mean she is healthy and all is normal, right? Well, as I was on my way to carry out my plans for the evening (around 7pm) Melody called to say that this woman was contracting every 4 minutes and that we should meet her now. Melody agreed to meet with her right away and let me know that I should turn around and head back. This was her first baby, so surely it would take all night. She had only begun to have regular contractions an hour before. I called her husband and said, "Hello, this is Venessa, I am the midwife." He answered with "Hi Venessa, the midwife." He handed the phone to the doula and she informed me that the couple had decided they wanted a home birth. My first thought, "Oh wow, here we go" and oh by the way her contractions were then every 2 - 4 minutes.
Melody called me 20 minutes later only to tell me that the woman was 5 cms and definitely huffing and puffing. So there went my plans out the window...off I went to the birth! I quickly rushed or sped while calling the students and walking them through directions on what to do and what to get from the birth center! Funny thing is that all my students had company from out of town and plans for the evening. They are learning fast that a midwife's plans are never definite :)
I walked in to meet her husband and finally introduced myself to the woman with "Hi, I am Venessa, your midwife." She said, "Hi I am ****** and this Alayna," as I was touching her belly. I showed up at 8:15 pm to find this woman acting "transitiony" and by 9pm she was 8-9 cm. I did find out however, that she had taken castor oil that morning as she was determined not to be induced! My whole birth team was there and we were ready (except for the fact that the only information we had on them was their first names). I did know she was group B negative and all her labs had been normal...phew!
She decided to get in and out of the water, but went right back in...she only had an anterior lip by 10 pm and gave slow pushes in the water. She struggled to push in the water so we moved her to the birth stool. She loved the stool and felt like she could control her pushing more. Her pushing was much more effective and all had been picture perfect. As soon as the baby was about to crown, her heart rate went down to 90 and did not recover...I held my breath and prayed. I knew it would be alright just because she was gonna be out in less than 20 minutes. With the next push, she made it to crown, but her heart was still slow. As her head came out, she restituted the wrong way, I tried to turn her head the right direction but she wasn't able to go that way. I merely waited until I could see the anterior shoulder. But before her shoulder I saw two hands crossed in front of her neck and I had already unwrapped the cord that was around her neck.
By this point, too much time passed so as soon as she was born, she flopped into daddy's hands, but I could not find her heart rate. Melody rushed to give her a breath and another one and another one. We put her on the floor to start resuscitation. She opened her eyes once. Mom and dad were talking to her the entire time and finally, a very slow 90 seconds later, she cried! Baby recovered and I was able to breathe again. She had passed a lot of meconium on the way out (which was a sign of her stress), but she pinked up and was in mama's arms in no time. Even through all those challenging moments, the birth was beautiful and the new parents were thrilled! We then began some of the paperwork and it wasn't until 36 hours later that I realized she was 43 weeks and 1 day on the day she delivered! YAY! She is now the latest one I have delivered and to top it off, it was a sweet and exciting birth! After it was all over, the birth team and I headed over to Denny's to regroup and debrief and what was written on the back of that menu? "It's never too late!" Yeah, you can say that again! :)
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