Monday, August 9, 2010

A Birth Story

One of the many things that comes along with having me as a doula is a written birth story. Here is an example of one, from my last birth...


Madeleine’s Birth
28 June 2010

I got a call at around 5:45 on the morning of June 27th, saying that you had been having some consistent, albeit not too painful contractions since 2:30! You and Rob were both taken off guard because you were expecting the contractions to be coming more like 20 to 30 minutes apart, as opposed to the 5-6 minutes apart that you were experiencing. Since it was obviously early labor (and would be for a long time!), you labored at home with Rob all day.

I got another call that evening a little after 5. You said the contractions were becoming more uncomfortable, and we decided that I should come to your house in a half-hour or so. Christina (the doula-in-training) and I arrived there at around 5:45, and your contractions became more spaced out—up to nine minutes apart! We had a hunch that the new people in the room caused your body to slow down a bit, so you and Rob went for a walk at around 6:30 to try and get things moving again. It seemed to work, because when you got back at around 7:30 you were saying that your contractions were “not fun.” You were coping very well, though, standing up and pacing through each one, sometimes leaning on Rob or against a wall. You also started experiencing nausea around this time. Rob offered to get a saucepan in case you had to throw up. :)

At around 9:00 the contractions were getting more painful and closer together, so we decided to head to the hospital. We walked into the emergency room entrance, and the guy at the front desk tried to make you sit down in a wheelchair to go up to the maternity ward, but your contractions were much more painful when you were sitting, so you fought it. He eventually gave in and let you walk. When we got upstairs, they checked you in to triage, and our nurse, Gina, checked your cervix. Unfortunately and surprisingly you were only 1 to 2 centimeters dilated. This was super discouraging news, but you took it really well. After talking it over with Rob, you decided that you wanted to go back home to continue laboring there.

Shortly after we returned home, your body decided it was time to get down to business. Your contractions almost immediately picked up in both intensity and frequency (though they were never a consistent amount of minutes apart). At around 11 pm you noticed some bleeding when you went to the bathroom. Rob called Dr. Kruskol, who reassured you that it was most likely from the vaginal check at the hospital. You continued laboring upstairs with a fan blowing on you, while munching on frozen blackberries—it was HOT! We placed the exercise ball, which Rob had thankfully blown up earlier in the day, on the end of the futon. You got into a rhythm of lying down on the futon between contractions, and standing up and leaning over the ball during them. You and Rob were both so very tired, since you had been awake and in labor for almost 24 hours. You wanted so badly to be able to lie down during the contractions, but the pain was just too much! You had to stand up in spite of your exhaustion. You were also struggling with nausea, but were never able to throw up and relieve the sickness you were feeling. This was definitely active labor, and you were handling it so well in spite of the heat, your tiredness, feeling sick, and the intense pain.

At around 1 am, I suggested a shower to try and help with the pain, and you reluctantly agreed, but because of the heat it wasn’t much of a help. You and Rob got out after a short 10 minutes or so, and your contractions were becoming closer together, averaging at 4 to 6 minutes apart. We headed back upstairs, but after a several minutes of very frequent and intense contractions, we decided it was time to head back to the hospital.

We entered the emergency room entrance for a second time, and this time you could not talk them out of making you use a wheelchair. So you sat down, but every time a contraction hit, you made the guy pushing you stop the chair so you could stand up and lean on one of us for support. At around 2am, we arrived in triage and Gina checked you again—you had progressed to 7 to 8 centimeters dilated!!! There was a lot of blood, and your very intense contractions were right on top of each other. Your body was quickly approaching full dilation!

We were sent to room 2606, and you were hooked up to a fetal heart rate monitor and a capped IV was put in your arm. You were feeling a lot of pressure and shortly thereafter you began to feel an urge to push. Gina checked you and you were at 9cm. She told you not to push, but you couldn’t help it! I helped coach you through those contractions with light breaths, and finally, at around 3am, you were given the go-ahead to start pushing! That strong urge to push had gone away, though, and you were unsure about how to do it. But after a few good tries you were really making progress. Gina was checking you during one of those initial pushes, and she said she felt the baby’s head move down over an inch! Despite your tiredness and the extreme pain, you had so much power and strength!! The pain of pushing actually seemed to frighten you, but the nurse and I assured you that it was normal, and you buckled down to get your baby out.

At 3:12am Dr. Kruskol checked you and confirmed that you were fully dilated, and the baby’s head was moving down through your pubic bone. We could see her hair and her wrinkly little scalp! You were so focused and determined. Finally, at 3:36am Madeleine was born into the world, and was placed on your chest right away. All the pain and pressure of labor was immediately gone, and you were completely enraptured in your new little one. “Oh my god, she’s so little!” were your first words after seeing her. Rob cut her cord, and you and Madeleine were both anxious to breastfeed as the doctor was stitching you up. When he was finally through, you and Madeleine settled in for a nice, long nursing session. She latched on immediately and nursed contentedly for at least an hour—the first hour of your family’s new life together.