Porter’s birth story

Posted by Ashley on March 25th, 2009

* For those uninterested in things birth-related, feel free to skip this post.

As most of our readers know, our first child’s birth was rather long and ended in a c-section due to Ezra’s continued heart rate decels. Although it was far from the natural unmedicated birth we’d planned for, we did feel we made every decision along the way to ensure the best outcome for our son. So when we found out we were pregnant again last summer, I had high hopes and fears about wanting yet again a natural unmedicated birth.

A few months ago we decided the best possible way for us to achieve a VBAC (vaginal birth after cesarean) was to hire a doula (essentially a labor assistant). We met Kani, our doula, and began to discuss our options with her as well as take some birth classes. Although she actually missed the birth (more later!) I feel that our preparatory work with her really helped by body and mind to work together in labor.

So to the story: Saturday, March 21 I continued drinking raspberry leaf tea (to tone the uterus) and started taking some homeopathic meds Kani recommended as helpful for labor. That afternoon I noticed that I was having some mild contractions that were slightly more painful than Braxton Hicks contractions, but they weren’t really much to complain about or think much of. We drove up to Bryce’s parents’ house and had a lovely dinner with them. On the ride home, about 9 pm, I noticed I had a few contractions about 5 minutes apart but again they weren’t painful and didn’t seem to really have a pattern to them.

I got to bed around 10:30 and slept through contractions that had me thinking that this was simply pre-labor and that I had a while to wait for Porter. By 2 am, I decided to take a bath to try to get the contractions to stop so I could get to sleep. I stayed in the tub for about an hour and decided to try to go back to bed. I laid down and felt a gush a water and quickly woke up Bryce. At this point I simply thought I had a leak rather than that my water had in fact broken. We called our doula and she advised me to try to sleep if I could as contractions may not come on right away.

Pretty much the rest of the night was a blur. This is what I remember: Bryce was scurrying around trying to get our hospital bags packed (I had made a list of items) and was throwing things in the laundry as he didn’t have any clean clothes since he’d been away just a few days before. He was also frantically trying to create a labor music playlist we’d talked about while I spent the entirety of the labor in the bathroom. We turned on my Hypnobirthing CD and I honestly don’t remember if it relaxed me or not — I simply kept thinking “Oh I don’t remember hearing that part before.” I kept moving from the bath to the toilet to hanging my arms on the towel rack. By 4 am Bryce called Kani and told her things were moving along quickly but we thought we didn’t need her. About 10-15 minutes later he called again and said we did in fact want her and he called my parents so they could come and be with Ezra as it would take them an hour to drive. We had no idea things were moving as quickly as they were, though.

Thankfully contractions weren’t long and drawn out and honestly I don’t think I was able to relax through them very effectively; they were however coming very quickly on top of one another. My first thought was that I was being anxious and causing them to come faster than they should. Meanwhile, Bryce is calling people and getting things ready and by this point, Ezra has awoken because I’m making so much noise. Bryce of course is trying to tend to Ezra while I periodically yell from the bathroom “Bryce, I need help, help me!”. I remember a few contractions where I literally jumped into the bath and writhed around a bit due to the pain (looking back, this must have been transition).

Around this time I’m feeling a whole lot of pressure and my body is pushing. I’m convinced that I shouldn’t be pushing (thinking I’m only about 5 cms dialated) and so keep thinking that I’m really going to mess up my cervix. I can’t help but push during contractions but sort of freak out between contractions wondering why is my body pushing if I’m not ready. Bryce calls Kani to tell her I have a lot of pressure and she asks if it’s in front (normal) or in my bottom (means I should be pushing and a baby’s coming); being in “labor land” I can’t answer the question and I decide we should go to the hospital and Kani will meet us there. We call the pastor’s wife, Karen, at our church around 4:45 and she comes over probably close to 5am.

Ezra is crying “Mama” when he hears me groaning loudly while pushing through contractions. At one point I held him between contractions for a minute and Bryce kept telling him Mommy was okay and that he would be a big brother soon. Once Karen arrives we literally head out the door with a confused and crying Ezra, who I quickly kiss on the cheek and proceed to have a big contraction right outside the front door. The cold air felt nice as we walk slowly to the car and I have no idea how I’m going to handle having contractions during the 20-minute ride to the hospital.

Thankfully no one is on the road at 5am on a Sunday morning. Bryce drives 95mph and runs several red lights while I grip the headrest (I sat in the back) for all it’s worth. When we get to the hospital around 5:20 or so, I think I can walk across the parking lot. Bryce grabs our stuff (saying he’ll come back for the birth ball) and I stand up and quickly realize I can’t walk. Bryce runs to the ER, grabs a wheelchair and runs back to me. I have 2 big contractions in the parking lot where I have to get out of the chair (which I can’t really sit in properly anyway), turn around, and grip onto the chair while involuntarily pushing of course. Bryce said that he’s amazed someone can be making so much noise right outside a hospital and no one seems to come running. Bryce also said that he was doing his best to help me through contractions but also knew we had to get to the hospital quickly and so was coaxing me to sit.

We run through the hospital and get to the elevator. I have a big contraction in the elevator and suddenly feel the head between my legs (not out, but I can feel Porter coming). I’m of course flashing anyone in my path because I can’t sit down on the chair. We check in at 5:37. We don’t have my picture ID and Bryce is asked to fill out some paperwork, while I simply tell the triage nurse, “There’s a head!” They wheel me into the room and I crawl up on the bed and they ask me to lay on my back. I’m quickly surrounded by a midwife on call and 2-3 labor and delivery nurses. It’s a bit of an effort to move and with another contraction they help me pull my legs towards myself as I push. I think Bryce comes back into the room at this point and sees Porter’s head emerging.

I ask how much longer until he arrives and the midwife tells me if I push that he’ll be born. I was in shock I think still. Not having a contraction yet, I tell them I’m just going to breathe, so they whip out a monitor to check his heart rate — all looks good. We also jump to the final line of our birth plan and tell them we want the cord to stop pulsating before it’s clamped and that we want to deliver the placenta naturally (without it being pulled on). They help me through one more push once a contraction starts and Porter is immediately placed on my chest! He was born at 5:41, 4 minutes after we checked in. Our doula arrived a few minutes later (between Porter’s birth and the delivery of the placenta) and could tell I was in total shock. Bryce cut the cord later and I was able to begin processing the birth a bit with both Bryce and Kani and all I could muster was that it was “insane!”

A few hours later I got to have the birth high once my body and mind caught up with what had happened. I was really wondering if I could do it without an epidural, and thankfully I had no time for one, given Porter was born 2 hours after my water broke. I was amazed at how good I felt immediately after birth and aside from the tiredness, have virtually felt myself right from the beginning. The recovery alone was worth going drug free!

Announcing…

Posted by Ashley on March 23rd, 2009

Anderson Porter Hales born into this world Sunday, March 22, 2009 at 5:41 after 3 hours of labor (birth story to come later). 7 lbs 13 oz, 21 in. long. We’re calling him Porter.

Porter
(Some more pictures can be found on my dad’s flickr)

T-2+/- weeks!

Posted by Ashley on March 17th, 2009

Still alive here and still waiting on baby (and I imagine we still have a few weeks to go yet). We were recently visited by our friends Jonathan and Sarah Hays and their brood last week. It was lovely to be with them and see some San Diegan sites. A few pictures were taken (not much since running after toddlers seems to negate picture taking) and I’ll post them soon. I was hoping for more adult time but that was nixed given we all got sick with some stomach bug or other over the course of the week. We’ll have to have a vacation together when our kids are older and no one is pregnant!

When I had the lovely stomach bug it did bring on contractions so it was good practice to be able to breath through them and try to get my mind elsewhere. I found taking a bath and praying that God do with my body what He willed the most helpful and these seemed to ease my anxiety about labor. I’m 38 weeks pregnant tomorrow and I’m hoping Dos will make his appearance somewhere between the 39th and early in the 40th week. I know that the OBs in my practice will likely want to schedule a c-section for 41 weeks, and I’m prepared to push against that if everything looks healthy, but it’d be nice to not have to deal with that at all. A girl can hope right?

Bryce goes out of town for 48 hours tomorrow morning, so I do pray that nothing starts before he returns. I’m waiting until after he gets back to take some homeopathic stuff that are supposed help get one ready for labor. I’ve washed baby clothes, blown up the birth ball, bought some newborn diapers and bought some labor snacks and toiletries for the hospital. Still to do:
1. Get a music playlist ready (any suggestions?)
2. Buy more Fuzzi Bunz in size small.
3. Find bassinet insert for Pack ‘n Play.
4. Pack hospital bag and bag for Ezra.
5. Get out newborn carseat.
6. Buy and begin taking homeopathic stuff incl. red raspberry leaf tea to help prepare for labor.

Ladies from church threw me a lovely shower on Sunday afternoon. The baby received some cute clothes (all his own and not hand-me-downs!), a sweet knitted cap, some Babies R Us gift cards, a musical bouncer seat, items for making baby food and get this: my double stroller!! It’s already been put together courtesy of my handy husband.
stroller

Birth countdown: T-6 weeks

Posted by Ashley on February 18th, 2009

Checklist:
1. Hire doula
2. Tour hospital

3. Work on birth plan for next visit with midwife
4. Practice hypno-birthing exercises (I think falling asleep through them is a good thing?)
5. Do pelvic rocks (have done some, though not the 40/day recommended. Does letting Ezra crawl on my back while I do them count?)
6. Take Birthing from Within classes with doula (starts on Saturday).
7. Other items: buy/make small cloth diapers and get out and wash newborn clothes! (Anyone have any advice about cheap cloth diapers for newborns??? Got 6 x-small FuzziBunz from Katie. They’re so cute and tiny!)
8. Get note from midwife stating I can fly (for a visit to check out potential ministry position).
9. (Per Suz’s suggestion) Read more positive VBAC stories.
10. Blow up birth ball and sit on it!
11. Get bags packed for everyone and supplies needed for postpartum.

UPDATE: The midwife was totally fine with our very natural-friendly childbirth plan! I basically used the same birth plan that we used with Ezra and she said that if baby’s heart rate was decelerating much we’d have to do continuous monitoring or if I was throwing up a lot, we’d have to do an IV. But I’m a VBAC and it looks like based on her acceptance of my birth plan I won’t be treated like a total mutant!

Birth countdown: T-8 (+/-) weeks

Posted by Ashley on February 4th, 2009

I’m 32 weeks pregnant which means I have roughly 2 months to go. I can’t believe Baby #2 will be here so soon. As many of you know, we had to have a c-section with Ezra due to heart rate continuing to decelerate during contractions (birth story here) and since taking Bradley classes when pregnant with Ezra, I’ve really, really wanted an unmedicated vaginal birth. So we’re hoping for a VBAC this time around.

We had wanted to have our second son at a birth center, but sadly the only freestanding birth center in San Diego cannot see VBACs at their center. That left a home birth or a hospital birth. Given that Ezra’s c-section was medically necessary, I think we’re a bit shy of a home birth at this point. We are with Kaiser and thankfully they do have midwives as part of their OB-GYN practice, so we do get a *bit* less of the medical model with that. When we toured the hospital they seemed like they likely do things “by the book”, including regularly inducing patients and suggesting epidurals. However, they do have rocking chairs and birth balls available as well as a squat bar for pushing. They do seem that they want to help you have the birth you want but don’t particularly advocate “natural birth” for everyone.

To ensure the greatest possible chances of having a successful VBAC, we’ve hired a doula to help us manage the labor at home as long as possible. That way they won’t want to rush me off to the OR at the hint of decels (which are normal). I’ll keep you all updated on my VBAC journey as it gets closer!

Checklist:
1. Hire doula
2. Tour hospital
3. Work on birth plan for next visit with midwife
4. Practice hypno-birthing exercises
5. Do pelvic rocks
6. Take Birthing from Within classes with doula (starts in a few weeks!).
7. Other items: buy/make small cloth diapers and get out and wash newborn clothes!

Seriously?

Posted by Ashley on August 7th, 2008

Does the ACOG seriously not remember that most women throughout time have given birth in their homes?

As of now, no actual legislation has been drawn up, but the AMA has agreed to back a measure called “Resolution 205,” a request to support the American College of Obstetricians and Gynecologists’ (ACOG) position that home births are not safe.

“We are against home births, period,” said Gregory Phillips, an ACOG spokesman.

Due to Ezra’s heart rate decels during early contractions, I’m glad I was at a hospital. And so that’s made me a bit nervous about any future birth(s), but I think a birth center would be ideal — personalized care, certified nurse-midwives, and connections with a local doctor (who is natural-childbirth friendly) and hospital if the need arises.

Here’s the article if you’re interested in reading the whole thing.