Tuesday, November 13, 2018

Birth Story: Sedona Quinn Beagley

I don't know quite where to begin with this birth story because this little one cried wolf so many times leading up to the big day. The day before my birthday, we were out at Spitz with my parents for my birthday dinner when I started having contractions that were definitely more persistent and stronger than the normal Braxton-Hicks contraction, which I had been having since the second trimester. That night, Justin and I came home and got our hospital bags packed, car seat in the car, and were ready to go. By midnight, everything had stopped. This continued for the next two-ish weeks every couple of days or so until she actually decided to make her debut.
On her due date, October 30, I had a few people predicting that she was going to come on Halloween. I really did not want her to come that day for a few reasons. I really wanted to be able to take Cora trick-or-treating. I also didn't want her birthday to be on Halloween and have it be overshadowed for the rest of her life. I said that I was hoping she'd stay put until at least the 1st.
Halloween was a very busy, active day with Montessori Halloween parties, trick-or-treating at Justin's work, a visit to South Town Mall with a train ride, and more trick-or-treating around our neighborhood. I had several neighbors ask me when that baby was supposed to come and what I was gonna do to get her out.  One guy said, "She's gonna walk around all night trick-or-treating until she goes into labor." Cora tired of trick-or-treating pretty quickly so we headed home to chili and cornbread and put her to bed around 8 p.m., leaving our candy dish outside to the mercy of the neighborhood teenagers. I was texting a few of my friends and wrote this exact phrase, "At 12:01, I'm kicking her out." I headed to bed around 10 p.m.
At some point, I woke up needing to go to the bathroom and when I got there, I noticed a gush of fluid that definitely wasn't pee followed quickly by a contraction. I headed back to the bed and grabbed my phone. It was 12:07 a.m. I wrote my doula, Meagan, and said "You aren't going to believe this... Just woke up and went to the bathroom. I don't know if my water broke, but I had a gush of blood-tinged fluid." I sat there on the floor next to the bed laughing like crazy because she definitely had taken my threat of kicking her out seriously. Throughout the first two stages of labor, I continued to laugh off and on about that.  Meagan said she woke her husband up because she was giggling about it and had to leave their room.
Leading up to Sedona's birth, I did a lot of yoga and exercises aimed at getting her in a good position to come out. Cora's labor was very difficult because she was posterior and I was determined to not experience back labor this time around. Sedona was in a better position than Cora was, called ROA (right occiput anterior), but there was still a possibility she could turn posterior. I don't believe she ever did, but I still experienced most, if not all, of the labor in my back. It wasn't the same back tearing in half labor that I had with Cora, though.
I called my mom to come to our house since she'd be staying with Cora there while we were in the hospital. I continued working through contractions and double-checking the hospital bag. Justin applied counter pressure and used a makeshift "rebozo" on me since I was experiencing back labor. All this time, I'm texting Meagan. This had been going on for awhile with contractions every 3-4 minutes and Justin started getting really nervous. They had told us that we should head to the hospital at that point once they had continued for an hour. We were further away from the hospital this time and I think he really didn't want to have the baby come in the car. I wasn't nervous at all and was in no rush to leave for the hospital, but on his suggestion, I told Meagan that we were heading out.
Once in the car, I told Justin not to speed because it would make me anxious and I knew we had time to get there. Out on 146th south, I saw something in the road, but couldn't quite make it out and just said to Justin, "There is something in the road." He slowed down as we approached and we noticed a deer lying in the middle and another on the side of the road. They both were kind enough to move out of the way and we hit the freeway. Once on the freeway, I realized I didn't know where my phone was so we turned back around to the house, managing to get behind a dump truck working construction going roughly 2 mph and I'm breathing through a contraction. Justin was so frustrated. We got home and Justin headed in only for me to find my phone had fallen underneath my seat in the car. We headed back out.
We got to the hospital around 3 in the morning and met up with Meagan. I was very calm and could tell that things had slowed down a little, but there we were. We walked up to triage and proceeded to wait forever for anything to be done. Finally, they came in to check if my water had broken or not to find out that it had and that there was meconium in it, once again risking me out of trying for a waterbirth according to the University's guidelines. They did an ultrasound to check baby's position, put her on the monitor, took some labs, but otherwise mostly left me alone. Once they were sure that it was my water, they went ahead and admitted me to labor and delivery. I should mention that my water never actually fully broke, it just kept gushing out at odd times, sometimes during a contraction, sometimes not.
I walked over to labor and delivery and baby was hooked up to continuous monitoring since there was meconium and they needed to check to make sure she wasn't in distress. Justin wasn't feeling well and was very tired so Meagan and I convinced him to lie down and take a nap while things were still pretty calm. The midwives on call came in to talk with me. They asked me if I was wanting to be checked and I said that I was because I wanted to see where I was at. Because of circumstances with my previous labor, I was hoping to avoid having to get an IV. I received an IV with Cora because I was GBS positive and needed antibiotics during labor. I found out that I was GBS positive again, but was given a different option, which is called risk-based protocol, meaning that you only receive IV antibiotics if your water has been broken for more than 18 hours or you have a fever. That was my plan and I was reassured time and time again by the midwife I regularly saw that it was a completely acceptable option, even according to the CDC. However, when the midwives came in, apparently they didn't get the same memo and started pushing IV antibiotics and suggested that while I was not going to have them that they not check me to avoid potentially introducing bacteria. They also mentioned that my labor had slowed down quite a bit and didn't want to check me because they were suggesting that I would most likely need to have pitocin to speed up my labor because of my water breaking and meconium being present. This was incredibly discouraging to me and I decided to think about what I should do.
After they left the room, I spoke with Meagan about it and she reminded me that these midwives have never seen me labor before so they couldn't possibly know how far I had progressed. She had seen me labor before and since I labor well, she thought that I was further into it than they were suggesting. She said that it is completely normal to arrive at the hospital and for it to disrupt labor and slow it down. She thought it would pick up and I'd have the baby sooner rather than later. It was around 4 or 5 in the morning at this time. While we were talking, a pediatrician came in to talk to me about the IV antibiotics. I told her that I was open to the conversation, but I needed to think and didn't want to have the conversation right then. After she left the room, I spoke with Justin about it and ultimately we decided that we felt more comfortable with going ahead with getting the antibiotics. We requested that they send in anesthesiology to place the line since at Cora's birth, the nurse who attempted it blew my vein. Once the antibiotics were going, it really seemed that labor had picked back up, contractions were coming faster and stronger. I was annoyed with the IV in my arm, but it wasn't as uncomfortable as it was with Cora.
One of the things I was insistent on with this birth was that I was going to be an active participant so I didn't just lay on the bed and let labor happen to me. I got into different positions, I stood up, I used a birth ball, I got up to go to the bathroom and sat on the toilet backwards (so weird, but apparently it helps...). I drank lots of water so I could avoid having to have IV fluids. For the most part everything was going well and I made sure to keep my thoughts positive. I was especially trying to block out the idea of having to have pitocin to speed things up, as that is one of my bigger fears. During all of my yoga sessions leading up to the birth, I had come up with a mantra to keep in mind while I labored. Relax. Accept. Enjoy. I kept repeating that to myself whenever things would get hard. Meagan and Justin worked their magic with counterpressure and emotional support as I moved about the room.
Around 7 a.m. the midwives changed shifts and Abby Rizk, CNM came in. Upon seeing me, she thought that I would probably be having the baby in the next few hours. Since I had had the antibiotics, she checked my dilation and I was at a 7 and baby was in a 0 station. I don't remember what she said my effacement was at that time. I was encouraged by this and knew we were not that far out. Labor was getting harder and harder, but I was still trying to stay positive. However, I was getting very tired. The contractions were so close together that it was impossible to rest much in between them. After awhile, she checked me again and I was only at an 8.
Things get kind of fuzzy around here because this is where things really got difficult and I'm not sure of all the details. I started having an insane urge to push during contractions and they told me to blow out my lips to keep myself from pushing. I was very insistent that I knew where Justin was during this point and would sometimes squeeze his or Meagan's hands as hard as I could during contractions. I started using nitrous oxide (Call the Midwives "gas and air" :-D ) during contractions, which doesn't take the pain away, but distracts and relaxes you. At some point, Abby decided that she thought I was dilating to a complete when I was contracting, but not in between. She decided to check my cervix during a contraction to see if that was the case. Upon doing this, she discovered that there was still a forebag of waters that hadn't broken - even though I had been leaking amniotic fluid all night. During the next contraction, she broke that bag of waters. I still was not reaching completion after some time so the midwife again checked me during a contraction where she discovered that I just had a lip of cervix and manually stretched it for me to reach completion. I have no idea how long this whole process took, but it was probably the most painful experience of my entire life and it wasn't over yet. In between contractions, I just kept saying how tired I was and that I just wanted her out. Just as I was asking why I was still on my back (having to be in the position for her to check and manipulate my cervix), I started having another contraction and the midwife told me to push as hard as I possibly could. I definitely felt her crowning this time where I hadn't felt it with Cora because of the pain in my back. She then told us that the baby's shoulder was stuck and had to manipulate her to move it past my pelvis. I wanted to move onto my hands and knees at this point because I had read in one of my birth books that the best way to move a baby whose shoulder is stuck is to get onto your hands and knees, but I experienced another contraction and she asked me to push again.
I remember when giving birth to Cora that pushing was a relief and it was over so soon. Pushing was fast and furious this time too, but it was absolutely excruciating. When she finally was out, she was placed upon my stomach where I kept asking, "Is she okay? Is she okay?" Justin cut the cord and they handed her off to the pediatrician team to look her over. While she was over at the table, they were waiting for the placenta to come and apparently I was bleeding a lot. Abby kept pushing on my stomach as hard as she could. It was very painful. I had wanted the placenta to come out naturally, but because of the bleeding, they suggested starting pitocin. Prior to leaving the labor and delivery room, my bleeding was still not under control and I was given an injection in my leg.
Sedona's Apgars were good and after LOTS of suctioning, she was handed back to me where she promptly latched on and started breastfeeding. All of the trauma of the previous couple of hours forgotten for the moment. I'm not sure exactly how long active labor was, but all in all, it was a pretty quick experience. There are many things about Sedona's birth that were incredibly empowering, but some other things that I have a little frustration with.  I am very proud of how I handled this birth and am much more convinced of my strength when it comes to what I want and handling pain. Sedona is wonderful and breastfeeding has been a cinch this time around. She is quite the little piggy and loves to eat, eat, eat.
Recovery so far has been much easier and I had a smaller tear this time as well. I have had a ton of help with my mom retiring as she's been at my house since we left for the hospital. I am feeling mostly back to normal and am having to remind myself to take it easy and just let recovery happen slowly. Sedona is doing well and so far is showing no signs of injury to her shoulder or arm and was only slightly jaundiced upon leaving the hospital. She was back at her birth weight at day 4 and my milk had already come in.

I was in labor for almost exactly 10 hours. Sedona Quinn Beagley being born at 10:09 a.m. on November 1, 2018 bigger than her sister at 7 pounds, 7 ounces and 19 inches long.

Tuesday, April 24, 2018

13 weeks, baby #2

How far along? 13 weeks today.

Total weight gain/loss: 7 pounds up. I have had to keep my stomach full at all times in order to avoid feeling sick/throwing up.


Maternity clothes? I still fit in most of my prepregnancy clothes and maternity clothes are a little baggy, but I prefer to be comfortable so I'm home I'm in leggings and a tank and out I'm usually in maternity jeans and the top may or may not be maternity.

Stretch marks? None new. Old ones are still silvery.

Sleep: Not sleeping well at all between being uncomfortable and Cora waking.

Best moment this week: Heard the baby's heartbeat for the first time today. 

Have you told family and friends: Yup, we're public as of last week.

Movement: Nothing yet, shouldn't for at least a few more weeks.

Food cravings: Bugles, Mountain Dew, Pickles, Pho. There are others, but I can't remember. I didn't have a lot of cravings with Cora, but I've had some pretty much daily with this one.

Anything making you queasy or sick? I can't even open the fridge. Not because it's dirty, but because the food smells kill me. Sometimes even looking in the direction of the kitchen is enough to set me off. Do not mention broccoli. (GAG)

Have you started to show yet: Yes, pretty defined baby bump.

Leakage: Nope.

Gender prediction: Boy.

Labor Signs: Definitely not.

Belly Button in or out? In, for now.

Wedding rings on or off? On and still loose.

Happy or Moody most of the time: Happy, though this week that was somewhat of a struggle.
 
Weekly Wisdom: Even if you don't want to, get up in the middle of the night to pee. I'll explain more below.

Milestones: Hearing our baby's heartbeat.
Hello, hello! I wanted to do a better job this time of keeping track of this pregnancy. I saw this weekly questionnaire I'm going to try and remember to do. I might edit for future weeks for certain things that are just redundant.
So major happenings these last couple of weeks... and this might get a little detailed. Cora's pregnancy was not super easy in some ways, but was absolutely incredible in others. I suffered severe morning sickness, throwing up around 6 times a day, until I was about 7.5 months along and still threw up occasionally from there. At 36 weeks, I had a severe allergic reaction that led doctors to believe I had this extremely rare pregnancy disease that could be very bad for baby. Luckily, it was just an allergic reaction and it went away. The birth was hard, but so, so incredible.
Now we're here. In the beginning, I thought this baby was gonna give me a break. I've had morning sickness, but usually in the evening and as long as I've done a good job all day of keeping my stomach full, not much puking. I generally puke once every 2-3 days. I can handle that, but then the stomach pain started. I developed an umbilical hernia from Cora's pregnancy and during these episodes, it felt like it was trying to escape outside of my body. Severe pain under my ribcage in my back as well, and it would kind of move all over the place. Diagnosis: Trapped Gas. Cure? Do not eat cruciferous vegetables, apples, bananas. Take probiotics and drink lemon water. Episodes would happen every couple of days to maybe once a week. Okay, I can deal.

About two weeks ago, I had the odd sensation when I was trying to relieve myself that something was coming down in my vagina. I was alarmed so I contacted my midwife and was seen. She saw a lowgrade rectocele, but nothing of concern. A few days go by and my pelvic organs are literally trying to escape my body through my vagina. I thought the worst... Pelvic organ prolapse. How do you give birth to a baby when your organs are trying to exit your body?!?! None of this made sense because I was part of a very extensive research study regarding the pelvic floor during and for a year after Cora's birth. After all their testing and measuring, it was determined that my pelvic floor was just as strong as it was before I had Cora. No issues. So why am I here?

Another issue I had been having was that it was difficult for me to go to urinate, but usually I'd get there. After a few times, my bladder might even feel empty. The was going of for about a week. And then yesterday.... oh yesterday. I woke up at 2 in the morning and went to the bathroom. Didn't feel like I got everything, but there you go. Woke up for the day around 7:30 and could not pee. Okay, if I move around for a bit, I'll be able to go. Not a big deal. 10 a.m. cannot pee.  Go to get groceries, come home - cannot pee. Put Cora down for her nap. Try cat/cow, heart to earth pose, downward dog, inversion table - nothing works and the pressure is building like crazy. It has been 12 hours since the last time I went #1. I contacted Justin and he came home to watch Cora and 
I headed to the Instacare. My phone is broken so I have no GPS, get lost on the way and have to stop at the Harmons to ask where the Instacare is. Get there, they make me wait 30 minutes for a jerk of a doctor (demeanor) to come and tell me not that they can't help me, but that they won't help me because I'm pregnant and might need an ultrasound (I didn't). So he told me that I had to go to Lone Peak Hospital. I burst into the argriest, ugliest tears ever. Drive over to Lone Peak Hospital in tears because I'm so pissed off about the way I was treated at the Instacare and the fact that now I'm looking at a much bigger bill.

At Lone Peak, I get admitted almost immediately, but I still wait probably 45 minutes or so for them to finally put a Foley catheter in me and relieve my bladder. They emptied a liter of fluid out of me. It had been 15 hours since the last time I peed despite continuing to drink. The nurse was trying to joke with me. "You're not our typical urinary retention patient. Usually it's a 75yo male with an enlarged prostate." I didn't really think it was funny. Anyway, after blood work, they sent me home with a fun little pee bag strapped to my leg with directions to followup with my midwife the next day.

I got an early appointment this morning. What was decided is that since my uterus in its natural position is tilted "the wrong way", in it's progression to get above my pubic bone and face "the right way" it caused ALL of the above problems. I don't have digestion issues, my pelvic floor is of normal tone with no rectoceles or cystoceles, and I should be able to urinate normally. Yesterday, was just when it was making it's final journey and it was sitting on top of my urethra making it impossible to urinate. She removed the catheter and sent me home with directions to drink a ton and pee a lot.
I've been doing just fine since having it removed. I feel like a new woman. Hoping things are smoother sailing from here on out.