While some folks are really interested in the birth story (you know who you are...the ones that live for the TLC Baby Story marathons) others would rather not think about the details. Either way, I respect your preference. I can empathize with both sides. So, while I'm not going to give too many gory details here, there will be enough detail provided to probably gross out those with really weak stomachs. That's your warning. Read the rest of this posting if you dare.
This is the story of how Cade Michael finally entered this world on his own terms.
After getting bumped from our first induction appointment, having a
failed induction attempt 2 days later, we were scheduled for a cervix ripening on the 26th and a final induction on the 27th. This time they weren't going to let me leave without a baby. On Thursday January 26th, we went in for the cervix ripening and was told that it wasn't needed - I was 4cm dilated.
The appointment on Friday the 27th was for 11am and around 9am that morning, it became apparent that I was experiencing "real" contractions and that they were becoming stronger and more regular in frequency. To clarify "real": for a while there, I wasn't sure what I was experiencing. I was up a good portion of the night with something, but the discomfort I was feeling felt more like the GI cramping I'd been having for a while. The extreme discomfort that cramping caused on an almost daily basis was one of the reasons my OB was open to have an induction on my due date (among other reasons). But while getting ready that morning, the cramping I was having seemed to be occurring regularly (20ish minutes apart) and was quickly lessening in between each one. When I realized it was probably real contractions, I gave Mike a heads up to hurry up and get ready because we might need to leave earlier than planned.
When I got a call at 10am to tell us we were getting bumped from our induction time again (busy hospital, huh?), I let them know that the baby wasn't going to wait any longer and we would be coming in anyway. It was time! This baby got to choose his own birthday after all.
Since the induction was a planned thing, my mother in law (luckily) was already at the house and ready to take care of Dylan. We ended up leaving the house around 10:30 and got to the hospital around our planned 11 am appointment time. Now, though, we were one of the high priority folks and not the induced folks that were getting bumped. At this point, my contractions were about 6-8 minutes apart. By 11:30, I was in the antenatal area and hooked up to the monitors that tracked my contractions and the baby's heartbeat.
As we already knew, the labor and delivery floor was a hoppin' place that morning. Once hooked up to the monitors, we sat and waited for a doctor to come in and do an exam to see where I was. During this time, Mike asked me if I'd had a contraction I hadn't told him about (he was timing them) and I told him I hadn't. My regular 6-8 minute interval hadn't happened. It had been about 15 minutes since my last one. Not long after we had that brief conversation. I had the mother of all contractions.....and it wouldn't let up! The monitor started beeping and I sent him for help.
Well, it just so happened that my OB was in the hallway at the nurses station in front of our room in between surgeries. She ducked in to check on us. That huge contraction had lasted 4-5 minutes (we were told it's called a tetanic contraction) and caused a deceleration in the baby's heart rate (hospital lingo - a "decel"). We talked about my wishes (getting an epidural) and she got the doctor on call that day (who would likely be handling the birth anyway) in the room so we could make a plan. At this point I was 5cm dilated. She wanted to get the epidural started right away so that they could then break the water and get the show going.
I'm not sure what was going on behind the scenes or if there was some miscommunication between doctors and nurses but that plan was put into motion in slow motion. I think the nurses wanted to get me over to a delivery room before getting those instructions started but it became apparent to me later in the day that my OB had wished for those things to happen immediately. In any case, they didn't. It was 1:30 before we were transferred to a delivery room, introduced to our lovely nurse Lana and then awaited the anesthesiologist.
At around 2:30, the anesthesiologist arrived. He prepared my back, had a plastic sheet over the sterile area and was getting ready to do the epidural when I had another one of those tetanic contractions. The regular ones I was handling just fine but those tetanic ones were crazy! The baby wasn't a fan either since it caused another decel. The plastic sheet was removed and the nurse and anesthesiologist were helping me move around and switch positions to find a place that would make the baby happy again. The doctor was called in because of the drama and did another exam. At this point, I was 7-8 cm dilated. Oh, and it's worth mentioning that each time I had one of these crazy contractions, it was quite a dramatic scene. Nurses and doctors flooded in, tension was definitely felt in the room, I was being flipped around fairly quickly to get the baby's heart rate back and an oxygen mask was shoved on my face. A little stressful I must say. After giving the baby some time to recuperate, the epidural process was started again and I was out of discomfort by around 3pm.
Then it was time for the doctor to break my water. As has been mentioned before, everyone was really busy. So, as with the epidural, it didn't happen right away. A few minutes after 4, while still waiting for the doctor, my water broke on its own. When the doctor finally checked in with us around 5pm, she determined that the sack hadn't fully ruptured and emptied so she finished the job. Meconium was in the water so that would require a little attention for the baby after birth.
I'm not sure exactly when it happened but I had a 3rd tetanic contraction and I felt it pretty loud and clear even through the epidural. At that point, my doctor that would be delivering was busy elsewhere so another physician came in to check. I don't think he did an exam at that point. With being in a full on epidural leg numbness, the staff asked if we could try to get on hands and knees since that's what worked best in previous attempts to get the heart rate back. I was up for the challenge and we made it happen. The heart rate recovered and all was good.
The thing that was also decided was that I needed some more juice for the epidural. And, even though it was administered, it apparently was not enough because at around 6:15 I had another tetanic contraction. And I felt that one too. By that time, my OB (rather the one on call) was available and came in. I was 10 cm dilated but the baby was "only" in position -1.....they would have preferred for him to be in position 3 before pushing. However, the OB knew how much I didn't want a c-section and was trying to help me accomplish a vaginal birth. So, she asked if I was up for the challenge. Hell yeah I was! First, we had to let the baby recover from the last decel. When it was time to go, I asked for the time and the doctor told me it was "6:33....why....did I need to be somewhere?" My response was "yeah, I'm getting this baby out in 10 minutes." It was time for pushing to commence.
Sometimes that competitive side of my personality can be advantageous. Even though I didn't make my 10 minute goal, I did my very best to get our little guy out and 19 minutes later, he was born at 6:52! However, in helping to get to that goal, 2 other methods were used to assist me - an episiotomy for me (note - this fun souvenir from the birth would cause me excrutiating pain over the next 7 days....pain about 1000 times worse than what I experienced with the tearing I had delivering Dylan) and a vacuum for the baby (his head was kind of crazy shaped that night and had a bit of bruising for the next week). But we accomplished our vaginal birth and got a healthy baby boy.
They took the baby across the room to get his exam, take care of the meconium issue and do whatever else they need to do to a baby once it's born. I was still under the OB's care to deliver the placenta and get stitched up. Delivering the placenta, I was reminded, is really weird. The only more common feeling I can think of comparing it to is getting your wisdom teeth pulled. Although you're nice and numb and aren't feeling pain necessarily, you can feel it being pulled and removed and it's really an icky feeling!
Throughout all of this, Mike was with our new baby boy and I was talking with him across the room about what he looked like and what was going on. Mike was also busy making phone calls and returning texts informing friends and family of the new arrival. I think it was almost 20 minutes after delivery before I got to hold our new baby in my arms. After seeing him, Mike and I agreed that our top choice name would work for the little guy and he was dubbed Cade Michael Hines.
Soon thereafter, they came in to get the official weight which was 8 pounds 5 ounces...a full pound and an ounce heavier than his big brother! I guess that's what an extra 2 weeks cookin' can do to a baby! At 9pm, we were finally transferred to the room where we would be staying for the next 2 nights before we would be released home from the hospital.
The next couple of days were very busy. Cade's first full day of life held a lot of things in store for him. He had a hearing test, had visits from friends and family (he met his Nana and Bumpa, his big brother Dylan, Auntie Maureen and Uncle Joe as well as good family friend Liza), applied for a social security number, applied for a birth certificate, and had his first visit with a pediatrician. She did the full measurements on him and here was the breakdown:
Weight: 8lbs 5 oz - 68th percentile
Length - 21 inches - 70th percentile
Head Circumference - 14.25 inches - 60th percentile
The pediatrician came in later in the day. By that point, Cade had already had 4 poops but had not yet had a pee (very important achievements for his first day of life). Lucky for the pediatrician, she had the honor of seeing his first pee up close and personal...right on her! Too funny! On his 2nd day of life, Cade got a jaundice test (lowest risk...yay!), got weighed again - 7 pounds 14 ounces and had his circumcision. At 3 o'clock we were released to go home. Yay!
After 2 nights in the hospital solo with Cade (Mike went home to check up and tend to all there), I was looking forward to having Mike's support through night time baby care. Of course, it was also great to be home and get to see my oldest baby, Dylan, again because I missed him terribly. We also had my parents visit to look forward to. But, most importantly, this new chapter in our lives was ready to begin!