I had Keira on 7/10/10 at 5:24 PM. She is 7 pounds, 4 oz and 21 inches long. Here's our story...
As of Thursday, 7/8, my OB visit revealed no progress...no dilation, no effacement. My c-section was scheduled for 7/16 (my hospital does not allow induced VBAC's due to an increased risk of uterine rupture). On Friday, 7/9 DH and I decide to finally get our act together and start to get our rooms ready for the baby and to pack our bags (yes, we waited until 3 days before the due date hahaha). I started getting some contractions at 10 PM that night. But I wasn't really sure if they were real or not since I had done a lot of heavy lifting and walking around that day.
Surprisingly, the contraction were regular right from the get go starting around 6 minutes apart. But they were really short contractions, so I didn't really pay attention to them. They continued until around midnight when they started to get more painful and I began to feel them in my back. That's when I realized this might be the real deal. Unfortunately, my parents were the ones who would watch Tyler while we were in the hospital and they live 3+ hrs away in Queens. I didn't want them driving in the middle of the night if it wasn't the real thing. I waited another hour and the contractions were still painful and about 6-7 minutes apart. I considered waiting until early morning to call them, but I wasn't sure if I would make it. I told my parents the situation and asked them what they wanted to do. Our backup was to call PB's parents who live closer by. My parents still wanted to come. They had their bags packed for weeks, so they were ready to go.
I decided to try to sleep, which was impossible. The contractions were never farther than 9 minutes apart, so I felt like I had to keep track. So I labored all night, taking down the times (which by the way SUCKED)...and by 7AM the next morning, they were 5 minutes apart, 1 minute each for 1 hour. I called my OB and this just happened to be his weekend off!!! (I chose this OB because he's still one of those old school OB's who meets you at the hospital and delivers you personally so you never have a random person). But the OB covering him was my other top choice....the one that is known in the area to be the most supportive of VBAC's.
I was told to head to the hospital. Tyler woke up right as we were ready to leave, so we got to see him before taking off for the hospital. I was put in a room and labored until the doctor arrived to see if they would keep me or send me home. At that point, my contractions were 1-2 minutes apart. I was like, I am NOT going home even if I'm not dilated. Luckily, my exam came back with me being 3 cm dilated and 50% effaced (which was amazing since I was closed 2 days ago). I was a keeper.
The OB came to talk to me about the risks of a VBAC. He highly recommended that I get an epidural since that would allow me quick access to the OR in case anything happened and they needed to rush me in. That was totally fine with me. He did say that he did not like using pitocin at all during a VBAC delivery (some practitioners will allow the use of pitocin to aid in the labor as long as you go into labor naturally). So that meant I had to make it to 10 cm all on my own, or no VBAC. Considering it took 40 hours to reach 10 cm WITH pitocin with Tyler's birth, I was a little worried. He recommended that I wait until I reached the active labor phase at around 5-6 cm before getting the epidural so that it wouldn't impede labor progress. After all of that, he asked me if I was still on board. I sure was!
Since I was a no pitocin patient, my nurse had a pretty easy job in the beginning since she didn't really have to do much. I was allowed to labor for a few hours and was rechecked. I had reached 4 cm and 100% effaced. My water was still intact, so the OB broke my water to see if my labor would progress faster. It sure did. All of a sudden, the contractions were coming one on top of another. I decided to get the epidural at the point since I wasn't sure if I could sit perfectly still if it got worse. The anesthesiologist finally got there like half hour later...put the epidural in and I waited for it to kick in. My legs got tingly and my butt went numb, but I felt none of the pain relief in my stomach or back. I still felt every single contraction. My RN told me to give it some time to kick in. I gave it some time...still felt the same. She had me push the bolus button on the PCA pump and waited. Still felt the same. It was pretty uncomfortable at that point and I wasn't sure how much longer I could just breathe through them. Finally, the RN paged the anesthesiologist to come up. Another 45 minutes later, he arrived. He gave me the biggest bolus I've ever seen, jacked up the rate of the epidural and pushed the bolus button on the PCA (so that's an increased basal rate, plus 2 big boluses).
The pain was finally starting to subside. The OB came in to check me and I was at 8 cm already..the epidural didn't fully kick in until 10 cm....which made it pretty much pointless since I wanted some sensation during pushing, but now I felt nothing at all. At 9 cm he told me I would be pushing within an hour and I was like uh oh...since I was starting to feel myself go numb. When it came time to push, I couldn't feel when the contractions started, I couldn't feel the pressure in my butt (which was helpful for me the first time around to know where I was supposed to push). And I couldn't change positions without the RN and PB hoisting me around.
We started to push. I couldn't even tell if I was pushing or not. Apparently, I was pushing okay, but i couldn't tell. The OB said the baby was face up, which would make things harder for me. Great. He said he would give me 1.5 hours before taking me to the OR. I kept on pushing and at 1.5 hours, no baby. The OB said the baby was now in the transverse position (the head turned sideways)...also a difficult position to push out. He said my coccyx bone protrude forward into my pelvic space, which is why Tyler got stuck. The pelvic shape basically become oval and forces the baby's head sideways as she tries to descend. In order to get out, the baby has to get over and past the coccyx bone. At that point, I pretty much thought the VBAC was out of the question.
He decided to give me an extra half an hour of pushing just to see what would happen since the baby was holding up well and my uterus was also holding up well. After half an hour, nothing. He kept tacking on half and hour until i had pushed for 2 hrs, 45 minutes. She was still stuck behind that coccyx bone. He said 15 more minutes and he would have to operate since her heart rate was starting to drop a little. I was exhausted by that point. I hadn't slept at all the night before and had been up for almost 36 hours. I kept dozing off in between contractions.
Finally with 5 minutes to go, I knew I only had 2 or 3 contraction left before my time was up. The OB was hesitant at first to use the vacuum because she wasn't far down enough in the canal and he didn't want to injure her head by pulling too hard. But since the vacuums pop off if too much pressure is applied, he decided to just try it and give one test pull to see how much pressure would need to be applied. He said if it popped off, then he would not proceed with the vacuum and we would have to c-section. It didn't pop off. So with 2 contractions to go, he applied just a little pressure with the vacuum to hold her head in place between my pushes (before, she kept sliding back behind the coccyx bone) and with 3 pushes, her head had slid past the coccyx bone and cleared my pelvis! With the next set of contractions, out she came!!! I could not believe that it had worked! She tore me pretty good coming out and he had to perform an episiostomy on top of that, but I had my VBAC!!! It was the most amazing feeling especially since I had been told multiple times that I was not an ideal candidate for a VBAC (although I didn't have any of the absolute contraindications, which is why I was allowed to try for one).
The recovery has been a little tough with all the tearing. I had to have a foley catheter put in because I was too swollen and too cut up to pee on my own. That came out today and I was able to pee (and therefore go home tomorrow). It is really really hard to sit down. But my c-section recovery was much tougher. I wasn't able to do anything the next day or even for the next few days. You don't realize how important your ab muscles are until they're sliced open. My main reason for wanting a VBAC is so that I could still take care of and play with Tyler. He came to visit and the first thing he did was climb on the bed and throw his head on my stomach while laying down on the bed. I don't even want to think about how much pain that would have caused me had I been recovering from a c-section.
I can't wait to see what life with 2 under 2 will be like. I anticipate very little sleep and lots of running around!
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