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Archive for c-section

Eleanor makes her entrance

By Goddess in Progress · Comments (35)·   February 26th, 2011

It was 3:45 on Friday morning. I was back in bed after one of my usual middle-of-the-night waddles to the bathroom, about halfway back asleep.  And then, I felt something.

trickle, trickle

I immediately knew what was happening, and my first thought was, save the mattress.

OK, stay perfectly still. Carefully move the pillows out of the way. Gently roll the hips off the side of the bed. Start to stand up.

GUSH.

My OB said there’d be no missing it if my water broke, and holy wow was she right. Woke M and had him get me some towels, which were soaked alarmingly fast. This was a totally new experience for me – my water didn’t break with my last pregnancy. But damn, it just keeps coming and coming… especially when you’re carrying as much as I was.

Our first call to my sister-in-law didn’t wake her up, so the lucky winner of the middle-of-the-night contingency lottery was my friend Rebecca, fellow mom to 3.5-year-old twins, and only four weeks less pregnant than me. While we waited for her to arrive, I just kind of stood there, soaking towels, and trying to calmly tell M what to do next.  We debated waking the kids to warn them that we were leaving, but worried that it was close enough to morning that they might not go back to sleep.  Decided to just leave them be.

Contractions started slowly on the short drive over to the hospital. I dripped my way into a wheelchair while M parked the car, and up we went to Labor & Delivery.  From that point on, it was pretty standard surgery prep.  An IV, some antibiotics for group-B strep, and the various pre-op indignities.  When you show up in labor for a repeat c-section, they don’t wait around.

Very last preggo pic

It was, of course, all quite surreal. Sure, logically I knew that I was very pregnant, that the arrival of my third child was imminent, regardless.  But still, it’s very strange to sit there and wait for surgery, wait to meet the baby.

Being my second time at this particular party, I felt overall a lot more relaxed and lucid. While I’m sure it was helped by the fact that I had gotten some sleep before heading to the hospital (not so much last time), I also was just more calm, more aware of what was going on and what was coming next. Even if I was shaking a little with anticipation.

Rolled into the operating room, stayed as still as I could for the spinal. Wow, is that a strange feeling, as the entire lower half of your body goes numb.  This time, I had a bit of a reaction that I hadn’t had before. It felt like the numbness was creeping all the way up my body, ears ringing, a little nauseous. The anesthesiologist noticed it before I even put it into words, and put a few doses of something into my IV. A minute later, I felt significantly better.

They started the surgery so quickly, I was worried they were going to completely forget to retrieve M.  But there he was in his blue paper scrubs. Again, I felt so much more with it than my last c-section. No pain, just lots of strange pressure and other sensations.

At 6:53 in the morning, out came Eleanor Margaret, along with another tidal wave of fluid (seriously, it had been going for three hours, how was there still more fluid in there?).

She didn’t cry.

In fact, I learned later, she was not particularly inclined to breathe on her own, either. The nurses did the first few breaths for her, and when she decided to join the party, she sounded like she was under water. Not surprisingly, I suppose, she had a ton of fluid in her lungs. Apgar scores were a highly unsatisfactory 5 and 7.

I got to see her, briefly. M got to stand with her while the nurses worked, and she weighed in at an impressive 7 pounds, 11 ounces (at only 37 weeks, 6 days).  But then, while they were still putting me together, off she went to the special-care nursery.

To say I was disappointed to return to my recovery room without a baby would be a dramatic understatement. This was, to say the very least, not how I was hoping this would go.

I was wheeled in to see her on my way over to my postpartum room.  Her head-full-of-dark-hair was under a plastic bubble, with some extra oxygen and humidity blowing on her. Color was better (not purple anymore), muscle tone slightly improved. Breathing on her own, but you could hear her trying to work through all the gunk.

The short summary, 36 hours later, is that she’s doing a lot better than yesterday morning. She’s still in the NICU, and I’m re-acquainted with the hospital-grade pump.  I’ll be back later to talk more about what we’re up to (why yes, my hospital got wi-fi since I was last here, can you tell?).  But in the meantime, I just wanted to introduce you to my my new daughter, Eleanor Margaret.

Eleanor

She’s quite something.

Comments (35)
Categories : Hospital, Newborns
Tags : birth story, c-section, NICU

Birth Story, Part 3: Postpartum

By Goddess in Progress · Comments (4)·   August 12th, 2007

Within one short minute early last Friday morning, I suddenly went from pregnant to not. It would seem like such a monumental change should take place over a longer period of time, but as my husband would say (quoting from an episode of West Wing), pregnancy is a binary state. You either are, or you aren’t. And now, I’m not. Whew.

So, after the c-section, I was groggy but happy for a while. Since I had felt some pain during the surgery, I had been given a little extra dose of happy juice while they put me back together. They also used something called duramorph. Instead of having a morphine pump for pain after the surgery, they injected a long-lasting dose/form of morphine with the spinal. For a solid 24 hours, I can honestly say I felt no pain, and I noticed no negative side effects. For that period of time, they also gave me pitocin to help contract my enormous uterus and IV fluids. I had inflatable cuffs around my calves, not unlike alternating blood pressure cuffs, to keep circulation going and avoid blood clots. It was a little odd at first, but not terribly uncomfortable.

At this point, I hadn’t slept in a good 24 hours. But as there were new babies and it had reached somewhat reasonable hour of the morning, there were phone calls to be made. Excited grandparents were weepy, aunts and uncles (real and honorary) were cheering us on. I was sleepy, but the adrenaline (and frequent checks by the nurses) would keep me up for a while.

The first day saw me confined to bed, but no shortage of visitors. My dad arrived directly from a business meeting several hundred miles away by 2pm. Our only local relatives (my aunt and my sister-in-law) came by as well. I smiled sleepily at them and assured them I was feeling no pain. They got to go with the new daddy to see the babies in the nursery. I was jealous.

By Saturday morning I was unhooked from my various tubes and wires and was able to slowly start moving around. I finally was able to go to the nursery to see the babies for myself. It was really the first time I’d seen Daniel at all. My first thought was how small he looked. I knew he was bigger than Rebecca, so I figured he’d be huge. But no, he was a little six-pound newborn. It’s only after spending time with or holding his sister that he suddenly looks like a linebacker.

Since I knew I wanted to breastfeed the twins, and they were not really in a position to be directly nursing, I was started on the pump. You can’t help but moo the first few times you get your boobs into the suction cups. Though I likely wouldn’t produce much of anything at first, I was instructed to pump for 15 minutes, every three hours, to help my milk come in. Fun times.

Sunday I was able to walk to the nursery on my own and not require a wheelchair or assistance from the nurse. I started going more frequently, realizing I was welcome there, and tried to make it to as many feedings as I could. I learned what it took to “stay on top of the pain.” Motrin and Percoset became good friends. The pain was quite manageable, but my elevated blood pressure and swollen extremities would not abate. I was instructed, yet again, to spend more time on my left side, and keep drinking plenty of water. And here I had been so excited to finally sleep on my back again. Ah well.

In the meantime, we had scrapped our original plans of hubby spending nights with me in the hospital. Since the babies weren’t rooming in, we decided we’d both have a better shot at a good night’s sleep if he went home and took care of the dog and kept his snoring to himself. I’d not only be able to sleep instead of yelling at him to roll over every 10 minutes, but he’d be able to rest up instead of being on an uncomfortable cot, waking up every time the nurses came in. We both liked this plan.

Sunday night, as he got ready to go home, I got my first case of what I refer to as “the weepies.” Hormones combined with a huge emotional life change are a really special cocktail. I assured my husband I was just fine and insisted he get home and get some rest, and then proceeded to cry for 30 minutes. No particular reason. Just the weepies.

By the time Monday came around, I was feeling a lot more human again. I was more comfortably mobile, able to shower and wear something other than the hospital gown and a robe. As much as I missed being home, I was also getting anxious about being discharged. Not that I was concerned for my health, but rather because I wanted to keep being down the hall from the babies. Not across town lines. I was additionally stressed because the pumping was coming to absolutely nothing. Three solid days of dutifully pumping every three hours, and I had nada to show for it. I don’t mean “not much.” I mean nothing. Every time I went in to feed the babies, someone asked if I wanted to put one to breast, or if I had any pumped milk I wanted to feed them. I tried one of them at breast at least once a day, just for the sake of practice, but there was nothing for them to get.

Monday night, the weepies came on with a vengeance. I cried at the thought of leaving the babies at the hospital. I cried out of the guilt of having someone else take care of them, even if it wasn’t a matter of choice. I cried at the feeling of not being able to take care of them myself. I literally woke up three times during the night, bawling. Tuesday morning was no better. I had finally gotten a hold of myself when the nurse came in to take my blood pressure. Unsatisfied with the results, she told me to lay down and rest and she’d recheck me in half an hour. I once again burst into uncontrollable tears. I wanted to get to the nursery to be with my kids, and I had to lie down again for my stupid blood pressure. I was a wreck.

Just before I left for home that afternoon, I finally got my first measurable amount of breastmilk from the pump. I kid you not, it was two milliliters. Total. Both breasts combined. And I brought it right over to the nursery so someone could eat it. The nurses were great, and proudly combined it with formula so the babies could have it. We came back to the hospital a few hours after leaving to feed the babies, but I was running on empty. I couldn’t stop crying, no matter what. The kind SCN nurse insisted that it would be a good idea for me to just go home and rest, and I could come back in the morning.

It was nice to be home, but again, very mixed. After being unsure how “connected” I would feel to them since they were in the nursery all the time, the prospect of being further separated positively broke my heart. I ached from missing them. I couldn’t even look at the polaroid of the three of us from two days earlier without sobbing.

Wednesday and Thursday, however, were improvements. We were at the hospital for four feedings a day, and all the pumping was FINALLY starting to produce something. The first time I got a full ounce, I nearly jumped for joy. It wasn’t enough, but it was finally progress. The babies were doing well, and it looked like they would come home. I was having minimal pain from my incision, and was able to keep it at bay with only ibuprofen, maybe a single percoset at night.

And here I am, the end of day two with babies at home. My in-laws were here the last two days and were more helpful than I worried they’d be. It was good to have the extra set of hands. I still burst into tears with minimal provocation, but it’s getting better. My belly is a big, stretch-marked bowl of jelly and my feet and legs are still determinedly retaining lots of fluid, but I’m trying not to worry about it. The pumping is yielding 1.5-2.5 ounces at a time, which is enough to keep up with their current needs (doctor sent them home alternating breastmilk with high-calorie formula to help gain weight).

I’m pretty tired, and I haven’t got the foggiest idea what I’ll do when my husband goes back to work in a couple of weeks, but I can’t possibly think that far ahead. Tomorrow is our first full day by ourselves, so we’ll see how that goes. I think we’ll make it.

So, that’s the story. This is now, officially, a “mom of twins” blog. Hard to believe, but it’s really true. I have two babies. Yipes!

Comments (4)
Categories : Feeding, Hospital, Postpartum
Tags : blood pressure, Breastfeeding, c-section, emotional, Formula, NICU, pumping

Birth Story, Part 1: Labor & Delivery

By Goddess in Progress · Comments (4)·   August 8th, 2007

Despite having a c-section scheduled for 36 weeks, 6 days, the babies decided to arrive a bit early. I won’t lie, after last week, I didn’t mind too much.

On Thursday, I was having some intermittent lower back pain. I knew they were likely contractions, but they were sparse and not terribly painful, so I chalked it up to one more discomfort. Around 10pm, that all changed. I was in bed, and was suddenly hit with a painful contraction that started in my back and wrapped its way around my belly like a really bad period cramp. It lasted a good minute. And then about 7 minutes later, it happened again.

I told my husband to get the stopwatch, and we started timing. They were very regular, coming about every 6 minutes. The worst part was that they seemed to be lasting about 2-3 minutes, peaking a couple of times. It was quickly becoming not at all fun. To add insult to injury, for whatever reason, I found I needed to pee really badly about every other contraction. So not only was I in quite a lot of pain from the contractions, but then I had to deal with the additional pain of rolling out of bed and hobbling to the bathroom.

Anyways, after three hours of timing the contractions, we decided they were not going away and made the call to the OB. At 2AM, we arrived at the hospital.

Because they knew I’d be a c-section if I delivered, they apparently decided I didn’t deserve one of the rooms with the nice beds. No, they basically put me on a stretcher. There’s nothing quite so lovely as having (what I presume to have been) back labor while on a flat, hard, not-adjustable stretcher. Once hooked up to the monitors, my contractions slowed for a while, so they were not entirely convinced I was really in labor. Great. But they checked my cervix, and I was indeed dilated to 3cm. So they hooked me up to an IV (which took three tries, of course) and gave me fluids. The contractions came back, but weren’t really registering on the monitor. They started saying how they wouldn’t just deliver a 36-weeker because I was “uncomfortable,” and it was all I could do not to cry. But they did pick up again, and upon another check, I had progressed to 4-5cm. Delivery would, indeed, be today.

The nurses prepped me, the neonatologist and anesthesiologist talked to me about what to expect, and my husband was given his set of papery blue scrubs. Around 5:30AM, I was wheeled down to the operating room. Somehow, I didn’t really feel all that nervous. For once in my life, I was kind of just living in the moment, not really thinking much about what would come next. Maybe the pain was distracting me from my usual distractions, I don’t know. Excited as I was, I didn’t freak out.

Getting the spinal was a little strange. The shot of lidocaine to numb my back hurt more than the “actual” spinal. As soon as he gave me the anesthesia, I was to lie down as quickly as possible. Suddenly my lower body started to tingle. The strange part was that I was still quite aware of people touching and prepping my belly, but no pain. Husband came in a minute or two later, and things were underway. There was plenty of tugging and pressure, as they tell you, and I did feel a little bit of pain very low in my pelvic bone. But the anesthesiologist didn’t want to give me any more meds until the babies were out, so they wouldn’t get any of it, so I just stuck it out. It wasn’t bad.

The next thing I knew, I heard them say “head is out,” and then “I need a time of birth for Baby A!” The anesthesiologist responded, “6:03.” A gurgly, underwater-sounding cry came from somewhere on the other side of the sheet at my chest. Very shortly thereafter, another gurgly cry and a “time of birth for Baby B, please.”
“6:03″
“No, that was baby A. I need a time for baby B.”
“Still 6:03.”
That’s how fast Rebecca came out after her brother.

Immediately after they were out, the anesthesiologist gave me an extra dose of “happy juice,” and according to my husband, I started snoring. I think I was only out for a few minutes, and when I woke back up, he was able to give me reports on condition and weights. Daniel was 6lb 2oz, and Rebecca was 4lb8oz. Daniel was working a little bit hard to breathe, so they took him off to the special care nursery. Rebecca was breathing better, so she got a little cuddle time with her dad, and was wheeled back with me on the stretcher to the recovery room.

C-section was fast and relatively painless, and before I knew it, we were back in the room I had so hated a few hours earlier. I sleepily looked to the other side of the room and saw my husband in a chair, gazing adoringly at our new daughter. Not such a bad room, after all.

More later on the days that followed. For now, some pictures.

Skinny Ms. Rebecca was first to get on the scale.

DSC_0001

Daniel looks downright pudgy by comparison.

DSC_0002

Happy daddy in the operating room.

DSC_0005

Comments (4)
Categories : Hospital, Newborns, Pregnancy
Tags : c-section, contractions, discomfort, preterm labor

The short version of the story

By Goddess in Progress · Comments (11)·   August 7th, 2007

Some of you may have guessed by my silence…

Daniel and Rebecca arrived Friday morning, August 3, at 6:03 AM (yes, they were both born at 6:03!). Daniel arrived first at 6 pounds, 2 ounces. Rebecca followed almost immediately thereafter at 4 pounds, 8 ounces.

I’ve been discharged from the hospital, but the babies remain in the Special Care Nursery for a bit longer. They’re in an open-air crib together, and neither needed any intervention for their breathing. Little peanut girl is feisty as can be, and is eating her brother under the table. Lazy boy looks like a linebacker compared to her, and takes his sweet time eating.

We’re thrilled, feeling good, recovering well, and can’t wait for the babies to join us at home.

Off to pump again before we go back to the hospital for the next feeding. I’ll try to post the whole story later. But you’ll understand if it takes me a bit of time…

Comments (11)
Categories : Hospital, Newborns
Tags : birth story, c-section, NICU

Short-sighted

By Goddess in Progress · Comments (6)·   August 2nd, 2007

Nature is a funny thing. As my good friend, the Beppy, has said… “the tail end of pregnancy has to suck, because otherwise, what’s your motivation for labor?” And though I won’t exactly be going through labor like many people, I find the only thing I can think about right now is this pregnancy being over.

Yes, “over” will involve major abdominal surgery, which will present its own challenges. But I just can’t bring myself to care. I’m not feeling nervous about the surgery, and I’m completely in denial about the reality of having to care for two infants. I just don’t want to be pregnant anymore.

I’ve prepared for “after” as best I can. Cribs and pack n plays and diapers and everything are all set up and ready. I’ve done plenty of reading, taken my breastfeeding class, and all of the parental units are on call. I’m as “ready” as a person can be, which probably isn’t all that ready. But that’s not what I’m focused on at the moment.

Plenty of people, my stepmom and mother-in-law in particular, are presumably trying to cheer me up when they start waxing poetic about the “magic” I’ll feel when the babies are born. How holding them will erase it all, blah blah, weepy weepy. And that’s fine. And that may very well be the case. But you know what? Right now, I don’t care. Being told that I’ll forget my discomforts, or at least that they will cease to matter, is no comfort to me right now. In fact, it’s so annoying that it’s hard for me to not hang up the phone as soon as someone starts down that road. I’m sure it’ll be great, and I’m really excited to meet these two. But hearing my various moms and aunts get all weepy about the magic, complete with superior amusement about just how little I know, drives me up a friggin wall.

So as much as I’m looking forward to seeing and holding these babies on the outside, I pretty much have tunnel vision right now, thinking only of this part being OVER.

Oh, and no matter how many ultrasounds I have, no matter how many different heartbeats I hear on monitor, no matter the two cribs in the nursery… I’m still somehow kind of in denial that I’m really having twins. I keep expecting someone to call me out on this lie I must be living. It’s unreal. Not for long, though!

Comments (6)
Categories : Pregnancy
Tags : c-section, discomfort

T-minus 17 days and counting

By Goddess in Progress · Comments (1)·   July 23rd, 2007

I have a date for my c-section.

Certainly, as previously discussed, things could change between now and then, and earlier could become better. But if everything continues to march along nicely, then these babies will be born on Thursday, August 9th.

How crazy is that??

I will continue to have my twice-weekly BPP/NST combo, plus my weekly OB checkup, and the next ultrasound growth check remains August 1. Assuming all is well, I will have a pre-op appointment with my OB on August 3, which I understand to be more of a discussion on what to expect with the surgery. On August 8, I will have pre-op testing at the hospital. And on August 9, I am expected to report to Labor & Delivery at 8:30am, for a scheduled surgery at 10:30. I will be 36 weeks, 6 days.

I can still hardly believe I have just over two weeks remaining. This has all gone so fast! I’m beyond excited. I’m excited to meet these two, though certainly anxious to make sure they’re both OK. And honestly, I just plain can’t wait to get my body back. Everything hurts, everything is uncomfortable. I apologized in advance to my husband, because I think I’m going to burst into tears every night between now and then, out of the sheer frustration and discomfort of late-stage pregnancy. But the end is very much in sight. Hallelujah.

Oh crap. I have a lot to do!!

Comments (1)
Categories : Hospital, Pregnancy
Tags : c-section, discomfort

Hospital day, 33w6d

By Goddess in Progress · Comments (1)·   July 19th, 2007

An interesting day, indeed, at the hospital. Today was a growth check with the ultrasound, in addition to the biophysical profile. Both babies passed the BPP, though we had to poke little boy to get him to wake up and move around for us. Weight estimates were encouraging, but interesting… Baby girl appears to have had a bit of a spurt and put on a full pound to reach 4lb4oz. Baby boy actually slowed down and gained only 10oz to reach 5lb3oz. Of course, these are estimates, and can arguably be further off the bigger (and more crowded) the babies get. But still, very encouraging that little miss continues to grow. An unusual twist, however, that her brother is slowing down. He also appears to have a bit less fluid than she does. As the peri said, it’s not as worrisome as it would be if little girl was the one with less fluid, but something to keep an eye on, nonetheless. Non-stress test was just fine, and as of next week, I’m going to actually go in TWICE every week. Good thing I’m done working!

The craziest part of the visit, however, was our discussion of when to deliver. First of all, if I go into labor spontaneously anytime tomorrow or later, they will not attempt to stop me. If it were to peter out on its own, they wouldn’t try to restart it, but they won’t stop me. OK. Wow. And then she said, “so, when do you think we should have these babies? I’m thinking 36-37 weeks.” Whoa!! Used to be 38, then 37-38… now 36? Holy crap! That’s two weeks!!

Basically, the plan is this: I’ll have my twice-per-week BPP and NST. If anything looks concerning, they might decide it’s a good day for a birthday. My next growth check will be in two weeks (August 1, to be precise). If either one of their growth has slowed or stopped? Birthday time. If growth is still good, they’ll schedule me for induction or c-section at right about 37 weeks.

WOW! I can barely wrap my mind around it. Three weeks at the most, possibly two or less. I’m pretty darn excited, but mostly it’s just not sinking in at all.

I’m off to my OB’s office shortly, where we definitely need to have a discussion about delivery method. Baby boy seems to have really taken over at the baby A position, and is head down, so vaginal delivery is an option on the table. We shall see.

Oh, and my blood pressure seemed to be creeping up at the NST today. We’ll see if that issue proves to be the dark horse that determines birthday time. I’ll update after the OB’s office if there are any interesting developments.

OB Update
After talking to my OB, she’s totally cool with me going directly for the c-section. She seemed to think it was probably a good idea in my case. If I change my mind and/or they both flip to vertex, I’m welcome to try for vaginal (if they don’t flip, then only if she’s the one on call, because she’ll do a breech extraction of twin B). But otherwise, she’s going to schedule my c-section for right about 37 weeks! To be moved up if things change, of course. Holy crap!!

Comments (1)
Categories : Hospital, OB Appointments, Pregnancy, Ultrasounds
Tags : blood pressure, c-section, discordant growth, NST/BPP, perinatologist, preterm labor

OB Appointment, 33w

By Goddess in Progress · Comments (5)·   July 14th, 2007

For once, my OB appointment was not cancelled today. Of course, it was actually with the nurse practitioner, who is not part of the hospital on-call rotation, so that helps. In general, it was the usual brief, uneventful visit. I’ve gained more weight, not surprisingly, but I think a lot of it is fluid retention. Blood pressure remains fine, heartbeats were good and easy to find.

I talked to her briefly about delivery options. Well, alright, I know what the options are. Assuming they stay in the same positions (one vertex, one breech), it depends on who decides to present or engage first. If little miss breech wants to be the first one out, then there is no choice: c-section all the way. If vertex boy pushes her out of the way, it depends in part on which doctor is on call if and when I go into labor. My doctor and one or two others are willing to do a breech extraction of the second twin (especially since she’s smaller). Other doctors will not. And all that aside, my OB’s practice gives the choice of a c-section to all twin moms, even if both are head-down.

First, I asked the nurse practitioner (who I love, by the way) whether she would prefer/recommend having the “choice” made ahead of time, if there ends up a choice to be made. For her two cents, she felt like she was personally more of a “planner,” and therefore would want to have her mind made up. This very much resonated with me, as I like to know as much as I can ahead of time. She then said that if she was in the situation of having twins and both were head down, she’d go for the vaginal. But, if it was her, if one of the babies was breech, she’d go for the c-section and not run the risk of the breech one getting stuck or not turning. This was absolutely her opinion, and I did not feel like she was suggesting that I ought to do the same thing. I had asked her personal opinion, and she gave it.

And you know what? In many ways, it was exactly what I wanted to hear. That pretty much sums up how I’ve felt all along. If by some miracle little miss manages to flip over again and her larger brother is presenting first, I might be willing to attempt the vaginal birth. But in pretty much any other situation, I really think I’m going to choose the c-section. It’s not without risk, and I know many people would choose differently. But this feels like the right decision for me.

I also asked when they might start talking about scheduling a c-section, in case I should go all the way to 37-38 weeks. She said I could absolutely start having that conversation with my OB at my next appointment (next week. yes, now they’re all weekly). Though I know I could just as easily go into labor on my own, I think it would be nice to have a date scheduled so that I have an actual end-point in sight.

So, what do you think would make a good birthday between August 10 and August 17 (37-38w)? Is a particular day of the week more desirable for any reason? I’m not really one to go for superstition or numerology, so I’d probably just as soon take whatever day they give me. But do chime in if you think any of those days is more auspicious than another!

(OK, funny thing. I just checked our family tree for other birthdays in that week. Turns out the only other twins in our families, one on my side and one on his, were born on the 15th and 16th of August. And as both sets are children of our male cousins, it has absolutely no impact on the fact that we are having twins. Just a very strange coincidence.)

Comments (5)
Categories : OB Appointments, Pregnancy
Tags : c-section

“Prepared” Childbirth

By Goddess in Progress · Comments (1)·   June 24th, 2007

We had our all-day Prepared Childbirth class at the hospital yesterday. Given our experience with a previous class, I admit our expectations were not high. But it’s possible our low expectations worked in our favor, because both of us came away feeling like we got more out of it than we thought we would.

The class was at our hospital, unlike the other class we took. I figured that would be a good way to go, because I’d know that I was definitely getting information on how this hospital does things. The teacher was a former Labor & Delivery nurse who had worked on that ward at this hospital for over 20 years. Though she’s no longer a practicing RN, she was still very much up on the medical side of things and how it’s all done.

We went through the standard stuff. Some anatomy, stages of labor, options for medication, and some postpartum info. Sure, I can think of topics that may not have been covered, but there’s really only so much you can do. While very little felt quite like “new” information, it still felt valuable. For instance, she went into the differences between several kinds of pain medication, both in how they work as medicines, as well as under what circumstances you’d see them used. Yes, we watched a video, but it was only really one step more graphic than an average day on Discovery Health Channel, and without quite as much excessively dramatic commentary. And, thankfully, no unnecessary closeups or money shots. :-)

While I will say that much of the class did give me some increased confidence regarding vaginal birth, pain management, and the like, I somehow came out of the day almost more convinced that I’ll opt for the c-section. I had always assumed I’d have one, given the twins’ relative sizes and positions. And then, at my last ultrasound, things changed. Not only were they both head-down for the very first time, but my larger boy twin had shoved his sister out of the way to become the presenting Baby A. Suddenly vaginal delivery seemed like a more realistic option, one I had previously felt like I could dismiss without real consideration. I thought about it a bit, but I do think I’m still leaning toward the planned c-section. I know lots of people would disagree with me, and that’s totally fine. But for my peace of mind, I feel like enough things can get complicated with getting the second baby out, that I’d rather have the relative control of the c-section.

The end of the class included a brief tour of the maternity floor. I’m getting pretty familiar with the Labor & Delivery rooms, since that’s where my non-stress tests take place, and I had also been there for my D&C. But it was kind of nice to make the mental connections between what we’d talked about in class and an actual room. We also went over to the postpartum side. There are 24 private rooms and 4 semi-private, which they only double up when absolutely necessary. It’s an older hospital, so the rooms are not very big and don’t have a lot of the bells and whistles that you sometimes hear about. But they’re perfectly nice, and I’m told the quality of care more than compensates for the lack of frills in the rooms.

While I don’t think I can ever really be “prepared” for the birth of the twins, I really did feel a bit more at ease after this class. I have some sense of what to expect, how things will happen, and where they’ll be. And I think that’s about as much as you can ask for.

Comments (1)
Categories : Hospital, Learning/Classes, Pregnancy
Tags : c-section, prenatal education
   

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