Showing posts with label Inductions. Show all posts
Showing posts with label Inductions. Show all posts

Tuesday, November 22, 2011

37week, 5 day appointment

37 weeks, 2 days
Weight Gain: +15 lbs per MD
B/P: 128/80
FHR: 137
Fundal Height: not measured

I had two appointments today, and they were pretty uneventful, so I will lump them together in this one update. Nathan is continuing to do well. At the perinatologist, I had an ultrasound (number 10), and he is continuing to grow well. No signs of pre-eclampsia which is wonderful! I am really glad to have made it this far without any serious complications or risks to Nathan. The tech had a difficult time obtaining his measurements because he is out of room! He is head down, very much engaged, and curled up in a ball. They estimate that he weighs 7 lbs 1 oz, which would place him in the 43rd percentile. Dr. R discharged me from his care, and wished me well.

I headed over to see my OB next, which was also pretty uneventful. She was going to do an ultrasound, but I gave her all the documents from the perinatologist, and we just talked about those instead. I have been so uncomfortable the past couple of days, so Dr. A checked me again. I am still 3cm and 50% effaced, although she says he is "much lower this time." Basically, that means nothing to me. Katie was "high" when I started pushing and I didn't have to push that long with her. We confirmed my induction for December 1st, and I scheduled my last follow up with her for November 29th. I can't believe we are so close to meeting Nathan!!

Saturday, January 02, 2010

Kaitlyn's Birth Story

Warning: This is probably pretty long for most people. I wanted to record all the details. :o) Enjoy!


The induction was scheduled for 06:00 on December 29, 2009. I couldn't sleep at all before-hand. I tossed and turned, played solitaire, lied quietly in the darkness..I was wide awake until about 03:15. And the alarm went of at 04;30. Goodness, that is early.


Mom went with Paul and I to the hospital where we checked into Labor and Delivery. They were in the middle of shift change, and the shift before was really busy with 4 boys being born. I was weighed, +16.6 lbs, and taken back to my room, Labor Room 4, at 07:10. Kelly was my nurse for the induction, and she was also my nurse when I was sent home after my 24 hour observation. It was really nice to see a friendly face.

She brought mom and Paul back and started an IV for me. I was GBS positive so she needed to give me some antibiotics before Katie arrived. When she placed me on the monitor, my contractions were already 6 minutes apart and lasting about a minute and a half. I had no idea that I was even having contractions! I thought it was just Katie stretching out! WooHoo!

Dr. A was in the hospital delivering the 5th boy of the day, and she came in at 09:23 to break my bag of waters. They put a fetal scalp monitor on at that point to monitor Kaitlyn's heartbeat, and I was not able to get out of bed. That part was not so fun.... I was a "stretchy" 3cm, 50% effaced and station -3. Pretty much where I was at during my appointment the day before.

Denisse and Nomi showed up shortly there-after. Denisse picked up tacos and magazines for Paul along the way, and Noemi said it was sleeting/hailing when she arrived. Back in Oklahoma, they were experiencing a snow storm, much like the day when I was born.

Kelly started the Pitocin at 10:16 at 2ml/hr. I had already received a 2g and 1g bag of Ampicillin at that point and would get the last bag of 1g Ampicillin at 12:30pm. They increased the Pit to 4ml/hr at 10:57, 6ml/hr at 11:45 and to 8ml/hr at 12:11. I was able to breath through the contractions pretty well when the Pitocin was going at 6ml/hr and thought I could hold off on pain medication for awhile.

Tara arrived from Sinton, and Tamara and Elizabeth had made their way to L&D, as well. They were doing a good job keeping me preoccupied and distracting me from the pain. Mom would brush my hair, which I love, and Paul rubbed my back and gave me lots of encouragement and reassurance.

I remember being pretty nervous when they increased the Pitocin to 8ml/hr. I was worried that the contractions would become too painful, and I was trying to wait to get the epidural until I was closer to 6 or 7cm dilated. Papa called to check on us frequently via Skype, and I remember he told me I should just get the epidural because I was starting to tear up with all the pain.

After the fourth contraction on 8ml (12:27), I told mom "THEY REALLY HURT NOW," and asked my nurse how long I had to wait to get the epidural once I requested it. She said I was the only one laboring and anesthesia would be there right away. I decided to go ahead and have them come to place one. Dr. B did such a great job with my epidural and had it infusing by 12:45. She only had to attempt once, and the worst part was the sharp "bee sting" sensation when they injected the lidocaine. Paul stood in front of me and supported my shoulders while the epidural was being placed. The contractions were so painful and were getting closer together, around every three minutes.

With the epidural, my right leg went numb first, but I could still move my toes and bend my knee. My left leg pretty much went completely numb, and I had to have help to bend my leg or move it across the bed. But the pain was gone. I only knew I was having contractions because I would get a very mild tightening sensation in my stomach. Unfortunately, I was only at 4 1/2 - 5cm after the epidural was placed, but I was 80% effaced and -2 station. At this point, I was much more calm and Paul went to the cafeteria to get lunch with Tara and Denisse. Mom and Noemi stayed in the room with me, and Elizabeth and Tamara had gone home to rest.

They increased the Pitocin to 10ml/hr at 13:00 and my contractions were about 2-3 minutes apart. The fetal monitor wasn't picking all the contractions up, though, so mom wrote them down when I would tell her I felt the tightening or she saw them on the monitor screen. The nurses continued to increase the pit frequently; to 12ml/hr at 1:30, 14ml/hr at 1:56 and 16ml/hr at 2:36. They re-checked me at 1:56 and I was 5cm dilated, and 80% effaced.

At 3pm, Kelly went home and Jennifer took over my labor care. Apparently, Jennifer assisted with the delivery of the baby earlier that day, so we told her she was going to be our "good luck charm." She increased the pitocin to 18ml/hr at 3:10 and I remember thinking, "How high are they going to increase this drip?!" I was so glad that I couldn't feel anything. By this time, we were making more progress.

Jennifer checked me at 3:58, and I was 7cm, 90% effaced and the baby was at -2 station. I asked her what I could do to bring the baby down and she recommended changing positions (I was on my back) to my side. We started out on the right side first and Paul and Mom helped me turn to my left and back to my right every so often.


Eventually, I started having some pain in my right lower back that gradually got worse. Paul massaged my back, which worked initially. Eventually, the pain spread to my right pelvis and was more internal. Leslie and Noemi took turns with Paul rubbing my back as it hurt so bad. I finally asked my nurse about whether or not I should get a bolus for my epidural. I was hesitant because I didn't want to be so numb that I couldn't feel to push, but the pain got too intense to manage and they called Dr. B back. Jennifer decreased my pitocin to 14ml/hr, as well, and I received the bolus at4:41. This time my right and left sides were completely numb!

The next time Jennifer came in to check me, Dr. A came in, as well. They were planning to place an internal monitor to measure the contractions because the monitor was having a hard time keeping track of them. I was feeling the tightness and pain but the monitor wouldn't show a change in my TOCA score. At 5:35, Dr. A told me that I was "done and complete!" It took me a minute to process what she was saying. "You're done! We are gonna push!" She exclaimed. The baby was still a little high according to my nurse, so I asked if I could labor down more if the pushing wasn't working.

People moved very quickly at this point, bringing over supplies, turning on the warmer, disassembling the bed, etc. They told me that I needed to have those not staying to leave the room, and I asked if "five people was too many." :o) My nurse didn't answer me, but Noemi went to the waiting room since usually only 2 or 3 people can stay. Mom stood on my right side and Paul held my left leg. Tara took some pictures for us and Denisse cheered me on.

I started to push at 5;40. I was determined to make some good progress because I didn't want to be one of the mom's that pushed for 4 hours. My doctor kept telling me what a great job I was doing pushing and exclaimed that she could see Katie's hair after only one or two contractions. She even had Paul come and look and his face lit up with excitement when he saw her hair too.

I couldn't feel anything at all, and I didn't understand how she was already so far down the birth canal where they could see her hair. It didn't feel like what I thought it would when she was that low, but their faces of excitement and encouragement motivated me to keep on pushing hard. Dr. A had been trying to stretch me so that I wouldn't tear during the contractions, and she told me right before I delivered that she "was gonna cut just a little bit because you are gonna tear!" I remember feeling a light "pop" when Katie's head emerged and another "pop" when her legs and feet delivered. I opened my eyes to see her and thought "She looks just like Paul!" She was/is so beautiful and perfect!


Kaitlyn was born on December 29, 2009 at 6:04:26pm and weighed 6 lbs and 5 oz. She was 20.5 inches long with the most beautiful skin and round shaped head. She has such long arms and legs with long fingers and big feet. One of the girls told me "She definitely doesn't have your feet mom!" as my feet are small for being 5'6". We are so in love with our little angel and so thankful that she made it here safe and sound.

Monday, December 21, 2009

Induction Scheduled!

Kaitlyn's scheduled induction is for December 29, 2009 @ 6am. Please keep us in your thoughts and prayers that everything will go well, and Kaitlyn will make it here safely. I can't believe we have one week left!

Monday, December 14, 2009

35 week Appointment

B/P: 110/70 (I don't buy that...)
Weight: +14.4 lbs pre-pregnancy
FHR: 138

Today, Jonathan and I went to see the specialist for a growth ultrasound (number 7). My blood pressure was really good this morning, but I am not too sure that the medical assistance got an accurate reading. I am more inclined to think it was in the 120/80's, but either way, it is better than it had been at work. My weight gain is appropriate and the baby is looking good.

The amniotic fluid levels were fine, which indicates that her kidneys are functioning and producing urine as they should be. She decided to take a nap while they scanned, and they were able to measure her head (a couple days behind) and abdominal circumference (a little ahead), see her kidneys and heart chambers and take a look at her spine. She didn't want to look at the ultrasound wand, so the only picture we got as her "girly bits." She is still a girl. :)

Today marks the start of the 5th week of bedrest for me. As nervous as I am about Katie coming out, I am ready for her to be an outside baby. We have an appointment with my OB on Thursday, so hopefully we can talk more about the induction and when she would like to schedule it. In the meantime, make your guesses on her birth weight/height! :)

**Edited on the 17th:

B/P: 132/88
Fundal Height: 35 cm
FHR: 130's

Pretty standard appointment in the beginning. Got my vitals, did a non-stress test (which went great) and went to see the doc. She swabbed me for GBS (group B strep) and talked about how I was feeling. I mentioned to her that last night I had A LOT of cervical pressure, and she told me to keep a closer eye on those as they sound kind of like contractions. Then she decided to check me anyway since I was already undressed. She said my cervix is anterior and 1cm dilated. No protein in my urine at this spot check. My labs came back from last week and my 24-hr urine had protein levels of 243. (It has been 163 and 170. Pre-eclampsia is 300...) So....

Here is the game plan:
Monday, 12/21: Go see specialist and have NST
Thursday, 12/24: Go to L&D for NST and urine check

Monday, 12/28.....

GO TO L&D FOR INDUCTION.......

(Trying to change that to Tuesday, 12/29....but it's here, none-the-less).

Saturday, November 28, 2009

"Indefinate" Bedrest

According to my OB, this is my current status. I saw her on the 23rd and the 25th for follow-ups. My blood pressure was okay, 128/86 (on the 23rd) and 130/80 (on the 25th). No protein in the urine, which I am constantly grateful for. Katie did great on the NST. I measured in right at 32 weeks, (I was 31wks, 6days at the appointment) and everything is looking good, relatively speaking.

I was really hoping to be able to make it back to work, at least for a short while, but Dr. A wasn't having it. She said that going back to work would only increase my blood pressure more. :o( So here I am, sitting tight for a few more weeks. Dr. A said that her goal is to make it to 37 weeks. As long as there are not any further complications, we will plan on an induction at the hospital nearest my house. I really like it there, but it is a small (albeit brand new) unit without a NICU. My doctor feels that inducing there will be safe for myself and the baby if I am at 37 weeks, and there is an excellent transport team for the downtown hospital if need be. Of course, if my status changes, and/or I have to be induced prior to 37 weeks, I will deliver downtown...I am really hoping that doesn't happen.

Having a common goal and knowing that Katie is doing well despite my blood pressure "issues" provides me with some reassurance, but I am super nervous about the induction. I have become fairly well educated on PIH, and while I feel confident in our plan, it's the complete opposite of what I had initially envisioned. I guess things just don't always go according to plan. I pray that Katie continues to do well and is in excellent health before, during and after delivery. I have faith that my doctor will take care of me and see me though my pre-natal care, delivery and post-partum recovery. And I hope, hope, hope that our induction is successful and without the need for a c-section.

Monday, November 23, 2009

Couldn't resist

As it becomes more evident that an early induction is in my future, I thought this quote I found on Maybe if You Just Relax was an appropriate comical representation of some of my emotions:

"I always thought I would be one of those people who went two weeks past her due date. I obviously thought very highly of my uterus, and assumed that I was running a Ritz-Carlton type of operation down there. Nobody would think of removing my baybee from my four star uterus! It's like a world class vacation resort in there!

As it turns out, I was running more of a Motel 6 operation. And the general idea was to get her out in one piece without giving her a wicked case of bed bugs or Hep C. "