We have an oyster: Saturday 9/29, Part 2

2:30 pm
Recovery was, not surprisingly, the foggiest part of the whole oyster experience. Blood loss, consciousness loss (yep, it’s a new phrase, I made it up), narcotics, and 9 months of hauling around another human took its toll and like I said in Part 1, all I wanted to do was sleep.

Sleep, of course, is the last thing the medical staff will let you do when all of the above are factors. So the husband stood by my head and reminded me to breathe when my oxygen level on the monitor got too low. Fun fact: To boost one’s oxygen level quickly, one should cough. When my O2 levels got down to 85 (95 was the goal, 99-100 is normal I think), the husband would instruct me, loudly, to cough. Considering the nature of my recent surgery and how. dang. tired. I was, coughing was quite the feat each time.

I remember the husband put our baby girl on me at some point. He took pictures of her cuddled up under my chin, although I’m more asleep than she is.

3:00 pm
Hooked up to my trusty oxygen line and able to keep my eyes open for a few minutes, we were all whisked off to our room in the maternity wing. The hospital offered a $25 mommy-and-me package which included toiletries for mom’s hospital stay, a little shirt for the baby, parking vouchers, a few dollars off at the cafeteria (the husband was thrilled), and a little ‘insurance policy’ that put you at the front of the line for private-room preference. That in itself was worth $25 to us, so we bought the package. The oyster looks adorable in her shirt.

In our private room, to which the husband arrived wearing his slippers of course,* the nurses set me up on another piddle pad, handed me a large cup of cold water–BLISS!–and then I don’t know what happened. So maybe recovery wasn’t the foggiest time.

7 pm
What I do remember are our nurses that night. M and J were absolutely incredible. Not only did they work as a fantastic team, but they were sufficiently in love with the baby to make this new mama happy. Both women had thick, exotic accents and M referred to the little oyster as “my little cutie pie,” which with her accent came out as “my little ka-YOU-tee-pie.” The husband and I still call her that.

Public service announcement: Anyone pregnant or thinking about having a baby should know that as invasive as some of the regular ob visits feel during pregnancy, they are but a warm up for what’s coming after the baby is born. And with that, we’ll radio-edit and skip to much later that night.

10:30 pm
Many people know that someone coming out of general anesthesia isn’t allowed to eat solid food until he or she is able to pass gas following surgery. My last solid food was dinner the night before the little oyster was born, and by “bedtime” on Saturday, when I finally had my wits about me to realize it, I realized that I was famished.

Me: Ugh. I’m. so. hungry.
The husband: Would you like some gourmet ice chips?
Me: <pouts>
The husband: I’ll get you juice. I saw some in the fridge around the corner.
Me: There’s a fridge around the corner? Are we allowed to take juice from it?
The husband: Don’t ask, don’t tell, baby.
Me: And then have them bring our baby back in from the nursery! She’s cute, I want to look at her some more.

11 pm
The husband went to the nursery to watch/help/learn while M gave the little lady her first full bath. That’s when he learned what hardy little things new babies can be, and I think it gave him a good dose of confidence when handling her himself. He figured that if she was in one piece after being manhandled through a standard newborn bath, she was a-ok when he held her one-armed.

While he was in the nursery, J came to check on me and take my vitals again.

J: Are ya hungry?
Me: So, so hungry.
J: But ya have not passed the gas yet, yeah?
Me: No. No I haven’t.
J: I can make-a ya some soup, yeah? Nice broth, ya will like it.
Me: Ok! Thanks! Broth! YES!

And she was right, I did like it. No, I loved it. The beauty of a Styrofoam cup with steam rising from it can not be underestimated after 27 hours of ice chips and popsicles. The broth was hot and salty and I really think it did more for me than the Percocet I was on. That broth may have saved my life that night…or at least saved the husband’s.

After the broth I was, for the first time since checking into the hospital, warm enough and pulled my blankets up to my knees to let my feet breathe. Somewhere between pushing, when I focused on my hot pink socks, and landing in my hospital room, the hospital had put me in green hospital socks, the kind with treads so that you don’t slip and fall when shuffling your large, numb self across the room in a pitiable imitation of “getting up and moving around.” Still too warm, I had the husband pull the green socks off only to find that my hot pink socks, which I assumed were underneath, were gone.

Me: My pink socks! Where are they?
The husband: I don’t know, baby.
Me: Why did they take my socks??
The husband: I don’t know.
Me: Why couldn’t they just leave them on under the ugly green ones?
The husband: I don’t know.
Me: Can you check the plastic bag with my clothes? Maybe they’re in there.
The husband: They’re not. I’m sorry.
Me: I can’t believe they took my socks. Those were my hot pink socks for cheering me up. The little sister gave those to me. I want my socks back.

I’m still sad about my hot pink socks.

*Yes, he wore his slippers in the OR underneath the little cloth booties they give to surgeons and dads. I’m surprised he didn’t drive home in the slippers when we left the hospital. Ha, for all I know, he may have. I sat in the back with the baby.

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We have an oyster: Saturday 9/29, Part 1

Today we continue with the birth story.

1:00 am
As contractions got longer and closer together, I realized there was something I could do about the pain and told the nurse I was ready for an epidural.

Me: I would like an epidural, please.
Nurse: Ok.
Me: How long will it take to kick in?
Nurse: It takes about 5 minutes to place, and 15 minutes for pain relief to start. Our anesthesiologists are really good, we just have to make sure there’s one around. And actually the one on duty now is next door at the moment.
Me: Yessssss. Bring it. Pump me up.
Anesthesiologist: Hello. Ready for an epidural?
Me: Hello. And oh yes.
Anesthesiologist: Ok, swing your feet over the side of the bed, sit up, lean forward, tuck your head down, and curl your back like a cat.
Me: Ok. Now this “curl like a cat” business…I’m only so foldable at the moment.
Anesthesiologist: You’re doing great.
The husband: Are you ok, baby?
Me: Mmmfnethkyu.
The husband: Good.
Anesthesiologist: Epidural placed, 1:18 am. Nurse, please record the time.

The husband helped me curl forward while the nurse held my head down and still and the anesthesiologist placed the epidural. It was news to me until a few days before that an epidural stays put during delivery. What I thought was a shot is actually a tiny little pliable needle that stays in your back and can have extra numbing power added to it as necessary, which would turn out to be absolutely crucial for me in the coming hours.

With the epidural placed and kicking in, I could no longer feel the contractions but could tell I was having one when I was suddenly short of breath. It was an interesting sensation and the husband and I watched the contractions register on the monitor when we weren’t sleeping through them. Shifting around in my bed became increasingly difficult as my entire lower body lost feeling and being checked by a nurse or ob to see how labor was progressing was quite the production. For me, that is.

Me: I’m like a mermaid on land! Heehee! Look, my legs are like a tail and I can’t move them!
The husband: Zzzzzzzzz. Zzzzzzz.

2:30 am
With the epidural working, I was able to sleep pretty steadily.

Me: Hey, wake up.
The husband: Are you ok?!
Me: I think my water broke. Or I’m peeing the bed. Either way, I can’t move to find out.
The husband: I’ll call the nurse. <pages nurse desk>
Nurse: Hello?
Me: Hi. I think my water broke.
Nurse: Ok, I’ll send your nurse in.
Me: Ok, I’ll be here.
The husband: Are you in pain?
Me: No. It…tickles. It seriously feels like I’m piddling. How come I can feel this but can’t feel my legs enough to move them?
The husband: Good question.
Me: I’m glad they didn’t have to break my water. At least one thing is happening on its own with this labor!

Sure enough, my water had broken. On-duty ob 2 came to check me, a nurse came to change my piddle pad (little known fact: while piddle pads are typically used for house-breaking small dogs, these are also used under the business ends of in-labor women…although they’re probably officially not the same product, the result is the same), and the husband got me some more ice nuggets.

The Pitocin, which was by now cranked up to 18 because not much had happened in the seven hours of inducement, dripped along. The nurse placed a catheter and soon I was resting again.

7:00 am
Before she left, on-duty ob 2 checked me one more time and announced that I was at 8 centimeters and could probably begin pushing in about two hours. A baby by lunchtime, I thought! So I went back to sleep. The husband and his slippers did, too.

9:00 am
On-duty ob 3, a jovial middle-aged man who told me it was my lucky day because I was going to have a baby and his lucky day because he was going to get to deliver her, came to check me. I was still 8 centimeters dilated, but the little oyster was now at 0 station. A little more progress.

On-duty ob 3: Your baby is taking her time. If you start pushing now, you push for many hours. We have you labor down. I come back soon.
Me: Sounds good, thank you.
Nurse: Labor down means we’re going to wait for the baby to move further down the birth canal before we have you push. Otherwise, like he said, you’ll be pushing for hours. We’ll let gravity help. Let’s sit you up straighter.

10:30 am
Me: Excuse me, but I can feel the contractions again. Is my epidural wearing off?
Nurse: Possibly. How much pain are you in, 1-10?
Me: 8. And I don’t feel good.
Nurse: I’ll call the anesthesiologist.

During my entire stay, my temperature and blood pressure, along with the oyster’s heart rate, were monitored constantly.

The anesthesiologist added power to the epidural and the nurse took my temp again. Oddly, it was up. Also oddly, I started shaking uncontrollably. The effectiveness of the epidural came and went, depending on how I was angled. Sitting up straighter to help me labor down seemed to dilute the pain-killing effects so that was a double-edged sword.

Nurse: You’re running a temperature.
Me: Oh. I don’t feel good.
Nurse: I’ll be right back. <returns with another nurse>
Nurse 2: How are you doing?
Me: My body hurts and I can’t stop shaking.
Nurse 2: When did your water break?
Me: 2:30 this morning.
Nurse: The doctor is having her labor down. The anesthesiologist just upped the epidural.
Me: I don’t feel good.
Nurse 2: Are you going to throw up?
Me: No. I ache all over and I’m having really bad heartburn.
Nurse: I’ll get you some Pepcid.

11:00 am
The Pepcid didn’t help, my fever was climbing, the pain was getting worse, I couldn’t stop shaking, and I was still pregnant.

Me: I can feel the contractions again.
Nurse 2: <pages anesthesiologist> How much pain are you in?
Me: 9. And the heartburn is really bad!
Nurse: I think she needs to start pushing.
Nurse 2: On-duty ob 3 is delivering next door. We need to call his back up.
Me: I can’t breathe. I feel like she’s trying to come out of my chest.
Nurse: Her fever is still up. She needs to push.
Anesthesiologist: Hi. The fever is burning off the epidural, that’s why it’s not lasting. I’m going to increase it again.
Nurse 2: I’m going to hold this leg and your husband is going to hold your other leg. When I say push, I’m going to start counting to 10 and you’re going to push as hard as you can until I get to 10.
Me: Ok.
Anesthesiologist: Why is she shaking?
Nurse: Her water broke at 2:30 this morning, we think there’s a small infection.
Me: I’m infected?
Nurse: It can happen if your water breaks and you go a few hours before pushing.
Anesthesiologist: The pain in her ribs is strange. I don’t think it’s heartburn. Are you sure there’s no rupture?
Nurse 2: Very unlikely.
Anesthesiologist: She shouldn’t be shaking like that. You should check for a rupture.

11:30 am
On-duty ob 4, backup for 3, arrived. She was no-nonsense and I was told to keep pushing, keep pushing, deep breath, keep pushing, push again. I pushed and I pushed and I breathed and I breathed and the “heartburn” got worse and spread to my lower left abdomen. I pushed for an hour. No progress.

Me: If I push again, I’m going to throw up.
On-duty ob 4: We’ll change your position but you have to keep pushing.
Me: I can’t. I can’t! She’s never coming out.
Nurse: Her fever is still up and the baby’s heart rate is increasing.
Me: I really can’t push. I can’t. I just can’t.
Nurse: I think she’s rupturing.
Me: <starts crying>
The husband: Hey baby, you’ll be ok. They’re taking good care of you. I’m right here.
Me: <still crying>
On-duty ob 4: How long has she been complaining of the pain and fever?
Nurse: About two hours. She’s had three rounds with the epidural but the crying is new.
On-duty ob 4: No option then. <to me> You need to have a c-section. This baby needs to come out now.
Me: <bawling>
The husband: I’m right here with you, they’re going to bring our baby out! You’re going to be great!
Me: <still bawling> But I don’t want one!
The husband: Are you scared?
Me: <still bawling> Yes!
The husband: You’re so brave. We need to do what’s best for you and for our little girl. They’re going to take such good care of you and I’ll stay with you. <hugs my head>
Me: <bawling harder> Nothing is going right!

1:00 pm
Moving from my rolling hospital bed to the operating table was very hard, physically, since I was weak, numb, tired and no longer feeling like a mermaid. On to the table I went, up went the blue sheet to shield me and the husband from the operation, out went my arms crucifixion-style on side tables, and in came the husband, dressed in what the nurses called a bunny suit–white scrubs and a hat.

I remember the anesthesiologist tinkering with the epidural some more. Nurses wetting cotton balls and running them up my sides and belly, telling me to say when I could feel the cold; when I was sufficiently numb, they applied some disinfectant. The ob asking why they chose the disinfectant that takes three minutes to dry because “we need to get moving on this.” Lots of pressure on my belly. The husband sat by my head. I think he held my hand. The nurse at my head leaning over my face and telling me she had a c-section on this same table 11 months earlier and I’d be fine. She had brown eyes.

1:24 pm
The husband: She’s here! Our daughter is here! She’s out, baby!
Me: Why isn’t she crying? Why isn’t she crying? Why isn’t she crying?
<oyster lets out a wail>
The husband: from from me to the warming table, back to me> She’s beautiful! She’s here! Our daughter is here!

Then I passed out. Later in the evening I saw the pictures a nurse and the husband had taken of the little oyster getting all cleaned up and wiped down. She looked so big! At 8 lbs. 12 oz. and 21 3/4 inches long, she was pretty big for a newborn. Her hair was curly (I was so excited she had some!) and she did not look pleased to be out.

Later in the evening the husband also told me that the nurse handed him the baby as soon as all her initial testing was done and they ushered my family out of the operating room. As they left, someone came in to get the anesthesiologist who told that person that they’d have to find someone else, he had a patient hemorrhaging on the table.

The husband said it was one of the scariest hours of his life, alone in the recovery room with his brand new baby, waiting for his wife who, last he heard, was bleeding out on an operating table. A year after a brain surgery that went 100% according to plan, we were having baby with absolutely nothing going right.

It turned out the anesthesiologist was correct a few hours earlier. I had a placental abruption, a complication that, ironically, considering Martha, affects about 1% of pregnancies. I lost 1200 ccs (40 oz.) of blood during delivery and woke up in recovery to a nurse telling me to breathe and breathe again. I just wanted to sleep. When she left, the husband had to stand next to me and remind me to breathe. Our new baby girl was snuggled into his chest, asleep like I wanted to be.

A blip at the end of the road

Tomorrow the oyster is a full 40 weeks. Yessss!

Today the husband and I saw my ob for what we hope is the last appointment before the baby comes, but it may not be. My blood pressure was up (for me), the swelling in my hands and feet is significant, and there was some protein in my tinks. These classic signs of pre-eclampsia were enough to put me on the fetal monitor for a half-hour and for my ob to send me downstairs for blood work.

Tomorrow I’ll stay home from work for further just-in-case monitoring that involves saving my pee in a container for 24 hours. Sounds “fun” so I told work I’ll be working from home. I spared them the details.

At the end of my appointment my blood pressure was normal again. It wasn’t high-high in the first place, but it was higher than what’s normal for me. The baby’s heartbeat looked great on the monitor and it was cool to see how contractions registered as they happened. If the oyster is still in the oven by Friday morning, we go back to the ob. The original plan was to induce a week from tomorrow if she doesn’t show, but now I think she’ll be here before this weekend, one way or another.

Once she comes, I plan to throw things on the floor and pick them up again just because I can. I also plan to wear shoes, even just for a few minutes.

Tick tock

Thursday

The husband: We should put our hospital bags in the car today, just in case.
Me: Good plan. Can you put one of the Harry Potter movies in your bag, please?
The husband: Which one?
Me: Ummmm….4.
The husband: Ok. I’m also going to bring Adam’s Rib.
Me: Ooo ok!
The husband: Should we bring anything else to watch?
Me: No, I think that will do it.
The husband: Do you want Modern Family?
Me: Sure, since you mention it.
The husband. ORRR…do you want me to bring the Ken Burns baseball documentary? That’s a good one.
Me: <silence>
The husband: Modern Family it is. Just thought you’d like options.

Friday

The husband: We made it through session, just like you wanted to! Now you can have the baby!
Me: Trust me, I’m trying to. That’s what the Hot Tamales are for.

Saturday

The husband: Have you had any contractions today?
Me: No.
The husband: Did you notice that I have stopped asking you every half hour?
Me: Yes.
The husband: That’s my new tactic. I thought maybe asking too often was keeping her in there, so I stopped asking but apparently she doesn’t care. So now I’m going to start asking you all the time again.
Me: Goody.
The husband: Does she need me to give her another pep talk about getting born?
Me: I think she thinks you’re joking around when you talk to her.
The husband: Should I yell at her instead?
Me: I might take you up on that. Let’s give her until dinner time.

The little oyster isn’t due until Wednesday but I really would like to have her arrive sooner than that. To be fair, I can’t decide if I’m more excited to have her or to have feet that no longer resemble loaves of bread with toes. The swelling really is getting uncomfortable.

Based on my last o.b. appointment, we know the little oyster is moving in the right direction but there’s always the slight chance she’ll stop moving in that direction and things will stall. Fortunately, my o.b. will only let me go 1 week past the oyster’s due date before inducing–I hear a lot of doctors wait up to 10 days–so October 3 could very well be her birthday. I would struggle mentally with still being pregnant in October but I don’t think it will come to that. She’s a stubborn little thing, but I don’t think she’s cruel.

In the meantime, I’m trying to figure out the logistics of that classic labor-inducer, The Long Walk (what did you think I was going to say?). “To speed labor along, take a long walk. The movement and the gravity can assist the process,” says every website ever. This advice must be aimed at women whose feet still fit into human shoes and whose ankles still bend.

I haven’t been up for a Long Walk since about 33 weeks, and that’s not the time to encourage labor. Besides, how far is a Long Walk? I’m supposed to be resting and preparing for “physical exertion of Olympic proportions” says the Mayo Clinic. I understand the need for continued movement and good diet until the bitter end and beyond (enter grapefruit and arugula salad), but right now I pack a water bottle and a sweatband to walk to the bathroom from the couch. The thought of leashing the dog and walking down our six steps and into the great outdoors appeals about as much as being 40 weeks pregnant. Oh. Right.