Jack 28/03/09 - homebirth with hospital transfer

Discussion in 'Birth Stories & Announcements' started by Shifter, Apr 5, 2009.

  1. Shifter

    Shifter Guest

    Now that more than a week has passed and I have had some time to process the events of Jack's birth I'm going to try to record the details. This won't be easy as I am still very upset about what happened but I think writing it all down might help in a way.

    It's hard to say exactly when labour began! We thought it had got going on Sunday 22nd March. I was having regular surges at five minute intervals and went into the trance-like state I had been practising for so many months. It was a euphoric experience, pain free and very intense. The MWs were called out and I agreed to an internal to see where we were at. It was fairly gloomy news, I had barely begun to dilate and my cervix was still high. The MWs left us to it and the surges almost immediately stopped. I then spent the next few days in an almost constant state of frustration waiting for things to start again but only ever had occasional irregular surges.

    It wasn't until Friday 27th that I knew things were starting for sure. I woke up at around 5am with surges accompanied by cramps. I got up and wandered about a bit, squatted by the bed and tried to put my breathing to good use. After almost an hour I woke Andy to tell him something was happening. I couldn't concentrate on my breathing, I was excited and restless and it did hurt a fair bit, so I was a bit frustrated too!

    We kept an eye on the surges and after a while we were happy that they were coming five minutes apart. So my mum was called and we put some music on for me to try and get into my deep relaxation. I got half way there, was using the breathing techniques I'd learnt and it was all going pretty well. Soon the contractions moved up to every three minutes and we thought things were progressing quite quickly so called the MW.

    My mum arrived and sat with me while Andy started getting the pool ready. Shortly after my MW arrived and I remember being so pleased that it would be my MW who I had seen antenatally who would attend the birth. She examined me and again it was not great news. Despite the frequency of the contractions I was barely 2cm dilated and my cervix was still high and posterior. She also said that it felt like the baby's head might be in an awkward position.

    She agreed to leave us to it for a few hours and I sat on my birth ball by the bed, trying to breathe through the tightenings. They were getting very intense and I found it too hard to get into my relaxed state. It was very different to the previous Sunday.

    We decided to try and keep busy so the three of us went into the front room and put a film on. I sat on the sofa with my birth ball in front of me and with each surge I moved to my knees on the floor and leaned on the ball. It was getting more painful and even harder to relax and I desperately wanted to get in the pool. We had to turn the film off half way through for me to go back to bed and put my relaxation CD on. Things improved a bit then and we called my MW back early afternoon but there had been no progress.

    I was getting frustrated now and all attempts to get relaxed were failing. But I was still reasonably happy with the pain and it felt great to know that we would be meeting our little one soon. My MW called in the on-call MW for the evening so I could meet her before needing her in the night – everyone was still sure baby would arrive soon – my MW was going off duty so it wouldn't be her delivering our LO after all. So we met the new MW, she was young and seemed a bit nervous, but I was barely able to register that at that point. Both MWs left with the parting advice to give them about an hour's notice when I felt we would need them again as the second MW, who I had not yet met, had to come from Leeds and go to Bradford first.

    It was only an hour or so later that the intensity really picked up and I felt desperate to get in the pool for the pain relief. So we called the MWs back and they arrived just over an hour later. I was told I was 3cm and could get in the pool. By now it was about 7pm and all I'd eaten all day was half a sandwich, but I just wasn't hungry.

    Andy and I got in the pool and it was absolute bliss! The pain eased up but the contractions kept coming. But they weren't as regular as the MWs would like, and hadn't been for a number of hours. They would come in pairs with a bigger gap between each pair. But this didn't seem to be of much concern. I spent most of our time in the pool up on my knees leaning against the side of the pool, aware of being in a good position for the baby to descend.

    The MWs and my mum sat in the living room chatting while Andy and I laboured in the pool for a number of hours. I was back to enjoying it now but soon the contractions became much more painful and I asked for the entonox. I didn't use it right away, I didn't want to feel sick or drunk, I'd always been wary of using the stuff but after a few more very intense contractions I relented and started sucking.

    I told the MWs I felt like I needed to push and they came to sit with us, everyone was quite excited now. I'm not sure what time it was or how long it went on, but I was using the “J” breathing from hypnobirthing rather than trying to actively push. The MWs wanted me to get out of the pool to examine me, they had guidelines to examine me every four hours. I didn't want to get out, but I agreed and we went into the bedroom.

    Here is where it all started to turn. I think it was about 3am, so I had been contracting at least every five minutes for 22 hours, I was exhausted. The MW examined me and found that I was still only 4cm, if that and I began to feel very disappointed. She said that she could feel the sac between baby's head and my cervix and she offered to break my waters as it might make the contractions more effective if the sac was no longer forming a cushion. I had heard of other women finding that they progressed after ARM so I agreed to it. She went ahead – it didn't hurt, much to my surprise – but her face said it all. She told me there was meconium present and that we should transfer to hospital.

    I resisted at first, I remember saying a few times that I was post dates and that baby probably just had mature bowels. But she was concerned that the last few doppler readings had shown an elevated heart rate. I asked them to keep monitoring with the doppler for a while, which they did, they checked him about every five minutes for half an hour, while the lead MW talked to her supervisor on the phone regularly. His base line rate was up in the 160s consistently, whereas it had been around 140 earlier.

    My mum and Andy were starting to really worry, Andy was even a bit tearful so I agreed to transfer. I was devastated and cried a bit, saying that I was going to end up with a c-section – I knew the hospital transfer story well - but felt we were doing the right thing. In the ambulance I really got stuck in to the entonox, I was becoming distressed and the pain was getting very intense. Once we got to hospital I had to stop a few times on the way in for contractions, I was holding onto my V-pillow for dear life and was barely aware of where I was.

    We got taken into a room on the delivery unit and I was offered a bean bag rather than the bed, which I accepted. I was very woozy from the entonox and couldn't focus on any of the people coming in to the room to talk to me. I remember a woman offering me an epidural and telling me they were going to put a canula in my wrist. I shouted “No!” I didn't want a routine IV or anything and really didn't feel the need for an epidural. People came and went in a blur as I got more and more drunk on the entonox.

    I remember my dad trying to tell me to stop taking it and someone said to only use it during a contraction, but the pain went on between contractions as well and I was finding it hard to tell where one ended and the next began.

    I don't know how long I sat there, but I remember them putting me on a syntocin drip to try and get my contractions into a regular pattern and I dozed my way through several hours, sucking on the entonox.

    A some point I moved to the bed and was examined again and there had still been no progress, I was stuck at 4cm. It was confirmed that the baby's head was transverse, so the widest part of the head was pushing down, basically preventing dilation. Breaking the waters hadn't helped, the contractions were still not regular enough to compensate for the position of the head and I had a premature pushing urge. I tried to fight it, but god that's hard! I remembered from our antenatal class a tip to lift your chin to resist pushing, which I kept doing but it just didn't help. I could feel fluid rushing out of me every time a contraction peaked and I was screaming the place down. It was the most horrific period of my life. I cried and screamed through each agonising contraction and couldn't stop myself pushing hard even though I knew I had to try.

    The MW examined me again and found that my cervix had swollen and closed up. She strongly suggested an epidural to stop the pushing urge. I agreed and we were given four hours to get my cervix to unswell and start dilating before we would have to talk about a c-section. I remember the anaesthetist telling me to lay off the entonox and taking it away from me! Once the epi was flowing I didn't need it and I became properly lucid for the first time since about 5am.

    The epidural was pure heaven. By this point it was about 11am, I'd been labouring without food or sleep for 30 hours. I was able to sleep and the pushing urge disappeared completely. Four hours later and my cervix had started to unswell but was still only 4cm. We talked at length with the MW, who I was finally able to focus on! She was wonderful and had been looking after me all morning, though I was oblivious. We asked for another two hours to try and get the baby into a better position. The consultant wasn't happy about it but he agreed as the baby's heart rate had settled down significantly since we arrived and was holding steady at just under 150.

    I managed, with difficulty, to get onto my knees and lean on the head of the bed, I was desperate to get the head to turn so that I could still give birth to him. But we had very limited time now and I knew that it was going to do no good. I actually felt fine about it, I was reasonably cheerful in fact. The most important thing seemed to be that we had done everything we could and that we just wanted a good outcome. People kept telling me that my body just wasn't going to manage it and although I was upset and disappointed I felt we had taken the best decisions we could based on the information we had at the time.

    I was checked again at about 5pm and had barely got to 5cm in 36 hours. So we agreed to the section. The anaesthetist came back to top up the epi, the consultant went through the consent form and got me to sign it and Andy was taken away to get into scrubs. When he came back I remember declaring to the room at large how sexy he looked! We had a giggle with the MW about Dr “McDreamy” Shepherd in Greys Anatomy and everything seemed quite cheerful, despite what was going on. My mum went to meet my dad and wait for it to be over and we were wheeled into theatre. The MW cleared the room to put the catheter in and shave me, concerned about preserving a little dignity for me, which was much appreciated.

    It wasn't too bad, I still felt calm and reasonably content with what had happened, I had Andy right by me and the MW who had looked after me all day was there too. We insisted that Andy be allowed to announce the sex, it was the one part of our birth preferences that we could still have, so the MW made sure everyone knew to keep their mouths shut! The epi made me really shaky and I kept trying to breathe and relax to stop my arms from lashing out.

    When they held him up for us to see there was really no mistaking him for a boy! Andy announced it anyway and I started to cry. He was taken away to be cleaned up and he needed a little help breathing as he had swallowed some meconium. But we soon heard him cry and the MW yelled that she'd been weed on - twice! He was handed to Andy all wrapped up and he sat with him by my head while they stitched me up. I tried to look at him and stroke his face but I had to crane my neck and it really hurt and I was still shaking uncontrollably. The stitching up seemed to take forever and I did ask at one point if everything was ok, as it was possible they had been busily stopping a haemorrhage or something without alerting us! There was a woman stood by my head on the other side to Andy, I'm not sure who she was, but she reassured me that I was fine.

    When it was all over we were taken to recovery and the next hour or two is a blur, except that I kept on shaking and couldn't hold Jack yet as I was still being kept on my side. I remember someone manhandling me to put Jack to my breast and he sort of fed for a minute. My parents came in to see us and my MIL popped in just as they were tidying me up to take me to the ward! I had to ask for some privacy and then I was on the ward and Andy was saying a heart-wrenching goodnight to us both.

    The three days in hospital passed slowly. Although Jack slept lots I couldn't and various midwives kept trying to help get him feeding, some of whom with very little regard for my personal space, getting very hands on without asking my permission. The MW who was on duty during the day for all three days was wonderful and I am very thankful to her for being very supportive. She wanted me to stay in longer to get the breastfeeding working, but I was desperate to go home. I couldn't stop crying and the nights were getting harder to be without Andy, so on the third day I insisted on going home and she told me she had every confidence we would persevere at home and crack it, which was a nice confidence boost.

    We've been home for five days and gradually settling into life as parents. The breastfeeding is still a challenge and I still cry uncontrollably from time to time. I don't know how long it will take for me to come to terms with what happened, but I am very thankful to have a wonderfully supportive family around me.
     
  2. marley2580

    marley2580 Well-Known Member

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    Hey hun, I just read this on the homebirth group and I am so very sorry that it didn't go to plan. I know everyone says 'at least the baby's ok' but make sure that you take the time to come to terms with your experience. Kaya's head was OT as well, and we also ended up with a transfer and c-section as she just wasn't shifting. At least you know that he wasn't coming out any other way, and that it wasn't an unnecessary c-section.

    Remember that you can have an HBAC next time (possibly the last thing on your mind atm but I spent a lot of time thinking and researching it after my c-section, so it's natural). Once you catch up on your sleep, try and think of the positive experiences you had during the labour. Any time you need to chat just PM me, and join us in the breastfeeding section for a bit of help.

    Congratulations on your son.
     
  3. baboo

    baboo Well-Known Member

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    congratulations on your son, I'm glad your both ok!
    xx
     
  4. tiggertea

    tiggertea Mum of Two

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    such a heartbreaking but completely inspiring story hun.... you got me all tearful! :cry:
    :hugs: to you all....
     
  5. polo_princess

    polo_princess ♥ Brookes Mummy ♥

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    Congratulations hun, im sorry the birth didnt pan out the way you wanted it :hugs:
     
  6. Vickie

    Vickie Hannah & Rhys <3

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    :hugs: So sorry you didn't get the birth experience you wanted. Congratulations on your little boy
     
  7. ChloesMummy

    ChloesMummy Well-Known Member

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    Congrats on baby Jack x
     
  8. esther

    esther Mum to Layla born June 09

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    Congratulations on the birth of your baby boy!
     
  9. SJK

    SJK Well-Known Member

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    congrats on the wee man, as long as you are both ok, mine didnt go quite to plan either but all that irrelevant now xx
     
  10. babystar

    babystar Guest

    :hugs: sorry you did not get the birth you had planned so long for...sooo glad you and LO are ok tho :hugs:
     
  11. Shifter

    Shifter Guest

    Thank you so much Marley :hugs:
     
  12. mummymadness

    mummymadness Mummy to 4

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    awww holly hes lovely .

    Iam sorry it wasnt the experiance you wanted nor expected hun, But iam glad he is safely here with you and Andy.

    Well done . x .
     
  13. claire-lou

    claire-lou Jack & Martha's Mummy

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    Really sorry that you didn't get the hypo water birth that you so desperately wanted. Your research on the subject and constant positivity towards birth was a massive inspiration to me in our threads and you gave me the courage to face labour without being totally scared witless. Thank you and I hope you get your dream birth in the future.
    However in the mean time I'm so glad that Jack arrived safely and a massive congratulations to both you and Andy. He is gorgeous.
     
  14. Pinkgirl

    Pinkgirl Well-Known Member

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    Congratulations on the birth of your baby boy
    I hope you are both doing well.
    Your birthstory had me in tears, i am sorry it didnt go how you planned.
    x
     
  15. Katiex

    Katiex Mummy to Jacob and WTT

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    congratulations, sorry it didnt all go to plan but you and Jack are ok :hugs: x
     
  16. jms895

    jms895 Well-Known Member

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    So sorry it didnt go as you had planned, but all worth it in the end for your gorgeous little bundle :hugs: congrats to you and Andy xx
     
  17. princess_bump

    princess_bump Happy Wife & Mumma!

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    many congratulations on the birth of your son honey :hugs: although i wasn't going for home birth i did want a natural delivery very much, i laboured for 40hours before being told i was 3cm and had to have a c-section, so i certainly understand the shock and upset darling, take your time, keep talking it over darling, i no how hard it can be to come to terms big big :hugs: x x x
     
  18. Shifter

    Shifter Guest

    Thank you. Sorry you went through something similar :hugs:
     
  19. ALY

    ALY spammy sexington

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    Congratulations x
     
  20. Amanda

    Amanda Mum of 3

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    Sorry it didn't go to plan for you.:hugs:

    Congrats on the birth of Jack though. Hope your recovery goes well.:hugs:
     

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