Finally typed up my labor story. Super long, sorry about that! Hard to write up 5 days in a short post
On Sunday, November 17th, we DTD in hopes it would help move things along. My cervix was so low that it hurt! Less than 10 minutes after we finished (right around 11pm), I got my first real, not BH, contraction. I knew it was different because it started in my back and moved into my abdomen.
Monday, the 18th, I had mildly painful contractions all day, varying in time from 4-11ish minutes apart. I went to a meeting for my new work from home job for 4 hours and sat through the contractions (that was fun!). Monday night they seemed to slow down. Tuesday, same thing. I would think things were progressing but then it would all slow down. They were uncomfortable enough, though, that at night I was moving to the couch to not wake Blake up.
Wednesday, the 20th, I really thought it was almost time. The contractions really kicked in at 2:30am, much stronger and 12-15 minutes apart. By 6:30am they were 9-10 minutes apart. When I showered around 10:30, I had a bloody show, then had a lot more by 4pm and around 6:30pm, accompanied by a number of contractions in a short period of time. Blake ended up leaving work early, around noon, just in case. I thought my water broke around 7 (and technically, I suppose it did, but it was only a slow leak). I took another shower that night to help with contractions, which ended up slowing them down some, but they were still just as strong. By that point, they were coming 3-5 minutes apart. They didnt progress any more that night, although they did keep coming, painful and sporadic (4-8 minutes apart, although one very strong one had 35ish minutes contraction free before it).
Thursday, the 21st, her due date - at 6am I had a cluster of contractions that lasted 4 minutes (this would end up being how almost the entire rest of my labor would go
contractions one on top of the other!). Up to that point they had been at 5 minutes apart for an hour. I decided to take a bath to try and help with the pain. It didnt help much, but I dont think I filled the tub enough. At 8am I started using a heating pad on my back, which helped. Contractions were now 4 minutes apart for an hour.
I had spent most of every night since Sunday sleeping between contractions and was exhausted already, and still had SO much time left. We were at the birthing center around 10am Thursday morning, and they checked me - I was at a 4. I lay down in the bed and tried sleeping through contractions some more. Blakes mom showed up, so Blake left to get something to eat, as he hadnt eaten yet. I spent the entire day with everyone trying to find things Id be willing to eat, but I was nauseous and in pain and exhausted and just didnt want to eat (I ended up eating half a granola bar all day).
After Blake came back, he ended up falling asleep on the bed with me. He ended up passing out! At some point in the afternoon I got into the birthing pool (at the center they have hot tub style tubs, super nice). Around 6-6:30, Blake and his mom went to get dinner (again trying to convince me to let them bring food back for me!). While they were gone, things started getting more serious. My midwife checked me again around 7, and shortly after, my water officially broke (at least, this is what we told the hospital after I transferred so I would have more time to labor before they would decide it had been too long and emergency csection was necessary). I was in transition and feeling it BIG TIME. I threw up and was in a lot of pain. By 9 I was at a 9 (I cant remember but I think I was close to a 9 at 7) and thought it may finally be almost time, but also learned that Sienna had her hand up to her face and that she was back to back.
From 9 on, Blakes mom waited outside the room because we thought it might happen at any time. We spent a lot of time trying different laboring positions to get Sienna to flip back the right way. I tried standing, laying in the tub, kneeling in the tub, sitting on the birthing stool, even sitting on the toilet. My midwife tried this thing with a scarf - she wrapped it tightly around my abdomen and pulled it back and forth while I was standing up bent over the bed. I was so convinced Sienna was going to come on her due date (and she would have, had she not been back to back and not putting enough pressure directly on my cervix to help it open up) that when I found out it was midnight, I cried (sort of, I was so exhausted and probably dehydrated that no tears came out).
Most of my contractions during the day had been one on top of the other - Id get 3 back to back, then have a longer break than normal in between. When they werent too horrible, I decided this was ok, because I got longer rest periods in between. Once transition hit and shortly before, I changed my mind, because I was still getting 3 contractions, now extremely strong, on top of each other, but I wasnt getting the longer break in between. Id have 3 contractions lasting a total of 3-5 minutes, then have 1-2 minutes until the next set of 3. I was downright screaming at the top of my lungs. I hyperventilated a few times, having panic attacks.
At some point late in the night we switched to the shower. They ran the hot water on my lower back for about an hour before I decided I really had to do #2 (TMI ladies, I had been leaking stuff all over everywhere since my waters went, lol - blood, waters, in the shower little bits of poo
at some point I had to pee and was going to go after a particularly bad contraction, but the contraction made me pee all over the floor).
It was now close to 2am and I wasnt sure I could take anymore. My midwife had me try one more thing - she moved everything off the bed and had me crawl in circles. Sounds ridiculous, probably looked ridiculous (especially since I was crawling around in nothing but a bikini top)! But apparently, it could help a back to back baby flip face down, although it didnt work for us. After this, my midwife said she recommended we transfer to the hospital. She knew I was exhausted and in a lot of pain, and said we could continue to try getting her to flip or waiting for me to dilate more (I was stuck at just over 9), but then we run the risk of staying stuck and it could end up being dangerous. She recommended we transfer to the hospital, and she even recommended an epidural (even though hours before she was saying how against pain relief they are at the birthing center).
I was SO heartbroken. I knew I had to transfer, that it was the safer option to reduce the risk of emergency csection, but all I could think about was how it was ruining my birth plan. I loved the idea of the birthing center, I loved the room we were in, I loved the thought of a natural water birth. I WOULD have given birth in that tub if she had been head up.
So we packed up our stuff and my midwife and the doula that had been with her most of the night helped me out to the car while Blake carried our stuff. It took a good 10+ minutes to get from the room to the car (which wasnt very far) because I kept having to stop for contractions. I screamed most of the drive there; that was horrible, thank god it was only a few minute drive. My midwife asked me if I wanted to walk to the labor ward or take a wheelchair - I thought she was nuts. Wheelchair of course!
Somehow contractions slowed when we got to the room, but they were still just as painful, and I HATED having to wait for pain relief. Most of my plans had flown out the window already, and I knew the epidural would allow me to calm down, get some rest, and may help me dilate more since I wouldnt be so wound up, so I went with it. It took forever for the guy to get to the room to give me the epidural, and they were asking me all sorts of questions until then. 9cm dilated for 6+ hours and in extreme pain, and they want me to answer medical history questions?! Ugh.
After the epi, around 3:30-4 on November 22nd, Blake, my midwife and I were able to get some rest. Around 7am, my midwife left to head back the birthing center. Around 8, Blake left to go home and take care of the cats and pick a few things up (I had only planned a bag for the birthing center, not for being in the hospital). He was back by 10ish. By 11, I was FINALLY 10cm, and called my midwife to head back to the hospital.
We started pushing by noon. I dont think Ive ever put so much effort into anything in my life! With the epi, we were, of course, limited to what positions I could be in, but I managed to get up on my knees and push in that position (by letting the epi wear off some, I was controlling it with a button). I was surprised to find that I had more progress pushing on my back with my legs up, holding on the sides of the bed / someones hand. Sienna wasnt just back to back, she was also stuck behind my pubic bone. Once the doctor came in and set up, Blake came to my side and held my hand, my midwife and nurse helped direct me on pushing. After many hours, the doctor suggested the vacuum thing. I kept trying on my own for a good hour or more (time flew by while pushing, it may very well have been a lot longer). I let the epi almost completely wear off before something told me to push the button (and I was glad I did, with needing the stitches). I ended up saying ok, go ahead and use the vacuum. This ended up being a good decision because I found out later that they were going to allow me two more pushes before recommending csection. It still took ALL of my effort and then some for a number of pushes in addition to the vacuum to get her out.
Right before my last push, Blake said, Come on Stef, push our daughter out! Sienna was born after many, MANY hours of labor and 5 hours of pushing, at 4:58pm on November 22nd at 7 pounds 10 ounces and 21.5 inches. I dont remember much of anything right after she came out. I commented that the placenta came out very quickly. I told the doctor that Blake wanted to cut the cord after he already had (I dont remember this at all, but he said once she came out, they let the cord finish pulsing and he cut it). I also told the doctor it was taking a long time to stitch me up.
What everyone was amazed by, besides how long I labored and how long I went without pain relief, was that Siennas heart rate stayed completely healthy the entire time. Not one time did it accelerate or decelerate. She was perfectly content and unstressed the entire time.
I wish it had gone how I planned
Im still upset it didnt. But it could have gone much differently and could have ended in emergency csection. I plan to go back to the birthing center for our next pregnancy and try to have my natural water birth.