Posts Tagged ‘placental abruption’

I’m Going To Attempt A VBAC Next Month

Sunday, December 19th, 2010

Today I am officially 36 weeks pregnant. My due date is January 16th, and I’m starting to get anxious. Actually I’ve been very anxious for the last 2 months. Not the kind of anxious where I can’t wait for it to happen and for me to be home with the new baby. I’m the kind of anxious where I just want to keep her inside until everything in my life is just “perfect” and organized, and then I’ll be ready for her to come. Of course that will never happen, and I can’t be pregnant forever, so I have to face my Type A personality and try to relax a little bit. Last night we finally took down all the size 0-3 months clothes from the attic, and they’re now in the baby’s dresser. We also took down the infant car seats and have to put them in our cars, along with moving my 22-month old’s car seat over. At least I feel like I have a few things accomplished.

With my first daughter (The Diva), I had to have a C-section after getting to 9 cms because they thought I might have had a partial placental abruption. I was bleeding too much and even at only 3 cms my body was heaving everywhere with non-stop contractions, and I’m told it feels equivalent to being at “transition” phase, which you normally don’t get until towards the end. I had my heart set on a natural, no pain medicine birth, but I caved at 7 cms when I couldn’t catch my breath anymore. As I expected it slowed down the progression of the labor, and eventually when I was getting contractions, my daughter’s heart rate wasn’t going up as it should. So all those factors lead to the C-section, which I was very upset about. My recovery was easy and not really painful at all, but it was the fact that I had my heart set on a regular, natural birth that made it so disappointing.

My hospital is one of the few that performs VBACs (Vaginal Birth After Cesarean). They’ve told me that not a lot of people attempt them, but they do them. If a person meets the criteria, then they can attempt a VBAC, but they do have certain rules for safety reasons. One rule is that they don’t induce since the Pitocin medicine gives you stronger contractions than the natural body does, and they don’t want to increase the chance of having your uterus rupture at the C-section scar. Another rule for VBACs is that they don’t let you go more than 41 weeks, and at that point they will do a C-section. In 3 days I have an appointment with the head doctor of the department, so I”m going to ask him all my VBAC questions. I have some weird ones, like should I be afraid to push too hard because of the scar ripping open. I have to admit that I am a little nervous–I don’t want me or my baby to die if my uterus ruptures and they can’t get me into surgery fast enough, but I also don’t want a 2nd C-section. There are also risks involved with 2nd C-sections, but nobody every talks about those. Plus, I have a daughter who will be 2 in February, and I can’t imagine not being able to lift her up for EIGHT weeks, which is the normal recovery time for a C-section. It’s impossible. I have to get her in her high chair, car seat, etc, and I’m home by myself most of the time. I shouldn’t even be really worrying though, because knowing my luck, I’ll be a week late anyway (my daughter was 2-weeks late), and I won’t have the choice of having a VBAC at that point. I’d love to hear if anyone has any successful VBAC stories, and if you did it with or without an epidural. I’m going to try again for no epidural, but I’m not going to be so hard on myself this time if I can’t follow through.

Horrific Labor, Placental Abruption, Needed C-Section, My Labor-Part 2

Tuesday, August 25th, 2009

So I was at 3 cms and the contractions were coming super fast and super strong. But they were coming so fast that I barely had time to breathe in between them, and this was without inducing medicine. I remember gripping the handles on the bed for dear life during them, and the nurses and doctor kept asking me if I wanted any pain medicine, but I kept saying no. I wanted to do this the natural way. The pain was the worst in my lower back, so I knew right away that my baby was in the posterior, “sunny side up position,” facing towards my belly instead of my back. Until that point, I never understood the whole back labor thing and how women said it was so bad. Well now I understood–it’s not just back pain…it’s like deep spinal pain, like someone pinching your spinal nerves with their fingers, along with the intense cramping pain you feel in your uterus at the same time. The doctor kept checking me and I noticed that she was kind of talking under her breath to the nurses in the room. At that point I suddenly remembered the stuff I learned in Childbirth Prep class, and I asked if I could sit up in the rocking chair instead of on my back in bed. The doctor said that I really shouldn’t. I was a little confused as to why, so when she left I asked the nurse why I couldn’t sit up in the chair. She said that I’m bleeding “a little more than normal.”  Um, ok. About 15 minutes later the contractions were even stronger then before, and this is the point where my labor started to rival scenes from the movie, “The Exorcist.” (Just a warning that if you’re pregnant you may not want to read this. I seriously had the labor & delivery from hell, and I don’t want to scare anyone who’s nervous to begin with. My situation was not normal.)  

I started to feel really nauseous and with each contraction the nauseousness would get really strong. The nurse said that this was a good thing and that it meant my body was getting ready for labor. So she gave me the puke bucket and I vomited. But then the contractions were coming really fast, and at some point my whole body let loose and for each strong contraction I had fluid coming out of every orifice possible (well, maybe not my ears, but everywhere else). Vomit, snot, amniotic fluid, blood, and yes the dreaded one that us women fear more than labor itself: poop. And even though I was always fearful that I may be one of those women who it happened to, when I actually did it I totally didn’t care. I was more focused on trying to breathe because I felt horrible. The nurse said that I was still bleeding a lot with each contraction, so I asked if it was ok if I got up to use the bathroom because I had to go-again. She said I could. So as I’m walking to the bathroom I get a glimpse of what the doctor/nurses were talking about. In my 7 steps to the bathroom I left a huge path of blood–it was like a horror film. All I kept thinking was that in my Childbirth Prep class they said that you don’t actually bleed that much during childbirth. Well then what was going on with me?? That’s when I started to get nervous. And I totally forgot all about the bag I brought with me that had all my “natural birth prep” items in it, like lotion and relaxing pics. I did take my ipod out at one point, but the doctor kept coming in so frequently and I wanted to hear what she was saying, so it was a lost cause. Finally, with all the fluids being lost with every contraction and the intense pain I was in, I gave up and asked for the epidural. I had made it to 6 cms, and I felt really defeated asking for the epi, but I felt drained beyond anything. It took the guy an HOUR to get to my room, which in my mind served me right for caving in and asking for it (yes, I’m actually still bitter about not having the willpower to go natural). I didn’t feel a thing while getting the epidural. And within 10 minutes I was in heaven. No pain whatsoever.

I got to 8 cms and the dr said that the baby’s heartbeat wasn’t going up during my contractions anymore (just staying the same), which is a bad thing. I had also developed a fever. This was exactly why I wanted a natural birth. I knew that the drugs affect the baby negatively. She said that unless I made it to 10 cms within the next hour I would need a C-section for two reasons: 1. She wasn’t sure that the baby could handle the pushing stage because of being stressed, and 2. I was bleeding so heavily that there was a chance I had a partial placental abruption (so THIS is why no one was saying anything earlier. They didn’t want to scare me). I only made it to 9 cms within the next hour so I had to have the C-section. Because of my high fever (104), I was a little out of it during the procedure, but I remember shaking uncontrollably from the chills, and I remember being a little nauseous. I also remember the intense pushing on my belly to get the baby out. The dr asked the anesthesiologist to give me some muscle relaxer because she couldn’t pull the baby out of my “tight ab muscles.” All those sit-ups I did at the gym to help for pushing actually turned against me!! Then I heard “it’s a girl!” and LOUD crying and I was one happy mama.

My baby was beautiful and NOTHING like the scary 4D ultrasound, so I was very thankful about that. 8 pounds, 9 ounces. I wanted to breastfeed right away, but they didn’t want to let me because they were afraid that my high fever was some kind of infection. Finally, they called the pediatrician who said I could breastfeed (I was angry because it was obvious to me that I got the fever from the epidural..I wasn’t sick when I first went to the hospital). The baby latched on right away. I was in recovery for about 4 hours, and then I was finally able to go to a room. I had gone into my labor wanting an all-natural, peaceful experience. I had gotten exactly the opposite, but all that was important to me at that moment was that my baby was healthy and I’m very thankful for that. At the beginning of my pregnancy my hospital was looking for people who wanted to be on the show, “A Baby Story” to have their delivery filmed. Thankfully I didn’t sign up because that would have been one horrific episode!