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Star students faced with a tough decision
Posted on January 25, 2011 at 10:45 AM |
We had graduates Angie and Cody and Baby Tinsley visit our
class last night. Angie and Cody
were star students, meaning that they did everything possible to stay healthy
and low-risk to increase their chances for a natural birth.
Angie was faithful in eating a well-balanced diet and eating
a minimum of 75 grams of protein on a daily basis. This kind of diet provides mom and baby plentiful
nourishment and a full compliment of vitamins and minerals. In baby, it builds strong, vital organs
and body to handle the stress of labor.
For mom, it’s the best opportunity for healthy uterine tissues as it
stretches to accommodate baby, as well as the energy reserves for labor.
Angie also exercised on a daily basis. Before she started classes, she was
running every day. After she
learned some different ways to condition her body without taking the risk of
undue pressure on her body, she opted for aqua aerobics for her stamina
building and did her pregnancy exercises daily to strengthen the muscles she
would use in labor and delivery.
Thirdly, they were relaxation experts. Cody would do relaxation practice every
night when he got home from work.
He claimed it was the best way to get Angie to sleep after her busy
days!
Angie went into labor on Saturday morning at 2:00 am. Tinsley was delivered via cesarean
surgery on Monday afternoon. Their
total labor from start to the cesarean was 63 hours. Although they did everything right to prepare, sometimes
there are labors that end in a cesarean.
After input from their certified nurse-midwife, the parents decided to have a cesarean instead of more labor, with the prevailing thought that the most important outcome is Healthy Mom, Healthy Baby. For the full story, check the blog on Friday. You will get to watch a video as they share their experiences with our class. For today, here are the questions and answers between the
family and our students last night.
Question: Were
you allowed in the operating room? Cody: They actually let me stand there and watch her come
out. They put a doughnut around
mom’s skin so you can’t really see inside. You see the midwife up here [by mom’s ribcage] and the
doctor down here [by the abdominal area], and the midwife is just shoving her
elbow into her stomach. Angie: I wondered why I was in so much pain; why my ribs
were in so much pain afterwards.
And he told me the midwife had her elbows on you, shoving her out.
Cody: And how [Tinsley] shot out is just like what you see on the videos with a natural birth.
Question: Going into the c-section, what were additional
options or choices you had? Cody: [The
midwife] told us we could wait, which we thought about it, and with how long it
had been so far, we didn’t want it to get stressful on the baby. Angie: Like I
said, when [the midwife] basically said that, and I hate to say this because I
feel like I gave into what she wanted, but when she said, ” I feel like in the
long run you are going to end up with a c-section, I feel like the shoulders
are hitting, she’s too big, she’s not going to fit through”, and thinking now,
I shouldn’t have [agreed]. I feel
like I should have waited a little longer, you know? I guess, my thinking was I
didn’t want to get the baby stressed, there could have been more complications
because they were stressing to get her out. But at that point there weren’t any signs of stress.
(My note: It
is possible that Angie’s great nutrition factored into Tinsley handling 60 hours
of labor without showing any signs of fetal distress. She was strong and well-nourished, making the long labor a
possibility for this family.)
Question: Once
you said you were going to have a c-section and you were on that track, what
other kinds of choice did you have to make?
Cody: We had
said, if possible to put [Tinsley] to the breast, but it wasn’t possible at
that time. Also we wanted to know
if I could cut the umbilical cord, and they said no. Me being there – I was standing by [Angie's] head the whole time
and they said I could stay with her – that, we got.
Question: Was
the placenta removed as well? Cody: That was
another [choice we had to make], the uterus being pulled out of her abdominal
cavity [as part of the surgery].
We told them we didn’t want them to, because sometimes they do
that. So they pulled the placenta
out all at the same time. Right as
soon as the baby came out, they took her to mom’s head so she could see her,
and then me and [the nurse] went over to [the incubator] to wipe off baby’s
vernix. Then, right after that,
while [Mom] was getting sewn up, we went to the nursery to give Tinsley her
bath.
Question: Did
you have double-stitching for repair? Cody: We did
not have a birth plan for a c-section. Angie: It was like “that” long. (Angie gestures to show a 2”
space)
Cody: That was
not allowed, basically. We thought
that everything was going to go perfectly, have the baby in 24 hours and be
out. But there was one thing we
did put on there, double-stitching [the uterus], because we felt that could
give us the best chance for a vaginal birth next time, if that’s what we
wanted.
Question: Did
you have a doula? Where was she during surgery? Cody: We did, but [the hospital] only allowed on person in
[the operating room]. Our doula
was out in the waiting room with the grandmas.
Question:
Looking back now, is there anything you would have done differently?
Cody: More
walking. It caused her a lot of back pain, so we didn’t do it as much. But we should have walked more. (My note: In class we talk about
how walking can open the inlet of the pelvis, and this can help shorten the
length of labor. Additionally, back
pain while upright might indicate a posterior, or “sunny side up” baby: the bony back of the baby’s head is
against the spine causing a lot of discomfort. There are several things that can be done to help turn the
baby into an occiput anterior position, the optimal position for labor and
delivery.) Angie: After
that first contraction at 2:00 am on Saturday woke me up – literally I rolled
out of bed and landed on all fours to handle that. None of the Braxton-Hicks contractions had ever made me do
that. I should have recognized
that and I should have slept that day.
Instead, I went on a two-hour walk with my mom in the next neighborhood,
watching people put up their Christmas lights. Then I showered and my mom and I went to IKEA to wander
around for a couple of hours. I
should have realized sooner that I was in labor. I think I didn’t because I have a high pain tolerance. It
wasn’t until we were on the way home from IKEA and the clock in the car was in
my face that I realized the contractions had a consistent pattern – about 12
minutes apart. I should have slept
on Saturday instead of doing everything I did. All through labor the pain was manageable – nothing made me
stop in my tracks and take my breath away. I think that it might have been everything we learned in
Bradley® class – the relaxation, using abdominal breathing, working together,
counting the contractions. It did
make it hard to recognize true labor, though, because I never felt like I was in
pain.
Question: What
did the epidural feel like? Angie: It was
the weirdest feeling ever. I felt
like a whale – like dead weight when I have to be moved, like I weighed 300
pounds. I could only move my
hands. I hated every minute of
it. For the surgery, they doubled
the dose. Cody: The after effect was a lot of shaking, uncontrollably.
Question: When
did they remove the catheter? Angie: Not until the epidural wore off. The surgery was around 5:00 pm, and
they took the catheter out sometime in the middle of the night.
Question: How
was your recovery? Angie: I am not
going to lie to you – it was awful.
Because I was in labor so long, and the added stress of the cesarean
surgery, I had a lot of fluid built up.
About a week after the surgery, they had to re-open a corner of the
incision to drain the fluid. The first time they did it, I felt like my bag of
waters broke again – there was that much fluid. I had to go to the doctor three times a week for a while to
the dressing changed, and then twice a week.
Question: How
did the breastfeeding go? Angie: If it
weren’t for Cody, we wouldn’t have made it. He was there to help us and support us – literally. I was so
engorged – there is the analogy of latching onto a balloon. On top of that, I was so out if it – it
took me three weeks to get out of what I called “the zone”. Cody did everything to support our
breastfeeding. He would stand
behind me in the rocking chair, and hold my breast – “sandwich” it like they
showed us, and then hold Tinsley so that she would latch, and then he would
hold the baby while she nursed.
I can encourage you to stick with it, ask for help, call
your Bradley® instructor – there are a lot of resources out there. We eventually figured it out. Cody came home from work one day and I
was breastfeeding without him there – it had finally clicked!
A big thanks to Angie, Cody and Baby Tinsley for coming to share their birth story with our students. We appreciate their allowing us to use their experience as a "teachable moment" for our current class. Disclaimer: The material included on this site
is for informational purposes only. It is not intended nor implied to
be a substitute for professional medical advice. The reader should
always consult her or his healthcare provider to determine the
appropriateness of the information for their own situation. This blog
contains information about our classes
available in Chandler, AZ and Payson, AZ and is not the official website
of The Bradley Method®. The views contained on this blog do not
necessarily reflect those of The Bradley Method® or the American
Academy of Husband-Coached Childbirth®. |
Categories: Birth plans, Birth Story, Bradley Method® birth story, Cesarean Birth, Cesarean Surgery, First stage labor, Managing or coping with natural labor, Pain management, Pain management natural labor, The Bradley Method®, The Bradley Method® pain management
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Angie Baker
10:30 PM on January 26, 2011
I just wanted to add that once we agreed to having a c-section - my biggest disappointment was not being able to have my baby immediately after delivery. The doctors/nurses knew how important it was to us that mother and baby be reunited as quickly as possible. We knew protocol was to remove baby from operating room after being delivered to be "checked out" in the nursery. Cody was able to follow Tinsley to the nursery but they allowed me to have her back prior to the bath. I guess I didn't want them cleaning her up until I got to bond with her some. As soon as possible (maybe no more then an hour), Tinsley was back with me, on my chest (kangaroo style) allowing us to enjoy our moment. This also allowed us to start breastfeeding. After we had our family time, Cody took her back to the nursery to have her first bath.
Another note, though Cody was not able to cut the cord separating Tinsley from me, they did leave enough of the cord where he got to "cut the cord" while on the warmer
Another note, though Cody was not able to cut the cord separating Tinsley from me, they did leave enough of the cord where he got to "cut the cord" while on the warmer


Reply
Krystyna
12:46 AM on January 27, 2011
Thank you for the additional comments, Angie. I am glad you were able to communicate your wishes to your care team and visit with Tinsley pre-bath. Newborns have such a special "new baby" scent that starts to fade away too soon - the first moments are so precious!
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