Showing posts with label labor and delivery. Show all posts
Showing posts with label labor and delivery. Show all posts

Thursday, September 10, 2009

Selah Rose Warren - One year old!

One year ago today our lives were changed forever by the birth of our sweet little Selah Rose. She is a sweet and spirited little girl and possibly may be my "strong willed child." But, I love her so dearly and I know God will mold and mature me as a mother through learning to parent this precious little girl. Selah, I thank God every day for what a blessing you are to our family and I pray that He will use you for His glory all the days of your life.
My view of birth in general was also changed by the amazing experience of Selah's birth. I am slowly but surely learning more and more about the benefits of natural birth and hopefully the next one will be totally natural without any medical intervention. I have come a long way since then but I still have a long way to go!

Stay tuned for birthday pictures!

Tuesday, July 14, 2009

How to annoy your labor and delivery nurse...

No job is without frustrations and annoyances. I have learned to laugh at the things that happen daily at my job. You gotta laugh to keep from pulling your hair out! So without further ado...

If you want to annoy your labor and delivery nurse...

Show up at labor and delivery without having even called your doctor first! Trust me, your doctor will "love" this too.

Call 911 and arrive by ambulance after having 1 contraction at home. (If you come in by ambulance, we are usually betting that you will either be holding a baby in your arms when you arrive or you'll be 1 cm/30/-4.

Approximately 15 seconds after you push that baby out, please by all means, ask "How much does she weigh? or How long is he?" (note:When you see scales or a measuring tape, this might be a good indicator of when to ask this question.)

Push your call light and when your nurse comes in the door, ask her to hand you something on the table right next to you.

Push your call light, when your nurse comes in, ask her for some ice, then when she comes back in the room, ask her for a spoon, then when she comes back with that, ask her for some socks, a toothbrush and some toothpaste. (Seriously, did you not think to bring a toothbrush to the hospital? You knew you'd be here for at least 2 days.)

Rate your pain a 10 out of 10 while lying in bed watching MTV and talking on the phone with a friend.

Please tell your mother and mother in law to coordinate schedules and alternate coming in every 7 minutes to ask the following questions...
"How are things going?" - Well about the same as 7 minutes ago.
"Has she dilated any more?" Well, we try not to do cervical exams every 5 minutes, you know that whole infection thing. If you want I can just keep my hand up there all day long so we'll know immediately when anything happens.
"When do you think the baby will be here?" Well if i knew that I'd be making a lot more money than I am right now.
"Can you come get me if anything changes?" Sure thing, if something happens, the first thing I'll do is walk away from my patient to come inform you.

Also, tell your whole family to stand behind me while I am charting and comment on the contractions and the baby's heart rate incessantly saying - "OOhhh, look at those contractions, wow they are big!" "Wow, that one went off the chart!" "Wow is the baby's heart rate supposed to be doing that? Should you call the doctor?" "How close together are the contractions?"

When you get nauseated and throw up, don't grab the bag/emesis basin I just gave you, just throw up in the bed or on the floor and then you and your whole family can watch me clean it up.

Tell me that you are uncomfortable and then you and your baby daddy proceed to lay there and watch while I struggle to move your deadweight epiduralized self into a "comfortable" position. Seriously people, it's called LABOR for a reason. It's not a day at the spa. This is especially "funny" when your nurse is pregnant.

When it's time to push and I ask "Dad" to help hold a leg, by all means, dare him to tell me no. First of all, I cannot hold both of your dead legs up and help you push at the same time. Second of all, he got you in this mess, it's the LEAST he can do.

Get your whole family to come stand at the desk, watch the strips from other rooms and start asking questions about other patients. Ever heard of HIPAA people??

Tell me you want to be "No information" and then don't tell your family what room you are in. Then get mad at us for not telling them you are here when they ask for you at the desk. What part of NO INFORMATION is not clear to you?

Get your family to go in and out of the after hours door to smoke (the one where we have to buzz them in) over and over and over again! And the button on the wall, just press it once, you don't have to lay on it like a horn. BEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEP!

When I ask your family to go to the waiting room, tell them to just congregate in the hall right outside your door blocking the way to the OR.


Ok, that is all for now, I may add some later. These are all so funny because all these situations happen VERY frequently. You can ask any labor nurse and I guarantee she has encountered all these situations more than once. It really does start to become funny because everbody does and says the same things! I really do love my job though and can't imagine doing anything else!

Monday, September 22, 2008

Selah Rose Birth Story

Ok, here goes...

I wrote a lot of this in the hospital and soon after I got home. It is not a literary masterpiece by any means. Lots of grammatical errors I am sure, but I don't have time to edit it too much and also, in it's rough form, it's kind of more pure I think. It's just what came to mind immediately when I remembered the experience. Enjoy, and sorry it is so long. You are getting 14 hours worth of material =) Also, to answer a few questions, I did not use any particular method like Bradley or hypnosis. I just read lots of birth stories, used my own experience and listened to my body as my coping techniques. And yes, if anyone is interested, I'd love to talk/help/coach although I am by no means an expert at all! I just had a goal, was committed and had a LOT of help! Thanks to everyone for all your sweet comments. I am flattered that anyone is interested in all this. I really wanted to do the birth story and slideshow for myself, but I am glad everyone has liked it. You are all so sweet.
Abby



39 weeks – September 10, 2008 –
At 7:17 am I looked at the clock with a contraction, just to take note, and said a little prayer that this would be the start of something. They kept coming and when I went to the bathroom, I was bleeding a little. At 7:30 am I called Trey and told him I thought I might be in labor. He had been at the hospital since 6 am and I told him not to leave yet, but that I’d keep him posted. I called my mom and she said she’d come over and get Sophie. I told her I wanted to finish packing, go get a pedicure and clean the house some. I wasn’t hurting, just noticing the contractions and I felt funny. I don’t know how to explain it, but I just knew something was different and this was it.
At 8:30 am my mom got to our house. Sophie had just woken up. I was rushing around trying to clean up and get things ready. I still wasn’t hurting too much so I went for a walk for 40 minutes to get the contractions stronger. I was booking it around our neighborhood. I had so much energy! When I got back, I packed Sophie a bag and my mom took her home.
After my walk things seemed to get a little more intense, so at 9:30 I called Dr Straughn’s office and told them what was going on. I knew it was still early so we decided that I’d come by the office and get checked around 1pm.
Around 10:00 am I noticed that the baby wasn’t moving much and I started getting a little nervous. I decided to skip the pedicure, called Trey and told him to go ahead and come home. I was feeling more crampy, had an upset stomach and feeling some pressure with the contractions. I still wasn’t hurting. I was just feeling very excited and having a huge burst of energy. I just knew I had to be in labor.
By 11:00 am Trey had gotten home. We picked up the house a little, got our bags packed, loaded the car and went the office. We prayed in the car that everything would go quickly and smoothly and that we’d have a healthy baby and mommy at the end of the day.
We arrived at the office around 12:00 pm and I was contracting every 2 minutes in the waiting room. I had been too busy to actually time them all morning. Dr Straughn called me 3-4/50/-2. (I had been in the office the day earlier when she stripped my membranes and I was 1.5-2 cm). They put the baby on the monitor in the office because I hadn’t felt much movement much since the contractions started. Baby looked great so we talked to Dr Straughn. She felt like I was in early labor and would definitely deliver in the next 24 hours. So we decided to go ahead and go to L&D. I hoped to get things going with some pitocin if needed and hopefully I would deliver soon rather than in the middle of the night when Dr Straughn wasn’t there. I really wanted her to deliver me and she wasn’t on call. Also Courtney (nurse/friend) was working that day and she was going to be able to take care of me.
At 12:30 we arrived at Labor and Delivery. I was almost embarrassed to show up down there not really hurting much. I was still smiling and so happy that we were going to have the baby today. Everybody was excited that I was there. I went to room 11 with Trey and Courtney. She admitted me and started my iv.
At 1:19 pm Dr Straughn checked me and I was 4 cm/60/-2. We called our parents to tell them we were at the hospital but not to come yet. Since I hadn’t changed much and was contracting every 2 minutes but not hurting, we started pitocin. Courtney pretty much just let me tell her when to increase it. That way it wasn’t ever more than I could handle.
At 3:44 pm I was 4/70/-2. I was definitely feeling more with the contractions after we started the pitocin, but they were still very tolerable. I sat on the birthing ball and stood up some swaying back and forth. I was not in pain, just slightly uncomfortable and they felt like strong menstrual cramps really. We were talking laughing and having fun. I kept telling Courtney to increase the pitocin since I hadn’t changed much and was still handling everything without difficulty.
My mom brought Sophie up to the hospital around 5 pm. She looked so cute in her big sister shirt. I got a picture of her with me sitting on the birthing ball. She definitely knew what was going on and was excited to meet the baby.
At 4:38 pm Dr Straughn checked me and I was 4 cm /75/-2. She had to leave to get her kids but told me she’d come back around 6 or 6:30. Her husband was going to be able to keep her kids for a little while. We talked about options and I felt that since things weren’t going very quickly, I wanted her to break my water so she did.
At 5:00 I was feeling the contractions more in my lower abdomen after my water was broken and wanted to get up again but only if the baby’s head had come down. Courtney checked me again and I was 4/70/0. So I felt ok getting up especially since we were able to keep the baby on the monitor even when I was standing or on the birthing ball. At this point I was only slightly more uncomfortable.
Dr straughn was back at 6:25 and I was 5/75/0. She said the head was way down. I was still talking through contractions even though I continued to get a little bit more uncomfortable. I tried not to be disappointed that things were moving slowly. I knew that we were about to turn the corner and things would start moving a lot faster. I just wanted to turn the corner soon! The whole day I tried to do whatever hurt the most as far as positions because I figured the more it hurt the more effective it was. The baby’s heartbeat looked great this whole time and stayed about 135 and was very reactive. We listened to my labor playlist on itunes and really were having fun.
Around 6:45 I forced Trey and Courtney to go eat some dinner since the Warrens had just brought food up to the hospital. At this point I was not able to talk through contractions, but was laughing and smiling in between them. Andrea (friend), Allison(sister in law) and Elaine(my sister) were in the room visiting with me. I would just say “hold on” when I started a contraction and breathe through it, then start talking again when it went away. Dr Straughn came in at 7:05 and I was 6/80/0. She felt like it wouldn’t be too much longer. Yea! By this time I was on 32 mu/min of pitocin which is a pretty good bit. Over the next hour, it was definitely getting more intense. I was alternating sitting on the bed sideways or sitting on the birthing ball. Courtney was stroking my arms and upper back while Trey put pressure on my lower back. I was still able to talk in between contractions, I just didn’t feel as smiley. They were reminding me to breathe and relax with contractions which helped so much. You wouldn’t think that would be so hard to remember. But your first instinct is to tense up.
At 7:55 pm Dr Straughn came in to check me and it about killed me to lie flat on my back. But I was 7/100/+1. Yea! I knew we were close and was so glad of it. I tried to stand up for a few contractions but it was too hard so I went back to the birthing ball.
Daphney the nurse/photographer had been in for a while taking pictures and suggested that I lie on my side with a rolled up towel under my stomach around 8:16 pm. She said that for some reason this was a great position at this point in labor to help get you complete (10 cm). So I got on my left side and Daphney was rubbing my forehead talking to me. Courtney was rubbing my arms and back. Trey was still putting pressure and rubbing my lower back. I quickly became much more uncomfortable and was really having trouble staying relaxed. Daphney told me to keep my eyes open which helped a lot. I tried to focus on something on the wall and told my body to relax with the contractions. When the contractions went away, I could totally relax and it felt so good. From about 6 cm on, in between contractions it felt like my body released something to help me relax. It was like a natural drug that made me feel sort of dreamy when the contraction started to go away. At this point, that dreamy feeling got even stronger. It was the best feeling ever when the contraction started going away. That is why I think this is totally doable, because you just do one contraction at a time.
At 8:27 pm I was nauseated and feeling tons of pressure. I knew I was in transition and started moaning a little which I couldn’t really help. I asked Courtney to turn down the pitocin because there seemed to be no break between contractions. I remember thinking, “it’s too late for me to get an epidural.” I think I even said aloud, “This is when you want the epidural.” It was the only brief moment when I started wondering why I had wanted to do this. However, the thought went through my mind and left just as quickly because I knew I was about to have to push a baby out. My whole body was tingling like it was asleep which was weird, but it was almost like a natural pain killer.
A few minutes later at 8:32 pm I started to yell because I was feeling even more pressure. Courtney told me I was 9.5 cm and to push if I needed to. I think I screamed as they called the desk to tell them to page Dr. Straughn for delivery. Everybody started running around getting the room ready. I knew it wouldn’t be long. I couldn’t believe I was really doing this. I started pushing involuntarily and let everybody know. They told me to keep pushing and I remember being scared to. I pushed a little and it didn’t feel that good at first. The room was ready, Dr. Straughn was there, and when I started really pushing as hard as I could, it felt so much better. I couldn’t really feel the contractions anymore, I just knew when I needed to push. It was amazing how my body just knew what to do. I asked them if I was crowning. They said I was and I don’t remember this really hurting, it was just tons and tons of pressure and I was thinking, ”I have got to push this baby out, so I am going to push as hard as I possibly can.” I looked down in between contractions and saw the head crowning. I have seen this a thousand times when I was the nurse and not the patient, but I have to say it was pretty cool to see your own baby’s head crowning. I don’t remember any pain at this point just a little burning sensation. I know I was screaming during the delivery some, but I don’t remember the pain, just the adrenaline! After the next push I looked down and saw her head was out! Oh my gosh, that was so amazing. She had a loose cord around her neck and they unwrapped it easily, then her body flew out without me pushing I think. Dr. Straughn held her up and they moved the umbilical cord…. “It’s a girl, oh my gosh,” I couldn’t believe it was a girl. The whole pregnancy I had been so sure I was having a boy, but there she was so perfect and tiny. They put her up on my chest and Trey cut the umbilical cord. She was so cute and I immediately knew she was much smaller than Sophie. I couldn’t believe that Sophie had a little sister. Her face was so pretty and not swollen at all. Her head was round and perfect. I put her on my chest skin to skin and was just in total shock. I remember saying something like, “that wasn’t bad at all” which I wonder if everyone was laughing at me because two minutes before I was screaming. It really wasn’t bad and the feeling I had after she came out made it all totally worth it. I felt amazing and was so incredibly proud that I actually did it!
After I was all cleaned up, I sat up and she immediately latched on and started nursing. She was so alert right after delivery and kept looking around everywhere. She was so beautiful. Trey went and got Sophie and brought her in. She came in and I asked her if she knew what we had. She said,”It’s a girl!” even though trey hadn’t told her yet. I guess she just knew. She kept saying, “Aww, she is soooo cute.” Sophie was so excited and wanted to hold her immediately even though I was feeding her. We let Sophie get up in the bed with me and hold her then trey went to get our family. As they walked in, Sophie yelled, “it’s a girl” again. I think everybody was surprised! Then they all got a chance to hold her and we all watched as she got her first bath. We told them we were pretty sure her name was Selah Rose, but we hadn’t decided for sure. After that I got up and walked to the bathroom with almost no trouble at all and went upstairs in a wheelchair. I still felt amazing. Sophie and my mom stayed and went up to our room with us to get us settled. Sophie did not want to leave at all. But it was 11pm, so Trey walked them to the car and she went home with mom. She loved Selah and did not want to leave her. She just wanted to hold her. When Trey came back, he was so tired, but I couldn’t stop thinking about everything and replaying everything in my mind. My adrenaline was still going. I fed Selah a few more times and then sent her to the nursery at 2am and I slept for 2 hours. Boy was I tired the next day, but it was all worth it. It was the most amazing thing I think I’ve ever done. Having Sophie was different because she was my first so it was amazing just because I’d never done it before. I had an epidural though and was induced, so it was just a totally different experience. I felt so much better after this delivery and totally plan on doing it again. I had prayed so much that I would have a good experience and that God would give me the strength to have the baby naturally. Looking back, it was perfect and I wouldn’t change a thing about it. God is so faithful. He put this desire in my heart over a year ago for some reason and He stuck with me to the end and allowed me to have this amazing spiritual experience that I will never forget. I wish everyone could have as good of an experience as I did. I know that many times in labor things don’t go as we want and we have to change plans. I feel so blessed that I was able to have my labor and delivery of Selah exactly the way I had envisioned and prayed for it to be. Now I feel like I can be an encourager to others who have the desire to do it this way. I know it is not for everyone, but I would say to anyone, if you feel like God has given you the desire, then go for it and He will be with you every step of the way.

Saturday, September 20, 2008

Slideshow of Selah's birth!

Ok, haven't actually written the birth story yet, but here is the slideshow of pictures that were taken. I cry every time I watch it and remember the details. Having a baby is such a spiritual experience and I hope I can remember her birth forever. Hope you all enjoy!
A couple things....
1. You'll want to turn down the music from my blog before you play the slideshow. Just scroll down to the bottom of my page and you can pause it or turn the volume down.
2. If you are thinking about natural childbirth, note that I really don't look like I am in that much pain in most of the pictures, because I wasn't. It was not that bad. If I can do it, anybody can do it!
3. The song I have playing with it was my inspiration/theme song for this experience. I love Rita Springer and the words to the song are amazing.

Let me know what you think!
Abby

Wednesday, September 17, 2008

Coming soon...

Baby pics and birth story of Selah Rose Warren. I can't wait to write the birth story just because it was so amazing. I know a lot of people won't care, but if any of you are interested in natural childbirth, you might like it. I had an amazing experience and plan on definitely doing it again. I can honestly say that it was one of the most amazing things i have ever done and totally gave me a sense of empowerment/accomplishment. Not that giving birth in general doesn't do that for women, but it was just a goal I had and actually being able to achieve it was great. I've also got to write it all down soon or I know i'll forget a lot of the details! Hopefully i can get it up this week sometime.