Obsessions of Kristi

What am I obsessed about this week? Find out!

Sunday, November 1, 2009

Sydney's Birth Story

It began just after midnight on Friday, October 23. I started having frequent, strong contractions that I really had to breathe through. I was so excited to think that this might actually be labor!

Between 12:09 AM and 1:30 AM I had 24 contractions. I tried lying down, but there was no way I could sleep. It felt better to be up. During contractions I would lean my forearms on the counter or couch, completely relax my abdominal and pelvic region, and breathe deeply. I lit a candle and pictured my cervix becoming soft and warm and melting with the candle. In between contractions I tidied the house, put away dishes, and finished packing my bag for the hospital. I also got on Facebook and posted the following: “Been having strong contractions every 3-5 min for the past 2+ hours. I guess it’s time to wake up Bryan.”

At 2:30 AM I woke up Bryan and told him I thought I was in labor. He got up and got dressed. I then called my doula, Trine, and told her I thought I was in labor. She said she would grab some snacks and come over in a few minutes. I had Bryan time the contractions until Trine got to our house. I had 24 more contractions between 1:34 and 3:07 AM. Then we didn’t bother timing them anymore.

“This is amazing, this is wonderful, this is fantastic!” This is the mantra I repeated to myself during contractions. I truly was ecstatic to be going into labor on my own, after all the worrying that I would still be pregnant at 42 weeks. This was my first time to go into labor on my own, after all. Cytotec, prostaglandin gel, and a c-section were the precipitators for my three previous births. Trine lightly rubbed my back during contractions and told me I was doing great at relaxing.

I felt bad waking people up in the middle of the night, but I also paged my doctor, called my mom to come watch our kids, and called my sister Esther, who is training to be a nurse and really wanted to be there for the birth. Then I decided I wanted something to eat before going to the hospital. I warmed up some leftover oatmeal and ate it. Because I tested positive for Group B Strep, I was supposed to receive two doses of antibiotics, four hours apart during labor before the baby was born. So we headed to the hospital, arriving around 3:45 AM. I was looking forward to soaking in the big bath that is available for laboring women at Banner Gateway.

In triage they only allow one other support person, so Bryan came with me while Trine waited in the lobby. I told the nurse I was supposed to have antibiotics for Group B Strep, that I have a birth plan, which I handed her, and that I would like to use the bath. The nurse checked me and told me I was 4 cm and 80% effaced. I was so glad to already be at four. At my last OB appt, which was four days before, I was still at 1 cm and 50% effaced. After contacting my doctor, the nurse said they would get the IV started in triage and monitor me for the required time while they got the bath ready. She asked if I would like my doula to come back to be with me. I said, “Yes!” Since no one else was in triage and it would take about a half hour to run the Penicillin through the IV, she said they would allow her to be with me, too. I was very grateful for this since Trine’s presence was very reassuring. She seemed to know just how to touch me and just what to say to encourage me.

I think it was about 5 AM that I got into the bath. Aaaaahhhh … it felt so good. I could move around freely instead of having to awkwardly get onto my hands and knees when a contraction came. The warm water was soothing, and I stopped feeling all shaky. It took the edge off the pain and made it easier to handle. Then in between contractions I was able to rest more completely. At some point I started moaning through contractions instead of just breathing deeply. I kept my face and jaw loose, as I had practiced doing during the Braxton-Hicks contractions throughout my pregnancy, and moaned deeply. I also started doing what I think of as horse-lips, which is blowing air out through loose lips and letting them vibrate. That seemed to help my pelvis relax the most.

Bryan and Esther sat in chairs and watched, while Trine sat on the floor close by. I had a hospital gown draped over me for modesty. Using the restroom was annoying as I had to remove the gown, climb out of the tub, have a blanket wrapped around me, and then waddle down the hall. Why they don’t have a restroom attached to the spa room, I don’t know. That room seems to be designed more for looks than for practicality. And of course I got a contraction both times while in the restroom. All the moaning and breathing made my throat dry, so I took frequent sips of water. My bathroom breaks were a convenient time to let out some water from the tub and add in more hot water to keep the temperature comfortable.

Esther actually left for three hours or so since she was supposed to work that day. She had a key to the office so she could just go in early and complete her work. When she came back she and Bryan were hungry, so they went to the cafeteria for breakfast. I ate a few dried apple pieces as I was feeling like I could use a little nutrition. I said frequent prayers silently to myself, thanking my Father in Heaven for the privilege of bringing a baby into the world and asking that everything would go smoothly.

During the breaks between contractions we chatted about mundane things, and I discussed with Bryan what phone calls needed to be made and other things needed to be taken care of. Friday was to be a busy day, with an acupuncture appointment, visiting teaching appointments, parent-teacher conferences, shopping with Kayla for a different dress since the one I bought her for her birthday was itchy, and karate lessons for Jessica. Also, Kayla’s birthday party at Skateland was to be on Saturday. All I had to do to go into labor was plan things I didn’t want to miss!

There was a shift-change at 7 AM, and Trine requested a nurse that would be accommodating for a natural childbirth. I was wondering how far I was dilated, but I wasn’t ready to be checked yet. I didn’t want to be disappointed. Taking each contraction one at a time and not worrying about how much longer I had to do this for was my priority. I remember making the comment, “This is a lot of work!” Although to the people in the room it probably didn’t look like I was doing much of anything besides making a lot of noise.

After triage the monitors used for recording the baby’s heartrate and the uterine contractions were traded for wireless waterproof monitors, which I wore until the baby was born. They were a bit annoying, and they had to be adjusted a few times. The first nurse, a tall blonde woman, had me get out of the tub when the baby’s heartrate stopped tracing, and she spent like five minutes trying to get it again. That was not fun. The new nurse, Rakay, who had short brown somewhat-spiky hair, was much more relaxed about it. She just wanted to get a tracing 20 minutes out of every hour and didn’t make me get out of the tub the one time it needed adjusting. At around 8:45 Rakay said that Dr. Brass wanted me to try getting out of the tub and try walking around. I was thinking, “But you don’t even know how far dilated I am. Are you assuming I’m not making any progress?” So I told her I would much prefer to stay in the tub. I asked to be checked, and I asked when the second IV dose was supposed to be administered. I wanted to get that over with.

I was delighted to learn that I was 8 cm, 100% effaced, and my cervix was stretchy and paper thin. I’m almost there! I tried not to think about the pushing part coming up, which I was dreading. The second Penicillin dose was started I think at 9 PM. I had to keep my arm out of the water until it was finished and the line could be disconnected. The nurse said she could break my water and the baby would probably be born pretty quickly, but I would need to get out of the tub and the pain would increase. She also said Dr. Brass was about to do a c-section on another patient. I opted to stay in the tub since Dr. Brass wouldn’t be available for awhile anyway, and I felt I was barely able to handle the contractions as it was. They were getting stronger and closer together. It seemed I spent more time in them than out of them. Plus the pain persisted between contractions, so it was hard to tell when I was actually getting a break. By this time I was moaning louder and getting hot even though the water was getting cooler. Trine got a container of cold water and put cool washcloths on my neck and forehead. That felt so nice. I also started getting emotional. After a particularly difficult contraction I broke down in tears for a bit. I was just so overcome by the power and the intensity.

I complained about needing to pee. Trine and the nurse both said it was okay to just pee in the tub since I would be getting out soon anyway. So I did. But then I kept feeling like I needed to pee more and I held my breath to push out more pee. I didn’t know I had that much pee in me. It turns out my water broke, I just didn’t know it. A few minutes later they had me get out of the tub and walk to the delivery room. Actually, the nurse offered a bed on wheels for me to get on, but walking was much more appealing than being recumbent. As I followed Dr. Brass down the hallways, I was dripping more than just from being wet in the tub, although I didn’t really notice. The nurse called for housekeeping to come after me with a mop.

In the delivery room the pain reached a new intensity. I was really hoping it would be over soon. I think I started sounding more like a lion sometime during this stage of labor, which is known as transition. Guided by Trine and the nurse, I tried various positions, like hands and knees, sitting on the birth ball, and side lying. Nothing was comfortable. I remember being asked which position I preferred, and I said, “I don’t like any of them!” I was discouraged when I was checked and told I was 9 cm with an anterior lip. I wanted it to be time to start pushing. Finally at 10:50 it was time to start pushing. Then the nurse said the baby was posterior, and I was thinking the baby was never going to be born!

The squat bar was set up and a sheet was wrapped around it. I was supposed have my legs in a frog position and my chin tucked to my chest while pulling on the sheet with my hands and pushing. It was really hard. On the one hand, pushing relieved most of the pain, but on the other hand, it was such exhausting work! Coaching from the nurse and doctor was really needed to keep me motivated. I pushed so hard that my face felt like it would burst and my lips got tingly. Taking quick breaths and going right back to pushing worked best. If I paused too long then the pain was overwhelming. Fortunately the baby was rotating as I pushed, so there was hope. I was thinking; no wonder so many moms get epidurals! Now why is it that I don’t want an epidural? I know there were some good reasons, but they seem insignificant right now in the midst of all this pain. Trine helped me get focused again and remember to breathe deeply in between contractions. She was right next to me holding my hand. Then Bryan held my hand for some of the time.

Esther told me that there was bulging when I pushed. This was very encouraging because it meant the birth was close! I switched to pulling back on my knees while pushing instead of pulling on the sheet. Esther helped hold one of my legs part of the time. Finally I was told they could see the head while I pushed. I tried to feel for the head, but it wasn’t far enough down the birth canal yet. I received lots of encouragement. “I can do this!” I told myself. After a couple more contractions and hard pushing I could feel the baby’s head move lower, and suddenly I felt an intense burning sensation. I said, “It burns!” I looked down and I could see why. I reached down and touched her head. I pushed a little more gently now, as I didn’t want to push too hard and tear, and she was born! The time was 11:37 AM. Dr. Brass handed her right to me. I was so overcome with joy and relief! “You’re here! I’m so glad you’re here! I did it!” I exclaimed as I laughed and held her close. I have never felt such relief and amazement in my life! It was bliss.

After a couple minutes, Bryan got to cut the cord. I held little baby Sydney skin-to-skin, which felt wonderful. Esther had been snapping pictures the whole time. She said we could just delete any of them we didn’t like. Some were a bit graphic. The others in the room commented on Sydney’s alertness. She didn’t cry much; she just looked around contentedly. Soon the placenta came out. Dr. Brass said there was only a small tear on my perineum, and it didn’t need any stitches.

At 12 PM Sydney latched on and nursed. She’s been nursing great ever since with no problems. That first day I even was able to nurse her while lying down, which has helped me get enough rest. With my other babies it took a couple weeks to figure out how to latch the baby on while lying on my side.

A whole hour went by with Sydney and me bonding and getting to know each other. Bryan probably felt I was hogging her. So when she stopped nursing and drifted off to sleep I handed her over. I don’t think he actually got to hold her though until after a nurse bathed her, weighed her and dressed her. The scale said 6 pounds, 15.8 ounces, which gets rounded up to 7 pounds. A nurse measured her length while I was still holding her, and said she was 20 inches long. However, on Monday at the pediatrician’s office she was measured by being stretched out on the table, and she was 19 inches long. I think this second measurement is the more accurate one.

I am so happy to have my new baby: Sydney Abigail! She is a joy! I love her so much already, and I am cherishing these precious first days. The recovery so far has been very smooth. I need lots of rest, but overall I feel great. Kayla, Jessica and Chloe love their new little sister. They shower her with affection. Chloe gets jealous of Sydney sometimes, so Bryan and I have tried to give her extra attention. It’s hard to believe we have four girls! We love each one of them and feel very blessed.


Friday, October 16, 2009

First Acupuncture Experience

When your childrens' only exposure to acupuncture is from watching "Kung Fu Panda," they might think you're a little crazy when you tell them you are going to get acupuncture. No, I'm not getting hundreds of needles in my back, and no, my heart will not stop beating. So, why am I getting acupuncture?

Specifically, to help me go into labor. Even though there is not enough research showing the validity of acupuncture as a means to induce labor, I feel the lack of side effects combined with the improved energy and biochemical balance created by acupuncture, make it a reasonable choice. It's also supposed to stimulate the body's natural healing abilities and promote physical and emotional well-being.

My first treatment was yesterday. It was an interesting experience. Dr. Denise Grobe, a naturopathic physician, answered all my questions and explained that all the acupuncture points she would be using are located distally, namely on my feet, hands and ears. Then she took out thin prepackaged needles that each had a plastic tube over them. Starting with my ears, she pushed the needle in a bit, removed the plastic, and tapped it in further with her finger. Each needle had a pointy end and a non-pointy end with little grip-rings on it to make it easier to take it out. Some of the needles didn't hurt at all going in, but some of them did hurt just a little bit. Any discomfort went away quickly. Soon I started to feel warmth and energy circulating in the area around the acupuncture points. I could see why this ancient Chinese treatment actually helps people. It really does change how things are working in your body.

There were 14 needles total: 4 in each ankle/foot area, 1 in each hand, and 2 in each ear. The needles stayed in for 20 minutes, during which time I just relaxed with my feet up. It's best not to move any muscles that have needles in them, the doctor told me, because they can seize up painfully. Lastly, she removed the needles, leaving little red dots behind on my skin. One point on my ankle had a drop of blood, which is normal.

Since I am only 38 1/2 weeks pregnant and have a tendency to go past my due date, I wasn't expecting to go into labor immediately or anything. I have had a lot of contractions since the session, though. Next week I'll be going back for more needling fun!

I am trying to do everything I can to prepare my mind and body for labor, including taking herbs, doing yoga, and practicing relaxation and visualization. Plus I'm getting a massage today! It's nice to feel pampered. And yes, I am aware of the other natural induction techniques, such as sex, nipple stimulation, and castor oil. Here's hoping I go into labor on my own before 42 weeks!

Tuesday, September 29, 2009

Free Zoo Day

Last Wednesday I took Chloe to the Phoenix Zoo. There's a promotion this month where you can get in free on Wednesdays with your Fry's VIP card. Not one to miss out on a good deal, we went. It was a bit hot, but not too terrible. Although we were pretty worn out by the time we got home.

Chloe loved seeing all the animals. Her favorites were the lions, orangutans, and fish. The orangutans were so entertaining that I even took a video of them. There was a young orangutan who was so playful. Seeing the little creature latch on to his mom and nurse for a little bit was very exciting to Chloe. She's been talking about it a lot.

We met my sister-in-law Megan at the zoo. She had her two boys with her. It was fun to hang out with her for part of the day!


I'm glad I could do something fun with Chloe before the new baby is born. I know I won't be up to doing much afterwords. I'm 36 weeks along, which means anywhere from 2 to 6 weeks left of pregnancy.

Tuesday, September 22, 2009

September ...

Now that September is almost over, I finally got around to uploading pictures from my camera, so I will post some Labor Day and birthday pictures.

For Labor Day we got together with both the Shaw clan and the Ison clan. Unfortunately I couldn't find my camera when we were chillin' with the Isons, so I have no pics. But we had a fun time BBQin' and swimmin'!

With the Shaw's we played kickball ... well some of us did. I just watched and took pictures!



On my birthday, Bryan got me some flowers, a large collage picture frame, and a cherry pie. Yup, I'm his "Cherry Pie." I can't eat a cherry pie without thinking of that song. Was that totally inappropriate? Well, sorry, but we are married.
Also for my birthday, we used b-day money I received and a gift card I gave Bryan for Father's Day to buy a Wii Fit. Yes, we've been sucked into the Wii vortex. Actually, we've had a lot of fun doing the exercises and games. Even Chloe has joined in the fun. One thing I don't like about it is that it tells me I'm overweight - thanks a lot - too bad there's no "hey, I'm pregnant!" button.

Here's Jessica trying to keep a candle on the TV from flickering - it's a Wii fit thing.
Did you notice the karate uniform? She started karate lessons this month. She loves it!

I bought some black fabric to use as a background for taking pictures at home. I hung it up on the wall with tacks today. Here are my attempts at photography so far.

It helps to have such an adorable girl to take pictures of!
She's just goofing off in this one, but I still thought it was cute.

Thursday, August 27, 2009

Christmas in August?

It took three years and over 10,000 stitches, but Chloe's Christmas stocking is finally finished!
Now I have started cross-stitching a stocking for the new baby. Why am I getting myself into this again? Everyone in the family has a homemade stocking, so we can't leave the new baby out! Will it get done by Christmas? Probably not, but I'll try. I don't think it has as many stitches as Chloe's stocking.
Kayla and Jessica going back to school is kind of like a Christmas present for me, so there's another reason to think of Christmas in August. The house is quieter and cleaner. Sure I love being with my kids, but it's nice to have a break.

Here are first-day-of-school pictures.
I sort of got Jessica to smile. You can't tell that she is the one who's really excited to go back to school, whereas Kayla would rather have more summer break.
In between finishing Chloe's stocking and waiting for the snowman one to arrive in the mail, I completed another sewing project.
Yay, no hands! The sling is actually for the new baby, but I had to try it out on Chloe. I decided to make one after reading about all the benefits of babywearing, like babies cry less and it's good for their emotional, mental and physical development.

Now if only the weather were more ... Christmasy (and by that I mean, not so darn hot!)

Wednesday, August 12, 2009

People Think I'm Crazy

It's true. People think I'm crazy.

Why? Because I believe in natural childbirth. Yes, that means no drugs, no epidural. Preferably it also means no IV, no electronic fetal monitor, no being stuck in a hospital bed during labor, no Pitocin, no catheter, no episiotomy.

Unfortunately in our culture childbirth is seen as a traumatic, painful, and medicalized event. Yet a woman's body is designed to give birth without any interventions. It doesn't always work perfectly, which is why it is great that we have trained obstetricians to deal with emergencies. But the majority of the time it does go smoothly, especially if a woman is given the support she needs and is allowed freedom of movement, baths or showers, continuous one-on-one attendance by a midwife or doula, and anything else that will help her be more comfortable.

On the subject of the pain of labor, here's a quote from a book I'm reading right now called "Born in the U.S.A.":

"The physiological fact that pain is an essential component of a normal labor, that it is necessary for the release of hormones that control the progress of labor, is either not understood by most American obstetricians or simply ignored. So, again, we have one intervention leading to another. When an epidural block removes all feeling in a woman's lower body, the necessary hormones are not released and the labor does not progress normally, which leads to more interventions." (This book is written by an obstetrician, by the way: Marsden Wagner, M.D., M.S.)

Pain with a real purpose, as in a means to an end, is a lot different than pain from an injury. And the pain of labor is not continuous. It is intermittent and there are many things that help ease it, like relaxing through contractions instead of fighting them. This all sounds good as a write it, but actually experiencing labor is different than you can imagine ahead of time.

I have done birth three ways: induced with an epidural, natural and c-section. My favorite: natural! I cannot even describe how empowering, fulfilling, and wonderful it was to experience labor with full feeling and push my baby into the world. There is a natural high that is just amazing. I felt like I could do anything. The recovery was so much easier, too.

I will admit that near the end of labor I was saying to myself, "I am never going to do this again!" I guess I've changed my mind.

In the United States women have not been told all the facts about the risks to them and their babies of having an epidural. For example, close to one-quarter (23 percent) of women receiving it have complications. And just what are these complications?
  • Death (risk is tripled)
  • Temporary paralysis (1 in 500)
  • Permanent paralysis (1 in half-a-million)
  • Development of fever, which requires diagnostic evaluation like a spinal tap on the baby (15 to 20%)
  • Inability to urinate after birth (15 to 35%)
  • Severe back pain after birth lasting for days, weeks or months (30 to 40%)
  • Longer labor
  • Greater chance that forceps or vacuum extraction will be used to extract the baby (4 times greater risk than with vaginal birth)
  • Twice as likely to have a c-section
  • A sudden drop in blood pressure in the mom is common, which results in a sharp drop in blood flow through the placenta to the fetus, which then results in lack of oxygen and possible brain damage to the baby. Doctors try to prevent this by giving the woman a big dose of fluid through IV, but still 8 to 12 percent of babies show a severe lack of oxygen.
  • Increased risk that the baby will show poor neurological function at one month of age.
And epidurals don't even work 10 percent of the time.

You can see why I'm not a fan.

There is so much actual scientific evidence out there that confirms the advantages of natural childbirth with a minimum of interventions. Yet the gap between obstetric practices and scientific evidence is wide. The above statistics are from the book mentioned above, which was published in 2006. Another excellent book promoting informed choices in childbirth and evidence-based medicine is "The Thinking Woman's Guide to a Better Birth" by Henci Goer.

And if you're not so much into reading, let me also recommend a movie: "The Business of Being Born." It's produced by Ricki Lake (yes the talk-show host) and as the back cover states, it "is an entertaining and informative celebration of the road to motherhood that 'should be seen by every preganant woman in America.' " I loved it, although I must warn you that there is nudity and a little bit of swearing; it is a documentary with real births after all.

Well, I've probably spent enough time on my soapbox telling you things you may not want to hear. In case you're wondering, yes I am planning on a vaginal birth after cesarean (VBAC) for my current pregnancy. While there is a 1 percent chance of uterine rupture, the overall risks with a VBAC for both mother and baby are lower than for a c-section. I certainly feel I am choosing the safer option.

Just for fun, here are pictures of each of my babies as newborns:

Kayla

Jessica

Chloe
And here is the actual room Jessica was born in. It's at the Bethany Women's Birth Center in Phoenix. Isn't is purdy?

Tuesday, August 4, 2009

"Ten is better!" Jessica says

Miss Jessica is 10 years old - a whole decade - double digits!
We celebrated her birthday last week.

We did the usual ... presents and cake.

Plus she got to go to Red Robin with her two best friends from school.

After dinner, Bryan and I took all the kids to see the new "Harry Potter" movie.

Note to self: As Harry Potter gets older, the audience to which his movies appeal also gets older.
This movie was far too slow and too quiet for young kids who have a difficult time sitting still in the first place. Apologies to anyone in the theater with us.

Another note to self: Do not bother spending money to take my kids to the movies .... ever! (Okay, maybe when they're all at least 12 years old, and it better be a really cool movie.)

Speaking of sitting still, Jessica actually let me do her hair on Sunday! Yes, there was screaming and yelling and squirming as there usually is when anyone tries to touch Jessica's hair, but it wasn't too bad this time.
And her hair actually turned out!

I also did Chloe's hair.
She was so happy with it. (And there was a lot less screaming, yelling and squirming than with her older sister.)
Not every time I attempt to do hair does it turn out.
Case in point:
To save the above-person from embarrassment, I will leave her nameless.
Below is the hairstyle we had in mind when beginning the venture.
Would anyone like to hire me for their wedding?
I didn't think so.

Jessica had a great birthday and a fun week.

Here she is at a Primary Activity Day playing kickball.

We also set up a slip 'n slide in our backyard, and Jessica got to go to a friend's birthday party.

Next week it's back to school. Sorry kids, no more fun! J/K