So, I woke up on Thursday, October 29th at 6 AM and my water broke. Not a gush, but a pretty sinificant leak every time either of us (Hazel or me) changed positions. But contractions did not start up. It took me a couple of hours before I really realized what was going on, or accepted the fact that I was going to have a baby in the next day or so, no matter what. Finally, I told Ted just that. He was pretty excited and asked if he should not go into work. I told him that he should go in since work is only 2 miles from home and I would call him as soon as labor began. I then called my doula, Yvonne Novak, and let her know what was going on.
Yvonne, unfortunately, had been diagnosed with swine flu the day before and her doctor told her that she should stay home for a minimum of 5 days. Of course, she had a back up, and although I was sad that Yvonne wouldn't be with us, we both felt that these things happen for a reason. Yvonne's back up was Sarah Lozoff, a doula in the Silver Lake area who I knew of, but had never met. In fact, we were Facebook friends and she was one of those doulas who was always updating her status, so I felt like I knew her to some degree.
Hours went by and still no contrations. At 2 PM, Ted and I decided to call the midwife on duty at UCLA and get her advice. Of course, she, Maria, advised we come in to have the baby monitored. So we did just that. We drove to UCLA and baby girl was just fine and eventhough I was leaking quite a bit, fluid levels were pretty good. So we were released and we told Maria that we would return by 12 PM if contractions didn't start on their own.
Ted and I drove back to Mt. Washington, had some dinner, finished some last minute stuff and tried to get some rest. Still no contractions. At 2 AM we headed back to UCLA. We were admitted at 3 AM and at 4 AM they did a pelvic exam and found that I was 70% effaced and less than a centemeter dialated. I was crushed. I felt really disapointed in my body. How could this happen? How could I end up being induced? Maria placed a very small dose of cytotec at my cervix.
The dread induction process had begun and god knows how long this would take so Ted and I tried to get some sleep. However, within an hour I was feeling contractions. Surging every five minutes or so. They were intense and so I got out of bed and began to move and sound. I called Sarah, the doula, and told her to come on down. I woke up Ted and asked for help. We began. Working with the ball. The slow dance. All fours. Squatting. I was listening to some tamburra music and sounding all sorts of vowel sounds and lots of OMs. I also chanted the anusara invocation that I love so much. It seemed appropriate to beign labor with this.
Between contractions, I was fine. Ted and I were cracking jokes and having a good time with it all. I spent a good deal of time on the toilet. My bowels were really going for it and it seemed like a great place to labor. Sarah showed up and we met eachother for the first time as I was sitting on the toilet. She walked right in, introduced herself and swore the bathroom hardly smelled at all (liar).
Immediately I felt more relaxed and so happy to have her with us. She has a great energy.Around this same time, a new midwife came on duty, Ann Trudell. Ted and I had met Ann several times for pre-natal appointments and I was so happy to have her there. She is very knowledgeable and expereienced. I knew I was in really good hands. We decided that Ann would wait to do a pelvic exam for a few hours. We all felt this was best, afterall it really wouldn't make a difference. So Ann left us to keep on laboring.So, at this time, I had a hep-lock but no IV bag. Also, the baby was being intermittently monitored. Every hour, our nurse, also named Sarah, would come monitor the baby for several minutes, either with the fetal monitor (never with the belt though) or, if I was far from the nurses station, they would use the doppler. I was completely free to try anything. It was great.
Sarah, the doula, suggested that I get in the shower. I felt like it was too soon. I was really worried that I was still only a centemeter or two dialated and I wanted to save the shower for when things got really intense. We talked about how I needed to get out of my doula-head and just be a laboring woman. I decided at that point to not focus on the really tough, complicated births of my students/clients. But instead to think about and be inspired by those births that were so....normal. I thought a lot about Kate, Andrea, Rebecca, Lalanya, and most importantly, my mom and my own birth.
At about 11 AM, Ann did a pelvic exam. I was between 6 and 7 centemeters dialated. I nearly cried of joy and I told Ann that I loved her. We were all so happy and I was so proud of my body. So excited because the baby would most likely be here in just a few hours.
And so we got into the shower. Ted and I spent about an hour in there. Sarah turned down the lights and turned up the music: a mellow rock labor mix I had on my IPod. Transition was a blast. Contractions were very intense. The hot water helped so much as did the counterpressure Ted was applying. Between contractions, all was good. Ted and I were being our silly selves. Later, Sarah told me that in our room, outside of the bathroom, all the nurses and staff were kinda blown away by the fact that we were singing so loud, laughing so much and having so much fun ( for those of you who don't know, my husband is probably the funniest man alive. Sometime ask me about the Western Suit story.)
At 1 PM, I was feeling a lot of pressure during and in between contractions. My back was also really starting to bother me. Ann checked me again. I was 10 cms but with a small cervical lip. Wahoo. I had dialated 10 centemeters in just 8 hours. To deal with the small lip, I got into bed, as per Ann's request, and I did 3 contractions on my left side and 3 contractions on my right. I was not happy in bed. My back was now really starting to bother me and I was very insitent on counterpressure on my back from Ted and Sarah. We got out of bed and Ann told us to go back to laboring and to wait until I felt a true urge to push.Ted and I got back into the shower, same music and lighting, but not quite so jolly. My back was not happy. Every once in a while, I would push a little, but I never had that "aha" moment where I HAD to push.
At about 3:30, I told Ann that I was getting tired and I wanted to start pushing, so she let me. Even though I was complaining about my back, I didn't really think of this as back labor and nobody in the room even suggested that the baby was OP (sunny side up). Pushing was tough. My back felt like it was radiating and going to burst open. And my pushes felt very innefective. Finally, about 5 PM, her head came into view. I tried all sorts of positions, squatting, all fours, the birth stool, and the traditional semi-reclined position in bed. Throughout all of this, I was totally free. The nurse would monitor the baby several times an hour and she was coping beautifully. There was never any concern for her well-being. Strong as an ox, our girl.
At about 6:00, I was getting really exhausted. I had been actively pushing for 2 and a half hours. The pain seemed unbearable although it never really crossed my mind to get an epidural. Instead I wanted to move and be touched and make sound in order to stay present with this wild process.
The baby's head was in view by this time. Ann kept showing me her head in the mirror so I could see how affective my pushes were. The problem was that my contractions spaced out to about 10 minutes apart, and during that time, the baby would go back up the vaginal canal. I was begging and praying for her to stay down and not go back up, but eachtime she did. At about 6:45, we decided to hook me up to pitocin to try to strengthen the contractions and bring them closer together. I really had to go into the pain and this was so scary for me. I worked with the pitocin for about 30 minutes and we got the baby nearly to the point of crowning. Man, this was work. I was exhausted and I really didnt think I could finish the job. I didn't have 10 more pushes in me. So, we decided to go for the vaccuum.At this time, the room completely changed. Ann had to step to the side and let the MDs take over. The Attending OBGYN and her posse of residents stepped into center stage. Also, a team of 5 vacuum extraction specialists came in. Then the team of pediatricians came in. There must have been 25 people in the room at this point. The overhead spotlight came onto my naked body. Ted was trying to shield me from the frantic energy of the room. We were pretty scared.While they were setting up the vacuum, the attending OBGYN tried a few pushes with me. She kept saying, "Leah, I don't think you need the vaccum. You can do this. " All 25 docs started cheerleading me through a contraction or two. Honestly, I have no idea what this woman's name was but she ultimately delivered my baby. I hated her at the time. She was working with my perineum, I yelled at her, used some profanities, and told her that she should use more oil and think about cutting her fingernails. No reason to mince words at this point.
Eventually, they attached the vaccum and I pushed with the contraction, and they were pulling so hard that the vacuum popped off. That really freaked Ted and I out. They reattached the vacuum and with the next contraction, we got her out. She was born at 7:47 PM, after 4 hours and 15 minutes of pushing. They showed the baby to me. Sarah brought my hands to her so I could feel her. She was the most beautiful thing I had ever seen. Then the OB cut the cord and the baby went to the warmer. APGAR score of 9! Ted collapsed on my chest, so relieved that it was over. He had been holding it together for me for a lot of hours. I told him that I loved him and then I asked him to go to the baby and talk to her while she was at the warmer.
She, Hazel, seemed to be back with me pretty quickly, within a few minutes. Ted and I looked at her and felt her. She was covered in vernix. And pretty small. At that time, I noticed that her head was so swollen and there was a huge red mark on the left front side where the vaccuum was attached, twice. Ann came over and helped me with getting Hazel latched on. I think at this point, Ann explained how Hazel was not only OP but was also Asynclinic, or tilted. Basically, the left side of her forehead was leading the way down the birth canal and this is why pushing took so long and was so also so painful.All in all, it was the most incredible day of my life. I wouldn't change anything about it. I feel so grateful to have been given this amazing experience. Ted and I and our marriage will never be the same. Man, he was so incredible from start to finish. Sarah was wonderdul and brought such a good energy into the room. And Ann was a rock. She was so thoughtful and so simple in her approach. 15 hours from start to finish. And now the real work begins: raising this gorgeous little being. So tiny and so resilient. Hazel is a dream and Ted and I are completely in love with her.


