
On August 17, I was four days past my due date. I had been having contractions all week and then I strained a muscle in my groin in yoga class. I was concerned that whatever I did might have impacted the baby, so I went to Kaiser to get checked out. While at Kaiser, contractions started, more intense than the others. They examined me and everything was normal, the baby was fine, and they told me that I was dilated 3cm. By the time we got home, the contractions were gone again. Leah, our birth coach, came by and worked some pressure points around 8pm. By 11pm, just as I was giving up on going into labor my contractions started kicking in, this time much stronger. Wilder advised we should sleep, I tried but after an hour of tossing and turning, I had to get up. By 3am the contractions were 2-3 minutes apart and quite strong so we decided to go to Kaiser (although I had a feeling we should spend a little longer at home).
We arrived at triage at 4 AM. I expected to have dilated to at least 6cm as the contractions were so close together. However, I had only dilated one cm in the last 12 hours! Regardless, I was still excited as they decided to admit me. Since we arrived we were very active; either pacing the room, trying different poses or simply sitting on the birth ball. I was avoiding the bed and Leah and Wilder were magnificent at keeping me on the move. Leah would suggest different poses and Wilder was a trooper helping me with them.
At around noon on Monday I asked the midwife to check my progress. I really felt we were getting close; it had been about eight hours since I arrived and I was ready to have this baby! However, I had only dilated one cm!!!! I lost all steam and excitement and I was so tired that I decided to lay down and rest for a little bit. Bad idea. The contractions slowed down and lost intensity. We got up again to walk around the hospital. I would take three steps and a contraction would take over, I would lean over Wilder, Leah or the wall and try to contain myself from screaming and scaring the passersby. At around 5pm I asked the midwife to check me again, hoping that this time I had progressed faster. My hopes soon turned to disappointment; in 5 hours I had only dilated another cm! I was only 6cm dilated.
Leah and Wilder worked really hard to get my energy back up and to get me moving and once we got going I was again on the contraction rollercoaster. I made a conscious effort to not look at the clock and to focus on honoring the work that my uterus was doing. At some point a new nurse came in to hook me up to the monitors and asked me to get on the bed – I did reluctantly. Within minutes of getting on the bed my water broke, it was an incredibly loud burst and it felt as if my entire belly had deflated. I immediately started trembling, the room was hot, I was hot but I couldn’t stop shaking - - Wilder was frightened, he kept asking me to look at him - - he probably thought I was dying. Soon after my water broke I felt an overpowering and exhilarating need to push so I did but one of the doctors said to NOT push because I wasn’t completely dilated. Apparently I had a small section of the cervix still needing to dilate (cervical lip) and if I pushed I could injure my uterus. I hated this doctor for telling me to not push. This was absolutely the most painful part of my labor. With every urge I would try to do the opposite and visualize my uterus pulling in but it was so hard I would grunt and bury my filed nails in my husband’s arm. It seemed eternal but eventually they checked me and gave me the green light to push - - ohh what a glorious moment! I don’t know where I garnered the strength to push but even after 20 something hours of labor I felt I had a fresh supply of energy to bring my baby into this world.
Pushing was delicious but it did not come easy. I was probably in the third hour of pushing when an older doctor came in to “give me his opinion after 20 years of experience” as to whether I would be able to keep going. I was afraid he would prescribe a C-section, after almost two days in labor! He was talking when I got another urge and I pushed with everything I had, knowing that I had to work harder. It worked, he told the rest of the staff that I would be able to push my baby out and left the room. My OB came in shortly after and offered some options as she could tell that I was getting tired. I felt that I was pushing as hard as I could but I sensed that my baby was stuck. She offered using the vacuum, which I initially opposed, but I was so exhausted that I decided to go for it. She promised to not use too much force and to work with my push but she warned me that if the baby’s torso was stuck they would have to do an emergency C-section. Shortly after, ten additional Kaiser staff were in the room, the NICU folks setup on the side to ensure the baby was not harmed by the meconium he passed while in my belly. It all happened really fast, I was pushing, being told to keep going, harder and harder -- I felt I completely tore apart, I screamed and my baby was out! He was 10 lbs 1.7 oz, 20.5 inches long.
I was sad that I couldn’t have my baby at my chest right away but at least my husband got to be beside him. When I finally got him, he looked right into my eyes and I could tell he recognized my voice. He was just as swollen as I was - -he worked so hard! Thank the heavens he is healthy and did not have any problems despite the long hours of labor.
In retrospect I think my labor was hard because I expected a 14-hour textbook labor. From the onset my labor was completely different and my expectations were not meeting my reality but I didn’t realize it in the moment. I thought that being active throughout my pregnancy meant I would be better prepared and hopefully I would be in labor for no more than 14 hours. Five months into my pregnancy I was still jogging, I picked up swimming when I couldn’t run anymore and I did yoga up until the 39th week but none of it made it ‘easier’. However, it did make it easier for me to endure the long hours of strong contractions and pushing. It has also made recovery a swift breeze– I didn’t have any muscle aches afterwards (only my neck) and two weeks later I feel as good as new.
I’m very grateful that the Kaiser staff worked with me and followed my birth plan closely. They were very respectful of my choice to have an unmedicated, natural birth and did not push any interventions or medications, just as I requested. I was also extremely lucky to have Leah help us throughout those 27+ hours, we might not have been able to stick to our guns without her presence. My husband’s support was invaluable, he was in labor just as much as I was. I’m also grateful that our friends were standing by to help with food and anything else that we needed. This little miracle was truly a team effort.