I am feeling GREAT! Wow, what a difference from a section recovery; I deserve it, though, dammit; that was one hard-earned VBAC!! I feel like a She-Woman now!! I will write/post the birth story later -- so much to say and not enough time to say it. I want to get it down though before I forget anything.
The birth story...
Although it is still rather painful to sit in front of the computer for any length of time, I at least want to get the process of writing my daughter's birth story started while I'm still in this state of euphoria! Given the ambivalence I felt about VBAC vs. repeat c-section at the beginning of this pregnancy, I am in complete awe of my capacity and endurance for the pain and rigors of childbirth. When I first found out I was pregnant last September, I didn't even know if I wanted to consider a VBAC and my doctor seemed willing to schedule a section for me if I wanted. Thanks in large part to the support and resources I found on-line, I found myself more and more committed to a vaginal birth and avoidance of the routine intervention pitfalls that could prevent this from happening.
I am still a little dazed that I made it through this. My doula told me I had the hardest labor she had ever seen in her experience. God knows, I'd rather NOT have a labor like that. I'm certainly not out to prove anything, but to be stuck with it and come through it makes me feel like I've run (and won) a marathon. I feel like I can do anything, ANYTHING, if I can do that. Despite the empowerment I feel, I got lucky, too. I never never never could have done it without a doula. She really kept me focused and was a great source of validation of the pain I was in. Also, the L&D was *very* busy that day and didn't have time to suggest options or otherwise (mis)manage my labor.
A look back
Labor for me really started very slowly. Beginning on May 12, I had intermittent contractions of varying frequency, duration and intensity and was fooled into thinking "this was it" many different times. On Thursday, May 15, I had contractions all day that got progressively more intense and frequent as the evening wore on. We met my doula, Julie, and went to the hospital at 3:30 am Friday morning when the contractions were 2-3 minutes apart and 45 secs long. Upon arrival I was 2 cm dilated; 80% effaced. After two hours of monitoring, we were sent home, thank goodness. I had not had a good night's sleep in days and I was exhausted. The contractions waned and I was able to get some fitful sleep for about four hours. At 10:30 am, the contractions woke me again and I had them all day again. These were bad enough that I had to focus on breathing through them, but even though they got closer and closer I knew it wasn't "real." Much to my frustration, they stopped completely at 5:00 pm! I was in tears. I felt that I couldn't trust my body's signals and was starting to think I'd be in labor forever. Pretty scary state of mind for someone only in early, early, early labor.
Finally, I went to bed depressed and, of course, the contractions started up again as soon as I laid down. This was 10:00 pm. I got up at 10:30 to go to the bathroom and swear I *felt* the baby engage. From that moment the intensity of the contractions changed. I felt a grinding pain in my pelvis with each one and I KNEW this was it. We only hung out for another hour or so and I called my doula and we headed off to meet at the hospital.
Upon arrival this time I was dilated to 4 cm and 90% effaced. Progress! At last! We were excited. Active labor went very smoothly, if a little slowly. My contrax settled down to 5 minutes apart, but I was progressing at this rate so no interventions were recommended. It helped that the L&D was SO busy. My water still had not broken and the doctor on call was making noises about amniotomy, but since I was progressing and he had more pressing matters, I was left alone. At the beginning of transition I started losing my concentration. I was exhausted and couldn't stay focused. My doula and I discussed it and she agreed that I would probably be better able to handle the end of labor better if I could rest beforehand so I requested Stadol to dull the edges a little and was able get some rest. Because the baby was so low in my pelvis (evoking a comment at every exam: "Wow, that baby is right THERE!"), I was very uncomfortable in the squatting or even sitting positions I'd used effectively in early labor. Even the birthing ball was uncomfortable. I was most comfortable on my side, which of course, did not facilitate a speedier labor. But I did manage some dozing.
With the Stadol and a lot of gutteral moaning I was able to get through transition without an epidural. At 11:00 am, I was at nearly 10 cm and had been for over an hour. The doctor suggested amniotomy then to get me fully dilated and hopefully increase the frequency of my contractions (only 3-5 min. apart throughout transition, but VERY long and intense) without pitocin. I complied, but unfortunately this made no impact on the effectiveness of the contractions. What it DID do, I didn't even know could happen! I heard the nurse say uh-oh as she examined my cervix after the AROM and then she said, "you have 'go-back;' you're back at 7 cm." Those were the most devastating words I could possibly have heard. She felt so sorry for me. She said that the baby was so low that she knew that intensified the pain and she couldn't believe how strong and stoic I was for doing this without an epidural. I didn't feel very strong; I felt trapped. Believe me, I was not grace personified.
I howled, "NOOOO!" At this point I'd had less than four hours sleep in the past 72 hours, had labored all the way through with minimal pain relief and now was being told I had to transition AGAIN??!! I was at the end of my rope both physically and mentally. The nurse told me I should be back at 10 cm in less than an hour, so I gritted my teeth, determined not to give up (as if I had a choice). At this point, an epidural wouldn't even have time to work, so I asked for more Stadol, received a 1/2 dose that did NOTHING to relieve the pain and ground my way through THREE MORE HOURS. It was ugly. I think I would have snapped without Julie there. She couldn't really do anything for me, but she moaned and yelled through the contractions with me helping me maintain a rhythm. Between contractions I retreated into my own world. I don't know if it was just my mental state at the time, or the Stadol (or both), but I would be in this netherworld and when a contraction hit I was amazed each time that I was still in labor. I shouted my way through it each time, convinced I would not live to see the next one. Once again I got to 9 cm and held there. Contractions were 4 minutes apart; not close enough for effective pushing. The doctor came in and suggested pit. to increase the freqency and IV fluids anyway because I was getting so dehydrated. After another hour, I was at the point that I could barely resist bearing down. At this point, the L&D nurse told me to puff, not yell, because the yelling meant I was pushing. I yelled "No! the only reason I'm *not* pushing is because I'm yelling." Once again, I was so thankful for Julie. When the nurse left she told me she never heard anything so ridiculous and to keep yelling if I wanted to. So I did. What I would have done without that validation I don't know.
About 10 minutes later, I sent Tony to tell the nurse that I HAD to push with the next contraction. He came back and said I couldn't. I said to go back out there and tell them I'm not joking around that I WOULD push with the next contraction. The nurse came rushing in and examined me and said I had just a lip left and a full bladder, so she inserted a cath and drained my bladder and said I could push next time if I wanted to. By this point, my contractions were a minute apart. She called the doctor and told him the baby was crowning. For the first two contractions I pushed in a side-lying position, then everything was set up, the room was crowded and the bed was broken down. At last! Everyone was telling me what a good job I was doing. I was in such an irritable frame of mind at this point that I was convinced they were lying to me just to make me keep working. They got the mirror adjusted so I could see how close she was. What an amazing sight to see your baby pushed out like that. It took four contractions and the most physically challenging work I've ever done in my life, but I was incredibly motivated to get it over with. I had a small episiotomy, which was definitely necessary. Julie commented that even with the massage, my perineum was stretched as far as it would go and with my state of exhaustion they wanted to speed it up and so did I.
My beautiful daughter was born. She weighed 7 lbs 14.5 ozs and was 20 inches long.
I happened to notice when I looked at her chart that while her weight and length were 75th and 50th percentile respectively, her head circumference was in the 25th percentile. Praise be! Could I have even pushed that baby out otherwise??!
After the birth
As emotional as I am, I thought I would cry when my baby was born, but I simply stared at the ceiling for a moment; relieved to be free of the pain. I didn't feel strong or stoic or brave or anything else they kept saying. I felt like I'd survived a war and that I was lucky to be alive. The nurse at my shoulder said she was so impressed by my strength, but next time I ought to try an epidural. I am horrified that she said that. Did she think I did this "naturally" just to say I could? Me????!!! The ultimate pain wimp? As slow as this labor was, I'd hate to think how much an epidural would have slowed it down (the Stadol probably did a little of that anyway), then I'd have needed more pit, earlier, been at higher risk for uterine rupture, fetal distress....etc etc etc.....I didn't say anything to the nurse. My doula and I talked about it the next day, though, and she was as appalled as I was. Even at this stage there is someone there to undermine your decisions, even if it is done in ignorance.
Completion of a dream
Anyway, as I had dreamed it, my baby girl was immediately laid on my stomach and was latched on to my breast within a minute. Tony got to cut her cord and she was never out of my sight. I will always treasure the memory of my other daughter's birth, even though it was not something I "did" in the sense that I birthed this little one, but THIS fulfilled me in a way I really needed and never knew. Certainly it was not the labor of my dreams. But I am exhilarated that I MADE IT THROUGH!!! And not only did I make it through; I did it based on decisions and commitments I made and I STUCK with them even in the midst of the most mindnumbing pain I've ever experienced. I never dreamed I could withstand something like that. Although I didn't feel strong or empowered immediately after the birth (mostly just relieved), beginning with that night and ever since I feel a surge of adrenaline every time I think of what I did. I feel pretty amazed and impressed with myself. And it's so funny, because it's not like I'm the first person who ever did this. It's an everyday, common occurrence. THAT is amazing and miraculous to me.