I had gestational diabetes (GD). My OB took it very seriously, and had me in the office biweekly for check ups. I got to see them a LOT. Thankfully I had it very well controlled with diet, but unfortunately had to take the smallest dose of glyburide at bedtime, because no matter how hard I tried I couldn't consistently keep my fasting blood sugars below 90.
***Also, for those who don't know about GD- it is NOT due to bad diet, exercise, genetics, or any other lifestyle habits. The placenta produces hormones that cause a mother's body to become resistant to its own insulin. Resulting in higher blood sugars. Elevated blood sugar is not good for mom or baby. However, treatment is the same as Type 2 diabetes. So when you come across a pregnant woman, you don't need to ask "Does diabetes run in your family?" or "But you were so thin before" or "YOU had it?! Then I most definitely will get it". Truth is, I know of people who were in BETTER health than me and got it, and women who were in WORSE health than me who didn't get it. Good news: I did the glucose test at 8 weeks post-partum and my sugar was actually lower than the normal range for the test. No diabetes here! Yay. :)
There were never any complications with my pregnancy other than GD. However, most OB's won't let a pregnant women with gestational diabetes go on much longer past their due date without being induced, and especially mine. Fortunately for me, my OB ended up closing her practice and moving to the east coast. I ended up switching to another OB in the same office, two weeks prior to my due date!
I was disappointed and worried, but it was a blessing. I couldn't be more grateful for my new OB, and I will go to with all my future pregnancies. He reviewed everything and we talked about inducing and risks/benefits and if it was necessary for me or not. We thought it best to not let me go more than a few days past my due date, but ended up scheduling an induction for June 4th- two days before my actual due date. I really wanted to have her naturally, but knew the risks of allowing myself the possibility of going way past my due date.
On May 31st, my OB checked me and I was not dilated one bit! A little soft, but that's it. He said that the risk of a cesarean from induction with no dilation was about 85%. Not good odds! But we could try and start out with Cervidil, and if nothing happens and Emma and I are ok we could postpone. So we went ahead and scheduled induction for June 4th at 3 am.
June 3rd, about 8 pm, I receive a call from my OB. He was putting in orders for my arrival, and realized that because I controlled the GD so well, and Emma and I were both doing great, there was no rush to have her. Since I wasn't dilated, the risk of cesarean was as I said, about 85%. I really didn't want to risk that, and neither did he. Although, he said he would support me in whatever decision I wanted since there was no way to tell the future, and a cesarean may not be necessary. We talked for a good 20-30 minutes and came to the conclusion that it would be a good decision to put the induction of until the weekend (June 8th, 5 am). Allowing time for my body to naturally go into labor, but not going too much further past my due date. I was bummed because I had prepared for her TOMORROW, but my gut knew that waiting would be best. Now I had to answer to everyone as to why I didn't go in, why I was still at work, blah blah blah. I was frustrated, but knew this was best for baby, so I would do it! He wanted me to come in and get checked again that Friday, to see if there was any progress. I was dilated to a 1!!! I felt SO grateful that he listened to the prompting to call and talk with me, what a great OB he is.
That night Kyle and I enjoyed swimming and a delicious BBQ home cooked meal. We were so excited to go to the hospital to welcome our precious daughter!
We arrived at the hospital at 5 am. Got checked in, and directed to the room I would deliver Emma. By the time everything was settled, we started the Pitocin at about 7 am.We were able to skip the Cervidil since I was already dilated. I wanted to labor as long as I could without the epidural, so for the next 5 hours that's what I did. It was painful, but not unbearable. I thought "Oh, I can totally do this med-free!". OB showed up around 1230 and I was only dilated to 1.5!!! I was sooo disappointed. And knew this was going to be a very long labor. My water broke while he was in the room, and he said I would start feeling the contractions a lot more. He was right! That moment one came and it was 10x stronger than the ones I had experienced. No more cushion. He said the key is to keep the lower half of my body relaxed during the contraction to allow Emma's head to dilate the cervix. Relax?! During a contraction!? He was out of his mind. Obviously, he's never given birth. ha. So, my nurse- knowing I wanted to hold of on the epidural as long as I could- helped coach me through contractions. It worked for almost an hour. Then I just couldn't take it anymore. It hurt, and I couldn't relax, and I knew that it was just going to get worse.
So I got up to pee (holy contractions!!!) and the anesthesiologist came in to put in my epidural. It didn't really hurt, but was hard to sit still. I started feeling relief within 5 minutes. But I could still feel some pain during the contractions in my lower right abdomen. Sometimes it can be positional, so we repositioned my body. It helped, but not totally. We called the anesthesiologist in and he adjusted the line in my back and bolused some meds, and what sweet relief! It was not about 1:30 or 2 pm, and Kyle and I both decided to nap while we could.
Around 4 my nurse came in to check me, and I was dilated to a 5! Such good news to my ears. I was thrilled. I worried an epidural would further slow down the process, but it sped it up! I called my mom and Kyle's mom to let them know it would be a few more hours, but they could come when they wanted. They arrived around 5 pm. We were visiting for a while, and I started to feel pressure, like I had to have a BM. It was roughly 5:30 pm. I remember from nursing school that its a sign pushing will be happening soon! I called for the nurse, and she came to check on me. She didn't think I would have dilated much more, but surprisingly I was at an 8! Since the pressure only occurred during contractions, she said to alert her when I felt it consistently. Well, it wasn't much longer after she left the room that I called her back in. About 6 pm she checked again, and I heard the words "Yep, you are a 10! Let's get ready to push!" I instantly broke into tears. I was nervous, and excited, and emotionally overwhelmed at the thought that I was going to meet my sweet Emma sooo soon!!! Something I have been waiting not only almost 10 months for, but for years!!!
My friend Lisa and SIL Erin came in around that time. My sister Emily was also there. Yes- some may think it odd to have all those people in. I would have to, until I myself became a nurse. I wanted to share this experience with them. I was present for Lisa's birth, and Erin is a nurse too. My MIL only had boys, and even though she has many sisters, was never present for any birth. I was happy to allow her to come experience this, since she is now my 2nd mother! And my sister, because I love her. And thought it would be good for her, too. And last but not least, my dear husband Kyle. He was so wonderful!
At about the same time, I started to feel my contractions again, not just pressure, but pain. I told the nurse to get the anesthesiologist in here soon to fix it! I didn't want that pain to come back, and especially for pushing! He came in and bolused some more pain meds. Nothing! He did that twice. Nothing. He offered to put in a new line, but I was READY to push. There was no time. So, even thought the OB hadn't yet arrived, I started pushing. With my mom on my left, and my husband on my right, I continued to push. It hurt. Bad. And just got worse. Once my OB arrived, Emma was close. One good thing about no epidural is the control you have over your own body. I knew what muscles to work, and could feel it. Also, the pain was a great motivator to push long and hard! ha ha. When Emma's head was just one push away, he instructed me to STOP pushing to allow the skin to stretch and minimize tearing. I thought "Are you kidding me?!" It was at this point I laid my head back and thought "I can't do this. This is the worst pain I've ever felt. I can't push one more time". In the middle of that thought, he instructed me to push. I took a deep breath, and pushed as hard as I possibly could, and Emma was HERE!!! Once her head passed, I felt wonderful! That pressure, that pain, was gone!
They placed her on my chest, and I was in awe. I couldn't believe she was MINE. I knew that she would recognize my voice, so I spoke to her and told her how excited I was to finally meet her. I cried. I was so exhausted, but so invigorated at the same time. I pushed for 20 min. Emma was born at 6:36 pm. She weighed 8 lbs 2 oz, and was 19 3/4 inches long. Everything after that is a bit of a blur. They wiped her up a bit and placed her on my chest, and nursed her for the first time. How amazing that was! I love breastfeeding. To know that I can provide nutrition necessary for my daughter to thrive is such a wonderful thing. Then OB sewed my small tears. I knew that I felt the pain of delivery when he pinched my skin to see if I felt it, to know whether or not I needed to be numbed while he stitched away. I sure felt it! I feel pretty proud of myself. Even though I gave in and got the epidural, I got the natural "delivery" that I wanted to experience... even if it wasn't by choice! :) And, I didn't even scream or yell like all those crazy women in movies... ha ha.
After we bonded for about an hour, they took her and bathed her and my dad, brothers and FIL came in to see her. Shortly after they all welcomed her, everyone left and it was just Emma, Kyle and myself. We were escorted to our postpartum room as a family :) On the way, they play a little lullaby overhead to announce the birth of a new baby- and that was OUR lullaby!! I had been listening to everyone else's the last few weeks at work enviously waiting for my turn. Silly, I know. Something small that just made me smile inside and out!
The past 8+ weeks have been wonderful, exhausting, emotionally trying, and I just can't imagine it any other way. I love seeing her change and grow every day. I love seeing Kyle be a dad. I love knowing that I am her mother, and that she seeks me for comfort. I love breastfeeding her. I love early morning feedings when all I wanna do is sleep, and then she looks up at me and smiles, and my frustration for lack of sleep fades away. I love her fresh baby smell after baths. I love it all.
I love you, Emma.
| Can't get enough of her. Getting ready to head home. |
| He's a DADDY!!! Fatherhood looks good on him. |
| My precious little bundle |
| napping on the couch first week home. |
I'm proud of you!! My plan is a natural childbirth, too, and I'm terrified. I love your attitude and your acceptance of what needed to change. And I needed to read how happy motherhood is, so thank you for posting this. Congrats on your beautiful Emma. I am so happy for you!
ReplyDeleteI love to read birth stories! What a wonderful and special thing. Thanks for sharing!
ReplyDeleteElena, this is beautiful!! I loved reading it. You're family is just so Beautiful :). Good luck with being a new mom!
ReplyDeletesuch a cute post =)
ReplyDelete