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painful second labor  

post #1 of 10
Thread Starter 
I am trying to figure out why my labor with my second pg was so strange and so much more painful than my first labor. I am open to any ideas or thoughts anyone wishes to share.

My labor with DS1 was nearly painless. Contractions felt like huge bunching muscles, which was exactly what I expected. Even during transition, I never felt pain during contractions, just a very insistent pushy feeling. The only pain I had was in my lower back, easily managed by heating pads and the hot water in the tub. Labor began spontaneously with a small loss of amniotic fluid, and lasted over 17 hours. I required no augmentation, or intervention of any kind.


My labor with my new LO was so weird, and quite painful. I didn't feel any real muscular contractions, only a sharp pain in my cervical area, deep in my pelvis. It felt like one continuous Pap exam. There was no slow build-up to the ctrx, the only sign I had of each one, was that deep, sharp pain. They made me cry.

I had no clue where I was in labor, the entire time. I had a hard time timeing the ctrx, and they were ineffective. I made almost no progress beside effacement for over eight hours. The third time I was checked and was still only 4 cm's, it took 4 different nurses to find my cervix, which had rotated up and behind my baby's head. I wanted to die.

When I got into the hot tub, I finally started making progress, almost three cm's in an hour and 1/2. Before that point, I wasn't even sure I was in labor.
During transition, the ctrx got more painful, and closer together, until they seemed like one. I had absolutely NO pushy feeling whatsoever. I hurt so bad, I could not relax, no matter how I tried. I could not relax my pelvic floor, and I have no idea how I managed to bring my baby down at all. Actual delivery was a cakewalk, and my recovery has been too. Neither my baby or I showed any distress. I swore to myself during transition that I would never bear another child, ever again. This labor began with AROM, as I had been diagnosed with PIH and Oligihydramnios (low amniotic fluid). I am still not convinved of either of those things.

Was this because of the amniotomy? My gut aches as I write this, just from remembering, and I am afraid that the fear of pain would prevent me from laboring successfully should we chose to get pregnant again.

Why was it so different?
post #2 of 10
Fetal positioning?

I haven't had a vag delivery, but that's the first thing that comes to my mind...
post #3 of 10
Sorry for your rough labor.
From my own labors I can say that I never felt any pain with a ctx...until my water was broken AROM and then it was always really uncomfy focused on my cervix. Also it is totaly with in the range of normal to do most of your efacing(thinning) first and only then dilate (I am typically only 3-4cm untill 30-40 minutes before birth )
I think many things contributed to your pain this time, and you will likely be able to avoid in the future.
1. AROM
2. Stress over if you really needed to put your self and your babe thru the induction, and if you could trust the Dr's judgement
3. Way the heck a lot of vaginal exams
post #4 of 10
My money would be on fetal positioning... the AROM may have added to that if your little one's positioning was already a bit off (since the waters can provide more wiggle room for the babe to get into a better position).

I think the "every birth is different" cliche is more true than many women realize (especially in this day/age when many women may only have 1 or 2 birth experiences). And I think positioning is a much bigger deal than just being "head down".

My first birth was 32+ hous of undending back labor... no breaks between contractions, no rest, no stopping. With dd2 I had a more or less textbook labor (pushed for 4 hours but other than that nothing unusual) with nice happy breaks in between contractions. In my case the difference was dd1 was posterior/asynclitic and dd2 wasn't. Both births were "dry" since my waters broke (on their own) before each birth, so I know that at least for me that wasn't the issue.

I hope you find the peace and healing you need to pursue whatever family shape/size you feel drawn towards!
post #5 of 10
Thread Starter 
I hadn't thought about fetal positioning, baby seemed ROA when I had an ultrasound the day before.

I know I was only 70 % effaced when I had the AROM, but 2-3 cm's. By the last check before we saw any progress dialating, I had effaced to 90%, still 3-4 cm's.

And yes, I do need to try to get straight in my mind if I did this to myself, by giving in to the induction. . .
post #6 of 10
I imagine that if your babe was a bit "off" in terms of alignment, the induction/AROM may have been a factor. But it may have had nothing to do with it. ROA is good, but if a chin is tipped, or the head turned slightly, or a hand by the face for a while, or a nerve was caught by a shifting bone or baby noggin... for some babes in some births that doesn't matter, while for other babes/births it's a deal breaker.

I know I replayed every choice in my c/s birth trying to figure out what I did wrong and even now 3.5years later I wonder. But without eagle-eye hindsight there's just no way to say if any one thing was "to blame".

She was 42+ weeks, she was big with an abnormally large head, I had borderline gd and hbp, I had sPROM a good day before contractions began. I had a doula, a birth friendly fam practice dr, I stayed home and was 5cm when I arrived at the hospital. There were no "routine interventions" after the intake monitoring. I used a ball, the shower, a tub, hands/knees, belly dance, acupressure, hot socks, massage, aromatherapy. I had hands off and pro natural birthing attendants. Eventually I even tried a spinal to loosen things up/get some breaks between contractions and maybe give her room to reposition. And finally my ginormous headed, asynclitic, posterior, 9lb 5oz dd1 arrived via c/s.

And I spent months fighting PPD trying to figure out if I should have walked less after my water broke, or stayed home longer, or gained less weight, or induced at 41 weeks, or had a different doula who had more experience, or had the spinal sooner, or not had the spinal at all, or or or. So I really understand needing to figure out why things happened. But at least for me it came down to so many variables (of which many were out of my control) there was no way to say if anything I agreed to was the final straw, you know? I'm still not totally at peace with that, but it's what I hold onto.

I hope you find enough reason to find peace with the birth and with future births, but you're very newly pp (congrats on the babe btw!) and your hormones/sleep/life in general are still pretty unbalanced so give yourself time to rest and get the perspective of distance. If you can... I know that is a heck of a lot easier to say than to do. Big hugs.
post #7 of 10
Thread Starter 
Thanks. I know what you mean about too amny variables that you cna't control. I am trying not to make any judgements right now, but it keeps ghosting through my head.

He did come out with a VERY moulded head, and his fontanel was so small the hospital ped actually commented on it. It has since opened up nicely. His head was only 13 3/4 though, which seemed small to me, b/c DS1 had a 14 1/2" head.

Can you tell me what Asynclitic means, please?
post #8 of 10
Asynclitic means the head is tipped a bit... so instead of tucking their chin down and presenting with the "smallest" part of the head (where nature has designed things to mold and fold), they present with a "bigger" and less flexible part.

An asynclitic babe might be just a little off in terms of how their head is positioned (a little tilt to one side maybe), or they can be "a lot" off (full forehead presentation). An asynclitic babe often leads to a funky labor... in some cases they aren't applying even pressure to the cervix and so dilation is affected, they don't move down easily, they get "stuck", the birth is loooooooong and painful with unusual contraction patterns (one on top of the other back labor, or totally spaced out contractions that come and go, contractions that vary all over the place in intensity, often with PROM).

In dd1's case she was presenting with her ear... although I never dilated past 7cm when she was born she had pronounced molding above one ear... sort of an off center unicorn thing happening. So even though she was a c/s babe she didn't have the "photogenic" round head. She was pretty lumpy and it sort of looked like a cartoon character that had been left out in a strong wind!

I think Optimal Fetal Positioning and Spinning Babies both talk about asynclitism, it's possible causes, and possible solutions.
post #9 of 10
My second labor sucked too. I also told dh there was no way I'd have more children without the option of an epidural. I had extremely painful ctx and transition was indescribable.

I have no explanation. I could wax poetic but it seems that at the end of the day, sometimes birth is just physically an awful experience.

I've thought of lots of possible explanations, but the most likely one seems to be that birth is just a crapshoot. Sometimes you get lucky. Sometimes you get unlucky.

post #10 of 10
Thread Starter 
Quote:
Originally Posted by wombatclay View Post

An asynclitic babe might be just a little off in terms of how their head is positioned (a little tilt to one side maybe), or they can be "a lot" off (full forehead presentation). An asynclitic babe often leads to a funky labor... in some cases they aren't applying even pressure to the cervix and so dilation is affected, they don't move down easily, they get "stuck", the birth is loooooooong and painful with unusual contraction patterns (one on top of the other back labor, or totally spaced out contractions that come and go, contractions that vary all over the place in intensity, often with PROM).
::::


That's it! That has to be what happened, his wasn't in a natural position yet, and because of the AROM, he came down hard and couldn't shift position. I'm thinking he came down pretty much straight on. You should see his head now! It's long front to back, and pretty large, now. What you describe is my labor!

Thank you Wombatclay!
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