You know what they say about best laid plans? I didn't get my VBAC, or most of what I wanted for the birth. It has been a very difficult week, but I'll try to sum it up. Sorry that the short version is actually so long!
I started Monday morning at 6:30 at the hospital. Because I have a port and horrible veins, it took several hours to get a specialized nurse down to start a line because of some traumas that came in. I spent the time resting and sitting on a ball. Pit was started at around 9:30, and I started getting little contractions soon after. I handled the pain very well for 11 hours, until there were issues with contraction monitoring. Because I was a VBAC, they wanted either an external or internal monitor, but neither were working. The nurse went in to put another internal monitor in, only for me to contract while her hand was in me and she had nothing on the monitor. I started screaming because it felt like I was being split in pain. Immediately my pain level went from completely manageable to excruciating. I asked for iv pain medication, and that took the edge off. The contractions kept getting stronger and were back to back with no break, and no change in dilation or descent for hours. (I was at a five.) I saw some meconium on a pad around this point, but they weren't concerned at the small amount.
At that point, I decided that an epidural might be my best chance at getting rest without setting off my muscle condition even worse. The insertion went well, but as soon as they got me laid down, my bp started crashing. I was at 54/48. They got me stable with epi, only to have my bp crash again right after. My OB asked me if I'd like to keep going for a few more hours to allow for dilation, or if I'd like an RCS. I was devastated, but I chose the RCS. Luckily, baby looked great on the monitors through everything. They quickly got me prepped for surgery.
During surgery, I kept crashing. It was HORRIBLE to have to vomit without being able to sit up or completely move my head to the side. I don't remember how many times my bp crashed, but it was the entire surgery. I had my port connected with fluids being dumped in, but they wanted another line just in case. I lost about 30% of my blood volume, but luckily had good enough labs that they didn't require a transfusion. In recovery, the anesthesiologists tried over and over to get lines started. I'm bruised from armpits to fingers from that. I kept crashing in recovery, and I felt SO horrible. My son had been rushed to the NICU, and because I was unstable, I couldn't have family with me. The doctor kept paging trauma and ICU to get a line started. Eventually they got a line in my wrist and got me stable.
My son was looking stable, so they let me nurse him. He nursed slowly but very well for a good two hours. After that, it was decided that his respiration was too fast and he was back in the NICU. I had a horrible nurse and no clue of what was going on for hours. He was on bubble pap and antibiotics for meconium aspiration. The next night he tore off the bubble pap, so they switched to a nasal cannula. Eventually he ripped that out as well as his IV. He was confused at feeding time, but he's coordinated to nurse and feed from a bottle now. We've heard from several nurses that we're getting a less "conservative" doctor tomorrow, and the nurses and my OB feel that it is unnecessary for him to stay in NICU. I am praying that he'll be able to come home tomorrow or Sunday. Luckily my milk has come in, and I'm able to nurse, feed him what I've pumped, and then do bottle feeds. I'm on IV antibiotics due to a fever, and I may be going home tomorrow.
I don't blame the c-section on my doctor or the nurses. They let me set the course because of my other health issues. It is a crap shoot with bp and an epidural to begin with, and my condition complicates that. I feel that my body just had too much, and an RCS was the best choice considering. I still regret that I didn't get my VB, but I can't beat myself up over it. I knew going into this that an RCS was a definite possibility, and knew that it would be the best choice if I felt my body couldn't handle it. I am so happy to have my little guy, and I can't wait to bring him home for lots of skin to skin and nursing.
Avery Reed - 10 lbs 4.5 oz, 21 inches
More pictures, including him peeing all over myself and the OB.