Things didn't go so very well. I didn't ever establish a "good" pattern of strong contractions before their 8am cutoff time, and when I went on over to L&D the attending OB (who has the final say over the attending CNM) thought that we should go ahead with pitocin instead of trying a prostaglandin gel first, his reasoning being that I could be waiting around for the gel to work and then have still no labor by the 24-hour mark of PROM (at which point aggressive pitocin would be the course of action).
So at around 10:30am on Tuesday, against my better judgement, I agreed to let them hook me up to a pit drip, 4 units per hour to start (which I understand is pretty low). It took right away, but unfortunately an L&D nurse took it upon herself to crank it up to 12 uph WITHOUT TELLING ME.
Around 1pm I took Nubain for the pain. The period 1:05-1:40 is possibly the only bearable part of this story for me. As it began to wear off, I made the second mistake, giving in to the pressure of taking the epidural. At this point the pit was going in at 16uph and I was in absolute agony with 50 second contractions spaced about a minute apart, 3cm dilated.
The first anesthesiologist misplaced the epi, leaving my right side numb but my left side totally aware. Rather than immediately replacing the catheter, they propped me up on my right side, thinking the medicine would drip to the left and I would get some relief. Oh, and I had to pee really badly, but the Foley wasn't in yet. They said that when the Foley went in and the pressure on my bladder drained off, the epi should work perfectly. 20 minutes after placing the Foley, when that still hadn't worked, they called in the second anesthesiologist, who replaced my faulty epidural with a faulty combination spinal/epi. This time my left side was fine, but I still felt everything down low in the birth canal on the right side, with the added bonus that I couldn't move my hips or legs at all by myself, and I could feel every inch of the Foley.
At 4:30pm, still 4cm and still on the pit and in agony, a third anesthesiologist came in and put an extra dose of fentanyl in my catheter. That seemed to numb the right side a bit more, but I'd be lying if I told you it helped. The mw came in around 4:45, told me to rest for an hour and then we'd see where we were. At 5:45, I started to feel the contrax hard-core through all the drugs, and I began to shake uncontrollably. An OB came and checked me out down below, then commanded the nurse to remove the Foley, that I was fully dilated and ready to go. They put big full-length mirror at the end of the bed, and a particularly loathed L&D nurse held my right leg while my husband held my left. They could never get the contraction strip on the monitor properly, which is probably why they gave me so much pit so quickly, and as a result they couldn't tell when I was about to contract, so I was the one directing the pushing. I told the mw to stop telling me "harder, harder" - I was the only one that knew when and how the ctx were coming.
We started to push at 6pm. At 7:57, baby Lucas was born.
There is a LOT more to this story. Highlights include:
Anesthesiologist #1: You will feel a little pressure.
Me: ... whoa. dizzy now - ears ringing - heart rate way up, guys ...
Anesthesiologist #1: That's normal.
(when I was off the BP cuff momentarily, trying to place epi #2)
BP monitor: (shrill alarm sound)
Me: what was that?
Nurse: Oh, don't worry about that, it's just the machine.
Me: How fast are you sending that pitocin? What number is it on?
Nurse: Uh, I think it's on ... 8.
Me: Could you turn the display towards me, please?
Nurse: Let me ask the mw.
(nurse leaves room)
Me: DH, would you tell me what the number says on that IV machine?
DH: You're at 12.
And that was just on the L&D unit. OB recovery was a completely different adventure.
Here's what matters: He's here. He's BEAUTIFUL. I had a slight natural tear, but no crash section and no episiotomy. We love him and he was worth any amout of pain and suffering.
Next time, UC in the woods with two close friends, a doula, some
:, and a bottle of very good wine.