40 weeks + 3 days.
I woke up about 1:45 AM feeling mild contractions. I’d had middle of the night contractions a few times in the past weeks, but this was a bit stronger. From then until 5 AM, I had contractions every 20-30 minutes, getting closer to 15 minutes apart by 5 AM.
I got out of bed, since resting between contractions wasn’t really happening anymore, because of adrenaline, not intensity. I was just restless! I ate some food and packed a few last minute things in my birth bag, only to lie back down and find out the contractions had completely stopped. Except for one random really strong one, I had no contractions until around 9.
It was Ezra’s day off, so he’d gotten the kids breakfast and we all went outside. He did some yard work while I did the first two steps of the Miles circuit (forward leaning and then side lying). He had to leave somewhere around 9:15 if I wasn’t in labor. About 8:55 I got up and started walking to the house. I was about halfway across the yard when a really strong contraction hit.
We decided Ezra should to stay home, told his mom to come, and texted the doula that she wasn’t needed yet, but that *something* was happening. I still thought maybe Ezra should do his errand, but was worried labor might start. I tried to eat some but wasn’t really hungry.
Contractions continued to be quite strong but far apart. I had to breathe through them and be on my hands and knees, but never had any idea when they’d hit. Sometimes it was 5 minutes, other times 35. Emotionally I was really not doing well and felt very confused and uncertain. I had no idea what was going on and was afraid they were going to stop altogether again, while also being afraid this the real thing. To distract myself, I was hanging out with everyone else in the living room, resting between contractions and grateful for Ezra’s help to get on my hands and knees during a contraction and also for the girls occasional back rubs or jokes.
Around 11 I got up to use the bathroom and after that stayed in our dark bedroom, which is when contractions became more regular. I started squeezing a comb to help with the pain. At 11:30, I told my doula she needed to come and she suggested a few things that helped the contractions even out a bit more (like moving to an exercise ball if I could). Our fear with all the start-stop and inconsistency was that baby was in a bad position. My mother-in-law arrived and started helping with the other kids (though S had already made them all pb&j for lunch).
The doula arrived about 12:30. She started making sure we were both hydrating, helped us do a side-lying release again, and also helped me get comfortable lying on my side. I was so weak, probably a combination of adrenaline, being on the tail end of a cold, and not having slept much for the last few nights. I was also having more crampy abdominal pain that didn’t go away between most contractions. At one point, she thought we should try a lift and tuck, essentially picking up my belly to “dump” the baby down further in the middle of a contraction, which sounded absolutely awful. But I wanted this baby to be in a good place and hoped that even if a lift and tuck hurt now, it would shorten the pushing stage. Finally, I let out a yelp, dropped my belly, and held onto the edge of the bed because baby definitely moved into a different position, though I don’t know if it was better or not.
Somewhere in there, the song In the Twinkling of an Eye by @izziethommusic came on. I wasn’t sure if it would make me feel better, meeting me in the pit, or make me feel worse because it’s a lament. But it was exactly what I needed at the time and I could feel myself relaxing and surrendering fears because of it.
Contractions were picking up and I started having a lot of self-doubt and pain avoidance. I said we needed to go, because I recognized these as transition signals, but also because an epidural sounded really good. I told Ezra that, and started planning in my mind: if I was at 5 cm or less, I’d get an epidural. 7 or less, I’d consider it or ask for IV meds. I knew that wasn’t really what I wanted, but it was a strong desire at the time, especially because I was so weak! Songs on my playlist and encouragement from my doula and Ezra helped me feel a little better, but I still didn’t feel ready at all for the end of labor. I remember crying a little bit as I sat on the edge of the bed leaning on Ezra before we left the house.
Ezra got me sunglasses for the car since it was so bright out, and we headed to the hospital, the doula in her car and us in ours. I had one or two contractions in the five minute drive over. There is no parking close to the entrance, so we walked a block or so to the entrance – which surprisingly felt really good. I was able to handle contractions holding on to Ezra, and the breeze was refreshing. This labor was first time that I could tolerate contractions not on my side or hands and knees!
Something someone said at check-in made me think they didn’t think I was very far along. “It’s her fourth,’ my doula said and they sped up. We went back to a room and started getting settled. The midwife came in and checked me. I was 8 cm, 100% effaced, 0 station. It was around 2 PM, and I calculated hopefully that we could have a baby in arms by 3 PM (bad idea; don’t do that, especially if you can see the clock afterwards!). They asked if I wanted any meds… I asked what the IV options were, but decided against it. And Ezra knew I didn’t really want an epidural so told them no about that before I could say anything (which I confess made me annoyed at the moment, but he was right, especially as he later reminded me, I hadn’t said anything about it before being in labor, so he knew not to trust me!). But I did ask about the nitrous oxide, which they brought pretty quickly.
And it was amazing. It took the edge off the pain, so that I could actually relax through contractions and not freak out or lose control. At first I thought it was because I was more focused on breathing, but then as I paid more attention to how I was acting, I realized it was really the laughing gas.
I was lying on my side with a peanut ball between my knees. Ezra was up at my head, and the doula was jiggling my glute (sounds weird, but it helped so much and apparently hijacks your brain). Through the baby’s monitor, I had a warning before every contraction, because I could hear the heart rate pick up before I felt anything, so took that as my signal to take a deep breath of nitrous oxide. The midwife was putting warm compresses on my perineum which felt really good (and was something I’d wanted but forgotten to communicate to anyone). I noticed that I would lift my chin up a bit to breathe in the nitrous oxide, but then dropped it to my chest to breathe out and that felt so good.
I was a bit discouraged. I’d known it was unlikely I’d be further along than an 8, but I’d been hoping I was (I’ve always been 8-9.5 on arrival!). And even with the nitrous I was starting to just be done.
So the midwife broke my water, taking me from a 9 to cervix “gone” and baby at +2. It was 3 PM. But my body wasn’t ready to push yet. I know it wasn’t really that long, but it felt like a long time and there was a little bit of crying in there again. It was intense and painful. The nitrous still helped, but I was losing control again. Ezra and my doula were coaching my breathing and vocalizations, to stay low. My hips were hurting, so they rolled me over to my other side, and I think that did something because I immediately started feeling more downward pressure and movement. Rolling over was also good because now I couldn’t see the clock or the growing number of people coming into the room to be ready for the birth!
This is where it gets blurry! Fetal ejection reflex totally took over (around 3:25 most likely). There were breaks, but I don’t remember distinct pushing contractions and I was definitely not actively pushing. I don’t know when I dropped the comb I’d been squeezing or the nitrous oxide mask, but I did. I was on my side, but curled a bit, and could see the midwife prepared but also very hands off. I felt pressure on my tail bone only briefly (and yelled out for counter pressure, which my doula immediately started doing), and then felt a lot of stretching and crowning. It wasn’t as sharply painful as I’d remembered but was so so so intense. As always, it was the best feeling ever as the head finally popped out, and then shoulders and body wriggled free. I reached down and picked her up and brought her to my chest. I thought the midwife was helping me, but she says she had guided out the head and shoulders and the rest was all me. It was 3:34 PM.
Baby was crying and healthy and pink. She’d had a nuchal cord but it hadn’t caused any problems. My placenta came quickly and without any issues – my doula and I had both recently read a study about eating dates and that being on par with pitocin, so I’d eaten a bunch of dates pretty much right away and they didn’t need to give me any pitocin to stop bleeding and were pretty impressed with placenta delivery and my uterus’s firmness – so I think they worked! I had a tiny tear, but the midwife was pretty confident about stopping the bleeding and it not needing any stitches, so we left it.
I’d completely forgotten about the gender, but someone asked and someone checked (I can’t seem to get my babies at the right angle to see right after they’re born!) and said it was a girl. She didn’t nurse for a while but she was with me for about two hours before they took her to weigh and measure: 7 pounds, 7 ounces; 19 3/4 inches long. This time I remembered to ask Ezra to pause my music as soon as she was born, and so we could see she was born to Sara Groves’s song “Beautiful Child,” which is pretty accurate!
“Beautiful child right from the moment you were born
You overtook my heart my world
My beautiful child
Tender and sweet both in your crying and your sleep
You radiate a sense of hope
You’re beautiful
And I have seen the most amazing sights
In my travels on the earth
Misty seas and amber harbor lights
And other things of matchless worth
But next to you all of the beauty seems so plain
You would think I’d never seen a beautiful thing.”