"Get Out" - T's Birth Story

This is the story of our little monster-baby, T, and his arrival to "the outside."


Wednesday, 4 March
I rescheduled my 40-week appointment to today (one day earlier than originally planned) because of the threat of snow. Like, a lot. They were saying 6-12 inches. I pretty much knew school would be canceled, and if they closed the clinic, my appointment would be canceled. So, I wanted to be seen. I had a membrane sweep done. This was against Hubby's better judgment. Maybe I should have listened, but then again... maybe it was for the best that I just went for it. I was 3cm (and could stretch to 4 cm) dilated, but not effaced. Went on about my business.


Thursday, 5 March
This was quite a day, so I'll break it down into a timeline.

• 2:30am - Was awakened by a painful contraction. But, it was alone, so I went back to sleep.
• 10:00am - Started having more contractions. Or, at least, I noticed I was having more. Downloaded an app on my phone to track them. They were ranging from 30-60 seconds in length, and were all over the place in terms of interval. Seven minutes, then 15 minutes, then 5 minutes, then 20 minutes apart. Also, they weren't painful or seeming to grow more consistent.
• Mid-day - Convinced by a friend's Facebook post that I, too, was having "prodromal labor," I continued timing these inconsistent contractions, not realizing they were doing something. Hubby was convinced we needed to at least alert people that "stuff" was happening.
• 4:15pm - Snow was everywhere. We had gotten about 7 inches by this time. We let the neighbors know we might have to go to the hospital, but I was still not 100% sure. However, I had another painful contraction at this point.
• 7:00pm - Hubs realizes we only have a quarter tank of gas and decides to see if he can creep to the nearest gas station on the un-plowed roads. Turns out, only our neighborhood was not plowed. The adjacent streets are snow emergency routes and are (relatively) clear. They'd been plowed before the snow had stopped, so there was still a bit of a mess to deal with. He gassed up the car and came back home.
• 7:45pm - Kids' bedtime routine, and I was still able to give baths and read a bedtime story, but was decidedly more aware of the contractions. They were getting into a more regular interval (between 5-7 minutes apart) and growing a little more painful.
• 8:45pm - Watching TV with the Hubs, and I got one of those contractions that made me get off the couch and hug the ottoman. Hubs was not exactly pleased, and he asked more directly if we needed to go to the hospital now. I was like, "Uh... I don't know. No?"
• 9:30pm - Hubs and I head to bed. He jokes, "Maybe I should sleep in my clothes." Then, he asked me, "So, exactly how close should they be before we go to the hospital?" I momentarily suffer from amnesia and tell him (between contractions) to Google it. By this point, they are lasting from about 45-60 seconds and are about 2-3 minutes apart.
• 10:00pm - Hubs calls Labor and Delivery to let them know what's up and to find out if they are on deferral (and if we need to go to a different hospital). When they ask about my contractions, the on-call nurse says, "Uh, you should have left already." Got the stink-eye from Hubs. He texts our neighbor to ask her to come spend the night with the kids. She doesn't respond, so he heads over to their house and gets his feet wet in the snow because it came over his shoes.
• 10:05pm - Neighbor arrives, Hubs changes shoes, and we go.
• 10:30pm - Arrive to hospital. I am wheeled (in a wheelchair) to L&D because walking has begun to make me angry. Plus, I wasn't sure I would make it down the long hallways to get to L&D without having to stop every few feet to contract.
• 11:00pm - I am checked, baby's HR is good, my contractions are monitored, and I am dilated somewhere between 4-5 cm and effacing (but not totally there yet). I'm asked whether I want to be admitted at first, and then encouraged to be admitted but to walk around. But I won't be allowed to leave the room for some kind of liability reasons, so it's just walk around the room. I groan, probably from a contraction, but also probably from bureaucracy.
• Sometime before midnight - I am given a room and connected to monitors again. I hate continuous monitoring. Hate it.

Friday, 6 March
Most of these times are estimates. I only know for sure the last time listed. I was a little too busy to attend to the clock much on the rest.

• A little after midnight - I alert Hubs to the monitor screen and show him "TOCO." When TOCO goes up, I go berserk. TOCO is monitoring the contractions. When it is around 20, I'm okay. When it goes up above 50, I am unhappy. TOCO was pinging 100+ by now.
• 12:45am - The anesthesiologist shows up to get my consent for epidural and general anesthesia if needed. I humor him a little, but I let him know I had no intention of having any meds. He's persistent, however, so I hold up my "wait" finger during a particularly owwie contraction. I want to hold up a different finger. Hubs knows it. He is smiling behind eager anesthesiologist's back. Finally, I am able to scrawl some semblance of a signature on the "just in case" form.
• 1:15am - TOCO is going over 200 now. And it gets back to maybe 50 before going up again. I'm not getting a break anymore. The nurses are in awe (apparently, and according to Hubs) because I'm coping like a champ. A crowd gathers. They expect it will be any time now. But... it's not happening fast enough, and I can see people starting to leave after a few minutes. I get discouraged but can't really share my feelings.
• 1:45am - They get me on my back (which I hate) to check me. The OB on duty asks, "If I can get to it, do you want me to break your water?" I think I say yes. In my head, I say yes. Bad news, though... meconium in the water. My risk level just went up.
• 1:50am - I am allowed to be on my hands and knees. Grateful for the position change, I now feel like it's push time. And I start to push. And, oops! Poop. I apologize, but everyone says not to worry and keep doing my thing.
• 2:00am - Baby's HR is dropping to the 120s during contractions now. People are unhappy with that. They want me to roll back over on my back and start grabbing my legs. So, I do. And, oops! Poop again. I am screaming "Get OUUUT" at this point. I'm not sure why he hasn't been born yet. It should be easy with the third, right?
• 2:05am - Feels like I've been pushing forever. But it's only been a few times. They've put me on oxygen by now (might have happened a little bit before now). The OB says she needs to get out the vacuum. Baby needs out.
• 2:10am - The vacuum going in has a certain "wrong direction-ness" to it that I can't explain. Everything in me is like, "Nope. This is ebb tide, y'all. No swimming to shore." I think I protest about this somehow, but I might be sounding like a blithering idiot at this point. I'm not exactly lucid. I haven't opened my eyes in the last ten minutes at least. It's too much stimulation.
• 2:15am - I'm pushing, and pushing, and pushing. They fuss because I keep grunting during my pushes, when I should be holding my breath and using all the musculature in my body to get the baby out. I finally manage to get three or four in a row without grunting.
• 2:17am - He's out. Along with lots of shit-water. Hubs is grossed out. He says the boy is a "literal shithead" because his own fecal matter is all up in his hair. And he's pretty much brown all over.... until they clean him off.

It felt like forever, that they had him, working on him and helping him breathe. He cried when he emerged, but it was a sputter. They were concerned he may have aspirated the meconium, which can lead to a serious lung infection. They did suction, then deep suction. "Neonatal resuscitation" is on his chart. His APGAR scores were 6/8 because of low HR, poor color, poor motor response, and something else I can't quite recall.


When I finally got him (which was only like 20-30 minutes later, but it felt like FOREVER), he immediately latched like a champ and nursed. I still had no stats on this boy other than the time of his birth. I kept asking and no one was listening. After I'd been stitched up (because a vacuum-assisted birth does a real number on the nether regions), I was assisted to the bathroom. The nurse who took baby T from me said she'd weigh him. She and a resident commented that he felt like an eight-pound-eight-ounce baby. While I was in the bathroom, Hubs hollered in, "So... remember how they said 8 lbs, 8 oz??" I was like, yeah. "Well, how 'bout more like, 9 lbs, 9 oz." My jaw dropped. T is officially 1.5 lbs bigger than his brother, who was 1.5 lbs bigger than our girl. If we kept going, we'd have an 11-pounder next time! Regarding length, still not accurate information. We are going with 20 inches because the resident who attempted to measure him said, "He's wiggly, but we'll call this 20 inches." He was 20.5" at his appointment 3 days later, so we're really not sure. Maybe this is a difference between first-child and subsequent-children? I might care more about really knowing this information, but I also might not. He's perfect. So who cares?


He had to be "stuck" a bunch of times because they were concerned about diabetes. His blood sugar was 46, 47, 55, and 49 on each of his four fasting glucose tests (his poor little heels!!) - and it had to be above 45 for him to get the green light. So, he passed. Pediatricians checked out his lungs several times. He passed his newborn audiology test. He threw up a bloody mess, and I got freaked out, but it turns out this is normal for babies to ingest some of the blood of delivery. Gross, right?


Anyway, this baby boy is amazing. He sleeps well during the day, and sometimes also at night. He loves to cuddle. He is quiet and doesn't really make much fuss. He hates a wet diaper but doesn't seem to care about a poopy one. He would rather sleep with me than in his bassinet, but I don't sleep when he's in bed with me. I've probably been feeding him 3-4 times a night, with cluster feeding at the front-end (for like 2 straight hours, from 10-midnight). Hubs has been sleeping on the couch so he can be a better dad to the other two, who are handling new siblinghood in their own special ways. Took J about 3 days to decide he would hold his brother. Took E about 5 seconds upon walking into my hospital room to ask if she could hold him. They are not the same kid after all.


He looks like a mash-up of both of them. Lips like sister, eyes like brother. Stork bite like sister, quiet calmness like brother. He is exactly the baby we need during this very stressful time in our lives!!

T, at 9 days of age