It's already a little foggy, but I'll try to put everything down before I forget it.
At 2:30am on Aaron's due date, I had my first contraction in the middle of the night. I didn't get too excited because it didn't seem that strong and didn't last that long. Around 3:15am, I had another one, and the next one around 4:00am. About that time I came downstairs and fiddled around on the computer because I couldn't sleep, and then fell asleep around 4:30 until 6:30am. At 6:30am, I noticed I was having more contractions, but about 10-15 minutes apart. They were lasting between 20-30 seconds apiece, but inconsistent. At some point mid-morning, I had bloody show - got really excited, but the contractions stayed inconsistent even with that.
I am grateful that Aunt Ann had come to be with us, and she and Emma were getting along very well. After lunch, Ann took Emma out shopping and I labored at home for a while. Joe started keeping track of my contractions, and they were between 5-7 minutes apart, and lasting 55-60 seconds. By the time Emma & Ann got home, they were stronger and coming closer together. At 4-ish I was in enough pain that we decided to head to the hospital. I hugged Emma and Ann, and we headed out.
Luckily at home with the ball, I was able to labor without much significant pain but I was feeling pretty icky. So from first contraction to getting to the hospital, it was 14 hours.
Sadly enough when I got there, the nurse who checked me (who never introduced herself) said I was only 2 cm dilated. Which is exactly what I've been for the last 3 weeks. So she hooked me up to the monitor and said she'd be back. What she didn't say is that I needed to be hooked up for at least 20 minutes, if not longer, to get a "baseline" (whatever the heck that was supposed to be). I was pretty miserable at this point, and finally I told her I needed to labor OUT of the bed, not laying flat on my back. I was getting some bad back labor pains too, which was odd since Noodle was facing the right direction.
Finally they let me get out of the bed and I labored for a while, but again was feeling really bad at this point and started to ask if I could walk around. She finally un-hooked me and Joe and I made exactly one lap around the hallway/nurse's station before I came back and asked her to re-check me. I was 4cm at that point, so she said they could admit me. She took forever to get my IV in, and then they took me to a room down the hall.
I asked for a birthing ball, but the one they brought me was half-deflated, so that lasted all of one contraction. I was really having some horridly strong contractions, and by this time was asking for my epidural. What they didn't mention right away, but did later on was that they wanted an entire IV saline bag in me before they'd even call the anesthesiologist. Joe was trying to help by putting pressure on my back, stroking my hair, etc, but I was begging for the epidural. I was crying and moaning so loudly, and I have no shame to admit I about ripped off the arm of the hospital bed, rocking back and forth so hard when I was laboring. At some point my legs got really weak and I even dropped to the floor a couple of times.
Finally -- 30-40 minutes after they moved me to the room (about 2 hours after we got to the hospital), the anesthesiologist made it in and got the epidural in to me. I didn't realize it at the time, but they kicked Joe out of the room during the procedure. That bothered me after the fact, but I also know I was in a lot of pain to not even notice. Once the epidural was in, he gave me two immediate boluses of the medication, and the contractions started to be more tolerable. I was still pretty miserable though. And I started shaking... violently and uncontrollably. I wonder if it was part fatigue, part epidural, and just part hormones. The nurses brought warm blankets, and as I calmed down from the pain, it helped.
Joe came back and and held my hand, stroked my hair and talked me through the worst of it at this point. I remember another anesthesiologist coming in to give me a 3rd bolus since I was still feeling a significant amount of pain and discomfort. At that point, I was still moaning pretty loudly with contractions -- Joe put on some music for me, which helped, but it was still painful right around my buttocks and back. The original anesthesiologist came back and said he could give me a 4th bolus, which might or might not work, but that they had given me "a very large dose of epidural, larger than normal" so he wouldn't guarantee anything. I said that was fine, and glad I agreed because the 4th dose took all the pain away. I couldn't feel anything from the waist down, but that was totally ok at that point.
Then it was a matter of time. I was still having great contractions, and it didn't take any time at all to get up to 10cm. They called the OB resident, who broke my water and then the nurses had me do a couple of trial pushes. When I made great movement getting him down, they called the OB on call from the practice (Dr. D'Angelo) and she headed in from home. I started pushing around 9pm, and thought he was moving quickly but he really was coming down slowly.
One difference between Aaron's labor and Emma's -- the nurses and Dr. D worked at stretching me with each contraction and push, and he really made good movement (all things considered). I think what took so long is that my contractions slowed down, so they ended up giving me pitocin to speed things along. This time I had them bring the mirror on the ceiling down so I could see what was going on. It was amazing to see his head get closer and closer with each push. And then finally, at 10:54pm, with one gigantic push, his head came out and the rest of him followed. They laid him on me and let the cord stop pulsing, and then Joe cut the cord. 20 1/2 hours of labor from that first contraction.
While they were cleaning him up, I noticed that his cry was wet-sounding. They had called the NICU nurses just in case because Dr. D saw that there was meconium around his head when I was pushing. I'm glad they did -- he was struggling to breathe, even though he pinked up well and his O2 stats were fine. We did some skin-to-skin time which helped a little, but he was still pretty raspy. So the NICU nurses went back and forth about taking him up, and finally made the decision to take him up to the unit. Thankfully enough, on the elevator ride up while using the CPAP, he seemed to fully recover. Joe texted me from the NICU and said they were going to keep him and monitor him, because they had already alerted the staff. The respiratory therapist, at least 6 nurses and the NICU nurse practitioner were all working together to make sure he was ok.
In the meantime, Dr. D. knew my history and checked to make sure the placenta came out fully. She worked to get some membranes out that had stuck, but she really did a great job making sure I wouldn't have any complications. I didn't lose that much blood, in my opinion, and the placenta and umbilical cord looked really healthy. Yes --I asked to see it! Although I couldn't see much in the little container that they had it in.
I had to stay down in the labor and delivery for 2 full hours before they took me up. After Joe knew that Aaron was ok, he came back down and stayed with me. We got settled in our room, and then around 2am I finally got to go in to the NICU to see my son. He tried to nurse but was too sleepy, and then around 4 am they called me again to try and feed him, and he latched on like a champ.
He got discharged from NICU around 2pm the next day (11/25) and stayed with us for most of the day and night. I had them take him to the nursery twice, just so I could try and get some extra rest.
Before I forget -- we had wheeled him down around 2pm directly from NICU to our room. Not 2 minutes after he was in our room, Emma and Aunt Ann came to visit! I caught it all on video, even though we didn't know exactly when they would come. Emma was so sweet with her little brother, and then she got distracted by the hospital snacks and the fact that the TV was on (Football Sunday). They left after about 45 minutes, but it was good to see them.
Even though by Ohio Law, we had 48 hours, I really didn't want to wait that long so after lunch on Monday the 26th, we bailed. All the paperwork was signed, and we gathered up our things and left. I felt a million times better physically than I did after Emma's birth -- I think a sign of a better labor/delivery process, and the fact I didn't have a big chunk of placenta still stuck in my uterus. Overall the nurses were great (with the exception of the ones in triage), although it wasn't really the "cushy" hospital that everyone makes St. Ann's out to be.
About 2 hours after we got home, Aunt Ann headed back so she could be there for Uncle Kirk's surgery (reconstructive ankle). She's my hero -- she really was amazing while she was here, and we're so grateful to have had her for the time we did. We've had a wonderful couple of days with him home. He's a good sleeper so far, a great eater, and just sweet. Emma has done a great job adjusting too.
My milk came in today, I'm tired but not totally exhausted, and we're finding a way to make our new family of four work together. Joe has the name of a good urologist who will do the vasectomy, and we're totally done.
So this is our family. No longer do I need to try to conceive, worry about ovulation, time intercourse, freak out about miscarriage, or panic when I bleed. We can focus on just experiencing our little family grow. :)
Pictures to come!