Thursday, October 11, 2012

Anna's Birth Story

by Megan Stephenson

Having had a false alarm early in the morning of 11 January, my parents had come to stay until the birth. 

At about 12.30 am on 15 January I woke up needing the loo and felt a crampy sort of feeling, but since nothing else happened, and having had a false alarm already, I went back to sleep. Woke again sometime between 3.00 am and 3.30 am, having what definitely felt like a real contraction. After a couple more I decided to time them, and between 3.30 am and 4.15 am I found they were coming regularly at about 7 minute intervals. 

I decided that I'd get up at 4.15 am, and make up a birthing space (plastic sheeting and old towels) in the lounge. Then I made myself some porridge and drank a glass of apple juice, to keep my blood sugar up.
I watched some programme about ancient civilisations on the tele, and then, at 5am decided to call for a midwife. First I phoned my named midwife, but she was off duty and her mobile was switched off. Then I called the pager service, where they told me I should instead call the delivery suite at the maternity hospital. I called them, and after lengthy questioning they said they'd get the duty midwife to me. Meanwhile, my contractions were fairly strong, but bearable, and now coming about 5 minutes apart.

Shortly afterwards the delivery suite called back to ask if my named midwife had asked to be called out (she is keen to attend her named patients herself), but I said that I thought she'd appreciate being allowed to sleep longer, and we'd call her out at a more civilised hour. Then the duty midwife called to ask for directions, which I gave her. 

I decided to have a shower, using my clary sage (aromatherapists believe that this encourages strong, productive contractions) shower gel. Then I watched some morning news reports until about 6.10 am when the duty midwife arrived. 

The duty midwife rang the doorbell, after which the rest of the household started to emerge, although Lucy stayed asleep. She unloaded some of her birthing kit out of the car, and we talked through what was happening. After having the shower my contractions had slowed down again, and I had to tell her when I had a contraction. She checked my blood pressure, listened for the baby's heart beat, and checked a urine sample. The urine sample had trace amounts of protein and lucozytes (I think that's what she said) in it, which can be evidence of an infection, so later on I did another, which was fine. 

Mum, Dad and Paul all gradually got up, had cups of tea (as did the midwife) and breakfast. At around 7 am we called the student midwife, who I had agreed could observe the birth. At 7.30 am we called my named midwife at home, but we had to leave a message on her answer phone. Lucy woke up at around this time, she came downstairs, had a look at Mummy, and then went to get dressed and have her breakfast (thanks to Nan). Shortly afterwards (7.45?) we called my named midwife on her mobile, and she got the message just as she was arriving at the maternity hospital for a course, so she turned round and came back out of Cambridge. 

By this time I was moaning through contractions, which were coming more frequently and stronger. My mum, Paul and the duty midwife took turns rubbing my back, and I leant over the birth ball, kneeling, for each contraction. The midwife wanted to check the baby's heartbeat again, and got me to lean back so she could do this, which was very uncomfortable, and had to be abandoned whenever a contraction came. Lucy came in to the room at about this time, and Nan held her and talked her through what was happening. The midwife got the gas and air ready - but it didn't seem to help, so I abandoned it after a few goes. Contractions were now coming thick and fast - transition I think - and I remember moaning “No, no, no” through them. 

My named midwife arrived at around 8.20 am, I think, although by now I was in no state to look at the clock. Very shortly after she arrived I felt a strong pushing urge, and said “push, push, push” although I remember being concerned that it was far too early to be second stage already. I pushed only when my body wouldn't let me do otherwise, and was relieved to feel the head against my perineum, and then my waters breaking and pouring down my legs. My named midwife wanted to check the baby's heart rate again, but didn't try to make me move, the second time she did this though I pushed the sonicaid away, as I couldn't bear the slight pressure of it. 

Another irresistible pushing and I felt the head almost out. In three pushes the head was out, and I felt my named midwife fiddling around, untangling the cord from round the baby's neck I guessed. Another two pushes and the body was out too, it was about 8.36 am. Baby was passed between my legs, and I sat back to admire my new baby girl. 



I felt rather shaky now, and sat down leaning against the sofa. I offered my breast to Anna, and Lucy had some Mum Milk on the other side. This triggered more contractions - to expel the placenta - but nothing was produced. Anna latched on after about 10 minutes, and had a little feed. The trainee midwife arrived about now and the duty midwife left at around this time since baby was fine. The placenta was still not coming after about 45 minutes, and I was getting fed up, I tried squatting over a bucket, but this was just uncomfortable. My named midwife said she could see that the placenta was just sat there, and offered to put her hand on my pelvis to give me something to push against, but this didn't seem to help. Eventually she was able to just gently manipulate it out, which was a relief, and she cut the cord. 

I went and had a lukewarm bath (the hot water had almost run out) to clean up, and then we weighed and dressed Anna (she'd been wrapped in a towel having cuddles). She weighed 4kg exactly. The midwife did various checks (does she have both eyeballs, do her reflexes work, etc), and then went downstairs while we had some family cuddles. Anna settled in for a good long feed, and Lucy had a bit too. 

I was having very strong after pains, which felt just like contractions. Eventually I needed to wee, and went to the loo, where I passed what appeared to be clot the size of my fist. I caught it, having felt it come out, and called to my midwife, as this seemed unusual. She examined it and concluded that it was a piece of placenta, despite the placenta having appeared to be whole. Once this piece had been passed the pains were much less.

Having had a good long feed, Anna slept most of the rest of the day.

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