Monday, April 30, 2012

Our Birth Story

Our Birth Story
Told by Rawley

On Sunday April 15, Julia started to feel “menstrual cramps” around 10am and we decided to go for a walk around the neighborhood to see what would happen. On our walk, the cramps were becoming stronger and we decided to call our doula for advice. Julia didn’t want to alarm the midwife and hospital until we really knew this was the real deal. When we returned home from the walk, Julia went to use the restroom and had a small gush of what we had to assume was her water breaking or leaking. At this point, we contacted the midwife since Julia was GBS positive and knew that she would want to see Julia sooner than later for antibiotics.
Our midwife said to continue to labor at home and we would meet at the hospital later that day. I spent the rest of the afternoon timing contractions, packing last minute items in the hospital bags and fulfilling my Bradley coach duties while Julia tried to stay relaxed and welcome each contraction. At one point, we sat on the back deck and enjoyed the sunshine while Julia continued to labor with her feet kicked up on a chaise lounger.


Around 5:30pm we headed to the hospital as Julia’s contractions were about 3 minutes apart and 50 seconds long. They were definitely getting stronger but were manageable. When we arrived in labor and delivery, they immediately set Julia up on the EFM to see how the baby was doing while Julia received the GBS antibiotics. Baby’s heart rate was staying consistently between 170 and 180 beats per minute. Due to this, we decided to keep the EFM on to continue to monitor baby closely.  The baby was also experiencing several decels after contractions. Most of them would recover pretty quickly but a few stayed down for several minutes.
At 7pm Julia spiked a fever and was given Tylenol and a different type of antibiotics. The doctors started to fear that perhaps she had an infection and that might be the reason why baby’s heart rate was so high. Our midwife wanted to identify where the umbilical cord was at because she thought that could be the reason why we were having decels. An ultrasound machine was brought in and it was found that the cord was not the issue. We also asked the midwife to perform a vaginal check at this time and learned that Julia was 3cm dilated, 100 % effaced and the head was engaged in the pelvis.
Before long we realized that the baby was handling labor the best in only one position, therefore Julia had to stay laying on her side for the majority of the labor. This made her contractions more painful because she wasn’t able to move around and at this point, water birth was also out of the question. Our labor was now considered “high risk”. Julia had to use her deep breathing techniques that she learned in Bradley class to help her through despite her uncomfortable position.
The decels continued and we had many difficult conversations about the risks and possible outcomes. We were still trying for the natural birth and our midwife was really supportive, but we knew that cesarean was a high possibility for us at this point. We definitely didn’t want to have an emergency surgery where Julia would be put to sleep and miss the experience of our daughter being born, so we asked the anesthesiologist to place the epidural in case our situation changed quickly.  The epidural placement began around 10 pm.  We were really still praying that the labor would turn around and baby would be born vaginally, so we asked for another check around 11 pm and Julia was found to be 5cm at this time.
Around midnight, the baby had a pretty major decel that lasted for over 5 minutes. The heart rate had dropped down to the 60s and was not recovering quickly. Our midwife looked at Julia and said that she believed it was time to get the baby out. That was when we really knew that this was the right thing to do. We really trusted our midwife and knew she would only suggest the C-section if it was truly our only safe option at that point.
The surgical team was very accommodating and wanted to help us experience our daughter’s birth as positively as possible. They made an exception to allow our doula to be present in the operating room which was a huge blessing. They also let us bring in our ipod player and dimmed the lights. The agreed to let the cord pulse for 1 minute before clamping and brought the baby to Julia minutes after delivery for skin to skin contact.
Julia’s placenta was beginning to calcify, which may have attributed to the stress on the baby’s heart. The OHSU team also determined that Julia had developed an infection during labor that was putting stress on the baby. Despite the turn of events and possible risks that developed during labor, our baby Kadence was born perfectly healthy. We felt very positive about our choice as we knew that not having the intervention could have resulted in a much different outcome. We felt extremely knowledgeable and in control of the process despite all the scares along the way. We really are able to look back and remember our birth experience in a very positive way, especially every time we look down at our beautiful daughter’s face and see that she is healthy.





Tuesday, April 10, 2012

Update!

39 weeks tomorrow!


I had a midwife appointment this week, things are going well. Baby's head is low in the pelvis and she is face down in a good position for delivery. I'm still doing all the at-home ripening techniques hoping for labor to start on its own. After my conversation with midwife, if baby Voorhies isn't making her arrival by her due date, next Wednesday, we will being the induction process. We will start with the least invasive methods and proceed from there. Either way, we are excited to know that we will be holding our baby girl in our arms next week!


The waiting has been a bit unsettling. As a "first-timer", every new ache or feeling puts me into guessing mode. Is this it?? Am I in labor?? Contractions are irregular and they start up for a few hours and then stop. I have menstrual type cramps and sometimes shooting pains down into my thighs. Things are definitely getting more uncomfortable. My back and feet hurt pretty much all the time. I'm still up and moving as much as possible. I try to get a good walk in everyday!


My weight has been dramatically increasing in the last two weeks. It has been pretty consistent through the whole pregnancy but in the last week alone, I have gained 4 pounds. That is a pretty big jump for me! I now officially weigh more than Rawley, which was a scary realization.


Belly button is still half in and no stretch marks so far. I seem to crave sugar like crazy right now! I also have to pee every 20 minutes, more frequently than that when I am standing up and walking around.


That's about all I have to update. We will just keep waiting as patiently as possible for this little lady to be born. I can't believe it is going to happen any day now!

Friday, April 6, 2012

38 Week Ultrasound

We went in for another growth ultrasound this week. My midwife felt it was a good idea to make sure baby is still growing because she had measured my belly the same size for the last 3 weeks.

Baby was a little grumpy as you can see from the scowl in the pictures but she looks great! They estimated 6 lbs, 11 oz. That is a little more that a pound increase from our last ultrasound 3 weeks ago. Baby is doing great. She must be really enjoying her warm, cozy home in there.

Hope you enjoy the pictures! Oh, I also asked the US tech about her nose because I keep thinking it looks so big and puffy. She said that the 3D ultrasounds always make the nose appear larger than it really is. Don't worry Rawley! There was no big nosed man in my past!





Wednesday, March 28, 2012

Watermelon Status- 37 weeks

37 Weeks


How big is baby: It is official! I have reached “watermelon status”. I remember laughing about this at the beginning of my pregnancy baffled that I would get to that size. She is now considered full term and ready to be born! Baby girl Voorhies can be anywhere between 19 -21 inches long and between 6 – 9 lbs when she is born. Babies gain about ½ an ounce a day at this stage. We figure based on our last ultrasound, she is roughly 6 1/4 lbs currently.
Pregnancy Symptoms: I am experiencing tightening and some cramps. I am also extremely tired! After a long day on my feet, I will notice swelling in my lower legs and feet but it usually goes away quickly when I rest. My stomach gets upset more easily and heartburn happens more often. Not much else to report!
Stretch marks: Still none to report.
Sleep: Now that I am done with work, I get to sleep later into the morning. My nighttime’s are pretty much the same though. I have to switch sides often and go to the bathroom in the middle of the night. My stomach is pretty sore when I sit up in the morning.
Best moment of the week: Probably the best moment of the week has been having the time to get things organized and completed. Not having to wake up before dawn to go to work has also been nice.
Movement: Baby is super active and it is getting easier to tell how she is situated in there. She likes to stretch out and push her feet up against my side. I like to tickle at her feet. J
Food cravings: We seem to be regulars at Menchies Frozen Yogurt. There is a girl that works there that we happen to see almost every time we go. One of our visits this weekend, my yogurt ended up in my lap, on the floor of the car, and the parking lot. I was a mess. Rawley went back in to get napkins to clean me up but my biggest concern was that he would get me a new yogurt. It was a pretty funny pregnancy moment.
Food aversions: None
Labor signs: My fetal monitoring chart showed that I am having uterine cramps. I also have noticed some pains in my low abdomen, slightly higher than my pubic bone, which my midwife claims is probably cervical cramps. This could mean I am dilating which would be wonderful! Braxton hicks are happening more often.
Belly button: Still halfsie
What I miss: My energy.
What I am looking forward to: Holding this baby girl in my arms. I can’t wait!
On the to-do list: More acupuncture treatments and various cervical ripening techniques. I also have fetal monitoring again on Friday so I can check in and see how the baby is doing. At this point, we are all set to bring our baby home.
Milestones: Your baby is now considered "full term," even though your due date is three weeks away. If you go into labor now, his lungs will likely be mature enough to fully adjust to life outside the womb.
Not much will change between now and the delivery so this will be my last structured weekly update. I will continue to send any new information or changes as they come up! Let’s turn this watermelon into a baby!

Monday, March 26, 2012

Midwife Appointment

I had a 36/37 week midwife appointment today. I'm measuring at 35cm which is right on track. Mama's blood pressure is great. Baby's heart rate is spectacular! She reviewed my fetal monitoring report from last Friday and said that we scored at 10/10, which is perfect. The profile looks at fetal movement, fetal body tone, fetal breathing efforts, amniotic fluid volume, as well as the result of the non-stress test. I was glad to hear our little girl is doing so well!

My test also showed that I was having uterine cramping which is basically the body warming up for labor. I also told her that I was having some pains in my low abdomen just above my pubic bone and I thought maybe my pants were too tight. However, the other night when we were at the movies I basically held my pants a little bit away from my skin to take any pressure off my belly and still felt the pains. She described these as cervical pains that could mean I am starting to dilate. YAHH!!! I hope she is right.

So we are continuing to get ready for the baby. The nursery is completely stocked and ready. The only thing we really have left to do is pack our hospital bag and put the car seat base in the subaru. Rawley wants to treat the leather first. haha :)

This week I also start a bunch of different types of "at home" cervical ripening tricks. My midwife gave me some herbs today that I take 3 times a day that will hopefully strengthen the uterus so it will handle labor better. I also got some evening primrose oil and start acupuncture treatments tomorrow. I am also walking a ton which really brings on the braxton hicks. There are a few other tricks we are going to start trying but I'm pretty sure some of my students read this blog so I will keep those to myself! :)

I'm hoping little baby Voorhies decides to join us any day of the week but a Tuesday. That is the only day our midwife would have a difficult time making it to the birth.

I guess we should start making guesses as to when she is going to make her big entrance. I'm feeling April 4th... I guess we will see!

Friday, March 23, 2012

New Bump Photos

Here are some updated Bump photos!

30 WEEKS

31 WEEKS


32 WEEKS


33 WEEKS


35 WEEKS


36 WEEKS


BARE BUMP! 36 WEEKS