#and just kept reuping every time it came around. until one time it came around again and he didn't -

[nonsupe-a]

thinking about shiloh outside of the boys verse is still kind of sad because he still doesn’t know how to stop or rest.      he doesn’t give himself a break.

[bitoffairydust]

Yesterday we came home from the hospital as a family of three.

Things haven’t been super smooth sailing, nor did I expect them to be, but our little one is doing well and I’m healing fine so that’s really all we could ask for.

Wednesday was a bit of a whirlwind. I was scheduled to go into the hospital for my induction at 5, so we spent the morning doing a bit of last minute clean up around the place. Then around 12, someone from L&D called and said if we were available to come in earlier, we could just show up whenever. We still had a few things to finish up so we had lunch, I took a shower while my wife did the dishes, then she took a shower and got the cats set up for a few days home alone before we called an Uber to head to the hospital.

We got there around 3:30-4 so not super early but they got us into the delivery rooms right away and someone came over to go over a few questions (medical stuff and what I was hoping for with the birth). I got hooked up to the contraction and fetal heartbeat monitors, they got my IV line in, and then we went over the induction options for me. Based on my last check up, I was about 1.5 cm dilated, so before anything else they had to get me to about 3 cm, which they offered to do with either the foley balloon or misoprostol. Then the plan was to start me on oxytocin to get contractions going. I requested the miso, cause I figured there would be enough things going in and out of my vagina for the evening without an additional thing thrown in there 😅

It actually took a little while for the induction to start because as it turns out, three people (myself included) showed up for their induction within 5 minutes of each other and I was the last so it was closer to 7 before the resident came to examine me. In doing so they found I had actually progressed to 3 cm on my own since my last appointment so they were able to just get me started up on oxytocin.

Contractions started up pretty much instantly but they were very manageable. I’d say just from the oxy progression, the worst contraction I got was maybe a 5 on the scale from 1 to 10. Then they ran through the dosage and did another exam to see where I was at. They didn’t give an exact number then but I think it was somewhere between 4 and 5 cm. Before starting me up on another dosage of oxytocin, they went ahead and tried to break my water as it hadn’t yet. They didn’t actually manage to fully get it, and honestly, at that point, them trying to get it to break was actually more painful than the contractions I’d experienced that far.

That changed pretty fast once they established they’d gotten enough of the membranes for the time being. I’m fuzzy on the timeline but I think it must have been close to 10 at that point, and the pain level climbed very quickly along with contraction intensity and frequency. I tried to bounce on a ball for a bit and the nurse showed my wife some pressure points to try and help with the pain but it did nothing. Around 10:30 I requested the epidural, which was unfortunate timing on my part as the anesthesiologist had just gone in to assist with a c-section. By the time she was out and got to my room it was about 11:30 and pain was an easy 10 on the scale with contractions maybe a minute and a half apart.

The epidural itself went in pretty smoothly but at first there wasn’t much to be said for relief. Since they mentioned it could take 15 minutes to really be felt I didn’t think much of it, and I did feel like things were getting a bit better as minutes passed. The last contraction I was asked about felt more back down to a 5 on the pain scale so the anesthesiologist left. Unfortunately, that 5 turned out to be a fluke because pain shot back up pretty quickly and I was soon at a 10 again, no matter the dosage boosts.

That part was quite honestly the worst of it all, having expected some sort of relief and finding it to be just as worse as before. To make it worse, baby was not handling those contractions well. His heart beat would drop with the start of each contraction, though it picked up before the end of them so though they wanted to keep an eye on it it wasn’t cause for intervention yet. The nurse monitored his heart rate with me laying flat on my back, on my right side, on my left side and then sitting straight up. The latter was the slightly better option for him, but definitely did nothing to help my pain management. She did get me back on my back to try and relieve me a bit since the difference to the effect on baby wasn’t huge but at that point contractions were relentless. I was dealing with back labor contractions, which were maybe a minute apart, and because they suspected the placenta had detached a bit when they tried to break my water, when a contraction would subside, the pain in my abdomen would become more prominent and almost to the same level. It made it feel like I was contracting non stop with no break for catching my breath or trying to recuperate.

Around 2 in the morning there were a few people in the room examining me and trying to figure out the best course of action. A C-section being needed started being mentioned if things didn’t improve, but I was at a little more than 9 cm by then. The OB and the anesthesiologist had a talk outside the room and decided to re-do my epidural as it had clearly failed (they did an ice test and it was clear I wasn’t frozen anywhere at all), and if I were to end up needing a c-section, I’d have to have it redone anyway.

She took two tries to get everything situated in my back. That second try did the trick. I don’t think I can even describe the amount of relief when my foot started feeling warm and then going numb, and within maybe 5 minutes it was amazingly painless. They did another ice test and this time I felt no cold at all anywhere, and when the nurse pointed out I’d just had a contraction it cemented it because I’d not felt it at all. The only thing I could feel at that point was a bit of abdominal pressure every now and then. And I will say, I did have a great team with me. Everyone was very empathetic and trying their best to get me to feel some form of relief before the second epidural. And they seemed almost as relieved as me when that last one finally worked - especially because after that baby’s heart stabilized.

By the time the epidural was done, even though they figured I had likely progressed to 10 cm, they elected to let me rest for a bit, and give baby a chance to keep making his way down, so I got to catch a breather until about 4 am. Then they told me it was time to try and start pushing, with the nurse guiding me since I still couldn’t feel any sort of contraction. I pushed through maybe four or five contractions without huge progress, and the OB came in to assess and established baby needed a bit of help coming out. They set up the forceps and had me push through another couple of contractions, but they were pretty week and hard to catch even for the nurse by then, and baby’s heart rate was starting to struggle again. So they got on the phone to get a room prepped for c-section, and the doctor told me I would get to push through one last contraction, but if nothing happened we’d have to go into surgery.

The nurse tried to wait for a good one (she had already reupped the oxytocin drip at that point) and by some miracle, the next push for his head half out and with the second one it was completely out. The rest of his body followed quickly and before I had even caught up with it all, I had his tiny little body on me.

Even though they’d brought someone in from the NICU just to be safe, he ended up being perfectly okay. I needed a bit more attention because I had more bleeding than normal, and I had to have 4 stitches and another IV line put in to help with the blood loss. Then we stayed in the delivery room until about 6 at which point we were brought over to our postpartum room.

Since then nursing has undoubtedly been the biggest challenge. He did have a tongue tie, but he struggled from the get go. He would latch well but lose it and then get frustrated and cry. He also is a very lazy eater - I’d spend easily 30-45 minutes per side trying to get him to stay aware long enough to take in maybe 15 minutes of proper feeding, but he’d start smacking his lips practically the moment he was done, and he’d wake up hungry again within the hour.

Unfortunately there was no lactation consultant on staff as she was on vacation this week. People commented time and time again about how I had no supply issue, and his latch (when he was latched) was good, but it didn’t seem to help. I also felt I kept getting conflicting information as one moment he’d have crystals in his urine to indicate potential dehydration, and the next they’d be telling me he had barely loss any of his birth weight and was perfectly on target for that.

We did decide to get his tongue tie cut as it seemed to really be frustrating him at feeds and make it harder for my breast to properly fit into his mouth. The feed that followed the cut was easily the best we’ve had to date, but unfortunately it went downhill from there. After we got home and I tried to feed him last night, he did fine on the right side but then only lasted 10 minutes on the left and then lost it, started to scream and wouldn’t latch again. I haven’t been able to make him latch on the left side since, and I only managed to get him latched to the right a couple more times before we ran in the same problem, so we had to go ahead and start giving him bottles. I’ll be trying to work through it with a lactation consultant as soon as possible, and I’ve now started pumping, but in the meantime, him being properly fed was the biggest thing.

He does also have a small fracture on his right clavicle, likely from the forceps, but the pediatrician said that will resolve on its own within the week. In the meantime we just have to be very cautious how we move his right arm, and she prescribed him Tylenol if need be.

In the meantime we’re just trying to settle down to our new sleep deprived routine. But then looking into all the sweet, funny faces he makes both when asleep and awake makes it feel pretty worth it.

- Marie