Sunday, April 27, 2014

My Third Trimester


I can't tell you how happy I am to no longer be pregnant. Don't get me wrong, I am totally in love with my son and so happy to have him. But I hated being pregnant. And I think the third trimester was the worst by far. Now it's all over so I thought I would share some advice like I did for my First Trimester and Second Trimester.

Things I would do again:

Taking Zantac: My acid reflux kept getting worse and worse. First it was just spicy foods at made it act up. Then it was acidic foods. Then it was the amount of food. Then it was practically every food. Then I started waking up in the middle of the night to throw up acid. I had a prop myself up with pillows and wedges, and only lay on my left side to just be comfortable to even think of falling asleep. I wasn't losing weight but I hadn't gained any weight in 2 weeks at my 34 week appointment. So my OB/GYN said I could take Zantac daily. It wasn't complete relief, more like 50% better. But it was so bad that something was better than nothing. I could eat smaller, bland meals without throwing them up most days.

Walking Everyday: My husband and I work for the same company, so everyday we went for walks on our breaks. Just around the building. It was great exercise and time for us to chat about the baby. Plus neither of us have windows at our desks, so it was nice to have some sunshine. I really think daily walks helped Jack turn downward and get into position for labor.

Prenatal Massage: My mom got me another prenatal massage when I was 37 weeks. Oh boy, did I need one! The way I had to lay at night to be comfortable put a lot of pressure on my hips. And I was starting to have braxton-hicks contractions in my back. It was so nice to just lay on the table for an hour and have all the pain melt away. If I had the money, I would have gotten a massage every week while pregnant.

Going On Leave Early: In my maternity leave post, I mentioned my original plan was to work up until I went into labor. But Jack was measuring big and I was uncomfortable that I decided it was for the best to go on leave earlier. So I set-up to go on leave at 38 weeks, but then at 36 weeks couldn't take much more. I went on leave at 37 weeks and it was probably the best decision of my whole pregnancy. I rested up a bit and got to focus on preparing for labor---and considering how fast my labor went, this was very helpful. I am so glad I listened to my body.

Things I would do differently:


Eating Out So Much: I don't mean in terms of calories and weight gain. I had such bad acid reflux I was lucky if got more than just breakfast down most days and barely gained 6 pounds my last trimester. What I do mean is that I was just crabby and nothing sounded good most days. The acid reflux left a weird taste in my mouth that ruined most of my favorite foods. And my stomach was just so squished that I had little room for food. I could fit in a very small meal at best. So I figured since I was so miserable I should just eat whatever I wanted. And I didn't want to cook so this mean take-out. I still ate pretty healthy so it was not that big of a deal. But it would have been nice to save that money

More Baths: I loved taking a nice Epsom salt bath in the evening to relax and relax my muscles. A little nice music and same candles too.  I wouldn't have the water that hot and had a glass of ice water with me so I didn't overheat. I have no idea why I didn't take one every night! One night I was really crappy and Michael pretty much put me in the tub to calm me down. Next baby, I will just make this a nightly ritual from the start.

More Sleep: Between the hip pain, acid reflux, and the over 8 pound baby squishing all my organs, I got very little sleep. I also started having Braxton-Hicks and cramps at night. A few night a week I would end up on the couch. Not because it was more comfortable, but to let Michael sleep without my tossing and turning. Even on maternity leave I didn't get much sleep--which totally came back to bite me in the ass for labor. I was so tired that I didn't have the strength and patiences to do my all natural birth plan. I needed an epidural to calm me down enough to push. I really wish I was more well-rested. I am not sure how I could have accomplished this--besides taking serious sleep medication--but it's my own regret my whole pregnancy so far.

The thing I am not sure about:

Support Belt: My back started to hurt sitting at my desk at work. So Michael got me a support belt. It did relieve the back pain. And took some of the pressure of my belly off my pelvis and bladder. But it dug into my back side when I sat down. And if I moved from side to side too much, it would unvelcro itself. And was a bit impractical to put over clothes sometimes and look weird under clothes. I ended up only using it when I was going to be walking around a lot, like for our Babymoon. Not sure it was worth the money.


Wednesday, April 16, 2014

Jack's Birth Story: What To Do When Your Birth Plan Doesn't Work Out


I was going to do update last week about how my maternity leave is going but...I had my baby!

At 39 weeks and 4 days along, bright and early in the morning, Jack made his entrance into this world. My labor and delivery did not go as I had planned, but it ended up all working out. All that matters is Jack and I are both safe and healthy.

I had made a birth plan on babycenter.com and was pretty intent on sticking to it. I wanted to labor at home as long as possible. I wanted to try for an unmedicated, natural birth. I wanted to be free to move about and labor in any position I wanted if possible. I wanted to be able to push in any position possible too. I only wanted an episiotomy if I was not tearing cleanly. I wanted only Michael present in the delivery room and for him to cut the cord. I also wanted to breastfeed as soon as possible. 

Out of that list, only the last two sentence came true.

That Monday I had been a little extra crampy. My mom said that was a good thing and her labors started that way. Random braxton-hicks would start up, then die out. Overall I knew my body was getting ready for labor but I didn't think too much of it. I was looking for the timable contractions.

That night I was up administering Spring recruitment for my sorority online until about 11 PM. I had to sit up on the couch because my cramps bothered me more laying down. I thought about walking around the house to get them to turn into contractions, but was too exhausted. I went to bed. Oddly enough, Michael was exhausted that day too. He came home from work and took a 3 hour nap randomly. My mom joked he subconsciously knew he would be up soon to take me to the hospital.  

I woke up around 1:30 AM because my cramps were suddenly horrible. Then I felt something wet, I assumed I peed a little. So I went to the bathroom and the minute I sat on the toilet a small gush of clear liquid came out. I put on a new pad and decided if I soaked the pad again quickly, it was for sure my water. I woke up Michael and as I was telling him I noticed I had already soaked the pad. So he jumped out of bed and I woke my mom to tell her we were off to the hospital. I went to the car and I started having contractions as soon as I sat down. Four minutes apart and lasting 1 minutes instantly. I slowly leaked amniotic fluid with each one too. I am so glad I grabbed a towel to sit on so I didn't ruin my car.

We got the hospital in only 15 minutes. There is no traffic in the Bay Area at 2 AM luckily. If it had been rush hour, it could have taken an hour. Also luckily, there was no one else going into labor when I got there so I was taken back to be checked quickly.

The triage nurse had me do the standard pee in a cup, take your vitals, and get hooked up to the monitor. All while my pain is getting more and more intense, and I am leaking more and more fluid. The nurse did a swab to confirm water broke and then got the doctor. The doctor checked my cervix, I was at 2 cm. Then they told me I would be admitted shortly.

Here is where my birth plan went totally out the window. I was already in a lot of pain and knew there was no way this was going to take long. And I was still exhausted as I only had 2 hours of sleep. I also started to throw up a bit too. So when the nurse asked if I wanted to go ahead with the epidural paperwork, I instantly said yes. It took an hour get my admitting paperwork, the epidural paperwork (both of which Michael signed because I was already kind of out of it from the pain), and draw my blood. In the mean time, they gave me shot of pain medicine and Zofran for the nausea in my IV. I was very grateful to say the least.

The only labor picture I let Michael take.
The doctor came back to check me and I was now 4 cm. She quickly got me to a room since I progressed so fast. My bloodwork was still not processed yet so I still couldn't have my epidural. I was crying for it at this point, and I mean seriously crying. I asked for another pain medicine shot since the first was wearing off, but they were having a hard time picking up Jack on the monitor. I couldn't have another until they could track him better. They wanted me to lay on my back to pick him up better, but that was SO uncomfortable I couldn't do it. I wanted to sit up or stand, but they said I couldn't because of the medicine. Finally they got a good read on him and gave me another shot.

The doctors checked on me again about an hour later and I was at 6 cm already. The nurse kept refreshing her screen for my lab results so I could have my epidural. I was seriously pleading for it at this point. I am not a wimp when it comes to pain at all, but this was something different. It was happening so fast and was so intense.

Another hour went by and I suddenly felt the urge to push. The doctor came in to check me, I was at 9 cm with just a slight lip left. She let me try pushing, but it was not working. I wanted to push on my side, but the doctor said that I needed to be on my back because of the way he was positioned. But it did not help. I was too tired. I did not have the energy. I asked if I could still have the epidural and the doctor said yes. I was elated, I needed to relax and calm down before I could push effectively.

I laid back down and dealt with the contractions for like an 30 minutes. Then suddenly the nurses sat me up and said the anesthesiologist was coming right then. He was squeezing me in quickly. He did everything quickly and efficiently. He gave me only a half dose so I would still feel the pressure to push. The doctor then gave me 10 minutes for everything to kick in and for me to relax. It was a huge relief. I calmed down and actually wanted to push.

I did not get pushing right away. I was pushing into my legs. The nurses kept telling me I need to push into my butt, "Like you need to take the biggest poop of your life!" one kept saying. His head was 1/3 of the way out for the longest time. Then finally---over an hour later--- I got the pushing thing right and he started coming out faster.

At this point is when I looked over at Michael. I noticed he was getting a little pale. He doesn't do that well with blood. He had been holding my leg and encouraging me the whole time though. He was exhausted too and I think it all got to him. The nurses told him to sit down for a minute to recover.

And suddenly, they said Jack was coming out. The doctor told me to keep pushing continuously and Michael to come back over quickly. Then Jack popped out! Just like that. They cleaned his nose and mouth, then put him on my chest. I started crying, I couldn't believe it.

I can't even explain the joy I felt.
He was prefect. He looked just like Michael, just in like the ultrasounds. I loved him instantly.

They started a line of Pitocin (which was not on my birth plan either actually) and delivered my placenta. I tore cleanly and naturally, but the doctor did a small episiotomy to give Jack some more room. So she had to stitched me up down there, but I didn't even notice. I was just mesmerized by Jack.

Then they sat me up a little so I could breastfeed. Jack was rooting and sucking his fist as soon they had put him on my chest so he had very little trouble latching on. Not gonna lie though, it hurt like hell and he did bruise my nipple. But I didn't mind, I was happy to have that bonding experience.

So, am I upset that Jack came into this world totally not like I planned? No. Not at all.

It would have been nice to have followed my plan, but all I cared about was having a healthy baby. It happened so fast, I was so tired, and I was in so much pain that my plan was not practical. I am glad I made a plan though. I educated myself on giving birth and knew the options open to me. I also knew the possible procedures that could be done so I was not freaked out when they did something new (like the Pitocin).

My advice for any expecting mom is to have a birth plan so you can be your own advocate, but in the end do what your body tells you. My body said it was too tired to handle such an intense and rapid experience on its own. Don't be upset if your birth reality doesn't match your birth plan. Just focus on what needs to be done to have a healthy baby.

I will do a post about my postpartum recovery soon. But right now I want to go snuggle my son :-)