So many things about my pregnancy were different this time around.
Overall, they were both pretty easy, but the main differences for me
were no morning sickness, no skin breakouts, no PUPPS, and a much more
active baby. In terms of labor though, they could not have been more
different. Wiley spent most of the last weeks in a posterior
presentation which can make for a difficult labor and delivery. I was
fairly nervous about my chances for a VBAC given that Blue basically got
stuck in a bad position, thus the C-section. I was hopeful that I would
get fairly far along in active labor before my water broke to give the
baby some room to move and that seems to be what happened.
All day Sunday I was having weak contractions lasting for about 30
seconds every ten minutes. Annoying but not anything that prevented me
from going about the day. They got more mild when I would sit down and
rest. I was a week overdue and eager to get the baby out so I didn't do
much resting. Finally around 9pm I gave up and headed to bed to watch
some TV. Within five minutes I had a major contraction so I started
timing them and they were suddenly lasting about a minute every five
minutes. Graham had been waiting to shave and shower until we had some
forward progress so I told him to go ahead and get going. I called the
midwife on-call at the birthing center to walk her through my
contractions and after ten minutes of talking I was down to three or
four minutes between contractions so we all decided to grab our stuff
and head in. After what had to be the most uncomfortable car ride I will
ever take we got to the birthing center just before 10pm. At that
point, there was basically no break between contractions. This really
caught me off guard - I felt like I just couldn't catch up. But I was
already 8cm dilated and feeling a slight urge to push. So that was good.
My water broke a few minutes later and then I got into the birthing
tub. It was a nice new sensation but I can't say it made me relaxed and
comfortable. Who knows how long I was in there before I really started
feeling an urge to push. It couldn't have been long. So I started
pushing and maybe ten minutes later out came baby Wiley at 11:05pm! I
couldn't believe it had all happened so fast. My labor with Blue was
like walking a marathon. This one felt like a 100 meter dash, full
sprint. It was pretty great though to be able to hold Wiley right away.
That was the biggest bummer about the C-section - it is a good hour or
more before you get to hold your baby.
But the placenta still had to come out. I wasn't having any
post-delivery contractions that I could feel so we got out of the tub
and onto the bed so the midwife could better assess the situation.
Another midwife came in at some point to offer a second opinion. Both
decided that it seemed to still be attached to the uterus and they
didn't want to force it out given my history of a C-section. So we
called EMS, called the hospital, loaded up baby Wiley in the carseat at
an hour old, and drove to the hospital. I got to ride in the ambulance.
Blue would have been jealous.
It took a while to get checked in at the hospital and in the
meantime I was losing a lot of blood. But I was able to feed Wiley for a
bit while I waited. Which was nice. Finally they wheeled me back and
got me set for surgery. I wasn't nervous or concerned but apparently I
had gone white and Graham was pretty anxious. The surgery took longer
than expected and I lost a lot of blood in the process. In addition to
the retained placenta I had two cervical tears that had to be repaired.
Apparently these are pretty rare and it is hard to know exactly what
caused them. Possibilities: pushing before you are fully dilated,
pushing out of sync with the contractions, fast labors, and baby's
position are all potential causes. In the end I lost over 4 liters of
blood, which is about as much blood as an adult female has circulating
in her system at any given time. Pregnant women have a little more for
just such a situation I would imagine. But they filled me back up with
all sorts of donated blood product and in the end I felt about as good
as I would guess any woman who just gave birth feels. They continued to
monitor my blood work for a couple days and then sent us home. I managed
to get through the whole thing with no pain meds and am feeling pretty
blessed to have two healthy little babes to love and cuddle.