Graham Edwin: The Birth Story

If you remember, I was very frustrated with how this pregnancy was going. I had agreed to an induction, but was getting denied the opportunity to go into the hospital. They kept telling me to call in, and every time they would say, call back in a couple hours. It was mentally draining. I was struggling with the concept. I shed many, many tears. My sleep was interrupted on Wednesday, as they told me to call in at 6 am, 9 am, and 11 am. Finally, at 11 am they gave me a check in time of 1 pm. If they didn't call me before then.

Finally relief! I showered, packed up our stuff, and we were on our way.

The issue: the hospital went "live" with electronic charting and orders on the Saturday before, so everything in the hospital was slower than normal. (And, I assume, the staffing ratios were even more important to keep low, since the nurses had a lot of new stuff to watch out for.)

We were checked into our room, and an hour later I received the first dose of cytotec, a pill. Cytotec is used to start labor by softening the cervix. After talking with the nurse about my first labor and delivery, she told me that Riley's birth was also an induction. I never considered that, since my water spontaneously broke. However, since contractions needed help to really get started, with cytotec, it was considered an induction.

I was given my first dose at 2:45pm. It is given every 3 hours. I had to be monitored for 1 hour after taking it, but then was allowed to walk and leave the floor. It was nice to be able to walk around and feel like a normal person. Unfortunately, the cytotec didn't do much as far as changing my cervix. I was at 1-2cm when I arrived at the hospital, and after 2 doses, I was at a 2. My contractions were irregular, and mostly mild. At 11 pm the new night nurse came in to meet me. She said that the midwife was on her way in, and we would find out if I would be staying in the hospital or going home.

I was not too excited to hear this. She said sometimes cytotec doesn't work, and mothers can go home for a couple days until labor starts. I was ready to put up a fight. Sure, my contractions weren't regular. But I wasn't always comfortable. How would I know to come back in?

So, I was left to labor for a while as we waited for the midwife to come. It was 1245 before I saw my nurse again. I still hadn't seen a midwife, but my contractions were still there. Irregular, but there. My nurse tells me that the midwife says I get to stay. And she is going to start me on pitocin. So she had to start an IV.

The first attempt was painful, and unfortunately she wasn't successful. I was praying that her second attempt would be a success, because I didn't want to go all "nurse" on her. The cannulas they use feel like they are as big as a drinking straw, I swear! The second IV was just as painful, but it was a success. So, she started up the pitocin. I was a bit nervous. Pitocin makes the contractions more regular, but they are unnatural. Now, I was supposed to stay on the monitor, which meant I was supposed to stay in bed. The contractions really started picking up. For me at least. They were quite painful. All I wanted to do was get up and move. My nurse, when she was in there, was very helpful in telling me to let the contractions be. My gut reaction was to tighten and fight the contractions. I felt like I had to go to the bathroom every 30 minutes or so, so I would walk the short distance to the bathroom.

I had the typical bowel movement, and I began realizing I was starting labor. But I was trying to be quiet about it. I felt like the monitor was showing mild contractions, and if I was whining about them I was just being a baby. So I tried to be as quiet and stoic about them as possible.

But eventually I wore down. I was snappy at my mom at times, which was a completely different experience from when I was laboring with Riley. With Riley I pretty much asked for the epidural once contractions started, so the rest of my labor I was comfortable and a little medicated.

My mother-in-law had a flight to catch. She had delayed it when we though I was going in on Tuesday, thinking she would get to meet the baby, then leave the following day. But now it was looking as if she wouldn't get to meet him after all. She had a car coming to pick her up at our house at 5:30am. Just before 4:00am, she decides she needs to leave. So she and Jamaal leave to go get her car. It was while they were gone that I asked my nurse: "What do I need to be to get an epidural?" She said at least 4cm dilated. She went to get the midwife, to see if she wanted to be the one to check me. So, I went to the bathroom. Sitting on the toilet I chanted: Please be a 4! Please be a 4! I was ready to relax.

The nurse came back 10 minutes later (which felt like an eternity) saying that the midwife was in a delivery, so she would be the one to check me. I was at a 5 or a 6, and my bag of water was bulging. Whew! "Epidural it up!" I said. But first she had to run a bolus of fluid in. And she increased the rate of the IV fluids. Time seemed to stop. It was 4:00am at this point. Jamaal got back in the room around 4:20. They sent my mom out of the room saying that only one family member could be there while the epidural was being placed.

At around 4:30 or so people started coming in to get the room ready. And they set me up on the side of the bed. The anesthesiologist came in the room and immediately went on the computer. He started asking me questions, but at this point my contractions were bad enough that I really could not talk through them. And they seemed to be on top of each other, so I was having a rough time answering. I was very irritated with the guy, but didn't want to be mean to him because he had the drugs.

Finally they got me positioned, and he started prepping me. At 4:45am a lot of things happened. He had the epidural needle in my back and I said "Uh oh." Everyone in the room stopped. For a second it was silent. They asked me what was wrong and my water broke. The reason I said "uh oh" was I had an overwhelming desire to push. So much so that I really could not fight it. My eyes were huge as I looked to my nurse who was helping me to stay in position. She calmed me down, told me to make small grunts if I had to push, but that was impossible. It was like putting a starving person in front of a buffet and telling them to not eat. I was panicked. My worst fear realized: having no pain relief for the delivery. The anesthesiologist started to speed things up. He got the catheter in, and gave me a bolus of numbing medicine and some fentanyl. I felt some relief. But I still felt like pushing. It was then that my nurse told me that once he was done, we would swing my legs over onto the bed, and start pushing. You're going to have a baby, they kept saying but I was still worried. How the heck was I going to make it through this!?

Meanwhile, my mom was out in the waiting area. When my water broke, there was quite a commotion. I believe that is when the midwife got in the room, and people started breaking the bed down. She heard the noise and got back to my room as quick as she could. Someone at the door stopped her from coming in. Asked her who she was, (she responded with "Mom") And they asked Jamaal if "mom" could come in, and he said yes. I was too busy trying (unsuccessfully) to keep from pushing.

And my nurse was right. The nurses helped me swing my legs back on the bed, and the midwife checked be and confirmed that I was ready to push. I want to say I pushed for a total of 5 contractions. In between one of them I said "Riley is my favorite." :) I was joking of course, but this delivery for sure hurt worse than Riley's. The midwife was very helpful, and my nurse was right there talking me through it. At 5:13am Graham Edwin Neagle was born. He cried immediately. And apparently had his hand at his face, so the midwife is certain he would have been out sooner if he had his arms at his sides.

I didn't tear or need stitches, which was a relief. The midwife and I introduce ourselves to each other. She had come in the room to meet me, little did she know she would be delivering my baby first. :) He was, and is, perfect.

Graham Edwin Neagle

Born 8/8/2013 at 5:13am

7 lbs 10 oz

18.25" long