Showing posts with label labor. Show all posts
Showing posts with label labor. Show all posts

Friday, July 22, 2011

C-sections up, VBACs down


 If you read my birth-story, you'd know that I tried to have J "naturally" for at least 7 hours of medicine-free labor. Well, I did have that one dose…but it only lasted an hour…and I don't even remember it helping that much.

My doc came in at 5:30 or 6:00 a.m. and said that I'd been pushing for 3 hours and suggested I have a C-section. My response: Just get him out!

I saw this article on Babble.com today titled "C-section Birth Trends: Why the rise in C-sections and the decrease in VBACs?" Some interesting facts:

  • At Yale-New Haven Hospital, 36% of births in 2009 were by C-section. In 2003, it was 26%.
  • Contrary to popular belief, very few moms actually choose a cesarean without a medical reason. In the Yale study, only 8% of the increase in C-sections could be attributed to moms' choice.
  • In the mid-90s, 30% of moms were having VBACs (vaginal birth after cesarean). Today, that number is 5-10%.
  • VBACs are uncommon because of the worry of uterine rupture, even though last year the American College of Obstetricians and Gynecologists said that, "a VBAC is a safe and appropriate choice for most women who have had a prior cesarean delivery". (I remember hearing this on the news during my recovery at the hospital.)
  • An abnormal fetal heart rate is one of the most frequent triggers for the operating room. (I HATED being hooked up to the fetal monitor. It HURT to be on my back for 15-20 min as the nurses tried to get a "good" reading.) The other popular reason is mom’s slow or stalled labor. (That was me)

The article says that "C-sections are going up for what could be called subjective reasons." In my case, I don't think I could have pushed any longer and was happy to have the C-section. Though afterwards, I certainly experienced my share of baby blues because of it (feelings of failure, etc.).

I have considered whether I'd try a VBAC for my second, but that risk of uterine rupture concerns me. Mostly, I think I'd be scared since I already know what childbirth feels like. Maybe with an epidural I'd be ok though. But what if there's no time for one? The second one does come faster. Also, it can be challenging to find a hospital that performs VBAC because of legal reasons. I'd have to find a midwife and childbirth center probably.

I know a few moms who've had C-sections for their first child. I wonder if any of them had (or wants) a VBAC...

Wednesday, December 8, 2010

Monday, December 6, 2010

Birth Story

JZN
Born Summer 2010
 7 lbs, 2 oz, 21.5"

Tues, 10pm: Starting very mild contractions. Was able to sleep through the night.

Wed, 6am: Use the bathroom and discover bloody show.
6:30am: A says goodbye to leave for work. I tell him that today might be the day. He asks if he should stay home from work. I say, "No, I'll call you if anything happens."

Noon: Alan comes home for lunch, as usual. He tells me that he has taken the rest of the day off and is beginning his paternity leave/vacation.
Afternoon: Contractions are coming more regularly - every 15 min, lasting about 30 sec. I am practicing my breathing techniques. A is timing the contractions. I find a way to take a nap - don't want to be tired for labor! A texts his family and mine. I must have talked with everyone at least once. They are asking me how I feel and if it hurts ;). I leave a phone message with a girlfriend. She calls me back and we chat for about an hour. We are both in great anticipation!

Early evening: I feel better leaning on something during them. I am using the breathing techniques.
Evening, 8pm: I remember the time because that is when So You Think You Can Dance comes on. Contractions are 10 min apart, then 8, then 5 min apart. I use my exercise ball to lean on during contractions. I feel them most pronounce in my lower back. Definitely don't feel like talking during a contraction, but generally, still in happy spirits!
8:30pm: Call the answering service for my OB. She calls back a few minutes later. Just happens to be one of the doctors that I hadn't yet met in the practice I go to. She gives me the OK to go to the hospital. Alan calls his parents to come up. He makes sure all the bags are ready to go.

9:30pm: A's parents arrive at the house. I'm really nervous now because this means that we're really headed to the hospital.
 
10:15pm: Arrive at the hospital. Have to use the Emergency entrance because after 8pm. I tell the receptionist/nurse that I'm in labor. She tells me to have a seat. She'll call a nurse from the Maternity Floor to come get me. I sit down. A paces and gives me the "why do we have to wait down here?!" look.

10:30pm:  I am wheeled to a triage room on the Maternity Floor. They just want to make sure I'm far enough along to admit me. Nurse finds that I am 5 cm dilated (yay!).


I am not sure the time of the following events:
  • I get strapped to a monitor every hour or so. Nurses need to see how Jacob is responding during a contraction. I have to be on my back for these. Contracting on my back is PAINFUL! I can't wait to be able to sit up again.
  • Things are going good. Using my exercise ball. A is massaging my lower back. Then...
  • My water breaks, which is the strangest feeling, during one of the monitoring sessions. Once my water broke, the contractions started coming on more frequent and stronger/more painful. I contemplate getting an epidural. I ask the nurse how much worse did she think the contractions would get. She lied said that they wouldn't get any worse - but THEY DID! Around 7 cm, I was asking for some sort of narcotic to "take the edge off". I don't remember it making any difference.
  • Once the post-water-breakage contractions started, I wanted to lie on my side and hold A's hand. He breathed with me, and after a contraction would say, "You can squeeze my hand harder." Oh, careful what you wish for!!!!!! By the time I was 4 hours into pushing, A wished he had no bones in his hands because I was crushing them.
    After every contraction, I'd ask A if he could see the head. He answered "no" every time. But he said I was doing good because he could see J get lower and lower in my abdomen. About 2 hrs of pushing (3:30am, Thurs), I keep telling Alan that I can't do it anymore. The nurse jokes with me that I can come back tomorrow to finish up. Push, push, push - a feeling that words cannot describe and no one could possibly prepare me for. I could feel J's skull putting pressure on my lower back the ENTIRE TIME because he was facing front instead of towards my back. I knew in my mind that a good push would help J down the birth canal faster, but my body was afraid of the pain, so I held back, I admit.

    4 hrs into pushing and was still far from crowning (5:30am, Thursday). My OB comes in and says it's time for a C-section. I look at A, and without words, we agree. I couldn't push anymore. I ask her to give me something until they can give me the spinal block for the C-section. She gives me something to stop the contractions but it doesn't work because I'm already so far into labor. I remember the anesthesiologist coming in to give me the low-down on the spinal block and consenting to a C-section. Though I had my eyes closed, my fists clinched onto the side of the bed, I told him that I was listening and to please read faster so I could be done soon!

    Thu, 6:34amBaby Boy Ng is born (we hadn't chosen a name yet)! He's beautiful, handsome, and has so much hair! J goes to see J in the warmer and cuts the cord. J is brought back and we get a family photo together, taken with one of the nurse's cameras (not the one you see above, sorry).

    Next up...Postpartum roller coaster

    Friday, November 5, 2010

    Finally back (?)

    My last post was exactly one week before the birth of JZN - that was about three and a half months ago! Sooooo much has happened since then (including my birth story), which is partly the reason I have not posted since right before J's birth. So here are my "Things I don't want to forget but I never blogged about" (thanks for the idea Mommy Huang):

    1. Birth story
    2. Postpartum roller coaster
    3. Degree drama
    4. Renting out our home/Finding a new home
    5. Moving to Maryland
    6. J's development (including LOTS of photos!)

    Thursday, July 15, 2010

    Car seat check


    Use SeatCheck.org to find a location near you to have your car seat checked for proper installation. We got ours checked today by a PA State Trooper, and it only took about 5-10 minutes. Alan had installed it correctly, but the trooper just tightened the strap so that the seat doesn't move more than 1 inches to either side.

    So, the bags and snacks are packed. We called our dog walker to give her a heads up that we might be needing her services all of a sudden in the near future. The car seat is installed correctly. We received our completion coupon from Babies R Us and spent a boat-load last weekend on diaper genie refills, onesies, caps, mittens, Boppy covers, mattress covers, etc. We placed an order for a new DSLR camera using reward gift cards from credit card use. And our mailman, Buddy, told me to tie a balloon outside our house after our baby's birth because he gives all the new moms on his route teddy bears - how sweet is that? Oh, and I think we've narrowed down our list of names to two top contenders...shhh...we're going to keep it top secret...haha...

    Update from the doctor - dilated almost 2 cm but still only 33% effaced. I thought I had a feeling that this week would be the week, but then again, maybe our due date was right on the money and he'll arrive then. Well, whenever he does, it'll be the perfect time!

    Tuesday, July 13, 2010

    Labor or not?

    Monday morning, 5am, I experienced a series of 3 menstrual-like cramps that lasted about 30 sec and came every 10 min. But then they went away.

    Monday afternoon to early evening, I experienced a long series of Braxton-Hicks contractions that lasted 60 sec and came every 5 min. But then they went away too.

    Do real contractions feel more like menstrual cramps or Braxton-Hicks? According to WebMD, true contractions are more likely felt starting in the lower back and moving to the front of the abdomen. Well, that wasn't me, so I must have been in false labor yesterday. Nevertheless, I'll tell my doc about the cramps today at my appointment. Hey, maybe it wasn't true labor but still helped me to dilate or efface more.