Wednesday, October 10, 2012

Asher Michael Arrives: A Birth Story

Here is my beautiful boy-


And here is his birth story-

After our positive, natural birth experience with Kai, Aaron and I planned to have a similar experience with Asher.  We shopped around a bit between UNC Midwives, Midwives with Women’s Health Alliance (WHA), and the Women’s Birth and Wellness Center.  I thought I would be drawn to the birthing center, but something just didn't feel right about going there after our tour.  I felt at peace when I met and visited with the midwives at WHA and knew that was the right choice for us.  And it was….( I loved them all throughout our prenatal and antenatal care.)

My pregnancy was good, a little rough in the middle.  I started having regular Braxton Hicks contractions around 20 weeks, and I anticipated baby boy coming a little earlier, since everything just felt faster this time.  I also thought to myself towards the end of the pregnancy–“I bet he’ll come at 39 weeks.”  And he did….

My Braxton Hicks increased a few days before I went into active labor. Early labor and Braxton Hicks blended together this time.  On Saturday, Sep 29, I got the feeling active labor was imminent as the contractions became more painful and came more often, but I was still waiting for more signs of later stage of labor.  I had also been having more regular contractions throughout Friday and Saturday night, as I slept off and on.  These contractions were not super intense, and I could still do things around the house while having them.  Nervous about a work project, I stayed up late Saturday working all night and praying labor didn't start until I got to a good stopping place.  And I did…

On Sunday, Sep 30 (the day I reached 39 weeks), I began need to stop work as contractions came, although I was not having to groan or moan through them yet.  I was hesitant to announce “active labor” until I lost the mucus plug, which was that Sunday night around 8:30 pm.   By that point, I started to vocalize the intensity I was feeling.  All contractions were centered in my low front pelvis, just like last birth – menstrual cramps amped up really high. Most laboring was done standing and leaning on a counter, sitting on my knees or on the birthing ball at our home. I emailed my second-time mom friends to start the labor candle tree we planned together (everyone lights a candle for the laboring mom and sends her prayers and good vibes).  I called Metta, a dear friend who was set up to attend our birth, telling her I wasn’t sure how much longer the labor would be but we were having baby boy soon.  And we did…

Meanwhile during the day while labor was going on, we were still trying to get ready for baby boy.  “He’s coming, I know it!”  or “At any point, this is going to kick into high gear!” or “We really need to hurry!” I would be calling to Aaron.  We spent Sunday packing our hospital bag, setting up baby’s bed, cleaning bathrooms and kitchen, setting up the car seat, and I appliqued a onesie for baby boy during the more intense parts (stopping during contractions).  It was quite the last minute show.  Kai got really hyper during all of this, perhaps sensing something important was happening, and he has basically stayed hyper ever since!  We finally put Kai down to bed around 10:30 pm amidst the bustling busyness.

Aaron and I decided to call my parents to pick Kai up around 12:30 am, since things were beginning to pick up.  They drove up to Durham and got sleepy Kai around 1 am. We called Metta again to announce we were going to the hospital within the next 30 minutes.  I decided to go pee before we left.  As I sat down, I felt baby boy move down and the pain intensify significantly.  “We need to go NOW!” I yelled to Aaron.  I got nervous he might come before we could make it to Durham Regional.  For the next hour or so of loading the car, driving, checking in, and waiting to see our midwife once we got the hospital room, I was “fighting” the contractions.  Meaning, I was not trying to open, but to hold him in.   And I did…

I began standing and leaning on the bed, swaying side to side as the contractions continued to amp up.  Metta arrived soon after we did and she was very helpful with her soothing voice and attentiveness.  Aaron was again rock-star-supportive.   I was given a cervical check by a physician there while we waited on the midwife –“ 7 or 8 cm” she said.   “Good, towards the end!” I thought…”Now, where’s my midwife?”  I was asked to lay down on the bed for 20 minutes of fetal monitoring (Why do they make you lay down for that?!), so I laid on my side with my legs in a semi-squat, bearing some weight on my hands.  They also did several blood draws during this time.   Finally the monitoring was done.  “Do you want to move or change positions?” Metta asked.  And I did…

I knew it would hurt worse to be upright, but I also knew it would speed things up.  So, I was helped up to stand on my knees on the bed, leaning into Aaron for each contraction.  It was super intense at this point, with contractions coming about every minute.  As I worked through these with my eyes closed, I pictured n birth art image I drew during the pregnancy – a spiral moving in a circle at the base of my torso, opening me for our baby boy to come into the world.   I kept thinking in between contractions “Why has my water not broken?! This is way too intense to not be at the end.”  I decided to move to the toilet, thinking if I sat down there it would help the baby to move down more and my water to break.  As I sat down, again, everything intensified.  I exclaimed “Ok, I need to be checked again NOW!”  Juleah, my favorite midwife came in, and said I was a 10.  (I’m not sure how long I had been at a 10 at this point) “Can I break your water? It’s right there,“ she said.  I hesitated, with my no-intervention policy.  She broke it anyway and said “Op, It broke on its own”, as she smiled.  As soon as my water broke, I felt a very strong urge to push as baby boy moved down and my body took over.  “Hold on!  Let’s move you back to the bed” she said.  Without knowing how that would happen, Aaron guided my legs and helped me back to the bed.  I climbed onto the bed into a squat, as Aaron and Metta helped bear my weight from under my arms. The next contraction came soon and I pushed.  I felt him move down significantly and the pain was much, much more intense than I remembered from Kai’s birth. It felt like I was splitting in two.  “I can see the head!” someone said. “He has dark hair like Kai did” Aaron exclaimed.  His head came out, wrapped loosely in the cord.  Juleah slipped the cord off his head.  I pushed on the tail end of that contraction again with all my might, thinking “Get him out of me!  It’s too painful!” and he came out.  Just like that.  No tearing this time! We arrived at the hospital around 2 am, and he was born  an hour after we arrived. Asher Michael Towers was 7 lbs 12 oz and 20 inches long, born at 3:04 am on Monday, October 1, 2012.  Just slightly heavier than his older brother, and we ended up laboring at the hospital 15 minutes longer with him – if you can believe that!
The relief was immediate and sweet.  I felt so much better as soon as he was born. He was placed on my chest and Aaron cut the cord. He got an 8 on his APGAR test, although he was not crying much.  He was taken to the newborn holder in the room and the staff tried to rouse him into crying.  Once they felt good about his crying, he was given back to me, and he nursed for 10 minutes.

We were told to watch for his nostrils flaring or his rib cage flexing inward, for breathing difficulties.  We began to notice both and called the nurse.  He was then taken to the nursery for observation; Aaron left with him. Metta stayed with me, talking and giving me an awesome foot massage (Thank you, Metta!).   I felt great, although very shaky.  After an hour or so elapsed, I realized I still hadn’t seen Asher or heard word of him.  We encouraged Metta to go home with many thanks and much appreciation.  By myself now, I got up and started to walk out into the hall to find the nursery, a bit worried at this point.  Once I arrived, I found Asher hooked up to several monitors, which seemed to go off in beeping alarm every few minutes as his oxygenation rate dipped below the set threshold.  It was terrifying.  I was told not to pick him up and not to nurse him.  As our minds reeled at this situation, we thought “time for a blessing.” Aaron gave Asher a priesthood blessing as I also touched him.  Our friends the Leiningers were wonderful in that Tommy was able to come out within the hour and give Asher another blessing with Aaron.  Asher ended up staying in the nursery Monday, after being checked for infections, collapsed lungs, and all sorts of things.  I had to breastpump a few times, but was finally allowed to start breastfeeding him again while he was in the nursery. 
He was finally released to room-in with us Monday night around 6pm, less than 24 hours later.  He caused quite the scare.  I think this was perhaps why I didn’t feel right at the birthing center, and felt more at peace with delivering at the hospital.  We are grateful nothing serious was diagnosed….we were ultimately told he retained some fluid in his lungs, likely because the pushing and birth was so quick he wasn’t adequately squeezed and aided in this process.  

 After all of this came breastfeeding craziness again (maybe another post for this), but I was better prepared and armed with more information and resources.  We have made it work and Asher is gaining well.  I have been feeling really great after this birth and more relaxed.  Asher is now getting a little chubbier and cuter each day.  He has greatly blessed our family already.  We are so appreciative of the support, love, and spiritual strength given to us through our pregnancy, birth, and these sweet days right after his arrival.  Thank you!