Birth Story

Wow.... it's been an incredibly crazy week. I guess the story starts on last Saturday evening when Nats was starting to feel some rather strong contractions - she told me that she'd actually been feeling them reasonably consistently since the morning but hadn't wanted to tell anyone because she felt that it would just put the hecks on everything and all the contractions would just stop as they had done two weeks before. So we adopted a bit of a 'wait and see' policy, hoping that things would develop as Nats really wanted to go into labour naturally rather than have to be induced - we were booked in for an induction on the next Tuesday. Her contractions continued, but didn't really intensify that much until around 10pm, so while my head was thinking that perhaps this was it my heart just didn't want to get too excited as I didn't want to experience the same let-down of the previous time when we thought that everything was all go, but it had just stopped cold. By 11:30pm things seemed to be rather well established, so I thought that we'd better start timing Nats' contractions to see whether she was experiencing the 'three in 10 minutes' that is a good sign that labour has been established. So between 11:30 and 12:30 I timed all of her contractions, writing down what time they started and whether they were strong, not-so-strong, or extra strong. I think she had around 15 contractions in the hour, of varying strength, which meant that labour probably hadn't been totally established but we were certainly getting close. I then called our midwife, who suggested that we stay at home for as long as Natalie felt comfortable - and that we should call her when we felt it was time to go to Birthcare, the birthing centre where Nats had decided to have our baby. I felt really tired at this point, having worked an eight hour shift at McDonald's on the Saturday, so I went to bed to just have a little doze as I thought it might be a long night.
About two hours later Nats woke me up, moaning through what seemed like a much stronger contraction than I had heard so far. I asked her why she hadn't woken me up, as I thought it was time we should head off to birthcare - but once again she said that she dind't want to get too excited as things might stop. But by this point I was pretty sure that there was no turning back, so I decided to call her grandmother to say "this is the call you've been waiting for"... and that she should come and pick us up so that we could go to birthcare, I then called the midwife and she said that she'd meet us at birthcare around 4:45am, which was about 40 minutes away. So we got everything organised and waited for Nats' grandmother who arrived fairly quickly, and then once we had organised ourselves we headed off to birthcare. It almost felt a bit deja vu from the previous time as we ended up in the same birthing suite. Nats quickly got into the pool, which seemed to help things as her contractions were now starting to get stronger and stronger. I think she was in the pool for a couple of hours - evntually getting to the point where I could tell that she was in a lot of pain, which was very difficult. I was feeling really really tired, but I felt that I was doing fairly well and that was rubbing off on Nats, who was making good progress and managing her contractions really well. Probably around 8 or 9am Nats got out of the pool so that our midwife could check on her progress - and she announced that Nats was doing really well, she was 8cm dilated. Only another 2cm to go now until Nats was due to start pushing, by now I was getting excited as we might be having a little baby before lunch time. Nats stayed out of the pool as Colette (the midwife) asked us whether Nats wanted her to break Nats' waters, as that might lead to the last 2cm dilating really quickly. Breaing Nats' waters wasn't easy, and Nats was in lots of pain which was really heart-breaking, I was trying to make her feel better by giving her lots of kisses and holding her hands but she was still crying. Then she was sick, which is quite common during this phase of labour (the ugly transition phase) - and feeling really uncomfortable. She moved around a bit, going from the bed to the shower, then back to the bed, then walking around a bit for the next hour. By then Nats really felt like she wanted to push, but knew that she really needed to hold on for a little bit more so that we could be absolutely sure that she was a full 10cm dilated (otherwise the cervix can become swollen and you go backwards really quickly). So around 10am Colette checked Nats again, and we got our first nasty surprise: Nats had gone backwards to either 6 or 7cm dilated which was really depressing and downheartening. I felt like someone had punched me in the stomach, and Nats seemed to lose a lot of enthusiasm for it all - she had done all this incredibly hard work over the last hour for what? Just to go back to where we were around four hours ago... She was also feeling really really tired and ill, so Colette thought it would be a good idea to put an IV into her arm so that she could give Nats some liquid that would energise her a little. That didn't work, as Nats has very difficult-to-find veins, and trying to put a needle in her hand between contractions just was too difficult. About this time we began to consider our options: Nats seemed just too tired and worn out to do all the extra hard work that would be required firstly to get her back to 10cm dilated, and then to push the baby out, but in saying that we really didn't want to give up on our plan to have the baby as naturally as possible. So we waited a little bit longer to see whether Nats was going to make some progress.
By midday Nats hadn't made any further progress, and was feeling the pain more and more. I couldn't stand to see her like this and she felt like it was just getting a little bit too much. At this point Nats thought that we should transfer to North Shore Hospital, where she could have an epidural to take the pain away and hopefully give her a chance to recover some of her energy as she wouldn't be writing in pain during each and every contraction. It was a difficult decision to make, we had both talked long about trying to have the most natural birth possible - to avoid it becoming 'medicalised', which was rather inevitable in a hospital and when you have an epidural; but we both felt as though things just couldn't continue how they were. Nats was just in too much pain, she was too tired and feeling too ill. So we drove the 20 minutes or so to North Shore Hospital - which felt like the longst 20 minutes ever along the bumpiest roads ever. Nats was in tremendous pain with each contraction, and they were coming one after the other - leaving no time in between for a rest. Finally we got to North Shore Hospital and made our way up to the delivery suite, and Colette arrived along with the hospital's obstetrician. The anaesthetist arrived relatively soon (although it felt like ages), and started to organise the epidural. Natalie's mother and father caught up with us then, so I went to the cafeteria with her grandmother so we could have a bite to eat (I hadn't eaten since dinner the night before and was bloody starving). When I got back they were preparing to put the epidural in Nats' back - which if you don't know is a bloody huge needle which puts a tube into the spine through which painkillers are injected - and I held Nats' hands while she had the injection. I remember at this point feeling like utter crap, this wasn't what we wanted and things were going completely wrong: we were meant to be having this baby naturally, at Birthcare, we weren't supposed to go backwards. So while the epidural went in I was crying, Nats was crying through the pain of the contractions (she couldn't move as that could lead to the needle going into the spinal cord with obvious dire consequences). This was probably low-point number two, after the time hearing that we were going backwards.
Luckily the epidural seemed to make things better, Nats was only feeling the pain on one side of her body - which was eventually fixed by another top-up of the epidural - and I felt like she was back after almsot 'zoning out' during her immense pain. So we sat there and waited for things to develop: Nats had a fetal heart-rate monitor and a contractions monitor on her chest which printed out, so I watched the ups and downs of it throughout the next 3-4 hours. Nats had reasonably regular contractions and I started feeling a little bit better, maybe things were going to improve and maybe Nats was going to have enough energy to push our baby out. She was getting synthetic oxytocin pumped into her, which is supposed to increase the strength of her contractions and it all seemed to be working. Nats had another examination and had made a little bit of progress, but not necessarily as much progress as would be expected - however I remained pretty confident. The obstetrician was to come back at 6pm and do another examination then, which would determine whether Nats was ready to push or not. The midwife (Colette's partner Eleanor had taken over as Colette was really tired), was a bit concerned about the position of baby's head, even though the obstetrician had confirmed that Nats had a 'roomy pelvis' that would probably be large enough to fit bubby's head through it. So we waited, and then at 6pm the obstetrician came back and did another examination. Unfortunately she concluded that Nats hadn't really made nearly as much progress as would be expected, and it seemed as though the angle of bubby's head meant that it would be incredibly difficult to fit through Nats' pelvis - we could just wait and see for another hour or two but that meant that baby might get stuck during delivery which would be really messy and might require forceps, which we utterly wanted to avoid at all costs. So she suggested that the best option might be for Nats to have a caeserian section.
Both Nats and I really really didn't like the idea of a c-section. We had discussed it and we both knew that it's major abdominal surgery, has a very long recovery time, and is something that we definitely wanted to avoid. But we had a really good talk to both the obstetrician and to Eleanor, and it seemed like the only sensible option - bubby seemed really happy where it was, the heart-rate monitor was really consistent indicating no sign of fetal distress, but the risks of waiting just seemed too high for us. So we made the incredibly difficult decision of saying yes to the operation - this was definitely low point number three, all our plans were now completely out the window, I felt as though it just wasn't fair - we had got so far at birthcare, they had a nappy all ready on the towell-warmer for our little baby and I was so confident that it would be arriving in a nice, natural manner and yet it had come to this. Nats got ready for the operation, and I tried to console her - to somehow make her feel a bit better which was very difficult considering how I was feeling. But we eventually made our way down to the operating theatre, I was able to go into the theatre during the operation which seemed a bit scary as I am rather squeamish when it comes to blood. But I was assured that there would be a screen up and I wouldn't have to see anything if I didn't want to. I got changed into a theatre outfit, and grabbed the camera so that I could take some pictures of our baby's first minutes.
The operating theatre seemed quite 'out of this world' - with all these gadgets and about 11 staff inside the room. It all seemed incredibly well-organised which calmed me down a little. Nats was still having contractions, while they tried to put the spinal anaesthetic (slightly different to an epidural, providing a much more complete pain-killer but not completely knocking her out from the chest down as she was still able to wiggle her feet a little. Meanwhile I couldn't get the bloody camera to work, no matter what buttons I pressed nothing was happening, I changed the film which probably ruined half of the film that had previously been in there but still to no avail. I was slightly panicking that I would miss taking a record of one of the most important moments in our lives - so I asked around if anyone had a camera. My panicked cries for help led to a polaroid camera being rushed in from nearby as well as someone had a photo-capable mobile phone. I was so thankful, and the operation soon began. I held Nats' hand as they began opening her up - we had a doctor right by us who was letting us know what was happening at every step which was fantastic. Nats felt a few pushes and pulls, and then at 8:13pm we were told that our child was about to be born, I heard a cry and then the obstetrician lifted our baby.... GIRL.... up for us to see. I felt absolutely amazing, there was this gorgeous girl that we had created, Nats gave a really tired smile and I went over to where they were giving our little baby girl her check-ups. Everything seemed fine, although she was rather purple and rather large. I took a few photos of her with the phone's camera, as she began to turn a nice pink colour. They put her on the scales, which came to a rather large 4.73 kg. I wondered what that was in pounds and ounces, as that's what birthweights are normally given as - they pointed to a chart on the wall, and I discovered that she was a very healthy 10 lb 7oz! I announced that to Nats, who was lying there getting stitched up - and then I got to hold my beautiful daughter for the first time. I felt so proud of the both of us, that we had managed to create something so beautiful. We eventually were able to head to the post-op area as Nats got some more pain-killing drugs, which would hopefully stop her shaking. Our little baby girl seemed very happy, she wasn't screaming her head off which I had kind of expected and instead seemed fairly content with her new surroundings. Nats was really drowsy, but after a while her shaking stopped (to some extent) and we headed back upstairs to the maternity ward where our room was. Everyone was delighted that we had had a little girl, and soon I started making millions of phone calls to let everyone know our news.
There is more to come about the last few days, both of our time at the hospital and since we've got home - but I will write that in the time ahead. We have decided to call our gorgeous little daughter Amalia Charlotte Grace Arbury.