Greetings from the post-partum ward!

I finally feel like half a human being again. I’m here with Tali, nursing. And then Tali just falls asleep in my arms. Motherhood sure is quite something. ❤️

What an intense experience that was (my vocabulary is failing me for a more appropriate and descriptive word…) It wasn’t the 38 hours from water breaking to birth, not even the 28 hours of active labouring. it was when pitocin was administered at about 8 or 9am yesterday. So I’m going to recount the experience here – a useful way to process it!! Pitocin is a contraction inducer and as folks who have had it before know, the contractions are stronger than natural contractions.

And yep, they sure as hell were. I have never felt such physical pain in my life. Earlier contractions I could breathe through, letting out gutteral sounds as I let the pain through my body and relaxed into the pain. Pitocin-induced pain was all-encompassing. The pressure applied to my back was helpful but only did so much. I could barely open my eyes, grabbed the railings of the hospital bed really hard to counter the energy running through me, and instead of relaxing into the pain, I found myself with outstretched legs like someone suffering from a seizure, tensing everything inside my body, and yelling in a higher pitch as I couldn’t bring the relaxation to my body to let the pain pass through. I couldn’t consistently bring on the guttural grunt in the exhale.

In the midst of all of that, I knew I needed a form of pain management. My friends Minnie and Ingrid both warned me about pitocin… so I was ready to have that conversation. Three options on the table were (1) nitrous oxide – commonly known as laughing gas (2) IV pain meds (3) an epidural. I elected to begin with the nitrous oxide. To give you a sense of where my mind was, it was entirely impossible for me to actually focus on the instructions given to me by the new nurse who came to set things up and I told her as much…

If all hell didn’t already break loose before, well it sure did here. The nitros oxide experience was entirely discombobulating. First of all, because I wanted to suck it all in to get pain relief, I found myself focusing on deep inhales, rather than the “slow” exhales which I was doing before as part of pain management. Secondly, because it made me a little loopy, I couldn’t focus on when a contraction was actually going to happen and wanted to keep inhaling the dam thing. And thirdly, while I was able to time some nitros oxide to provide pain relief properly, I was so exhausted that I actually feel asleep for a few seconds and then didn’t prep soon enough for the next contraction, which would hit me like a ton of bricks. I think I tried to get into a rhythm for about 30-45minutes and then I was like ok I’m done, this is not the very tense and unrhythmic birth experience I wanted. Bring on the epidural.

Thank goodness the anaesthesia team arrived quickly and gosh, set up so very quickly. I was administered to (thank goodness) not by the sweet second year resident who had briefed me earlier (who had done an epidural only 5-10 times by his own admission), but by his attending physician. She was amazing, compassionate, laser sharp and executed beautifully. I felt so incredibly lucky that the gap between two contractions when she was putting in the needle seemed a little longer than usual. I had two more very intense contractions in which I had to sit up and have my back bent to her and not move. And I dug my heels and arms into Tandy really hard, who was was sitting in front of me. And then I felt nothing.

The peace brought about by the epidural was such a contrast and heavenly. A cervical exam was performed and lo and behold, I was 8.5cm dilated through my own efforts. So close (10cm is when you can start pushing). Epidurals can slow labor a lot and there is a slight preference for getting thing to around 6-7cm before an epidural. So we were all set. And then I finally slept, on and off for about 4 hours. Pitocin was administered halfway in to continue inducing regular contractions, and like wow, I felt absolutely nothing. So blissful! I mean I couldn’t walk around or anything but by this point, I was so exhausted and ready for some cushy comfort 🙂

By about 5p, I was 9.5cm dilated and we were joking with the midwife and nurses that we needed to get Tali out by 7pm before their shift change so we could experience the joyful arrival together. When Una the midwife opened my labia, she could see Tali’s skull!!! They set up a standing mirror where I could see what was going on, and now I had to figure out how to “push the right thing” without any feeling down there. The first set of three pushes put so much pressure in my head I thought my face was going to explode. 🤯 over time though I was about to find my groove and direct the energy downwards, even though I really couldn’t feel anything. Very soon, I could see Tali’s crowning head, and shoulder and then ploop! Out they were. Apparently there was a high-five on the way out and that caused a tear (two stitches).

Tali did come out a bit purple, so they were rushed to the little open incubator next to my bed to make sure there were alright. Tandy was there the whole time making contact with Tali and within 10min, all was declared well. Una the midwife was working on pulling out the placenta (holy moly it’s huge) and then proceeded to sew me up. I did lose more blood than usual and apparently it all dripped to the ground. I watched with fascination at the gore. Pools of blood and amniotic fluid, what looked like rags covered in blood stuffed inside me to stop the bleeding. And I physically felt nothing. Absolutely surreal.

So, that’s about that. Tali then came to me and now y’all are all caught up 🙂 thank you for sending all your love and congratulations. I’m just reading them now and feeling so grateful for the wonderful love and support we have around the world. We send our love.

I also know folks are anxious for the gender reveal and Tali’s “real” name!! Haha. Soon enough. We’re just spending time with Tali and we’ll write more soon ❤️🎉😍🥰 I hope you enjoy not knowing for a bit, because you will know it for the rest of your lives. 😬🤗

Napping…ha!

Labouring since 1:15am.

It actually really hurts. Must be between contractions to be smiling here.
Pretty consistent contractions. All by my own body!

Lots of loud breathing and exhalations. No cussing yet.

Late decels

So it turns out maybe Tali wasn’t into the cytotec. In the hour I was monitored after I returned from the walk, we saw some “late decelerations” — meaning after a contraction, baby’s accelerated heartbeat (they like the variability above the blue), decreases to “below baseline” (see arrow where it drops to around 130 where my baseline is around 140)

A non-stress test (NST)

Sorry was interrupted there. Anyhoo. Trade offs / options are (1) my contractions are too close to potentially have another round of cytotec. (2) my water broke about 19 hours ago and we want to minimise risk of infection. I’ve already had two exams and sticking a mechanical device inside my cervix to enlarge it to 4cm may increase that risk. (3) pitocin to ramp up the contractions slowly, but that means labouring through the night. (4) do nothing for a few hours and see where we are after a night’s rest and see if either things start becoming more intense by themselves or we start pitocin in the AM.

Supported by our AMAZING and dearest friend Cindy, who owns a birthing center in Berkeley (Pacifica Family Maternity Center), and perhaps unsurprisingly, we chose to go with option 4.

So off to try and sleep we go. Contractions have gotten a bit more painful, around 5min apart. But still no cussing yet. And if I’m posting here, it obviously means it doesn’t hurt thaaaat much.

Night y’all! TBC.

Shift change!

So we have a new nurse Ada and midwife Amanda. Both seem nice 🙂

I had visitors and we went for a walk outside. Thanks for visiting Ingrid and Eva!
Before going out, and because water is still coming out of me pretty much involuntarily, I put on the biggest pads in my life.
Back now under monitoring (wireless!) and it blinks blue like Ironman.

Contractions are a bit more frequent now, and a bit more painful. But still not screaming or cussing yet. 😬

Oral Cytotec underway!

I was examined at about 430p. I’m 1cm dilated and the midwife was able to touch Tali’s head!!! 😱 Tali’s very first human touch. 🤗

I’m still in the very early stages of labor so took some oral cytotec to soften the cervic. We will look at where we are in about 4 hours (~9p central). I did have a long contraction (right after I went to the bathroom) that didn’t feel like much but Tali didn’t like it and their heartbeat fell quite a bit. all is good now and am on a saline IV. Going back to reading and hopefully will fall asleep for a bit.

Chances are Tali will arrive on the 26th!! That’s my mom’s and brother’s birthday. How crazy is that. ❤️❤️

Meet Katie our birth doula!

The support crew ❤️

Katie’s amazing and we connected immediately. She’s given birth to two children herself and attended to many births — we are birth number 146!!

Reading and listening to music until we make a birth plan at 430p.

Tali is still just hanging out and I’m not in crazy pain. Looking like we will explore some induction support in just a bit.

Getting set up in the hospital

Having pho while I can!
We have a window in the room!
Crazy lights that shine directly into you know where.

I’ve also been using the breast pump to try and induce contractions naturally. I feel like a cow!! 🐮

Baby Tali was hooked up and all is looking good. Nurse Taylor and midwife Gina are awesome and super nice.

I am having mild contractions about 15-20mins apart. Going for a walk 🙂