Hey! Blogger's back up, so let me tell you a bit more about Kara's labor and delivery.
As you know, we got to the hospital around 10:45 or 11:00 AM Saturday (12/15/2001) morning. Kara had an examination shortly after, and she had 3 cm dilatation. Those of you in the know know that 10 cm of dilation is when birth labor begins. I asked the doctor if we'd be sent home, and she looked at me and said, "are you kidding, we're ready to put the
epidural in." And Kara was in considerable pain, so they did put it in. After the epi, Kara felt great. They had a drip going that removed the pain, but she was alert and in control. She slept for a good part of the afternoon. All the while, her contractions and the baby's heart beat were on a monitor in the room, so I could look at them. Actually, all the women delivering were on the monitor, so I could see the condition of all of them. Anyway, things really broke down around 5 PM Saturday. The epidural wasn't really working well at that point, and Kara was in severe pain with each contraction. They tried to use
pitocin to regulate the contractions, but the baby's heartbeat was not responding well to it. Then they tried moving Kara on her side, but Katherine didn't like that either. Katherine was in the "OP" or posterier position, which can lead to very painful back labor. So Cynee, the day nurse, finally left at 7PM saying, "you definately be done by the time I come back at 7 AM tomorrow." Kara was at 5 cm at this point. However, the epidural problem became acute. Throughout the evening, we worked with the anesthesiologist to find some solution that would relieve the pain that Kara felt. The anesthesiologist was great -- she came up with a cocktail that Winchester Hospital has not used before that helped. But by the wee hours of the morning, even that was not working, so they ended up replacing the epidural catheter. After this procedure, Kara again had relief, and we both slept more. The night nurse, Mary Jo, was great. But by 3 AM or so, Kara was in great pain again. So the adventure with anesthesia continued. By this time, Kara was at 8 cm, but there was a cervical ridge that would prevent the baby from coming down the birth canal without an injury. We tried to sleep, but it was too painful for Kara. At about 5:00 AM, the anesthesiologist finally came up with something that worked, but at this point, Kara was in
transition, which is tough. So we both tried to sleep, but Kara was very uncomfortable, so I got up and sat with her.
Wierd mystical moment: When they put a second epidural catheter in, I asked if I could stay in the room (they did not let me stay for the first one). They sort of hemmed and hawed, and then said, go to the family waiting room. I was dog tired at this point, it was like 3 in the morning, and I'd been up since 6:30 AM the morning before on 5 hours of sleep. The family lounge had a loud TV in it. It took me like five minutes to figure out how to turn down the volume, and then I said, to hell with this, I am
going to sleep. There was a terrible high-backed, high-sided love seat sort of thing in there, and I dumped by six foot one inch body in it, cranked my head to a 45 degree angle on the armrest, and tried to sleep. About 10 minutes later, I heard a rolling noise, and I saw a maintenance guy go buy pushing one of these cloth covered, wired framed carts by. I was a little self conscious, because I was in a very wierd position in this chair, but I said, "hey, to Hell with it - they must be used to it by now." So anyway, I fell into a light sleep, and became gradually aware of a prescence in front of me. I opened by eyes, and there was the maintenance man with a pillow, pillowcase, and blanket. He put the pillow into the pillowcase, and said, "I thought you might be more comfortable with these." I looked up, and in a hazy, slurred voice said, "I won't be here for very long." He didn't bat an eye, but proceeded to hand me the pillow and blanket, and said, "well, at least you should relax while you can.", or something like that. So I put the pillow under my head, and the blanket over me, and immediately fell into a deep sleep. God bless you, whoever you were. The next thing I knew, Mary Lou was standing over me saying I should come back.
But I digress. So I'm trying to comfort Kara, who's increasingly having a rough time of it. In fact, they tried having her push at this point, but the cervical obstruction was such that they stopped and made us sleep some more. Finally, around 5 AM, the doctor came in, and was confident that she could massage or otherwise get the cervix out of the way. Kara had been totally effaced for quite some time, and was 10 cm except for the cervical thing.
So an incredible cadre of wonderful people came in, broke the bed down, and generally got us ready for the delivery part of labor. Kara started pushing around 6 or 6:15 AM. She did GREAT. Cyndee came back at 7 AM, and I gave her a really hard time. I said, "you promised that Kara would deliver before you got back." It was all in fun, though. At any rate, Kara did a fantastic job of pushing. She was still in pain, and she told me later the only way she could deal with the pain was to push. I did, however, lose all my brownie points during this process. I guess I talked to much, gave her too much advice, and didn't have enough ice chips or anything else.
They were worried about the babies' size, so the spectre of a C-section was raised. However, Kara did so well pushing that the doctor ended up telling the charge nurse that a C-section would probably not be needed. And you know the next part of the story. At 7:41 AM, she pushed the baby out. Actually, she crowned, and the doctor basically pulled the baby out. Earlier in the morning, there had been some discussion of whether or not I would like to cut the cord. It may sound strange, but I really didn't care. However, when the doctor broke her water the evening before, she detected
meconium, so they decided to get her to the pediatric doctor for an exam as quick as possible. I think that's part of the reason that the doctor hauled the baby out so quick. I think she was also concerned about Kara, who had been at it for 25 hours. At any rate, she put clamps on the cord, and cut it, and gave the baby to the doctor. It turns out that the baby did rotate out of posterior position, which probably helped the delivery. The doctor did also perform a small
episiotomy. After the birth, things got a little tricky. I won't go into to much detail here, except to say that the
placenta was problematic. The doctor had to use a few tricks to get it out, and it was a bit messy.
And then we experienced that wonderful scene where Kara, exhausted, and in pain, got to look over and see her daughter crying on the examination table. Wow. We all cried, and it seemed like there were 10 people in the room because everyone at the hospital was so concered and caring about the birth. I got to see the baby and hold her first, as the doctor dealt with the placenta. Kara got her time, though, and showed me up in the end. She had some kind of pregnancy metabolism thing going. I totally crashed shortly after the birth, but Kara went strong until about 7 PM that evening. By that time, I had taken a nap, and was generally feeling a bit better.
OK, now I really have to go. I'll put more thoughts together tomorrow, but for now, consider yourselves informed.
By the way, I highly recommend this vehicle for dissemination of information. It really works.