On Friday, March 12, I woke up at 3:33 AM and thought, "I wish I were in labor right now."
I hauled myself out of bed to pee, and felt a small gush. When I went to the bathroom, I assessed the situation and decided that I couldn't be certain what it was, so I changed my pants and got back in bed.
Joe heard me rummaging through my drawer and asked if I was ok. I told him my water might have broken, but I really couldn't tell so I was going back to sleep. When I laid down, I started to feel some slow, wave-like sensations in my abdomen, but I'd been having cramping for several weeks -- still, this felt different than Braxton-Hicks and I thought to myself, "I think am in labor." I'd heard that if you were in labor, you'd know it, but I am one to question even my most overwhelming of instincts. Mostly I didn't want to get my hopes up, because by this point I was rather desperate not to be pregnant any more, given my janky hip/back that made me walk like someone with one leg about a foot longer than the other and my generally dire excitement about meeting our baby.
My doctor had told me two days before, when she found that I was 2.5-3cm and 60-70% effaced, that she gave me a 50-50 chance of making it to my next office appointment, which was the following Monday (the 15th). I had taken that as a personal challenge and spent the rest of Wednesday and Thursday walking all over creation to encourage the labor party to get started. And yet, somehow it hadn't sunk in that this really was probably IT.
We woke up again around 6:30, and when I crane-lifted myself to a standing position, there was an unmistakable WHOOSH that continued when I went to the bathroom. I told Joe that, uh, that was definitely my water breaking, and I called my doctor's answering service. The on-call OB got back to me a few minutes later and said, "It's time for you to head into Labor and Delivery."
Suddenly I had that Christmas morning feeling, because we were going to have a BABY in the next 24 hours, no matter what. Joe showered and threw some things in a bag while I shoved down a Balance Bar and some water. I had packed my hospital bag a couple of weeks prior, but by this time I had no idea what was in it. I tossed some toiletries on top of the clothes and sundries that were in there and we headed out to get a cab.

When we got to L&D triage, they took some blood and did some swabbing of my nethers and confirmed that my water had broken and that the fluid showed no signs of fetal distress. The nurse put me on an IV drip of dextrose and told me that from then on I couldn't have anything but ice chips to eat or drink. (Somehow, it seemed at the time that this might be the most challenging part of labor, and while adding hunger to the mess of sensations that were yet to come was not enjoyable, it was -- ha ha HA! -- by FAR the least of my worries a few hours later). She also put a contraction monitor and a fetal heart rate monitor on my belly. The baby was looking strong; her heart rate was consistent through the entirety of labor, which was a relief since I was prepared to panic at the first sign of any kind of problem.
By this time, I had started having contractions, but they were very mild and fairly irregular. A while later, after I'd been admitted, the nurse came and told me that they were probably going to put me on Pitocin to get things moving in a more labor-like direction. We were soon wheeled into the L&D room, where a baby warmer was set up in the corner. Joe and I looked at each other and were all, holy shit, this is really happening -- we're leaving this room as a family of THREE.
My doctor was not on call that day, so another OB from her office, Dr. S, came in to meet with us. I'd seen her during the meet-and-greet rotations in my early third trimester, and thought she was really great. She checked me and said I was still around 2-3cm and explained that, since my water had broken and the clock was ticking on us, she wanted to put me on Pitocin to get the contractions to be more regular and productive. I said I was fine with that, so they hooked me up to another IV and I waited for things to get more intense.
By this time, our doula, Nicole, had arrived. She and Joe and I chatted and bantered for a couple of hours, with nary a cleansing breath required on my part to get through any contractions. Around noon, she and Joe had some lunch and I crunched some ice chips (and snuck a few bites of a bagel and sips of Gatorade when the nurse was out of the room -- naturally, I was nervous that the nurse would catch me and I would get in some kind of trouble, as if she'd send me to the hospital principal's office). I decided to sit on the yoga ball to see if a different position would encourage things along. Another couple of hours passed with me bouncing on the ball and stretching out my pelvis and the three of us talking and laughing.

Finally, I started to have some contractions that made me stop yammering. They still weren't super-painful; they mostly felt like someone was bear-hugging my lower abdomen -- more pressure than pain. My lower back was also getting into the act, especially around my rear hipbones. But it wasn't that bad, and I OH SO FOOLISHLY thought, "Maybe labor will not be that big of a deal. After all, I'm tough and athletic! Perhaps this will be one of those easy deliveries you hear about!"
Let's all take a moment to shake our heads and look pityingly at my blind, dumb hubris.
Nicole came over to sit next to me and put counterpressure on my lower back. She looked over at the machine that was dosing my Pitocin, and she sat thoughtfully for a minute and then said, "I've never seen someone on this much Pitocin who wasn't screaming and begging for mercy. And you've been on it for HOURS now and you're barely reacting to the contractions. This is really extraordinary."
Well, we weren't so smug for very long.
Somewhere around 4:00, things turned a corner. I had gotten sick of the yoga ball so had climbed back onto the bed and shortly thereafter the contractions became much stronger, longer and more frequent. I could no longer carry on a conversation and the deep breathing was not really enough to get me through the pain anymore. Joe was pressing against my lower back to support the contractions and Nicole was encouraging my breathing, feeding me ice chips and wiping my forehead with a cool paper towel.
As the pain intensified, I began to lose control and started making what can only be described as feral animal sounds. It felt like the lower part of my body was being wrenched apart, and my lower back and butt area filled with this unbearable pressure. I thought my body might actually explode. Each time a contraction started I began to panic because I didn't think I could live through it. I gripped Joe's and Nicole's hands with all my strength and screamed at the top of my lungs with each wave of pain. I seem to recall screaming, "I CAN'T DO THIS" and "THERE'S SO MUCH PRESSURE" and "I'M GOING TO DIE."
And then at one point around 6 or 6:30, in between contractions I apologized to Joe that he was missing dinner. It seemed important at the time.
Dr. S came in around this time and checked me. Since I felt like I could have reached up inside my lady area and TURN MY BODY INSIDE OUT, I felt certain that I had progressed and was close to being able to push. So I almost got up and walked out, washing my hands of the whole business, when she announced that I was STILL AT TWO TO THREE CENTIMETERS, ARE YOU FREAKING KIDDING ME? In between ear-shattering howls, I told her that I needed the epidural, like, YESTERDAY, because I was not going to live much longer with this pain. She said probably the epidural would make me dilate faster since my body would relax more and the baby would drop down more easily, and she told us the anesthesiologist would be in shortly.
Naturally, it took about half an hour for the doctor to arrive with the promise of sweet, sweet pain relief, and I continued to announce my agony to the world while we waited. When she came in, the anesthesiologist said, "I heard you calling me from down the hall!" HEH. She tried to ask me some routine questions, but it was clear I was not in a state to converse in anything other than expletives and growls, so she hastily had me sign a consent form and went about the business of administering the epidural. I screamed when they placed it as a bolt of fire shot down my left leg, but other than that it was no big deal -- my fear of having a giant needle shoved into my spine was totally eclipsed by the pain and the all-consuming desperation to make it stop.
During this part, Nicole stayed with me and Joe left, since they said only one "guest" could be in the room for the epidural placement. Although he was being incredibly strong and helpful, I could tell by his face that Joe was having a really hard time seeing me in so much pain, so it was good for him to get out and breathe for a minute. He told me later that he went and sat in the triage waiting room with his head in his hands.
The doctors told me that it would take about 15 to 20 minutes for the epidural to kick in, so I howled through a bunch more contractions, hoping with each one that they would diminish even slightly. Joe came back and one of the doctors said that soon I would have a smile on my face and might even be able to nap until it was time to push.
Yeah. Well!
Twenty, then thirty, then still more minutes ticked by as I writhed in undiluted pain. The anesthesiologist came back and topped off my epidural with three more vials of pain medicine. She told me that my legs would be completely numb, which was something I'd been frightened of beforehand, but by now I would have taken a frying pan over the head rather than worry about such trifles. My left leg began to tingle a bit, as if it were falling asleep, but other than that? Nothing. No relief, no smile, no bloomin' NAP, that's for damn sure.
By now, I was certain that I couldn't do this, couldn't take another SECOND of this, and I let everyone know that at full volume. Around 7:45 or so, another OB came in to check me as Dr. S had had to run down to the ER to deal with another patient. I was terrified that I wouldn't have progressed much and I didn't think I had the strength to cope through many more contractions, let alone push the baby out. I was also in abject fear that if I couldn't handle this part of the labor -- and since the epidural WAS NOT WORKING -- that the pain of delivery would actually kill me. Nicole assured me that the pushing would be less intense than what I'd endured thus far, but I didn't believe her.
The OB told me that I was now -- wait for it -- NINE CENTIMETERS. Everyone in the room -- nurse, OB, and two anesthesiologists -- was like, "OH! No WONDER you're in so much pain! You went from two to nine centimeters in AN HOUR." It seemed that the Pitocin had kicked in so swiftly and in such a delayed way that the epidural couldn't "catch up" with the change that my body was going through in such a short time. Plus, someone mentioned (oh, NOW you tell me!) that epidurals can't really help with back labor. Yippee.
In any event, they checked me to see that the epidural was placed properly by rubbing ice on my forehead, chest and belly and asking if it felt the same. I think my answer was "I DON'T KNOW, JUST MAKE THIS STOP YOU BASTARDS." Around this time, I also became extremely hot and couldn't stand for Nicole or Joe to even BREATHE on me, let alone touch me. Nicole tried to put some essential oils under my nose as she'd done a couple of hours before, and I almost threw her across the room.
The butt-exploding feeling got even more intense and I started shouting that I needed to push RIGHT NOW, RIGHTNOWRIGHTNOWRIGHTNOW, and the nurse and Nicole said I could if I felt like I had to as it would help the baby get into position.
Just before 8:00, Dr. S came back in. She examined me and said there was a tiny bit of cervix left but it was almost time to really start pushing. Suddenly, the room exploded in activity as another nurse came in, Dr. S started suiting up in some kind of Hazmat baby-catching gear, the other nurse readied the baby warmer and pulled the bed apart to get the stirrups in place.
Everyone helped get me into pushing position, with me holding both my legs (WHICH I COULD STILL FEEL) all spread-eagled and curling my upper body over my belly. They told me to push into my butt like I was pooping and the doctor gave me some instructions about how to bring in a deep breath and then hold it while I pushed. It seemed like a lot to ask me to do at once, especially with the contractions threatening to kill me every few seconds.
The first couple of times I tried to push, I thought my face was going to fly off and hit the wall. They said not to push with my face or my legs but to concentrate all my energy in my butt. Then they'd tell me to breathe in with the next contraction, hold it and they yelled "PUSHPUSHPUSHPUSHPUSH" -- one nurse counted down from 10 each time and Nicole kept yelling, "IN THE BUTT! IN THE BUTT!" which cracks me up (Joe just reminded me of that yesterday and every time I think of it I die laughing).
Around this time, Dr. S said that it takes a lot of first-time moms up to THREE HOURS to push the baby out. In a rare moment of calm, I looked her in the eyes and said, "That is not happening. We are getting this baby out NOW."
After just a few pushes, Dr. S asked Joe if he wanted to see the top of the baby's head. He looked down and was like, "WHOA. There it is!" He kept holding my hand (I can't believe I didn't break his poor hand, by the way) and encouraging me, but his eyes were glued to the baby's head. With each push, everyone kept saying she was getting closer, but then she seemed to get sort of stuck as she was pressing against my pubic bone. The pushing, by the way, was like an athletic event and it was difficult to know if I was doing it exactly right, but strangely it didn't HURT all that much. I just felt really exhausted after each one, like I wanted to go and lie down and be done with it.
Since the baby was kind of trapped against my pelvis, Dr. S did a small episiotomy (she told Joe to look away for that part and I kept saying, "I can feel it! I can feel it!" because the farking epidural? STILL NOT WORKING) and with another push, the baby's head was out. Joe told me later that the cord was wrapped around her neck, so Dr. S quickly clamped it and cut it (I remember Dr. S telling me not to push for a minute, but I was yelling, "I HAVE TOOOOO") and then with one final push at 8:36pm, SHOOP! There she was!
I felt this amazing release when she came out, and I think I kept saying, "Thank GOD, oh thank GOD it's over! It's over!" and people were exclaiming all sorts of things and as they hefted this warm, gooey, cone-headed baby onto my chest, I heard a tiny cry and put my arms around our daughter. I was crying, of course, but also laughing and babbling God knows what and Joe was next to me saying something and crying but all I could focus on was that warm weight and that mewling cry, because finally, finally our daughter had arrived.
After a few minutes, the nurse took Felicity to wipe her off and weigh her in the baby warmer, and the doctor delivered the placenta (that thing was HEAVY; it felt like I could float to the ceiling once it and the baby were out) and then Dr. S had to go deal with another emergency so another doctor came in to stitch me up. The stitching was quasi-painful even with a local anesthetic (and STILL I could feel everything below the waist, have I mentioned that?) but whatever, our BABY was HERE.
And also, I COULD FINALLY EAT. I asked Nicole to get me this bag of Haribo Gummy Bears from my bag and I sucked those bad boys down in about one second; they tasted SO GOOD. It was one of the best food experiences of my LIFE.
The nurse brought Felicity back to me and Nicole helped me breastfeed for the first time while Joe took about a thousand pictures (which are not suitable for public consumption). Some more stuff happened that I don't really remember, but pretty soon we were told that someone was going to wheel me down to our postpartum room. We'd asked for a private room when we got there that morning, but after the baby was delivered Joe went to check on the situation and they said there was nothing available. But when they wheeled me out of the elevator, with our tiny baby girl in my lap, they took us to a sweet, sweet private room with a view of the city and the Hudson River. The nurse helped me go to the bathroom and pee (uh...OUCH) and then helped me into bed. She also helped me nurse Felicity some more and then got the baby swaddled and set up in her little plastic basinette next to my bed. Joe and I contemplated dinner but decided to wolf down some energy bars and eat a real meal in the morning when room service was available.
I knew I should sleep, but instead I stayed up and stared at our baby's perfect face all night long. She was worth every minute of waiting, every day, week and month of agony during our failed adoption, every moment of discomfort in pregnancy and every bit of pain in labor. She's worth everything, she was meant to be ours all along, and I can't imagine our life without her.


